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Waterborne Pathogens

Waterborne Pathogens

Emmanuelle Guillot | Jean-Francois Loret

(2009)

Additional Information

Book Details

Abstract

Infectious diseases caused by pathogenic bacteria, viruses and protozoa, are the most common and widespread health risk associated with drinking water. Most waterborne pathogens are introduced into drinking water supplies by human or animal faeces (enteric pathogens) but they can also exist naturally in water environments as indigenous aquatic micro-organisms. Controlling the risks related to these pathogens is a permanent challenge for the water industry. In addition to the constantly evolving range of pathogens to consider, assessing and managing such risks requires the integration of information issued by a wide range of disciplines. The necessary knowledge is however still sketchy and incomplete for most pathogens, and research efforts are necessary to fill the remaining gaps of knowledge. 
The purpose of this study is to provide an updated, comprehensive review of current knowledge on a selection of pathogens of interest for the drinking water industry, and to identify the remaining gaps of knowledge and thus the necessary research to be conducted. Emphasis has been laid on the information needed to assess and manage the risks related to each of these pathogens in drinking water production and distribution. 
The pathogens considered in this review were selected on the basis of:

  • Their recognized or highly suspected transmission by drinking water through ingestion, inhalation, or contact 
  • Their recognized pathogenic character for humans 
  • The severity of their health effects  
Each micro-organism in this study is described in a summary fact sheet composed of the following items: microbiology, human health effects, geographical distribution, epidemiology, ecology, inactivation/removal, surrogates, environmental detection and research needs. Since much remains unknown about many aspects that are common to viruses, the study features a general section on virus research needs. A special section summarizes the risk management research conducted on waterborne pathogens. Finally, the conclusion gives an overview of the main gaps in current knowledge on waterborne pathogens.   
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Table of Contents

