Examining the association between safe drinking water act violations and adverse birth outcomes in Virginia.

In 1974, the United States established the Safe Drinking Water Act (SDWA) to protect consumers from potential exposure to drinking water contaminants associated with health risks. Each contaminant is assigned a health-based standard meant to reflect the maximum level at which an adverse human health outcome is unlikely; measurements beyond that level have greater potential to result in adverse health outcomes. Although there is extensive research on human health implications following water contaminant exposure, few studies have specifically examined associations between fetal health and municipal drinking water violations. Therefore, the objective of this study is to assess whether SDWA drinking water violations are associated with fetal health outcomes, including preterm birth (PTB), low birth weight (LBW), and term-low birth weight (tLBW), in the Commonwealth of Virginia. Singleton births (n = 665,984) occurring between 2007 and 2015 in Virginia were geocoded and assigned to a corresponding estimated water service area. Health-based (HB) and monitoring and reporting (MR) violations for 12 contaminants were acquired from the US EPA Safe Drinking Water Information System, with exposure defined at the approximate service area level to limit exposure misclassification. A logistic regression model for each birth outcome assessed potential relationships with SDWA violations. When examining the association between individual MR violations and birth outcomes, Nitrate-Nitrite (OR = 1.10; 95% CI = 1.02, 1.18, P = 0.01) was positively associated with PTB and the total coliform rule was negatively associated with tLBW (OR = 0.93; 95% CI = 0.87, 1.00, P = 0.04). These findings indicate that a lack of regular monitoring and reporting by water providers (resulting in monitoring and reporting violations) may be concealing health-based violations as these health concerns cannot be revealed without testing, suggesting a need for additional technical, managerial, and financial support to enable often-underfunded water systems to adhere to monitoring and reporting requirements meant to protect public health.

Engineered and Environmental Controls of Microbial Denitrification in Established Bioretention Cells.

Bioretention cells (BRCs) are effective tools for treating urban stormwater, but nitrogen removal by these systems is highly variable. Improvements in nitrogen removal are hampered by a lack of data directly quantifying the abundance or activity of denitrifying microorganisms in BRCs and how they are controlled by original BRC design characteristics. We analyzed denitrifiers in twenty-three BRCs of different designs across three mid-Atlantic states (MD, VA, and NC) by quantifying two bacterial denitrification genes ( nirK and nosZ) and potential enzymatic denitrification rates within the soil medium. Overall, we found that BRC design factors, rather than local environmental variables, had the greatest effects on variation in denitrifier abundance and activity. Specifically, denitrifying populations and denitrification potential increased with organic carbon and inorganic nitrogen concentrations in the soil media and decreased in BRCs planted with grass compared to other types of vegetation. Furthermore, the top layers of BRCs consistently contained greater concentrations and activity of denitrifying bacteria than bottom layers, despite longer periods of saturation and the presence of permanently saturated zones designed to promote denitrification at lower depths. These findings suggest that there is still considerable potential for design improvements when constructing BRCs that could increase denitrification and mitigate nitrogen export to receiving waters.

Invertebrate-Based Water Quality Impairments and Associated Stressors Identified through the US Clean Water Act.

Macroinvertebrate community assessment is used in most US states to evaluate stream health under the Clean Water Act. While water quality assessment and impairment determinations are reported to the US Environmental Protection Agency, there is no national summary of biological assessment findings. The objective of this work was to determine the national extent of invertebrate-based impairments and to identify pollutants primarily responsible for those impairments. Evaluation of state data in the US Environmental Protection Agency's Assessment and Total Maximum Daily Load Tracking and Implementation System database revealed considerable differences in reporting approaches and terminologies including differences in if and how states report specific biological assessment findings. Only 15% of waters impaired for aquatic life could be identified as having impairments determined by biological assessments (e.g., invertebrates, fish, periphyton); approximately one-third of these were associated with macroinvertebrate bioassessment. Nearly 650 invertebrate-impaired waters were identified nationwide, and sediment was the most common pollutant in bedded (63%) and suspended (9%) forms. This finding is not unexpected, given previous work on the negative impacts of sediment on aquatic life, and highlights the need to more specifically identify the mechanisms driving sediment impairments in order to design effective remediation plans. It also reinforces the importance of efforts to derive sediment-specific biological indices and numerical sediment quality guidelines. Standardization of state reporting approaches and terminology would significantly increase the potential application of water quality assessment data, reveal national trends, and encourage sharing of best practices to facilitate the attainment of water quality goals.

