Resolving conflicts in public health protection and ecosystem service provision at designated bathing waters.

Understanding and quantifying the trade-off between the requirement for clean safe bathing water and beaches and their wider ecosystem services is central to the aims of the European Union (EU) Marine Strategy Framework Directive (MSFD), and vital for the sustainability and economic viability of designated bathing waters. Uncertainty surrounding the impacts of ensuing bathing water policy transitions, e.g. the EU revised Bathing Waters Directive (rBWD), puts new urgency on our need to understand the importance of natural beach assets for human recreation, wildlife habitat and for protection from flooding and erosion. However, managing coastal zones solely in terms of public health could have potentially negative consequences on a range of other social and cultural ecosystem services, e.g. recreation. Improving our knowledge of how bathing waters, surrounding beach environments and local economies might respond to shifts in management decisions is critical in order to inform reliable decision-making, and to evaluate future implications for human health. In this paper we explore the conflicts and trade-offs that emerge at public beach environments, and propose the development of an evaluative framework of viable alternatives in environmental management whereby bathing waters are managed for their greatest utility, driven by identifying the optimal ecosystem service provision at any particular site.

Smoke-free parks and beaches: an interrupted time-series study of behavioural impact in New York City.

BACKGROUND: In 2011, New York City (NYC) parks and beaches became smoke-free. There is currently little research evaluating the impact of such laws on smoking behaviour at the population level. METHODS: We used an interrupted time-series study design to analyse data from the New York State Adult Tobacco Survey to assess the law's impact using the rest of New York State as a comparison. Trends in how frequently respondents noticed people smoking in parks and beaches were analysed between the third quarter of 2009 and the fourth quarter of 2012, comparing NYC to the rest of the state. RESULTS: The trend in the frequency of NYC residents noticing people smoking in local parks and beaches decreased significantly over the six quarters after the law took effect. There was no comparable decline among residents in the rest of the state. An increase in the number of respondents who never noticed people smoking in NYC contributed to this decline. CONCLUSIONS: These results are consistent with previous studies and provide population-level evidence that suggest the law has reduced smoking in parks and on beaches.

Banning smoking in parks and on beaches: science, policy, and the politics of denormalization.

Campaigns to limit tobacco use started in the 1970s and have led to bans on public smoking, which have been extended to parks and beaches. A review of state and local statutes shows that during 1993-2011, smoking was banned in 843 parks and on 150 beaches across the United States. Three justifications for these restrictions have been invoked: the risk of passive smoke to nonsmokers, the pollution caused by cigarette butts, and the long-term risks to children from seeing smoking in public. Our analysis of the evidence for these claims found it far from definitive and in some cases weak. What, then, accounts for the efforts to impose such bans? We conclude that the impetus is the imperative to denormalize smoking as part of a broader public health campaign to reduce tobacco-related illness and death. Although invoking limited evidence may prove effective in the short run, it is hazardous for public health policy makers, for whom public trust is essential.

Evaluation of equivalence between different methods for enumeration of fecal indicator bacteria before and after adoption of the new Bathing Water Directive and risk assessment of pollution.

The quality of bathing water is of considerable public importance due to the possibility of fecal contamination. In 2009, Croatia implemented the new European Bathing Water Directive (BWD, 2006/7/EC) establishing stricter microbiological standards for new parameters with new reference methods. This study aims to evaluate the equivalence of different methods according to the old and revised BWD and to provide the possibility of data comparison. Furthermore, the directive requires the establishment of the bathing water profile (BWP) for pollution risk assessment. The estimation of consistency of pollution risk assessment with obtained microbiological results was also performed. Six marine beaches of the Municipality of Rijeka (Croatia) were examined during the 2009 season. Statistical analysis showed equivalence between determination methods for fecal contamination indicators. Based on the current water classification results, the need for correction of estimated pollution risks and recommendations for inclusion of historical microbiological data during BWP enactment was noticed.

