+ relationships between fecal indicator bacteria prevalence in private water supplies and...

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+ Relationships Between Fecal Indicator Bacteria Prevalence in Private Water Supplies and Demographic Data in Virginia Tamara Smith, E.I. M.S. Candidate, Virginia Tech 2012 Water and Health Conference Chapel Hill, NC 31 October 2012

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+Relationships Between Fecal Indicator Bacteria Prevalence in Private Water Supplies and Demographic Data in Virginia

Tamara Smith, E.I.M.S. Candidate, Virginia Tech

2012 Water and Health Conference Chapel Hill, NC31 October 2012

+Presentation Outline

Introduction-What are Private Drinking Water Systems?

Research Objectives- What Do We Hope To Accomplish?

Methods- How It Happens

Initial Results- What Have We Done So Far?

Conclusions-What Did We Learn?

Future Work-What’s Next?

+

Introduction

+What are Private Drinking Water Systems? Serves < 25 persons and

has < 15 connections

Types: Drilled, dug, and bored

wells Springs Cisterns

Depend on groundwater

If properly maintained, these systems can provide potable drinking water.

+Potential Problems

23 and 45 million Americans rely on private water supply systems for drinking water.

Not regulated by the Safe Drinking Water Act (SWDA) for two main reasons: Private property rights Dispersion of private water systems nationwide

Over the past 30 years, the proportion of Centers of Disease Control (CDC) annual reported outbreaks associated with private water supplies has increased.1

1. Craun et al. (2010)

+Potential Problems Cont’d

Previous studies have attempted to correlate well construction and local geology with observations of water quality. Aquifer composition(such as limestone and fractured rock) can

increase contaminant exposure. 2

Poor construction and proximity to potential sources of contamination (e.g. septic tank) can lead increased contaminant exposure.3

Although inadequate water and sanitation is often linked to poverty, there have been no studies linking private system water quality and demographic data.

2. Brunkard et al. (2011) 3. Swistock and Sharpe (2005)

+Private Drinking Water Systems in Virginia: A Particular Concern Over 1.7 million households rely on

private water systems for drinking water.4

The majority of households in 60 out of 95 counties rely on private water systems.5

In 52 counties, the number of households being served by private water supplies is increasing at a rate greater the households currently being joined to municipal systems.5

4. Gatseyer and Vaswani (2004) 5. US Census Bureau (1990)

Scientific Investigations Report (2009)

+Overall Goal and Objectives

Identify relationships between the prevalence of fecal indicator bacteria from privately supplied water systems and demographic data with the following objectives:

1) Quantification of total coliform (TC) bacteria and E. coli (EC) prevalence in water samples from private systems collected from the point-of-use;

2) Identification of possible correlations between demographic data and fecal indicator bacteria;

3) Applying a chemical source tracking technique (i.e. fluorometry) to identify possible human contamination (i.e. sewage intrusion).

+

Methods

+Virginia Household Water Quality Program (VAHWQP)

VAHWQP’s objective is to improve the water quality and health of Virginians using private water supplies.

A program a part of Virginia Cooperative Extension.

Currently partnering with the Southeast Rural Community Project (SERCAP).

+VAHWQP-Drinking Water Clinics

1. Kickoff Meeting

4. Interpretation Meeting

2. Sample Collection

3. Analysis

+

• 28 Counties• n=543

Counties that Participated in 2012 Drinking Water Clinics

+Sample Collection

Survey in kits contains: Homeowner perception of

water quality Homeowner-supplied

demographic data

+Sample Collection and Analysis

Household Samples (Four

Bottles)

2 Bottles (Bacterial Analysis)

100 mL- TC/EC Presence &

Quantification

250 mL- ST

2 Bottles (Other Analysis)

pH, Conductivity, Heavy Metals,

etc.

+TC/EC Detection & Quantification

Presence- Colilert (IDEXX) defined substrate technology

Quantification-Quanti-tray/2000 (MPN)

~24h incubation

~35°C±0.5°C

+Chemical Source Tracking

Source Tracking is used to determine the source of fecal bacteria. Usually a specific marker is used that is linked to a specific source of fecal contamination.

Typically used for for surface waters, but are starting to become used for drinking water.

Fluorometry analyzes fluorescence in a sample. Optical brighteners are likely indicative of fecal contamination via septic sewage.

+

Initial Results

+Primary and Secondary Maximum Contaminant Levels Maximum Contaminant Levels (MCL)

refer to the highest that is allowed in drinking water by the US EPA.

Primary MCLs are standards that are health-based. These include Total Coliforms, E. coli, and Nitrate.

Secondary MCLS are non-enforceable guidelines based on a contaminants’ cosmetic and aesthetic effects.

Although not applied to private systems can be used as a guideline

Some MCLs of Concern4

Contaminant MCL

Total Coliforms No more than 5% positive samples in one month.

