Abstract
Waterborne enteric viruses are an emerging cause of disease outbreaks and represent a major threat to global public health. Enteric viruses may originate from human wastewater and can undergo rapid transport through aquatic environments with minimal decay. Surveillance and source apportionment of enteric viruses in environmental waters is therefore essential for accurate risk management. However, individual monitoring of the >100 enteric viral strains that have been identified as aquatic contaminants is unfeasible. Instead, viral indicators are often used for quantitative assessments of wastewater contamination, viral decay and transport in water. An ideal indicator for tracking wastewater contamination should be (i) easy to detect and quantify, (ii) source-specific, (iii) resistant to wastewater treatment processes, and (iv) persistent in the aquatic environment, with similar behaviour to viral pathogens. Here, we conducted a comprehensive review of 127 peer-reviewed publications, to critically evaluate the effectiveness of several viral indicators of wastewater pollution, including common enteric viruses (mastadenoviruses, polyomaviruses, and Aichi viruses), the pepper mild mottle virus (PMMoV), and gut-associated bacteriophages (Type II/III FRNA phages and phages infecting human Bacteroides species, including crAssphage). Our analysis suggests that overall, human mastadenoviruses have the greatest potential to indicate contamination by domestic wastewater due to their easy detection, culturability, and high prevalence in wastewater and in the polluted environment. Aichi virus, crAssphage and PMMoV are also widely detected in wastewater and in the environment, and may be used as molecular markers for human-derived contamination. We conclude that viral indicators are suitable for the long-term monitoring of viral contamination in freshwater and marine environments and that these should be implemented within monitoring programmes to provide a holistic assessment of microbiological water quality and wastewater-based epidemiology, improve current risk management strategies and protect global human health.
Original language | English (US) |
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Pages (from-to) | 115926 |
Journal | Water Research |
Volume | 181 |
DOIs | |
State | Published - May 14 2020 |
Externally published | Yes |
Bibliographical note
KAUST Repository Item: Exported on 2022-06-14Acknowledgements: This work was supported by the UK Natural Environment Research Council (NERC) and the Food Standards Agency (FSA) under the Environmental Microbiology and Human Health (EMHH) Programme (NE/M010996/1) and by the Shellfish Centre RD&I operation, part-funded by the EU's West Wales and the Valleys European Regional Development Fund (ERDF) Operational Programme through the Welsh Government. EMA was funded by the Biotechnology and Biological Sciences Research Council (BBSRC); this research was funded by the BBSRC Institute Strategic Programme Gut Microbes and Health BB/R012490/1 and its constituent projects BBS/E/F/000PR10353 and BBS/E/F/000PR10356. LSH was supported by a Soils Training and Research Studentship (STARS) grant from the Biotechnology and Biological Sciences Research Council (BBSRC) and Natural Environment Research Council (NE/M009106/1). We thank I. Bertrand (University of Lorraine, France), G. Fongaro, (Federal University of Santa Caterina, Brazil), I. Hamza (National Research Centre, Egypt), A. Hata (University of Tokyo, Japan), M.R. Jumat (King Abdullah University of Science and Technology, Saudi Arabia), M. Rusiñol (University of Barcelona, Spain), T. Sibanda (University of South Africa, South Africa), R. Staggemeier (Feevale University, Brazil), E. Symonds (University of Florida, USA), M. Verani (University of Pisa, Italy), S. Wurtzer (University of Paris, France) for providing data for Tables S1–6.
This publication acknowledges KAUST support, but has no KAUST affiliated authors.