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KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos, Jonathan Banks, Ben Knight Coastal & Freshwater Group One Health Aotearoa Symposium, 1011 December 2019, University of Otago, Wellington New Zealand Geographic

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Page 1: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

KNOWLEDGE AND UNCERTAINTY IN DEVELOPING

SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH

GROWING WATERS

Carlos Campos, Jonathan Banks, Ben Knight

Coastal & Freshwater Group

One Health Aotearoa Symposium, 10–11 December 2019, University of Otago, Wellington

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Page 2: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

MICROBIAL WATER QUALITY: A GLOBAL PROBLEM

▪ Faecal pollution is a major threat to water quality worldwide. Human health

risks occur through contact recreation/consumption of contaminated shellfish.

▪ Waterborne diseases are responsible for 2 million deaths each year (WHO).

▪ In New Zealand, poor microbial water quality affects bathing waters/shellfish

harvest areas.

Source: UNESCO (2017)

Page 3: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

Source: Aw (2018)

HEALTH RISKS FROM MICROBIAL CONTAMINATION

Relative risks associated with pathogen groups:

Pathogen

group

Excretion

in faeces

Persistence Potency Zoonotic

Bacteria High Low Medium High

Protozoans Medium Medium Medium/

High

High

Viruses High Medium High Low

Page 4: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

SANITARY SURVEYS: A RISK MANAGEMENT TOOL

The purpose of the sanitary survey is to identify and document sources of

microbiological contamination affecting recreational/shellfish waters.

Provides a measure of health risk together with:

▪ Monitoring of microbiological contaminants/other

quality parameters

▪ Classification of the ‘sanitary’ status of the waters

Components of the survey:

▪ Shoreline survey

▪ Survey of the microbiological quality of the

waters

▪ Assessment of the effect of meteorological,

hydrodynamic and geographic factors

▪ Sampling plan (shellfish growing waters)

Page 5: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

TECHNICAL GUIDANCE: RECREATIONAL WATERS

Page 6: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

TECHNICAL GUIDANCE: SHELLFISH GROWING WATERS

Source: Cefas (2017)

Page 7: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

SANITARY SURVEYS FOR SHELLFISH GROWING AREAS

Study to identify factors that resulted in failure to prevent norovirus contamination

of oysters in growing areas

Re-analysis of 8 cases from 5 growing areas

Sources of information:

▪ Sanitary survey reports

▪ Epidemiological reports

▪ Reports of growing area investigations

▪ Correspondence

▪ Monitoring data

▪ Meetings with food authorities, Councils, industry.

Conclusions:

➢ The way FIOs are used in the programme fails to predict NoV risk.

➢ Sources of contamination were acknowledged in the sanitary survey report,

but significant details had not been thoroughly investigated/assessed.

Page 8: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

WIDER WATER QUALITY MANAGEMENT EFFORTS

▪ Sanitary surveys are only one part of a water quality management plan.

▪ Components of a management plan:

➢ Risk assessment of the shoreline and

catchment area

➢ Water quality monitoring plan

➢ Notification plan to communicate risk

levels to the public

➢ Regulatory/community action plans to

protect/improve water quality

Page 9: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

WATER QUALITY PROGRAMMES AT RECREATIONAL WATERS

Page 10: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

SOURCES OF MICROBIOLOGICAL POLLUTION

▪ Terrestrial sources produce highly variable contaminant loads.

▪ Rainfall events generate the transport energy to deliver microbial inputs.

▪ In the nearshore zone, hydrodynamic processes dominate microbial transport.

▪ Phased approach to survey - focus on problematic areas.

▪ Targeting human sources often results in measurable water

quality improvements.

Page 11: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

POLLUTION SOURCE IDENTIFICATION AND TRACKING

Source: Eawag (2019)

Dye tracing

Sensors/video surveillance

Metagenomics

Page 12: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

CATCHMENT POLLUTION SOURCE APPORTIONMENT

Flows

Source: Stapleton et al. (2015)

Source: Kay et al. (2010)

Faecal indicator bacteria

Source: Stats New Zealand

Page 13: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

WASTEWATER DISCHARGES IN NEW ZEALAND

▪ Detailed information on WWTP performance is lacking

▪ Government has proposed targeted reforms to improve the regulation and

performance of wastewater and stormwater systems

Publicly owned WWTP

Source: WHO (2010)

Qualitative risk assessment:

