Drinking Water Distribution Systems Research Articles

Estimating the risk of gastrointestinal illness associated with drinking tap water in Norway: a prospective cohort study

BackgroundThe delivery of safe drinking water has high public health relevance, as reflected in the Sustainable Development Goals (SDG6). Several precautionary actions have reduced the burden associated with infectious diseases in high-income countries; however, pollution in source waters, inadequate disinfection, and premise plumbing, along with an increased awareness that intrusion in the drinking water distribution system, represents risk factors for gastrointestinal illness linked to consume of drinking water. Sporadic cases of waterborne infections are expected to be underreported since a sick person is less likely to seek healthcare for a self-limiting gastrointestinal infection. Hence, knowledge on the true burden of waterborne diseases is scarce. The primary aim with the present study was to estimate the risk of gastrointestinal illness associated with drinking tap water in Norway.MethodsWe conducted a 12-month prospective cohort study where participants were recruited by telephone interview after invitation based on randomised selection. A start up e-survey were followed by 12 monthly SMS questionnaires to gather information on participants characteristics and drinking tap water (number of 0.2L glasses per day), incidence, duration and symptoms associated with gastrointestinal illness. Associations between the exposure of drinking tap water and the outcome of risk of acute gastrointestinal illness (AGI) were analysed with linear mixed effects models. Age, sex, education level and size of the drinking water supply were identified as potential confounders and included in the adjusted model.ResultsIn total, 9,946 persons participated in this cohort study, accounting for 11.5% of all invited participants. According to the data per person and month (99,446 monthly submissions), AGI was reported for 5,508 person-months (5.5 per 100 person-months). Severe AGI was reported in 819 person-months (0.8 per 100 person-months). Our study estimates that 2–4% of AGI in Norway is attributable to drinking tap water.ConclusionsThis is the largest cohort study in Norway estimating the burden of self-reported gastrointestinal infections linked to the amount of tap water drunk in Norway. The data indicate that waterborne AGI is not currently a burden in Norway, but the findings need to be used with caution. The importance of continued efforts and investments in the maintenance of drinking water supplies in Norway to address the low burden of sporadic waterborne cases and to prevent future outbreaks needs to be emphasised.

Survival and Growth of A. aquaticus on Different Food Sources from Drinking Water Distribution Systems

Survival and Growth of A. aquaticus on Different Food Sources from Drinking Water Distribution Systems

Inferring Demand in Drinking Water Distribution Systems through Stratified Sampling of Billing Data for Smart Meter Installation

Inferring Demand in Drinking Water Distribution Systems through Stratified Sampling of Billing Data for Smart Meter Installation

High precision blood lead radiogenic isotope signatures in a community exposed to Pb contaminated soils and implications for the current Pb exposure of the European population

Our study provides the most comprehensive dataset for high-precision radiogenic isotopes of lead (Pb) in blood for the western European population. It investigates their potential for elucidating the contribution of soil Pb to blood Pb using a human biomonitoring survey involving 81 adults and 4 children living in the urban area of Liège (Belgium). Soils in the area show moderate (median of 360 mg/kg) to high (95th percentile of 1000 mg/kg) Pb concentrations, due to former metal processing activities. Blood lead levels (BLL) measured in the study population are, on average, quantitatively consistent with a ~ 20 % increase due to the exposure to Pb from soils, as estimated by a single-compartment biokinetic model. Consistently, its isotopic composition does not represent an endmember that fully accounts for the variability of Blood lead isotope (BLI) compositions measured in the study population. While some individuals show more thorogenic BLI ratios (relatively more enriched in 208Pb), which could be consistent with a greater exposure to local soils and/or by their country of birth, the BLI data mostly follow a trend roughly parallel to the European Standard Lead Pollution (ESLP) line, within the European leaded gasoline field, even two decades after the withdrawal of this source. Differences in BLI are probably associated with factors related to the presence of Pb in dwellings (pipes, paint) and drinking water distribution system, suggesting that the anthropogenic Pb in use, relevant to human exposure, may contain ore components of different origins, including the Australian Pb ore signature.

