Noroviruses are the leading cause of gastroenteritis in the United States, causing an estimated 23 million illnesses, 50,000 hospitalizations and 300 deaths per year. This virus is transmitted via the fecal-oral route and infections can occur from drinking contaminated water or eating contaminated food, contact with contaminated fomites, inhalation of aerosolized vomitus, or person to person spread. Outbreaks of norovirus following exposure to contaminated recreational water have been documented, as swimmers and others engaged in water recreation often consume recreational water, either purposefully or accidentally, during their activities. In Arizona there have been several outbreaks of norovirus gastroenteritis among people using the recreational waters. In the past four years there have been four consecutive outbreaks of norovirus among rafters on the Colorado River, and in 2003 there was an outbreak of norovirus among a large group of houseboaters on Lake Powell.Norovirus is an emerging pathogen in the state of Arizona. In an effort to better understand its epidemiology, and with the aim of providing recommendations for prevention or minimization of future outbreaks, two investigations were undertaken: an investigation of the outbreak of norovirus among houseboaters on Lake Powell, and a survey of water quality and possible sources of norovirus in the Colorado River. Additionally, historical Colorado River water quality data was reviewed and outbreak epidemiology assessed. To better understand the role of viruses in waterborne recreational disease outbreaks, a review of the literature was conducted and an analysis of 48 recreational waterborne disease outbreaks was done.

Management of water quality is generally based on physically-based equations or hypotheses describing the behaviour of water bodies. In recent years models built on the basis of the availability of larger amounts of collected data are gaining popularity. This modelling approach can be called data driven modelling. Observational data represent specific knowledge, whereas a hypothesis represents a generalization of this knowledge that implies and characterizes all such observational data. Traditionally deterministic numerical models have been used for predicting flow and water quality processes in inland and coastal basins. These models generally take a long time to run and cannot be used as on-line decision support tools, thereby enabling imminent threats to public health risk and flooding etc. to be predicted. In contrast, Data driven models are data intensive and there are some limitations in this approach. The extrapolation capability of data driven methods are a matter of conjecture. Furthermore, the extensive data required for building a data driven model can be time and resource consuming or for the case predicting the impact of a future development then the data is unlikely to exist. The main objective of the study was to develop an integrated approach for rapid prediction of bathing water quality in estuarine and coastal waters. Faecal Coliforms (FC) were used as a water quality indicator and two of the most popular data mining techniques, namely, Genetic Programming (GP) and Artificial Neural Networks (ANNs) were used to predict the FC levels in a pilot basin. In order to provide enough data for training and testing the neural networks, a calibrated hydrodynamic and water quality model was used to generate input data for the neural networks. A novel non-linear data analysis technique, called the Gamma Test, was used to determine the data noise level and the number of data points required for developing smooth neural network models. Details are given of the data driven models, numerical models and the Gamma Test. Details are also given of a series experiments being undertaken to test data driven model performance for a different number of input parameters and time lags. The response time of the receiving water quality to the input boundary conditions obtained from the hydrodynamic model has been shown to be a useful knowledge for developing accurate and efficient neural networks. It is known that a natural phenomenon like bacterial decay is affected by a whole host of parameters which can not be captured accurately using solely the deterministic models. Therefore, the data-driven approach has been investigated using field survey data collected in Cardiff Bay to investigate the relationship between bacterial decay and other parameters. Both of the GP and ANN models gave similar, if not better, predictions of the field data in comparison with the deterministic model, with the added benefit of almost instant prediction of the bacterial levels for this recreational water body. The models have also been investigated using idealised and controlled laboratory data for the velocity distributions along compound channel reaches with idealised rods have located on the floodplain to replicate large vegetation (such as mangrove trees).

