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QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data)...

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1 QMRAspot | Bangalore | Feb 2012 QMRAspot - a Tool for Quantitative Microbial Risk Assessment from Surface Water to Potable Water Jack Schijven Peter Teunis Saskia Rutjes Martijn Bouwknegt Ana Maria de Roda Husman
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Page 1: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

1 QMRAspot | Bangalore | Feb 2012

QMRAspot - a Tool for Quantitative Microbial Risk Assessment from Surface Water to Potable Water

Jack Schijven

Peter Teunis

Saskia Rutjes

Martijn Bouwknegt

Ana Maria de Roda Husman

Page 2: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

2 QMRAspot | Bangalore | Feb 2012

Content

1. Dutch Drinking Water Legislation and Implementation of QMRA

2. QMRA

3. QMRAspot

Page 3: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

3 QMRAspot | Bangalore | Feb 2012

Content

1. Dutch Drinking Water Legislation and Implementation of QMRA

2. QMRA

3. QMRAspot

Page 4: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 2012

Dutch Drinking Water Legislation and Implementation of QMRA

4

Dutch Drinking Water Act 2001

● No pathogens in drinking water ≠ zero => risk

● No detection of E. coli in 100 ml water ≠ safe water

● Quantitative Microbiological Risk Assessment (QMRA)

– WHO Drinking Water Guidelines: Health based target– http://www.who.int/water_sanitation_health/publications/2011/dwq_guidelines/en/index.html

– The Netherlands: Max infection risk = 10-4 per person per year

– Drinking water concentration ≈ 1 pathogen in 1 000 000 liter

● QMRA required for drinking water from surface water and vulnerable groundwater

● Index pathogens

– Enteroviruses, Campylobacter, Cryptosporidium, Giardia

Page 5: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 2012

Dutch Drinking Water Legislation and Implementation of QMRA

5

Environmental Inspectorate Guideline 5318 (2006)● How to do QMRA

● QMRA from surface water to drinking water

– Quality of source water (index pathogens)

– Treatment efficiency (indicator organisms)

● QMRA from vulnerable groundwater to drinking water

– Is protection zone of 60 days an adequate barrier (natural treatment)?

● Unconfined sandy aquifers and karst aquifers are vulnerable

– No protective confining (clay) layers

– Karst: fast flow paths

Index pathogens Indicator organismsEnteroviruses 20-200 nm Bacteriophages 20-60 nmCampylobacter 1-2 µm E.coli 1-2 µmCryptosporidium 5-6 µm Spores of sulphiteGiardia 8-10 µm reducing clostridia (SSRC) 1 µm

Page 6: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 2012

Dutch Drinking Water Legislation and Implementation of QMRA

6

QMRA evaluation

Drinking water companies

RIVMNational Institute for Public Health and the Environment

EnvironmentalInspectorate

QMRA dossier1st time: Historic data

New data every 3 years

QMRA reportRecommendations

DecisionIf not OK:

Extra treatment / more data

MEETING

Page 7: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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Dutch Drinking Water Legislation and Implementation of QMRA

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Overview Dutch drinking water companies

● 11 Drinking water companies

● 29 QMRA Dossiers (1st time historic data)

● 214 Production locations

84; 39%

97; 46%

9; 4%

7; 3%

4; 2%

13; 6%

A-unconfined aquifers

B-(semi)confined aquifers

I-groundwater recharge (dunes)

K-limestone aquifers

O-surface water

U-riverbank filtration

Page 8: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

8 QMRAspot | Bangalore | Feb 2012

Content

1. Dutch Drinking Water Legislation and Implementation of QMRA

2. QMRA

3. QMRAspot

Page 9: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 20129

QMRA

HAZARD IDENTIFICATION

EXPOSURE ASSESSMENT

DOSE RESPONSE RELATION

RISK CHARACTERIZATION

Page 10: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 2012

QMRA

10

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

Page 11: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 2012

QMRA

11

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

Production (m3/day) Regular Peak events

<10 000 6 3

10 000-100 000 13 6

>100 000 26 9

Monitoring programme surface water

# of samples/3 years (conduct in 1 year)

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QMRA

12

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● River Rhine at Lobith:

1

10

100

1000

20-05-97 28-08-97 06-12-97 16-03-98 24-06-98Date

(oo)cysts/litreenteroviruses

/1000 litre

0

1000

2000

3000

4000

Flow ratem3s-1

CryptosporidiumGiardiaEnterovirusesFlow rate

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QMRA

13

WHO Guideline for Drinking Water Quality, 4th ed.

