Opportunistic pathogens (OPs) are of special concern for immunocompromised populations and are known to grow in both drinking water and reclaimed water (i.e., non-potable recycled water) distribution systems, with aerosol inhalation and other non-ingestion exposures that are not addressed by existing regulatory frameworks. Factors enabling the growth of OPs in water distribution and premise (i.e., building) plumbing systems distributing reclaimed and other water sources systems are poorly understood especially for the emerging OP, Naegleria fowleri (i.e. brain-eating amoeba). Three phases of investigation were carried out to identify factors that facilitate the growth of OPs in main distribution and premise plumbing systems, with particular attention on reclaimed water systems, aging water mains, and private well systems. Phase one examined the role of biological treatment to remove organic carbon and disinfectant type on the occurrence of OPs during distribution of reclaimed water. Laboratory-scale simulated reclaimed water distribution systems were employed to systematically examine the effects of prior granular activated carbon (GAC) biofiltration of the water; chlorine, chloramines, or no disinfectant, and water ages ranging up to 5 days. The second and third phases of research explored the role of nitrification, iron corrosion, and disinfectant on the growth of N. fowleri both in municipal drinking water from a city grappling with aging water infrastructure and untreated private well water.
Results from the simulated reclaimed water distribution systems suggested that biologically-active GAC filtration may unintentionally select for specific OPs, contrary to expectations and experiences with oligotrophic conditions in potable water systems. While GAC biofiltration was associated with lower total bacteria and Legionella spp. gene markers, there were no apparent benefits in terms of other OPs analyzed. Similarly, disinfectant treatments successful for controlling OPs in potable water were either ineffective or associated with increased levels of OPs, such as Mycobacterium spp. and Acanthamoeba spp., in the reclaimed water examined.
In the potable water study, it was possible to recreate conditions associated with growth of N. fowleri in the aged main distribution system from where the water for the experiment was collected; including corroding iron mains, nitrification, and disinfectant decay. While the effects of nitrification could not be confirmed, there was a clear association of iron corrosion with N. fowleri proliferation. The role of iron was explored further in what, to the author's knowledge, was the first study of N. fowleri in private wells. Analysis of 40 wells found correlations between N. fowleri and stagnant iron levels, further supporting the hypothesis that iron corrosion or iron encourages the growth of N. fowleri, and, because wells are not routinely disinfected, not necessarily as a result of promoting disinfectant decay. As this study took place following a major flooding event, it provided insight not only into how surface water contamination may influence private well water microbial communities, but also added to the understanding that current recommendations for disinfecting private wells are inadequate and standards should be implemented to aid homeowners in the event of flooding.
This exploratory research illuminated several factors influencing the OP growth in a range of water systems. Identifying key variables that control growth is crucial to improving the safety of these systems. / MS / Water borne bacteria that effect the immune systems of the sick, known as opportunistic pathogens (OPs), have become a major heath concern. These organisms are known to grow in drinking water and reclaimed water (i.e., non-potable recycled water) distribution systems yet there are no regulations aimed at prevention. There is also limited knowledge on how premise plumbing and water sources effect the growth, population, and risk of infection by OPs, especially for Naegleria fowleri (i.e. brain-eating amoeba). An investigation was carried out in three parts to determine what influences the growth of OPs in water distribution and household plumbing systems, with particular attention to reclaimed water, municipal drinking water, and private well systems. Phase one examined the role of biological treatment to remove organic carbon and disinfectant type on the occurrence of OPs during distribution of reclaimed water. Laboratory-scale simulated reclaimed water distribution systems were used to examine the effects of granular activated carbon (GAC) biofiltration of the water, disinfectants (chlorine, chloramines, or no disinfectant), and water ages ranging zero to five days. The second and third phases of research explored the role of nitrification, iron corrosion, and disinfectant on the growth of N. fowleri both in municipal drinking water from a city with aging water infrastructure and untreated private well water. Results from the simulated reclaimed water distribution systems suggested that biologically-active GAC filtration may allow for the growth of specific OPs. While GAC biofiltration was associated with lower total bacteria and Legionella spp., there were no apparent benefits in reducing the presence of other OPs. Similarly, common disinfectant treatments for preventing OPs in drinking water were either ineffective or increased viii levels of OPs, such as Mycobacterium spp. and Acanthamoeba spp., in the reclaimed water. In the drinking water study, conditions were introduced to grow N. fowleri in aged drinking water distribution systems with the additions of corroding iron, nitrification (using nitrifying bacteria), and disinfectant. While the effects of nitrification could not be confirmed, there was a clear relationship between iron corrosion and N. fowleri growth. The role of iron was explored further in what, to the author’s knowledge, was the first study of N. fowleri in private wells. Forty wells were examined and the relationships between N. fowleri and stagnant iron levels supported the hypothesis that iron corrosion or iron increases the growth of N. fowleri. As this study took place following a major flooding event, it provided data not only into how surface water contamination may influence private well water microbial communities, but also added to the understanding that current recommendations for disinfecting private wells are inadequate and standards should be implemented to aid homeowners in the event of flooding.
This exploratory research highlighted several variables that may allow for the growth of OPs in a range of water systems. Identifying key variables that control growth is crucial to improving the safety of these systems.
| Identifer | oai:union.ndltd.org:VTETD/oai:vtechworks.lib.vt.edu:10919/88852 |
| Date | 13 October 2017 |
| Creators | Strom, Laurel Elisabeth |
| Contributors | Environmental Science and Engineering, Pruden, Amy, Falkinham, Joseph O. III, Edwards, Marc A. |
| Publisher | Virginia Tech |
| Source Sets | Virginia Tech Theses and Dissertation |
| Detected Language | English |
| Type | Thesis |
| Format | ETD, application/pdf |
| Rights | In Copyright, http://rightsstatements.org/vocab/InC/1.0/ |
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