Equivalency of risk for a modified health endpoint: a case from recreational water epidemiology studies.

BACKGROUND: The United States Environmental Protection Agency (USEPA) and its predecessors have conducted three distinct series of epidemiological studies beginning in 1948 on the relationship between bathing water quality and swimmers' illnesses. Keeping pace with advances in microbial technologies, these studies differed in their respective microbial indicators of water quality. Another difference, however, has been their specific health endpoints. The latest round of studies, the National Epidemiological Assessment of Recreational (NEEAR) Water studies initiated in 2002, used a case definition, termed "NEEAR GI illness" (NGI), for gastrointestinal illness corresponding closely to classifications employed by contemporary researchers, and to that proposed by the World Health Organization. NGI differed from the previous definition of "highly credible gastrointestinal illness" (HCGI) upon which the USEPA's 1986 bathing water criteria had been based, primarily by excluding fever as a prerequisite. METHODS: Incidence of NGI from the NEEAR studies was compared to that of HCGI from earlier studies. Markov chain Monte Carlo method was used to estimate the respective beta binomial probability densities for NGI and HCGI establish credible intervals for the risk ratio of NGI to HCGI. RESULTS: The ratio of NGI risk to that of HCGI is estimated to be 4.5 with a credible interval 3.2 to 7.7. CONCLUSIONS: A risk level of 8 HCGI illnesses per 1000 swimmers, as in the 1986 freshwater criteria, would correspond to 36 NGI illnesses per 1000 swimmers. Given a microbial DNA-based (qPCR) water quality vs. risk relationship developed from the NEEAR studies, 36 NGI per 1000 corresponds to a geometric mean of 475 qPCR cell-equivalents per 100 ml.

An alternative approach to water regulations for public health protection at bathing beaches.

New approaches should be considered as the US Environmental Protection Agency (EPA) moves rapidly to develop new beach monitoring guidelines by the end of 2012, as these guidelines serve as the basis by which states and territories with coasts along the oceans and Great Lakes can then develop and implement monitoring programs for recreational waters. We describe and illustrate one possible approach to beach regulation termed as the "Comprehensive Toolbox within an Approval Process (CTBAP)." The CTBAP consists of three components. The first is a "toolbox" consisting of an inventory of guidelines on monitoring targets, a series of measurement techniques, and guidance to improve water quality through source identification and prevention methods. The second two components are principles of implementation. These include first, "flexibility" to encourage and develop an individualized beach management plan tailored to local conditions and second, "consistency" of this management plan to ensure a consistent national level of public health protection. The results of this approach are illustrated through a case study at a well-studied South Florida recreational marine beach. This case study explores different monitoring targets based on two different health endpoints (skin versus gastrointestinal illness) and recommends a beach regulation program for the study beach that focuses predominately on source prevention.

Evaluating New York City's smoke-free parks and beaches law: a critical multiplist approach to assessing behavioral impact.

This article describes the evaluation of the law banning smoking in New York City's parks and beaches that went into effect in 2011. We discuss the practical and methodological challenges that emerged in evaluating this law, and describe how we applied the principles of critical multiplism to address these issues. The evaluation uses data from three complementary studies, each with a unique set of strengths and weaknesses that can provide converging evidence for the effectiveness of the law. Results from a litter audit and an observational study suggest the ban reduced smoking in parks and beaches. The purpose, methodology and baseline results from an ongoing survey that measures how frequently adults in NYC and across New York State notice people smoking in parks and on beaches are presented and discussed. Limitations are considered and suggestions are offered for future evaluations of similar policies.

[New rules of the bathing water quality management]. / Nowe zasady zarzadzania jakoscia wody w kapieliskach.

