Hydro-epidemiology: the emergence of a research agenda

There is a growing international awareness of the health risks associated with water, and particularly in developing countries. For example: (i) a child dies in Africa every 30s due to malaria—a disease related to stagnant water, (ii) every year flooding causes many deaths world-wide, with infant mortality due to diarrhea from contaminated flood waters posing the biggest threat, and (iii) poor sanitation and its relation to hepatitis A continues to be a serious problem. A revealing measure of the extent of such global problems is that more than half of the hospital beds in the world today are occupied by people with water-related diseases. Addressing these issues mandates an interdisciplinary approach by the world’s scientific and engineering community. In this spirit a workshop was held in Phoenix to provide a forum where epidemiologists, hydraulics researchers and other stakeholders of varied backgrounds (e.g., policy makers, environmental groups etc.) could all participate in a debate on a future agenda for hydro-epidemiology. The principal outcome of the workshop was a significant appreciation of the potential for interdisciplinary research and development in hydro-epidemiology and the major contribution that hydraulics professionals could offer, in partnership with the public health community, in addressing such water related disease control and prevention challenges.     

Reducing fluxes of faecal indicator compliance parameters to bathing waters from diffuse agricultural sources: the Brighouse Bay study, Scotland

The European Water Framework Directive requires the integrated management of point and diffuse pollution to achieve 'good' water quality in 'protected areas'. These include bathing waters, which are regulated using faecal indicator organisms as compliance parameters. Thus, for the first time, European regulators are faced with the control of faecal indicator fluxes from agricultural sources where these impact on bathing water compliance locations. Concurrently, reforms to the European Union (EU) Common Agricultural Policy offer scope for supporting on-farm measures producing environmental benefits through the new 'single farm payments' and the concept of 'cross-compliance'. This paper reports the first UK study involving remedial measures, principally stream bank fencing, designed to reduce faecal indicator fluxes at the catchment scale. Considerable reduction in faecal indicator flux was observed, but this was insufficient to ensure bathing water compliance with either Directive 76/160/EEC standards or new health-evidence-based criteria proposed by WHO and the European Commission.     

Quantitative catchment profiling to apportion faecal indicator organism budgets for the Ribble system, the UK's sentinel drainage basin for Water Framework Directive research

Under the EU Water Framework Directive (WFD) 20/60/EC and the US Federal Water Pollution Control Act 2002 management of water quality within river drainage basins has shifted from traditional point-source control to a holistic approach whereby the overall contribution of point and diffuse sources of pollutants has to be considered. Consequently, there is a requirement to undertake source-apportionment studies of pollutant fluxes within catchments. The inclusion of the Bathing Water Directive (BWD), under the list of 'protected areas' in the WFD places a requirement to control sources of faecal indicator organisms within catchments in order to achieve the objectives of both the BWD (and its revision - 2006/7/EC) and the WFD. This study was therefore initiated to quantify catchment-derived fluxes of faecal indicator compliance parameters originating from both point and diffuse sources. The Ribble drainage basin is the single UK sentinel WFD research catchment and discharges to the south of the Fylde coast, which includes a number of high profile, historically non-compliant, bathing waters. Faecal indicator concentrations (faecal coliform concentrations are reported herein) were measured at 41 riverine locations, the 15 largest wastewater treatment works (WwTWs) and 15 combined sewer overflows (CSOs) across the Ribble basin over a 44-day period during the 2002 bathing season. The sampling programme included targeting rainfall-induced high flow events and sample results were categorised as either base flow or high flow. At the riverine sites, geometric mean faecal coliform concentrations showed statistically significant elevation at high flow compared to base flow. The resultant faecal coliform flux estimates revealed that over 90% of the total organism load to the Ribble Estuary was discharged by sewage related sources during high flow events. These sewage sources were largely related to the urban areas to the south and east of the Ribble basin, with over half the load associated with the relatively small subcatchment of the River Douglas. The majority of this load was attributed to two WwTWs that discharge through a common outfall close to the tidal limit of this catchment. Budgets adjusted to accommodate the impact of proposed UV disinfection of these effluents showed that the load from these sources would be reduced significantly during base flow conditions. However, during high flow events loads would still remain high due to the operation of storm sewage overflows from stormwater retention tanks. The study identified untreated storm sewage spills from urban infrastructure and WwTW stormwater retention tanks as the dominant component of the high flow flux of faecal indicators to receiving waters of the Fylde coast and the associated bathing waters.     

