Mark D. Wyer

Surveillance of adenoviruses and noroviruses in European recreational waters

Abstract Exposure to human pathogenic viruses in recreational waters has been shown to cause disease outbreaks. In the context of Article 14 of the revised European Bathing Waters Directive 2006/7/EC (rBWD, CEU, 2006) a Europe-wide surveillance study was carried out to determine the frequency of occurrence of two human enteric viruses in recreational waters. Adenoviruses were selected based on their near-universal shedding and environmental survival, and noroviruses (NoV) selected as being the most prevalent gastroenteritis agent worldwide. Concentration of marine and freshwater samples was done by adsorption/elution followed by molecular detection by (RT)-PCR. Out of 1410 samples, 553 (39.2%) were positive for one or more of the target viruses. Adenoviruses, detected in 36.4% of samples, were more prevalent than noroviruses (9.4%), with 3.5% GI and 6.2% GII, some samples being positive for both GI and GII. Of 513 human adenovirus-positive samples, 63 (12.3%) were also norovirus-positive, whereas 69 (7.7%) norovirus-positive samples were adenovirus-negative. More freshwater samples than marine water samples were virus-positive. Out of a small selection of samples tested for adenovirus infectivity, approximately one-quarter were positive. Sixty percent of 132 nested-PCR adenovirus-positive samples analysed by quantitative PCR gave a mean value of over 3000 genome copies per L of water. The simultaneous detection of infectious adenovirus and of adenovirus and NoV by (RT)PCR suggests that the presence of infectious viruses in recreational waters may constitute a public health risk upon exposure. These studies support the case for considering adenoviruses as an indicator of bathing water quality.

Relationships between microbial water quality and environmental conditions in coastal recreational waters: the Fylde coast, UK.

This paper explores ways in which the analysis of microbial data from routine compliance monitoring, in combination with basic environmental data, can provide insight into the factors affecting faecal-indicator organism concentrations in coastal waters. In the case study presented, eight designated bathing waters on the Fylde coast are continuing to exhibit unreliable compliance with the Imperative standards for total coliform (TC) and faecal coliform (FC) concentrations specified in the EU Bathing Water Directive (76/160/EEC), despite significant reductions in geometric mean concentrations following recent major investment in the sewerage infrastructure. Faecal streptococci (FS) concentrations have remained high and have not been improved by the new sewerage schemes. The results suggest that, prior to the schemes, higher bacterial concentrations were strongly associated with rainfall; and sewage sources were important for TC and FC, but less important for FS, which may have been more strongly affected by diffuse catchment sources. In the post-schemes period, catchment sources appear to be of greater significance; rainfall remains as a significant, though less important, predictor; and tide height at time of sampling, together with variables such as sunshine and the proportion of onshore winds (which affect the survival and movement of bacteria that have already entered the coastal waters), assume greater significance. The approach used here provides a cost-effective management tool for the exploratory investigation of any monitoring point that is failing to meet recreational water quality standards.

Marine waters contaminated with domestic sewage : Nonenteric illnesses associated with bather exposure in the United Kingdom

OBJECTIVES This study identified possible dose-response relationships among bathers exposed to marine waters contaminated with domestic sewage and subsequent risk of nonenteric illness. METHODS Four intervention follow-up studies were conducted within the United Kingdom. Healthy volunteers (n = 1273) were randomized into bather and nonbather groups. Intensive water-quality monitoring was used to assign five bacteriological indices of water quality to individual bathers. Illnesses studied were acute febrile respiratory illness, and eye, ear, and skin ailments. RESULTS Fecal streptococci exposure was predictive of acute febrile respiratory illness, while fecal coliform exposure was predictive of ear ailments. Estimated thresholds of effect occurred at bather exposures above 60 fecal streptococci and 100 fecal coliform per 100 ml of water, respectively. Although no relationship was found between eye ailments and indicator organism exposure, compared with nonbathers, bathers were at higher risk for eye ailments. CONCLUSIONS Nonenteric illness can be transmitted via recreational contact with marine waters contaminated with sewage. These results argue against the use of a single indicator to establish water quality standards.

