February 1, 2011 at 4:48 pm #2980HarrisonKeymaster2 pts
This is a rather concerning report for reasons bolded below.
One lesson I learned in my journey to understand chronic bacterial illness — biofilms — is to marvel at the way microbes work together. Different species, different kingdoms, cooperating and changing together. Nature favors diversity, and we are finally seeing this understanding conveyed in publicly disseminated articles.
I really hope that this knowledge translates to a standard of care that helps patients get healed from their chronic bacterial infections!
Amoebas in Drinking Water: A Double Threat
Analysis reveals widespread, hidden contamination by the sometimes lethal parasites
Posted: January 31, 2011
By Janet Raloff, Science News
Amoebasblob-shaped microbes linked to several deadly diseasescontaminate drinking-water systems around the world, according to a new analysis. The study finds that amoebas are appearing often enough in water supplies and even in treated tap water to be considered a potential health risk.
A number of these microorganisms can directly trigger disease, from a blinding corneal infection to a rapidly lethal brain inflammation. But many amoebas possess an equally sinister if less well-recognized alter ego: As Trojan horses, they can carry around harmful bacteria, allowing many types to not only multiply inside amoeba cells but also evade disinfection agents at water-treatment facilities.
Even though recent data indicate that amoebas can harbor many serious waterborne human pathogens, U.S. water systems dont have to screen for the parasites, according to study coauthor Nicholas Ashbolt of the U.S. Environmental Protection Agencys National Exposure Research Laboratory in Cincinnati. He coauthored a study of amoebas yet unquantified emerging health risk in the February 1 in Environmental Science & Technology.
He and Jacqueline Thomas of the University of New South Wales in Sydney analyze data from 26 studies conducted in 18 countries. All had identified amoebas in drinking-water systems. Some reports had focused on measurements at treatment plants, others in exiting water; some even extracted the parasites from tap water. Indeed, among 16 studies that looked for tap-water contamination, 45 percent reported finding amoebas.
In 2003, Francine Marciano-Cabral of Virginia Commonwealth University in Richmond and her colleagues identified one species of amoeba that is directly lethalNaegleria fowleriin water throughout the plumbing of an Arizona home where two young boys had recently died. The amoeba explained the boys fatal encephalitis, a brain disease.
We suspect they got it from submerging in the bathtub, Marciano-Cabral says. The familys private water supplies had not been chlorinated, a disinfection process that can limit amoeba contamination.
Thomas and Ashbolt reviewed six studies that together included data from 16 different water-treatment plants and probed for sources of the amoebas that the studies had turned up. Five of those studies reported finding a high prevalence of the parasitesin anywhere from 75 to 100 percent of the surface waters, such as rivers, that were sampled. After water treatment, often using carbon filtration or chlorination, contamination levels dropped somewhat, to fewer than 50 percent of water samples.
In general, the new analysis points out, water treatment appears to reduce amoeba concentrations to a tenth or one-hundredth of starting concentrations, but breakthrough events do occur and release potentially high numbers of free-living amoebaeroughly 110 of the parasites per literinto drinking-water distribution systems.
For instance, Megan Shoff of the Ohio State University in Columbus and her colleagues analyzed water from storage tanks above home toilets throughout Broward, Palm Beach and Dade counties in Florida. These free amoebasones not shielded by a slimy biofilmturned up in 55 of 283 samples, or almost one in five. Eight samples contained Acanthamoeba, a type that other studies have associated with corneal infections in contact lens wearers.
Such findings indicate that these amoebas either survived the upstream water-treatment plant or entered the community distribution system, perhaps through cracks in feeder pipes, Thomas and Ashbolt say.
Acanthamoeba is but one of several genera of amoeba that can harbor Legionella pneumophila, the bacterium responsible for virtually all cases of Legionnaires disease. Indeed, Ashbolt says, studies have shown that residing in an amoeba increases the virulence of Legionella, the leading source of waterborne disease in America. So if these bacteria have spent time in an amoeba host, he says, they are more likely to be infectious in us.
Gunnar Sandström of the Karolinska Institute in Stockholm is finding much the same with Vibrio cholerae germs. Cholera epidemics, hes found, occur most frequently when the waterborne germs occur together with amoeba, including Acanthamoeba. And in the lab hes shown that residence inside an amoeba increases the expression of 438 V. cholerae genes and reduces the expression of 396 others.
We dont yet know exactly what these genes do, he acknowledges, but the end result is bacteria that survive better within amoebasreplicating to populations that can easily reach the 100 million cells that he says are needed to trigger human infection.