PLANNING FOR THE DEVELOPMENT OF A DRINKING WATER DISTRIBUTION SYSTEM NETWORK IN SUNGAI PINYUH

The increasing water demand due to population growth and territorial expansion has significantly outpaced the natural water supply in Sungai Pinyuh, Kalimantan Barat. This sub-district, part of the Mempawah Regency, faces challenges such as insufficient access to clean water, deteriorating pipe infrastructure, and environmental pollution affecting water quality. To address these issues, a study has been undertaken to plan a comprehensive development of the drinking water distribution system in Sungai Pinyuh, guided by the Regional Regulation of Mempawah Regency No. 3 of 2014. The planning utilizes EPANET software, a tool developed by the U.S. Environmental Protection Agency (EPA), which allows for the simulation of dynamic conditions in the water distribution system. EPANET helps create detailed maps of the pipe network, determine pump and reservoir locations, and specify pipe characteristics. The software’s ability to simulate various scenarios, such as changes in demand or disruptions, is crucial for ensuring a reliable water supply. The analysis incorporates primary data from field observations and secondary data from population statistics and existing water supply documents. The proposed distribution system will employ HDPE pipes of various diameters and a pump with a capacity of 200 L/s and a head of 5 meters. Simulation results indicate that the system's velocity, ranging from 0.3 to 0.72 m/s, and other parameters, such as head loss and pressure, are within acceptable limits. Additionally, reservoir capacity planning is based on the maximum daily water demand, with a calculated capacity of approximately 3,347.839 m³ to ensure adequate supply. This study provides a strategic framework for improving the drinking water distribution system, addressing current deficiencies, and preparing for future needs.

Algal odorous risk assessments in pilot-scale drinking water distribution system (DWDS): Risk occurrence, influencing factors and degradation patterns

Tap water quality is at risk for odor-producing algae. Besides being hazardous to source water and water treatments, these algae threaten drinking water distribution system (DWDS). Yet little information is available for odorous risks occurring, responding, and transforming in real DWDS. Hence, two algae (Microcystis aeruginosa, MA; Pseudanabaena sp., PS) were selected for pilot studies. Two ways were verified for algal occurrence, including insufficient water treatments and DWDS-biofilm attachment. MA survived moderate disinfectant exposures and restored odorants (β-cyclocitral). Also, MA could be attached to biofilm and its detachment occurred upon flushing (0.60 m/s). These occurrence ways were not seen for PS. Three factors were compared for living algae in DWDS. Flow velocities had minimal impacts on MA but affected PS odorant (2-methylisobropanol, 2-MIB) releases. Releasing rates increased by 115.79% with velocity from 0.05 m/s to 1.50 m/s. Disinfectants were the riskiest, maximizing risks for MA and PS, respectively at 0.30 mg/L NH2Cl and 1.00 mg/L Cl2. Coexisting antibiotics showed selective effects and reduced risks, e.g., tetracycline reduced MA intensity and PS odorant production. For naked odorant transformation, 2-MIB in DWDS had reduced degradation ratios compared to beaker conditions. Overall, odorous risks by MA and PS were different. MA was tough and could resist water treatments and adverse stressors in DWDS, with partial odorants remaining within cells. PS was vulnerable to treatments and DWDS, and the released odorants were not degradable. Hence, customized management is required for various algal odorous problems in DWDS.

Point-of-use filtration units as drinking water distribution system sentinels

Municipal drinking water distribution systems (DWDSs) and associated premise plumbing (PP) systems are vulnerable to proliferation of opportunistic pathogens, even when chemical disinfection residuals are present, thus presenting a public health risk. Monitoring the structure of microbial communities of drinking water is challenging because of limited continuous access to faucets, pipes, and storage tanks. We propose a scalable household sampling method, which uses spent activated carbon and reverse osmosis (RO) membrane point-of-use (POU) filters to evaluate mid- to long-term occurrence of microorganisms in PP systems that are relevant to consumer exposure. As a proof of concept, POU filter microbiomes were collected from four different locations and analyzed with 16S rRNA gene amplicon sequencing. The analyses revealed distinct microbial communities, with occasional detection of potential pathogens. The findings highlight the importance of local, and if possible, continuous monitoring within and across distribution systems. The continuous operation of POU filters offers an advantage in capturing species that may be missed by instantaneous sampling methods. We suggest that water utilities, public institutions, and regulatory agencies take advantage of end-of-life POU filters for microbial monitoring. This approach can be easily implemented to ensure drinking water safety, especially from microbes of emerging concerns; e.g., pathogenic Legionella and Mycobacterium species.

