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      A review on microbial contaminants in stormwater runoff and outfalls: Potential health risks and mitigation strategies

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          Abstract

          Demands on global water supplies are increasing in response to the need to provide more food, water, and energy for a rapidly growing population. These water stressors are exacerbated by climate change, as well as the growth and urbanisation of industry and commerce. Consequently, urban water authorities around the globe are exploring alternative water sources to meet ever-increasing demands. These alternative sources are primarily treated sewage, stormwater, and groundwater. Stormwater including roof-harvested rainwater has been considered as an alternative water source for both potable and non-potable uses. One of the most significant issues concerning alternative water reuse is the public health risk associated with chemical and microbial contaminants. Several studies to date have quantified fecal indicators and pathogens in stormwater. Microbial source tracking (MST) approaches have also been used to determine the sources of fecal contamination in stormwater and receiving waters. This review paper summarizes occurrence and concentrations of fecal indicators, pathogens, and MST marker genes in urban stormwater. A section of the review highlights the removal of fecal indicators and pathogens through water sensitive urban design (WSUD) or Best Management Practices (BMPs). We also discuss approaches for assessing and mitigating health risks associated with stormwater, including a summary of existing quantitative microbial risk assessment (QMRA) models for potable and non-potable reuse of stormwater. Finally, the most critical research gaps are identified for formulating risk management strategies.

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          Highlights

          • Stormwater has been considered as an alternative water source.

          • Microbial contamination hinders stormwater reuse.

          • WSUD is effective in removing pathogens but requires more validation.

          • QMRA analysis can facilitate decision making and risk management efforts.

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          Most cited references147

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          The clinical importance of emerging Campylobacter species.

          A growing number of Campylobacter species other than C. jejuni and C. coli have been recognized as emerging human and animal pathogens. Although C. jejuni continues to be the leading cause of bacterial gastroenteritis in humans worldwide, advances in molecular biology and development of innovative culture methodologies have led to the detection and isolation of a range of under-recognized and nutritionally fastidious Campylobacter spp., including C. concisus, C. upsaliensis and C. ureolyticus. These emerging Campylobacter spp. have been associated with a range of gastrointestinal diseases, particularly gastroenteritis, IBD and periodontitis. In some instances, infection of the gastrointestinal tract by these bacteria can progress to life-threatening extragastrointestinal diseases. Studies have shown that several emerging Campylobacter spp. have the ability to attach to and invade human intestinal epithelial cells and macrophages, damage intestinal barrier integrity, secrete toxins and strategically evade host immune responses. Members of the Campylobacter genus naturally colonize a wide range of hosts (including pets, farm animals and wild animals) and are frequently found in contaminated food products, which indicates that these bacteria are at risk of zoonotic transmission to humans. This Review presents the latest information on the role and clinical importance of emerging Campylobacter spp. in gastrointestinal health and disease.
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            Tolerance of droplet-digital PCR vs real-time quantitative PCR to inhibitory substances.

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              Estimated human health risks from exposure to recreational waters impacted by human and non-human sources of faecal contamination.

              This work was conducted to determine whether estimated risks following exposure to recreational waters impacted by gull, chicken, pig, or cattle faecal contamination are substantially different than those associated with waters impacted by human sources such as treated wastewater. Previously published Quantitative Microbial Risk Assessment (QMRA) methods were employed and extended to meet these objectives. Health outcomes used in the analyses were infection from reference waterborne pathogens via ingestion during recreation and subsequent gastrointestinal (GI) illness. Illness risks from these pathogens were calculated for exposure to faecally contaminated recreational water at the U.S. regulatory limits of 35 cfu 100 mL(-1) enterococci and 126 cfu 100 mL(-1)Escherichia coli. The probabilities of GI illness were calculated using pathogen dose-response relationships from the literature and Monte Carlo simulations. Three scenarios were simulated, representing a range of feasible interpretations of the available data. The primary findings are that: 1) GI illness risks associated with exposure to recreational waters impacted by fresh cattle faeces may not be substantially different from waters impacted by human sources; and 2) the risks associated with exposure to recreational waters impacted by fresh gull, chicken, or pig faeces appear substantially lower than waters impacted by human sources. These results suggest that careful consideration may be needed in the future for the management of recreational waters not impacted by human sources. Copyright © 2010 Elsevier Ltd. All rights reserved.
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                Author and article information

                Contributors
                Journal
                Sci Total Environ
                Sci. Total Environ
                The Science of the Total Environment
                Published by Elsevier B.V.
                0048-9697
                1879-1026
                5 July 2019
                20 November 2019
                5 July 2019
                : 692
                : 1304-1321
                Affiliations
                [a ]CSIRO Land and Water, Ecosciences Precinct, 41 Boggo Road, Qld 4102, Australia
                [b ]Drexel University, 3141 Chestnut Street, Philadelphia, PA 19104, USA
                [c ]CSIRO Land and Water, Research way, Clayton South, VIC 3169, Australia
                [d ]CSIRO Land and Water, Waite Laboratories, Waite Rd., Urrbrae, SA 5064, Australia
                Author notes
                [* ]Corresponding author at: CSIRO Land and Water, Ecosciences Precinct, 41 Boggo Road, Brisbane 4102, Australia. Warish.Ahmed@ 123456csiro.au
                [1]

                Contributed equally to this review.

                Article
                S0048-9697(19)33168-7
                10.1016/j.scitotenv.2019.07.055
                7126443
                31539962
                4dcedff1-8a92-4472-bbdd-709878286ea4
                Crown Copyright © 2019 Published by Elsevier B.V. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 22 May 2019
                : 27 June 2019
                : 4 July 2019
                Categories
                Article

                General environmental science
                fecal indicator bacteria,zoonotic pathogens,microbial source tracking,stormwater,wsud,bmps

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