Directive 2006/7/EC concerning the management of bathing water quality and repealing directive 76/160/ EEC, adopted in 2006, resulted in changes polish laws and regulations of this topic, which were necessary to comply with the new Directive. These included Water Act and three regulations: on bathing water quality surveillance, on bathing waters register and on bathing water profile. The main changes in the sanitary surveillance on bathing waters quality and their consequences for bathers has been discussed in the article. According to new regulations conducting bathing water quality monitoring was handed over to organizers of bathing sites and local government. Bathing water supervision and water quality assessment is in Polish Sanitary Inspection competence. Unique solution of polish law is division of bathing places into two categories: bathing sites and places used for bathing. In a consequence regulations "create" another category of such objects like places used according to custom for bathing by neighbourhood people, which will be left without any supervision. There is significant threat that new formal aspects combined with organisers burdened with supervision and finance responsibilities, will lead to decrease number of bathing sites in favour of growing number of places used for bathing. This can in consequence diminish bathers health safety.

Regulating public space on the beachfronts of Rio de Janeiro.

Despite the fortification of buildings, streets, and public squares, Rio de Janeiro's beaches remain widely regarded as democratic spaces of social diversity and accessibility. Our study revisits the question of Rio's "democratic" beachfronts, based on local interviews, field observations, official reports, and newspaper accounts. We focus on historical and contemporary perceptions of planning, privatization, and public-order programs on the city's southern seaside. Institutional discourses have justified increasing regulation to combat threats of disorder and insecurity. While residents value the relative openness of beachfronts, they also acknowledge issues of safety, social segmentation, and subtle forms of bias. The public generally applauds recent "Shock of Order" policing and commercial revitalization, although critics lament the loss of traditional freedoms for informal beach vendors and casual sports. These paradoxes highlight enduring tensions between social order and hierarchy on one hand, and democratic rights and equality on the other.

Development of predictive models for determining enterococci levels at Gulf Coast beaches.

The US EPA BEACH Act requires beach managers to issue swimming advisories when water quality standards are exceeded. While a number of methods/models have been proposed to meet the BEACH Act requirement, no systematic comparisons of different methods against the same data series are available in terms of relative performance of existing methods. This study presents and compares three models for nowcasting and forecasting enterococci levels at Gulf Coast beaches in Louisiana, USA. One was developed using the artificial neural network (ANN) in MATLAB Toolbox and the other two were based on the US EPA Virtual Beach (VB) Program. A total of 944 sets of environmental and bacteriological data were utilized. The data were collected and analyzed weekly during the swimming season (May-October) at six sites of the Holly Beach by Louisiana Beach Monitoring Program in the six year period of May 2005-October 2010. The ANN model includes 15 readily available environmental variables such as salinity, water temperature, wind speed and direction, tide level and type, weather type, and various combinations of antecedent rainfalls. The ANN model was trained, validated, and tested using 308, 103, and 103 data sets (collected in 2007, 2008, and 2009) with an average linear correlation coefficient (LCC) of 0.857 and a Root Mean Square Error (RMSE) of 0.336. The two VB models, including a linear transformation-based model and a nonlinear transformation-based model, were constructed using the same data sets. The linear VB model with 6 input variables achieved an LCC of 0.230 and an RMSE of 1.302 while the nonlinear VB model with 5 input variables produced an LCC of 0.337 and an RMSE of 1.205. In order to assess the predictive performance of the ANN and VB models, hindcasting was conducted using a total of 430 sets of independent environmental and bacteriological data collected at six Holly Beach sites in 2005, 2006, and 2010. The hindcasting results show that the ANN model is capable of predicting enterococci levels at the Holly Beach sites with an adjusted RMSE of 0.803 and LCC of 0.320 while the adjusted RMSE and LCC values are 1.815 and 0.354 for the linear VB model and 1.961 and 0.521 for the nonlinear VB model. The results indicate that the ANN model with 15 parameters performs better than the VB models with 6 or 5 parameters in terms of RMSE while VB models perform better than the ANN model in terms of LCC. The predictive models (especially the ANN and the nonlinear VB models) developed in this study in combination with readily available real-time environmental and weather forecast data can be utilized to nowcast and forecast beach water quality, greatly reducing the potential risk of contaminated beach waters to human health and improving beach management. While the models were developed specifically for the Holly Beach, Louisiana, the methods used in this paper are generally applicable to other coastal beaches.

