Microbial risks associated with exposure to pathogens in contaminated urban flood water

Urban flood incidents induced by heavy rainfall in many cases entail flooding of combined sewer systems. These flood waters are likely to be contaminated and may pose potential health risks to citizens exposed to pathogens in these waters. The purpose of this study was to evaluate the microbial risk associated with sewer flooding incidents. Concentrations of Escherichia coli, intestinal enterococci and Campylobacter were measured in samples from 3 sewer flooding incidents. The results indicate faecal contamination: faecal indicator organism concentrations were similar to those found in crude sewage under high-flow conditions and Campylobacter was detected in all samples. Due to infrequent occurrence of such incidents only a small number of samples could be collected; additional data were collected from controlled flooding experiments and analyses of samples from combined sewers. The results were used for a screening-level quantitative microbial risk assessment (QMRA). Calculated annual risks values vary from 5 x 10(-6) for Cryptosporidium assuming a low exposure scenario to 0.03 for Giardia assuming a high exposure scenario. The results of this screening-level risk assessment justify further research and data collection to allow more reliable quantitative assessment of health risks related to contaminated urban flood waters. (C) 2010 Elsevier Ltd. All rights reserved.