Abstract

BackgroundThe United States Environmental Protection Agency has established methods for testing beach water using the rapid quantitative polymerase chain reaction (qPCR) method, as well as “beach action values” so that the results of such testing can be used to make same-day beach management decisions. Despite its numerous advantages over culture-based monitoring approaches, qPCR monitoring has yet to become widely used in the US or elsewhere. Considering qPCR results obtained on a given day as the best available measure of that day’s water quality, we evaluated the frequency of correct vs. incorrect beach management decisions that are driven by culture testing.MethodsBeaches in Chicago, USA, were monitored using E. coli culture and enterococci qPCR methods over 894 beach-days in the summers of 2015 and 2016. Agreement in beach management using the two methods, after taking into account agreement due to chance, was summarized using Cohen’s kappa statistic.ResultsNo meaningful agreement (beyond that expected by chance) was observed between beach management actions driven by the two pieces of information available to beach managers on a given day: enterococci qPCR results ofsamples collected that morning and E. coli culture results of samples collected the previous day. The E. coli culture beach action value was exceeded 3.4 times more frequently than the enterococci qPCR beach action value (22.6 vs. 6.6% of beach-days).ConclusionsThe largest evaluation of qPCR-based beach monitoring to date provides little scientific rationale for continued E. coli culture testing of beach water in our setting. The observation that the E. coli culture beach action value was exceeded three times as frequently as the enterococci qPCR beach action value suggests that, although the beach action values for bacteria using different measurement methods are thought to provide comparable information about health risk, this does not appear to be the case in all settings.

Highlights

  • The United States Environmental Protection Agency has established methods for testing beach water using the rapid quantitative polymerase chain reaction method, as well as “beach action values” so that the results of such testing can be used to make same-day beach management decisions

  • The National Environmental and Epidemiological Assessment of Recreational water (NEEAR), a multi-year, multi-site cohort study found that compared to the culture measures of fecal indicator bacteria (FIB), quantitative polymerase chain reaction (qPCR) measures of enterococci are better independent predictors of the occurrence of gastrointestinal illness among swimmers at freshwater [2] and marine [3] beaches located within several kilometers of wastewater treatment facility outfalls

  • Using data collected during two beach seasons over a total of 898 beach-days, we evaluated the agreement between the beach management decisions that result from culture and qPCR testing, taking into account the frequency of agreement expected by chance alone

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Summary

Introduction

The United States Environmental Protection Agency has established methods for testing beach water using the rapid quantitative polymerase chain reaction (qPCR) method, as well as “beach action values” so that the results of such testing can be used to make same-day beach management decisions. The National Environmental and Epidemiological Assessment of Recreational water (NEEAR), a multi-year, multi-site cohort study found that compared to the culture measures of FIB, qPCR measures of enterococci are better independent predictors of the occurrence of gastrointestinal illness among swimmers at freshwater [2] and marine [3] beaches located within several kilometers of wastewater treatment facility outfalls. Such information could be useful in efforts to control fecal pollution sources [8] or to model risks to public health [9]

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