Impact of Sediment Concentration on the Survival of Wastewater-Derived blaCTX-M-15-Producing E. coli, and the Implications for Dispersal into Estuarine Waters

Comparative impact of sunlight and salinity on human pathogenic virus survival in river, estuarine, and marine water microcosms

Urban wastewater contains a diverse array of human pathogenic viruses, often in high concentrations, presenting a significant challenge for water quality management. Sewage spills into natural water systems therefore pose a significant public health risk due to the potential to cause viral infections, yet the behaviour of viruses under dynamic environmental conditions remains poorly understood. This study investigates the decay of sewage-associated viruses (Adenovirus, Enterovirus, Hepatitis A Virus, Influenza A Virus, Norovirus GII, and Respiratory Syncytial Virus) in river, estuary, and marine water, with and without simulated sunlight. Using both qPCR and capsid integrity qPCR (CI-qPCR) methods, we found that in the absence of sunlight, time was the most significant factor influencing viral decay across all water types. The time required for a 90 % reduction in viral gene copies (T90) was observed within 0.3-24.3 days. Simulated sunlight accelerated viral decay, with significant reductions in gene copies l-1 observed within 1-3 days for all viruses studied, and T90 values ranging from 7 to 62.8 h. The effect of salinity on viral decay varied among viruses and water types. These results highlight the complex interplay between environmental water properties and viral persistence, emphasizing the critical role of solar radiation in viral inactivation. The study also demonstrates the value of using both qPCR and CI-qPCR methods to assess total and potentially infectious viral loads, respectively. These results have important implications for water quality management and public health risk assessment in diverse aquatic environments, particularly in the context of the increased frequency of sewage spills occurring in response to climate change and increasing urbanization. The data will support improvements in water quality modelling and associated risk management, contributing to more effective measures for protecting public health in coastal and inland water systems.

Multi-scale influences on Escherichia coli concentrations in shellfish: From catchment to estuary

Sustainability of bivalve shellfish farming relies on clean coastal waters, however, high levels of faecal indicator organisms (FIOs, e.g. Escherichia coli) in shellfish results in temporary closure of shellfish harvesting beds to protect human health, but with economic consequences for the shellfish industry. Active Management Systems which can predict FIO contamination may help reduce shellfishery closures. This study evaluated predictors of E. coli concentrations in two shellfish species, the blue mussel (Mytilus edulis) and the Pacific oyster (Crassostrea gigas), at different spatial and temporal scales, within 12 estuaries in England and Wales. We aimed to: (i) identify consistent catchment-scale or within-estuary predictors of elevated E. coli levels in shellfish, (ii) evaluate whether high river flows associated with rainfall events were a significant predictor of shellfish E. coli concentrations, and the time lag between these events and E. coli accumulation, and (iii) whether operation of Combined Sewer Overflows (CSO) is associated with higher E. coli concentrations in shellfish. A cross-catchment analysis gave a good predictive model for contamination management (R2 = 0.514), with positive relationships between E. coli concentrations and river flow (p = 0.001), turbidity (p = 0.002) and nitrate (p = 0.042). No effect was observed for catchment area, the number of point source discharges, or agricultural land use type. 64% of all shellfish beds showed a significant relationship between E. coli and river flow, with typical lag-times of 1-3 days. Detailed analysis of the Conwy estuary indicated that E. coli counts were consistently higher when the CSO had been active the previous week. In conclusion, we demonstrate that real-time river flow and water quality data may be used to predict potential risk of E. coli contamination in shellfish at the catchment level, however, further refinement (coupling to fine-scale hydrodynamic models) is needed to make accurate predictions for individual shellfish beds within estuaries.