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QMRA

14

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

● Recovery data needed for each matrix and sample

Enterovirus 40-90% Rutjes et al, RIVM 3000 0007/2004

Campylobacter Most Probable Number

Cryptosporidium 0.7-88% Schets et al, RIVM 3000 0008/2004

Giardia 1.8-22% Schets et al, RIVM 3000 0008/2004

Page 15: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

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QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

Page 16: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

16

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Log10Z is log removal by treatment

● Required removal

– 4 – 8 log10– Depends on time and location

– Multiple barriers

● Disinfection

– UV, ozone, chlorine

● Filtration

– Membrane filtration, slow sand filtration, dune passage

Page 17: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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Drinking water treatment

● Disinfection

– Damages (kills) microorganisms

● Filtration

– Removes microorganisms

● Removal by treatment, example

– 99% is removed/killed/retained

– Fraction: 1% passes treatment

– Removal 2 log10● Source water (river, lake)

– 1-100 pathogens per liter

● NL-safe drinking water: maximum one pathogen per million liter

● Need a series of treatment: Multibarriers

– Commonly five to eight log removal

Page 18: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

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Disinfection

● Chlorine/ Chlorine dioxide

– Oxidization of organic matter

● Ozone (O3)

– Strong oxidization of organic matter

● UV

– Damages nucleic acid

Page 19: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

19

Page 20: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

20

Page 21: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

21

Filtration

● Sieving / straining: pore size

Page 22: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

22

Sand filtration● Inactivation

● Attachment/detachment

● Straining

--

- - -

Grain of sand

Attachment

Inactivation

Inactivation

Detachment

-

+----

-- +-

--

--

--

+

+-

---

-

-

-

--

-

--

-

--

---

-

--

--

-

---

- -

--

- --

--

-

--

-

- --

+

+

--

Page 23: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

23

Sand filtration

● Rapid sand filtration

● Slow sand filtration

● River bank filtration

RiverTo WaterWorks

AlluvialAquifer

Page 24: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

24

Page 25: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

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Page 26: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

26

Page 27: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Log10Z is log removal by treatment

● Data of indicator organisms

1. Raw data: Counts and sample sizes before and after treatment

2. Location specific conditions

3. Full scale

4. Pilot plant scale

5. Laboratory scale

6. Literature data from other locations and scales

Page 28: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

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QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

Page 29: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 2012

QMRA

29

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● Cdw = Csw x 1/R x Z

● Csw ≈ 0.01 – 100 pathogens per liter

● Log10Z ≈ 4 – 8 log10● Cdw ≈ 10-6 pathogens per liter

Page 30: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 2012

QMRA

30

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

Page 31: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

QMRAspot | Bangalore | Feb 2012

QMRA

31

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Average per person0.27 L/day

● Exposure = Dose D

– D = Cdw x V

– Numbersof ingestedpathogens/day

Page 32: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

32

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

Page 33: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA from surface water to drinking water● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Not every pathogen particle causes an infection

● Pm = fraction of infectious particles(dose response relation,Teunis et al., Risk Analysis, 1999, 19:1251-260)

● Pm of enteroviruses highly variable

● Rotavirus most infectious virus

Page 34: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRA

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QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

Page 35: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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35

QMRA from surface water to drinking water

● Csw = Pathogen concentration in source water [N/liter]

● R = Recovery = fraction of detected pathogens [-]

● Z = Fraction of microorganisms passing treatment [-]

● Cdw = Pathogen concentration in drinking water [N/liter]

● V = Consumption of unboiled drinking water [liter]

● Pm = Infectivity of pathogen [-]

● Pinf = Infection risk [T-1]

● Pinf,day = Csw x 1/R x Z x V x Pm● Pinf,year = 365.25 x Pinf,day or

● Monte Carlo simulations (variability)

( )∏=

−−=365

1inf,inf, 11

idayyear i

PP

Page 36: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

36 QMRAspot | Bangalore | Feb 2012

Content

1. Dutch Drinking Water Legislation and Implementation of QMRA

2. QMRA

3. QMRAspot

Page 37: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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QMRAspot

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Microbiologic data for QMRA● Inspectorate Guideline 5318: QMRA every three years

● 1st time of QMRA

– Historic data

– Reports with detailed descriptions of drinking water production sites

● 2nd time of QMRA (2010-2012)

– New data from approved monitoring programs

● Raw data = unprocessed data

– Quantitative methods => Counts (N) and Sample sizes (V)

– Sample size: the actual analyzed size (volume) of the sample

– Most Probable Number: MPN-scheme (sample sizes) with 0 or 1

● Spreadsheet

– Scheme: Drinking water treatment and data selection

– Raw data in columns

– Set up after consulting drinking water companies

– Adaptation of LIMS

● Computational tool: QMRAspot

Page 38: QMRAspot - a Tool for Quantitative Microbial Risk ... · 29 QMRA Dossiers (1st time historic data) 214 Production locations 84; 39% 97; 46% 9; 4% 7; 3% 4; 2% 13; 6% A-unconfined aquifers

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REFERENCE

● QMRAspot

– Schijven JF, Teunis P, Rutjes S, Roda Husman AM de. QMRAspot: A computational user-friendly interactive tool for quantitative microbial risk assessment from surface water to drinking water.

