This paper investigates the relationship between illnesses commonly associated with swimming, and faecal indicator bacteria as determined by qPCR methods, by comparing estimates of faecal indicators with incidences of illness. The study took place at three marine beaches, located in Mississippi, Rhode Island and Alabama, USA. Each of the beaches is sited within 7 miles of a treated sewage discharge outfall, and although water quality varies at each, they all comply with water quality guidelines. The beach in Mississippi was sampled in 2005 whereas the other two beaches were sampled in 2007.
Water samples were collected in waist-high and shin-high water from three transects, which included the swimming area. Environmental conditions were also recorded at the time of sampling, as well as information relating to use of the beach (numbers of people and animals etc.). The samples were tested for total Enterococcus spp. and total Bacteroidales spp. by qPCR, and samples taken in 2007 were also tested for subgroups of Bacteroides and Clostridium spp. Samples from 2007 were also tested for F+ coliphage using two methods; a culture and latex agglutination (CLAT) assay, and a culture-based EPA method.
Visitors to the beach on sampling days were asked to participate in the study. Eligible participants were asked to complete questionnaires regarding contact with water and sand, and ten to twelve days later a telephone interview was conducted to determine whether gastro-intestinal (GI), skin, respiratory, eye or ear problems had occurred following their visit. 6350 visitors participated.
The occurrence of GI illness was associated with an increase in exposure to estimates of Enterococcus spp. and Bacteroidales spp. When highest levels of Bacteroidales were present, 12% of swimmers reported illness compared to 6% of non-swimmers. Positive relationships were found between incidences of GI illness and estimates of subgroups of Bacteroides and Clostridium spp., and estimates of F+ coliphages, but these were not statistically significant.
The study is the first to find a relationship between incidences of GI illness and estimates of faecal indicator organisms, as estimated using qPCR, at marine beaches. The findings suggest that qPCR methods give a good indication of poor water quality and the effects on the health of visitors. They also support the need for more rapid testing of bathing waters.
A review of: Wade, T.J., Sams, E., Brenner, K.P., Haugland, R., Chern, E., Beach, M., Wymer, L., Rankin, C.C., Love, D., Li, Q., Noble, R. and Dufour, A.P. (2010) ‘Rapidly measured indicators of recreational water quality and swimming-associated illness at marine beaches: a prospective cohort study’, Environmental Health, 9:66.