Understanding the relationships between human health, water, sanitation, and environmental health is a requirement to understanding the challenges that face researchers when it comes to addressing global health relating to water and sanitation. Access to improved water and sanitation is not only a precondition to health, but to all aspects of daily living. Target 7.C of the Millennium Development Goals (MDGs) addresses worldwide disparities in access to improved water and sanitation by calling for the reduction in "half of the proportion of people without sustainable access to safe drinking water and sanitation by 2015". Over 90% of the population of Costa Rica has access to improved water and sanitation, thus exceeding the water and sanitation targets for the Millennium Development Goals (MDGs). Despite having access to water and sanitation, little is known whether communities are only interested in access or if quality and quantity of water and sanitation systems are as equally as important. Target 7.c of the MDGs does not include water quality in the definition of safe water. Furthermore, the use of the words "safe" and "improved" in the target are often interchanged and can be misleading, especially when considering the impact of water quality on population health. In Costa Rica, households in the Nandamojo watershed have access to improved water and sanitation; it is unclear whether the drinking water is potable with respect to Costa Rican and the World Health Organization (WHO) water quality standards. The impact of leaking septic systems on human and environmental health is also unknown. Illnesses associated with recreational water are an increasing public health problem, causing a great burden of disease in bathers every year. The global health impact of infectious diseases associated with recreational water exposure has been estimated at around three million disability-adjusted life years (DALYs) per year, resulting in an estimated economic loss of around twelve billion dollars per year. Fecal and chemical contamination of recreational water is a concern, especially in areas of non-point source pollution. Health-based water monitoring is often conducted in recreational waters as a tool for assessing risk. In Costa Rica, recreational water sampling is conducted at coastal beach areas only, neglecting other surface waters used by residents and tourists. Community perspectives regarding recreational water use and the associated risks are limited. Understanding these perspectives will enable public health professionals to better target community needs, such as education and to address the concerns of participating communities. This dissertation was divided into three chapters. The first chapter explored community perceptions on improved water and sanitation, the second chapter assessed community water systems and the risk of acute diarrheal disease, and the third chapter captured community perceptions on recreational water use and the risk of waterborne illness. Methodologies for water sampling and analyses were used to assess water quality, while household interviews and focus groups were conducted to capture qualitative data. Results from the first chapter showed participants had positive perceptions towards their improved water and sanitation systems. Household interviews revealed almost half of the respondents had concerns with water quality, while less than 25% did not think their septic tanks leaked or overflowed during rain events. Focus group discussions revealed common themes. Participants identified water quality, health, pipes, water scarcity, odors, insects, and overflow/infiltration of water and sanitation to be important issues. Participants revealed convenience, improved health and safety and the lack of odors to be themes directly related to customer satisfaction of improved water and sanitation. Results from the second study revealed 57% of household samples had total coliform bacteria above the Costa Rican standard for safe drinking water exceeding the single standard limit of zero, while 61% failed the World Health Organization standard for fecal coliforms exceeding the single standard limit of zero. AGII was identified in 41 of the 378 household residents (11%). The odds ratio for AGII among household residents with a water sample positive for total coliforms was 1.88 (0.81-3.17). Fecal coliforms were statistically significant for those with AGII (OR = 3.19, 1.43-7.12). Regression modeling analyses revealed individuals with AGII and household drinking water positive for fecal coliforms to be statistically significant (OR = 3.01, 1.33 - 6.84), while other covariates (total coliforms, gender, treated water, and families) also had odds ratios greater than one, but were not significant. Results from the third chapter indicated most respondents felt recreational water sources, such as streams and rivers were contaminated with human, animal, and chemical wastes. Focus group participants also stated they did not use inland waters for recreational purposes for these reasons. However, many did admit using marine water for recreational bathing and felt these areas were not contaminated. These beliefs did coincide with the water quality results from freshwater sources, but not marine sources. Fecal coliform contamination was widespread throughout the watershed in freshwater sources. Marine water samples failed the World Health Organization (WHO) and Costa Rican recreational water standards for fecal coliform and enterococci in 36% and 6% of the samples, respectively. The overall results of this dissertation suggest that the definitions of improved water and sanitation have to include, at a minimum, water quality, water quantity, proper construction and containment of storage tanks, and oversight and maintenance of these systems. Given the challenges facing communities in the Nandamojo watershed regarding water and sanitation, it is essential for scientists, researchers, policy makers, water committees, health providers, and community members to design and implement strategies in water resource management and proper waste management. Communities and water committees would also be best served if they worked with government agencies to conduct concurrent testing of both recreational water and drinking water, especially since both them target many of the same parameters.