Fecal Coliforms/E. coli

Any sample tested positive from a repeat of total coliform or the reverse is true, then is in violation of MCL.

Nitrate 10 mg/L

4. US EPA (2011)

+Objective 1: Overall Prevalence of Fecal Indicator Bacteria Positive Samples2012 Drinking Water Clinics (n=543)

Counties Participating

28

Percent Positive for TC

38%

Average TC Concentration

~118 MPN/ 100 mL

Percent Positive for EC

6%

Average EC Concentration

~11 MPN/ 100 mL

Nitrate Below MCL

Average Nitrate Concentration

0.80 mg/L

Although these bacteria prevalences seem high, it coincides with previous studies in private water supplies5,6,7,8,9,10,11

5. Sandhu et al. (1979) 6. Lamka et al. (1980) 7. Sworobuk et al.( 1987) 8. Bauder et al. (1991) 9. Kross et al. (1993) 10. Gosselin et al. (1997) 11. Borchardt et al. (2003)

+Objective 1: Cumulative Distribution for Total Coliform Concentrations

Non-zero samples around 61st percentile.

13 samples above detection limit

0.6 0.65 0.7 0.75 0.8 0.85 0.9 0.95 10

500

1000

1500

2000

2500

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 10

500

1000

1500

2000

2500

Percentile

TC

MP

N/

100 m

L

+Objective 1: Cumulative Distribution for E. coli Concentrations

0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 10

500

1000

1500

2000

2500

Percentile

EC

MP

N/

100 m

L

Non-zero samples around 94th percentile.

1 sample above detection limit

0.9 0.92 0.94 0.96 0.98 10

500

1000

1500

2000

2500

+Objective 2. Total Coliform Presence by Income Level

<$10K $11K-$24K $25K-$40K $41K-$64K >$65K0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% n=476

Income Level

Perc

en

t P

osit

ive f

or

Each

Cate

gory

n=15 n=252

n=88

n=86

n=35

+Objective 2. E. coli Presence by Income Level

<$10K $11K-$24K $25K-$40K $41K-$64K >$65K0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100% n=476

Income Level

Perc

en

t P

osit

ive f

or

Each

Cate

gory

n=15n=252

n=88n=86

n=35

+

0%20%40%60%80%

100% n=516

Education Level

Perc

en

t P

osit

ive f

or

Each

Cate

gory

Objective 2. Total Coliform Presence by Education Level

n=7

n=81

n=17

n=146

n=149

n=116

+Objective 2. E. coli Presence by Education Level

0%20%40%60%80%

100% n=516

Education Level

Perc

en

t P

osit

ive f

or

Each

Cate

gory

n=7n=81n=17 n=146n=149

n=116

+Objective 2. Correlations Between Bacteria Prevalence and Demographics

Chi-squared Test were used to determine differences in categorical distributions between TC/EC Presence and Income

Level TC/EC Presence and

Education Level

Alpha= 0.05

For TC Presence P-value

Income Level 0.0025

Education Level 0.0516

For EC Presence P-value

Income Level 0.0119

Education Level 0.0730

+Objective 3. Application of Chemical Source Tracking Technique

11/543 were tested positive for optical brighteners

45.5% positive for TC; 36.4% positive for EC

Average TC concentration: 503.1 MPN/100 mL

Average EC concentration: 249.6 MPN/100 mL

27% of systems have some type of treatment (i.e. chlorination, filtering, etc.)

18.2% of systems 100 ft or less to septic system drain field

County Location: 27.3% Lancaster, 27.3% Northumberland, 18.2% Tazewell, 18.2% Charlotte

72.7% households <$65K; 18.2% >$65k

+Conclusions

There is presence of total coliform and E. coli bacteria in private drinking water supplies.

TC and EC presence are statistically different between income levels, but not necessarily for education levels.

Fluorometry positive samples have some similarities in location and income level, but not all tested positive for E. coli contamination.

+Future Work

Continuing analysis of 2012 Drinking Water Clinic Data

Analysis of E. coli-positive samples for Bacteroides human marker (BacHum) via qPCR

Further explore relationships between fluorometry positive samples

Statistical correlations between E. coli incidence and self-reported illness

+Acknowledgements Dr. Leigh-Anne Krometis

All the members of my research committee: Dr. Brian Benham, Dr. Charles Hagedorn III, and Susan Marmagas

VAHWQP & The Krometis Research Group

Sponsor: USDA-NIFA Rural Health Education Program Competitive Grant No. 2011-46100-31115

+

Questions & Discussion

[email protected]

+Types of Sources

Source Number of Samples Percent

Drilled Well 400 74%

Dug/Bored Well 79 15%

Unknown Wells 44 8%

Spring 12 2%

Other 7 1%