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    LECTURE

    MICROBIOLOGY OF WATER AND WASTE WATER

    Dr. Reeta Goel

    Professor& Head

    Department of MicrobiologyCollege of Basic Sciences and Humanities

    G.B. Pant Uni. of Agri. & Technology, Pantnagar

    In urban areas, the household consumption of water is about 150 liters per

    day per person. Water is used for bathing, washing utensils, washing clothes etc.

    This domestic water consumption may vary with the lifestyle of community and

    the availability of water. Most of the water taken into the house may be returned

    as wastewater through drainage system. Moreover, industries also consume large

    quantities of water and contribute to the discharged effluent.

    WATER AND HEALTH

    Water which is fit for human consumption is called drinking water or

    potable water. Sometimes the term safe water is applied to potable water of a

    lower quality threshold (i.e., it is used effectively for nutrition in humans that have

    weak access to water cleaning processes, and does more good thanharm).Sometimes microorganisms that cause health problems can be found in

    drinking water. However, as drinking water is thoroughly disinfected today,

    disease caused by microorganisms is rarely caused by drinking water. There are

    various bacteria and protozoa that can cause disease when they are present in

    surface water(Table 1).

    Water Purity Tests

    Explain how water is tested for bacteriological qualityHistorically, most of our concern about water purity has been related to the

    transmission of diseases. Therefore, tests have been developed to determine the

    safety of water; many of these tests are also applicable to foods.

    It is not practical, however, to look only for pathogens in water supplies.

    Because, if we were to find the pathogen causing typhoid or cholera in the water

    system, the discovery would already be too late to prevent an outbreak of the

    disease. Moreover, such pathogens would probably be present only in small num-

    bers and might not be included in tested samples.

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    Table 1. various bacteria that can be found in surface water, and the

    diseases caused by them .

    Bacteria Disease/ infection SymptomsAeromonas Enteritis Very thin, blood- andmucus-containingdiarrhoea

    Campylobacter jejuni Campilobacteriose Flue, diarrhoea, head-and stomachaches, fever,cramps and nausea

    Escherichia coli Urinary tract infections,neonatal meningitis,intestinal disease

    Watery diarrhoea,headaches, fever,homiletic uraemia, kidneydamage

    Plesiomonas shigelloides Plesiomonas-infection Nausea, stomachachesand watery diarrhoea,sometimes fevers,headaches and vomiting

    Salmonella Typhoid fever Fevers

    Salmonellosis Sickness, intestinalcramps, vomiting,diarrhoea and sometimeslight fevers

    Streptococcus (Gastro) intestinal disease Stomachaches, diarrhoeaand fevers, sometimes

    vomitingVibrio El Tor (freshwater) (Light form of) Cholera Heavy diarrhoea

    The tests for water purity in use today are aimed for detection particular

    indicator organisms. There are several criteria for an indicator organism, the

    most important being that the microbe is consistently present in human feces in

    substantial numbers so that its detection is a good indication that human wastes

    are entering the water. The indicator organisms should also survive in the water at

    least as well as the pathogens would. The indicator organisms must also be

    detectable by simple tests that can be carried out by people with relatively little

    training in microbiology.

    Coliforms are defined as aerobic or facultatively anaerobic, gram-negative,

    non-endospore-forming, rod-shaped bacteria that ferment lactose to form gas

    within 48 hours of being placed in lactose broth at 35C. Because some coliforms

    are not solely enteric bacteria but are more commonly found in plant and soil

    samples, many standards for food and water specify the identification of fecal

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    coliforms. The predominant fecal coliform is E. coli, which constitutes a large

    proportion of the human intestinal population. There are specialized tests to

    distinguish between fecal coliforms and nonfecal coliforms. Further, coliforms arenot themselves pathogenic under normal conditions, although certain strains can

    cause diarrhea and opportunistic urinary tract infections.

    The common methods for determining the presence of coliforms in water are

    largely based on the lactose-fermenting ability of coliform bacteria. The multiple-

    tube method can be used to estimate coliform numbers by the most probable

    number (MPN) method. The membrane filtration method is a more direct method

    of determining the presence and numbers of coliforms.

    A more convenient method of detecting coliforms, specifically the coliform E.

    coli, makes use of media containing the two substrates o-nitrophenyl--D-

    galactopyranoside (ONPG) and 4-methylumbelliferyl--D-glucuronide (MUG).

    Coliforms produce the enzyme -galactosidase, which acts on ONPG and forms a

    yellow color, indicating their presence in the sample. E. coli is unique among

    coliforms in almost always producing the enzyme -glucurom'dase, which acts on

    MUG to form a fluorescent compound that glows blue when illuminated by long-

    wave ultraviolet light. These simple tests, or variants of them, can detect the

    presence or absence of coliforms or E. coli and can be combined with the

    multiple-tube method to enumerate them. It can also be applied to solid media,

    such as in the membrane filtration method. The colonies fluoresce under UV light.

    Coliforms have been very useful as indicator organisms in water sanitation, but

    they have limitations. One problem is the growth of coliform bacteria embedded in

    layers of biological slime (or biofilms, discussed in detail shortly) on the inner

    surfaces of water pipes. These coliforms do not, then, represent external fecal

    contamination of the water, and they are not considered a threat to public health.

    Wastewater

    Wastewater is liquid effluent derived from domestic sewage of industrial

    sources that cannot be discarded in untreated form into lakes or streams due to

    public health, economic and aesthetic considerations. Sewage is liquid effluent

    contaminated with human or animal fecal materials. For technical purpose can be

    divided into urban and industrial wastewater. The composition of the former

    usually conforms to a general typology.

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    Most industrial processes emit wastewater during one or more stages of

    production. The composition of this type of water can vary dramatically as it is

    determined both by the products themselves and processes of production. Allthese waste waters contain organic and inorganic wastes as suspended or

    dissolved matter. In addition they may also contain microorganisms, including

    those of faecal origin and pathogenic nature.

    The solids content of an urban wastewater may be physically classified

    approximately as shown in fig. 1 (Metcalf and Eddy, 1987)

    ds

    Fig.1 Classification of solids found in urban wastewater (Metcalf andEddy, 1987)

    In a typical urban wastewater, about 75 percent of the suspended soli

    and more than 50 percent of the filterable solids are organic in nature. These

    solids are derived from both the animal and plant kingdoms and the activities of

    these as related to the synthesis of organic compounds. The principal groups of

    organic substances found in wastewater are proteins (40 to 60 %), carbohydrates

    (25 to 50 %), fats and oils(10 % (Metcalf and Eddy, 1987). Beyond these

    substances, wastewater contains small quantities of a large number of different

    synthetic organic molecules. Surfactants, phenols and pesticides are typical

    compounds.

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    Various forms of nitrogen in urban wastewater (Ekama et al., 1984)Industrial waste generally has a strong odour. The substances responsible

    for causing odour and taste are phenol compounds, sulphur compounds, iron,

    manganese, sodium chloride, calcium chloride, magnesium salts, acids,

    hydrocarbons, often present in wastes from gas and wood industries, refineries

    and various chemical industries (Mendia, 1962).

    Microbiological Characteristics of Sewage

    The sewage composition varies depending upon the source of wastewater.

    This also causes variation in the microbial flora of sewage. Almost all groups of

    microorganisms, algae, fungi, protozoa, bacteria and viruses are present. The

    bacterial group comprises mainly the soil borne organisms, Bacillus subtilis, B.

    megaterium, B. mycoides, Pseudomonas fluorescens, Achromobacter spp. and

    Micrococcus spp. Bacteria of intestinal origin also occur in sewage in large

    numbers. Mostly these are pathogens. Examples of this type are Escherichia coli,

    and other coliforms, Proteus and Serratia species. Potential pathogens include

    enterococci (Streptococcus faecalis) and Clostridium perfringens. Pathogenic

    bacteria which cause serious illness like Vibrio cholerae, Salmonella typhi, S.

    paratyphiand Shigella dysenteriae may also occur in sewage. Viruses (released

    in the faeces from infected host) are also occasionally found in sewage, for

    example, poliomyelitis virus, infectious hepatitis virus and Coxsackies virus.

    Bacteriophages also occur in comparatively large numbers. During treatment

    process the microbial flora may be dominated by the corresponding physiological

    groups.

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    WASTEWATER AND SEWAGE TREATMENT

    Wastewater treatment refers to the process of removing pollutants from water

    previously employed for industrial, agricultural, or municipal uses. The main

    objectives of the sewage treatment are:

    To convert waste and wastewater into a readily reusable resource.

    To prevent pollution of any water body to which treated or reused water

    enters.

    To reduce the BOD (biochemical oxygen demand) of sewage from 30 mg/l

    to about 20 mg/l in the final effluent.

    To destroy the causative agents of waterborne diseases

    Wastewater and sewage treatment involves a large-scale use of

    microorganisms and can be considered a type of industrial-scale bioconversion.

    Wastewater enters a treatment plant and, following treatment, the effluent water is

    suitable for release into rivers and streams or to drinking water purification

    facilities. The techniques used to remove the pollutants present in wastewater can

    be broken into biological, chemical, physical, and energetic. These different

    techniques are applied through the many stages of wastewater treatment.