Modelling faecal coliform dynamics in streams and rivers

Abstract A series of field experiments are reported which have provided empirical evidence to improve the understanding of faecal coliform entrainment mechanisms within stream channels. A new conceptual model of faecal coliform dynamics is proposed and preliminary modelling results presented. The model is based on the assumption that the entrainment and deposition of organisms from storage within the stream bed is governed by the relationship between flow and the channel bed. The organisms are assumed to be associated with particulates of low settling velocity. Channel bed storage is modelled by a series of longitudinal sub-store units which are sequentially accessed as flow rises, each store unit is rapidly depleted of organisms after the onset of entrainment. Deposition to sub-stores where entrainment is not occurring is assumed to occur at a constant rate. Further investigations are required to confirm the results and examine the application of the model to natural flow events or alternative determinands.

Catchment microbial dynamics: the emergence of a research agenda:

Parallel policy developments driven in the USA by the Clean Water Act and in Europe by the Water Framework Directive have focused attention on the need for quantitative information on the fluxes of faecal indicator bacteria in catchment systems. Data are required on point and diffuse source loadings, fate and transport of these non-conservative parameters, on the land surface, within soil systems, in groundwater, streams, impoundments and nearshore waters. This new information is needed by regulators to inform Total Maximum Daily Load estimates in the USA and Programmes of Measures in Europe both designed to prevent impairment of water quality at locations where compliance is assessed against health-based standards for drinking, bathing or shellfish harvesting. In the UK, the majority of catchment-scale activity in this field has been undertaken by physical geographers although microbial flux analysis and modelling has received much less attention from the research and policy communities than, for example, the nutrient parameters. This paper charts the policy drivers now operative and assesses the evidence base to support current policy questions. Finally, gaps and priority research questions are identified.

Faecal indicator organism concentrations and catchment export coefficients in the UK.

Characterisation of faecal indicator organism (FIO) concentrations and export coefficients for catchments with particular combinations of land use and under specific climatic regimes is critical in developing models to predict daily loads and apportion sources of the microbial parameters used to regulate water quality. Accordingly, this paper presents a synthesis of FIO concentration and export coefficient data for the summer bathing season, with some comparative winter data, for 205 river/stream sampling points widely distributed across mainland UK. In terms of both geometric mean (GM) FIO concentrations and export coefficients (expressed as cfu km(-2) h(-1)), the results reveal (1) statistically significant elevations at high flow compared with base flow, with concentrations typically increasing by more than an order of magnitude and export coefficients by about two orders; (2) significantly higher values in summer than in winter under high-flow conditions; and (3) extremely wide variability between the catchments (e.g. four orders of magnitude range for GM faecal coliform concentrations), which closely reflects land use-with urban areas and improved pastures identified as key FIO sources. Generally, these two most polluting land uses are concentrated in lowland areas where runoff (m3 km(-2) h(-1)) is low compared with upland areas, which in the UK are dominated by rough grazing and forestry. Consequently, contrasts in export coefficients between land use types are less than for FIO concentrations. The GMs reported for most land use categories are based on 13 sites and exhibit quite narrow confidence intervals. They may therefore be applied with some confidence to other catchments in the UK and similar geographical regions elsewhere. Examples are presented to illustrate how the results can be used to estimate daily summer base- and high-flow FIO loads for catchments with different land use types, and to assess the likely effectiveness of certain strategies for reducing FIO pollutant loadings in areas with extensive areas of lowland improved pasture.

Faecal indicator impacts on recreational waters: budget studies and diffuse source modelling

A series of investigations are underway which have quantified the contribution of faecal indicators delivered to nearshore coastal waters from the sewerage system and riverine inputs. Studies have been completed in Jersey, Staithes, Yorkshire, South Wales and the North‐west. The resarch protocols have involved quantification of high and low flow faecal indicator delivery from the sewerage system and riverine sources as well as construction of nonpoint source models designed to predict faecal indicator delivery from diffuse, catchment sources. These investigations suggest a dynamic, but predictable, balance between inputs from the sewerage system and from ‘catchment’ sources. The sewerage system dominates during low flow conditions but is often overtaken by riverine inputs during high flow conditions after rainfall. Many bathing beach locations exhibit non‐compliance after rainfall when stream inputs, rather than sewerage inputs, commonly dominate. The implications of this input pattern is that routine monitoring data may not provide information relevant to new infrastructure planning designed to achieve bathing beach compliance. This suggests that the present scientific information base is insufficient to underpin the extensive UK infra‐structure investment programmes designed to ensure compliance with existing EU Directive 76/160/EEC standards. Furthermore, results to date, suggest that management attention must expand from its historical focus on infra‐structure provision to incorporate diffuse sources of faecal indicator loading which present a new set of management and modelling challenges.