Beach monitoring criteria: reading the fine print.

Beach monitoring programs aim to decrease swimming-related illnesses resulting from exposure to harmful microbes in recreational waters, while providing maximum beach access. Managers are advised by the U.S. EPA to estimate microbiological water quality based on a 5-day geometric mean of fecal indicator bacteria (FIB) concentrations or on a jurisdiction-specific single-sample maximum; however, most opt instead to apply a default single-sample maximum to ease application. We examined whether re-evaluation of the U.S. EPA ambient water quality criteria (AWQC) and the epidemiological studies on which they are based could increase public beach access without affecting presumed health risk. Single-sample maxima were calculated using historic monitoring data for 50 beaches along coastal Lake Michigan on various temporal and spatial groupings to assess flexibility in the application of the AWQC. No calculation on either scale was as low as the default maximum (235 CFU/100 mL) that managers typically use, indicating that current applications may be more conservative than the outlined AWQC. It was notable that beaches subject to point source FIB contamination had lower variation, highlighting the bias in the standards for these beaches. Until new water quality standards are promulgated, more site-specific application of the AWQC may benefit beach managers by allowing swimmers greater access to beaches. This issue will be an important consideration in addressing the forthcoming beach monitoring standards.

Improving water quality through California's Clean Beach Initiative: an assessment of 17 projects.

California's Clean Beach Initiative (CBI) funds projects to reduce loads of fecal indicator bacteria (FIB) impacting beaches, thus providing an opportunity to judge the effectiveness of various CBI water pollution control strategies. Seventeen initial projects were selected for assessment to determine their effectiveness on reducing FIB in the receiving waters along beaches nearest to the projects. Control strategies included low-flow diversions, sterilization facilities, sewer improvements, pier best management practices (BMPs), vegetative swales, and enclosed beach BMPs. Assessments were based on statistical changes in pre- and postproject mean densities of FIB at shoreline monitoring stations targeted by the projects. Most low-flow diversions and the wetland swale project were effective in removing all contaminated runoff from beaches. UV sterilization was effective when coupled with pretreatment filtration and where effluent was released within a few hundred meters of the beach to avoid FIB regrowth. Other BMPs were less effective because they treated only a portion of contaminant sources impacting their target beach. These findings should be useful to other coastal states and agencies faced with similar pollution control problems.

Implementation of the European Union's Bathing Water Directive in Turkey.

The European Union (EU) Bathing Water Directive (2006/7/EC) sets out standards for designated bathing waters which should be complied with by all Member States. Turkey, being a candidate country to the EU, requires heavy-cost investments in achieving approximation with the EU Environmental Acquis. This paper provides a description of the technical measures and investment and operational cost assessment related to the implementation of the Bathing Water Directive in Turkey. Bathing waters are defined as "all running or still freshwaters or parts thereof and seawater, in which bathing is explicitly authorized by the competent authorities, or bathing is not prohibited and is traditionally practiced by a large number of bathers". Since there is no complete registration of bathing waters in Turkey, this study has targeted all coastal agglomerations and designated these as in proximity to "highly-touristic" and "other" agglomerations including the agglomerations in the proximity of six lakes that are popularly used as bathing waters. For each of these agglomerations an assessment of the existing infrastructure has been made. In defining the infrastructural need, two scenarios have been developed. According to Scenario 1, only highly-touristic and touristic places are to receive investment. The suggested further treatment was "disinfection+sea outfall" and "sea-outfall", for highly-touristic and touristic agglomerations, respectively. In Scenario 2, other coastal agglomerations and all freshwater lakes were also included and disinfection has been proposed for these settlements. It appears that the total investment is at around 12.6 million Euros for Scenario 1 and increases to 21.8 million Euros for Scenario 2; whereas the annual operational and maintenance costs are about 0.5 and 0.8 million Euros for Scenarios 1 and 2, respectively.

