cryptosporidium-oocysts |
Protozoa and Amoeba in Drinking Water
Sources of protozoa and amoeba in drinking water
Drinking water supplies that depend on surface or ground
water are subject to contamination by enteric waterborne pathogens.
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The detection of these pathogens (and other indicator organisms) may indicate fecal contamination of water.
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The detection of these pathogens (and other indicator organisms) may indicate fecal contamination of water.
These pathogens can originate from leaking sewer lines,
septic systems, or improperly protected well heads that allow contaminated
surface water to drain into the aquifer along the outer well casing.
Contaminated
ground water represents approximately half of the waterborne disease outbreaks
documented in the United States every year.
Organisms of
particular concern with respect to water contamination include waterborne
pathogenic human enteric viruses, such as Adenovirus, Rotavirus, Hepatitis A,
and Norovirus; enteric bacteria, such as the pathogenic strain of Escherichia coli 0157:H7, Salmonella, Campylobacter, Vibrio cholerae and Shigella spp.; protozoan pathogens, such as Cryptosporidium and Giardia;
and, the recently reported amoeba Naegleriafowleri.
These organisms
present a human health risk to those who ingest the water. Typical symptoms
associated with an infection include acute gastroenteritis, severe cramping,
abdominal pain, dehydration and diarrhea.
Although all of
the above mentioned organisms pose a risk to human health, viral contaminants
are typically considered more of a threat to groundwater than bacterial or
protozoan contaminants for two reasons.
First of all,
because of the small size of viruses, they typically can be transported further
into the aquifer than bacteria and can eventually reach the groundwater.
Secondly, viruses
are thought to be more persistent in the environment than their bacterial
counterparts and require greater disinfection procedures to render them
inactive.
Cryptosporidium and Giardia
Microorganisms
transmitted by the fecal-oral route are referred to as enteric pathogens
because they infect the gastrointestinal tract.
One specific
group of enteric pathogens is called protozoa. All protozoa rely on water, and
they are most commonly observed in freshwater and marine habitats, although
some are terrestrial in moist soils and others are exclusively found in the
gastrointestinal tracts of animals.
cryptosporidium-oocysts |
Diseases
caused by protozoa that are transmitted by contaminated drinking water are
considered waterborne diseases.
Common protozoa,
such as Cryptosporidium and Giardia,
are extremely hardy and can survive chlorine disinfection that is commonly
practiced at conventional water treatment plants.
.
These organisms can enter the environment via human and animals wastes and have been found in marine water and bathing beaches in the vicinity of sewage outfall locations.
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These organisms can enter the environment via human and animals wastes and have been found in marine water and bathing beaches in the vicinity of sewage outfall locations.
Giardia |
Additionally,
cattle are known to harbor these organisms, and consequently agricultural landrunoff has been shown to contaminate surface water.
The pathogenic
protozoan parasites, Cryptosporidium and Giardia,
are significant microbial contaminants in the U.S. and have been found in
surface waters and filtered drinking water supplies.
Cryptosporidium and Giardia produce environmentally resistant
oocysts and cysts, respectively, which allow the parasites to survive in water
for extended periods of time.
Giardia |
Many waterborne
outbreaks of cryptosporidiosis and giardiasis have been reported in North
America.
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Increases of microbial pathogens in lakes and streams due to heavy rainfall events/flooding can lead to breeches in the treatment process and have occasionally resulted in community outbreaks of gastroenteritis.
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Increases of microbial pathogens in lakes and streams due to heavy rainfall events/flooding can lead to breeches in the treatment process and have occasionally resulted in community outbreaks of gastroenteritis.
Another source of
outbreaks could be due to a breakdown in the water treatment process, such as
coagulation, filtration, or disinfection.
Naegleria fowleri
Naegleria fowleri |
Naegleria fowleri is a protozoan amoeba found in soil
environments but more frequently in ground and surface waters. Because Naegleria is commonly found in warmer
temperatures, states in the Southwest are particularly prone to its presence.
In a recent study
in Arizona of 188 drinking water systems and individual household wells, the
waterborne amoeba Naegleria
fowleri was reported in 29 cases.
Biodegradable
oils used to lubricate ground water pumps may act as a food source for bacteria
and other organisms. Research has indicated that N. fowleri, may feed upon bacteria growing in wells, thus allowing them to persist in the environment.
Naegleria fowleri |
Although it is
alarming that this waterborne pathogen is currently being found in wells in
warmer climates, infections occur only by immersion in the water and do not
occur as a result of drinking contaminated water.
Potential health effects of protozoa
and amoeba in drinking water
Cryptosporidium and Giardia have become the leading cause of
gastroenteritis outbreaks associated with treated recreational water venues
(e.g., swimming pools, water parks, water slides, wave pools, interactive
fountains).
The availability
of the first drug to combat Cryptosporidium illness has likely increased the
chance that healthcare providers test for the protozoan when a patient has
diarrhea.
.
Additionally, improvement of Cryptosporidium tracking systems has also led to the investigation of more cases, and consequently more outbreaks have been identified.
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Additionally, improvement of Cryptosporidium tracking systems has also led to the investigation of more cases, and consequently more outbreaks have been identified.
Alternatively, Naegleria causes acute primary amoebic
meningoencephalitis in infected individuals.
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According to the Centers for Disease Control (CDC), Naegleria infects people by entering the body through the nose. This can occur when people use warm freshwater or untreatedground water for activities like swimming or diving.
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According to the Centers for Disease Control (CDC), Naegleria infects people by entering the body through the nose. This can occur when people use warm freshwater or untreatedground water for activities like swimming or diving.
The amoeba
travels up the nose to the brain and spinal cord where it destroys the brain
tissue. Symptoms are said to mimic a hangover and include a head ache as well
as stiffness of the back and neck.
Options for protozoa and amoeba in
drinking water
Unlike most
waterborne pathogens, such as bacteria and enteric viruses, Cryptosporidium and Giardia oocysts and cysts are very resistant
to chlorine disinfection, which is commonly used to treat surface and ground
waters.
Because infected
individuals shed oocysts for approximately one week after symptoms resolve,
there is an increased risk of future outbreaks.
Lack of awareness
and failure to reduce transmission of these protozoan parasites using
alternative water-sanitizing technologies make future Cryptosporidium and Giardia outbreaks inevitable.
While substantial
regulatory efforts have been directed at drinking water, there has not been a
corresponding effort to regulate public recreational water facilities.
Alternative
water-sanitizing techniques that have proven successful for the disinfection of
protozoa include the use of ozone and ultra-violet (UV) light as disinfectants.
Alternatively, Naegleria is highly susceptible to chlorination and as such is recommended as an
adequate disinfection technique.
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source:
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