Page 14: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

FAECAL INDICATOR BACTERIA AND NOROVIRUS IN SEWAGE

Source: Kay et al. (2018)Source: Campos et al. (2018)

Page 15: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

MICROBIAL LOADING AND ATTENUATION IN FARMS

Animal Faecal

production

(g/day)

E. coli/g

faeces

E. coli

load/day

Human 150 1.3 x 107 1.9 x 109

Sheep 1,130 1.6 x 107 1.8 x 108

Cow 23,600 2.3 x 105 5.4 x 109

Gull 15 1.3 x 108 2.0 x 109

Duck 336 3.3 x 107 1.1 x 1010

Sources: Geldreich (1978); Ashbolt et al. (2001)

FIO attenuation for six farm

management practices:

Source: Kay et al. (2012)

Page 16: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

INTERMITTENT DISCHARGES

12108642

100000

10000

1000

100

10

Fluvial distance from sewage outfall (km)

E. coli

(MP

N/1

00g)

230

4600

46000

LoD

R-Sq 30.2%

R-Sq(adj) 27.9%

Regression

95% CI

12108642

100000

10000

1000

100

10

Fluvial distance from sewage outfall (km)

Noro

virus (

GI+

GII)

(copie

s/g

)

LoD

R-Sq 37.4%

R-Sq(adj) 35.4%Regression

95% CI

Source: Campos et al. (2015)

Page 17: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

WASTEWATER TREATMENT UPGRADES

2007

2008

2009

2010

2011

2012

2013

2014

2015

10.0

8

9.7

6

8.1

4

6.8

8

6.1

2

5.5

5

3.2

7

2.8

0

0.9

5

0.0

5

1000000

100000

10000

1000

100

10

Fluvial distance (km)

Log10E

. coli

(cfu

/100m

l)

250500

Period 1

10.0

8

9.7

6

8.1

4

6.8

8

6.1

2

5.5

5

3.2

7

2.8

0

0.9

5

0.0

5

1000000

100000

10000

1000

100

10

Fluvial distance (km)

Log10E

. coli

(cfu

/100m

l)

250500

Period 3

10.0

8

9.7

6

8.1

4

6.8

8

6.1

2

5.5

5

3.2

7

2.8

0

0.9

5

0.0

5

1000000

100000

10000

1000

100

10

Fluvial distance (km)

Log10E

. co

li (c

fu/1

00m

l)

250500

Period 2

◄ Headwaters Estuary mouth ►

Distance (km) from WwTW outfall

Station number: 1 2 3 4 5 6 7 8 9 10

New UV and activated

sludge plants at WWTP A

New UV plant at WWTP B

UV plant in storm tank

at WWTP A

Shellfish bed 1: C►B

Shellfish bed 1: B►C

Shellfish bed 2: C►B

Shellfish bed 3: C►B

WWTP B

WWTP A

2016

UV disinfection plant

WWTP C

Campos et al. (submitted)

Page 18: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

FORECASTING OF MICROBIAL RISKS IN COASTAL WATERS

Remote sensing Discharge plumes

and illness riskCatchment-to-coast modelling

Hydrodynamic

modelling

Page 19: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

CONCLUSIONS

▪ Sanitary survey is a risk assessment tool with public health and regulatory

management benefits.

▪ Sanitary survey reports contain qualitative/quantitative information on pollution

sources, microbial levels and environmental pathways.

▪ Technical guidance (for recreational/shellfish waters) facilitates implementation

and greater harmonisation of assessment procedures.

▪ A sanitary survey is not a ‘linear process’.

▪ Sanitary surveys can help inform pollution reduction programmes and support

more effective management of water resources.

Page 20: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

KNOWLEDGE GAPS

▪ Characterisation of point- and non-point sources of fecal contamination and

associated health risk.

▪ Fate, transport and persistence of novel indicators and pathogens in sewerage

systems/receiving waters to better inform monitoring programmes, risk

assessments and discharge consenting.

▪ Development of monitoring tools to characterize lag times, tipping points and

distinguish unusual changes from normal variations.

▪ Microbial risk communication strategies for ‘at risk’ populations.

▪ Associations between viral indicators and disease.

Page 21: KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY …€¦ · KNOWLEDGE AND UNCERTAINTY IN DEVELOPING SANITARY PROFILES FOR RECREATIONAL AND SHELLFISH GROWING WATERS Carlos Campos,

Acknowledgements:

Seafood Safety Programme (CAWX1317)

National Science Challenges: Sustainable Seas

THANK YOU

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