Incidence of waterborne lead in private drinking water systems in Virginia.

Although recent studies suggest contamination by bacteria and nitrate in private drinking water systems is of increasing concern, data describing contaminants associated with the corrosion of onsite plumbing are scarce. This study reports on the analysis of 2,146 samples submitted by private system homeowners. Almost 20% of first draw samples submitted contained lead concentrations above the United States Environmental Protection Agency action level of 15 µg/L, suggesting that corrosion may be a significant public health problem. Correlations between lead, copper, and zinc suggested brass components as a likely lead source, and dug/bored wells had significantly higher lead concentrations as compared to drilled wells. A random subset of samples selected to quantify particulate lead indicated that, on average, 47% of lead in the first draws was in the particulate form, although the occurrence was highly variable. While flushing the tap reduced lead below 15 µg/L for most systems, some systems experienced an increase, perhaps attributable to particulate lead or lead-bearing components upstream of the faucet (e.g., valves, pumps). Results suggest that without including a focus on private as well as municipal systems it will be very difficult to meet the existing national public health goal to eliminate elevated blood lead levels in children.

Long-Term Impacts of Bacteria-Sediment Interactions in Watershed-Scale Microbial Fate and Transport Modeling.

Elevated levels of fecal indicator bacteria (FIB) remain the leading cause of surface water-quality impairments in the United States. Under the Clean Water Act, basin-specific total maximum daily load (TMDL) restoration plans are responsible for bringing identified water impairments in compliance with applicable standards. Watershed-scale model predictions of FIB concentrations that facilitate the development of TMDLs are associated with considerable uncertainty. An increasingly cited criticism of existing modeling practice is the common strategy that assumes bacteria behave similarly to "free-phase" contaminants, although many field evidence indicates a nontrivial number of cells preferentially associate with particulates. Few attempts have been made to evaluate the impacts of sediment on the predictions of in-stream FIB concentrations at the watershed scale, with limited observational data available for model development, calibration, and validation. This study evaluates the impacts of bacteria-sediment interactions in a continuous, watershed-scale model widely used in TMDL development. In addition to observed FIB concentrations in the water column, streambed sediment-associated FIB concentrations were available for model calibration. While improved model performance was achieved compared with previous studies, model performance under a "sediment-attached" scenario was essentially equivalent to the simpler "free-phase" scenario. Watershed-specific characteristics (e.g., steep slope, high imperviousness) likely contributed to the dominance of wet-weather pollutant loading in the water column, which may have obscured sediment impacts. As adding a module accounting for bacteria-sediment interactions would increase the model complexity considerably, site evaluation preceding modeling efforts is needed to determine whether the additional model complexity and effort associated with partitioning phases of FIB is sufficiently offset by gains in predictive capacity.

Treating separated liquid dairy manure derived from mesophilic anaerobic digester effluent to reduce indicator pathogens and Salmonella concentrations for use as organic fertilizer.

Dairy manure has much potential for use as an organic fertilizer in the United States. However, the levels of indicator organisms and pathogens in dairy manure can be ten times higher than stipulated use guidelines by the National Organic Standards Board (NOSB) even after undergoing anaerobic digestion at mesophilic temperatures. The objective of this study was to identify pasteurization temperatures and treatment durations to reduce fecal coliforms, E. coli, and Salmonella concentrations in separated liquid dairy manure (SLDM) of a mesophilic anaerobic digester effluent to levels sufficient for use as an organic fertilizer. Samples of SLDM were pasteurized at 70, 75, and 80°C for durations of 0 to 120 min. Fecal coliforms, E. coli, and Salmonella concentrations were assessed via culture-based techniques. All of the tested pasteurization temperatures and duration combinations reduced microbial concentrations to levels below the NOSB guidelines. The fecal coliforms and E. coli reductions ranged 2from 0.76 to 1.34 logs, while Salmonella concentrations were reduced by more than 99% at all the pasteurization temperatures and active treatment durations.

Associations between fecal indicator bacteria prevalence and demographic data in private water supplies in Virginia.