Do 2006/7/EC European Union Bathing Water Standards exclude the risk of contact with Salmonella or Candida albicans?

The purpose of this study was to evaluate the efficiency of the recent (2006) European Union Directive concerning the management of bathing water quality to exclude the presence of pathogens from complying waters. Coastal water samples were classified according to the Directive. 2.5% of 'excellent' water contained Salmonella and 39.2% Candida albicans 11.8% of samples in category 'good' were Salmonella positive and 35.2% were C.albicans positive. When the USEPA criterion for marine waters was applied to the same dataset, fewer samples complied, however 6.0% of the complying samples contained Salmonella. The results suggest that the bacterial indicator threshold levels for marine recreational water quality of the 2006/7/EC European Union Directive do not fully exclude contact of bathers with dangerous pathogens. Enterococci, if used as the sole index, appear to form a more reliable proxy of the risk of contact with Salmonella.

Synthetic polymers in the marine environment: a rapidly increasing, long-term threat.

Synthetic polymers, commonly known as plastics, have been entering the marine environment in quantities paralleling their level of production over the last half century. However, in the last two decades of the 20th Century, the deposition rate accelerated past the rate of production, and plastics are now one of the most common and persistent pollutants in ocean waters and beaches worldwide. Thirty years ago the prevailing attitude of the plastic industry was that "plastic litter is a very small proportion of all litter and causes no harm to the environment except as an eyesore" [Derraik, J.G.B., 2002. The pollution of the marine environment by plastic debris: a review. Mar. Pollut. Bull. 44(9), 842-852]. Between 1960 and 2000, the world production of plastic resins increased 25-fold, while recovery of the material remained below 5%. Between 1970 and 2003, plastics became the fastest growing segment of the US municipal waste stream, increasing nine-fold, and marine litter is now 60-80% plastic, reaching 90-95% in some areas. While undoubtedly still an eyesore, plastic debris today is having significant harmful effects on marine biota. Albatross, fulmars, shearwaters and petrels mistake floating plastics for food, and many individuals of these species are affected; in fact, 44% of all seabird species are known to ingest plastic. Sea turtles ingest plastic bags, fishing line and other plastics, as do 26 species of cetaceans. In all, 267 species of marine organisms worldwide are known to have been affected by plastic debris, a number that will increase as smaller organisms are assessed. The number of fish, birds, and mammals that succumb each year to derelict fishing nets and lines in which they become entangled cannot be reliably known; but estimates are in the millions. We divide marine plastic debris into two categories: macro, >5 mm and micro, <5 mm. While macro-debris may sometimes be traced to its origin by object identification or markings, micro-debris, consisting of particles of two main varieties, (1) fragments broken from larger objects, and (2) resin pellets and powders, the basic thermoplastic industry feedstocks, are difficult to trace. Ingestion of plastic micro-debris by filter feeders at the base of the food web is known to occur, but has not been quantified. Ingestion of degraded plastic pellets and fragments raises toxicity concerns, since plastics are known to adsorb hydrophobic pollutants. The potential bioavailability of compounds added to plastics at the time of manufacture, as well as those adsorbed from the environment are complex issues that merit more widespread investigation. The physiological effects of any bioavailable compounds desorbed from plastics by marine biota are being directly investigated, since it was found 20 years ago that the mass of ingested plastic in Great Shearwaters was positively correlated with PCBs in their fat and eggs. Colonization of plastic marine debris by sessile organisms provides a vector for transport of alien species in the ocean environment and may threaten marine biodiversity. There is also potential danger to marine ecosystems from the accumulation of plastic debris on the sea floor. The accumulation of such debris can inhibit gas exchange between the overlying waters and the pore waters of the sediments, and disrupt or smother inhabitants of the benthos. The extent of this problem and its effects have recently begun to be investigated. A little more than half of all thermoplastics will sink in seawater.