Impacts of water treatments on bacterial communities of biofilm and loose deposits in drinking water distribution systems

Treated drinking water is delivered to customers through drinking water distribution systems (DWDSs). Although studies have focused on exploring the microbial ecology of DWDSs, knowledge about the effects of different water treatments on the bacterial community of biofilm and loose deposits in DWDS is limited. This study assessed the effects of additional treatments on the bacterial communities developed in 10 months’ old pilot DWDSs. The results showed a similar bacterial community in the pipe-wall biofilm, which was dominated by Novosphingobium spp. (20–82 %) and Sphingomonas spp. (11–53 %), regardless of the treatment applied. The bacterial communities that were retained in the distribution systems (including pipe-wall biofilm and loose deposits) were similar to the particle-associated bacteria (PAB) in the corresponding supply water. The additional treatments showed clear effects of the removal and/or introduction of particles. The genera Aeromonas spp., Clostridium spp., Legionella spp., and Pseudomonas spp., which contain opportunistic pathogenic species, were only detected among the PAB in ion exchange system. Our study demonstrated that the biofilm community is consistent across treatments, and the contribution from bacteria in loose deposits is important but can be controlled by removing particles. These findings offer more insight into the origin and development of microbial ecology in DWDSs and suggest paths for further research on the possibility of managing the microbial ecology in distribution systems.

Polyamide 6 microplastics as carriers led to changes in the fate of bisphenol A and dibutyl phthalate in drinking water distribution systems: The role of adsorption and interfacial partitioning

Microplastics (MPs) co-exist with plastic additives and other emerging pollutants in the drinking water distribution systems (DWDSs). Due to their strong adsorption capacity, MPs may influence the occurrence of additives in DWDSs. The article investigated the occurrence of typical additives bisphenol A (BPA) and dibutyl phthalate (DBP) in DWDSs under the influence of polyamide 6 (PA6) MPs and further discussed the partitioning of BPA/DBP on PA6s, filling a research gap regarding the impact of adsorption between contaminants on their occurrence within DWDSs. In this study, adsorption experiments of BPA/DBP with PA6s and pipe scales were conducted and their interaction mechanisms were investigated. Competitive adsorption experiments of BPA/DBP were also carried out with site energy distribution theory (SEDT) calculations. The results demonstrated that PA6s might contribute to the accumulation of BPA/DBP on pipe scales. The adsorption efficiencies of BPA/DBP with both PA6s and pipe scales were 26.47 and 2.61 times higher than those with only pipe scales. It was noteworthy that BPA had a synergistic effect on the adsorption of DBP on PA6s, resulting in a 26.47 % increase in DBP adsorption. The article provides valuable insights for the compounding effect of different types of additives in water quality monitoring and evaluation.

Nano-sized polystyrene and magnetite collectively promote biofilm stability and resistance due to enhanced oxidative stress response

Despite the growing prevalence of nanoplastics in drinking water distribution systems, the collective influence of nanoplastics and background nanoparticles on biofilm formation and microbial risks remains largely unexplored. Here, we demonstrate that nano-sized polystyrene modified with carboxyl groups (nPS) and background magnetite (nFe3O4) nanoparticles at environmentally relevant concentrations can collectively stimulate biofilm formation and prompt antibiotic resistance. Combined exposure of nPS and nFe3O4 by P. aeruginosa biofilm cells stimulated intracellular reactive oxidative species (ROS) production more significantly compared with individual exposure. The resultant upregulation of quorum sensing (QS) and c-di-GMP signaling pathways enhanced the biosynthesis of polysaccharides by 50 %− 66 % and increased biofilm biomass by 36 %− 40 % relative to unexposed control. Consistently, biofilm mechanical stability (measured as Young’s modulus) increased by 7.2–9.1 folds, and chemical stress resistance (measured with chlorine disinfection) increased by 1.4–2.0 folds. For P. aeruginosa, the minimal inhibitory concentration of different antibiotics also increased by 1.1–2.5 folds after combined exposure. Moreover, at a microbial community-wide level, metagenomic analysis revealed that the combined exposure enhanced the multi-species biofilm’s resistance to chlorine, enriched the opportunistic pathogenic bacteria, and promoted their virulence and antibiotic resistance. Overall, the enhanced formation of biofilms (that may harbor opportunistic pathogens) by nanoplastics and background nanoparticles is an overlooked phenomenon, which may jeopardize the microbial safety of drinking water distribution systems.