Water Research, 10.1016/j.watres.2011.08.024 .

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QMRA from surface water to potable water

● Mathematica notebook (Wolfram Inc, Champaign, Illinois, version 8)

● Runs in Mathematica and Mathematica Player Pro

● Two buttons

– Select file

– Run QMRA

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Select file:QMRAdata.xls

● Select and open a preformatted Excel spreadsheet with raw microbial data

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QMRAdata.xls

● SCHEME

– Selections of RAW DATA

● RAW DATA

– Counts N

– Volumes V

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Run QMRA

● Read the data from QMRAdata.xls

��

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Run QMRA

● Read the data from QMRAdata.xls

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Index pathogen source water concentration, Csw

● Last open water before treatment

● Sample scheme in relation with production capacity

● Regular sampling

● Peak events

● Counts and volumes: Negative Binomial [r,1/(1+λVi)]

● Concentrations:Gamma [r,λ]

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Recovery efficiency of detection method, R

● Preferably determined for each sample

● Paired spike and recovery data

● R: Beta [α,β], fraction (0-1)

● If no data R=1

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Treatment Z1..6

● Unpaired influent and effluent data

● Beta [α,β], fraction (0-1)

● If only zero counts in influent then Z

i=1

● If only zero counts in effluent then Z

ican be

estimated as well

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Plots

● Time plots of concentrations of index pathogens of indicator organisms

● Plots include a line for the mean concentration and a coloured area encompassing 95% of all concentrations

● Concentrations higher than the 95-percentile are considered as peak concentrations

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Monte Carlo data

● 10 000 samples from distributions from source water concentration and recovery

● Source water concentrationX1/Recovery=Corrected source water concentration

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Monte Carlo data

● 10 000 samples from distributions from source water concentration and recovery

● Source water concentrationX1/Recovery=Corrected source water concentration

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Monte Carlo data

● 10 000 samples from treatment distributions

● Total treatmentZtot = Z1 x … x Z6

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Z1

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Z2

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Z3

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Monte Carlo data

● Drinking water concentrationCdrw = Csource x 1/R x Ztot

● Consumption, W

● Exposure of dose, number of ingested pathogens per person per dayD = Cdrw x W

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Monte Carlo data

● Drinking water concentrationCdrw = Csource x 1/R x Ztot

● Consumption, W

● Exposure of dose, number of ingested pathogens per person per dayD = Cdrw x W

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Infection risk, Pinf

● Per person per day

● α and β are infectivity parameters with between-strain variability

● Per person per year

( )∏=

−−=365

1inf,inf, 11

idayyear i

PP

( )DFPiday −+−= ;,1 11inf, βαα

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Infection risk, Pinf

● Per person per day

● α and β are infectivity parameters with between-strain variability

● Per person per year

( )∏=

−−=365

1inf,inf, 11

idayyear i

PP

( )DFPiday −+−= ,,1 11inf, βαα

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Infection risk, Pinf

● BoxWhisker plots of infection risk per person per year for each index pathogen

● 95-percentile < 10-4 per person per year

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Options● Index pathogens in

source water

● Distribution parameters instead of RAW DATA

● Values from literature

● RAW DATA preferred

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Options● Removal of indicator

organisms by treatment

● Distribution parameters instead of RAW DATA

● Values from literature

● Database of distribution parameters for treatment steps as a function of process conditions

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Options● Consumption of

unboiled drinking water

● Lognormal distributions for the Netherlands and the USA

● WHO: Fixed volume of 2 liter per person per day

● Or distribution parameters for any other country and/or for any other subpopulation (children, women, the elderly)

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CONCLUSIONS

● Quick-and-clean QMRAin a few minutes

● For worldwide useby any stakeholder (environmental inspector, engineer, employee of drinking water company) without extensive knowledge about QMRA

● Options: Scenario studies

● Base for mitigation strategies, preventive measures, prioritization of measures

QMRAspot

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63 QMRAspot | Bangalore | Feb 2012

QUESTIONS?

● QMRAspot is for free

[email protected]

[email protected]


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