    Systems commonly used for treatment of urban wastewater are constituted of

    primary treatment by settling, a biological second stage, and a tertiary treatment

    by disinfection, in some cases following a filtration process.

    Primary sedimentation is most efficient in removing coarse solids.

    Biological processes are used to convert the finely dissolved organic matter in

    wastewater into flocculant settleable solids that can be removed in sedimentation

    tanks. These processes are employed in conjuction with physical and chemical

    processes and they are most efficient in removing organic sub-stances that are

    either soluble or in the colloidal size range. Disinfection is generally operated by

    chlorination with Cl2 or NaOCl.

    The main systems for removal of solids, organic matter and pathogens are

    the activated sludge process, trickling filters, aerated lagoons, high-rate oxidation

    ponds, stabilization ponds. Stabilization ponds or aerated lagoons are most often

    used for small installations. The activated sludge process, or one of its many

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    modifications, is most often used for larger installations. In some cases trickling

    filters are applied.

    Several processes have been used for activated sludge. The mostimportant are (Metcalf and Eddy, 1987): tapered aeration process; modified

    aeration process; continuous-flow stirred tank; step aeration process; contact

    stabilization process; extended aeration process; oxidation ditch; carrousel

    system; high-rate aeration process.

    Wastewater treatment and biochemical oxygen demand

    The goal of a wastewater treatment facility is to reduce organic and

    inorganic materials in wastewater to a level that no longer supports microbial

    growth and to eliminate other potentially toxic materials. The efficiency of

    treatment is expressed in terms of a reduction in the biochemical oxygen demand

    (BOD), the relative amount of dissolved oxygen consumed by microorganisms to

    completely oxidize all organic and inorganic matter in a water sample. Higher

    levels of utilizable organic and inorganic materials in the wastewater result in a

    higher BOD. Typical values for domestic wastewater, including sewage are

    approximately 200 BOD units. For industrial wastewater for example from sources

    such as dairy plants, the values can be as high as 1500 BOD units. An efficient

    wastewater treatment facility reduces levels to less than 5 BOD units in the water

    released from the treatment plant.

    A typical wastewater facility must treat both sewage and industrial wastes.

    Treatment is a multistep operation employing a number of independent physical

    and biological process. Primary, secondary(Fig.3) and sometimes tertiary

    treatments are employed to reduce fecal and chemical contamination in the

    incoming water. Each level of treatment employs more complex and more

    expensive technologies.

    Primary treatment

    Primary treatment usually includes the removal of large solids from the

    wastewater via physical settling or filtration. The first step in primary treatment is

    screening. Wastewater entering the treatment plant is passed through a series of

    grates and screens that remove large objects. The effluent is left to settle down for

    a number of hours to allow suspended solids to sediment. Municipalities that

    provide only primary treatment suffer from extremely polluted water when the

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    effluent is discharged into adjacent waterways because high levels of organic

    matter and other nutrients remain in water following primary treatment. Therefore,

    most treatment plants employ secondary treatment to reduce the organic contentof the wastewater before release to natural waterways. Secondary treatment is

    intimately tied to microbiological processes.

    Secondary Treatment

    Secondary treatment typically removes the smaller solids and particles remaining

    in the wastewater through fine filtration aided by the use of membranes or through

    the use of microbes, which utilize organics as an energy source. Energetic

    techniques may also be employed in tandem with biological techniques in the

    secondary phase to break up the size of particles thus increasing their surface

    area and rate of consumption by the microbes present. A common first step in the

    secondary treatment process is to send the waste to an aeration tank.

    Anoxic secondary wastewater treatment

    Anoxic wastewater treatment involves a series of digestive and fermentative

    reactions carried out by a number of bacterial species and is usually employed to

    treat materials that have large amounts of insoluble organic matter (and hence

    very high BOD), such as fiber and cellulose waste from food-and dairy processing

    plants. The anoxic degradation process itself is carried out in large enclosed tanks

    called sludge digesters or bioreactors and requires the collective activities of

    many different types of microorganisms.Through the action of the resident anoxic

    microorganisms, the macromoleculare waste components are first digested by

    polysaccharases, proteases and lipases into soluble components. These soluble

    components are then fermented to yield a mixture of fatty acids, H2 and CO2 and

    the fatty acids are further fermented to acetate, CO2 and H2. These products are

    then used as substrates by methanogenic bacteria, which are capable of carrying

    out the reactions CH3COOH CH4+CO2 and 4H2O + CO2 CH4 + 2H2O. Thus

    major products of anoxic sewage treatment are CH4 (methane) and CO2. The

    methane can be collected and either burned off or used as fuel to heat and power

    the treatment plant.

    Aerobic secondary treatment

    In general, nonindustrial wastewater can be treated efficiently using only aerobic

    secondary treatment. Several kinds of aerobic decomposition processes are used

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    for wastewater treatment, but the trickling filter and activated sludge methods

    (Fig.2) are the most common. A trickling filter is a bed of crushed rocks, about 2 m

    thick, on tip of which the wastewater is sprayed. The liquid slowly passes throughthe bed, the organic matter adsorbs to the rocks and microbial growth occurs on

    the rocks. The complete mineralization of organic matter to carbon dioxide,

    ammonia, nitrate, sulfate and phosphate takes place in the microbial biofilms on

    the rocks. The most common aerobic treatment systems is the activated sludge

    process. Here, the wastewater to be treated is mixed and aerated in a large tank.

    Slime-forming bacteria, including Zooglea ramigera, among others, grow and form

    flocs (large, aggregated masses) and these flocs form the substratum to which

    protozoa and small animals attach. Occasionally, filamentous bacteria and fungi is

    pumped into a holding tank or clarifier where the flocs settle. Some of the floc

    material (called activated sludge) is then returned to the aerator to serve as

    inoculum and the rest is sent to the anoxic sludge digestor or is removed, dried

    and burned or used for fertilizer.

    Fig.2; Simple Activated Sludge with Trickling filter

    Wastewater normally stays in an activated sludge tank for 5 to 10h, a time

    too short for complete oxidation of all organic matter. However, during this time

    much of the soluble organic matter is adsorbed to the floc and is incorporated into

    microbial cells. The BOD of the liquid effluent is considerably reduced (by up to

    95%) by this process, with most of the BOD now contained in the settled flocs and

    the goal of BOD reduction in the water is achieved. Nearly complete BOD

    reduction can occur if the flocs are then transferred to the anoxic sludge digestor.

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    Most treatment plants now chlorinate the effluent (to further reduce the possibility

    of biological contamination) and discharge the treated water to streams or lakes. A

    few plants, however, process wastewater through a tertiary stage.Tertiary treatment

    Tertiary treatment is the most complete method of treating sewage but has not

    been widely adopted because it is very expensive. Tertiary treatment is a

    physicochemical process employing precipitation, filtration and chlorination

    procedures similar to those employed for drinking water purification to sharply

    reduce the levels of inorganic nutrients, especially phosphate and nitrate, from the

    final effluent.

    Fig.3: Primary and secondary treatment of raw water

    Physiochemical purification

    A typical drinking water treatment installation for a small city is shown in

    figure 4. Raw water is first pumped from the source, in this case a lake, to a

    sedimentation basin where anionic polymers, alum (aluminum sulfate), and

    chlorine are added. Sand, gravel and other large particles settle out. This

    pretreated water is then pumped to a clarifier or coagulation basin, a large holding

    tank where coagulation takes place. The alum and anionic polymers form larger

    suspended particles from the much smaller suspended colloidal particles. After

    mixing, the particles continue to interact, forming large, aggregated masses, a

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    process known as flocculation. The large, aggregated particles, called floc, settle

    out by gravity, trapping any remaining microorganisms and absorbing organic

    matter and sediment. After coagulation and flocculation, the clarified waterundergoes filtration. The water is passed through a series of filters designed to

    remove the remaining suspended particles and microorganisms. The filters

    usually consist of thick layers of sand and ionic filtration media. When combined

    with previous purification steps, the filtered water is free of all particulate matter,

    most organic and inorganic chemicals, and all microorganisms.

    Disinfection

    Clarified, filtered water must then be disinfected before it is released to the supply

    system as pure, potable finished water. Chlorination is the most common method

    of disinfection. In sufficient doses, chlorine kills microorganism within 30 minutes

    (certain pathogenic protozoa such as Cryptosporidium are not easily killed by

    chlorine treatment and thus can be important waterborne pathogens. In addition to

    killing microorganisms, chlorine reacts with organic compounds, oxidizing and

    effectively neutralizing them. Therefore, since most taste and odor-producing

    compounds are organic in nature, chlorine treatment also improves water taste

    and smell. Chlorine is added to water either from a concentrated solution of

    sodium or calcium hypochlorite or as a gas from pressurized tanks. The latter

    method is used most commonly in large water treatment plants because it is most

    amenable to automatic control.

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    Fig. 4: Water treatment system

    Further Reading

    Ekama G.A., G.v.R. Marais and I.P. Siebritz., (1984). Biological Excess

    Phosphorus Removal. In Theory, Design and Operation of Nutrient

    Removal Activated Sludge Processes, information document prepared for

    the Water Research Commission by the University of Cape Town, City of

    Council of Johannesburg and the National Institute for Water Research of

    the CSIR, Pretoria.