Over 1.7 million Virginians rely on private water sources to provide household water. The heaviest reliance on these systems occurs in rural areas, which are often underserved with respect to available financial resources and access to environmental health education. This study aimed to identify potential associations between concentrations of fecal indicator bacteria (FIB) (coliforms, Escherichia coli) in over 800 samples collected at the point-of-use from homes with private water supply systems and homeowner-provided demographic data (household income and education). Of the 828 samples tested, 349 (42%) of samples tested positive for total coliform and 55 (6.6%) tested positive for E. coli. Source tracking efforts targeting optical brightener concentrations via fluorometry and the presence of a human-specific Bacteroides marker via quantitative real-time polymerase chain reaction (qPCR) suggest possible contamination from human septage in over 20 samples. Statistical methods implied that household income has an association with the proportion of samples positive for total coliform, though the relationship between education level and FIB is less clear. Further exploration of links between demographic data and private water quality will be helpful in building effective strategies to improve rural drinking water quality.

Hydrometeorological and physicochemical drivers of fecal indicator bacteria in urban stream bottom sediments.

High levels of fecal indicator bacteria (FIB) are the leading cause of surface water quality impairments in the United States. Watershed-scale models are commonly used to identify relative contributions of watershed sources and to evaluate the effectiveness of remediation strategies. However, most existing models simplify FIB transport behavior as equivalent to that of dissolved-phase contaminants, ignoring the impacts of sediment on the fate and transport of FIB. Implementation of sediment-related processes within existing models is limited by minimal available monitoring data on sediment FIB concentrations for model development, calibration, and validation purposes. The purpose of the present study is to evaluate FIB levels in the streambed sediments as compared to those in the water column and to identify environmental variables that influence water and underlying sediment FIB levels. Concentrations of and enterococci in the water column and sediments of an urban stream were monitored weekly for 1 yr and correlated with a variety of potential hydrometeorological and physicochemical variables. Increased FIB concentrations in both the water column and sediments were most strongly correlated with increased antecedent 24-h rainfall, increased stream water temperature, decreased dissolved oxygen, and decreased specific conductivity. These observations will support future efforts to incorporate sediment-related processes in existing models through the identification of key FIB relationships with other model inputs, and the provision of sediment FIB concentrations for direct model calibration. In addition, identified key variables can be used in quick evaluation of the effectiveness of potential remediation strategies.

Quantitative analysis of microbial contamination in private drinking water supply systems.

Over one million households rely on private water supplies (e.g. well, spring, cistern) in the Commonwealth of Virginia, USA. The present study tested 538 private wells and springs in 20 Virginia counties for total coliforms (TCs) and Escherichia coli along with a suite of chemical contaminants. A logistic regression analysis was used to investigate potential correlations between TC contamination and chemical parameters (e.g. NO3(-), turbidity), as well as homeowner-provided survey data describing system characteristics and perceived water quality. Of the 538 samples collected, 41% (n = 221) were positive for TCs and 10% (n = 53) for E. coli. Chemical parameters were not statistically predictive of microbial contamination. Well depth, water treatment, and farm location proximate to the water supply were factors in a regression model that predicted presence/absence of TCs with 74% accuracy. Microbial and chemical source tracking techniques (Bacteroides gene Bac32F and HF183 detection via polymerase chain reaction and optical brightener detection via fluorometry) identified four samples as likely contaminated with human wastewater.

Land cover and community water system characteristics as predictors of Safe Drinking Water Act violations in Central Appalachia, USA.

Upstream anthropogenic land cover can degrade source drinking water quality and thereby inhibit the ability of a community water system to provide safe drinking water. This study aimed to predict differences in Safe Drinking Water Act (SDWA) compliance between water systems based on upstream land cover in Central Appalachia and to examine whether national trends correlating violations with system size and source type were relevant for this region. Multiple generalized linear mixed models assessed relationships between SDWA violations and the distance weighted land cover proportions associated with the water system's contributing source watershed, as well as county economic status, system size, and water source. Results indicate that rates of monitoring and reporting violations were significantly higher for smaller water systems in more economically distressed counties. Interestingly, increases in surface mining landuse and high density development decreased monitoring and reporting violations, which may reflect impacts of associated economic development. Increases in low intensity development increased the likelihood of health-based violations. To protect public health, community managers should consider source water protection and/or upgrading drinking water system treatment capacity prior to developing previously undeveloped areas and further motivate compliance with monitoring and reporting requirements.

