Tenets of a holistic approach to drinking water-associated pathogen research, management, and communication.

Autor: Proctor C; Department of Agricultural and Biological Engineering, Division of Environmental and Ecological Engineering, Purdue University, West Lafayette, IN, USA., Garner E; Wadsworth Department of Civil & Environmental Engineering, West Virginia University, Morgantown, WV, USA., Hamilton KA; School of Sustainable Engineering and the Built Environment and The Biodesign Centre for Environmental Health Engineering, Arizona State University, Tempe, AZ, USA., Ashbolt NJ; Faculty of Science and Engineering, Southern Cross University, Gold Coast. Queensland, Australia., Caverly LJ; Department of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA., Falkinham JO 3rd; Department of Biological Sciences, Virginia Tech, Blacksburg, VA, USA., Haas CN; Department of Civil, Architectural & Environmental Engineering, Drexel University, Philadelphia, PA, USA., Prevost M; Department of Civil, Geological and Mining Engineering, Polytechnique Montreal, Montreal, Quebec, Canada., Prevots DR; Epidemiology Unit, Laboratory of Clinical Immunology and Microbiology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA., Pruden A; Department of Civil & Environmental Engineering, Virginia Tech, Blacksburg, VA USA., Raskin L; Department of Civil & Environmental Engineering, University of Michigan, Ann Arbor, MI, USA., Stout J; Department of Civil & Environmental Engineering, University of Pittsburgh, and Special Pathogens Laboratory, Pittsburgh, PA, USA., Haig SJ; Department of Civil & Environmental Engineering, and Department of Environmental & Occupational Health, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: sjhaig@pitt.edu.
Jazyk: angličtina
Zdroj: Water research [Water Res] 2022 Mar 01; Vol. 211, pp. 117997. Date of Electronic Publication: 2021 Dec 22.
DOI: 10.1016/j.watres.2021.117997
Abstrakt: In recent years, drinking water-associated pathogens that can cause infections in immunocompromised or otherwise susceptible individuals (henceforth referred to as DWPI), sometimes referred to as opportunistic pathogens or opportunistic premise plumbing pathogens, have received considerable attention. DWPI research has largely been conducted by experts focusing on specific microorganisms or within silos of expertise. The resulting mitigation approaches optimized for a single microorganism may have unintended consequences and trade-offs for other DWPI or other interests (e.g., energy costs and conservation). For example, the ecological and epidemiological issues characteristic of Legionella pneumophila diverge from those relevant for Mycobacterium avium and other nontuberculous mycobacteria. Recent advances in understanding DWPI as part of a complex microbial ecosystem inhabiting drinking water systems continues to reveal additional challenges: namely, how can all microorganisms of concern be managed simultaneously? In order to protect public health, we must take a more holistic approach in all aspects of the field, including basic research, monitoring methods, risk-based mitigation techniques, and policy. A holistic approach will (i) target multiple microorganisms simultaneously, (ii) involve experts across several disciplines, and (iii) communicate results across disciplines and more broadly, proactively addressing source water-to-customer system management.
(Copyright © 2021. Published by Elsevier Ltd.)
Databáze: MEDLINE
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