Key environmental exposure pathways to antimicrobial resistant bacteria in southern Malawi: A SaniPath approach

Antimicrobial resistance (AMR) poses a severe global health threat, yet the transmission pathways of AMR within communal public environments, where humans and animals interact, remain poorly explored. This study investigated AMR risk pathways, prevalence, and seasonality of extended-spectrum β-lactamase (ESBL) producing E. coli and K. pneumoniae, and observed practices contributing to environmental contamination within urban, peri-urban, and rural Malawi. Using the SaniPath tool, in August 2020, transect walks across three Malawian study sites identified potential AMR exposure pathways, including drains, standing water, soil, and areas of communal hand contact. Subsequently, from September-2020 to August-2021, 1440 environmental samples were collected at critical points along exposure routes (n = 40/month from each site). These underwent microbiological analysis using chromogenic agar techniques to detect the presence of ESBL E. coli and ESBL K. pneumoniae. Results showed the highest ESBL prevalence in urban environments (68.1 %, 95%CI = 0.64-0.72, p < 0.001) with a higher ESBL presence seen in drains (58.8 %, 95%CI = 055-0.62, p < 0.001) and soil (54.1 %, 95%CI = 0.46-0.62, p < 0.001) compared to other pathways. Environmental contamination was attributed to unavailability and poor condition of sanitation and hygiene infrastructure based on key informant interviews with community leaders (n = 9) and confirmed by independent observation. ESBL prevalence varied between seasons (χ2 (2,N = 1440) = 10.89, p = 0.004), with the highest in the hot-dry period (55.8 % (n = 201)). Prevalence also increased with increased rainfall (for ESBL E.coli). We highlight that community environments are likely to be a crucial component in AMR transmission, evident in the abundance of ESBL bacteria in identified exposure pathways. Additionally, poor sanitation infrastructure and practices coupled with seasonal dynamics further affect the presence of ESBLs in communal environments. Therefore, a context appropriate whole system approach that tackles infrastructure and behavioural factors, supported by effective surveillance is required to impact AMR and a range of aligned development challenges in these settings.

Trapping and bypassing of suspended particulate matter, particulate nutrients and faecal indicator organisms in the river-estuary transition zone of a shallow macrotidal estuary

Hydrodynamic controls of the transport of suspended particulate matter (SPM), particulate nutrients and faecal indicator organisms (FIOs) in the river-estuary transition zone (RETZ) of a shallow macrotidal estuary were studied on tidal and seasonal timescales. The RETZ was found to be a conduit for SPM rather than a zone of particle accumulation during spring tides, with complex size fractionation and biogeochemical exchanges of particulate nutrient/FIO compositions. The downstream RETZ was characterised by flood-dominant currents, but with ebb-dominant turbulence due to the suppression of flood tide turbulence by salinity stratification created by lateral convergence; this produced a net seaward mass transport of SPM. Without lateral convergence in the narrower upstream RETZ, flood-dominant currents and flood-dominant turbulence were experienced. Hence the RETZ exported SPM landwards from its upper end and seawards from its lower end - a process observed throughout the year during spring tides and low-to-mean river flows. During neap tides when SPM concentrations were reduced, the RETZ became a zone of minor particle accumulation as its lower end imported SPM landwards from the estuary and its upper end imported SPM seawards from the river. During a river flood event, net SPM flux was significantly increased and was seawards throughout the RETZ. SPM mass concentration and carbon, nitrogen, phosphorous, and FIO concentrations peaked due to local resuspension and advection of an ephemeral estuarine turbidity maximum (ETM). The ETM formed on the advancing flood tide due to entrainment of material from intertidal flats. Flocculation and settling occurred at high slack water. The ETM was reconstituted by entrainment on the ebb and was composed of larger flocs than on the flood. Particulate nutrients and FIOs were associated with flocs in the 10-200 μm range but not with smaller or larger flocs. SPM concentrations in the resuspension component and ETM exceeded microbial water quality standards, emphasising the need for monitoring practices that consider tidal dynamics. The results from this study showing periodic SPM export from, rather than prolonged accumulation in, the RETZ and the influence of particle size fractionation on biogeochemical fluxes in the RETZ, are likely to be transferable to many other embayment-type estuaries on macrotidal coasts.