Foodborne exposure to pesticides and methylmercury in the United Arab Emirates.

As part of a comprehensive environmental health strategic planning project initiated by the government of Abu Dhabi, we assessed potential dietary exposure in the United Arab Emirates (UAE) to methylmercury (in seafood) and pesticides (in fruits and vegetables) above international guideline levels. We present results for the UAE population by age, gender, and body mass index. Our results show very low daily risks of exposure to pesticides in fruits and vegetables at levels exceeding WHO guidelines even under the conservative assumption that no pesticides are removed during washing and food preparation. Thus, exposure to pesticides on fruits and vegetables does not appear to be a major public health concern in the UAE. The chances of exposure to methylmercury in seafood are much higher; our model estimates a mean 1 in 5 daily risk of exceeding the FAO/WHO provisional tolerable weekly intake. However, great caution should be used in interpreting these results, as we analyzed only the risks and not the substantial benefits of fish consumption. In fact, previous studies have demonstrated that exposure to the n-3 polyunsaturated fatty acids in fish can increase IQ in developing children, and it can substantially decrease the risk in adults of coronary heart disease and stroke. Further research is warranted to compare the risk of Me-Hg exposure from fish to the nutritional benefits of fish consumption in the UAE and to determine appropriate methods to communicate risk and benefit information to the UAE population.

Freshwater salinization increases survival of Escherichia coli and risk of bacterial impairment.

Elevated levels of Escherichia coli (E. coli) are responsible for more designated freshwater stream impairments than any other contaminant in the United States. E. coli are intentionally used as a sentinel of fecal contamination for freshwaters because previous research indicates that salt concentrations in brackish or marine waters reduce E. coli survival, rendering it a less effective indicator of public health risks. Given increasing evidence of freshwater salinization associated with upland anthropogenic land-use, understanding the effects on fecal indicators is critical; however, changes in E. coli survival along the freshwater salinity range (≤ 1500 µS cm-1) have not been previously examined. Through a series of controlled mesocosm experiments, we provide direct evidence that salinization causes E. coli survival rates in freshwater to increase at conductivities as low as 350 µS cm-1 and peak at 1500 µS cm-1, revealing a subsidy-stress response across the freshwater-marine continuum. Furthermore, specific base cations affect E. coli survival differently, with Mg2+ increasing E. coli survival rates relative to other chloride salts. Further investigation of the mechanisms by which freshwater salinization increases susceptibility to or exacerbates bacterial water quality impairments is recommended. Addressing salinization with nuanced approaches that consider salt sources and chemistry could assist in prioritizing and addressing bacterial water quality management.

Comparison of the presence and partitioning behavior of indicator organisms and Salmonella spp. in an urban watershed.

The appropriateness of indicator organisms as surrogates for human pathogens in water quality modeling is dependent on similarities in both presence and transport behavior; however, very little data relating indicator and bacterial pathogen transport behavior in receiving waters is available. In this study observations of presence, partitioning behavior (i.e. association with settleable particles) and removal by upland detention basins were used to assess the suitability of six indicator organisms as surrogates for Salmonella spp. bacteria in an urban watershed. The fecal indicator bacteria (fecal coliforms, E. coli and enterococci) were most closely correlated with Salmonella in terms of presence and partitioning behavior (25-35% associated with settleable particles on average); however, further resolution of the variability associated with Salmonella partitioning is required. Higher removal of particle-associated microbes relative to the total microbial concentration by the detention ponds suggests that sedimentation may be an important removal mechanism. However, large fluctuations in pond performance between storm events and occasional net microbial exports in effluents indicate that these best management practices (BMPs), as currently implemented, will be unlikely to achieve water quality objectives.

Identification of particle size classes inhibiting protozoan recovery from surface water samples via U.S. Environmental Protection Agency method 1623.

Giardia species recovery by U.S. Environmental Protection Agency method 1,623 appears significantly impacted by a wide size range (2 to 30 microm) of particles in water and organic matter. Cryptosporidium species recovery seems negatively correlated only with smaller (2 to 10 microm), presumably inorganic particles. Results suggest constituents and mechanisms interfering with method performance may differ by protozoan type.

