EPA-600/1-79-027
                                     August 1979
    ENVIRONMENTAL MONITORING OF A
     WASTEWATER TREATMENT PLANT
                 by

            D.E. Johnson
             D.E. Camann
            H.J. Harding
             C.A. Sorber
     Southwest Research Institute
       San Antonio, Texas 78284
          Grant No. R805533
           Project Officer

          Herbert R. Pahren
       Field Studies Division
 Health Effects Research Laboratory
       Cincinnati, Ohio 45268
 HEALTH EFFECTS RESEARCH LABORATORY
 OFFICE OF RESEARCH AND DEVELOPMENT
U.S. ENVIRONMENTAL PROTECTION AGENCY
       CINCINNATI, OHIO 45268

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                                 DISCLAIMER
    This report has been reviewed by the Health Effects Research Laboratory,
U.S. Environmental Protection Agency, and approved for publication.  Approval
does not signify that the contents necessarily reflect the views and policies
of the U.S. Environmental Protection Agency, nor does mention of trade names
or commercial products constitute endorsement or recommendation for use.

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                                  FOREWORD
     The U.S. Environmental Protection Agency was created because of
increasing public and government concern about the dangers of pollution to
the health and welfare of the American people.  Noxious air, foul water, and
spoiled land are tragic testimony to the deterioration of our natural
environment.  The complexity of that environment  and the interplay between
its components require a concentrated and integrated attack on the problem.

     Research and development is that necessary first step in problem solution
and it involves defining the problem, measuring its impact, and searching for
solutions.  The primary mission of the Health Effects Research Laboratory in
Cincinnati (HERL) is to provide a sound health effects data base in support
of the regulatory activities of the EPA.  To this enfd, HERL conducts a
research program to identify, characterize, and quantitate harmful effects
of pollutants that may result from exposure to chemical, physical, or
biological agents found in the environment.  In addition to valuable health
information generated by these activities, new research techniques and
methods are being developed that contribute to a better understanding of
human biochemical and physiological  functions, and how these functions are
altered by low-level insults.

     This report provides data on microorganisms in aerosols from a
wastewater treatment plant and discusses student absenteeism at a nearby
school.  With a better understanding of the health effects, measures can be
developed to reduce exposure to potentially harmful materials.
                                                        uO.
                                           R.  J.  Garner
                                           Director
                                           Health Effects Research Laboratory

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                                  ABSTRACT
     A wastewater aerosol monitoring program was conducted at an advanced
wastewater treatment facility using the activated sludge process.  This
plant was recently constructed next to an elementary school in Tigard,
Oregon.  Wastewater aerosols containing pathogenic organisms are generated
by the aeration basin (within 400 meters of the classroom area) and by an
aerated surge basin (within 50 meters of the school  playground).  From a
preliminary microbial screen of the wastewater, predominant indicator and
pathogenic microorganisms were selected for routine wastewater and aerosol
monitoring.

     The aeration basin was observed to be a much stronger source of aero-
solized microorganisms than the surge basin.  The geometric mean aerosol
concentrations at 30 to 50 meters downwind of the aeration basin were
5.8 cfu/nr of total coliforms, 2.0 cfu/nr of fecal streptococci, 9.1
cfu/m  of mycobacteria, 7 cfu/nr of Pseudomonas, 0.7 pfu/nr of coliphage,
and <0.0009 pfu/nr of enteroviruses.  Mycobacteria were found to be more
prevalent at this plant than at previously monitored sites.  The ina-
bility to detect enteroviruses in air resulted from their low concentra-
tion (relative to other test organisms) in the wastewater and from their
adsorption onto and incorporation into the mixed liquor suspended solids
which are not easily aerosolized.

     While it is a relatively insensitive measure, attendance at the nearby
school and eight control schools provided no evidence of adverse effects
from wastewater treatment plant operation.  In fact, attendance at the
nearby school generally improved after sewage treatment commenced.  If any
adverse effect had occurred, it was slight enough to be completely obscured
by the usual school absenteeism factors.  The students probably received
a peak daily dose of about 9 cfu of mycobacteria and 3.5 cfu of fecal strep-
tococci about one school day per year, which may only be 100 to 1000 times
the usual outdoor background dose.

     This report was submitted in fulfillment of Grant R-805533 by Southwest
Research Institute under the sponsorship of the U.S. Environmental
Protection Agency.  This report covers the period from October 1977 to March
1978, and work was completed as of March 1979.
                                     i v

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                                  CONTENTS
Disclaimer	ii
Foreword	i i i
Abstract	iv
Figures	vii
Tables	viii

   1.  Introduction 	    1
          Background  	    1
          Rationale for the study	    2
          Study objectives	    3
          Study design	    3
          Participating organizations and principal personnel 	    4
   2.  Conclusions 	    5
   3.  Recommendations 	    6
   4.  Study Site	    7
          Durham advanced wastewater treatment plant (DAWTP)  	    7
             Plant description	 .    .    7
             Plant data during monitoring periods 	  12
          Study schools	12
             Durham elementary school 	  12
             Control  elementary schools 	  12
             General  characteristics of schools 	  17
   5.  Methods and Materials	20
          Sample collection and handling methods 	   20
             Meteorological measurements and instrumentation 	   20
             Wastewater samples 	  21
             High-volume aerosol  samplers 	  22
          Analytical  methods 	  23
             Microbial wastewater screen  	  23
             Microbiological assay 	  28
             Enterovirus aerosol  study 	  31
             Chemical  and physical analyses of wastewater  	  32
          Aerosol  sampling protocols  	  33
             Microbiological aerosol  runs   	  33
             Enterovirus aerosol  run 	  36
          School attendance accounting system   	  37
          Data flow,  processing,  and analysis methods 	  38
             Wastewater aerosol monitoring data 	  38
             School  attendance data 	  38

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 6.   Results    	    41
        Monitoring  of  wastewater aerosols   	    41
           Microbial characterization of wastewater  	    41
           Aerosol  run data	    45
        Prediction  of  aerosol  exposure levels   	    52
           Estimated levels  during  aerosol  runs   	    54
           Frequency of exposure at Durham  elementary  	    59
           Microorganism doses to which Durham elementary students
           are exposed   	    60
        School  attendance  	    63
           Analysis by school   	    66
           Analysis by class cohorts   	    73
7.  Discussion	    77
       Monitoring of wastewater and aerosols  	    77
       Effects on school attendance  	    82

References	     84

Appendices
    A  Procedures for operating a pair of high-volume aerosol
       samplers during an aerosol run	     8'5
    B  Procedure for decontamination of high-volume aerosol
       samplers	     87

    C  Description of Litton model  M high-volume aerosol
       samplers	     89
    D  Phase-separation method for concentration of
       enteroviruses  from aerosol samples   	     94

    E  Typical coded  data reporting forms   .  . .  .  ,	     95

    F  Aerosol sampling run layouts  	    104
    G  Class cohort time series plots  	   112
                                   VI

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FIGURES
Number
1
2
3
4
5

6
7
8
9
10
11
12
13

14
Durham service area 	
Durham advanced wastewater treatment plant processes 	
Map of study area 	
Map of Tigard school district and district boundaries 	
The proximity of Durham elementary school to the Durham
wastewater treatment facility 	
Schematic diagram of mycobacteria isolation 	
Schematic diagram of enterics isolation 	
Aerosol run no. 1 	
Typical sample labels 	
Annual attendance plot for Durham and the control schools . . .
Annual attendance plot for the individual schools 	
Annual attendance plot for Durham and the Tigard control schools
Quarterly attendance plot for Durham and the Tigard control
schools 	
Quarterly attendance plot for the individual Tigard schools . .
Page
8
10
14
15

16
25
27
34
39
67
69
70

72
74

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                                  TABLES
Number                                                                 Page
  1  DAWTP plant data during days of monitoring 	   13
  2  Background information on schools in school  attendance study .  .   18
  3  Sampler array for microbiological aerosol  runs 	   33
  4  Bacterial results from microbiological screens of wastewater
     samples collected at three aerosol sources,  Durham advanced
     wastewater treatment plant 	   42
  5  Bacterial isolation results from the microbiological screens,
     Durham advanced wastewater treatment plant 	   43
  6  A comparison of the microorganism concentrations in the
     wastewater before aerosolization at various  sites  	   44
  7  Aerosol run meteorological data summary	   46
  8  Physical  and chemical characteristics of wastewater samples,
     Durham advanced wastewater treatment plant 	   47
  9  Microorganism concentrations of wastewater samples, Durham
     advanced wastewater treatment plant	   48
 10  Selective microorganism aerosol concentrations upwind and
     downwind from source boundary  	   50
 11  Actual distance of sampler stations downwind of sampled
     aerosol source	   51
 12  Microorganism aerosol concentrations on enterovirus aerosol run.   53
 13  Aerosol run model input data	   56
 14  Calculated decay rates and predicted pathogen aerosol
     concentrations   	   57
 15  Distribution of decay rates and pathogen aerosol concentrations.   58
 16  Orientation of exposure locations relative to aerosol sources ..   59
 17  Frequency distributions of daily exposure index of student
     exposure	   61
 18  Quarterly frequency distribution of student exposure 	   62
 19  Estimated peak exposure dose inhaled by Durham school
     children	   64
 20  Annual percent absent data for each study school 	   65

                                   viii

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21  A comparison of two-year baseline and operational periods ....  66
22  Association of school attendance with principal changes at
    Durham elementary 	  71
23  Association of absenteeism with grade level  	  75
24  Site comparison of microorganism concentrations in wastewater
    before aerosolization 	     78
25  Site comparison of aerosol  microorganism concentrations at
    30 to 50 meters downwind of aerosol  source	     79
26  Site comparison of viability decay rate distributions 	     81

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                                   SECTION 1

                                  INTRODUCTION
BACKGROUND

     Through its program of construction grants to states and municipalities,
the Environmental Protection Agency (EPA) is sponsoring a multimillion
dollar effort to construct new wastewater treatment facilties throughout
the United States.  These facilities are necessary to comply with federal
regulations regarding the discharge of wastes into rivers, lakes and
oceans.  The EPA also provides technical assistance to the grant recipient
regarding the design and location of the wastewater treatment facilities.

     In the past, many wastewater treatment facilities were located away
from residential areas, usually due to aesthetic considerations.  With urban
development, the buffer zones around many of the older facilities have been
used as residential areas.  There has also been a need for construction of
new facilities and for optimal engineering design.  The treatment facilities
need to be located as near as possible to the populations they serve in
order to minimize transit times of wastes.  The location of wastewater treat-
ment facilities near populated areas may pose problems of odors, noise, and
possibly adverse health effects.  Odor and noise are engineering problems
which can be controlled in a well operated plant.

