A public health evaluation of recreational water impairment.

Water quality objectives for body contact recreation (REC-1) in Newport Bay, CA are not being attained. To evaluate the health implications of this non-attainment, a comprehensive health-based investigation was designed and implemented. Bacterial indicator data indicate that exceedances of the water quality objectives are temporally sporadic, geographically limited and most commonly occur during the time of the year and/or in areas of the bay where the REC-1 use is low or non-existent. A disease transmission model produced simulated risk estimates for recreation in the Bay that were below levels considered tolerable by the US EPA (median estimate 0.9 illnesses per 1,000 recreation events). Control measures to reduce pathogen loading to Newport Bay are predicted to reduce risk by an additional 16% to 50%. The results of this study indicate that interpreting the public health implications of fecal indicator data in recreational water may require a more rigorous approach than is currently used.

Incorporating susceptible subpopulations in microbial risk assessment: pediatric exposures to enteroviruses in river water.

The City of Stockton, California operates a wastewater treatment facility that discharges treated effluent to the San Joaquin River. During a recent discharge permit renewal, the question was raised whether pathogenic microorganisms in the effluent may cause an unacceptably high health risk for body contact recreation in the vicinity of the discharge. An investigation was initiated to characterize the risk to public health via body contact recreation in the San Joaquin River under various flow and treatment scenarios. In this investigation, a disease transmission model was applied to quantitatively characterize the relative risk associated with various treatment and flow scenarios for the City of Stockton's wastewater treatment facility. An important component of the investigation was to assess the feasibility of quantitatively characterizing the risk to highly susceptible subpopulations for effluent-related exposures to enteroviruses. This paper presents the methods used to conduct the feasibility assessment, the conclusions drawn for this project, and our recommendations to improve exposure assessments of susceptible subpopulations' contact with microbial pathogens in recreational water.

An adaptive, comprehensive monitoring strategy for chemicals of emerging concern (CECs) in California's Aquatic Ecosystems.

A scientific advisory panel was convened by the State of California to recommend monitoring for chemicals of emerging concern (CECs) in aquatic systems that receive discharge of municipal wastewater treatment plant (WWTP) effluent and stormwater runoff. The panel developed a risk-based screening framework that considered environmental sources and fate of CECs observed in receiving waters across the State. Using existing occurrence and risk threshold data in water, sediment, and biological tissue, the panel applied the framework to identify a priority list of CECs for initial monitoring in three representative receiving water scenarios. The initial screening list of 16 CECs identified by the panel included consumer and commercial chemicals, flame retardants, pesticides, pharmaceuticals and personal care products, and natural hormones. The panel designed an iterative, phased strategy with interpretive guidelines that direct and update management actions commensurate with potential risk identified using the risk-based framework and monitoring data. Because of the ever-changing nature of chemical use, technology, and management practices, the panel offered recommendations to improve CEC monitoring, including development of bioanalytical screening methods whose responses integrate exposure to complex mixtures and that can be linked to higher-order effects; development or refinement of models that predict the input, fate, and effects of future chemicals; and filling of key data gaps on CEC occurrence and toxicity. Finally, the panel stressed the need for adaptive management, allowing for future review of, and if warranted, modifications to the strategy to incorporate the latest science available to the water resources community.

Evaluation of seasonal scale first flush pollutant loading and implications for urban runoff management.

This study investigated how the occurrence and magnitude of first flush events in stormwater may influence the effective management of urban runoff pollution. To facilitate the understanding of the first flush phenomenon on a seasonal scale, the City of San Jose, CA carried out an investigation between May 1997 and April 2000 to characterize concentrations of pollutants in local waterbodies during eight storm events. The purpose of the investigation was twofold: (1) To determine if concentrations of specific constituents in stormwater runoff are elevated during the first substantial storm of the wet season, and (2) To identify the physical and environmental conditions surrounding such events. Concentration data for total and dissolved metals, pesticides, polyaromatic hydrocarbons, anions, total suspended solids, total organic carbon, conductivity, gasoline and diesel, and volatile and semi-volatile organics were collected at over 25 sites. Monitoring data analysis focused on identifying physical and environmental conditions yielding increased levels of pollutants during the first substantial storms of the rainy season compared to other storm events. Quantitative analysis focused on metals and anions because most observations for other constituents were below detectable levels. The results suggest that first flush phenomena did not occur consistently throughout most of the stations investigated. The results further suggest that there are specific combinations of site and storm conditions that result in a first flush effect with respect to dissolved metals. Based on the results of this and related investigations, implications for urban runoff management are discussed. For example, if dissolved metals are of principal concern, it may be worthwhile to optimize existing control strategies to minimize pollutant loading from storms that are preceded by an extended dry period.

Risk-based approach to evaluate the public health benefit of additional wastewater treatment.

The City of Stockton, CA operates a wastewater treatment facility that discharges tertiary treated effluent during the summer and secondary treated effluent during the winter to the San Joaquin River. Investigations were carried out between 1996 and 2002 to provide insight regarding the potential public health benefit that may be provided by year-round tertiary treatment. A hydraulic model of the San Joaquin River and a dynamic disease transmission model integrated a wide array of disparate data to estimate the level of viral gastroenteritis in the population under the two treatment scenarios. The results of the investigation suggest that risk of viral gastroenteritis attributable to the treatment facility under the existing treatment scheme is several orders of magnitude below the 8-14 illnesses per 1000 recreation events considered tolerable by U.S. EPA, and winter tertiary treatment would further reduce the existing risk by approximately 15-50%. The methodologies employed herein are applicable to other watersheds where additional water treatment is being considered to address public health concerns from recreation in receiving waters.