Evaluation of a filtration/dispersion method for enumeration of particle-associated Escherichia coli.

The transport processes of microorganisms in storm-generated flows have not been clearly elucidated, limiting the ability of computational models to effectively design and evaluate watershed remediation plans. Although several studies have identified association with particulates as a critical factor in predicting microbial transport and fate, no generally accepted method exists for the identification of the planktonic and particle-associated fractions of microorganisms in water samples. In this study, a filtration/dispersion method proposed for quantification of these fractions was verified using laboratory-composed samples of bovine Escherichia coli and sterile topsoil. A statistical experimental design allowed quantification of potential sources of experimental error (e.g., filter retention, die-off), although no significant sources of methodological error were identified. On average, 78% of E. coli cells were particle associated after 1 h of contact time. Further application of the method was illustrated by an isotherm experiment examining the association of a bovine strain of E. coli with sterile topsoil. Further examination of this method in laboratory or field-based studies of microbial partitioning between the planktonic and particulate phases in surface runoff appears justified.

Macroinvertebrate sensitivity thresholds for sediment in Virginia streams.

Sediment is the most commonly identified pollutant associated with macroinvertebrate community impairments in freshwater streams nationwide. Management of this physical stressor is complicated by the multiple measures of sediment available (e.g., suspended, dissolved, bedded) and the variability in natural "healthy" sediment loadings across ecoregions. Here we examine the relative importance of 9 sediment parameters on macroinvertebrate community health as measured by the Virginia Stream Condition Index (VSCI) across 5 ecoregions. In combination, sediment parameters explained 27.4% of variance in the VSCI in a multiregion data set and from 20.2% to 76.4% of variance for individual ecoregions. Bedded sediment parameters had a stronger influence on VSCI than did dissolved or suspended parameters in the multiregion assessment. However, assessments of individual ecoregions revealed conductivity had a key influence on VSCI in the Central Appalachian, Northern Piedmont and Piedmont ecoregions. In no case was a single sediment parameter sufficient to predict VSCI scores or individual biological metrics. Given the identification of embeddedness and conductivity as key parameters for predicting biological condition, we developed family-level sensitivity thresholds for these parameters, based on extirpation. Resulting thresholds for embeddedness were 68% for combined ecoregions, 65% for the Mountain bioregion (composed of Central Appalachian, Ridge and Valley, and Blue Ridge ecoregions), and 88% for the Piedmont bioregion (composed of Northern Piedmont and Piedmont ecoregions). Thresholds for conductivity were 366 µS/cm for combined ecoregions, 391 µS/cm for the Mountain bioregion, and 136 µS/cm for the Piedmont bioregion. These thresholds may help water quality professionals identify impaired and at-risk waters designated to support aquatic life and develop regional strategies to manage sediment-impaired streams. Inclusion of embeddedness as a restoration endpoint may be warranted; this could be facilitated by application of more quantitative, less time-intensive measurement approaches. We encourage refinement of thresholds as additional data and genus-based metrics become available. Integr Environ Assess Manag 2019;15:77-92. Published 2018. This article has been contributed to by US Government employees and their work is in the public domain in the USA.

Interactive effects of water quality, physical habitat, and watershed anthropogenic activities on stream ecosystem health.

Ecological degradation of streams remains a major environmental concern worldwide. While stream restoration has received considerable attention, mitigation efforts focused on the improvement of physical habitat have not proven completely effective. Several small-scale studies have emphasized that effective restoration strategies require a more holistic understanding of the variables at play, although the generalization of the findings based on the small-scale studies remains unclear. Using a comprehensive statewide stream monitoring database from West Virginia (WV), a detailed landscape dataset, and a machine learning algorithm, this study explores the interactive impacts of water quality and physical habitat on stream ecosystem health as indicated by benthic macroinvertebrate scores. Given the long history of energy extraction in this region (i.e., coal mining and oil/gas production), investigation of energy extraction influences is highlighted. Our results demonstrate that a combination of good habitat and low specific conductance is generally associated with favorable benthic macroinvertebrate scores, whereas poor habitat combined with water quality conditions typically indicative of high ionic strength are associated with impaired stream status. In addition, streams impacted by both energy extraction and residential development had a higher percentage of impairment compared to those impacted predominantly by energy extraction or residential development alone. While water quality played a more important role in the ecosystem health of streams impacted primarily by energy extraction activities, habitat seems to be more influential in streams impacted by residential development. Together, these findings emphasize that stream restoration strategies should consider interactive effects of multiple environmental stressors tailored to specific sites or site types - as opposed to considering a single stressor or multiple stressors separately.