     A common technique for secondary treatment of wastewater is the acti-
vated sludge treatment process which requires that the incoming wastewater
be aerated in an aeration basin in the biological treatment process.  Aero-
sols are formed at the surface of the wastewater in the aeration basin.
The wastewater in the aeration basin contains numerous bacteria and viruses
because, at most, only primary treatment, involving removal of large solids,
has occurred.  Microorganisms in the wastewater aerosols might be carried  by
the wind into nearby residential areas and initiate infection.

     Two environmental epidemiology studies have recently been performed to
investigate possible health effects to populations living near large acti-
vated sludge treatment facilities.  Carnow, et al.  examined an older
plant [operating level of 290 million gallons per day (MGD) with 400 MGD

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                                                    o
capacity] in Skokie, Illinois,  while Johnson,  et al.   studied a new plant,
with an initial operating level of 15 to 20 MGD (with  30 MGD capacity)
located near Schaumburg, Illinois.  In both studies,  the levels of microorgan-
isms in the wastewater at the plant and in aerosols  emanating from the  plant
were measured to determine microorganism transport into populated areas.   In
both studies, measures of the health of the people living near the plant
were compared to those of matched populations  living farther away from
the plant.  Various respiratory and gastrointestinal  infectious diseases
that might be associated with exposure to aerosols containing microorganisms
from the waste treatment plant were examined.   The incidence of symptoms
was obtained at regular intervals through questionnaires, while direct  evi-
dence of infection was being sought through clinical  specimens (blood,  feces,
throat swab, etc.) from participants.  This information was then statisti-
cally evaluated for the prevalence of symptoms, diseases, and evidence  of
infection relative to distance of the residences from  the treatment plant.
In general, both studies found little evidence of detectable health effects.
This may be because both studies lacked enough participants living very
close to the sources of the aerosol (who would have  substantial exposure  from
the aerosol).  In the study by Johnson et al., the requirement for evaluat-
ing a new plant necessitated examining an area that  was sparsely populated.
In the study by Carnow et al., industries occupied much of the area near
the treatment plant, so that few residences were located near the plant.

     The present study has been conducted at the Durham Advanced Wastewater
Treatment Plant (DAWTP) in Tigard, Oregon (near Portland), which is located
immediately adjacent to Durham Elementary School.  While operating at 9 to
13 MGD during the study period, this activated sludge  plant has a current
capacity of approximately 20 MGD which can be  expanded to 60 MGD.

     The Unified Sewerage Agency which operates the  DAWTP has received  fre-
quent complaints of noise and odor problems which it has tried to rectify.

RATIONALE FOR THE STUDY

     There has been concern among public health organizations that the
operation of the DAWTP so near the Durham Elementary School might cause some
health problems among the school children.  (The school playground extends
to within 50 meters of the nearest aerator in  a surge  basin, while the
school buildings are only about 250 meters from the aerated surge basin
and 400 meters from the aeration basin.)  This study was initiated to
collect environmental data regarding the type  and quantities of microorgan-
isms emitted from the waste treatment facility and to determine the types
and quantities that are transported into the environment of the school.  A
smaller portion of the study was to examine school attendance in order  to
make a preliminary evaluation of possible health effects.

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     While the two studies described above provide information about health
effects of large activated-sludge treatment facilities, there were few per-
sons living very close to the treatment facility.  The DAWTP and elementary
school provide a unique health effects study site in that a population of
young children spend a large portion of their active time (approximately
35 hours per week for nine months of the year) within a quarter of a mile
of an activated sludge plant's aerosol source.

STUDY OBJECTIVES

     One objective of this study was to measure the types and quantities of
viable microorganisms present in the ambient air upwind and  up to 100 meters
downwind of the DAWTP.  Measurement of microorganisms was also to be in
the wastewater at the aerosol sources in the plant, including the aeration
basin and the aerated surge basin.  This portion of the effort was to ascer-
tain the levels and types of microorganisms present in the wastewater which
were available for aerosolization.

     A second objective of this study was to determine whether the absen-
tee rate at Durham Elementary School was significantly different from the
absentee rates at control schools located in the same area but not near a
wastewater treatment facility.  This would provide some preliminary indica-
tion of possible health effects which might-be associated with the treatment
facility.

STUDY DESIGN

     The first phase of environmental monitoring involved the collection of
large samples of wastewater from each potential source of aerosolized micro-
organisms at the plant:  the aeration basins, the aerated surge basin, and
the secondary recarbonation basin.  A microbial screen of wastewater samples
from each of these unit processes was conducted to characterize the type and
approximate concentration of viruses and a variety of enteric bacteria.
These results were used to select the types of organisms and methods to be
used during the routine monitoring of wastewater and aerosols in the second
phase.  In addition, the relative levels of various test organisms present
in the different aerosol sources in the plant were compared to choose the
source or sources about which to conduct the major portion of the aerosol
sampling.

     During the second phase of environmental monitoring, six aerosol
runs were conducted to simultaneously measure levels of microorganisms in
wastewater and air at the aeration basin and surge basin.  A special  entero-
virus aerosol run was also conducted to measure enterovirus levels at the
aeration basin.  The level and frequency of microbial  aerosols reaching
the school  were estimated.

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     Eight suitable control  schools  for Durham Elementary were  selected.
Quarterly attendance data for the nine schools were  obtained  for  the  seven
school years prior to DAWTP  operation and for the first  two school years
of DAWTP operation.  If the  DAWTP had an adverse  health  effect, one would
expect to see high absenteeism at Durham Elementary  (relative to  the  control
schools) in the two operational  years.  Such  absenteeism might  take the
form of a uniformly higher absence rate throughout the two operational
years, or because of acquired immunity, it might  only be evident  during
the first several months of  aerosol  exposure  episodes.

PARTICIPATING ORGANIZATIONS  AND  PRINCIPAL PERSONNEL

     The research effort described in this report has been performed  by
Southwest Research Institute with significant support and contributions
from several other organizations.  The following  is  a list of these partici-
pating organizations:

     Southwest Research Institute (SwRI), San Antonio, Texas
     The University of Texas at San  Antonio (UTSA),  San  Antonio,  Texas
     Naval Biosciences Laboratory (NBL), Oakland, California
     Tigard Public Schools,  Tigard,  Oregon
     Durham Elementary School, Tigard, Oregon
     Lake Oswego Public Schools, Lake Oswego, Oregon
     Department of Environmental Quality, Portland,  Oregon
     Unified Sewerage Agency, Hillsborough, Oregon
     Durham Advanced Wastewater Treatment Plant,  Tigard, Oregon
     Dr. Robert Northrop, University of Illinois, Chicago, Illinois

     The principal participating personnel and their areas of responsibility
are shown below:

     SwRI Department of Environmental Sciences

     D. E. Johnson, Ph.D.          Principal  Investigator
     H. J. Harding                 Direction  of Field Activities
     D. E. Camann                  Statistician

     UTSA Center for Applied Research and Technology

     C. A. Sorber, Ph.D.           Direction  of Analysis
     B. E. Moore                   Sample Analysis

     NBL

     M. A. Chatigny                Consultant in  Aerobiology  and
                                   loan of aerosol samplers

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                              SECTION 2

                             CONCLUSIONS
     The aeration basin was found to be a much stronger source of aerosolized
microorganisms than was the aerated surge basin at the Durham Advanced
Wastewater Treatment Plant (DAWTP).

     The geometric mean aerosol concentrations at 30 to 50 meters downwind of
the aeration basin were 5.8 cfu/nr of total coliforms, 2.0 cfu/m  of fecal
streptococci, 9.1 cfu/m  of mycobacteria, 7 cfu/m  of Pseudomonas, and 0.7
pfu/m   of coliphage.  Mycobacteria were observed to be more prevalent at
the DAWTP than at other wastewater aerosol monitoring sites.

     Enteroviruses were not detected in the air 30 meters downwind of the
                             O
aeration basin (<0.0009 pfu/nr).  This resulted from their low concentra-
tion (relative to other test organisms) in the wastewater and from the
association of 98 percent of the wastewater enteroviruses with solid matter
(i.e., mixed liquor suspended solids in the aeration basin) which is not
readily aerosolized.

     No adverse effects of DAWTP operation were detected in the Durham
Elementary attendance data.  In fact, school attendance generally improved
after sewage treatment commenced.  If any adverse effect had occurred, it
was so slight as to be completely obscured by the usual factors affecting
school absenteeism.

     The Durham students probably received a peak daily dose of about 9 cfu
of mycobacteria and 3.5 cfu of fecal streptococci about one school day per
year.  These exceed the usual  outdoor background doses by perhaps three or
more orders of magnitude for mycobacteria and by about two orders of magni-
tude for fecal streptococci.  At this dose and frequency, a rather insensi-
tive measure, school attendance, provided no evidence of an adverse health
response.

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                                   SECTION 3

                                RECOMMENDATIONS
     Dose-response relationships need to be developed for the pathogenic
microorganisms prevalent in wastewater aerosols so that the health hazards
of monitored sources can be more adequately assessed.  To obtain some data
points along a dose-response relationship,  an estimated exposure dose
should be reported along with the health response results of an epidemiolo-
gic investigation whenever possible.   Imprecise estimates of peak exposure
to prevalent pathogens can be predicted from aerosol  monitoring, mathe-
matical models, and historical  wind direction data,  as was done in this  study.

     No further epidemiological investigation of health effects around the
DAWTP should be conducted at this time.

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                                   SECTION 4

                                   STUDY SITE


DURHAM ADVANCED WASTEWATER TREATMENT PLANT (DAWTP)

Plant Description

Design and Initial Operations--
     In 1970 the residents of Washington County,  an area at the southwestern
edge of the rapidly growing Portland, Oregon metropolitan area, established
the Unified Sewerage Agency of Washington County  (USA)  in an attempt to  end
the fragmented approach to wastewater management  that had occurred in the
past.  Using a master plan proposed by the consulting firm of Stevens,
Thompson and Runyan, USA embarked on a pollution  control program which
called for elimination of all treatment plants on the tributaries of the
Tualatin River and construction or expansion' of four major treatment facili-
ties along the river.

     The largest of the new facilities is the Durham Advanced Wastewater
Treatment Plant (DAWTP).  This plant is situated  next to Fanno Creek, a  trib-
utary of the Tualatin River, in an area which has recently (Fall  1978) been
annexed by the City of Tigard.  The DAWTP services  the entire Fanno Creek
drainage basin and nearby areas.   Figure 1 shows  the location of the plant
and the area served.  The DAWTP commenced operation on July 6,  1976 with
an initial design capacity of 75,000 cubic meters per day (20 MGD)  that  can
be expanded to 227,000 cubic meters per day (60 MGD)  by the year 2000 to
meet the needs of this rapidly growing area.

