What Is on the Menu?-A Quantitative Analysis on Label Format among (Potential) Restaurant Guests and Restaurant Owners.

About 20% of energy intake in the Netherlands is consumed out-of-home. Eating out-of-home is associated with higher energy intake and poorer nutrition. Menu labeling can be considered a promising instrument to improve dietary choices in the out-of-home sector. Effectiveness depends on the presentation format of the label and its attractiveness and usability to restaurant guests and restaurant owners. This exploratory study investigated which menu labeling format would be mostly appreciated by (a) (potential) restaurant guests (n386) and (b) the uninvestigated group of restaurant owners (n41) if menu labeling would be implemented in Dutch full-service restaurants. A cross-sectional survey design was used to investigate three distinct menu labeling formats: a simple health logo; (star) ranking and calorie information. Questionnaires were used as study tool. Ranking has been shown to be the most appreciated menu labeling format by both (potential) restaurant guests and owners. Statistical analysis showed that label preference of potential restaurant guests was significantly associated with age, possibly associated with level of education, and not associated with health consciousness. In summary, we found that ranking is the most appreciated menu label format according to both (potential) restaurant guests and restaurant owners, suggesting it to be a promising way to improve healthy eating out-of-home.

Statistical analysis of a large set of semi-quantitative GC-MS screening data to evaluate and prioritize organic contaminants in surface and drinking water of the Netherlands.

Due to anthropogenic activities in the catchments, surface waters are contaminated with a large variety of chemical compounds. Drinking water companies in the Netherlands use surface water from the rivers Rhine, and Meuse, Lake IJssel and water from a reclaimed land area as sources for the production of drinking water. Samples from the abstraction points and the produced drinking waters were investigated using chemical screening with gas chromatography coupled to mass spectrometry to detect an as wide as possible range of organic contaminants, generating enormous data sets. This study aimed to evaluate and interpret five and a half years of screening data to get insight in the variety of known and new less polar compounds in surface and drinking waters, and to investigate if there were spatial patterns in the detection of compounds. Compounds from a wide variety of applications were detected. The vast majority of detected compounds was found only in a few samples. Certain compounds, however, e.g. organophosphate flame retardants, were detected with prevalences up to 100% per location. Most compounds were detected in samples from the rivers Rhine and Meuse, less in those from Lake IJssel and the reclaimed land area and only few in drinking water. Principal component and Hierarchical Cluster Analyses helped to detect patterns in the presence of contaminants on particular locations and to prioritize compounds for further investigation of their emission sources, and -in case of unknown compounds - their identification.

Variability of invertebrate abundance in drinking water distribution systems in the Netherlands in relation to biostability and sediment volumes.

A survey of invertebrates in drinking water from treatment works, internal taps and hydrants on mains was carried out by almost all water companies in the Netherlands from September 1993 to August 1995. Aquatic sow bugs (Asellidae, 1-12 mm) and oligochaeta worms (Oligochaeta, 1-100 mm), both known to have caused rare though embarrassing consumer complaints, were found to form 98% of the mean biomass in water flushed from mains. Their numbers in the mains water ranged up to 1500 (mean 37) Asellidae m(-3) and up to 9900 (mean 135) Oligochaeta m(-3). Smaller crustaceans (0.5-2 mm) dominated the numbers in water from mains. e.g. water fleas (Cladocera and Copepoda up to 14,000 m(-3)). Common invertebrates in treated water and in tap water were Rotifera (<1 mm) and nematode worms (Nematoda, <2 mm). No Asellidae, large Oligochaeta (>5 mm) or other large invertebrates were found in 1560 samples of 200 l treated water or tap water. Large variations in invertebrate abundance were found within and between distribution systems. Of the variability of mean biomass in mains per system, 55%, 60% and 63% could statistically be explained by differences in the Biofilm Formation Rate, non-particulate organic matter and the permanganate index of the treated water of the treatment works respectively. A similar correlation was found between mean invertebrate biomass and mean sediment volumes in the distribution systems (R(2) = 52%).

Incidence of faecal contaminations in chlorinated and non-chlorinated distribution systems of neighbouring European countries.

Data on E. coli incidence in drinking water samples have been evaluated for 4 European countries. Within the EC project MicroRisk, large volume sampling was done in the United Kingdom (with disinfectant residual), the Netherlands (mainly without disinfectant residual) and Germany (without disinfectant residual). No E. coli were found and very low background concentrations (<10(-4) per L) were calculated. Furthermore, data of 280,000 water samples collected in France (with disinfectant residual), the Netherlands and Germany (both with and without disinfectant residual) were evaluated for E. coli incidence. In total, similar results were obtained for Germany and the Netherlands. In France, significantly higher incidences occurred as more small rural supply systems were included. The detailed data evaluation revealed a slight increase of mean E. coli concentrations during distribution in Germany and the Netherlands, for both disinfected and non-disinfected supply zones. This suggests that, if technical measures are taken to avoid contamination during distribution, non-disinfected supply zones can be regarded as being as safe as disinfected supply zones. Furthermore, the indicator principle of E. coli for faecal contaminations is valid in non-disinfected supply zones. In chlorinated systems, on-line-monitoring of chlorine residuals represents a good means to detect ingress of organic material.