No description available.

<p>Greywater is domestic household wastewater without inputfrom the toilet, i.e. wastewater from sinks, the shower,washing machine and dishwasher in a home. Source separation ofgreywater can be a strategy to enhance recirculation of plantnutrients and/or improve water use. The risk for transmissionof disease when reusing greywater is largely dependent on thecross-contamination by faeces. High levels of faecalindicators, mainly thermotolerant coliform bacteria, have beenreported in greywater, indicating substantial faecal pollution.However, growth of indicator bacteria within the system leadsto an overestimation of thefaecal input and thus the hygienerisk. The faecal input of the greywater in Vibyåsen,Sollentuna, North of Stockholm, was estimated to be 0.04 ±0.02 g faeces person-1 day-1 from the quantification of thefaecal sterol coprostanol, compared to 65 g, 5.2 g and 0.22 gp-1 d-1 using E. coli, enterococci and cholesterolrespectively.</p><p>Prevalence of pathogens in the population and the faecalload based on coprostanol concentrations were used to form thebasis of a screening-level quantitative microbial riskassessment (QMRA) that was undertaken for rotavirus, Salmonellatyphimurium, Campylobacter jejuni, Giardia intestinalis andCryptosporidium parvum, looking at the treatment required to bebelow an acceptable level of risk (10-3) for reuse or dischargeof the greywater. The different exposure scenarios simulated–groundwater recharge, direct contact, irrigation andrecreational water–showed that a reduction of 0.7–3.7 log was needed for rotavirus, with the measured level offaecal load in Vibyåsen. The other pathogen of concern wasCampylobacter, where a 2.2 log reduction was needed forgroundwater recharge. The infectious dose of Salmonella is highand the excretion numbers of Giardia cysts and Cryptosporidiumoocysts low, resulting in no treatment requirements for theseorganisms under these circumstances. Pathogen input fromcontaminated food via the kitchen sink had a minor effect onthe microbiological quality of the greywater. Studies on virusoccurrence in greywater as well as validation of the faecalload of greywater at another site would give valuable input forfuture QMRAs.</p><p>Greywater treatment efficiency studies, especially on virusremoval, are scarce and more investigations are warranted.Active sludge may not be a suitable technique for greywater dueto the low carbon content in this flow. Chemical precipitationhas the advantage of removing phosphorus as well as virusesefficiently and it is suggested as one possible method fortreating greywater. Otherwise the most common practice forgreywater treatment in Sweden is soil infiltration. However, itis suggested that the recommendations for wastewaterinfiltration also be observed for greywater, despite the lowfaecal load, due to the simulated results on virus reductionneeded.</p><p><b>Key words:</b>greywater, greywater reuse, greywatertreatment, microbial risk assessment, groundwater recharge,irrigation, recreational water, faecal contamination, indicatorbacteria, index organisms, faecal sterols, bacteriophages,enteric pathogens, rotavirus, Salmonella, Campylobacter,Giardia, Cryptosporidium, Legionella</p>

L’objectif général de cette thèse est de caractériser la dynamique des transferts des bactéries fécales à l’aide d’une modélisation spatio-temporelle, à l’échelle du bassin versant (BV) dans une région agricole et à l’échelle événementielle. Ce projet vise à mieux comprendre l'influence des processus hydrologiques, les facteurs environnementaux et temporels impliqués dans l’explication des épisodes de contamination microbienne des eaux récréatives. Premièrement, un modèle bayésien hiérarchique a été développé pour quantifier et cartographier les niveaux de probabilité des eaux à être contaminées par des effluents agricoles, sur la base des données spectrales et des variables géomorphologiques. Par cette méthode, nous avons pu calculer les relations pondérées entre les concentrations d’Escherichia coli et la distribution de l’ensemble des paramètres agro-pédo-climatiques qui régissent sa propagation. Les résultats ont montré que le modèle bayésien développé peut être utilisé en mode prédictif de la contamination microbienne des eaux récréatives. Ce modèle avec un taux de succès de 71 % a mis en évidence le rôle significatif joué par la pluie qui est la cause principale du transport des polluants. Deuxièmement, le modèle bayésien a fait l’objet d'une analyse de sensibilité liée aux paramètres spatiaux, en utilisant les indices de Sobol. Cette démarche a permis (i) la quantification des incertitudes sur les variables pédologiques, d’occupation du sol et de la distance et (2) la propagation de ces incertitudes dans le modèle probabiliste c'est-à-dire le calcul de l’erreur induite dans la sortie par les incertitudes des entrées spatiales. Enfin, une analyse de sensibilité des simulations aux différentes sources d’incertitude a