     Designed as a modern activated sludge plant  incorporating  some advanced
processes for wastewater treatment, the DAWTP is  comprised of two parallel
plants which can be operated separately from primary clarification to the
point of effluent discharge.  Alternatively, flows  can be combined from  the
separate plants after various stages of treatment.   All  plant influent first
passes through barminutors to screen out and reduce the size of large
objects.  The flow is then divided and sent to two  primary clarifiers in
parallel where settleable solids  and grit are removed.   Secondary treatment
begins with the classical activated sludge process  in four aeration tanks.

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                           DURHAM SERVICE AREA
WASHINGTON CO



 CLACKAMAb CO i
         Figure  1.  Durham Service Area
                       8

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     After secondary clarification,  the wastewater is subjected to advanced
wastewater treatment processes for reduction of phosphorus and solids.
These processes are a critical part  of the treatment from May  to November
when the Tualatin has its lowest flows.  In early operation,  lime slurry  was
mixed with the wastewater followed by secondary recarbonation  to reduce pH
and remove excess lime.   The lime sludge was thickened,  dewatered and recal-
cined for recycling in this treatment process.   However, the  rapidly esca-
lating cost of energy and mechanical  problems with this  system resulted in
the abandonment of lime  in favor of  alum treatment and coagulant aids.
Plant effluent is then filtered and  chlorinated prior to discharge in the
Tualatin River.  Organic sludge from the primary and secondary clarifiers is
processed in a series of gravity sludge thickeners,  cyclone-type grit separa-
tors, disc centrifuges and continuous bowl  centrifuges.   After heat treat-
ment and incineration the resulting  ash is used for land fill.  A schematic
flow diagram of plant processes is shown in Figure 2.

     The efficient operation of activated sludge, chemical coagulation, and
filtration systems requires that hydraulic load be as constant as possible.
This is a problem in the Portland area because of the high annual  rainfall
[averaging 97 cm (38 inches) per year] and the ever-present infiltration.  To
accommodate plant flow during periods of extensive rainfall,  two large  surge
basins v/ere built adjacent to the plant.  The larger surge basin has a  capac-
ity of 38,000 cubic meters (10 million gallons), while the other has a
capacity of 19,000 cubic meters (5 million gallons).  A  small  basin of  7,600
cubic meters (2 million  gallons) capacity is situated adjacent to the surge
basins and has no surface aeration.   Its purpose is to catch  backwash from
the filters.  Flow from  any of the plant processes can be diverted to the
surge basins, but typically, primary clarifier effluent  is diverted to  these
basins in sufficient quantity to maintain a relatively constant flow through
the activated sludge process.  Three surface aerators in the  second largest
surge basin (No. 1 surge basin) prevent the primary treated wastewater  from
becoming anaerobic.  During periods  of low influent flow, wastewater from the
surge basin can be reintroduced into the secondary treatment  process to equal-
ize flow through the secondary and tertiary treatment sections of the plant.

Microbial Aerosol Sources During Sampling Periods--
     The production and  transport of microbial  aerosols  of pathogenic organ-
isms were the primary health concerns investigated in this study.   At the
time the original scope  of work was  proposed, it was determined that there
were three potential sources of aerosol formation within the  DAWTP:   the  aera-
tion basins, the surge basins, and the secondary recarbonation basin.

     However, during the two periods of sample collection (November 1977  and
March 1978) two major changes in the operation of the plant significantly
changed the production of aerosols.   No chemical treatment (including recar-
bonation) was performed  during either of the sample periods.   This eliminated
the secondary recarbonation basin as a source of aerosol.

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10

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     Also, through extensive experimentation with process parameters,  plant
personnel determined that use of a single aeration basin resulted in optimal
operation of the activated sludge process.   In this mode of operation,  all
wastewater is mixed with activated sludge in a 3,800 cubic meter (1 million
gallon) capacity aeration basin with a detention time of 1.5 to 2 hours.
Air at a pressure of 0.39 to 0.53 kg/cnr (5.5-7.5 psi) is introduced through
a 10-cm (four-inch) diameter nozzle located 1.5 m (5 feet) from the bottom  of
the basin.                                   .

     Each nozzle is oriented vertically upward underneath a variable speed
turbine aerator that agitates the aeration  basin liquor and disperses  the air
stream from the nozzle.  There are two nozzle mixer systems in each 21  x  30 x
6 m deep (69 x 100 x 20 feet) aeration basin.  Based on the surface area  of
the aeration basins, perhaps one fourth of  the potential aerosol  was being
generated, since only one of the four aeration basins was being utilized  for
secondary treatment during the monitoring period.

     The third source of aerosol generation, surface aerators on the No.  1
surge basin, was functional  during both sampling periods.  When the waste-
water characterization samples were collected in November 1977, the No. 1
surge basin was being used to return surge  to the aeration basin.  A total
of 12,200 cubic meters (3.22 million gallons) were returned to the aeration
basins during 19 hours of the 24-hour operating day commencing at midnight
November 9.  During the aerosol study in March 1978, the depth of the  only
aerated surge basin (No. 1)  remained constant at 4 m (13 feet) since no
wastewater was diverted to or removed from  it.

Plant Personnel--
     The following personnel of USA were involved in the management of  various
aspects of plant operations  at DAWTP and supervision of the District Labora-
tory at the time of the study:

     DAWTP

     Michael B. Mathews               Manager of Operations
     Don Dietz                        Operations Supervisor
     Donna Heppell                    Lab Supervisor

     USA

     Jim West                         Director of Water Quality Labs
     Jan Miller                       District Lab Supervisor

     The USA District Laboratory, located at the Durham plant, serves  the
water quality needs of the USA service area by monitoring plants  and
analyzing industrial discharges.

                                     11

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Plant Data During Monitoring Periods

     Daily data reported by the DAWTP  to characterize  its  operation  are  pre-
sented in Table 1 for both sampling periods.   While  the  DAWTP  characterizes
the primary influent and the plant effluent,  no measurements  are  made  on
the plant influent.   However, since the primary influent sampling point
is between the barminutors and the primary clarifiers  (see Figure 2),  the
primary influent is  practically the same as the plant  influent.

STUDY SCHOOLS

     A map showing the locations of the study school  (Durham  Elementary),  the
control schools, and the Durham Advanced Wastewater  Treatment Plant  (DAWTP)
is presented in Figure 3.  The locations and  areas recently served by  Durham
Elementary and the control schools in  the Tigard School  District  are provided
on the district boundary map in Figure 4.

Durham Elementary School

     The school attendance portion of  the study focuses  on Durham Elementary
School, which is located next to the Durham Advanced Wastewater Treatment
Plant (see Figure 5).  The school  building is about  400  meters northeast of
the plant's aeration basin and about 200 meters north  of the  plant's aerated
surge basins.  The school playground,  which is situated  between  the  surge
basins and the classrooms, extends to  within  10 meters of the plant  property
and to within 50 meters of the closest aerator in a  nearby surge  basin.

     Durham Elementary is a small  six  classroom school (one room  for each
grade level, one through six) belonging to the Tigard  School  District.   It is
located in a formerly rural area which is now in the surburban belt  around
Portland.  Durham Elementary was built in 1920 and had a wing of  classrooms
added around 1960.  Since the school has no air conditioning  or  forced air
system, the windows  are opened to provide ventilation  for cooling and air
circulation.  During the period studied (September 1969  through June 1978),
Durham Elementary has had very little  teacher turnover,  with  the  exception
of two principal changes in July 1974  and July 1976.  The end-of-year
enrollment in June 1978 was 123 students.  Generally,  about 60 percent of  the
enrolled students attend all six grades at Durham Elementary.   Nearly all  of
the students are white.  Forty to forty-five  percent of  them  live in apart-
ments.  The students' homes reflect a  standard of living in the middle to
upper-middle income bracket.

Control Elementary Schools

     In order to assess the potential  health hazard of the DAWTP  as  reflected
in school attendance at the nearby Durham Elementary School,  elementary
schools not located near the sewage treatment plant were sought for  use as

                                    12

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          TABLE 1.   DAWTP PLANT DATA DURING DAYS OF MONITORING3
Date
   Primary Influent"	

        Suspended
 BOD      Solids    pH
(mg/L)     (mg/L)    Ave.
                                                 Plant Effluent
                       Suspended
          Flow    BOD    Solids   pH
          (MGD)  (mg/L)  (mg/L)   Ave.
First Sampling Period
11-8-77
11-9-77
802
405
662
803
6.7
6.6
9.12
11.15
8.9
7.3
17.2
20.1
6.0
Nov. 77 Ave.   291
           602
6.5
13.33    7.6
24.3
6.1
Second Sampling Period
3-6-78
3-7-78
3-8-78
3-9-78
3-10-78
3-11-78
3-12-78
Mar. 78 Ave.
162
115
132
95
112
98
140
134
262
234
201
222
187
190
162
229
7.0
7.2
7.1
7.1
7.1
7.1
7.2
7.1
10.05
12.27
11.49
12.33
9.51
11.53
8.85
10.62
18.0
21.1
16.8
14.3
10.6
11.0
5.7
13.4
11.4
8.8
10.1
8.9
7.4
5.0
4.2
7.7
7.1
7.0
7.1
7.1
7.0
7.0
7.1
7.0
  Analyses of 24-hour time-composite samples.
  Since primary influent is sampled between the barminutors and the primary
  clarifiers, it is practically the same as the plant influent.
                                    13

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Legend
*  Durham Advanced Uastewater Treatment Plant

1  Durham Elem. School
2  Lewis Elem. School
3  Metzger Elem. School
4  Templeton  Elem. School
5  Tlgard Elem. School
6  Tualatin Elem. School
7  Byrant Elem. School
8  Lake Grove Elem.  School
9  River Grove Elem.  School
                                       Figure  3.    Map  of  Study  Area
                                                           14

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TIGARD  SCHOOL DISTRICT 23-J
    Fowler
   	Junior High Boundary
    Twality
            Elementary Boundaries
           District Boundary
 BOUNDARIES WILL NOT BE ESTABLISHED FOR
 KINDERGARTEN CENTERS UNTIL SHORTLY BEFORE
 SCHOOL BEGINS IN THE FALL  OTHER MINOR
 ELEMENTARY SCHOOL BOUNDARY CHANGES MAY
 BE MADE TO BALANCE ENROLLMENTS
  Figure  4.  Map of Tigard School District and District Boundaries
                                 15

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a
a
CD
                        czi
                   16

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controls for Durham Elementary.  The demographic characteristics (such as
age, sex, color, and ethnic group distributions), attendance records, socio-
economic status, and degree of urbanization of the control  schools should be
comparable to Durham Elementary.  Such controls should provide expected
absenteeism rates which take into consideration all relevant factors
except exposure to wastewater aerosols.  Since absenteeism and health
are influenced by the degree of urbanization, one should strive for the
same rural-suburban mix in the control schools as in the Durham Elementary
service area.  Absenteeism is also an attitudinal function; thus, the simi-
larity of attitudes taken by teachers, administrators and parents toward
attendance should also be taken into consideration in the selection of
control schools.

