1. Quantitative Microbial Risk Assessment
Case Study-Yamuna River
In the International Perspectives on QuantitativeMicrobial Risk Assessment-III
At IIPH Hyderabad India
Friday, 27.03.2015
Team Members:
Neethu Puthumadathil
Hima Wani
Nikita Chadha
Dr. Vanisree
Shailender Kumar
2. Introduction
• River Yamuna, with a total length of around
1370 km is the largest tributary of the Ganges.
• Its source is at Yamunotri in the Uttarakhand
Himalaya regions.
• It used to be a clear blue river but since the past
few decades it has turned into one of the most
polluted river in the world, especially Delhi,
which dumps about 57% of its waste into the
river (Central Pollution Control Board, 2005)
4. Problem Statement:
To estimate bacterial risks of infection annually for villagers of village “DD” using
all possible combinations of given activities in a year.
Objectives :
•Assessment of risk with respect to “de minimus” or more substantial
• Groups of people at most risk and activities associated.
• Rank exposure in decreasing order of their annual risks of infection and risk
management approaches for minimizing these exposure risks.
• To assess reduction in fecal coliforms in order to meet the USEPA allowable
annual risks of microbial infection guideline for recreational water contact.
• To check uncertainties in analysis.
5. Hazard
• Identified biological hazard Shigella spp. and Vibrio. Spp.
• Characteristics
• Gram-negative bacteria with a curved-rod shape
(comma shape)
• It is anaerobic type of microorganism found
in saltwater, and do not form spores.
• Cause acute diarrhoeal disease
Vibrio Spp.
• Gram-negative, facultative anaerobic, nonspore-
forming, nonmotile, rod-shaped bacteria.
• cause serious intestinal diseases, including
bacillary dysentery
Shigella spp.
Source: Guidelines for Drinking Water, WHO (2011)
6. EXPOSURE PARAMETER
Source
Route of
exposure
Exposure
media
Frequency of
exposure
Duration
Exposed
Populations
Scene 1
Stream
AA
Fecal – Oral
Route
Drinking water 365 days
Adults,
Children,
Pregnant
women
Scene 2
Stream
AA
Fecal – Oral
Route
Drinking water
32 times
(4 months)
45 mins
(for 1 event)
Adults and
Children
7. DOSE RESPONSE
FC in stream
AA
Pathogen to FC
ratio
Number of
Pathogens Concentration
Ingestion(per
event)
MPN/100 ml MPN/100 ml MPN/100 ml MPN/ml
1.50E+07
Shigella
Children 5.49E-07 8.24E+00 0.08235 37
Shigella adult 0.08235 16
Vibrio children 3.29E-06 4.93E+01 0.49335 37
Vibrio adult 0.49335 16
Dose
Number of days of
exposure α N50 P(daily) infection
P(annually)
infection
3.0469
5 32 2.65E-01 1.48E+03 6.80E-03 0.196247188
1.3176 32 2.65E-01 1.48E+03 2.97E-03 0.090774512
18.253
95 32
2.50E-
01
2.43E+0
2 1.72E-01 0.997611045
7.8936 32
2.50E-
01
2.43E+0
2 9.45E-02 0.958225953
Pant, A. and Mittal, A. K. (2007) Monitoring of pathogenicity of effluents from the UASB based
sewage treatment plant. Environ Monit Assess. 133:43-51.
Exposure Factor Handbook, 2011
8. DOSE RESPONSE (Point Estimation)
Shigella spp. Vibrio spp.
Sub-
Population
Drinking Recreational Activities
Sub-
Population
Drinking
Recreational
Activities
P(d) P(y) P(d) P(y) P(d) P(y) P(d) P(y)
Child 0.065638 1 0.006804 0.196247 Child 0.479342 1 0.171926 0.997611
Pregnant
woman
0.113811 1 NA NA
Pregnant
woman
0.556901 1 NA NA
Adult 0.135943 1 0.002969 0.090775 Adult 0.582022 1 0.094469 0.958226
Probability of infection (daily and annually)
9. Ingestion Parameters for Monte Carlo
Input Parameter Mean STD
Fecal Coliform(FC) –
MPN/100 ml 1.50E+07 8.00E+02
Ingestion Volume –
ml/event 37 26
Example for Recreational Activity in Children
12. RISK CHARACTERIZATION
Recreational activity Drinking water
Children Adult Adult Child
Pregnant
woman
Shigella Vibrio Shigella Vibrio Shigella Vibrio Shigella Vibrio Shigella Vibrio
Risk v/s
Concentration
0.04576 0.027921 -0.03347 -0.009 0.009635 - 0.016872 - 0.044285 -
Risk v/s Ingestion 0.993032 0.53566 0.9955520.619868 0.062095 - 0.077462 - 0.070817 -
Correlation of the annual Probability of Risk v/s
Input Parameters
13. RISK COMMUNICATION
• Survey
Percentage of people boiling or filtering the drinking water
Homes with sanitation facility
Need for sanitation and clean drinking water
• Awareness
Radio and TV announcements
Gram Panchayat meetings
14. Drinking Water
Pathogen Population
Maximum allowable
concentration
Reduction required
Shigella Children 1.39E+05 1.08E+02
Adults 5.53E+04 2.71E+02
Pregnant 7.05E+04 2.13E+02
Vibrio Children 3.05E+04 4.92E+02
Adults 1.21E+04 1.24E+03
Pregnant 1.54E+03 9.74E+03
Recreational Activity
Shigella Children 1.78E+07 8.43E-01
Adults 4.11E+07 3.65E-01
Vibrio Children 9.02E+07 1.66E-01
Adults 3.90E+05 3.85E+01
RISKMANAGEMENT
15. RISK MANAGEMENT
• Awareness
• FC is 100 fold higher than the maximal
allowable concentration of FC in Drinking
water
• Need for need for treatment of stream water
AA
• Establishment of treatment plant/primary
solution
16. REFERENCES
• Microbial fact sheets, Chapter 11, Guidelines on quality
of Drinking water, WHO, 2011
• Pant, A. and Mittal, A. K. (2007) Monitoring of
pathogenicity of effluents from the UASB based sewage
treatment plant. Environ Monit Assess. 133:43-51.
• EPA. 2011. EPA Exposure Factors Handbook, available
online
at:http://cfpub.epa.gov/ncea/risk/recordisplay.cfm?deid
=236252