scholarly journals Quantitative Health Risk Assessment of Wastewater Treatment Plant Worker Exposed to Staphylococcus Aureus Bioaerosol During Warm and Cold Periods: Disease Burden and Sensitivity Analysis

Author(s):  
Jia-xin Ma ◽  
Bei-bei Cui ◽  
Man-li Liu ◽  
Jie Yuan ◽  
Cheng Yan

Abstract Biological treatment in wastewater treatment plants (WWTPs) releases high amounts of bioaerosols carrying a variety of pathogens. Quantitative microbial risk assessment (QMRA) is a framework prevalently intended for the quantitative estimation of health risks for occupational exposure scenarios (e.g. in WWTPs). However, the quantitative contributions of health-risk-estimate inputted variable parameters remain ambiguous. Therefore, this research aimed to study the disease burden of workers exposed to Staphylococcus aureus bioaerosol during warm and cold periods and to strictly quantify the contributions of the inputted parameters of disease burden by sensitivity analysis based on Monte Carlo simulation. The results showed that the disease health risk burden in the warm period was higher than in the cold period, disease health risk burden in the rotating-disc aeration mode was regularly higher than in the microporous aeration mode. The disease health risk burden of the workers with personal protective equipment (PPE) almost all satisfied the WHO benchmark (≤10E-6 DALYs pppy), and was consistently lower by one or two orders of magnitude than the workers without PPE in both warm and cold periods. Referring to the sensitivity analysis, exposure concentration and aerosol ingestion rate were the most and second predominant factor for the estimated risk in all exposure scenarios, respectively. The sensitivity of the removal fraction by employing PPE ranked third in the contribution to disease health risk burden. In addition, no remarkable differences were revealed in the sensitivity percentage ratio between warm and cold periods. This research can deepen the understanding of the QMRA framework and promote the development of sensitivity analysis, especially under various meteorological conditions (warm and cold periods).

Author(s):  
Annalaura Carducci ◽  
Gabriele Donzelli ◽  
Lorenzo Cioni ◽  
Ileana Federigi ◽  
Roberto Lombardi ◽  
...  

Biological risk assessment in occupational settings currently is based on either qualitative or semiquantitative analysis. In this study, a quantitative microbial risk assessment (QMRA) has been applied to estimate the human adenovirus (HAdV) health risk due to bioaerosol exposure in a wastewater treatment plant (WWTP). A stochastic QMRA model was developed considering HAdV as the index pathogen, using its concentrations in different areas and published dose–response relationship for inhalation. A sensitivity analysis was employed to examine the impact of input parameters on health risk. The QMRA estimated a higher average risk in sewage influent and biological oxidation tanks (15.64% and 12.73% for an exposure of 3 min). Sensitivity analysis indicated HAdV concentration as a predominant factor in the estimated risk. QMRA results were used to calculate the exposure limits considering four different risk levels (one illness case per 100, 1.000, 10.000, and 100.000 workers): for 3 min exposures, we obtained 565, 170, 54, and 6 GC/m3 of HAdV. We also calculated the maximum time of exposure for each level for different areas. Our findings can be useful to better define the effectiveness of control measures, which would thus reduce the virus concentration or the exposure time.


2020 ◽  
Vol 82 (8) ◽  
pp. 1547-1559
Author(s):  
Pengcheng Xu ◽  
Chongmiao Zhang ◽  
Xiao Mou ◽  
Xiaochang C. Wang

Abstract An investigation on bioaerosol in a wastewater treatment plant (WWTP) located in Xi'an, China, was conducted to understand the characteristics of bioaerosol released from wastewater and sludge treatment facilities because the bioaerosols may pose a threat to human health. Using the Andersen impactor sampler collection and colony-counting method, bioaerosol concentrations and size distributions were detected. The risk quotient method was used to evaluate the health risks associated with inhalation of bioaerosol for WWTP staff, based on the average daily dose rates of exposure. The health risk in relation to Legionella pneumophila was quantitatively calculated using quantitative microbial risk assessment (QMRA), based on the assumption of the percentage. The maximum concentration of airborne bacteria (3,767 ± 280 colony forming units (CFU)/m3) and fungi (8,775 ± 406 CFU/m3) occurred from the aerated grit chamber and sludge thickening house, respectively, which all exceeded 500 CFU/m3 as the acceptable guideline proposed by the American Conference of Governmental Industrial Hygienists. The particle size of airborne bacteria was mainly distributed in the first three stages (>3.3 µm), while that of airborne fungi was from the second to the fourth stage (2.1–7.0 µm). The hazard index exposure to bioaerosol for adult males and females by inhalation were higher than 1. The proportion of L. pneumophila should be strictly controlled below 10−8, based on the QMRA approach.


2017 ◽  
Vol 18 (3) ◽  
pp. 910-925 ◽  
Author(s):  
Edmund Seto ◽  
Adam W. Olivieri ◽  
Richard E. Danielson

Abstract A quantitative microbial risk assessment (QMRA) was conducted to support renewal of the City of Vacaville wastewater discharge permit and seasonal (summer) filtration requirements. Influent and final disinfected effluent from the city's wastewater treatment plant, as well as 11 receiving water stations, were monitored for indicator organisms (i.e. total and fecal coliforms, Escherichia coli, Enterococcus, male-specific bacteriophage (MS2), and the Bacteroidales) and several pathogens (i.e. Giardia cysts, Cryptosporidium oocysts, infectious Cryptosporidium, and Norovirus GI and GII). QMRA annualized risks of infection for selected pathogens enteric viruses, Giardia and Cryptosporidium. Estimated median annualized risk for recreational exposure in either disinfected secondary and/or filtered disinfected secondary effluent is on the order of 1.1 × 10−3 per person per year (pppy) for enteric viruses and would be roughly one order of magnitude lower if local receiving water dilution of the treatment plant effluent was taken into account. Estimated median annual risk for recreation exposure in disinfected secondary effluent is 1.8 × 10−3 pppy for Cryptosporidium and 1 log10 less with filtration during the summer months. The estimated median annual risk for landscape exposure (e.g. golfing) to secondary disinfected effluent is 7.6 × 10−7 pppy for enteric viruses. Estimated median annualized risk is 1.7 × 10−7 pppy for enteric viruses and 3.0 × 10−5 to 3.6 × 10−6 pppy for parasites for use of secondary disinfected effluent with irrigated agriculture. Estimated annualized risks for recreational exposure to the local receiving waters were approximately 10 to 1,000 times greater than direct recreational exposure to the final filtered and disinfected effluent. All risk estimates associated with exposure to final treated plant effluent (i.e. secondary filtered and disinfected) were close to or lower than the California level of acceptable annual risk of infection of 10−4 pppy for recreational exposure. Risk estimates provide further evidence to support the use of seasonal treatment limits requiring summer filtration for public health protection.


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