Steve Pedley

Microbial contamination of two urban sandstone aquifers in the UK

Development of urban groundwater has historically been constrained by concerns about its quality. Rising urban water tables and overabstraction from rural aquifers in the UK have led to a renewed interest in urban groundwater, particularly the possibility of finding water of acceptable quality at depth. This study assessed the microbial quality of groundwater collected from depth-specific intervals over a 15-month period within the Permo-Triassic Sherwood Sandstone aquifers underlying the cities of Nottingham and Birmingham. Sewage-derived bacteria (thermotolerant coliforms, faecal streptococci and sulphite-reducing clostridia) and viruses (enteroviruses, Norwalk-like viruses, coliphage) were regularly detected to depths of 60 m in the unconfined sandstone and to a depth of 91 m in the confined sandstone. Microbial concentrations varied temporally and spatially but increased frequency of contamination with depth coincided with geological heterogeneities such as fissures and mudstone bands. Significantly, detection of Norwalk-like viruses and Coxsackievirus B4 in groundwater corresponded with seasonal variations in virus discharge to the sewer system. The observation of low levels of sewage-derived microbial contaminants at depth in the Triassic Sandstone aquifer is explained by the movement of infinitesimal proportions of bulk (macroscopic) groundwater flow along preferential pathways (e.g., fissures, bedding planes). The existence of very high microbial populations at source (raw sewage) and their extremely low detection limits at the receptor (multilevel piezometer) enable these statistically extreme (microscopic) flows to be traced. Rapid penetration of microbial contaminants into sandstone aquifers, not previously reported, highlights the vulnerability of sandstone aquifers to microbial contamination.

Accounting for water quality in monitoring access to safe drinking-water as part of the millennium development goals: lessons from five countries

OBJECTIVE To determine how data on water source quality affect assessments of progress towards the 2015 Millennium Development Goal (MDG) target on access to safe drinking-water. METHODS Data from five countries on whether drinking-water sources complied with World Health Organization water quality guidelines on contamination with thermotolerant coliform bacteria, arsenic, fluoride and nitrates in 2004 and 2005 were obtained from the Rapid Assessment of Drinking-Water Quality project. These data were used to adjust estimates of the proportion of the population with access to safe drinking-water at the MDG baseline in 1990 and in 2008 made by the Joint Monitoring Programme for Water Supply and Sanitation, which classified all improved sources as safe. FINDINGS Taking account of data on water source quality resulted in substantially lower estimates of the percentage of the population with access to safe drinking-water in 2008 in four of the five study countries: the absolute reduction was 11% in Ethiopia, 16% in Nicaragua, 15% in Nigeria and 7% in Tajikistan. There was only a slight reduction in Jordan. Microbial contamination was more common than chemical contamination. CONCLUSION The criterion used by the MDG indicator to determine whether a water source is safe can lead to substantial overestimates of the population with access to safe drinking-water and, consequently, also overestimates the progress made towards the 2015 MDG target. Monitoring drinking-water supplies by recording both access to water sources and their safety would be a substantial improvement.

The implications of groundwater velocity variations on microbial transport and wellhead protection – review of field evidence

Current strategies to protect groundwater sources from microbial contamination (e.g., wellhead protection areas) rely upon natural attenuation of microorganisms between wells or springs and potential sources of contamination and are determined using average (macroscopic) groundwater flow velocities defined by Darcys Law. However, field studies of sewage contamination and microbial transport using deliberately applied tracers provide evidence of groundwater flow paths that permit the transport of microorganisms by rapid, statistically extreme velocities. These paths can be detected because of (i) the high concentrations of bacteria and viruses that enter near-surface environments in sewage or are deliberately applied as tracers (e.g., bacteriophage); and (ii) low detection limits of these microorganisms in water. Such paths must comprise linked microscopic pathways (sub-paths) that are biased toward high groundwater velocities. In media where microorganisms may be excluded from the matrix (pores and fissures), the disparity between the average linear velocity of groundwater flow and flow velocities transporting released or applied microorganisms is intensified. It is critical to recognise the limited protection afforded by source protection measures that disregard rapid, statistically extreme groundwater velocities transporting pathogenic microorganisms, particularly in areas dependent upon untreated groundwater supplies.

Assessment of the stability of human viruses and coliphage in groundwater by PCR and infectivity methods

Aim:  To investigate the potential health hazard from infectious viruses where coliphages, or viruses by polymerase chain reaction (PCR), have been detected in groundwater. Two aspects were investigated: the relationship between infectivity and detection by PCR and the stability of coliphage compared to human viruses.

