2018
DOI: 10.1007/s40572-018-0195-y
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Potable Water Reuse: What Are the Microbiological Risks?

Abstract: In this article, we summarize the published human health studies related to potable reuse, including both epidemiology studies and quantitative microbial risk assessments (QMRA). Overall, there have been relatively few health-based studies evaluating the microbial risks associated with potable reuse. Several microbial risk assessments focused on risks associated with unplanned (or de facto) reuse, while others evaluated planned potable reuse, such as indirect potable reuse (IPR) or direct potable reuse (DPR). … Show more

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Cited by 29 publications
(23 citation statements)
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“…The reference pathogens are consistent with prior work and include norovirus, adenovirus, Cryptosporidium parvum , Giardia lamblia , Campylobacter jejuni , and Salmonella enterica . These reference pathogens represent the major portion of all non-food-borne illnesses from known pathogens in the United States, are representative of other pathogens potentially of concern from the water-borne exposure route, and have peer-reviewed dose–response relationships (Table S1). Although there are some concerns within the engineering community regarding the use of norovirus as a reference pathogen for potable reuse, there is a strong and growing consensus among microbiologists and risk assessors , about its utility and use for this purpose as being representative of the myriad nonculturable viruses that make up the majority of illnesses in the U.S. population. , …”
Section: Materials and Methodsmentioning
confidence: 99%
“…The reference pathogens are consistent with prior work and include norovirus, adenovirus, Cryptosporidium parvum , Giardia lamblia , Campylobacter jejuni , and Salmonella enterica . These reference pathogens represent the major portion of all non-food-borne illnesses from known pathogens in the United States, are representative of other pathogens potentially of concern from the water-borne exposure route, and have peer-reviewed dose–response relationships (Table S1). Although there are some concerns within the engineering community regarding the use of norovirus as a reference pathogen for potable reuse, there is a strong and growing consensus among microbiologists and risk assessors , about its utility and use for this purpose as being representative of the myriad nonculturable viruses that make up the majority of illnesses in the U.S. population. , …”
Section: Materials and Methodsmentioning
confidence: 99%
“…Previously, a systematic review methodology was developed to evaluate densities of key viruses in raw wastewater and published distributions of norovirus densities in raw wastewater (Eftim et al 2017). These distributions are specifically useful for conducting quantiative microbial risk assessments (QMRA) (Soller et al 2018;Nappier et al 2018). For the derivation of coliphage-based recreational water quality criteria values, similar distributions of MSC and SC in raw wastewater and ambient waters are needed.…”
Section: Introductionmentioning
confidence: 99%
“…Approximately 200 species of enteric viruses can be present in untreated wastewater (Gerba et al, 2017), including noroviruses, enteroviruses (e.g., poliovirus, hepatitis A, and rotaviruses), and adenoviruses (Nappier et al, 2018). Bacterial indicators including total and fecal coliform and Escherichia coli ( E. coli ) can be used as a surrogate to detect pathogens (Odonkor & Ampofo, 2013; Wang et al, 2013; Wu et al, 2011).…”
Section: Introductionmentioning
confidence: 99%