Sandström says his preliminary data show that If we feed V. cholerae to one amoeba, the bacteria will grow until they reach around 100 cells. Then stop. In the lab, if he then feeds one of those bacteria to a new amoeba, the bacteria wont stop multiplying until populations inside the amoeba reach 10,000 cells. By continuing this iterative process, he has observed germ growth within a single amoeba of up to one billion cells.
He concludes that amoebas appear to be a training ground for the Vibrio and key to the infectivity of cholera.
The Thomas and Ashbolt paper is a beautiful synthesis of prior work that was really much needed for progress on both the pathogenic-amoeba issue as well as for understanding Legionella disease and the natural ecology of other bacterial diseases associated with home plumbing, says Marc Edwards of Virginia Tech in Blacksburg.
Amoeba contamination of drinking water probably should be regulated, Edwards contends, but cant be until more data quantify the occurrence and risks associated with these pathogens. This new paper is a critical first step in that process, he says. Its synthesis of more than 100 studies shows theres just overwhelming evidence that this microorganism is occurring at levels that are a health concern in a large percentage of [water-distribution] sites.
February 26, 2011 at 3:38 am #2981HarrisonKeymaster2 pts
A little off the subject of biofilm, but an important topic indeed continued below.
Parasitic Protozoons Survive Waste Water And Drinking Water Treatment Plants In Galicia
25 Feb 2011
“The presence of two resistent forms of protozoons, the oocysts from the Cryptosporidium genus and cysts of the Giardia genus, is one of the greatest public health problems in water supply, because these parasites can easily survive our water treatment systems”, Jose Antonio Castro Hermida, a scientist at the Galician Institute for Food Quality in the Xunta de Galicia (regional government), tells SINC.
A team led by this researcher took 232 water samples in 55 Galician towns, and confirmed the presence of these infectious life forms in waste water treatment plants, drinking water treatment plants, and recreational areas.
The results of the study, which has been published in the journal Water Research, reveal that Cryptosporidium and Giardia are widely distributed in the environment, and also highlight the ineffectiveness of the treatments used to reduce and deactivate these parasites.
Giardia cysts appeared in 96% of the waste water samples discharged from treatment plants, at levels of up to 6,000 per litre, while 64% of samples contained Cryptosporidium oocysts. These figures were 36.5% and 32.7%, respectively, in the case of drinking water treatment plants, and around 60% in recreational areas, for both protozoons.
It was also found that treatment plants located along the coastal belt discharge their effluent directly into the sea, while those located in inland areas get rid of their water straight into rivers. “This represents a significant risk to human and animal health”, warns Castro Hermida.
Cryptosporidiosis and giardiosis are parasitic illnesses that cause a syndrome of poor nutrient absorption and diarrhoea in mammals and birds. This causes high morbidity and mortality rates in domestic ruminants during their first month of life, leading to significant economic losses for livestock farms. In humans, the prevalence of these two illnesses is heightened among people with AIDS and other immunosuppressant conditions.
A global problem and possible solutions
The researchers acknowledge that it is not easy to find a definitive solution to these water-borne infections, which are found all over the world. Since the parasites can overcome the normal water treatment systems used in waste water and drinking water treatment plants, there are frequent outbreaks of epidemics, even in developed countries.
“Protecting water sources, making progress on treatment and monitoring the parameters of water quality indicators in real time are some of the preventive measures that can be put in place”, says Castro Hermida, “as well as drawing up control plans to monitor the levels of presence, viability and ineffectiveness of these protozoons in the waste water from drinking water and waste water treatment plants”.
Cooperation between governments and the industries involved in monitoring water is also considered essential. In the United Kingdom and the USA, the Drinking Water Inspectorate (DWI) and the Environmental Protection Agency (EPA), respectively, oblige water companies to monitor the presence or absence of these two parasites.
Legislation in Spain states that action must be taken to determine the amount of Cryptosporidium and other organisms in the water when water turbidity exceeds 5 UNF (the unit used to measure this aspect). However, 403,000 people were infected by this protozoon in Milwaukee (USA) in 1993, when water turbidity levels fluctuated between 0.25 and 1.70 UNF, so the researchers recommend that the presence of the two enteropathogens should be monitored at much lower turbidity levels.
José Antonio Castro-Hermida, Ignacio García-Presedo, Marta González-Warleta y Mercedes Mezo. “Cryptosporidium and Giardia detection in water bodies of Galicia, Spain”. Water Research 44(20): 5887-5896, december 2010.
FECYT – Spanish Foundation for Science and Technology
Article URL: Parasitic Protozoons Survive Waste Water And Drinking Water Treatment Plants In Galicia
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