     Based on the above criteria, the remaining five elementary schools in
the Tigard School District and the three closest elementary schools in the
adjoining Lake Oswego School District were selected as controls for Durham
Elementary.

     Besides Durham Elementary, the following elementary schools comprise the
Tigard School District:  Phil  Lewis Elementary, Metzger Elementary, James
Templeton Elementary, Charles F. Tigard Elementary, and Tualatin Elementary.
The three elementary schools selected as controls from the Lake Oswego School
District were Bryant Elementary, Lake Grove Elementary and River Grove
Elementary.

General Characteristics of Schools

     The students attending all the schools are predominantly white, with
less than one percent black and Indian and approximately one percent oriental.
All are located in the southwest suburbs of Portland.  Since 1968, all
schools have had a very stable state-wide attendance reporting and monitoring
system.

     The Tigard School  District has had the same attendance administrator
since 1965.  Of the students in this district, 11 percent to 12 percent live
in apartments and 75 percent to 80 percent ride buses to school.  On the
average, new homes in the district were selling in the $55,000 to $70,000
range during the 1977-78 school year.

     Specific characteristics  of the schools included in the attendance
study are summarized in Table  2.  The table characterizes the elementary
schools (grades one through six) by school district;  by when kindergarten
was taught between 1969 and 1978;  by their respective distance and direction
from the Durham plant aeration basins; by their respective  end-of-year
enrollment in June 1978;  by type of ventilation system used at each
school; by the proportion of students living in apartments  at each elemen-
tary school;  and by socioeconomic status, using students'  homes to reflect

                                     17

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the standard of living.  For example, Phil Lewis Elementary School  is
located 3.1 kilometers north-northeast of the Durham plant aeration basins.
Since the school is not air conditioned, fans are used to force fresh air
into the ventilation system or the windows are opened to provide ventilation
for cooling and air circulation.  Since the fall of 1974, Lewis Elementary
has conducted kindergarten classes every year.  Enrollment in grades one
through six in June 1978 was 366 students.  Many of these students  live in
apartments.  The students' homes reflect a standard of living in the lower-
middle to middle income bracket.

     Tigard School District has offered kindergarten classes to all children
in the district since September 1974.  Since not all six elementary schools
have had adequate space, the main kindergarten classroom centers have been
at Phil Lewis, Metzger, and Tigard Elementary Schools.  Children were bussed
to the nearest kindergarten center with available space for their kindergar-
ten year, but for the following year, they returned to their area elementary
school for their first grade experience.

     While Durham Elementary appears to be similar to the control schools in
most aspects that are relevant to school attendance, there are some distinct
differences between Durham Elementary and the control schools.  Durham
Elementary students live in a more rural area than those from any control
school, except perhaps River Grove Elementary.  The number of students
attending Durham Elementary is considerably less than at any of the
control schools.  With the exceptions of Phil Lewis Elementary and
Tualatin Elementary, Durham Elementary has a higher proportion of its
students dwelling in apartments than any control school.  Lastly, Durham
Elementary has never had a kindergarten level classroom within its  school.
Many control schools, however, have either had or recently added or dis-
continued the kindergarten level.  Thus, kindergarten has not been  constant
from year to year or school to school.
                                     19

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                                   SECTION 5

                              METHODS AND MATERIALS

SAMPLE COLLECTION AND HANDLING METHODS

Meteorological Measurements and Instrumentation

     Simultaneous meteorological  measurements were made and recorded continu-
ously at two- and ten-meter heights in the vicinity of the aeration basin
during the aerosol sampling period.  Location of these towers is indicated
on the aerosol run reports (see Appendix F).  The following parameters  were
measured at the two-meter level:   wind run and direction,  temperature,  and
relative humidity.  The following parameters were measured at the ten-meter
level:  wind run and direction and temperature.  Atmospheric stability  can be
inferred from the variation in wind direction.  Wind velocities assist  in
determining the probable downwind and crosswind axes of the aerosol plume.

     Measurements were made and recorded on time-referenced strip charts by
mechanical weather stations manufactured by Meteorology Research, Inc.  (MRI).
A guyed crank-up tower held the ten-meter level station whereas the two-meter
station was located on a rigid tripod.  This arrangement permitted easy
access to the instrumentation for servicing and chart changing.

     Starting threshold for both the anemometer and wind vane is less than
three-fourths of a mile per hour.  Wind direction measurement accuracy  is  +1
percent of full scale while wind speed data are accurate to +2 percent.
Humidity measurements are accurate to +3 percent over the entire range  of
humidities from 0 to 100 percent.  Temperature measurements are accurate to
+3°F absolute.

     Wind direction was determined from the MRI strip charts on an average
basis for the two 15-minute periods comprising the aerosol run.  An average
wind speed for each aerosol run was derived from the recorded wind run  dur-
ing that period.

     Supplemental wind speed and direction measurements were obtained from
meteorological equipment at DAWTP.  The sensors for this information were
located 12 meters above ground level on top of the incineration building with
the approximate position located on the aerosol run reports (Appendix F).
These parameters were recorded on a 10-inch strip chart which provided  greater
resolution than the MRI instrumentation.  Data from both sets of instrumen-
tation are reported.
                                     20

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     Field measurements of solar radiation were recorded by a Bel fort
Pyrheliograph 5-3850 with a range of 0 to 3 gram-calories per square centi-
meter per minute.  This instrument was located in the vicinity of the 30-
meter downwind station during each aerosol run.  An average solar radiation
value was determined for each 30-minute aerosol sampling period and recorded.

     A Bendix Model 566-2 portable, electrically aspirated psychrometer was
used to observe wet and dry bulb temperatures downwind of the aeration
basin.  These readings were recorded after 15 minutes of aerosol  run time
in the vicinity of the 30-meter sampling station.  The reported measure-
ments were the dry bulb temperature and the percent relative humidity (as
determined by comparison of the wet and dry bulb temperatures).

     During each run visual observations were made of cloud cover, cloud
type, and minimum cloud height based on the cloud type.   Cloud cover was
recorded as the number of eighths of the whole sky covered by any type of
cloud formation.  Cloud types and cloud heights were determined by visual
observation and comparison with photographs found in the Manual  of Cloud
Forms and Codes for States of the Sky.

Wastewater Samples

Wastewater Characterization of Potential  Aerosol  Sources—
     To adequately design the aerosol  monitoring program, knowledge of the
wastewater levels of microbial pathogens and viruses was required at the
potential sources of aerosol  formation:  the aeration basins, the surge
basins, and the secondary recarbonation basin.

     To accomplish this task, sample collection for large-volume  24-hour
composites commenced at 0700  on November 8, 1977 at three in-plant loca-
tions:  the middle of aeration basin A (plant side 2), the middle of the
secondary recarbonation basin (plant side 2), and the No. 1 surge  basin.
The composite samples were collected on a time-weighted  basis at  each sample
location since flow through each of the areas remained relatively  constant
during the 24-hour period. Automatic  ISCO samplers were used for sample
collection at the aeration basin and the secondary recarbonation  basin.   At
these sampling points,  an 800 ml sample was collected automatically every
hour over a 24-hour period.  Sample containers were stored in an  ice bath
resulting in rapid cooling of the wastewater sample to 4°C.  At the surge
basin, one-liter grab samples were collected manually at bihourly  inter-
vals and immediately placed on ice.

     At the end of the 24-hour period, the grab (individual)  samples for each
site were pooled and mixed thoroughly.  Each composite sample was  divided
into 12 labeled one-liter sterile bottles for packing into insulated mailers
with wet ice and frozen Kool  Pacs.®  Shipment to the CART laboratories in San

                                     21

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Antonio was made via counter-to-counter airline parcel  service with  samples
arriving in San Antonio nine hours after preparation of the composite.

Wastewater Samples During Aerosol  Monitoring—
     During the aerosol monitoring effort,  wastewater samples  were collected
from the two aerosol sources (the single aeration basin in use and the  No. 1
surge basin) during the 30-minute aerosol  sampling period.  This  was neces-
sary to determine the source strength concentrations of those  microorganisms
being assayed in the aerosol samples.

     Since the microorganism characteristics of the wastewater in the aera-
tion basin might change quickly due to the short detention time,  a time-
weighted composite sample was collected.  At 5, 15, and 25 minutes into an
aerosol run, a two-liter sample was collected from the  center  of  the aera-
tion basin and placed on ice.

     Likewise, a grab sample was collected at the No. 1 surge  basin. However,
since there was no flow into or out of the surge basin  during  any of the
aerosol runs, a six-liter grab was taken at one convenient time within  the
30-minute sampling period.

     If the criteria for a successful run  were all met, the time-weighted
composite samples from the aeration basin  were composited and  transferred
to 3 one-liter sterile labeled polypropylene bottles.  A small aliquot  was
transferred to a small glass vial  and acidified to pH <2 with  concentrated
^SO^ for TOC determination.  The surge basin grab was  placed  in  5 one-liter
sterile labeled polypropylene bottles.  A  sample aliquot of the surge basin
grab was also preserved for TOC analysis.   These samples were  stored in an
ice bath at 4°C until subsequent shipment  on the following day.

High-Volume Aerosol Samplers

     One type of high-volume air sampler,  the Litton Model M large-volume air
sampler, was used for collecting biological  aerosols in this monitoring pro-
gram.  These were manufactured by Applied  Science Division, Litton Systems,
Inc., Minneapolis, Minnesota.  For purposes of this study, 12  Model  M samplers
were loaned to SwRI by the Naval Biosciences Laboratory, Oakland, California.

     The sampler is designed to collect airborne particles and concentrate
them into a thin, moving film of liquid media.  The collection and transfer
media selected was brain-heart infusion (BHI) broth with 0.1 percent Tween
80®, which was shown to be adequate for sample concentration and  for preserva-
tion and assay of the microorganisms.   The nominal air flow rate for the
samplers is 1,000 liters per minute (1pm)  (=1.0 cubic meters per  minute),
and during the typical aerosol run of 30 minutes, a total air  volume of 30,000
liters (=30 m ) is sampled.  A complete description of  the sampler is provided
in Appendix C.