    Mendia L., (1962). Aspetti tecnici del problema degli scarichi industriali.

    Ingegneria Sanitaria, N. 1.

    Metcalf and Eddy, Inc., (1987). Wastewater Engineering: Treatment, Disposal,

    Reuse. Tata McGraw-Hill Publishing Company Ltd., New Delhi, second

    edition, 6th reprint.

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    *Basic Terminology of Microbiology

    Autoclave : A sterilizer that destroys microorganisms by hightemperature using steam under pressure

    Bacteria : All prokaryotes that are not members of thedomain Archaea

    Biofilms ; Microbial colonies encased in an adhesive,usually polysaccharide material, and attached toa surface

    Bioremediation : Use of microorganisms to remove or detoxifytoxic of unwanted chemicals in an environment

    Biotechnology : The use of living organisms to carry out definedchemical processes for industrial application

    Coccus : a spherical bacterium

    Coliforms : Gram-negative, nonsporing, facultative rods thatferment lactose with gas formation within 48 hr at35o C

    Colonization : Multiplication of a microorganism after it hasattached to host tissues or other surfaces

    Colony : A macroscopically visible population of cellsgrowing on host tissues or other surfaces

    Complex media : Culture media whose precise chemicalcomposition is unknown. Also called underfinedmedia

    Consortium : A two-(or more) membered bacterial culture (or

    natural assemblage) in which each organismbenefits from the others

    Culture : A particular strain or kind of organism growing ina laboratory medium

    Culture medium : An aqueous solution of various nutrients suitablefor the growth of microorganisms

    Disease : Injury to the host that impairs host function

    Eukarya : The Phylogenetic domain containing alleukaryotic organism

    Extremophile : An organism that grows optimally under one ormore chemical or physical extremes, such as

    high or low temperature or pHFungi : Nonphototrophic eukaryotic microorganisms that

    contain rigid cell walls

    Gene : A unit of heredity; a segment of DNA specifying aparticular protein or polypeptide chain, a tRNA oran rRNA

    Gram-negative cell : A prokaryotic cell whose cell wall containsrelatively little petidoglycan but has an outermembrane composed of lipopolysaccharides,lipoprotein and other complex macromolecules

    Gram-positive cell : A prokaryotic cell whose cell wall containsrelatively little peptidoglycan and lacks the outermembrane or gram-negative cells

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    Growth : In microbiology, an increase in cell number

    Growth rate : The rate at which growth occurs, usuallyexpressed as the generation time

    Guild : A group of metabolically related organismsMicroorganisms : A microscopic organism consisting of a single cellor cell cluster, also including the viruses

    Nutrient : A substance taken by a cell from its environmentand used in catabolic or anabolic reactions

    Parasite : An organism able to live on and cause damage toanother organism

    Pasteurization : Destruction, usually by heat treatment, of alldiseases-producing, microorganisms along with areduction in the number of spoilagemicroorganism

    Pathogen : An organism able to inflict damage on a host itinfects

    Pure culture : A culture containing a single kind ofmicroorganism

    Stationary phase : The period during the growth cycle of a microbialpopulation in which growth ceases

    Sterilization : The killing or removal of all living organism andtheir viruses from a growth medium

    Strain : A population of cell of a single species alldescended from a single cell; a clone

    Virus : A genetic element containing either DNA or RNAthat replicates in cells but is characterized byhaing an extracellular state

    Water activity (aw) : An expression of the relative availability of waterin a substance. Pure water has an aw of 1.000

    Xenobiotic : A completely synthetic chemical compound notnaturally occurring on Earth

    Yeasts : Unicellular fungi

    * Source: Brock Biology of Microorganism 2003, 10th Edition

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    Water Purification and Public Health

    S.P. Singh

    Prof. & HeadDepartment of Veterinary Public Health

    College of Veterinary and Animal Sciences,G. B. Pant University of Agri. & Tech., Pantnagar-263145

    Water and Health

    The worlds population is expected to increase every year by 74.8 million.

    To meet requirement of water for such a huge population, sincere efforts are

    being made at international level. The United Nations have declared 2005-2015

    as the International Decade for Water for life and World agenda has been set

    focusing the water related issues. This issue is of great consequence since

    approximately 1.8 million people die every year from diarrhoeal diseases

    (including cholera); mostly in developing countries where 88% of diarrhoeal

    disease is attributed to unsafe water supply, inadequate sanitation and hygiene.

    Improvements in drinking-water quality through household water treatment, such

    as chlorination at point of use can lead to a significant reduction of diarrheal

    episodes. There is a need to undertake an integrated water resources

    management so as to provide safe and clean water to all.

    Waterborne diseases occur not only as an endemic but also often appear

    as an epidemic. In the context of zoonoses, the waterborne diseases have

    significance in both developed as well as developing countries alike. The

    associated pathogens are transmitted predominantly by faecal-oral andoccasionally by faecal-droplet routes.

    Consequent to the dynamics in the population as well as its resultant effect

    on the environment, many pathogens are taking newer and virulent forms

    resulting in the emergence and re-emergence of the waterborne disease. Such

    changes are not free from the adverse consequences on the public health and

    these include (i) changing patterns of water use (ii) population

    growth/migration/variation (iii) increased population of the immunocompromised(consequent to the malnourishment as well as immunodeficiency diseases such

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    as AIDS and its deadly combinations with tuberculosis/toxoplasmosis etc) (iv)

    increased use of water due to the changed lifestyle and access to recreational

    activities (v) water scarcity, climate changes, disasters, & the emergencies (vi)war and bioterrorism (vii) increased population in the urban and periurban areas

    (viii) use of non-conventional alternatives to meet the never ending human

    demands (ix) increased use of agro-chemicals, antibiotics, growth promoters, and

    other veterinary drugs for the production and protection of plants, animals and

    human (x) altered ecological rhythm and (xi) the global trade, its regulations and

    their related consequences.

    Zoonotic pathogens have been encountered in water as a cause of gastro-

    enteric infections with the symptoms of diarrhea in many countries. But, still there

    exist many diseases that just escape the diagnosis process. Leptospirosis, E. coli

    O157:H7, Cryptosporidiosis, Campylobacter, Toxoplasmosis and Giardiasis, occur

    regularly in some countries. It is also important to mention more than 75% of all

    the emerging pathogens are zoonotic on nature. Further, animals and other lower

    vertebrate or non-vertebrates play an equal role as that of human in the

    maintenance or transmission of such infections that ultimately threaten the human

    life by the way of vehicles, particularly water.

    A variety of bacteria, parasites, fungi, viruses can be acquired by the way

    of water. The transmission routes involve drinking, contact, water use (food

    preparation, agriculture) exposure to wastewater, faeces, urine, and abattoir

    waste.

    The viruses / prion particles possess considerable host specificity yet can

    infect the related species. There are 1.5 million cases of clinical hepatitis reported

    every year.Many of the bacterial pathogens are well established water borne

    pathogens such as Salmonella, E. coli O157:H7, Campylobacter, Yersinia,

    Mycobacterium avium (ssp. paratuberculosis) and Leptospira. They can be

    transmitted by improperly purified water and can put the end users of water at risk.

    The waterborne zoonotic bacteria are principally those shed in faeces by warm-

    blooded animals (birds and mammals), although some are also harbored by

    reptiles.

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    Although fungi are transmitted directly by contact but at times, water can

    act an agent of transmission and the infections such as Trichophyton spp.,

    Cryptococcus, and Coccid odes may enter by such route.Protozoan pathogens originating from animal and human waste have been

    recorded from water sources throughout the world. A number of well documented

    waterborne zoonotic protozoa exist, including Giardia intestinalis,

    Cryptosporidium, Toxoplasma gondii, and Entamoeba histolytica. There are other

    potential candidates including Cyclospora, where waterborne transmission has

    been demonstrated but a zoonotic route remains to be established. Protozoan

    pathogens, including microsporidia, amoebae, ciliates, flagellates, and

    apicomplexans, originating in human or animal faeces have been found in surface

    waters worldwide The zoonotic protozoa that are emerging or are of renewed

    interest consequent to their spread associated with water include several species

    of microsporidia, the amoeba Entamoeba histolytica, Giardia duodenalis (G.

    lamblia), Toxoplasma gondii, and Cryptosporidium spp. Although Cyclospora

    cayetanensis is known to be a waterborne threat and has been detected in

    washings from vegetables contaminated with irrigation water, humans are the only

    confirmed hosts for this species.

    Major helminthic zoonoses include nematodes such as ascarids, pinworms,

    hookworms, strongylids, angiostrongylids, capillarids, and guinea worms, flukes

    such as schistosomes and liver flukes, and tapeworms such as the beef, pork,

    and fish tapeworms, as well as cystic and alveolar hydatid tapeworms. Poor

    sanitation and poor water quality facilitate transmission among animals and

    humans.