Predicting microbial pollution concentrations in UK rivers in response to land use change

The Water Framework Directive has caused a paradigm shift towards the integrated management of recreational water quality through the development of drainage basin-wide programmes of measures. This has increased the need for a cost-effective diagnostic tool capable of accurately predicting riverine faecal indicator organism (FIO) concentrations. This paper outlines the application of models developed to fulfil this need, which represent the first transferrable generic FIO models to be developed for the UK to incorporate direct measures of key FIO sources (namely human and livestock population data) as predictor variables. We apply a recently developed transfer methodology, which enables the quantification of geometric mean presumptive faecal coliforms and presumptive intestinal enterococci concentrations for base- and high-flow during the summer bathing season in unmonitored UK watercourses, to predict FIO concentrations in the Humber river basin district. Because the FIO models incorporate explanatory variables which allow the effects of policy measures which influence livestock stocking rates to be assessed, we carry out empirical analysis of the differential effects of seven land use management and policy instruments (fiscal constraint, production constraint, cost intervention, area intervention, demand-side constraint, input constraint, and micro-level land use management) all of which can be used to reduce riverine FIO concentrations. This research provides insights into FIO source apportionment, explores a selection of pollution remediation strategies and the spatial differentiation of land use policies which could be implemented to deliver river quality improvements. All of the policy tools we model reduce FIO concentrations in rivers but our research suggests that the installation of streamside fencing in intensive milk producing areas may be the single most effective land management strategy to reduce riverine microbial pollution.

Results of field investigations into the impact of intermittent sewage discharges on the microbiological quality of wild mussels (Mytilus edulis) in a tidal estuary.

Field surveys were designed to examine the effects of sewage contamination from storm overflow effluent on faecal coliform and Escherichia coli concentrations in the flesh of wild mussels (Mytilus edulis). Bags containing 30 mussels each were fixed at known inter-tidal locations and retrieved at intervals following discharge from a nearby combined sewer overflow (CSO). Concentrations of faecal coliform bacteria and E. coli were measured in the shellfish flesh and in samples of overlying water prior to collection of the mussel samples. Faecal coliform and E. coli concentrations in shellfish increased rapidly after CSO discharge. E. coli concentrations exceeded the European shellfish hygiene class C limit of 46,000 100g(-1), and decayed during subsequent CSO discharge-free periods. The concentration and depuration response was independent of the magnitude of CSO spill volume. First-order exponential decay functions were fitted to the data. Decay rates were lower than those found in corresponding microcosm experiments. This relates to the repeated pattern of inundation and exposure associated with the tidal cycles in the estuary. Relationships between E. coli and faecal coliform concentrations in the shellfish and overlying water samples were relatively weak (r<0.60), a pattern often seen with data from uncontrolled environmental experiments.

Relationships between human adenoviruses and faecal indicator organisms in European recreational waters

Human adenoviruses (HAdV) may be implicated in some disease outbreaks associated with recreational water exposures, typically in swimming pools. Modern molecular methods can be used to detect HAdV in environmental water samples. During the EU FP6 Project VIROBATHE a database of over 290 HAdV analyses with corresponding faecal indicator organism (FIO) determinations was gathered and used to explore statistical associations between HAdV and FIO results. The FIOs measured were Escherichia coli, intestinal enterococci and somatic coliphage. Statistically significant trends of increasing proportions of HAdV-positive results in categories of increasing FIO concentration were found in freshwater but not seawater samples. The analysis of these trends in freshwater samples was refined, the trends remaining statistically significant when using categories of 0.5 log(10) intervals of FIO concentration. Logistic regression models were then developed to predict the probability of a HAdV-positive outcome from FIO concentration. Potential applications of these models to predict the probability of HAdV-positive outcomes from routine FIO determinations used to describe recreational water quality exposures and to classify recreational water quality are discussed.