Heterotrophic plate counts (HPCs) in drinking water distribution systems: A comprehensive review and meta-analysis

ABSTRACT Heterotrophic plate count (HPC) is widely assessed in drinking water distribution systems. However, methodological standards and guidelines on the use of HPC are not clearly defined. This comprehensive review and meta-analysis aim to evaluate HPC concentration and how they relate to the characteristics and operational conditions of systems. The size of the distribution system, use of chlorine or chloramine as secondary disinfection and the carbon content of the water were considered. Among 839 MEDLINE® records, 39 met our criteria and were included in the meta-analysis. Overall, wide ranges of HPC levels were observed in drinking water distribution systems. Results from the meta-analysis show a significant difference in concentrations between systems using chlorine or chloramine as secondary disinfectant and those that are not using any form of secondary disinfection. Similarly, results demonstrate a positive correlation between HPC levels and assimilable organic carbon. Assessing the spatial and temporal variations of HPC can provide useful information about the biological stability of the water and allow for routine analyses within individual drinking water systems. Due to its limitations as a global and unique indicator of water quality, HPC should be applied as part of a multi-parameter approach for microbial growth analysis in distribution networks.

Cement-mortar lining failure and metal release caused by electrochemical corrosion of ductile iron pipes in drinking water distribution systems

The electrochemical corrosion of ductile pipes (DPs) in drinking water distribution systems (DWDS) has a crucial impact on cement-mortar lining (CML) failure and metal release, potentially leading to drinking water quality deterioration and posing a risk to public health. An in-situ scanning vibrating electrode technique (SVET) with micron-scale resolution, microscopic scale detection and water quality analysis were used to investigate the corrosion behavior and metal release from DPs throughout the whole CML failure process. Metal pollutants release occurred at three different stages of CML failure process, and there are potential risks of water quality deterioration exceeding the maximum allowable levels set by national standards in the partial failure stage and lining peeling stage. Furthermore, the effects of water chemistry (Cl−, SO42−, NO3−, and Ca2+) on corrosion scale growth and iron release activity, were investigated during the CML partial failure stage. Results showed that the CML failure process in DPs was accelerated by the autocatalysis of localized corrosion. Cl− was found to damage the uncorroded metal surface, while SO42− mainly dissolved the corrosion scale surface, increasing iron release. Both the oxidation of NO3− and selective sedimentation of Ca2+ were found to enhance the stability of corrosion scales and inhibit iron release.

The resistance change and stress response mechanisms of chlorine-resistant bacteria under microplastic stress in drinking water distribution system

The presence of both chlorine-resistant bacteria (CRB) and microplastics (MPs) in drinking water distribution systems (DWDS) poses a threat to water quality and human health. However, the risk of CRB bio evolution under the stress of MPs remains unclear. In this study, polypropylene (PP) and polyethylene (PE) were selected to study the adsorption and desorption behavior of sulfamethoxazole (SMX), and it was clear that MPs had the risk of carrying pollutants into DWDS and releasing them. The results of the antibiotic susceptibility test and disinfection experiment confirmed that MPs could enhance the resistance of CRB to antibiotics and disinfectants. Bacteria epigenetic resistance mechanisms were approached from multiple perspectives, including physiological and biochemical characteristics, as well as molecular regulatory networks. When MPs enter DWDS, CRB could attach to the surface of MPs and directly interact with both MPs and the antibiotics they release. This attachment process promoted changes in the composition and content of extracellular polymers (EPS) within cells, enhanced surface hydrophobicity, stimulated oxidative stress function, and notably elevated the relative abundance of certain antibiotic resistance genes (ARGs). This study elucidates the mechanism by which MPs alter the intrinsic properties of CRB, providing valuable insights into the effective avoidance of biological risks to water quality during CRB evolution.