    Water purification

    The ultimate purpose of water purification is inactivation and removal of

    pathogens such as bacteria, viruses, parasites, microbial toxins and other

    miscellaneous pathogens, as well as elimination of contaminants that arise into it

    by the way of its pollution at various levels of the distribution system. Hence

    routine analysis of water is a mandate to assess the number of pathogens in the

    water, to select a suitable treatment facility to assure the consumers about

    wholesomeness of the water. Since decades, a composite system known as

    multiple barrier concept have been in use for the purification of water, which

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    holds good till today. This includes protection of the source of water, coagulation,

    flocculation, sedimentation, filtration, disinfection, and finally protection of the

    water distribution systems. But the recent epidemiological data indicate lacunae insuch traditional systems and there is a need to modify them by adding multistage

    filtration and disinfection especially to remove the pathogens and still stringent

    treatment so to remove the environmental pollutants, contaminants and other

    miscellaneous substances that have health implications. There is a need to

    implement HACCP in the water related industries so as to keep the contaminants

    at the lowest possible limits. Water safety plan has also to set and followed strictly

    as per the recommendations of the competent authorities. Frameworks need to be

    strengthened to so as to maintain minimum residual concentrations of the

    disinfectants in the distribution systems even taking care health implications

    arising from such chemicals.

    Keeping in view the public health significance of water, it must pass

    through the various stages of water purification system. The various water

    purification processes include are described as follows:

    Boiling for one minute can kill harmful organisms and thus can be

    considered as a reliable method. Various halogens such as iodine and chlorine

    preparations can also serve the function. Iodination is a very effective and

    convenient method for water purification as it destroys bacteria, viruses and

    protozoan cysts in concentration temperature and duration dependent destruction

    of such pathogens (8 mg/liter at 20 0C for 10 minutes). Preparations of iodine such

    as tincture of iodine (4 drops in a 1 litre of water or one drop for a glass), iodine

    crystals and tablets can be used for the purpose; but all the halogens are not

    effective against Cryptosporidium. While using iodine preparations for water

    purification, proper care must be taken for pregnant women, very young

    individuals and the persons suffering from thyroid disease or iodine allergy. After

    the iodine application, the taste due to remaining iodine residues can be

    eliminated by the use of vit-C tablets, lime or lemon juice.

    The various processes employed for removal of microbes from the water

    include (i) pre-treatment by using any process that modifies microbial water quality

    before, or at the entry to, a treatment plant; (ii) coagulation, flocculation and

    sedimentation by which small particles interact to form larger particles and settle

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    out by gravity; (iii) ion exchange used for the removal of calcium, magnesium and

    some radionuclide; (iv) Granular filtration, in which water passes through a bed of

    granular materials after coagulation pretreatment; (v) slow sand filtration, in whichwater is passed slowly through a sand filter by gravity, without the use of

    coagulation pretreatment.

    Pre-treatment

    Pre-treatment of water (roughing filters, microstrainers, off-stream storage

    and bank infiltration), help in the removal of algae, turbidity, viruses and protozoan

    cysts. During pretreatment a variety of treatment s are undertaken that vary in

    their complexity and may vary from disinfection to membrane filtration.

    Roughing employed for pretreatment are filters derived from rock or gravel

    that are used prior to filtration (slow sand) process to reduce turbidity (up to 60-

    90%), coliform count (93-99.5%), algal cell (37%), total chlorophyll (53%). Further;

    color, organic carbon, and the turbidity can still be reduced by the use of alum

    coagulant.

    Micro strainers are made of fabric meshes woven of stainless steel or

    polyester wires and many large sized protozoa such as Balantidium coli, but

    smaller pathogens such as bacteria or viruses can not be removed and these also

    reduce turbidity (520%) which can even be enhanced by the use of coagulants

    (alum).

    The quality of water in the off-stream storage reservoirs that feed the

    potable water source directly or indirectly feeds a potable water intake is

    determined by the physical, biological and chemical processes taking place in it.

    The algal growth, influx of nitrogen, phosphorous and other contaminants and the

    faecal contamination at or near surroundings should be limited even attempts

    should be made to reduce birds. If properly stored at off-storage reservoirs there

    can be significant reduction in the counts ofCryptosporidium, E.coli, Giardia, and

    entero-viruses. Further, storage of water in divided reservoirs is better compared

    to single large reservoir.

    A process of surface water seeping from the bank or bed of a river or lake

    to the reduction wells of a water treatment plant is known as Bank infiltration

    which is used in some of the European countries. This process reduces Giardia,

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    Cryptosporidium, Clostridia, bacteriophase and certain viruses such as Entero and

    Reoviruses.

    Coagulation, flocculation and sedimentationCoagulation, flocculation and sedimentation are used in conjunction with

    subsequent filtration. Coagulation promotes the interaction of small particles to

    form larger particles. In practice, the term refers to coagulant addition (i.e. addition

    of a substance that will form the hydrolysis products that cause coagulation),

    particle destabilization and inter-particle collisions. Flocculation is the physical

    process of producing inter-particle contacts that lead to the formation of large

    particles. Sedimentation is a solidliquid separation process, in which particles

    settle under the force of gravity. Most bacteria and protozoa can be considered as

    particles, and most viruses as colloidal organic particles that are eliminated by

    such processes.

    Conventionally, clarification refers to chemical addition, rapid mixing,

    flocculation and sedimentation. Here the chemical coagulation is critical for

    effective removal of microbial pathogens, in the absence of a chemical coagulant;

    removal of microbes is low because sedimentation velocities are low. When

    properly performed, coagulation, flocculation and sedimentation can result

    inconsiderable removals of bacteria, viruses and protozoa. However,

    Cryptosporidium and Giardia are found at very low levels, and methods for their

    detection have limitations use of coagulants further helps in the reduction of

    turbidity. Removal of bacteria (E. colivegetative cells and Clostridium perfringens

    spores) and protozoa (Giardia cysts and Cryptosporidium oocysts) is possible but

    this can be achieved by the use of iron-based coagulants which are slightly more

    efficient than alum (aluminum hydroxide) or poly-aluminum chloride (PACl);

    however, coagulation conditions (i.e. dose, pH, temperature, alkalinity, turbidity

    and the level and type of natural organic matter) affect the efficiency of removal.

    High-rate clarification involves using smaller basins and higher surface

    loading rates than conventional clarifiers, and is therefore referred to as high rate

    clarification. Processes include floc-blanket sedimentation (also known as solids-

    contact clarification), ballasted-floc sedimentation, and adsorption or contact

    clarification. In floc-blanket sedimentation, a fluidized blanket increases the

    particle concentration, thus increasing the rate of flocculation and sedimentation.

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    Ballasted-floc systems combine coagulation with sand, clay, magnetite or carbon

    to increase the particle sedimentation rate. Adsorption or contact clarification

    involves passing coagulated water through a bed where particles attach topreviously adsorbed material. Such processes help in the removal of algae,

    Cryptosporidium and Giardia.

    In dissolved air flotation (DAF), bubbles are produced by reducing

    pressure in a water stream saturated with air. The rising bubbles attach to floc-

    particles, causing the agglomerate to float to the surface, where the material is

    skimmed off DAF can be particularly effective for removal of algal cells and

    Cryptosporidium oocysts.

    Precipitative lime softening is a process in which the pH of the water is

    increased (usually through the addition of lime or soda ash) to precipitate high

    concentrations of calcium and magnesium. Removal and reduction in the viability

    of disinfection efficiency ofGiardia, viruses and coliform bacteria is achieved.

    In-line coagulation can be used with high-quality source waters (e.g. those

    where turbidity and other contaminant levels are low). The coagulants are added

    directly to the raw water pipeline before direct filtration.

    Ion exchange is a treatment process in which a solid phase pre-saturant

    ion is exchanged for an unwanted ion in the untreated water. The process is used

    for water softening (removal of calcium and magnesium), removal of some radio-

    nuclides (e.g. radium and barium) and removal of various other contaminants (e.g.

    nitrate, arsenate, chromate, selenate and dissolved organic carbon). The

    effectiveness of the process depends on the background water quality, and the

    levels of other competing ions and total dissolved solids.

    Filtration using a wide variety of filters removes sand, clay and other matter

    as well as organisms by means of small pore size membranes, adsorption,

    exchange resins and osmosis. They effectively remove bacteria and parasites but

    not viruses. Good filters are effective against Cryptosporidia and Giardia. Due to

    the inability to remove viruses, filtered water must also be chemically treated or

    boiled and hence many a times filtration is combined with other chemical

    sterililants such as iodine (or chlorine) hence, modern filters incorporate chemical

    disinfection, which is usually achieved by passing water through iodine exchange

    resins. When negatively charged contaminants contact the iodine resin, iodine is

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    instantly released so killing the microorganisms without large quantities of iodine

    being in solution.

    Various filtration processes (diatomaceous earth; micro-filtration; nano-filtration; reverse osmosis; ultra-filtration) are used in drinking-water treatment.

    Filtration can act as a consistent and effective barrier for microbial pathogens.

    Granular high rate media filtration is the most widely used filtration process in

    drinking water treatment. Under optimal conditions, a combination of coagulation,

    flocculation, sedimentation and granular media filtration can result better removal

    of protozoan pathogens with chlorine-resistant cysts.

    The use of slow sand filtration to protect drinking-water consumers from

    microbial risk was well established more than 100 years ago. Numerous disease

    outbreaks due to chlorine-resistant protozoan pathogens in the past two decades

    have increased interest in slow sand filtration because of its ability to remove

    parasites. It can provide some degree of protection against microbial pathogens

    reducing bacteria, protozoa (Cryptosporidium, Giardia) and turbidity.