                                      22

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     Field operation of the samplers first required that an effective
decontamination be performed followed by suitable storage in this sterile
state.  This was accomplished by a cleanup procedure using both absolute
ethanol and a buffered Clorox® solution, followed by sealing all sampler
openings.  Samplers were normally decontaminated in the laboratory at the
conclusion of an aerosol run.  The USA District Laboratory provided a lab
area suitable for th,is purpose.  When more than one run was conducted on
the same day, decontamination was performed in the field between runs.  A
copy of the step-by-step cleanup procedure can be found in Appendix B.

     The first step in using the Model M for aerosol collection was to
level a portable field table with adjustable legs at the desired sampling
point.  The Model M sampler was then  placed in the center of the level table
and a portable, gasoline powered alternator was located approximately 10
meters downwind of the sampling site.  With this arrangement the air inlet
was 1.5 meters (5 feet) above ground level.

     The Model M samplers were deployed in the sampling array and operated
simultaneously for 30 minutes to constitute an aerosol  run.  Sampling was
always conducted at an air flow rate of 1.0 nr/min and an electrostatic
potential of 14 kilovolts.  A more detailed description of the procedures for
sampler setup and operation can be found in Appendix A.

ANALYTICAL METHODS

Microbial Wastewater Screen

     The large volume microbial screen of the wastewater included analysis
for the same indicator organisms as the routine samples.  Procedures for
these organisms were those described below.  In addition, other organisms
were sought.  The specific methods for these organisms follow:

Salmonellae—
     Enrichment for Salmonellae (including Arizona)  was carried out follow-
ing concentration of samples by filtration of measured volumes of the sample
(the volume filtrable depending on the level  of organic and particulate
matter) on diatomaceous earth as described in Standard Methods.    Portions
of the diatomaceous earth plug and an unconcentrated 10-mL sample were
enriched in separate bottles of selenite and tetrathionate broths.   After
enrichment, aliquots were streaked for isolated colonies onto a moderately
selective medium (XLD or Hektoen enteric agar) and highly selective medium
(SS).  fdentificataion of suspect colonies were accomplished  by a biochemi-
cal screen (oxidase, triple sugar iron, motility-indole-ornithine,  lysine,
urea).  Additional  biochemical  tests were performed  on  all  colonies with a
tentative identification of Salmonella.
                                     23

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Shigellae--
     A qualitative procedure for the concentration and isolation of
Shigella was carried out as described in Standard Methods.    Filtration
through diatomaceous earth was used to concentrate a large  proportion of all
microorganisms present in a one- to two-liter sample.  The  resulting plug
of diatomaceous earth was divided into equal  portions for addition to
bottles of GN broth (BBL).  One-half of the same plug was used for enrich-
ment of Salmonella as described above.  A 10-mL portion of  the unconcen-
trated sample was added to a separate bottle  of enrichment  medium.  After
24 hours enrichment at 37°C, aliquots from the bottles were plated for
isolated colonies onto xylose lysine desoxycholate (XLD)  agar.  Although
several enrichment-plating media combinations are available for isolation
of Shigella, the GN-XLD combination repeatedly has been observed to be
superior for recovery of the organism.

Proteus--
     Proteus was determined by directly plating serial dilutions of the sample
onto moderately selective and highly selective enteric media.   All colonies
were oxidase tested; on those which were negative, a preliminary biochemical
screen was performed.  All colonies tentatively identified  as Proteus were
subjected to further biochemical tests for confirmed identification.

Staphylococcus aureus—
     During a previous study,  a quantitative membrane filter (MF) proce-
dure described in Standard Methods  was employed.  The sample size was
varied in order to yield MF counts within a desired 40-100  colony range
on M-Staphylococcus broth-soaked absorbent pads.  However,  enumeration of
yellow pigmented colonies and their subsequent confirmation as S. aureus
was complicated by the heavy mixed growth on  the filters.  This procedure
was abandoned and samples (0.1 mL) were spread plated in triplicate
directly to previously solidified plates of mannitol salt agar.  This
change resulted in a marked reduction of "background" growth and was used
in this study despite the fact that there was a reduction in the volume
of sample that could be analyzed.  Typical colonies showing a yellow
zone of mannitol fermentation were fished for confirmation  of identity
by staining techniques and coagulase production.

Mycobacteria--
     Mycobacteria were assayed quantitatively by a procedure which almost
totally supresses sewage saprophytes while permitting recovery of most
mycobacteria.  The sample was treated for 20  minutes with 500 ppm of
benzalkonium chloride (Zephiran®), diluted and plated to the surface of
previously prepared plates of Middlebrook 7H10 agar.  Plates were incubated
in a 5-percent C0£ atmosphere and examined over a period of one month for
the appearance of typical colonies of mycobacteria.  Colonies that appeared
were identified by examination of stained (Ziehl-Neelsen) smears for
acid-fast bacilli and by other procedures as  outlined in Figure 6.

                                      24

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1.  Sample Processing
         Treatment with 500 ppm Benzalkonium chloride
            (Zephiran) for 20 minutes
                       solution plating
             Middle brook 7H10 Agar Plates
                       CO^;  Weekly observation - four weeks
2.  Selection of Colonies
                       Henry Oblique Transmitted Light,
                       Law Power Stereomicroscopy
         Colony Characteristics (Amount and kinds of roughness,
         shape, pigmentation, etc.)
3.  Preliminary Screen
                       Ziehl-Neelsen Stain
         Acid-fastness, cellular characteristics
                       Acid-fast Bacilli
4.  Subculture
                       Tubes of Lowenstein Media; '<•?„
5.   Further Tests for Identification
  Figure 6.   Schematic Diagram of Mycobacteria Isolation
                              25

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Klebsiella--
     Quantitation of Klebsiella in the highly mixed samples  is  complicated
by the lack of an isolation procedure that is highly differential  or  selec-
tive for these organisms.   The capacity of Klebsiella and Enterobacter  to fix
nitrogen and thus to form  large colonies on a nitrogen-deficient medium has
been employed for the differential isolation of these organisms from  feces.
However, the more commonly employed ability of Klebsiella to produce large
mucoid colonies of differential enteric media containing  a high concentra-
tion of carbohydrate (e.g., EMB agar) was utilized in this study.

     The isolation and identification scheme employed for Klebsiella  is
covered in Figure 7.  Klebsiella ozaenae  and  the rare K.  rhinoschleromatis
were screened for in addition to the more common K. pneumoniae.

     Most Klebsiella in nature are encapsulated and give  rise  to mucoid colo-
nies, but rough forms also occur.   Finally, the closely related genera
Enterobacter and Serratia, that "classically" produce less mucoid  colonies
than Klebsiella, cannot be differentiated from the latter on the basis  of
colonial morphology alone.

     The above considerations and the large number of mucoid colonies pre-
viously observed following plating of similar samples to  the nonselective
enteric media, made it apparent that quantisation  of Klebsiella had to  be
carried out in an indirect manner.  Individual mucoid colonies, randomly
picked from wastewater samples were plated to EMB  and tested for identifi-
cation as Klebsiella.

Other Enterobacteriaceae--
     Members of the other genera of Enterobacteriaceae (i.e.,  Enterobacter,
Serratia, Edwardsiella, Escherichia, Citrobacter,  Providencia  and  Yersim'a)
were determined by picking colonies from samples dilution plated to moder-
ately selective (XLD and Hektoen)  and highly selective (bismuth sulfite and
SS) enteric plating media.  Since the coliforms (particularly  E. coli)  con-
stitute the major portion of Enterobacteriaceae on the nonselective media,
their light-to-heavy suppression on the selective  media was desirable to
increase the chance of picking other types.

     Two to three representatives of every colony  type observed under low
power microscopy with oblique transmitted lighting were subcultured for
identification as illustrated in Figure 7.  All colony types picked for
identification following enrichment for Salmonella and Shigella as des-
cribed above were characterized to the species level for inclusion in this
aspect of the study also.  Colonies from the nonselective enteric  plating
media (EMB) were not selected for this aspect of the study.
                                     26

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     Yersim'a enterocolitica was determined by  selective  enrichment  of
membrane filter-concentrated samples or diluted samples refrigerated in
isotonic saline with 25 yg/mL of potassium tellurite and  plated  to SS agar.
After incubation for two days at 25°C,  colonies were identified  as described
previously.

Microbiological Assay

Wastewater—
     Total Coliform—Appropriate volumes of sample were filtered through
sterile membrane filters and placed on  m-Endo LES agar to attain colony
counts of 20-80 colony-forming units (cfu) per  plate.  Incubation was at  35°C
+_ 0.5°C for 24 hours.  Results were reported as total  coliform per 100 mL.
This procedure was in accordance with the 14th  Edition, Standard Methods.

     Fecal Coliform--Appropriate volumes of sample were filtered through
sterile membrane filters and placed on  m-FC agar to attain 20-80 colonies
per plate.  Incubation was at 44.5°C +_ 0.5°C for 24 hours.   Results  were
reported as cfu/100 ml.  This procedure was in  accordance with the 14th
Edition, Standard Methods.6

     Fecal Streptococci--Appropriate volumes of sample were filtered through
sterile membrane filters to observe a direct count of fecal  streptococci.
M-Enterococcus agar (Difco) was used as the plating media of choice. Incuba-
tion was at 35°C +_ 0.5°C for 48 hours.   Results were reported as cfu/100  ml.

     Total Plate Count—Serial dilutions of the sample (10"1 to  10"^) were
prepared and spread plated in triplicate.  Ten  plates of  0.1 mL  of sample
were plated directly to obtain a total  volume of 1.0 mL of sample.

     Incubation was at a temperature of 35°C +_  0.5°C for  24 hours +_  2 hours.
If bacteria did not develop sufficiently to be  detected in 24 hours, incuba-
tion was continued through 48 hours.

     Only plates showing 30-300 colonies were considered  in determining  the
total plate count.  The result reported was the average of all plates fal-
ling within these limits.

     If colonies per plate in the highest dilution exceeded 300, the result
was recorded as greater than 300 times  the appropriate dilution  factor.
Likewise, if no chosen dilution had colonies, the result  was recorded as  less
than one colony per lowest dilution (
-------
probable number analysis for their enumeration,  since fluorescent pseudo-
monads are generally present in large numbers in the large-volume composite
samples.  Samples were diluted and plated in triplicate onto previously
solidified plates of King's medium B, commercially available as Pseudomonas
Agar F (Difco), and onto plates of Centrimide Agar (Difco).   The former
medium is optimal for production of fluorescent  pigments (fluorescein) by
pseudomonads and the latter is a selective medium for Pseudomonas.   Following
incubation at 37°C for 48 hours, the number of fluorescent pseudomonads  were
determined by noting the number of green fluorescing colonies observed with
long-wave ultraviolet light in the dark.  When the Pseudomonas Agar F were
excessively crowded with other types of organisms, all  colonies from appro-
priate dilutions were picked from the selective  pseudomonad  medium
(Centrimide Agar) to sectors of Pseudomonas Agar F plates.   Following incuba-
tion, the number of fluorescent colonies were determined as  described above.
In either case, positive colonies were confirmed by demonstrating that they
were oxidase positive.