Long-term influences of pipe materials on bacterial communities of matured biofilms (> 40 years’ old) in drinking water distribution systems

Pipe materials appear to play an important role in the development of biofilms in drinking water distribution systems. However, there is controversy as to whether pipe materials shape the composition and diversity of bacterial communities in biofilms. To investigate the long-term effects of pipe materials on biofilms, triplicate samples of mature biofilms on unplasticized polyvinyl chloride (PVC-U), grey cast iron and asbestos cement (pipe age > 40 years) were obtained from three areas of an unchlorinated drinking water distribution system in the Netherlands. Illumina sequencing was performed and 773 OTUs (730 OTUs-814 OTUs) were detected within the biofilms on the three pipe materials, all of which were dominated by Proteobacteria (36.2%-46.1%). Both the alpha and beta diversity results showed that the bacterial communities of the biofilms formed on different pipe materials were highly similar. The neutral community model revealed that the assembly of the biofilm communities was governed by environmental selection rather than neutral processes. Among the 142 shared OTUs between the water and biofilm samples, there were 25 enriched OTUs (e.g., OTU7, assigned as Nitrospira spp.), which accounted for 62.6% of the total sequences, while 16 OTUs were disadvantaged (e.g., OTU14 and OTU40, assigned as Hyphomicrobiaceae), accounting for 2.2% of the sequences. Based on the findings, we propose and discuss a harmonisation process by which biofilms with significant differences due to the pipe material harmonize over time resulting in biofilms with similar bacterial communities. Our findings provide valuable insights into long-term biofilm development, bridging an essential gap in our current understanding of the influence of pipe materials on biofilm communities. These findings also highlight the importance of long-term studies and point to a potentially masked harmonizing process during biofilm development over years/decades.

Electronic tongue and nose sensor coupled with fluorescence spectroscopy to analyze aesthetic water quality parameters in drinking water distribution system

In this study, a new method is proposed for the evaluation of taste and odor of drinking water quality in water distribution systems by means of objective and quantitative indices derived from electronic sensors and fluorescence spectroscopy analysis. This method can be analyzed easily, quickly, and instead of subjective sensory analysis. Taste index (T.I.) and odor index (O.I.) were derived using an electronic tongue and nose. This method is simpler, faster, and less expensive than human panel methods. The tryptophan-like fluorescence index (TLF-I) and pipe deterioration index (PDI) of the water distribution system, derived from fluorescence spectroscopy, were also calculated to determine if the T.I. and O.I. were high or what was causing the difference. The target of comparison was the final water (point 1) that supplies water, and T.I., O.I., TLF-I, and PDI were calculated for the seven sampled points. Points 5 (3.91), 3 (3.82), and 6 (3.66) observed high T.I. O.I. was highest in the order of points 6 (3.65), 3 (3.16), and 5 (2.51). High TLF-I was observed at points 5 (160), 3 (111), and 6 (89), indexing a solid correlation. Other influencing factors at points 5, 3, and 6 included the PDI and water supply of the reservoir type. Point 5 had the highest PDI of 0.47. These results suggest that TLF-I and PDI can serve as indicators for interpreting the causes of changes in T.I. and O.I., which are indicators of aesthetic water quality. This method can assist in managing taste and odor quality data in drinking water distribution networks.

Unexpected weakened formation of disinfection byproducts and enhanced production of halates by cupric oxide during chlorination of peptide-bound aspartic acid

Under the condition that the residual chlorine is guaranteed, the biofilm still thrives in drinking water distribution systems through secreting a large number of extracellular polymeric substances (EPS), in which protein components are the primary precursor of disinfection byproducts (DBPs), mostly in the form of combined amino acids. The aim of this study is to investigate the action of CuO on the formation of halates (XO3−, ClO3− and BrO3−) and DBPs (trihalomethanes, THMs; haloacetonitriles, HANs) with aspartic acid tetrapeptide (TAsp) as protein surrogate. The presence of CuO promoted the self-decay rather than TAsp-induced decay of oxidants, resulting in an increase in XO3− yield and a decrease in DBPs yield. It was CuO-induced weaker production of cyanoacetic acid and 3-oxopropanoic acid that induced the decreased yields of HANs and THMs, respectively. The FTIR and Raman spectra indicate a weak complexation between CuO and TAsp. Given this, the CuO-HOX/OX− complexes were inferred to be reactive to HOX/OX− but less reactive to TAsp. The study helps to better understand the formation of XO3− and DBPs during the chlorination of EPS, and propose precise control strategies when biofilm boosts in water pipes.