    Pre-coat filtration was developed by the US Army during World War II as a

    portable unit for the removal of Entamoeba histolytica (a protozoan parasite

    prevalent in the Pacific war zone) from drinking-water. The process involves

    forcing water under pressure or by vacuum through a uniformly thin layer of

    filtering material pre-coated onto a permeable, rigid, supporting structure (referred

    to as a septum). Diatomite grades used for drinking-water treatment have a mean

    pore diameter of 17 m. Pre-coat filtration can remove protozoan parasites such

    Giardia very effectively and the removal ofCryptosporidium can be significant, but

    because organism is smaller than Giardia, it is more difficult to remove.

    In membrane filtration, a thin semi-permeable film (membrane) is used as a

    selective barrier to remove contaminants from water. There are very few

    contaminants that cannot be removed by membrane processes. For the past two

    decades, the use of membrane filtration in drinking-water treatment (including

    pathogen removal) has been growing, due to increasingly stringent drinking-water

    regulations and decreasing costs of purchasing and operating membrane filters.

    The membrane processes most commonly used to remove microbes from

    drinking-water are micro-filtration (pore size 0.1 m or more), ultra-filtration ((pore

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    size 0.01 m or more), nano-filtration (NF) and reverse osmosis (RO). Membrane

    filtration eliminates most of bacteria, virus, protozoa and algae.

    Bag, cartridge and fibrous filters are widely used in the recent past. A bagfilter is one that has a non-rigid fabric medium for the filter. Water flow is usually

    pressure-driven from the inside of the filter bag to the outside. A cartridge filter is

    one that has a rigid fabric medium or membrane for the filter. In this type of filter,

    water flow is usually pressure-driven from the outside of the filter to the inside.

    Bag and cartridge filters are often developed for small systems and for point-of-

    use filtration applications. They are also sometimes applied as a pretreatment

    process for membrane filtration. Bag filters and cartridge filters remove

    microorganisms by physical straining. The removal efficiency thus depends

    primarily on the pore size of the filter medium and on the size of the microbes. A

    typical pore size range is from 0.2 to 10 m. The pore size of the filter medium is

    usually designed to be small enough to remove protozoa such as Cryptosporidium

    and Giardia. Submicron particles, including viruses and most bacteria, can pass

    through the filters. As water passes through a bag or cartridge filter, pressure drop

    increases to a level impractical for operation. The bag or cartridge is then replaced

    by a clean one. Since the removal mechanism is physical straining, chemical

    pretreatment is usually not required for bag filters and cartridge filters. Straining of

    large compressible particles can blind the filters and reduce filter life. High turbidity

    and algae can also clog these filters. These processes are therefore only

    appropriate for high-quality waters. A pre-filtration process may be employed to

    remove large particles.

    Disinfection of water and public health

    Various disinfectants are used in the treatment of water used for drinking

    purposes. Water treatment to inactivate pathogenic microbes: The disinfection

    processes have strong bearing on the final quality of the water used for the

    drinking purpose viz., (i) pre-treatment oxidation (wherein oxidants are added to

    water early in the treatment process) (ii) primary disinfection which is a common

    component of primary treatment of drinking-water, and important because

    granular filter media do not remove all microbial pathogens from water and (iii)

    secondary disinfection which is employed to maintain the water quality achieved

    at the treatment plant throughout the distribution system up to the tap.

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    The factors like disinfectant concentration, contact time, temperature and

    pH influence disinfection efficiency. Further, disinfection kinetics and CT of the

    disinfectant (CT = concentration x contact time) have practical implications.Increased resistance to disinfection may result from attachment or association of

    microorganisms to various particulate surfaces, including, (i) macro-invertebrates

    (Crustacea, Nematoda and Platyhelminthes); (ii) particles that cause turbidity; (iii)

    algae; (iv) carbon fines and other miscellaneous substances.

    Primary disinfection

    A disinfection barrier is a common component of primary treatment of water

    and is typically a chemical oxidation process, although ultraviolet (UV) irradiation

    and membrane treatment are gaining increased attention. Different types of

    disinfectant such as chlorine, monochlorine, chlorine dioxide, ozone, UV light and

    mixed oxidants can be used various pathogenic microorganisms.

    Chlorine and silver based preparations destroy most the bacteria (e.g.

    V.cholerae), but are less effective against viruses (hepatitis A) and cysts (Giardia,

    amoebic cysts, and Cryptosporidia). Chlorine alone is readily inactivated by

    organic matter and its action varies with pH. However if used in combination with

    Phosphoric acid it is more effective and this combination will destroy both Giardia

    and Cryptosporidia.

    Chlorine gas and water react to form HOCl and hydrochloric acid (HCl),

    further HOCl dissociates into the hypochlorite ion (OCl) and the hydrogen ion

    (H+) which act as a germicide by destroying microorganisms by combining with

    proteins to form N-chloro compounds and has effects on sulfhydryl groups and

    convert them to several alpha amino acids by oxidation into a mixture of

    corresponding nitriles and aldehydes. For nearly 100 years of chlorination of

    drinking-water has demonstrated the effectiveness of this process for inactivation

    of microbial pathogens, with the notable exception of Cryptosporidium. Even

    certain bacteria show a high level of resistance to free chlorine. Spore forming

    bacteria such as Bacillus orClostridium are highly resistant when disseminated as

    spores. Acid-fast and partially acid-fast bacteria such as Mycobacterium and

    Nocardia can also be highly resistant to chlorine disinfection. Since Gram-positive

    bacteria have thicker walls than Gram-negative ones the pathogenic group that

    survives chlorination are gram positive as well as acid fast pathogens. Also,

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    enteric viruses are generally more resistant to free chlorine than enteric bacteria

    due to the protective nature of the particle surface (Coxsackie A2). Protozoan

    cysts such as Entamoeba histolytica and Giardia lamblia are highly resistant tochlorine disinfection and may require prolonged contact times at high chlorine

    residuals (23 mg/l) to achieve 99.9% acceptable inactivation and chlorine-based

    disinfectants are generally not effective at inactivation ofCryptosporidium.

    Monochloramine interact with nucleic acids or free purine and pyrimidine

    bases by inducing single and double stranded breaks by transforming activity of

    DNA and enhanced the sensitivity of DNA to endonuclease cleavage, it also

    reacts to lesser extent with amino acids. Monochloramine is not recommended as

    a primary disinfectant because of its weak disinfecting power also it is not effective

    for inactivation ofCryptosporidium and hence in systems using monochloramine,

    free chlorine is usually applied for a short time before addition of ammonia, or an

    alternative primary disinfectant is used (e.g. ozone, chlorine dioxide). Treatment to

    produce a monochloramine residual poses the risk of nitrite formation in the

    distribution system, especially in low-flow stagnant areas, because bacteria on

    surfaces and in deposits may nitrify any slight excess of ammonia.

    Chlorine dioxide is a strong oxidant that can be used to control iron,

    manganese and taste and odour causing compounds. It is highly soluble in water

    (particularly at low temperatures), and is effective over a range of pH values (pH

    510). Chlorine dioxide is thought to inactivate microorganisms through direct

    oxidation of tyrosine, methionyl, or cysteine containing proteins, which interferes

    with important structural regions of metabolic enzymes or membrane proteins. In

    water treatment, chlorine dioxide has the advantage of being a strong disinfectant,

    but not forming THMs or oxidizing bromide to bromate. Chlorine dioxide is roughly

    comparable to free chlorine for inactivation of bacteria and viruses at neutral pH

    but is more effective than free chlorine at pH 8.5. Chlorine dioxide is an effective

    disinfectant for control of Giardia lamblia and Cryptosporidium. Chlorine dioxide

    forms undesirable inorganic by-products (chlorite and chlorate ions) upon its

    reaction with constituents of water such as dissolved organic carbon, microbes

    and inorganic ions. Therefore, a water utility may need to provide additional

    treatment depending on the level of these inorganic by-products and their specific

    regulatory requirements.

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    Water can also be purified by the use of Ozone, which is very effective in

    purifying water. Ozone use in water applications for treatment is now easier, more

    efficient and much less costly. Ozone systems can be applied safely to any homeor business in water applications or effective air purification disinfectant. Ozone

    has been used for more than a century for water treatment, mostly in Europe,

    although its use is now spreading to okther countries. Ozone in aqueous solution

    may react with microbes either by direct reaction with molecular ozone or by

    indirect reaction with the radical species formed when ozone decomposes. Ozone

    is known to attack unsaturated bonds, forming aldehydes, ketones or carbonyl

    compounds. Additionally, ozone can participate in electrophilic reactions,

    particularly with aromatic compounds, and in nucleophilic reactions with many of

    the components of the microbial cell. Of the vegetative bacteria, Escherichia coli

    are one of the most sensitive, while Gram-positive cocci (Staphylococcus and

    Streptococcus), Gram-positive bacilli (Bacillus) and mycobacteria are the most

    resistant. Mycobacterium avium can be effectively controlled by low doses of

    ozone (CT=99.9 of 0.10.2 mg/min l1), whereas the organism is highly resistant

    to free chlorine (CT=99.9 of 5511552 mg/min l1 for water-grown isolates).