été effectuée pour évaluer la contribution de chaque facteur sur l’incertitude globale en prenant en compte leurs interactions. Il apparaît que sur l’ensemble des scénarios, l’incertitude de la contamination microbienne dépend directement de la variabilité des sols argileux. Les indices de premier ordre de l’analyse de Sobol ont montré que parmi les facteurs les plus susceptibles d’influer la contamination microbienne, la superficie des zones agricoles est le premier facteur important dans l'évaluation du taux de coliformes. C’est donc sur ce paramètre que l’attention devra se porter dans le contexte de prévision d'une contamination microbienne. Ensuite, la deuxième variable la plus importante est la zone urbaine avec des parts de sensibilité d’environ 30 %. Par ailleurs, les estimations des indices totaux sont meilleures que celles des indices de premier ordre, ce qui signifie que l’impact des interactions paramétriques est nettement significatif pour la modélisation de la contamination microbienne Enfin, troisièmement, nous proposons de mettre en œuvre une modélisation de la variabilité temporelle de la contamination microbiologique du bassin versant du lac Massawippi, à partir du modèle AVSWAT. Il s'agit d'une modélisation couplant les composantes temporelles et spatiales qui caractérisent la dynamique des coliformes. La synthèse des principaux résultats démontrent que les concentrations de coliformes dans différents sous-bassins versants se révèlent influencées par l’intensité de pluie. La recherche a également permis de conclure que les meilleures performances en calage sont obtenues au niveau de l'optimisation multi-objective. Les résultats de ces travaux ouvrent des perspectives encourageantes sur le plan opérationnel en fournissant une compréhension globale de la dynamique de la contamination microbienne des eaux de surface. / Abstract : The aim of this study was to predict water faecal contamination from a bayesian probabilistic model, on a watershed scale in a farming area and on a factual scale. This project aims to better understand the influence of hydrological, environmental and temporal factors involved in the explanation of microbial contamination episodes of recreational waters. First, a bayesian probabilistic model: Weight of Evidence was developed to identify and map the probability of water levels to be contaminated by agricultural effluents, on the basis of spectrals data and geomorphologic variables. By this method, we were able to calculate weighted relationships between concentrations of Escherichia coli and distribution of key agronomic, pedologic and climatic parameters that influence the spread of these microorganisms. The results showed that the Bayesian model that was developed can be used as a prediction of microbial contamination of recreational waters. This model, with a success rate of 71%, highlighted the significant role played by the rain, which is the main cause of pollution transport. Secondly, the Bayesian probabilistic model has been the subject of a sensitivity analysis related to spatial parameters, using Sobol indications. This allowed (1) quantification of uncertainties on soil variables, land use and distance and (2) the spread of these uncertainties in the probabilistic model that is to say, the calculation of induced error in the output by the uncertainties of spatial inputs. Lastly, simulation sensitivity analysis to the various sources of uncertainty was performed to assess the contribution of each factor on the overall uncertainty taking into account their interactions. It appears that of all the scenarios, the uncertainty of the microbial contamination is directly dependent on the variability of clay soils. Sobol prime indications analysis showed that among the most likely to influence the microbial factors, the area of farmland is the first important factor in assessing the coliforms. Importance must be given on this parameter in the context of preparation for microbial contamination. Then, the second most important variable is the urban area with sensitivity shares of approximately 30%. Furthermore, estimates of the total indications are better than those of the first order, which means that the impact of parametric interaction is clearly significant for the modeling of microbial contamination. Thirdly, we propose to implement a temporal variability model of microbiological contamination on the watershed of Lake Massawippi, based on the AVSWAT model. This is a model that couples the temporal and spatial components that characterize the dynamics of coliforms. The synthesis of the main results shows that concentrations of Escherichia coli in different sub-watersheds are influenced by rain intensity. Research also concluded that best performance is obtained by multi-objective optimization. The results of these studies show the prospective of operationally providing a comprehensive understanding of the dynamics of microbial contamination of surface water.