Intra-storm variability in microbial partitioning and microbial loading rates.

Association with particles in the water column can have a significant impact on microbial fate and transport. This study analyzed multiple stormwater samples taken throughout the duration of three separate storms (at two different sites) to evaluate the fraction of microbes partitioning to denser "settleable" particles and to examine how partitioning behavior varied over the course of a storm. Intra-storm sampling also allowed for estimates of microbial loading rates (both total and particle-associated) and cumulative storm-induced microbial load. Five different indicator organisms were examined, with the fraction of microbes associated with settleable particles assessed via a calibrated centrifugation method. Partitioning behavior varied across microorganism type, with an average of 40% of fecal coliforms, Escherichia coli, and enterococci associating with settleable particles, compared to approximately 65% of Clostridium perfringens spores and only 13% of total coliphage. Partitioning remained fairly constant for each type of organism throughout storm events. Nonetheless, higher concentrations of both settleable particles and microbes entering the water column soon after the onset of a storm led to higher loading rates of settleable microbes in the storm's earliest stages, a trend that could have important implications for the design of stormwater management structures (e.g., detention basins). Estimates of cumulative storm-induced microbial loading suggested that one day's worth of storm loading can be the equivalent of months, or even years, of dry-weather loading.

Pit Latrine Fecal Sludge Resistance Using a Dynamic Cone Penetrometer in Low Income Areas in Mzuzu City, Malawi.

Pit latrines can provide improved household sanitation, but without effective and inexpensive emptying options, they are often abandoned once full and may pose a public health threat. Emptying techniques can be difficult, as the sludge contents of each pit latrine are different. The design of effective emptying techniques (e.g., pumps) is limited by a lack of data characterizing typical in situ latrine sludge resistance. This investigation aimed to better understand the community education and technical engineering needs necessary to improve pit latrine management. In low income areas within Mzuzu city, Malawi, 300 pit latrines from three distinct areas were assessed using a dynamic cone penetrometer to quantify fecal sludge strength, and household members were surveyed to determine their knowledge of desludging procedures and practices likely to impact fecal sludge characteristics. The results demonstrate that there is a significant difference in sludge strength between lined and unlined pits within a defined area, though sludge hardened with depth, regardless of the pit type or region. There was only limited association between cone penetration depth and household survey data. To promote the adoption of pit emptying, it is recommended that households be provided with information that supports pit emptying, such as latrine construction designs, local pit emptying options, and cost. This study indicates that the use of a penetrometer test in the field prior to pit latrine emptying may facilitate the selection of appropriate pit emptying technology.

Stormwater loadings of antibiotic resistance genes in an urban stream.

Antibiotic resistance presents a critical public health challenge and the transmission of antibiotic resistance via environmental pathways continues to gain attention. Factors driving the spread of antibiotic resistance genes (ARGs) in surface water and sources of ARGs in urban stormwater have not been well-characterized. In this study, five ARGs (sul1, sul2, tet(O), tet(W), and erm(F)) were quantified throughout the duration of three storm runoff events in an urban inland stream. Storm loads of all five ARGs were significantly greater than during equivalent background periods. Neither fecal indicator bacteria measured (E. coli or enterococci) was significantly correlated with sul1, sul2, or erm(F), regardless of whether ARG concentration was absolute or normalized to 16S rRNA levels. Both E. coli and enterococci were correlated with the tetracycline resistance genes, tet(O) and tet(W). Next-generation shotgun metagenomic sequencing was conducted to more thoroughly characterize the resistome (i.e., full complement of ARGs) and profile the occurrence of all ARGs described in current databases in storm runoff in order to inform future watershed monitoring and management. Between 37 and 121 different ARGs were detected in each stream sample, though the ARG profiles differed among storms. This study establishes that storm-driven transport of ARGs comprises a considerable fraction of overall downstream loadings and broadly characterizes the urban stormwater resistome to identify potential marker ARGs indicative of impact.