Adsorption of Cr(VI) and Cr(III) on layered pipe scales and the effects of disinfectants in drinking water distribution systems

Pipe scales in drinking water distribution systems (DWDS) potentially adsorb chromium (Cr). Meanwhile, the fate of Cr in pipe scales and water could be influenced by the disinfectants used in DWDS since they might influence the valence state of Cr. Therefore, the adsorption of Cr (Cr(VI) and Cr(III)) on pipe scales, the transformation between different valence states, and the effects of disinfectants present in DWDS are important research topics for improving tap water quality but have not yet been sufficiently investigated. This study investigated the properties of layered pipe scales and conducted adsorption kinetic experiments in single and binary Cr(VI) and Cr(III) systems, as well as experiments related to the oxidation and adsorption of Cr(III) under the influence of decaying disinfectants. According to the results, pipe scales exhibited distinct layered structures with varying mechanisms for the adsorption of Cr(VI) and Cr(III). Cr(VI) was adsorbed through surface complexation on the surface and porous core layers, while redox reactions predominantly occurred on the shell-like layer. Furthermore, Cr(III) was adsorbed via surface precipitation on the three-layer pipe scales. Importantly, disinfectants promoted the transformation of Cr(III) to the less readily released Cr(VI) in pipe scales, reducing the Cr exposure risk from the pipe scale phase. Pipe scales also decreased the Cr(VI) concentration in water (almost 0 mg/L), enhancing the safety of DWDS. This study provides theoretical guidance on the safe operation of DWDS.

Enhancing the DNA yield intended for microbial sequencing from a low-biomass chlorinated drinking water

DNA extraction yield from drinking water distribution systems and premise plumbing is a key metric for any downstream analysis such as 16S amplicon or metagenomics sequencing. This research aimed to optimize DNA yield from low-biomass (chlorinated) reverse osmosis-produced tap water by evaluating the impact of different factors during the DNA extraction procedure. The factors examined are (1) the impact of membrane materials and their pore sizes; (2) the impact of different cell densities; and (3) an alternative method for enhancing DNA yield via incubation (no nutrient spiking). DNA from a one-liter sampling volume of RO tap water with varying bacterial cell densities was extracted with five different filter membranes (mixed ester cellulose 0.2 μm, polycarbonate 0.2 μm, polyethersulfone 0.2 and 0.1 μm, polyvinylidene fluoride 0.1 μm) for biomass filtration. Our results show that (i) smaller membrane pore size solely did not increase the DNA yield of low-biomass RO tap water; (ii) the DNA yield was proportional to the cell density and substantially dependent on the filter membrane properties (i.e., the membrane materials and their pore sizes); (iii) by using our optimized DNA extraction protocol, we found that polycarbonate filter membrane with 0.2 μm pore size markedly outperformed in terms of quantity (DNA yield) and quality (background level of 16S gene copy number) of recovered microbial DNA; and finally, (iv) for one-liter sampling volume, incubation strategy enhanced the DNA yield and enabled accurate identification of the core members (i.e., Porphyrobacter and Blastomonas as the most abundant indicator taxa) of the bacterial community in low-biomass RO tap water. Importantly, incorporating multiple controls is crucial to distinguish between contaminant/artefactual and true taxa in amplicon sequencing studies of low-biomass RO tap water.

Plasmid-mediated transfer of antibiotic resistance genes and biofilm formation in a simulated drinking water distribution system under chlorine pressure

The effects of disinfectants and plasmid-based antibiotic resistance genes (ARGs) on the growth of microorganisms and the plasmid-mediated transfer of ARGs in the water and biofilm of the drinking water distribution system under simulated conditions were explored. The heterotrophic plate count of the water in reactors with 0.1 mg/L NaClO and NH2Cl was higher than in the control groups. There was no similar phenomenon in biofilm. In the water of reactors containing NaClO, the aphA and bla genes were lower than in the antibiotic resistant bacteria group, while both genes were higher in the water of reactors with NH2Cl than in the control group. Chloramine may promote the transfer of ARGs in the water phase. Both genes in the biofilm of the reactors containing chlorine were lower than the control group. Correlation analysis between ARGs and water quality parameters revealed that the copy numbers of the aphA gene were significantly positively correlated with the copy numbers of the bla gene in water and significantly negatively correlated in biofilm (p < 0.05). The results of the sequencing assay showed that bacteria in the biofilm, in the presence of disinfectant, were primarily Gram-negative. 1.0 mg/L chlorine decreased the diversity of the community in the biofilm. The relative abundance of some bacteria that may undergo transfer increased in the biofilm of the reactor containing 0.1 mg/L chlorine.