Section Title Page Action Price
Half title page 1
Title page 3
Copyright page 4
Contents 5
Foreword 6
Acknowledgements 7
Introduction 9
Bacteria 11
Campylobacter 13
Microbiology 13
General description 13
Classification 13
Human health effects 13
Clinical features 13
Dose – response data 13
Target populations 14
Diagnosis 14
Treatment 14
Geographical distribution 14
Epidemiology 14
Transmission routes 14
Waterborne outbreaks 14
Ecology 15
Regrowth in distribution systems/biofilms 15
Occurrence 15
Reservoirs 15
Survival 15
Inactivation/removal 16
Surrogates 16
Environmental detection 16
Research needs 17
Analytical methods 17
Route of transmission 17
Occurrence 17
Reservoirs 17
Environmental survival 17
Inactivation/removal 17
Escherichia coli O157:H7 18
Microbiology 18
General description 18
Classification 18
Human health effects 18
Clinical features 18
Dose – response data 18
Target populations 19
Diagnosis 19
Treatment 19
Geographical distribution 19
Epidemiology 19
Transmission routes 19
Waterborne outbreaks 19
Ecology 20
Regrowth in distribution systems/biofilms 20
Occurrence 20
Reservoirs 20
Survival 20
Inactivation/removal 20
Surrogates 21
Environmental detection 21
Research needs 22
Analytical methods 22
Ecology 22
Environmental survival 22
Treatment 22
Helicobacter Pylori 23
Microbiology 23
General description 23
Classification 23
Human health effects 23
Clinical features 23
Dose – response data 23
Target populations 23
Diagnosis 24
Treatment 24
Geographical distribution 24
Epidemiology 24
Transmission routes 24
Waterborne outbreaks 24
Ecology 24
Regrowth in distribution systems/biofilms 24
Occurrence 25
Reservoirs 25
Survival 25
Inactivation/removal 25
Surrogates 26
Environmental detection 26
Research needs 26
Analytical methods 26
Route of transmission 26
Occurrence 27
Reservoirs 27
Environmental survival 27
Inactivation 27
Salmonella 28
Microbiology 28
General description 28
Classification 28
Human health effects 29
Clinical features 29
Dose – response data 29
Target populations 29
Diagnosis 29
Treatment 29
Geographical distribution 29
Epidemiology 29
Transmission routes 30
Waterborne outbreaks 30
Ecology 30
Regrowth in distribution systems/biofilms 30
Occurrence 30
Reservoirs 30
Survival 31
Inactivation/removal 31
Surrogates 31
Environmental detection 31
Research needs 32
Shigella 33
Microbiology 33
General description 33
Classification 33
Human health effects 33
Clinical features 33
Dose – response data 33
Target populations 34
Diagnosis 34
Treatment 34
Geographical distribution 34
Epidemiology 34
Transmission routes 34
Waterborne outbreaks 34
Ecology 34
Regrowth in distribution systems/biofilms 34
Occurrence 35
Reservoirs 35
Survival 35
Inactivation/removal 35
Surrogates 35
Environmental detection 36
Research needs 36
Yersinia 37
Microbiology 37
General description 37
Classification 37
Human health effects 37
Clinical features 37
Dose – response data 37
Target populations 37
Diagnosis 38
Treatment 38
Geographical distribution 38
Epidemiology 38
Transmission routes 38
Waterborne outbreaks 38
Ecology 38
Regrowth in distribution systems/biofilms 38
Occurrence 38
Reservoirs 39
Survival 39
Inactivation/removal 39
Surrogates 39
Environmental detection 39
Research needs 40
Transmission route 40
Occurrence and distribution 40
Survival 40
Analytical methods 40
Aeromonas 41
RMicrobiology 41
General description 41
Classification 41
Human health effects 41
Clinical features 41
Dose – response data 41
Target populations 42
Diagnosis 42
Treatment 42
Geographical distribution 42
Epidemiology 42
Transmission routes 42
Waterborne outbreaks 42
Ecology 42
Regrowth in distribution systems/biofilms 42
Occurrence 43
Reservoirs 43
Survival 43
Inactivation/removal 43
Surrogates 44
Environmental detection 44
Research needs 44
Burkholderia pseudomallei 46
Microbiology 46
General description 46
Classification 46
Human health effects 46
Clinical features 46
Dose – response data 46
Target populations 46
Diagnosis 47
Treatment 47
Geographical distribution 47
Epidemiology 47
Transmission routes 47
Waterborne outbreaks 47
Ecology 47
Regrowth in distribution systems/biofilms 47
Occurrence 47
Reservoirs 47
Survival 48
Inactivation/removal 48
Surrogates 48
Environmental detection 48
Research needs 48
Cyanobacteria 49
Microbiology 49
General description 49
Classification 49
Human health effects 49
The cause 49
Clinical features 50
Dose – response data 50
Target populations 50
Diagnosis 50
Treatment 50
Geographical distribution 51
Epidemiology 51
Transmission routes 51
Waterborne outbreaks 51
Ecology 51
Regrowth in distribution systems/biofilms 51
Occurrence 51
Reservoirs 51
Survival/growth 52
Inactivation/removal 52
Surrogates 52
Environmental detection 52
Research needs 53
Legionella 55
Microbiology 55
General description 55
Classification 55
Human health effects 55
Clinical features 55
Dose – response data 55
Target populations 56
Diagnosis 56
Treatment 56
Geographical distribution 56
Epidemiology 56
Transmission routes 56
Waterborne outbreaks 56
Ecology 57
Regrowth in distribution systems/biofilms 57
Occurrence 57
Reservoirs 58
Survival 58
Inactivation/removal 58
Surrogates 59
Environmental detection 59
Research needs 60
Analytical methods 60
Ecology 61
Occurrence: 61
Epidemiology 61
Treatment 61
Non-tuberculosis mycobacteria (NTM) 62
Microbiology 62
General description 62
Classification 62
Human health effects 62
