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Coliform Coliform organisms organisms Elvire Jacques, MD Elvire Jacques, MD Environmental Environmental health

Coliform organisms Elvire Jacques, MD Environmental health

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Page 1: Coliform organisms Elvire Jacques, MD Environmental health

Coliform Coliform organismsorganisms

Elvire Jacques, MDElvire Jacques, MDEnvironmental healthEnvironmental health

Page 2: Coliform organisms Elvire Jacques, MD Environmental health

Safe Drinking Water Act Safe Drinking Water Act (SDWA)(SDWA)

19741974 EPA regulates contaminants which EPA regulates contaminants which

may be health risks and which may may be health risks and which may be present in public drinking water be present in public drinking water supplies.supplies.

Revisions 1986, 1996Revisions 1986, 1996

Page 3: Coliform organisms Elvire Jacques, MD Environmental health

Microbial indicator of fecal Microbial indicator of fecal contaminationcontamination

Always found in warm-blooded Always found in warm-blooded animal feces animal feces

Greater number than pathogensGreater number than pathogens Cannot multiply in waterCannot multiply in water Simple, reliable identification testsSimple, reliable identification tests Increased resistance to disinfectants Increased resistance to disinfectants

Dutka, Jrnl Environmental Health 36:39-46,1973Dutka, Jrnl Environmental Health 36:39-46,1973

Page 4: Coliform organisms Elvire Jacques, MD Environmental health

Coliform organismsColiform organisms

Gastrointestinal tracts of humans Gastrointestinal tracts of humans and animalsand animals

HarmlessHarmless

Page 5: Coliform organisms Elvire Jacques, MD Environmental health

Different species Different species Escherichia coliEscherichia coli Klebsiella speciesKlebsiella species Enterobacter speciesEnterobacter species Citrobacter speciesCitrobacter species Proteus speciesProteus species Misc.Misc.

Page 6: Coliform organisms Elvire Jacques, MD Environmental health
Page 7: Coliform organisms Elvire Jacques, MD Environmental health

EPA health goalEPA health goal

Total coliforms = zero Total coliforms = zero

Page 8: Coliform organisms Elvire Jacques, MD Environmental health

Legal limit on total coliformsLegal limit on total coliforms

Systems must not find coliforms in Systems must not find coliforms in more than 5% of monthly samples to more than 5% of monthly samples to meet EPA's standards. meet EPA's standards.

If more, report violation to the state If more, report violation to the state and the public and the public

Page 9: Coliform organisms Elvire Jacques, MD Environmental health

ContaminanContaminantt

MCLG MCLG (mg/L)(mg/L)

MCL or TT MCL or TT (mg/L)(mg/L)

Health Health effectseffects

SourceSource

CryptosporidiuCryptosporidiumm

00 TTTT GI illnessGI illness Human Human and animal and animal fecesfeces

GiardiaGiardia 00 TTTT GI illnessGI illness Human Human and animal and animal fecesfeces

LegionellaLegionella 00 TTTT Legionnaire’Legionnaire’s diseases disease

waterwater

Total Total coliform coliform (fecal colif (fecal colif and and E. coliE. coli

00 5%5% Presence Presence may may indicate indicate other other harmful harmful bacteriabacteria

EnvironmeEnvironment Fecal nt Fecal colif. and colif. and E. coli from E. coli from human and human and animal animal fecesfeces

Viruses Viruses (enteric)(enteric)

00 TTTT GI illnessGI illness Soil runoffSoil runoff

Page 10: Coliform organisms Elvire Jacques, MD Environmental health

The presence of coliform bacteria in The presence of coliform bacteria in tap water suggests that the tap water suggests that the treatment system is not working treatment system is not working properly or that there is a problem in properly or that there is a problem in the pipes the pipes

Page 11: Coliform organisms Elvire Jacques, MD Environmental health
Page 12: Coliform organisms Elvire Jacques, MD Environmental health

Contamination, then what?Contamination, then what?

Repair the disinfection/filtration Repair the disinfection/filtration equipmentequipment

Flush or upgrade the distribution Flush or upgrade the distribution systemsystem

Enact source water protection Enact source water protection programs to prevent contamination. programs to prevent contamination.

Page 13: Coliform organisms Elvire Jacques, MD Environmental health

Total coliform positiveTotal coliform positive

Repeat samples within 24 hoursRepeat samples within 24 hours Analyze for fecal coliforms and Analyze for fecal coliforms and

Escherichia coli (E. coli)Escherichia coli (E. coli) Positive fecal coliformPositive fecal coliform

MCL violationMCL violation State and public notification because of State and public notification because of

direct health risk. direct health risk.

Page 15: Coliform organisms Elvire Jacques, MD Environmental health
Page 16: Coliform organisms Elvire Jacques, MD Environmental health

Water Treatment AgentsWater Treatment Agents

ChlorineChlorine OzoneOzone SunSun Filtration systemsFiltration systems

Page 17: Coliform organisms Elvire Jacques, MD Environmental health

Ozone treatmentOzone treatment

Page 18: Coliform organisms Elvire Jacques, MD Environmental health
Page 19: Coliform organisms Elvire Jacques, MD Environmental health

Water treatment plantWater treatment plant