Characteristics and significance of liquid effluent from woodchip corrals in Scotland

Woodchip corrals are increasingly used as cost effective means of over-wintering livestock in temperate regions but there is little information on their potential environmental impact. Four woodchip corrals of varying characteristics were instrumented to capture and quantify the flows reaching the base, where pollutant fluxes may move either vertically to groundwater, or laterally to a water course. Samples for chemical analysis were collected daily by auto-sampler. Samples for bacterial analysis were aseptically hand-sampled. Sampling frequency was increased during high flow events and sampling was conducted over a 12-month period. Microbiological samples were analysed for total coliform (TC), presumptive Escherichia coli (EC) and intestinal enterococci (IE). Leachate was also analysed for total phosphorus, phosphate, total nitrogen, ammonium, total oxidised nitrogen, nitrite and nitrate. Each corral had a recording rain gauge sited within 10 m of the corral surface. Mean total nitrogen concentration in leachate was 339.5 mg l(-1), of which ammoniacal-N comprised approximately 57%. Mean total phosphorus concentration was 94.7 mg l(-1). Geometric mean concentrations of TC, EC and IE were 95,461, 94,983 and 55,552 cfu100 ml(-1), respectively. Significant flows of leachate occurred at the base of the corrals on most days during the 1-year sampling period and flow rate increased with stocking density. Strong positive linear relationships were found between the concentrations of the nutrient parameters and discharge. Strong positive curvilinear relations were found between faecal indicator concentrations and discharge. Different relationships were observed in the stocked and unstocked corrals. The resulting fluxes are sufficient to give concern and to indicate that corral development is worthy of regulatory attention.     

Farmyards, an overlooked source for highly contaminated runoff

Summer sampling of storm runoff generated from areas of roofs and hardstanding situated on four dairy/beef farms has provided novel information regarding its microbiological and chemical quality. All farm hardstandings generated runoff that was contaminated with respect to those pollutants (faecal coliforms, FC, and faecal streptococci, FS, major nutrients, organic carbon) that are ubiquitously associated with faecal matter and urine. The separate analysis of roof runoff indicated that these can contribute significant concentrations of FS, phosphorus (P) and potentially toxic elements such as zinc (Zn), and suggests a level of 'background' contamination originating from wash-off of bird droppings and in the case of Zn galvanised surfaces. On average hardstanding runoff showed enhanced concentrations of >4 orders of magnitude for FC and 2-3 for major nutrients and carbon relative to roof runoff. Organic forms of nitrogen (N) and P contributed significantly (averaging >40%) to the total dissolved fraction in both roof and hardstanding runoff. Part of the substantial variability in composition of runoff samples could be attributed to differences between farms as well as the timing of sample collection during individual storms. Where situations allowed, a comparison of water upstream and downstream of the farmyard demonstrated they acted as a source of multiple contaminants not only during hydrologically active storm events but also during dry periods. Contamination pathways included a combination of both point (e.g., septic overflows) and non-point (e.g., seepage from livestock housing) sources. Farmyards situated within intensive livestock farming areas such as SW Scotland, would be expected to have significant local and accumulated downstream impacts on the aquatic environment. Localised impacts would be particularly important for headwaters and low order streams.     