Greywater is domestic household wastewater without inputfrom the toilet, i.e. wastewater from sinks, the shower,washing machine and dishwasher in a home. Source separation ofgreywater can be a strategy to enhance recirculation of plantnutrients and/or improve water use. The risk for transmissionof disease when reusing greywater is largely dependent on thecross-contamination by faeces. High levels of faecalindicators, mainly thermotolerant coliform bacteria, have beenreported in greywater, indicating substantial faecal pollution.However, growth of indicator bacteria within the system leadsto an overestimation of thefaecal input and thus the hygienerisk. The faecal input of the greywater in Vibyåsen,Sollentuna, North of Stockholm, was estimated to be 0.04 ±0.02 g faeces person-1 day-1 from the quantification of thefaecal sterol coprostanol, compared to 65 g, 5.2 g and 0.22 gp-1 d-1 using E. coli, enterococci and cholesterolrespectively. Prevalence of pathogens in the population and the faecalload based on coprostanol concentrations were used to form thebasis of a screening-level quantitative microbial riskassessment (QMRA) that was undertaken for rotavirus, Salmonellatyphimurium, Campylobacter jejuni, Giardia intestinalis andCryptosporidium parvum, looking at the treatment required to bebelow an acceptable level of risk (10-3) for reuse or dischargeof the greywater. The different exposure scenarios simulated–groundwater recharge, direct contact, irrigation andrecreational water–showed that a reduction of 0.7–3.7 log was needed for rotavirus, with the measured level offaecal load in Vibyåsen. The other pathogen of concern wasCampylobacter, where a 2.2 log reduction was needed forgroundwater recharge. The infectious dose of Salmonella is highand the excretion numbers of Giardia cysts and Cryptosporidiumoocysts low, resulting in no treatment requirements for theseorganisms under these circumstances. Pathogen input fromcontaminated food via the kitchen sink had a minor effect onthe microbiological quality of the greywater. Studies on virusoccurrence in greywater as well as validation of the faecalload of greywater at another site would give valuable input forfuture QMRAs. Greywater treatment efficiency studies, especially on virusremoval, are scarce and more investigations are warranted.Active sludge may not be a suitable technique for greywater dueto the low carbon content in this flow. Chemical precipitationhas the advantage of removing phosphorus as well as virusesefficiently and it is suggested as one possible method fortreating greywater. Otherwise the most common practice forgreywater treatment in Sweden is soil infiltration. However, itis suggested that the recommendations for wastewaterinfiltration also be observed for greywater, despite the lowfaecal load, due to the simulated results on virus reductionneeded. <b>Key words:</b>greywater, greywater reuse, greywatertreatment, microbial risk assessment, groundwater recharge,irrigation, recreational water, faecal contamination, indicatorbacteria, index organisms, faecal sterols, bacteriophages,enteric pathogens, rotavirus, Salmonella, Campylobacter,Giardia, Cryptosporidium, Legionella / NR 20140805

<p> The Ontario shoreline of Lake Huron is one of the most populated areas, with reference to recreational purposes, in Ontario. However, with the rising water levels of the Great Lakes during 1972 and again in 1973, serious problems of beach erosion have resulted, particularly in the area of Grand Bend and Port Franks. This loss of sand has threatened cottages built on the dunes in addition to destroying breakwalls, steps, and boat launching ramps along the beach. It was with the idea of learning more about the beach, and possibly suggesting some methods of beach protection, that the research for this thesis was initiated. During the course of study, the author also became interested in the Ausable River and the associated flooding and erosion problems, with reference to past, present, and future attempts to solve or at least alleviate these difficulties. Thus, one section of the thesis is concerned with the Ausable River alone. </p> <p> The beach studied is actually the culmination of a series of raised beaches, formed during higher post-glacial lake stages. These raised beaches formed a bar separating the now non-existent Ausable Bay from Lake Huron, forming a lagoon eastward of the beach. This bar