Animal Waste, Water Quality and Human Health

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11Epidemiological studies onswimmer health effects associatedwith potential exposure to zoonoticpathogens in bathing beachwater – a reviewAl Dufour, Timothy J. Wade and David Kay11.1 INTRODUCTIONHumans, animals and birds discharge billions of tons of faecal material into theenvironment every year. Much of this faecal material reaches water bodies eitherindirectly through discharge after treatment or directly by being washed off thesurface by rainfall or through defecation directly into water bodies. This faecalmaterial can carry pathogenic microbes that may pose a risk to humans exposedto contaminated surface water.© 2012 World Health Organization (WHO). Animal Waste, Water Quality and Human Health. Editedby Al Dufour, Jamie Bartram, Robert Bos and Vic Gannon. ISBN: 9781780401232. Published byIWA Publishing, London, UK.
416Animal Waste, Water Quality and Human HealthTreated wastewater has been shown to be related to swimming-associatedgastrointestinal illness in individuals in contact with contaminated water forrecreation. Studies conducted in both marine and freshwater environments haveshown that as the level of faecal contamination increases the frequency ofgastrointestinal illness in swimmers also increases (Wade et al. 2003, Pruss1998, Zmirou et al. 2003). Incidence is directly related to the densities of faecalindicator bacteria in the water. This relationship has provided regulators andwater resource managers with a means to protect the health of swimmers. Faecalindicators have been used for many years to measure water quality and tomaintain the safety of water for swimmers.One of the shortcomings of faecal indicator bacteria is, however, that they arecarried by all warm-blooded animals including birds. Thus, contamination ofwater by animal and bird faeces cannot be distinguished from contamination byhuman faeces when using these faecal indicator bacteria. Since the extent towhich risk associated with the former differs from risk associated with the latteris unknown, it has been the practice of regulators and water resource managersto consider the risk as being the same for all waters regardless of the source.Current knowledge about the occurrence of pathogens in faeces leads us tobelieve that the risks related to human and animal faecal sources are notequivalent. A large proportion of the swimming-associated gastrointestinalillnesses (in unchlorinated water) are thought to be caused by viruses(Hendrikson et al. 2001). It is well-known that viruses commonly responsiblefor gastrointestinal illness (e.g. norovirus, rotavirus) tend to be species-specific.This relationship holds up quite well among the viruses that causegastrointestinal infections, but less well for respiratory infections, where thespecies barrier is frequently crossed. The species barrier would imply that therisk associated with exposure to water contaminated by animals and birds wouldhave to be lower than the risk associated with exposure to water contaminatedby human faeces; however, this risk difference has not been well defined forindividuals who swim in recreational waters.The main challenge in defining the risk of infection associated with exposure tozoonotic pathogens that may be present in water contaminated with animal/birdfaeces is the lack of a technique to determine the source of the faeces and tomake quantitative attributions to different sources. Currently an extensiveresearch effort is on-going to develop methods to identify sources of faecalcontamination in water (USEPA 2005, Rochelle & De Leon 2006, SantoDomingo et al. 2007). Most of the efforts involve detecting and quantifyinghighly specific sections of DNA from the genome of bacteria that haveestablished an ecological niche in the gastrointestinal tract of human andnon-human species. None of the methods developed to date have the specificity
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3Zoonotic waterborne pathogen loads
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Zoonotic waterborne pathogen loads
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the cause of a variety of food- and
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4Zoonotic waterbornepathogens in li
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Zoonotic waterborne pathogens in li
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controlling E. coli-associated diar
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5Transport of microbial pollution i
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Transport of microbial pollution in
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7ExposureWill Robertson and Gordon
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Exposure 259main components influen
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Exposure 261rainfall events (Atherh
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Exposure 263contact activities, the
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Exposure 265Table 7.1 Notable studi
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Exposure 267Table 7.2 Notable studi
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Exposure 269water than zoonotic pat
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Exposure 2711999). As suggested by
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Exposure 273leptospirosis is primar
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are severely underreported. As with
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Exposure 277duodenalis in surface w
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Exposure 279Keeley, A. and Faulkner
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Exposure 281Schultz-Fademrecht, C.,
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Page 472 and 473: IndexAgricultural runoff, 122, 168,
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Index 465Critical control points, 1
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Index 467290-291, 293, 295, 300, 30
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Index 469Hazard detection, 285Hazar
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Index 471pathogens, 2, 4-14, 17-21,
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Index 473Probiotics, 132-133Protozo
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Index 475Molecular, 16, 19, 22, 27,
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Animal Waste, Water Quality and Human Health

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