Clinical features 62
Dose – response data 63
Target populations 63
Diagnosis 63
Treatment 63
Geographical distribution 63
Epidemiology 63
Transmission routes 63
Waterborne outbreaks 63
Ecology 64
Regrowth in distribution systems/biofilms 64
Occurrence 64
Reservoirs 64
Survival 64
Inactivation/removal 65
Surrogates 65
Environmental detection 65
Research needs 66
Analytical methods 66
Virulence factors 66
Epidemiology 67
Biofilm 67
Waterborne transmission 67
Inactivation 67
Risk assessment 67
Viruses 69
Adenovirus 71
Microbiology 71
General description 71
Classification 71
Human health effects 71
Clinical features 71
Dose – response data 72
Target populations 72
Diagnosis 72
Treatment 72
Geographical distribution 72
Epidemiology 72
Transmission routes 72
Waterborne outbreaks 72
Ecology 73
Regrowth in distribution systems/biofilms 73
Occurrence 73
Survival 73
Reservoirs 73
Inactivation/removal 73
Surrogates 74
Environmental detection 74
Calicivirus 75
Microbiology 75
General description 75
Classification 75
Human health effects 75
Clinical features 75
Dose – response data 76
Target populations 76
Diagnosis 76
Treatment 76
Geographical distribution 76
Epidemiology 76
Transmission routes 76
Waterborne outbreaks 76
Ecology 77
Regrowth in distribution systems/biofilms 77
Occurrence 77
Reservoirs 77
Survival 77
Inactivation/removal 77
Surrogates 78
Environmental detection 78
Enterovirus 79
Microbiology 79
General description 79
Classification 79
Human health effects 79
Clinical features 79
Dose – response data 80
Target populations 80
Diagnosis 80
Treatment 80
Geographical distribution 80
Epidemiology 80
Transmission routes 80
Waterborne outbreaks 80
Ecology 81
Regrowth in distribution systems/biofilms 81
Occurrence 81
Reservoirs 81
Survival 81
Inactivation/removal 82
Surrogates 82
Environmental detection 82
Concentration: 82
Purification: 82
Detection: 82
Hepatitis A 84
Microbiology 84
General description 84
Classification 84
Human health effects 84
Clinical features 84
Dose – response data 84
Target populations 84
Diagnosis 85
Treatment 85
Geographical distribution 85
Epidemiology 85
Transmission routes 85
Waterborne outbreaks 85
Ecology 86
Regrowth in distribution systems/biofilms 86
Occurrence 86
Survival 86
Reservoirs 86
Inactivation/removal 86
Surrogates 87
Environmental detection 87
Hepatitis E 89
Microbiology 89
General description 89
Classification 89
Human health effects 89
Clinical features 89
Dose – response data 89
Target populations 90
Diagnosis 90
Treatment 90
Geographical distribution 90
Epidemiology 90
Transmission routes 90
Waterborne outbreaks 90
Ecology 91
Regrowth in distribution systems/biofilms 91
Occurrence 91
Reservoirs 91
Survival 91
Inactivation/removal 91
Surrogates 91
Environmental detection 91
Rotavirus 93
Microbiology 93
General description 93
Classification 93
Human health effects 93
Clinical features 93
Dose – response data 93
Target populations 93
Diagnosis 94
Treatment 94
Geographical distribution 94
Epidemiology 94
Transmission routes 94
Waterborne outbreaks 94
Ecology 95
Regrowth in distribution systems/biofilms 95
Occurrence 95
Survival 95
Reservoirs 95
Inactivation/removal 95
Surrogates 96
Environmental detection 96
Virus research needs 96
Analytical methods 96
Occurrence 97
Epidemiology 97
Ecology 97
Reservoirs: 97
Environmental survival and transport: 97
Treatment 98
Indicators 98
Cyclospora 116
Microbiology 116
General description 116
Classification 116
Human health effects 116
Clinical features 116
Dose – response data 117
Target populations 117
Diagnosis 117
Treatment 117
Geographical distribution 117
Epidemiology 117
Transmission routes 117
Waterborne outbreaks 117
Ecology 118
Regrowth in distribution systems/biofilms 118
Occurrence 118
Reservoirs 118
Survival 118
Inactivation/removal 118
Surrogates 119
Environmental detection 119
Research needs 119
Environmental survival 119
Epidemiology 120
Transmission to humans: 120
Treatment 120
Analytical method 120
Microsporidia 121
Microbiology 121
General description 121
Classification 121
Human health effects 121
Clinical features 121
Dose – response data 122
Target populations 122
Diagnosis 122
Treatment 122
Geographical distribution 122
Epidemiology 122
Transmission routes 122
Waterborne outbreaks 122
Ecology 123
Occurrence 123
Reservoirs 123
Survival 123
Inactivation/removal 123
Surrogates 124
Environmental detection 124
Research needs 125
Acanthamoeba 126
Microbiology 126
General description 126
Classification 126
Human health effects 126
Clinical features 126
Dose – response data 127
Target populations 127
Diagnosis 127
Treatment 127
Geographical distribution 127
Epidemiology 127
Transmission routes 127
Waterborne outbreaks 128
Ecology 128
Regrowth in distribution systems/biofilms 128
Occurrence 128
Reservoirs 128
Survival 128
Inactivation/removal 128
Surrogates 129
Environmental detection 129
Research needs 129
Ecology 130
Acanthamoeba-bacteria interaction: 130
Occurrence: 130
Epidemiology 130
Treatment 130
Environmental detection method 130
Conclusions 131
References 133
Annex 1 173
Annex 1: Treatment data 174
Treatment data: clarification/rapid filtration 174
Treatment data: disinfection–chlorine 177
Treatment data: disinfection–chloramines 183
Treatment data: disinfection–chlorine dioxide 186
Treatment data: disinfection–ozone 189
Treatment data: disinfection–UV 192
Treatment data: References 197