    Viruses are generally more resistant to ozone than vegetative bacteria, although

    phages appear to be more sensitive than human viruses. For the protozoa Giardia

    lamblia and Naegleria gruberi, ozone inactivation did not follow linear kinetics, due

    to an initial latent phase. Ozone is effective for removal of Cryptosporidium.

    Ozonation is an effective process for destruction of both intracellular and

    extracellular algal toxins. Essentially complete destruction of microcystins,

    nodularin and anatoxin-a can be achieved if the ozone demand of the water is

    satisfied.

    UV light can be categorized as UV-A, UV-B, UV-C or vacuum-UV, with

    wavelengths ranging from about 40 to 400 nm. The UV light in the UV-B and UV-

    C ranges of the spectrum (200310 nm) is effective for inactivating

    microorganisms with maximum effectiveness at around 265 nm. Thymine bases

    on DNA and ribonucleic acid (RNA) are particularly reactive to UV light and form

    dimers (thyminethymine double bonds) that inhibit transcription and replication of

    nucleic acids, thus rendering the organism sterile. Thymine dimmers can be

    repaired in a process termed photo-reactivation in the presence of light, or dark

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    repair in the absence of light. As a result, the strategy in UV disinfection has been

    to provide a sufficiently high dosage to ensure that nucleic acid is damaged

    beyond repair. Adenoviruses are double-stranded DNA viruses and are veryresistant to UV inactivation. Typical doses used for drinking-water disinfection

    would not be effective for treatment of adenoviruses. Similarly, protozoa are also

    sensitive to UV rays.

    The use of mixtures of oxidants for microbial inactivation has gained

    attention as a way to maximize the efficiency of current disinfectants. The

    chemistry of mixed oxidant production is complex, resulting in a solution of free

    chlorine, chlorine dioxide, ozone and various oxidation states of chlorine.

    Secondary Disinfection

    Secondary disinfection strategy is employed to maintain water quality in

    distribution systems. The purpose of a secondary disinfectant is to maintain the

    water quality achieved at the treatment plant throughout the distribution system up

    to the tap. Secondary disinfection provides a final partial barrier against microbial

    contamination and serves to control bacterial growth. The practice of residual

    disinfection has become controversial, with some opponents arguing that if

    biological stability is achieved and the system is well maintained, the disinfectant

    is unnecessary.

    Occasionally, corrosion of iron pipes can influence the effectiveness of

    chlorine-based disinfectants for inactivation of biofilm bacteria. Microbial quality of

    drinking-water cannot depend only on maintenance of a residual disinfectant. The

    extensive nature of the distribution system, with many kilometres of pipe, storage

    tanks, interconnections with industrial users and the potential for tampering and

    vandalism, provides opportunities for contamination. Cross-connections are a

    major risk to water quality. Although the risk can be reduced by vigilant control

    programs, complete control is difficult to achieve and water utilities worldwide face

    challenges in maintaining an effective cross-connection control program.

    Backflow devices to prevent the entry of contaminated water are important as a

    distribution system barrier. Because of high costs, backflow devices are installed

    mainly on service lines for facilities that use potentially hazardous substances

    (e.g. hospitals, mortuaries, dry cleaners and industrial users). Recent research is

    focusing on transient pressure waves that can result in hydraulic surges in the

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    distribution system. These waves have both positive and negative amplitude,

    meaning that they can create transient negative pressures (lasting only a few

    seconds) in a distribution system, which may be missed by conventional pressuremonitoring. Because these waves travel through the distribution system, any point

    where water is leaking out of the system is a potential entry point for microbes

    during the brief period of negative pressure.

    Conclusions

    The water used for drinking purpose should not only be visibly clean but

    also be wholesome and free from microbial as well as non-microbial

    contaminants. The water purification is never an accident, stringent exercises

    need to be undertaken so as to keep it away from these contaminants. Various

    processes used for the purification of water suffer from one or the other lacunae,

    thus, there is a need to use a composite system which can enhance safety. In the

    industries, where water is used directly or indirectly for the preparation of food,

    HACCP system needs to be implemented in order to reduce contamination of

    water. The source of water should be kept clean and suitable primary purification

    system should be employed as per the recommendations of the competent

    authority. In situations, where the secondary disinfection is required, a strategy

    needs to be first defined and then implemented to keep the pathogens away from

    the water distribution system. Assurance for the supply of safe water to the

    consumers should be the prime objective of public health administration in order

    to safeguard the health of the public from the water associated problems.

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    WATER BORNE MICROBIAL DISEASES

    V. D. P. RAO

    Department of Veterinary MicrobiologyCollege of Veterinary and Animal Sciences

    G.B. Pant University of Agriculture & Technology,Pantnagar 263145

    Water-borne diseases are infectious diseases spread primarily through

    contaminated water. Many classes of pathogens excreted in the feces are able to

    initiate waterborne infections. These are bacterial pathogens, including enteric

    and aquatic bacteria, enteric viruses, and enteric protozoa. Though these

    diseases are spread either directly or through flies or filth, water is the chief

    medium for spread and hence they are termed as water-borne diseases.

    Water borne microbial diseases are one of the major health hazards mainly

    in the developing countries. Worldwide, in1995 contaminated water and food

    caused death of more than three million persons of which more than 80% were

    among children of 5 years of age (Mary and Ross, 1996). In India, more than 70%

    of the epidemic emergencies are either water borne or water related.

    Most intestinal (enteric) diseases are infectious and are transmitted through

    faecal waste. Pathogens which include virus, bacteria, protozoa, and parasitic

    worms are disease-producing agents found in the faeces of infected persons.

    These diseases are more prevalent in areas with poor sanitary conditions. These

    pathogens travel through water sources and interfuses directly through persons

    handling food and water. Since these diseases are highly infectious, peoplelooking after an infected patient should maintain extreme care and hygiene.

    Hepatitis, cholera, dysentery, and typhoid are the more common water-borne

    diseases that affect large populations in the tropical regions.

    Water borne bacterial diseases:

    Clostridium: The bacteria are found in soil, fresh water or marine sediments. The

    Genus Clostridium is having many species that are pathogenic in animals and

    human beings that can be classified into neurotoxic, histotoxic,enteropathogenic and enterotoxemia producing Clostridia.

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    Neurotoxic clostridia include C. tetaniand C. botulinum. C. tetanicauses tetanus

    in animals and humans and leads to synaptic inhibition and muscular spasms. C.

    botulinum inhibits neuromuscular transmission and leads to flaccid paralysis.Histotoxic group of clostridia includes many species of genus Clostridium

    causing variety of diseases in animals. C. chauvoie causes black leg in cattle and

    sheep. C. septicum causes malignant oedema in cattle, pig and sheep and

    abomasitis in sheep. C. novyitype A causes big head disease in young ram and

    type B causes infectious necrotic hepatitis (black disease) in sheep and

    occasionally in cattle. C. haemolyticum causes bacillary haemoglobiniuria in cattle

    and sheep. C. perfringens type A causes necrotic enteritis in chicken and

    necrotizing enterocolitis in pigs.

    Enteropathogenic and enterotoxemia producing Clostridia: This group

    includes type A to type E. Clostridium perfringens type A causes disease

    conditions viz., necrotic enteritis in chicken, necrotizing enterocolitis in pigs and

    canine haemorrhagic gastroenteritis. Type B causes lamb dysentery and

    haemorrhagic enteritis in calves and foals. Type C causes struck in adult sheep,

    necrotic enteritis in chickens and haemorrhagic enteritis in neonatal piglets. Type

    D causes pulpy kidney in sheep, enterotoxaemia in calves, adult goats and kids.

    Type E is responsible for haemorrhagic enteritis in calves and enteritis in rabbits

    (Quinn et al. 2002).

    Listeria: This bacterium can replicate in the environment and can be recovered

    from herbage, faeces of animals, sewage effluents and bodies of fresh water. L

    monocytogenes causes encephalitis, abortion, septicaemia or encephalomyelitis

    mainly in case of sheep, goat and cattle but some times dog, cat, horse and pigs

    may also get affected.

    Mycobacteria: Lipid rich wall of mycobacteria is hydrophobic and resistant to

    adverse environmental influences. The bacteria are found in soil, vegetation and

    water and are obligate pathogens, shed by infected animal, can survive in

    environment for long periods. The bacteria cause tuberculosis and J.D. in various

    species of animals and also in human beings. Legionella and Mycobacterium

    avium complex (MAC) are environmental pathogens and found have ecological

    micro in drinking and hot water supplies.

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    Leptospira: It can survive in ponds, river surface water, and moist soil and in mud

    when environment temperature is warm. The bacteria causes abortion, still birth,

    agalactia, influenza like illness, nephritis in pups, chronic renal disease in dogs,septicaemia in calves, piglets and lambs. In dog and human it causes jaundice

    and hepatitis.

    Vibrio spp: Mostly found in brackish and salt water.The emergence in early 1992

    of serotype O139 of Vibrio cholerae with epidemic potential in Southern Asia

    suggests that other than V. cholerae 01 could also getting on epidemic. Along with

    important human pathogen Vibrio cholerae, there are five more species, which

    cause enteric infections. Vibrio cholerae is the major pathogen of human beings

    causing cholera. Vibrio metschnikoviicauses enteric disease in chickens. Vibrio

    anguillarum and some Vibrio spp are pathogens of fish.