Is government action out-of-step with public opinion on tobacco control? Results of a New South Wales population survey.

OBJECTIVE: To assess community attitudes towards smoking bans, tobacco availability, promotion and product regulation, tobacco industry donations to political parties, and government spending on tobacco control activities. To compare public preferences on these issues with policies of the NSW and Commonwealth governments. METHOD: Anonymous, computer assisted telephone interviews of adults from randomly selected households in the NSW Electronic White Pages conducted in 2004. All subjects completed a core question set and subsequently, one of three sub-sets. RESULTS: Overall 49.1% of eligible subjects consented. Data from two sub-samples containing 1,191 and 1,158 subjects are reported. Majority support existed for smoking bans in all six settings assessed: children's playgrounds (89%), sports stadia (77%), licensed premises (72%), outdoor dining (69%), beaches (55%) and motor vehicles carrying children (55%). Respondents nominated vastly higher tobacco control budgets than current levels of government expenditure. On a scale assessing support for tobacco control (maximum score = 13), the mean scores of both non-smokers (10.4) and smokers (8.0) were high. Of seven variables tested, only two: living with a smoker and personal smoking status were independent predictors of having a high pro-tobacco control score. CONCLUSION: There is strong community support for additional government regulation mandating smoke-free provision and other counter tobacco measures. IMPLICATIONS: Continued advocacy campaigns are required to align government tobacco control agenda more closely with public preferences.

[Implementation of the new EU Bathing Water Directive in Germany]. / Umsetzung der neuen EG-Badegewässerrichtlinie in Deutschland.

A revised version of the Bathing Water Directive 76/160/EWG has been elaborated to include scientific progress in risk assessment of bathing-related illness. The new Bathing Water Directive 2006/7/EC came into force on March 24, 2006, and will have to be implemented in the federal states within two years. The new bathing water directive contains several positive innovations which will improve a protection of the bathers namely i) health related indicators, ii) uniform detection methods, iii) requirements for active bathing water management, and iv) stricter standards for coastal waters. In Germany, the 16 federal states of the Federal Republic of Germany - the Länder - are responsible for monitoring bathing waters and for implementing the new bathing water directive into national law. A common master directive is being written by a joint working-group to ensure comparable implementation in all parts of Germany. An immediate application of the new directive is not possible since the parameter "intestinal enterococci" is currently not routinely monitored. It was decided to start monitoring according to the new directive in Germany in 2008. This will allow the first classification of bathing waters according to the new directive in 2011.

Classification of bathing water quality based on the parametric calculation of percentiles is unsound.

Analyses of Irish bathing water quality data sets are reported to investigate whether the parametric calculations proposed in the draft Bathing Water Directive are valid. Faecal coliforms (assumed to be Escherichia coli) and faecal streptococci (assumed to be intestinal enterococci) have been analysed separately. It was noted that classifications based on the parametric 95th percentile calculations disagreed with those based on percentage compliance with the standards on 13.8% of occasions. When these disagreements were studied, it was found that the datasets frequently contained many censored data points (Result < 1). Also, the datasets were not log normally distributed on at least 85% of occasions. Both these findings fatally undermine the validity of using a parametric method for calculating 95th percentiles to classify bathing water quality. By contrast the non-parametric Hazen method is a better estimate of true population 95th percentiles, but essentially gives very similar classifications to the percentage compliance approach, fully agreeing on over 95% of occasions. The same is also true when considering 90th percentiles. A series of Monte Carlo studies were also conducted to determine the impact of small numbers. It was ascertained that small sample sizes are very undependable in determining bathing water classification and the parametric method in particular is particularly unreliable. In conclusion, the parametric method for calculating bathing water compliance is so severely and fatally flawed statistically that it should not form the basis of any legislation. The Hazen method gives a better estimate of true 90th or 95th percentiles, though as the resultant classifications agree with percentage compliance so closely it is doubtful that there is any statistical value in using a percentile approach over the long established and well understood percentage compliance approach.