extends from Grand Bend, in a southwest direction, and culminates at Kettle Point. However, for the purposes of this thesis, that section between Grand Bend and Port Franks received the greatest amount of concentrated study. Over the years, the lagoon, formed by the growth of the bar has silted up, and is now drained for agricultural purposes. </p> <p> The modern beach was observed during the summer of 1972. This involved, profiling of a portion of the shore and offshore topography, procuring beach samples for later analysis, the use of sequential air photographs for observing changes over time, and the analysis of wind and wave data, along with many conversations with local residents and personal observations. </p> <p> The subsequent study of the above factors revealed several major conclusions regarding the beach. First, that it has good natural protection against erosion due to the abundance of sand s tored by the dunes. Second, the beach appears to be in an equilibrium state, however as lake levels fluctuate, so must the beach level, thus destroying the equilibrium for a period of time. With the lowering of the water level, the beach will become wider, exposing sand to the onshore winds, which will in turn rebuild the dunes with the blowing sand. Finally, because of the prximity of man-made structures to the beach, on the unstable dunes, some method of stabilizing the beach is necessary. That suggested is a groin system, designed and constructed by the local authorities. This would help prevent erosion and would eliminate the often vain and possibly dangerous, (to the natural environment), attempts by individuals to halt erosion. </p> <p> This is by no means a complete study of the area and its problems. Further consideration should be given to proposals which have been presented to the local conservation authority, and which were designed to alleviate some of these problems, particularly at Port Franks. The suggestions made here should also be given further thought. In addition to these practical problems, the actual growth of the original bar would provide an interesting subject for study. </p> / Thesis / Bachelor of Arts (BA)

The Water Framework Directive requires reduced environmental impacts from human activities and for the assessment of the non-market benefits of pollution remediation schemes. This policy shift has exacerbated the research problems surrounding the physical, social and economic consequences of the relationship between land use and water quality. This research seeks to quantify the major socio-economic and environmental benefits for people which may arise as riverine pollution is reduced. To achieve these aims this research integrates primary data analyses combining choice experiment techniques with geographical information system based analyses of secondary data concerning the spatial distributions of riverine pollution. Current knowledge on the microbial quality of river water, measured by faecal indicator organism (FIO) concentrations and assessed at catchment scale, is inadequate. This research develops generic regression models to predict base- and high-flow faecal coliform (FC) and enterococci (EN) concentrations, using land cover and population (human and livestock) variables. The resulting models are then used both to predict FIO concentrations in unmonitored watercourses and to evaluate the likely impacts of different land use scenarios, enabling insights into the optimal locations and cost-effective mix of implementation strategies. Valuation experiments frequently conflate respondents’ preferences for different aspects of water quality. This analysis uses stated preference techniques to disaggregate the values of recreation and ecological attributes of water quality, thereby allowing decision makers to better understand the consequences of adopting alternative investment strategies which favour either ecological, recreational or a mix of benefits. The results reveal heterogeneous preferences across society; specifically, latent class analysis identifies three distinct groups, holding significantly different preferences for water quality. From a methodological perspective this research greatly enhances the ongoing synthesis of geographic and economic social sciences and addresses important policy questions which are of interest to a variety of stakeholders, including government departments and the water industry.