    Escherichia coli: The bacteria have a worldwide distribution, inhabit the intestinal

    tract of human and animals and contaminate vegetation, soil and water. Such

    water becomes the most frequent source of infection. Colonization of the intestinal

    tract by E. coli from environmental sources occurs shortly after birth. These

    organisms persist as important members in the intestine as normal microflora

    throughout life. Most strains of E. coli are of low virulence but may cause

    opportunistic infection in extra intestinal locations such as the mammary gland

    and urinary tract. Pathogenic strains of E. coli possess virulence factors, which

    allow them to colonize mucosal surfaces and subsequently produce disease.

    The main categories of pathogenic strains ofE. coliand their clinical effects are as

    follows-

    Enteric disease

    Enterotoxigenic E. coli(ETEC): It produces heat labile (LT) and heat stable (ST)

    enterotoxins. LT induces hypersecretion in gut and ST reduces absorption leading

    to diarrhoea in neonatal piglets, calves and lambs; also causes post- weaning

    diarrhoea in pigs.

    Enteropathogenic E. coli(EPEC): Although nature of toxins of these organisms

    are uncertain but they are found to cause destruction of microvilli, atrophy and

    shedding of enterocytes leading to maldigestion, malabsorption and diarrhoea in

    piglets, lamb and pups.

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    Vreotoxigenic E. coli(VTEC): It binds to enterocytes and produces verotoxins

    viz: VT1, VT2, VT2e leading to damage to vasculature in intestine and in other

    locations and causes oedema disease in pigs, haemorrhagic enterocolitis incalves, post- weaning diarrhoea in pigs and heamorrhagic colitis-haemolytic

    uraemic syndrome in man.

    Necrotoxigenic strains ofE. coli: These organisms binds to enterocytes and

    produces cytotoxic necrotizing factors CNF1 and CNF2 leading to damage to

    enterocytes and blood vessels and ultimately causes haemorrhagic colitis in

    cattle, enteritis in piglets and calves, diarrhoea in rabbits and dysentery in horses.

    Septicaemia: Septicaemic strains of E. coli invade blood stream and causescolisepticaemia in calves, piglets, pups and chickens and watery mouth in lambs

    and arthritis and meningitis in many species.

    Non enteric localized disease caused by E. coli:

    Uropathogenic strains of E. coli: For these bacteria adhesion is required for

    colonization. Local reaction attributed to endotoxin and exotoxin and causes

    cystitis in many bitches.

    Invasion by opportunistic E. coli: They can cause coliform mastitis in cattle andsows, pyometra in bitches and omphelitis in calves, lambs and chicks if they get

    entry inside the organ.

    Salmonella: The serotypes occur worldwide and infect many mammals, birds,

    and reptiles and mainly excreted in faeces. Ingestion is the main route of infection.

    The organism may be present in water, soil, and raw meat, offal and in vegetable

    material. Source of environmental contamination is invariably faeces.

    Salmonellosis is of common occurrence in animals and human and theconsequences of infection range from sub-clinical carrier state to acute fatal

    septicaemia. Salmonella serotypes of clinical importance are as follows:

    Serotype Species affected Disease/ syndrome

    SalmonellaTyphimurium

    Humans

    Animals

    Food poisoning

    Enterocolitis and septicaemia

    Salmonella Dublin Cattle

    Sheep, horses anddogs

    Septicaemia, abortion, joint ill,osteomylitis and dry gangrene

    Enterocolitis and septicaemia

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    SalmonellaCholeraesuis

    Pigs Enterocolitis and septicaemia

    Salmonella Pullorum Chicks Bacillary white diarrhoea

    SalmonellaGallinarum

    Adult birds Fowl typhoid

    Salmonella Arizonae Turkeys Paracolon infection

    Salmonella Enteritidis Poultry

    Mammals

    Humans

    Sub-clinical infection

    Clinical infection

    Food poisioning

    SalmonellaBrandenburg

    Sheep Abortion

    Corynebacterium: It is a gram-positive pleomorphic bacterium that can survive

    for months in the environment. C. pseudotuberculosis causes caseous

    lymphadenitis in sheep and goat and ulcerative lymphadenitis in horse and cattle.

    It is prevalent in Australia, New Zealand, Middle East, Asia, Africa and North and

    South America.

    Erysipelothrix rhusiopathiae: Soil and surface water become contaminated with

    the organism mainly with pig faeces. Bacteria are often present in the slime layer

    of fish, a potential source of human and animal infection. In sheep the bacteria

    causes polyarthitis, post-dipping lameness, pneumonia and valvular endocarditis.

    In case of human beings the organism affects mainly workers of fish and poultry

    industry or agriculture based occupation. The organism enters through minor cuts

    and aberration in the skin and leads to local cellulitis known as erysipeloid. In rare

    cases disease extends to blood leading to joint and heart involvement.

    Bacillus: The bacteria are sporulated and thus persist in soil and water for a long

    time. B. anthracis causes anthrax in cattle, sheep, horse and pigs. In human

    beings the bacteria causes cutaneous, pulmonary and intestinal form of anthrax.

    Another species, B. cereus causes mastitis in cattle and food poisoning and eye

    infection in human. The significance of Aeromonas species in the drinking water to

    the occurrence of acute gastroenteritis need to be evaluated by further

    epidemiological studies.

    Shigella: The organism essentially S.sonnei causes bacillary dysentery; stool

    containing blood and mucus along with heavy inflammation of colonic mucosa, in

    human, chimpanzees and monkeys. The organism is transmitted by oral-faecal

    route. Shigella can be found in surface water and drinking water and is highly

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    significant mode of transmission in developing countries. Within clean water the

    organism may survive from 14 days to several weeks (Percival et al. 2004).

    In addition Giardia, Cryptosporidium, some species of genera Cyclospora,Isospora and of family Microsporidia are emerging as opportunistic pathogens and

    may have waterborne routes of transmission.

    Water borne viral diseases : A relatively small group of viruses have been

    incriminated as cause of acute gastroenteritis in humans and fewer have proven

    to be true etiologic agents, including rotavirus, calcivirus, astrovirus, and some

    adenoviruses. More than 15 different groups of viruses, encompassing more than

    140 distinct types can be found in the human get.Avian Influenza viruses:

    Avian Influenza virus has caught attention of the whole world in recent

    times. These viruses belong to family Orthomyxoviridae and infect domestic birds,

    wild waterfowls, humans, sea mammals, horses, felines and pigs (Webster, 1997).

    Wild waterfowls are the known carriers, which carry these viruses in their gut

    across the continents. They are usually asymptomatic carriers but mortality has

    been observed in recent outbreaks among these birds also. This virus replicatesin gut, which is in contrast to human influenza viruses (Gupta, 2005). The virus is

    excreted in large quantity from nasal and oral secretions and cloaca of affected

    birds. Infected waterfowl may be able to excrete up to 3 109 EID50 of virus per

    gram of faeces.

    Infection to domestic birds occurs by mixing of these wild birds with local

    population or droppings of these birds may contaminate the water sources. Avian

    influenza viruses do not affect human population directly. Infection to humans is

    spread only after gene assortment with human influenza viruses in swine

    (Webster, 1997). But in recent outbreaks with H5N1 subtype direct transmission to

    human beings has been recorded. Therefore, it is possible that humans may get

    this infection directly from contaminated water bodies. Virus is also excreted in the

    faeces of affected human beings.

    Picornaviruses:

    These viruses belong to Picornaviridae family (Murphy et al. 1999 e).

    Following Genera of this family are transmitted through water:

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    1. Apthovirus:

    Foot and mouth disease virus (FMD) affects cloven-hoofed animals. Besides

    other routes of transmission, it is also transmitted by contaminated waters(Schijven et al., 2005).

    Equine rhinovirus I causes disease similar to FMD virus in equines.

    2. Enterovirus:

    Human poliomyelitis: Polio is a highly contagious disease. Poliovirus can survive

    in the body, and in raw sewage or freshwater systems; polio is frequently found in

    areas where raw sewage directly enters a water source without treatment.

    Transmission of the virus occurs either by direct person-to-person contact, or byindirect contact with infectious saliva or faeces, or with contaminated sewage or

    water (Cliver, 1997; Thapliyal, 1999).

    Porcine polioencephalomyelitis: causative agent is porcine enterovirus I.

    Avian encephalomyelitis causes high morbidity and mortality in affected flock.

    Mode of transmission is by faecal-oral route (Murphy et al. 1999 e).

    VIRAL GASTROENTERITIS:

    Rotaviruses:

    Rotaviruses belong to RNA virus family Reoviridae (Murphy et al. 1999a).

    Infection has been reported all over the world. These are classified into seven

    groups; from A to G. Transmission is through faecal-oral route. Virus is excreted in

    the faeces of infected animals in high titers. Virus can survive in the faeces for

    several months. Therefore, contaminated water and poor sanitary conditions are

    responsible for its transmission. Group A viruses affect multiple species of

    mammals and birds. Group B viruses show species specificity. They may infect

    cattle, sheep, swine and man. Group C viruses are present in swine and man,

    group E viruses in swine whereas group D, E and F affect chickens (Thapliyal,

    1999; Hill-king, 2005). The virus affects villi of proximal part of small intestine

    resulting in malabsorption and severe diarrhoea.