     Because of variations in the distribution of other microorganisms in
the wastewater, the correspondence of Pseudomonas concentrations obtained
on Pseudomonas Agar F and on Centrimide Agar varied from roughly one-to-one
in some samples to roughly a twenty-fold reduction on Centrimide Agar in
other samples, in no predictable pattern.  Thus, the results from both
plating methods were reported.

     Viruses—Mixed liquor samples from the aeration basin were separated
so the solid and liquid fractions could be assayed independently for both
coliphage and enteroviruses.  The samples were separated by  low-speed cen-
trifugation (5,000xg) for five minutes.  The liquid fraction was decanted
and concentrated (see below) or used for direct  plating.  The pellet was
resuspended in tryptose phosphate broth and homogenized in a tissue grinder
prior to further centrifugation and assay.
          Concentration

          To two liters of sample, 200 mg of expanded bentonite clay and 20
ml of l.OM CaCl2 was added.  The pH was adjusted to 6.0 and  the sample mixed
magnetically for 30 minutes.  The suspended solids were collected by light
centrifugation.  The supernatant was discarded,  the pelleted solids resus-
pended in tryptose phosphate broth, eluted for five minutes  and recentri-
fuged.  The supernatant (approximately 20 ml) was collected  for assay.   The
following test volumes were concentrated routinely:  aeration basin, two
liters; surge basin, four liters; and recarbonation basin,  four liters.

          As a control, a known titer of Poliovirus Type I  (Chat) was
added to 0.5 liter of the liquid fraction of each sample and concentrated.
This procedure served to determine the concentration efficiency for each
sample as well as a relative cell line plating sensitivity.
                                     29

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          Viral Assay

          Indigenous viruses were enumerated on either HeLa  or HeLa  and
Buffalo Green Monkey (BGM) rnonolayers.   Values were  reported as plaque-
forming units (pfu) per liter of original  sample (solid or liquid  fraction
as appropriate).  Seeded poliovirus I  (Chat) used in concentration controls
were assayed on HeLa cell monolayers.

          During the November 1977 sampling only HeLa cells  were used.   In
an effort to increase the range of potential viral  isolates,  BGM cells were
added as a second plaque assay system  during the aerosol  sampling  period
of March 1978.  An apparent advantage  of the BGM line was that the cells
could be held as viable monolayers for seven days, whereas HeLa monolayers
sometimes began deteriorating when incubated as long as seven days.   Addi-
tionally, the BGM cell  line had been reported to be  more sensitive than
rhesus kidney cells for the isolation  of viruses from sewage as evidenced
by plaque formation.

          The generalized procedure for plaque assay consisted of  inoculat-
ing confluent cell monolayers grown in 100 mm plates with 1.0 mL of  sample.
After a 60-minute infection period, monolayers were  overlaid with  an agar-
based Eagle's minimal essential media  containing 8  percent calf serum,
200 units of penicillin G per mL, 16.6 units of streptomycin per mL, 25  yg
of Gentamicin® per mL,  and 0.5 yg of Fungizone® per  mL.  Infected  plates
were held at 37°C in a five percent C02  humidified  incubator.   Two
days post-infection, a second overlay  containing 30  yg per mL of neutral
red was placed on each  plate.

          Plaques were scored at appropriate times.   HeLa cell  monolayers
were observed at three days and five days post-infection. BGM cell  mono-
layers were scored for plaques seven days after infection.

     Coliphage—Coliphage samples were assayed using Escherichia coli K-13
as the host organism.  Samples were prepared as described above.  Results
were reported as pfu/liter original sample (solid or liquid  fraction).

     Appropriate volumes (0.1, 0.5, or 1.0 mL) of the wastewater and 0.5 mL
of host cells were added to 3.5 mL of  liquefied tryptose phosphate semi-
solid agar (1.0 percent) and poured while warm (43°C) on 100 mm plastic
petri dishes prepared with 15 mL of solidified tryptose phosphate  agar  (1.5
percent) base layer.  When firm, the plates were inverted and incubated
at 37°C for approximately eight to twelve hours prior to counting.   For
each sample fraction, a minimum of five plates were  used.
                                     30

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Aerosol Samples—

     Bacteria—The methods employed in the bacterial  analysis of aerosol  sam-
ples were identical to those employed in the analysis of the wastewater
samples.

     Coliphage—The total available volume of BHI + 0.1 percent Tween 80® (25
ml) was plated in a manner similar to that described above.   The only proce-
dural change was that the 25-mL sample was distributed over twenty to twenty-
five 100 mm plates.

Enterovirus Aerosol Study

     The enterovirus aerosol study employed procedures developed in conjunc-
tion with the Pleasanton research.   These methods involve two stages, field
concentration and assay, each of which is described below.

Field Concentration--
     The classical  two-phase polymer separation concentration procedure was
used.  Appropriate volumes of BHI with 0.1 percent Tween 80® were mixed with
sodium dextran sulfate, polyethylene glycol (PEG 6000) and sodium chloride
to final concentrations of 0.2 percent, 6.45 percent, and 0.5M, respectively.

     The total volume was shaken vigorously in a separatory  funnel and
held at 4°C for 18 hours to permit adequate phase separation.  The lower
phase and interphase volumes were collected and diluted (1:3) with Hank's
balanced salt solution (HBSS) with appropriate antibiotics.   The samples
were shipped at 4°C for assay.

Final Assay--
     The total volumes of the lower phase and interphase were assayed on
HeLa and BGM monolayers as described above.  After a  60-minute attachment
period, the inoculum was removed by aspiration and the infected monolayers
rinsed twice with HBSS with 2X antibiotics prior to overlaying with agar.
A second overlay was placed on the plates two days post-infection.

     Any areas of cytopathic effect (CPE) having characteristics of viral
infection at three days, five days, and seven days post-infection and not
directly attributable to microbial contamination were isolated into sterile
culture tubes using capillary pipettes.  Media 199 containing antibiotics
(penicillin, streptomycin, Gentamicin,® and Fungizone®) was  added to each
tube at 0.5 mL tube.  These isolates were held at 4°C for at least 24 hours
before infection of tube cultures.

     Confluent monolayers of homologous cells grown in stationary tube cul-
tures were infected with 0.2 mL of potential  viral isolates.   Subsequently,
infected cultures were incubated at 37°C in a five percent C02-in-air
atmosphere.

                                     31

-------
     Tubes were observed for CPE  under 40X magnification  on  a  daily  basis
over a period of five-seven days.   Any tubes showing  viral-type  cytopathology
were harvested by freezing-thawing.   This procedure constituted  first  passage
of isolates.  Tubes which showed  no CPE were harvested as described  and
passaged as "blind" isolates.   Uninfected controls  were harvested  and  served
as second passage controls also.

     Potential viral isolates were subjected to a second  passage by  inoculat-
ing confluent monolayers of appropriate cells with  first  passage supernatants
(0.2 ml/tube).  Infected cultures  were returned to  a  37°C CC^  incubator.
Cultures were observed on a daily  basis for CPE.  Only those isolates  show-
ing viral CPE in first and or second passage were reported as  viruses.

Chemical and Physical  Analyses of  Wastewater

Total  Organic Carbon--
     Total organic carbon (TOO analyses were conducted according  to Part
505, Organic Carbon (Total), Combustion-Infrared Method found  in the 14th
Edition, Standard Methods for the  Examination of Water and Wastewater.
Samples were collected in a glass  vial and acidified  to pH <2  with concen-
trated sulfuric acid prior to shipment from the study site.  In  the  labora-
tory,  the samples were homogenized in a tissue grinder, purged with  nitrogen
for two minutes, and injected twice on a Beckman TOC  Analyzer.  Since  the
samples of interest were aerated  wastewater, the loss of  any volatile
organics should be minimal during  nitrogen purge.

Total  Suspended and Total Volatile Suspended Solids--
     Total suspended solids and total volatile suspended  solids  were deter-
mined on a 2- to 25-mL sample aliquot by methods found respectively  in
Part 208D, Total Nonfiltrable Residue Dried at 103°-105°C (Total Suspended
Matter) and 208E, Total Volatile  and Fixed Residue  at 550°C  from the 14th
Edition, Standard Methods for the  Examination of Water and Wastewater.

Measurements at DAWTP--
     Wastewater flow,  air flow and dissolved oxygen (DO)  were  measured
continuously by plant instrumentation.  Aeration basin wastewater  flow was
not measured directly but was determined from the secondary  clarifier  flow
measurement since no flow changes  occur between these two processes.  Secon-
dary clarifier flow was measured  by a Rockwell propeller-type  flow meter,
recorded on a strip chart recorder and integrated for 24-hour  wastewater
flow.   Air flow was not measured  in a standardized  air volume  unit,  but
the values indicate relative amounts of air used over a 24-hour  operating
day.  A Robertshaw floating DO probe was used to measure  dissolved oxygen
in the aeration basin, and an occupational check was  performed with  a  labora-
tory model Yellow Springs DO Meter.
                                     32

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AEROSOL SAMPLING PROTOCOLS

Microbiological Aerosol Runs

     The objective on the microbiological  aerosol  runs was to simultaneously
measure the microorganism levels and their decay from the two sources of
aerosol:  the aeration basin and the No.  1 surge basin.  This was achieved
using a sampler array of eight high-volume air samplers (Litton Model M).
As indicated in Table 3, two samplers were paired  upwind, while the six down-
wind samplers were deployed as three pairs, at planned distances of 30 m
and 100 m downwind of the aeration basin  and 50 m  downwind of the surge
basin.  On most runs the actual  distances  that the samplers were positioned
downwind from the aerosol sources differed from the planned distances,
since terrain limitations and the presence of plant structures precluded
sampling at the exact planned sampler distances.  After each run, the pairs
of samples collected at the UPWIND, AB100  and SB50 stations were pooled
to enhance sensitivity.  The two samples  from the  AB30 station were proces-
sed separately, with the designation AB30L (left sampler) and AB30R (right
sampler).  The actual deployment of samplers and meteorological towers for
Run 1 is depicted in Figure 8.
          TABLE 3.  SAMPLER ARRAY FOR MICROBIOLOGICAL AEROSOL RUNS
  Station     Aerosol  Source
Designation      Sampled
Planned Location
 No. of    Sample
Samplers Processing
Upwi nd
AB30
AB100

SB50
Background
Aeration Basin
(AB)
Aeration Basin
(AB)
No. 1 Surge Basin
Upwind of DAWTP
Sources
=30 m downwind of
A3
-100 m downwind of
AB
= 50 m downwi nd of
2
2
2

2
Pooled
Separate
(AB30L, AB30R)
Pooled

Pooled
              (SB)                 S3
                                     33

-------
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                                                                                                                                           o
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-------
     Initially, the spacing of the pair of samplers at each sampling site
was 1 m apart.  However, after the third aerosol  run,  the sampler separation
at each downwind sampling site was increased in an attempt to maintain either
one or both of the samplers in the aerosol cloud  when  shifts in wind direc-
tion occurred.  Thereafter, the A330 samplers were spaced 2 m apart, and the
A3100 and SB50 samplers were spaced 8 to 10 m apart.   The upwind sampler
spacing remained 1 m.