The Impact of the Extreme Amazonian Flood Season on the Incidence of Viral Gastroenteritis Cases

During the Amazonian flood season in 2012, the Negro River reached its highest level in 110 years, submerging residential and commercial areas which appeared associated with an elevation in the observed gastroenteritis cases in the city of Manaus. The aim of this study was to evaluate the microbiological water quality of the Negro River basin during this extreme flood to investigate this apparent association between the illness cases and the population exposed to the contaminated waters. Forty water samples were collected and analysed for classic and emerging enteric viruses. Human adenoviruses, group A rotaviruses and genogroup II noroviruses were detected in 100, 77.5 and 27.5% of the samples, respectively, in concentrations of 10³–10⁶ GC/L. All samples were compliant with local bacteriological standards. HAdV2 and 41 and RVA G2, P[6], and P[8] were characterised. Astroviruses, sapoviruses, genogroup IV noroviruses, klasseviruses, bocaviruses and aichiviruses were not detected. Statistical analyses showed correlations between river stage level and reported gastroenteritis cases and, also, significant differences between virus concentrations during this extreme event when compared with normal dry seasons and previous flood seasons of the Negro River. These findings suggest an association between the extreme flood experienced and gastrointestinal cases in the affected areas providing circumstantial evidence of causality between the elevations in enteric viruses in surface waters and reported illness.     

Environmental accounting on a communal level: A tool to support environmental management and decision-making by communal executives

Starting from an ecological perspective of urban-industrial areas, environmental accounting is used to analyse and to evaluate which environmental impacts are the result of communal activities (e.g. the results of different kinds of water supply systems). Therefore, the anthropogenic fluxes, the changing quality of areas as well as the processes between the environmental fields are taken into account. The approach is based on methodical elements of te Life Cycle Analysis and the Environmental Impact Assessment. Looking at the ‘urban systems’ within the communal activities, ‘ecological modelling’ gives us a new and fuller picture of the spatial and temporal character of urban metabolism. The approach supports the perception of cumulative effects and the postponement of environmental problems and opens new horizons for process-oriented environmental planning within the community. Greater efficiency and a decrease in costs can be arrived at by leaving ‘end of the pipe’ strategies; opportunities for a better planning process and measures for different individuals and organisations can be drawn up. A data base which acts as a ‘support system’ implements the computer-aided approach to environmental accounting.     

Removal of batteries from solid waste using trommel separation

This paper describes the design and testing of a trommel for separation of batteries from solid waste. A trommel is a cylindrical separation device that rotates and performs size separation. It has also been used in areas such as municipal solid waste (MSW) processing, classifying construction and demolition debris, screening mass-burn incinerator ash and compost processing. A trommel has been designed based on size separation to separate household batteries from solid waste, which can then be used as feedstock for alternative applications of solid waste combustion, particularly where the metal content of the product is also a critical parameter, such as the Co-Co process for integrated cement and power production. This trommel has been tested with batches of university office and restaurant wastes against various factors. The recovery efficiency of batteries increases with decreasing inclination angle of the trommel and decreasing rotational speed. A physical characterization of the university solid waste has been performed with a 20-kg sample of the tested waste. It was found that there is a trend of decreasing recovery of batteries with increasing paper composition, and a trend of increasing recovery of batteries with increasing organic materials composition.     

Mass balance modelling of contaminants in river basins: a flexible matrix approach

A novel and flexible approach is described for simulating the behaviour of chemicals in river basins. A number (n) of river reaches are defined and their connectivity is described by entries in an n x n matrix. Changes in segmentation can be readily accommodated by altering the matrix entries, without the need for model revision. Two models are described. The simpler QMX-R model only considers advection and an overall loss due to the combined processes of volatilization, net transfer to sediment and degradation. The rate constant for the overall loss is derived from fugacity calculations for a single segment system. The more rigorous QMX-F model performs fugacity calculations for each segment and explicitly includes the processes of advection, evaporation, water-sediment exchange and degradation in both water and sediment. In this way chemical exposure in all compartments (including equilibrium concentrations in biota) can be estimated. Both models are designed to serve as intermediate-complexity exposure assessment tools for river basins with relatively low data requirements. By considering the spatially explicit nature of emission sources and the changes in concentration which occur with transport in the channel system, the approach offers significant advantages over simple one-segment simulations while being more readily applicable than more sophisticated, highly segmented, GIS-based models.