Quantitative microbial risk assessment of distributed drinking water using faecal indicator incidence and concentrations.

Quantitative Microbial Risk Assessments (QMRA) have focused on drinking water system components upstream of distribution to customers, for nominal and event conditions. Yet some 15-33% of waterborne outbreaks are reported to be caused by contamination events in distribution systems. In the majority of these cases and probably in all non-outbreak contamination events, no pathogen concentration data was available. Faecal contamination events are usually detected or confirmed by the presence of E. coli or other faecal indicators, although the absence of this indicator is no guarantee of the absence of faecal pathogens. In this paper, the incidence and concentrations of various coliforms and sources of faecal contamination were used to estimate the possible concentrations of faecal pathogens and consequently the infection risks to consumers in event-affected areas. The results indicate that the infection risks may be very high, especially from Campylobacter and enteroviruses, but also that the uncertainties are very high. The high variability of pathogen to thermotolerant coliform ratios estimated in environmental samples severely limits the applicability of the approach described. Importantly, the highest ratios of enteroviruses to thermotolerant coliform were suggested from soil and shallow groundwaters, the most likely sources of faecal contamination that are detected in distribution systems. Epidemiological evaluations of non-outbreak faecal contamination of drinking water distribution systems and thorough tracking and characterisation of the contamination sources are necessary to assess the actual risks of these events.

Probability of detecting and quantifying faecal contaminations of drinking water by periodically sampling for E. coli: a simulation model study.

Drinking water supply companies monitor the presence of Escherichia coli in drinking water to verify the effectiveness of measures that prevent faecal contamination of drinking water. Data are lacking, however, on the sensitivity of the monitoring programmes, as designed under the EU Drinking Water Directive. In this study, the sensitivity of such a monitoring programme was evaluated by hydraulic model simulations of contamination events and calculations of the detection probability of the actual sampling programme of 2002. In the hydraulic model simulations of 16-h periods of 1l h(-1) ingress of untreated domestic sewage, the spread of the contamination through the network and the E. coli concentration dynamics were calculated. The results show that when large parts of the sewage reach reservoirs, e.g. when they originate from the treatment plant or a trunk main, mean detection probabilities are 55-65%. When the contamination does not reach any of the reservoirs, however, the detection probability varies from 0% (when no sampling site is reached) to 13% (when multiple sites are reached). Mean detection probabilities of nine simulated ingress incidents in mains are 5.5% with an SD of 6.5%. In reality, these detection probabilities are probably lower as the study assumed no inactivation or clustering of E. coli, 100% recovery efficiency of the E. coli detection methods and immediate mixing of contaminations in mains and reservoirs. The described method provides a starting point for automated evaluations and optimisations of sampling programmes.

Sampling and quantifying invertebrates from drinking water distribution mains.

Water utilities in the Netherlands aim at controlling the multiplication of (micro-) organisms by distributing biologically stable water through biologically stable materials. Disinfectant residuals are absent or very low. To be able to assess invertebrate abundance, methods for sampling and quantifying these animals from distribution mains were optimised and evaluated. The presented method for collecting invertebrates consists of unidirectionally flushing a mains section with a flow rate of 1 ms(-1) and filtering the flushed water in two separate flows with 500 microm and 100 microm mesh plankton gauze filters. Removal efficiency from mains was evaluated in nine experiments by collecting the invertebrates removed from the mains section by intensive cleaning immediately subsequent to sampling. Of 12 taxa distinguished, all except case-building Chironomidae larvae (2%) and Oligochaeta (30%) were removed well (51-75%). Retention of invertebrates in 100 microm filters was evaluated by filtering 39 filtrates using 30 microm filters. Except for flexible and small invertebrates such as Turbellaria (13%), Nematoda (11%) and Copepoda larvae (24%), most taxa were well retained in the 100 microm filters (53-100%). During sample processing, the method for taking sub-samples with a 10 ml pipette from the suspension of samples with high sediment concentrations was found to perform well in 75% of the samples. During a 2-year national survey in the Netherlands and consecutive investigations, the method appeared to be very suitable to assess the abundance of most invertebrate taxa in drinking water distribution systems and to be practicable for relatively inexperienced sampling and lab technicians. Although the numbers of small, less abundant or sessile taxa were not accurately assessed using the method, these taxa probably should not be the primary focus of monitoring by water utilities, as consumer complaints are not likely to be caused by these invertebrates. The accuracy of quantifying small invertebrates was further improved, however, by filtering the 100microm filtrate with a 30microm mesh plankton gauze filter.