Cyanobacteria are common inhabitants of freshwater lakes and reservoirs throughout the world. Under favourable conditions, certain cyanobacteria can dominate the phytoplankton within a waterbody and form nuisance blooms. Case reports and anecdotal references dating from 1949 describe a range of illnesses associated with recreational exposure to cyanobacteria: hay fever-like symptoms, pruritic skin rashes and gastro-intestinal symptoms (the latter probably related to ingestion of water) are most frequently reported. Some papers give convincing descriptions of allergic responses to cyanobacteria; others describe more serious acute illnesses, with symptoms such as severe headache, pneumonia, fever, myalgia, vertigo and blistering in the mouth. A U.S. coroner recently found that a teenage boy died as a result of accidentally ingesting a neurotoxic cyanotoxin from a golf course pond; this is the first recorded human fatality attributed to recreational exposure to cyanobacteria. One of the main public health concerns with exposure to freshwater cyanobacteria relates to the understanding that some blooms produce toxins that specifically affect the liver or the central nervous system. The route of exposure for these toxins is oral, from accidental or deliberate ingestion of recreational water, and possibly by inhalation. Cyanobacterial lipopolysaccharides (LPS) are also reported to be putative cutaneous, gastrointestinal, respiratory and pyrogenic toxins. The aims of this project were to enhance the understanding of public health issues relating to recreational exposure to cyanobacteria by conducting epidemiological and laboratory-based toxicology studies. A prospective cohort study of 1,331 recreational water users was conducted at various sites in southern Queensland, the Myall Lakes area of New South Wales, and central Florida. The study design sought to make improvements over previously published epidemiological studies, in that an unexposed group was recruited from cyanobacteria-free waters, cyanobacterial toxins were measured in site water samples, and respondents were asked to rate the severity of reported symptoms. This study has shown an increased likelihood of symptom reporting amongst bathers exposed to high cyanobacterial cell density (measured by total cell surface area) compared to those exposed to low cyanobacteria-affected waters. Mild respiratory symptoms appear to be the predominant symptom category. A clinical dermatology study to examine delayed-contact hypersensitivity reactions to cyanobacterial extracts was conducted. The study groups were 20 patients presenting for diagnostic skin patch testing at the Royal Brisbane Hospital's dermatology outpatient clinic; a convenience sample of 20 individuals was recruited from outside the hospital as a control group. One patient developed unequivocal reactions to several cyanobacteria extracts, with no dose-response pattern seen, indicating that the reactions were allergic in nature. A mouse model of delayed-contact hypersensitivity, the mouse ear swelling test, has demonstrated that the purified toxin cylindrospermopsin, a highly water-soluble compound, is capable of producing cutaneous injury. Encrusting lesions were seen on abdominal skin during the induction phase of these experiments. Delayed-contact hypersensitivity reactions were also demonstrated with this toxin. LPS from two non-axenic cyanobacterial samples - Cylindrospermopsis raciborskii and Microcystis aeruginosa - were extracted and purified. Thermoregulation studies were performed using a mouse model of rectal temperature measurement. Separate groups of mice were injected with these LPS extracts at two dose levels. Thermoregulation studies were also conducted with purified cyanobacterial toxins: microcystin-LR and cylindrospermopsin and anatoxin-a; cyanobacterial LPS samples purified by collaborators in Adelaide were also investigated for thermoregulation potential. These experiments have shown that the LPS extracts are weakly active when compared with responses to much lower doses of Escherichia coli LPS. Cylindrospermopsin also produces hypothermic responses in mice - comparable to pyrexia in larger mammals - although at a later stage than was seen with LPS extracts. Supplementing the experimental observations of the toxicology and immunotoxicology of cyanobacterial LPS are insights gained from beyond the cyanobacteria literature on the mechanisms of toxicity of different LPS structures. Cyanobacterial LPS was initially suggested to be toxic in the 1970s, at a time when lipid A, the active moiety of LPS, was thought to be identical across all Gram-negative bacteria. More recent work raises questions about the attribution of cutaneous and gastrointestinal illness to cyanobacterial LPS, with the understanding that some bacterial lipid A structures are LPS antagonists, LPS is not toxic by the oral route, and LPS is not reported as a toxin in the clinical dermatology literature. Gut-derived lipopolysaccharides, however, exert potent synergistic effects with a variety of xenobiotic hepatotoxins, and the well-known shock-like syndromes associated with severe cylindrospermopsin and microcystin poisoning deserve further scrutiny from the perspective of immunotoxicology.