Opportunistic Pathogens in Drinking Water Distribution Systems-A Review.

In contrast to "frank" pathogens, like Salmonella entrocolitica, Shigella dysenteriae, and Vibrio cholerae, that always have a probability of disease, "opportunistic" pathogens are organisms that cause an infectious disease in a host with a weakened immune system and rarely in a healthy host. Historically, drinking water treatment has focused on control of frank pathogens, particularly those from human or animal sources (like Giardia lamblia, Cryptosporidium parvum, or Hepatitis A virus), but in recent years outbreaks from drinking water have increasingly been due to opportunistic pathogens. Characteristics of opportunistic pathogens that make them problematic for water treatment include: (1) they are normally present in aquatic environments, (2) they grow in biofilms that protect the bacteria from disinfectants, and (3) under appropriate conditions in drinking water systems (e.g., warm water, stagnation, low disinfectant levels, etc.), these bacteria can amplify to levels that can pose a public health risk. The three most common opportunistic pathogens in drinking water systems are Legionella pneumophila, Mycobacterium avium, and Pseudomonas aeruginosa. This report focuses on these organisms to provide information on their public health risk, occurrence in drinking water systems, susceptibility to various disinfectants, and other operational practices (like flushing and cleaning of pipes and storage tanks). In addition, information is provided on a group of nine other opportunistic pathogens that are less commonly found in drinking water systems, including Aeromonas hydrophila, Klebsiella pneumoniae, Serratia marcescens, Burkholderia pseudomallei, Acinetobacter baumannii, Stenotrophomonas maltophilia, Arcobacter butzleri, and several free-living amoebae including Naegleria fowleri and species of Acanthamoeba. The public health risk for these microbes in drinking water is still unclear, but in most cases, efforts to manage Legionella, mycobacteria, and Pseudomonas risks will also be effective for these other opportunistic pathogens. The approach to managing opportunistic pathogens in drinking water supplies focuses on controlling the growth of these organisms. Many of these microbes are normal inhabitants in biofilms in water, so the attention is less on eliminating these organisms from entering the system and more on managing their occurrence and concentrations in the pipe network. With anticipated warming trends associated with climate change, the factors that drive the growth of opportunistic pathogens in drinking water systems will likely increase. It is important, therefore, to evaluate treatment barriers and management activities for control of opportunistic pathogen risks. Controls for primary treatment, particularly for turbidity management and disinfection, should be reviewed to ensure adequacy for opportunistic pathogen control. However, the major focus for the utility's opportunistic pathogen risk reduction plan is the management of biological activity and biofilms in the distribution system. Factors that influence the growth of microbes (primarily in biofilms) in the distribution system include, temperature, disinfectant type and concentration, nutrient levels (measured as AOC or BDOC), stagnation, flushing of pipes and cleaning of storage tank sediments, and corrosion control. Pressure management and distribution system integrity are also important to the microbial quality of water but are related more to the intrusion of contaminants into the distribution system rather than directly related to microbial growth. Summarizing the identified risk from drinking water, the availability and quality of disinfection data for treatment, and guidelines or standards for control showed that adequate information is best available for management of L. pneumophila. For L. pneumophila, the risk for this organism has been clearly established from drinking water, cases have increased worldwide, and it is one of the most identified causes of drinking water outbreaks. Water management best practices (e.g., maintenance of a disinfectant residual throughout the distribution system, flushing and cleaning of sediments in pipelines and storage tanks, among others) have been shown to be effective for control of L. pneumophila in water supplies. In addition, there are well documented management guidelines available for the control of the organism in drinking water distribution systems. By comparison, management of risks for Mycobacteria from water are less clear than for L. pneumophila. Treatment of M. avium is difficult due to its resistance to disinfection, the tendency to form clumps, and attachment to surfaces in biofilms. Additionally, there are no guidelines for management of M. avium in drinking water, and one risk assessment study suggested a low risk of infection. The role of tap water in the transmission of the other opportunistic pathogens is less clear and, in many cases, actions to manage L. pneumophila (e.g., maintenance of a disinfectant residual, flushing, cleaning of storage tanks, etc.) will also be beneficial in helping to manage these organisms as well.