     An aerosol run was attempted only when proper meteorological  conditions
prevailed.

     General weather conditions were determined by contacting the National
Weather Service at Portland International  Airport each day and by monitoring
weather forecasts broadcast on the local news media.   During periods of
attempted aerosol sampling, micrometeorological conditions in the vicinity
of the plant were monitored by continuously observing  wind speed and wind
direction at both the SwRI meteorological  station and  the DAWTP instrumenta-
tion.

     When wind speed and wind direction remained  relatively constant for a
minimum of 15 minutes and the terrain in the downwind  direction permitted
sampling, locations for the sampling stations were selected and they were set
up as described in Section 5, under "High-Volume  Aerosol  Samplers".   The
downwind stations were located so that they were  in the center of the plume
emanating from the aerosol source.  Forecasts of  rain  were closely monitored.
No aerosol runs were attempted during periods of  rainfall because Model M
samplers cannot be operated during periods of precipitation and high humid-
ity due to high voltage arcing problems.

     After samplers were in position and all  accessory equipment in  place,
wind speed and wind direction were evaluated prior to  commencing a run.  If
the wind was still suitable for sampling the aerosol  plume from the  selected
sampler positions, the run was initiated.   The procedure  for actual  collec-
tion of the samples during the 30-minute run is given  briefly in Section
5, under "High-Volume Aerosol Samplers" and in detail  in  Appendix A.

     At the end of the run, wind direction data from  the  2 m and 10  m heights
at the SwRI meteorological station and from the DAWTP  station were evaluated.
To evaluate the data,  the following criteria were established as guidelines
for a good aerosol run:

     (1)  Average wind direction for the two 15-minute segments of the run
          was no more than 30° from the wind direction used for sampler setup.

     (2)  The extremes of wind direction (excluding outlier spikes)  was no
          more than 70° from the wind direction average.


                                     35

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     (3)  Six of the eight aerosol  samplers successfully  completed the run.

     (4)  No precipitation occurred during the run.

If these criteria were satisfied,  samples were pooled where required,  labeled
and stored at 4°C until  shipment on the next day.   On the following day,  sam-
ples were packed in an insulated mailer with a frozen Kool  Pac® and shipped
via the counter-to-counter parcel  service of a scheduled  commercial  airline.
With this arrangement, the maximum time between sample collection  and  arrival
in the CART laboratory was 28 hours,  although typically less than  24 hours
elapsed.

Enterovirus Aerosol Run

     The objective of the virus study was to determine the enterovirus aero-
sol concentration just downwind of the DAWTP aeration basin using  specialized
sampling methodologies and concentration methods.   First  it was necessary to
determine if measurement of enteric virus in aerosols downwind of  aeration
basins in an activated sludge wastewater treatment plant  was practical  with
state-of-the-art sampling procedures  and equipment.   Due  to relatively low
concentrations of viruses in wastewaters, it is difficult to detect aerosol-
ized viruses even with the level of sensitivity available with the high-
volume samplers.  From the results obtained for spray aerosols in  a previous
study, it appeared that at least 1500 m  of air must be sampled to warrant
conducting an enterovirus aerosol  run.

     To meet this requirement, the eight high-volume samplers were operated
simultaneously for nine consecutive 30-minute sampling periods in  close prox-
imity to each other (~2 m apart) at 30 m downwind  of the  aeration  basin.
After each 30-minute sampling period, the sample containers with 100 mL of
BHI media were capped and cooled to 4°C, and a new sampling period initi-
ated for an additional 30 minutes.   At the end of  the virus run, all BHI
collected was transported to the USA District Laboratory  for concentration.
The procedure used for field concentration of BHI  is given in Appendix D.

     During the virus run, a one-liter aeration basin grab sample  was  col-
lected every 15 minutes concurrently with areosol  sampling and cooled  to
4°C immediately after collection.   The grab samples were  composited in the
laboratory and transferred to 3 one-liter containers for  shipment  to the CART
laboratories.

     Some variation in wind direction could be tolerated  during a  30-minute
run period since the samplers were only 30 m from  the broad aerosol source
provided by the aeration basin.  Some shifting in  wind direction over  the
duration of the enterovirus aerosol run was also tolerable, since  samplers
could be moved between the 30-minute run periods.

                                     36

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SCHOOL ATTENDANCE ACCOUNTING SYSTEM

     Attendance is the daily count of the number of pupils present at a par-
ticular school for any given segment of the day when school is in session.
Pupil attendance is measured as total days present, total days absent, and
total days membership.  The sum of total days present and total days absent
is equal to total days membership.  The accounting of pupil attendance is
generally very accurate, because attendance data is the basis for the appor-
tionment of state funds for school operation.

     For the schools in the Tigard School District and Lake Oswego School
District, attendance is recorded daily by the teachers on preprinted docu-
ments called "Attendance Data Collection and Recording Form" (see Appendix E
for sample copy).  It should be noted that absences are carried on a half-
day and full-day basis.  The criteria for determining a half-day's or full-
day's absence is based on the number of class hours missed.  If a pupil
misses two class hours, the pupil is marked absent for half a day.  If the
pupil misses more than four and one-half class hours, the pupil is marked
absent for a full day.

     Teachers record the names of absent students each day.  At the end of
the week, all attendance data collection and recording forms are forwarded to
the school secretary who enters the information into an automated data system.
From the attendance data base, the "Pupil Personnel Attendance Accounting"
(PPAA) quarterly report is prepared.

     The PPAA is a computer-generated summary of a particular school's enroll-
ment that is prepared for each quarter year and the entire school year to ful-
fill Oregon's state-wide attendance reporting requirements (see Appendix E
for the PPAA form and explanation of attendance codes).  Cumulative enrollment
statistics are provided for three distinct grade group distributions (kinder-
garten, grades one through eight, and grades nine through twelve) at each
school.  For each of the three groups, attendance is reported in terms of
total days present, total  days absent, and total days membership for the
reporting period.  Thus, the pertinent attendance data that can readily be
obtained for each school being studied are total days of presence, absence,
and membership of all students ir         •-.? through six for each quarter
year.

     Neither the state nor the respective school district administrative
offices maintain attendance records on a grade-by-grade basis for a given
school.  It is necessary to go to the records kept at the school to obtain
total days present, total  days absent, and total days membership for
each grade level.  Thus, attendance data by grade at a given school is
generally more difficult to obtain.  This data was obtained only for Durham
Elementary and two control  schools to conduct a confirmatory cohort analysis.

                                     37

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DATA FLOW, PROCESSING, AND  ANALYSIS METHODS

Wastewater Aerosol Monitoring Data

     An integrated data system involving a unique sample code,  computer-
generated sample labels, and field data reporting forms  was  used for this
study.  The sample code identified the relevant aspects  of a sample portion:
its run number, sample location,  medium (wastewater or aerosol), sample
analysis, sample volume, and the  project number.   This identity was trans-
mitted with the analytical values from sample collection through process-
ing, shipping, preparation, analysis,  reporting,  and statistical analysis.

     Computer-generated sample labels  were used to affix the sample code to
every bottle containing the sample or a portion of the sample.   Typical
sample labels are given in Figure 9.  For example, the label  in the lower
left-hand corner of Figure 9 with sample code 5-SURGE-TOC-5082  would be
placed on the bottle containing the portion of wastewater from  the surge
basin on Run 5 of this study (5082).  It is to be analyzed for  total
organic carbon.

     An efficient data reporting  system was also  developed.   Data forms  for
reporting field and laboratory results were coded in a suitable data entry
format.  Coded examples of the following environmental monitoring data forms
are presented in Appendix E.

          - Aerosol Run Report on Meteorology
          - UTSA-CART Wastewater  Analysis Report
          - UTSA-CART Aerosol Run Analysis Report

As these coded examples illustrate, each laboratory result was  identified by
including the relevant parts of the sample code on the laboratory data form.
Upon completion of a sampling period,  an entire set of data  forms were for-
warded by the laboratory or field supervisor for data processing and analysis.

School Attendance Data

     School attendance data for each of the nine study schools  were obtained
by grade (one through six), school, year, and quarter year from 1969-70
through 1977-78.  For the schools in the Lake Oswego School  District, only
annual totals were available for  1969-70 through 1974-75.

     Additional attendance data were collected for Durham and two control
schools in the Tigard School District (Tualatin and Templeton Elementary
Schools) by school, individual grade levels, year, and quarter  year from
1971-72 through 1977-78.
                                     38

-------
RUN NO. 5            WASTF.KATER
                     AERATION BASIN
5-AER.B-l L-50S2     1  LITER
                               RUN NO. 5

                               5-A30L-100-5082
                     AF.ROSOL
                     30M-LF.FT
                     100ML
RUN NO. 5

S-AER.B-1 L-5'082
WASTEWATER
AERATION BASIN
1 LITER
RUN NO. 5

S-A30R-100-5032
AEROSOL
30M-RIGHT
100ML
RUN NO. 5

5-AER.B-l L-5082
WASTEWATER
AERATION BASIN
1 LITER
RUN NO. 5

S-A100-100-5082
AEROSOL
100M
100ML
RUN NO. 5

5-AER.B-TOC-5082
WASTEWATER
AERATION BASIN
TOC
RUN NO. 5

5-A100-200-5032
AEROSOL
100M
200ML
RUN NO. 5

5-SURGE-l L-5082
WASTEWATER
SURGE BASIN
1 LITER
RUN NO. 5

5-S50-100-5082
AEROSOL
SURGE-50M
100ML
RUN NO. S

5-SURGE-l L-S082
WASTEWATER
SURGE BASIN
1 LITER
RUN NO. 5            AEROSOL
                     SURGE-50M
5-S50-200-50S2       200ML
RUN NO. 5

5-SURGE-l L-5082
WASTEWATER
SURGE BASIN
1 LITER
RUN NO.  5            AEROSOL
                     UPWIND
S-UPWIND-100-S082    100ML
RUN NO.  5

5-SURGE-l L-5082
WASTEWATER
SURGE BASIN
1 LITER
RUN NO.  5            AEROSOL
                     UPWIND
5-UPWIND-200-5082    200ML
RUN NO. 5

5 SURGE-1 L-5082
WASTEWATER
siikcr n^'1;
1 LITEI'
RUN NO. 5

5-SURGE-TOC-5082
WASTEWATF.R
SURGE BASIN
TOC
            Figure 9.    Typical  Sample Labels
                                        39

-------
     Examples of the following school  attendance monitoring and reporting
forms are presented in Appendix E.

