Health Risk
Health Risk
Bacteria.
The faeces of a healthy person contains large numbers of bacteria (> 10 /g), most of
10
which are not pathogenic. Pathogenic or potentially pathogenic bacteria are normally
absent from a healthy intestine unless infection occurs. When infection occurs, large
numbers of pathogenic bacteria will be passed in the faeces thus allowing the spread of
infection to others. Diarrhoea is the most prevalent type of infection, with cholera the
worst form. Typhoid, paratyphoid and other Salmonella type diseases are also caused
by bacterial pathogens.
Viruses.
Numerous viruses may infect humans and are passed in the faeces . Five groups of
pathogenic excreted viruses are particularly important: adenoviruses, enteroviruses
(including polioviruses), hepatitis A virus, reoviruses and diarrhoea-causing viruses
(especially rotavirus).
Protozoa.
Many species of protozoa can infect humans and cause diarrhoea and dysentery.
Infective forms of these protozoa are often passed as cysts in the faeces and humans
are infected when they ingest them. Only three species are considered to be
pathogenic: Giardia lamblia, Balantidium coli and Entamoeba histolytica. An
asymptomatic carrier state is common in all three and may be responsible for continued
transmission.
Helminths.
All the pathogens discussed in the previous section have the potential to reach the field.
From the time of excretion, the potential for all pathogens to cause infection usually
declines due to their death or loss of infectivity. The ability of an excreted organism to
survive outside the human body is referred to as its persistence. For all the organisms,
survival is highly dependent on temperature with greatly increased persistence at lower
temperatures.
The first exposure of excreted pathogenic organisms outside the body is usually in
water. This blend with freshwater is often referred to as sewage. This sewage is then
either subjected to treatment prior to discharge, used directly for crop production or
discharged to a watercourse where indirect use then occurs downstream. There are
many studies on the survival or persistence of excreted organisms in water and
sewage.
a. In seawater, viral survival is less, and bacterial survival is very much less than in freshwater.
Protozoal cysts are poor survivors in any environment. A likely maximum in sewage or
polluted water would not exceed that shown in Entamoeba histolytica. Helminth eggs
Soil factor Effect on bacterial survival
Antagonism from soil Increased survival time in sterile soil
microflora
Moisture content Greater survival time in moist soils and during times of high rainfall
Moisture-holding capacity Survival time is less in sandy soils than in soils with greater water-holding
capacity
Organic matter Increased survival and possible regrowth when sufficient amounts of organic
matter are present
pH Shorter survival time in acid soils (pH 3-5) than in alkaline soils
Sunlight Shorter
Survival time
Pathogen
In soil On crops
Viruses
Enterovirusesa <100 but usually <20 days <60 but usually <15 days
Bacteria
Faecal coliform <70 but usually <20 days <30 but usually <15 days
Salmonella spp. <70 but usually <20 days <30 but usually <15 days
Vibrio cholera <20 but usually <10 days <5 but usually <2 days
Protozoa
Entamoeba histolytica cysts <20 but usually <10 days <10 but usually < 2 days
Helminths
Ascaris lumbricoides eggs Many months <60 but usually <30 days
Hookworm larvae <90 but usually <30 days <30 but usually <10 days
Taenia saginata eggs Many months <60 but usually <30 days
Trichuris trichiura eggs Many months <60 but usually <30 days
Excreted load.
This refers to the concentration of pathogens passed by an infected person and
represents the total number of pathogens.
Latency.
Latency refers to the interval between the time that a pathogen is excreted and
the time that it can infect a new host.
Persistence.
Multiplication.
Infective dose.
Host response.
Non-human hosts.
Some infections are confined strictly to humans while others may need an
intermediate host prior to reinfection.
minimal concurrent transmission through other routes such as food, water and poor
personal or domestic hygiene; and
The bacterial and protozoan diseases rank between these two extremes. The
pathogens in the following descending order of risk:
1. High: Helminths (the intestinal nematodes - Ascaris, Trichuris, hookworm and Taenia)
2. Lower: Bacterial infections (i.e. cholera, typhoid and shigellosis) and Protozoan
infections (i.e. ameobiasis, giardiasis)
3. Vegetables and fruit grown exclusively for canning or other processing that effectively
destroys pathogens.
4. Fodder crops and other animal feed crops that are sun-dried and harvested before
consumption by animals.
5. Landscape irrigation in fenced areas without public access (nurseries, forests, green
belts).
3. Crops for human consumption normally eaten only after cooking (potatoes, eggplant,
beetroot).
4. Crops for human consumption, the peel of which is not eaten (melons, citrus fruits,
bananas, nuts, groundnuts).
Another path of infection is from direct contact with the crop or soil in the area where
wastewater was used. This path is directly related to the level of protection needed for
field workers. The only feasible means of dealing with the worker safety problem is
prevention. The following are a few of many low and high risk situations:
b
Ascaris and Trichuris species and hookworms.
c
During the irrigation period.
. On the other hand, the enteric virus diseases should be the least effectively
transmitted by irrigation with raw wastewater. The bacterial and protozoan diseases
rank between these two extremes. Shuval et al. (1986b) ranked the pathogens in the
following descending order of risk:
b
Ascaris and Trichuris species and hookworms.
c
During the irrigation period.
d
A more stringent guideline ( 200 faecal coliforms per 100 ml) is appropriate for public
lawns, such as hotel lawns, with which the public may come into direct contact.
e
In the case of fruit trees, irrigation should cease two weeks before fruit is picked, and
no fruit should be picked off the ground. Sprinkler irrigation should not be used.
Environmental risks
Environmental drivers for wastewater reuse 2.1 Over-extraction from freshwater
systems Human impacts on freshwater systems are substantial in most populated
parts of the world. Over-extraction, mainly for agriculture, has led to significant
degradation of rivers, lakes, aquifers, and dependent systems, such as wetlands.
Liberation of water for the environment through substitution with wastewater
has been widely promoted as a means of reducing anthropogenic impacts .
In Australia 26% of the surface-water management units are either fully- or over-
used, and 31% of the groundwater management units are over-allocated . About
half of Australia’s wetlands have been lost since European settlement—a
combined result of drainage and flood-mitigation/extraction actions on rivers
China paints a similar picture but arguably on a more grandiose scale. half of the
nitrogen entering the bay. The Bay is shallow with a narrow mouth allowing
relatively, most would agree that agricultural irrigation with wastewater is
pervasive and is only likely to increase.