The protozoan parasites Entamoeba histolytica and Blastocystis hominis are responsible for causing
human amebiasis
and hominis infections, respectively. These infections are highly
prevalent and are often linked to waterborne diseases. Due to the
absence of regulations for monitoring these protozoa at the discharge
points of wastewater treatment plants (WWTPs), the effluents reaching
surface waters contribute to waterborne transmission. This underscores
the significance of the removal capacities of WWTPs in reducing the
spread of these infectious parasites. Therefore, this study examined
five different types of WWTPs in Ankara, Turkey, over a year to assess
their capacities to remove E. histolytica and B. hominis. The seasonal abundances of genes specific to
these protozoa in both the influents and effluents of each WWTP were
measured using a quantitative polymerase chain reaction. The reduction
in the number of protozoan rDNA copies between the influent and effluent
samples was evaluated as the removal capacity, expressed in log10 reduction (LRV) values. The results elucidated that the
removal of E. histolytica and B. hominis was highly affected by the process used. Membrane bioreactor systems
displayed the highest removal capacity with LRV > 3. Therefore,
discharges
of WWTPs with other processes could need further monitoring to minimize
the potential risk for public health.