    In animals, disease is referred as white scours or milky scours and mainly

    affects young ones. Faeces of affected animals are voluminous soft or liquid.

    Young animals may die as a result of dehydration or secondary bacterial infection

    (Murphy et al., 1999 a).

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    In human beings it accounts for significant proportion of diarrhoea cases in

    children. It affects children during Ist

    four weeks of life. Death may occur due to

    dehydration (Hill-king, 2005).Caliciviruses:

    Water borne caliciviruses have been incriminated in the cases of diarrhoea

    in adults and older children. These RNA viruses are the members of the family

    Caliciviridae (Murphy et al. 1999 b). Calciviruses and some protozoan agents

    such as Cryptosporidium, are the best candidates to reach the highest levels of

    endemic transmission, because they are ubiquitous in water intended for drinking,

    being highly resistant to chemical disinfecting procedures.Norovirus: These were earlier known as Norwalk virus and Norwalk like viruses

    and are recognized as major causes of water-borne illnesses world-wide. Main

    feature of these infections is severe vomiting. Aerosol infection may also occur

    (Hederberg and Osterholm, 1993).

    Sappovirus: Main feature of infection is persistent watery diarrhoea. It can infect

    young children also. Virus is excreted in the faeces of affected persons. Mortality

    is usually less.Adenoviruses:

    These are the members of family Adenoviridae (Murphy et al., 1999c).

    Enteric adenoviruses of human beings are second most common cause of viral

    diarrhoea. These enteric viruses are usually non- cultivable and cause severe

    watery diarrhoea in children of one to two years of age. Infection is usually faeco-

    oral but nosocomial infection may also occur through contaminated fomites. Virus

    is excreted in faeces and urine (Hill-king, 2005).In animals and birds these are associated with respiratory and gastro-

    intestinal tract infections (Murphy et al., 1999c).

    Infectious canine hepatitis: Fever, vomiting, diarrhoea, petechial haemorrhages

    and jaundice in pups mark canine adenovirus-1 infection. Virus is excreted in high

    concentration in faeces.

    Fowl adenoviral infections: fowl adenoviruses have been categorized in three

    serogroups.

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    Group I adenoviruses are associated with fowl, geese, ducks and turkeys.

    In fowls, 12 serotypes of this virus are associated with inclusion body hepatitis-

    hydropericardium syndrome. Virus has natural tropism for liver of poultry. Thedisease is characterized by hydropericardium, severe hepatitis, anaemia and

    sometimes-yellowish diarrhoea. Mortality is usually high in broiler birds.

    Group II adenoviruses are associated with haemorrhagic enteritis of

    turkeys and marble spleen disease of pheasants. The disease is usually acute

    and there is sudden onset of bloody diarrhoea.

    Group III adenoviruses are associated with egg-drop syndrome in poultry.

    Virus infects the pouch shell gland of oviduct resulting in decreased thickness ofeggs.

    Equine adenoviruses: sometimes cause mild diarrhoea in horses.

    Astroviruses:

    These RNA viruses are the members ofAstroviridae family. These have

    wide host range and are present in gastrointestinal tract of young ones of almost

    every mammalian species and young ducklings. Affected animal may develop

    mild diarrhoea which is not life threatening. But in ducklings of less than 6 week ofage it may cause severe hepatitis (Murphy et al., 1999d). In human beings, it

    usually infects children and diarrhoea is of mild nature (Hill-King, 2005).

    VIRAL HEPATITIS:

    Hepatitis A, Hepatitis E and Hepatitis F viruses are transmitted by

    contaminated water (Cliver, 1997). Hepatitis A virus (HAV) and Hepatitis E virus

    (HEV) known to cause illness unrelated to the get epitheliums. Numerous large

    outbreaks have been documented in the U.S. between 1950 and 1970, andincidence rate has strongly declined in the developing countries since the 1970s.

    Hepatitis E is mostly confined to tropical and subtropical areas, but recent reports

    indicate that it can occur at a low level in Europe. These cause mild form of

    hepatitis in adult humans. Hepatitis E virus may sometimes cause fatal disease in

    pregnant ladies. Infection in children is usually asymptomatic. Virus is excreted in

    the faeces.

    Water-borne epidemics and health hazards in the aquatic environment aremainly due to improper management of water resources. Proper management of

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    water resources has become the need of the hour as this would ultimately lead to

    a cleaner and healthier environment (Mara and Huran, 2003). In order to prevent

    the spread of water-borne diseases, people should take adequate precautions.The city water supply should be properly checked and necessary steps be taken

    to disinfect it. Water pipes should be regularly checked for leaks and cracks. At

    home, the water should be boiled; filtered or other necessary steps should be

    taken to ensure that it is free from infectious agents (Environmental protection

    agency 1975).

    References:

    Cliver, D.A. (1997). Viral transmission via food. Food tech. 51(4): 71-78.

    Gupta, S. and Arvind Nath (2005). Human disease due to an avian influenzavirus: The influenza (H5N1) virus. ICMR bulletin34(2-3): 13-18.

    Environmental Protection Agency. 40 CFR Part 141. Water programs: nationalinterim primary drinking water regulations. Federal Register1975;40:5956674.

    Hederberg, C.W. and Osterholm, M.T. (1993). Outbreak of food-borne and water

    borne viral gastroenteritis. Clinic. Microbial. Rev. 6(3). 199-210.

    Hill-king, L. (2005). Viral diarrhea. The biomedical scientist5: 462-466.

    Leclerc, H. Schwartzbrod, L. and Dei-Cas, E. (2002). Microbial agentsassociated with Waterborne diseases. Crit Rev Microbial. 28(4): 371-409

    Mary, A and Ross, M.A. (1996) Microbiological water pollution. Health effectreview1(7). Pp 1-2

    Mara D. and Huran N. (2003). Faecal indicator organism. In: Handbook of waterand water born disease. Academic press. Pp193-208

    Murphy, F.A.; Gibbs, E.P.J.; Horzinek, M.C. and Studdert, M.J. (1999a).Reoviridae. In: Veterinary Virology. 3rd edn. Academic press. Pp 391-404.

    Murphy, F.A.; Gibbs, E.P.J.; Horzinek, M.C. and Studdert, M.J. (1999b).Caliciviridae. In: Veterinary Virology. 3rd edn. Academic press. Pp 533-542.

    Murphy, F.A.; Gibbs, E.P.J.; Horzinek, M.C. and Studdert, M.J. (1999c).

    Adenoviridae. In: Veterinary Virology. 3rd edn. Academic press. Pp 327-334.

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    Murphy, F.A.; Gibbs, E.P.J.; Horzinek, M.C. and Studdert, M.J. (1999d).Astroviridae. In: Veterinary Virology. 3

    rdedn. Academic press. Pp 543-545.

    Murphy, F.A.; Gibbs, E.P.J.; Horzinek, M.C. and Studdert, M.J. (1999e).Picornaviridae. In: Veterinary Virology. 3

    rdedn. Academic press. Pp 391-

    404.

    Percival S.L., Chalmers R.M., Embrey M. Hunter P.R., Sellwood and Wyn-Jones P. (2004). Shigella species. In: Microbiology of water born disease.Academic press. Pp 185-196

    Pontius F.W., Roberson J.A. (1994) The current regulatory agenda: an update.Journal of the American Water Works Association.86:54-63.

    Quinn P.J., Markey B.K., Carter M.E., Donnelly W.J.C. and Leonard

    F.C..(2002) Clostridium species. In: Veterinary Microbiology and MicrobialDisease.Pp63-106

    Schijven, J., Rijs, G. B. J.and De Roda Husman A. M. (2005). Quantitative RiskAssessment of FMD virus transmission via water. Risk analysis 25 (1). 13-21.

    Thapliyal, D.C. (1999). Diseases caused by viruses. In: diseases of animalstransmissible to man. 1

    stedn. International book distributing company,

    Lucknow. Pp. 57-71.

    Webster, R.G. (1997). Influenza virus: transmission between species andrelevance to emergence of the next human pandemic. Arch. virol. suppl.13. 105-113.

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    Microbiological Analysis of Narmada River: A Case Study

    Anjana Sharma

    Bacteriology Lab, Department of Biosciences,R.D. University, Jabalpur (M.P.) India

    River Narmada (21o23

    ito 24

    o46

    iN latitude, 72

    o32

    ito 81

    o46

    iE Longitude) is the

    largest west flowing and the fifth largest river in Peninsula. The total length of the

    river from the head to its outfall into the sea is 1312 km. The first 1077 km is in

    M.P, the next 35 km forms boundary between the states of Madhya Pradesh and

    Maharashtra further 39 km from the boundary between Maharashtra and Gujarat

    and the rest of the 161 km lies in Gujarat. The basin had an elongated shape

    almost like a thin ribbon with a maximum length of 953 km east to west and a

    maximum width of 234 km north to south.

    River was divided into 11 different stations for the complete study from its

    origin to end viz. Amarkantak, Dindori , Mandala, Jabalpur, Narsinghpur,

    Hoshangabad , Omkareshwar, Koral, Neelkantheshwar, Ankleshwar and Dahez

    was investigated for its Physicochemical and Bacteriological status.

    We screened the river for seven very important genera of pathogenic

    potential belonging to the f