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Groundwater in the Great Lakes Basin

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Viruses<br />

Viral pathogens cont<strong>in</strong>ue to be a challenge from a<br />

public health perspective (Rose and Gerba, 1986; Lee,<br />

Levy, Craun, Beach and Calderon, 2002; LeChevallier<br />

et al., 1999; LeChevallier, 1999). There are hundreds of<br />

different viruses which can be excreted <strong>in</strong> high concentrations<br />

and subsequently detected <strong>in</strong> sewage (Rose et<br />

al., 2001). They are stable <strong>in</strong> <strong>the</strong> environment and are<br />

readily transmitted to groundwater aquifers. Viruses<br />

cause a wide range of cl<strong>in</strong>ical symptoms rang<strong>in</strong>g from<br />

acute diarrhea to men<strong>in</strong>gitis to myocarditis (Hass, Rose<br />

and Gerba, 1999). Proposed regulations suggest natural<br />

dis<strong>in</strong>fection as a possible mechanism to treat microbeimpacted<br />

groundwater under favorable conditions.<br />

However, <strong>the</strong> usefulness of current models employed<br />

to predict viral transport and natural attenuation<br />

rates is limited by <strong>the</strong> absence of field-scale calibration<br />

data (Yates and Jury, 1995). Recently, viral agents<br />

associated with septic tanks have been implicated <strong>in</strong><br />

endemic diarrheal disease <strong>in</strong> rural areas <strong>in</strong> Wiscons<strong>in</strong>,<br />

and children were shown to be at particularly high risk<br />

(Borchardt, Chyou, DeVries and Belongia, 2003). The<br />

coliform <strong>in</strong>dicator bacteria did not prove to be a sufficient<br />

<strong>in</strong>dicator of risk.<br />

All <strong>the</strong> viruses <strong>in</strong> Table 2 cause disease <strong>in</strong> humans.<br />

Enteric viruses (those that replicate <strong>in</strong> <strong>the</strong> human GI<br />

tract) come only from human sewage. They can cause<br />

both acute and chronic disease affect<strong>in</strong>g GI tract,<br />

liver, heart and men<strong>in</strong>ges. Adenoviruses, Calciviruses,<br />

Picornaviruses and Rotaviruses cause hundreds of<br />

thousands of cases per year. The exception is Poliovirus,<br />

s<strong>in</strong>ce <strong>the</strong> vacc<strong>in</strong>ation program has reduced <strong>the</strong> number<br />

of <strong>in</strong>fections. The enteroviruses <strong>in</strong>clude Coxsackie<br />

viruses which are on <strong>the</strong> CCL. They can cause many<br />

types of disease and often can be detected <strong>in</strong> sewagecontam<strong>in</strong>ated<br />

water.<br />

Table 2.<br />

Enteric Viruses.<br />

Adapted from American Water Works<br />

Association (AWWA), 1999.<br />

Adenoviruses (Respiratory adenovirus and Enteric<br />

adenovirus)<br />

Coronaviruses (Enteric conronavirus)<br />

Reoviruses (Reovirus and Rotavirus)<br />

Calciviruses (Calcivirus and Noroviruses)<br />

Astroviruses<br />

Parvovirus<br />

Picornavirus (Coxsackie virus A, Coxsackie virus B, ECHO<br />

virus, Hepatitis A virus, Poliovirus)<br />

Viruses are stable and widespread <strong>in</strong> groundwater due<br />

to several factors: Their survivability is favored by low<br />

temperatures, moisture and absence of ultraviolet light;<br />

<strong>the</strong>ir nano-size and negative charge favors transport<br />

though soil; and <strong>the</strong>y have <strong>the</strong> documented ability to<br />

move as deep as 67 meters and migrate horizontally as<br />

far as 1600 meters. John and Rose (2005) quantitatively<br />

reviewed <strong>the</strong> survival and <strong>in</strong>activation rates of public<br />

health-related microorganisms <strong>in</strong> groundwater (Table<br />

3). Virus <strong>in</strong>activation has been shown to be temperature<br />

dependent with greater <strong>in</strong>activation at greater<br />

temperatures; however, this occurs largely at temperatures<br />

greater than 20 o C, whereas most <strong>Great</strong> <strong>Lakes</strong><br />

Bas<strong>in</strong> groundwater is about 10 o C (Table 3). A study by<br />

Yates and Gerba (1985) estimated that virus <strong>in</strong>activation<br />

could take as many as 200 to 400 days where<br />

groundwater temperature averages between 8.5 o C and<br />

11 o C (Figure 2).<br />

Us<strong>in</strong>g improved molecular techniques (i.e., polymerase<br />

cha<strong>in</strong> reaction), monthly samples from 29 groundwater<br />

sites <strong>in</strong> <strong>the</strong> cont<strong>in</strong>ental United States, <strong>the</strong> Virg<strong>in</strong><br />

Islands and Puerto Rico were analyzed for one year<br />

for enteroviruses, hepatitis A virus, Norwalk virus<br />

and reoviruses (Fout, Mart<strong>in</strong>son, Moyer and Dahl<strong>in</strong>g,<br />

2003). Human enteric viruses were detected <strong>in</strong> 16% of<br />

<strong>the</strong> groundwater samples analyzed, with reoviruses<br />

be<strong>in</strong>g <strong>the</strong> most frequently detected virus group (Fout<br />

et al., 2003). O<strong>the</strong>r types of groundwater viruses, such<br />

as <strong>the</strong> adenoviruses, should be monitored s<strong>in</strong>ce <strong>the</strong>y are<br />

more prevalent <strong>in</strong> sewage. In ano<strong>the</strong>r national study<br />

us<strong>in</strong>g more precise tests (i.e., us<strong>in</strong>g specific primers)<br />

for enteroviruses used <strong>in</strong> RT-PCR, 40 of 133 samples<br />

(30.1%) tested positive for <strong>the</strong> presence of enterovirus<br />

RNA (Abbaszadegan, Stewart and LaChevallier, 1999).<br />

Protozoans<br />

The most common protozoans <strong>in</strong> waterborne outbreaks<br />

are Giardia and Cryptosporidium. Under appropriate<br />

conditions (human GI tract), <strong>the</strong>y can produce <strong>in</strong>fection.<br />

When found <strong>in</strong> groundwater, <strong>the</strong>se protozoa<br />

signify direct <strong>in</strong>fluence of surface water. Their size<br />

(2 - 50 µm) is larger than bacteria and viruses which<br />

normally makes <strong>the</strong>m more susceptible to removal by<br />

filtration. They are more resistant to dis<strong>in</strong>fection than<br />

bacteria or viruses. These two protozoa are usually<br />

found <strong>in</strong> domestic wastewater (10 2 to 10 5 / litre) (Bitton,<br />

1999). When <strong>the</strong>y are found <strong>in</strong> groundwater, <strong>the</strong> well<br />

is probably under <strong>the</strong> direct <strong>in</strong>fluence of surface water<br />

and requires special attention and treatment.<br />

Prions<br />

26<br />

Human prion <strong>in</strong>fections <strong>in</strong>clud<strong>in</strong>g Creutzfeldt-Jakob<br />

Disease (CJD), variant Creutzfeldt-Jakob Disease<br />

(vCJD), Kuru and Fatal Familial Insomnia are relatively

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