Effects of sewerage on diarrhoea and enteric infections: a systematic review and meta-analysis

BACKGROUND Sanitation is inadequate in most cities in developing countries, with major effects on infectious disease burden: in this situation, is piped sewerage an appropriate solution, or should efforts focus on systems based on onsite solutions, such as latrines? We reviewed the effects of the presence of sewerage systems on diarrhoeal disease and related outcomes. We included only observational studies because so far there have been no randomised controlled trials. METHODS We identified relevant studies by use of a comprehensive strategy including searches of Medline and other databases from 1966 to February, 2010. In studies that compared sewerage with one other sanitation category, we used relative risk (RR) estimates for sewerage versus the other category. When a single study made two or more comparisons, we calculated a weighted average RR value, and used this value in our meta-analysis. We used the most adjusted RR estimate provided by the authors; if no adjusted estimate was available, we used the crude estimate. To obtain pooled-effect estimates, meta-analyses were done by use of an inverse variance method-ie, the study-specific adjusted log ORs for case-control and cross-sectional studies, and log RRs for cohort studies, were weighted by the inverse of their variance to compute a pooled RR with 95% CI. FINDINGS 25 studies investigated the association between sewerage and diarrhoea or related outcomes, including presence of intestinal nematodes. Pooled estimates show that sewerage systems typically reduce diarrhoea incidence by about 30% (RR 0.70, 95% CI 0.61-0.79), or perhaps as much as 60% when starting sanitation conditions are very poor. Studies with objective outcome measures showed even stronger pooled effect than studies that assessed diarrhoea incidence with interviews, while sensitivity analysis indicated that the effect remains even if we assume strong residual confounding. INTERPRETATION Sewerage interventions seem to reduce the incidence of diarrhoea and related outcomes. However, we urge cautious interpretation of these findings, because, in many contexts, sewerage might be less cost effective and sustainable than onsite alternatives. FUNDING None.

Challenges to achieving sustainable sanitation in informal settlements of Kigali, Rwanda.

Like most cities in developing countries, Kigali is experiencing rapid urbanisation leading to an increase in the urban population and rapid growth in the size and number of informal settlements. More than 60% of the city’s population resides in these settlements, where they experience inadequate and poor quality urban services including sanitation. This article discusses the issues and constraints related to the provision of sustainable sanitation in the informal settlements in Kigali. Two informal settlements (Gatsata and Kimisagara) were selected for the study, which used a mixed method approach for data collection. The research found that residents experienced multiple problems because of poor sanitation and that the main barrier to improved sanitation was cost. Findings from this study can be used by the city authorities in the planning of effective sanitation intervention strategies for communities in informal settlements.

A spatial analysis of pit latrine density and groundwater source contamination.

This study aims to assess the relationship between chemical and microbial contamination of groundwater sources and a range of potential hazards in two peri-urban areas of Kisumu, Kenya where shallow wells and pit latrines are widely used. From 1998 to 2004, 263 samples were taken from 61 groundwater sources and tested for thermotolerant coliforms. Eighteen of these sources were also tested for chemical contaminants, including nitrate, chloride and fluoride. The locations of all water sources, buildings and pit latrines in the study area were surveyed. Local pit latrine densities were calculated using a geographic information system. Ten out 18 samples were above the World Health Organization guideline values for nitrate, 236 out of 263 were positive for thermotolerant coliforms, and all were above the guideline values for fluoride. There was neither a relationship between thermotolerant coliform levels and daily rainfall patterns nor with sanitary risk inspection scores for samples from shallow wells (r = 0.01, p = 0.91, n = 191). The density of pit latrines within a 100-m radius was significantly correlated with nitrate and chloride levels (r = 0.64, p = 0.004 and r = 0.46, p = 0.05, respectively) but not with thermotolerant coliforms (r = 0.22, p = 0.11). These results illustrate both the public health risks associated with shallow groundwater sources, on-site sanitation and high population density. These findings have implications for current policies that promote latrine construction, especially in peri-urban areas of high population density. More comprehensive studies of larger communities should be commissioned to extend this analysis of the links between latrine density and groundwater contamination and so identify the contingent policy risks.

The H(2) S test versus standard indicator bacteria tests for faecal contamination of water: systematic review and meta-analysis.

Objectives  To assess the diagnostic accuracy of the H2S test for microbiological contamination of domestic water across different settings, as a basis for providing guidance on its use.

New approach to produce water free of bacteria, viruses, and halogens in a recyclable system.

ABSTRACT The antimicrobial activity of a new cross-linked N-halamine polymer against bacteria and viruses was evaluated. The polymer achieved a 9-log10 reduction of bacteria (both Escherichia coli and Staphylococcus aureus) in 1.5 h and a 5-log10 reduction of bacteriophage PRD1 in 3 h. At the same time, the ability of the nonhalogenated polymer to trap halide ions was examined. The polymer was incorporated into a multifiltration system to study the ability to produce water free of bacteria, viruses, and halide ions. The antimicrobial activity, useful lifetime, halide ion level, and recycling possibilities of the system were quantified on a laboratory scale. A design for a large-scale multifiltration system based on this polymer is proposed.

Workshop Report: Developing Pollution Source Tracking for Recreational and Shellfish Waters

Traditional methods, such as the detection of total and fecal coliforms, and more recently enterococci, that are used to detect fecal pollution levels do not identify the source of the pollution. Despite a significant volume of research in this field, at present there is no common methodology to identify sources of fecal contamination affecting bathing and shellfish waters in Europe.