     - Attendance Data Collection and Recording Form
     - Pupil Personnel Attendance Accounting Form 81-581-3200
     - Attendance Codes
     - Summary of Enrollment Data by School, Year, and Quarter Year
     - Summary of Enrollment Data by School, Year, Quarter Year,
          and Grade Level

     The school attendance data constitute time series and were analyzed as
such.  Because the student body at a school changes primarily through  addition
of the first grade class and graduation of the sixth grade class  each year,
values of attendance statistics for a school from one year to the next  cannot
be considered independent.  Hence,  classical statistical  tests, which assume
independent of observations, are not strictly applicable.   Simple inspection
of the time series did not disclose patterns consistent with adverse  DAWTP
health effects.  With this negative result apparent upon  inspection,  a  formal
Box-Jenkins type of time series analysis was not considered to be warranted.
                                     40

-------
                                   SECTION 6

                                    RESULTS
MONITORING OF WASTEWATER AEROSOLS

Microbial Characterization of Wastewater

     Results of microbiological screens of three large volume wastewater
samples which were collected from the aeration basin, the surge basin,  and
the secondary recarbonation basin are presented in Tables 4 and 5.   Except
for mycobacteria, the bacterial levels shown in Table 4 are minimal  values,
since only a portion of the total number of colonies counted on a given media
were subjected to confirmation biochemical testing.  The actual microorganism
concentration might have been anywhere from the indicated value to  an order
of magnitude higher.  The concentration levels for mycobacteria and
Klebsiella were fairly high relative to the microbiological indicators.
However, Salmonel la and Shi gel la, generally regarded the most common bac-
terial pathogens, were not prevalent in these wastewater samples.

     The wastewater concentrations of the microorganism groups being consid-
ered for routine monitoring at the Durham site are presented in Table 6 for
the same three large volume samples.  Included in the data are groups usually
considered to be indicator organisms (total plate count, total coliform,
fecal coliform, and coliphage), and specific pathogens.  Table 6 also pro-
vides a comparison of wastewater concentration levels for the three waste-
water aerosol sources at the Durham Advanced Wastewater Treatment Plant
(DAWTP) relative to two other wastewater aerosol sites which had recently
been monitored.  Microorganism concentration levels tend to be higher in the
aeration basins than in the surge basin, recarbonation basin or effluent pond.
This is also true at the DAWTP.  Consequently, the aeration basin was selec-
ted as the most suitable source for monitoring microorganism aerosols on the
aerosol runs at the DAWTP.

     Our experience in detecting microorganisms in the aerosol monitoring
at the Egan aeration basin and the Pleasanton spray fields guided the
selection of microorganisms for routine monitoring in Phase 2.  Based on
the relative wastewater levels in Table 6, the following microorganism  groups
were selected for routine monitoring:  total coliform, fecal  streptococci,
Pseudomonas, mycobacteria, and coliphage.  It should be noted that  myco-
bacteria and Pseudomonas were found at relatively high concentration levels.

                                     41

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Fecal streptococci, Pseudomonas, mycobacteria and coliphage survive aerosoli-
zation well enough that at the measured aeration basin concentrations, they
should regularly be found in downwind aerosol samples taken with high-volume
samplers. Total coliform and coliphage were the microbiological  indicators
selected for monitoring to provide continuity with other monitoring studies.

Aerosol Run Data

Meteorology—
     The meteorological measurements taken at the DAWTP included a-ir tempera-
ture, relative humidity, wind direction, wind speed, and solar radiation
intensity.  A site map giving the location of the wind measurement stations
was presented in Figure 8 in the Methods and Materials section.   This map also
shows the location of the aerosol sources, the wind direction, and the aero-
sol sampler locations during Run 1.

     The environmental conditions during the six high volume aerosol runs and
the nine aerosol sampling runs taken for the virus study are presented in
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along with the descriptive environmental measurements.

     Air temperature and relative humidity measurements were taken at the AB30
station (approximately 30 meters downwind of the aeration basin).  On the
first run, the air temperature and relative humidity taken upwind of the
aeration basin were the same as the measurements recorded at AB30.  Hence,
upwind measurements were discontinued after the first run.

     The wind direction and wind speed measurements were taken at the two-
meter height and at the ten-meter height at the SwRI meteorological station
and at the DAWTP meteorological station for the six aerosol runs.  For the
enterovirus aerosol run, these two wind measurements were taken only at the
ten-meter height at the SwRI meteorological station.  The mean wind direc-
tion in degrees is given relative to true north.  The wind direction range
shows the variation in wind direction during each run, excluding transitory
wind shifts that appeared as outlier spikes on the recording strip charts.

     The aerosol runs were taken over a wide range of solar radiation condi-
tions, from darkness during Run 3 to noon during Run 6.  The runs were
made under partly cloudy to overcast conditions, which are typical for
the area during March and favorable for producing the steady winds neces-
sary for aerosol sampling.

Wastewater Levels—
     Tables 8 and 9 present the physical, chemical, and microbiological
characteristics of the wastewater during the seven aerosol sampling runs.
                                     45

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     Physical and chemical measurements of the aeration and surge basins were
made during the seven high volume aerosol sampling runs.  Shown in Table 8
are the wastewater flow, air flow, water temperature, total suspended solids,
volatile suspended solids, dissolved oxygen, and total organic carbon.

     Table 9 shows the microorganism concentration levels in the wastewater
for the two wastewater aerosol sources at the DAWTP:   the aeration basin and
the surge basin.  The data in Tables 8 and 9 indicate that the bacteriological
quality of the wastewater in the surge basin is substantially better than that
in the aeration basin.  Whereas most microorganism concentrations remained
quite stable during the week of sampling, the mycobacteria levels measured in
the wastewater varied considerably, especially in the surge basin.  This must
be attributed to the biological variability and the nature of the mycobac-
teria assay (see Methods and Materials section).

Aerosol Levels (Runs 1-6)--
     Table 10 presents the wastewater and aerosol concentration levels of the
microorganisms selected for routine monitoring on the six aerosol sampling
runs.  The microorganism aerosol levels are taken upwind and at several  dis-
tances downwind from the aeration and surge basins.  Sampling layouts for each
of the aerosol sampling runs showing the aerosol sources, the wind direction,
and the locations of the four sampler stations are presented in Appendix F.
The planned downwind sampler distances (30 m for AB30, 100 m for AB100,  and
50 m for SB50) could often not be implemented because of obstructions such as
buildings, plant equipment, and terrain.  The actual  downwind distances  of
the sampler stations given in Table 10 and Appendix E can be determined  from
the Appendix F layouts.  These actual downwind distances are given in Table
11.  During Run 2, for example, AB30 was 40 m downwind and AB100 was 90  m
downwind from the edge of the aeration basin, while SB50 was 70 m downwind
from the edge of the nearest aerator's splash in the surge basin.

     The microorganism aerosol concentration levels tend to decrease with
increasing downwind distance from the wastewater aerosol source.  For example,
on aerosol Run 1, the aerosol  concentration of total  coliform increased  from
less than 0.07 cfu/m  (none detected) upwind of the aeration basin, to 4.7
cfu/m3 (left sampler) and 2.8 cfu/m3 (right sampler)  at 30 meters downwind,
and to 0.47 cfu/m  at 70 meters downwind.  With the exception of mycobac-
teria, the aerosol concentrations obtained downwind of the surge basin were
comparable to the aerosol concentrations obtained upwind of the DAWTP.

     The microorganism aerosol concentration levels also tend to vary from
one aerosol run to another due to variations of microorganism levels in  the
wastewater.  However, high and extremely variable aerosol concentration
levels are probably due to contamination of the high-volume aerosol samplers.
                                     49

-------
     TABLE  10.   SELECTIVE MICROORGANISM AEROSOL  CONCENTRATIONS
               UPWIND  AND DOWNWIND  FROM SOURCE BOUNDARY

Microorganism Concentrations
Background Aeration Basin



Upwind
Aerosol Aerosol
Run
No.

1
2
3
4
5
6

1
2
3
4
5
6

1
2
3
4
5
6

1
2
3
4
5
6

1
2
3
4
5
6
Sample
(No./m3)

<0.07
<0.07
<0.07
<0.07
<0.07
<0.07

<0.07
0.13
<0.07
0.07
<0.07
<0.07

<0.08
<0.08
<0.08
<0.08
<0.08
<0.08

<11
<11
<11
<11


Wastewater Downwind Aerosol Samples
Sample
(No. /ml) AB30L AB30R
Total Col i form (cfu)
510,000 4.7 2.8
510,000 NS 2.3
490,000 9.3 9.0
380,000 5.0 3.2
500,000 11 3.3
420,000 5.0 6.3
Fecal Streptococci (cfu)
4,100 1.3 1.1
5,400 NS 2.2
5,400 3.7 2.1
3,300 1.6 1.8
5,600 1.6 0.76
3,900 2.9 2.3
Mycobacteria (cfu)
24,000 8.0 9.3
21,000 NS 33
24,000 14 11
25,000 10 8.7
100,000 2.7 5.3
670,000 12 1.7
Pseudomonas (Agar F/Centrimide) (cfu)
CS/570 <11 100/<11
CS/730 NS <11
CS/430 <11 22/
-------
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51

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For example, it is highly likely that the extremely high Pseudomonas aerosol
concentrations obtained downwind of the surge basin were due to contamination
of one or both of the high-volume samplers used to collect the samples at SB50.

     The downwind distance patterns of fecal  streptococci, Pseudomonas, and
mycobacteria indicate that wastewater aerosols produced by the DAWTP aeration
basins contain many pathogenic bacteria.  In  addition, the aerosol  levels of
these pathogenic bacteria at 70 to 100 meters downwind of the aeration basin
are generally as high or higher than the levels of such indicator organisms
as total coliform and coliphage.  Thus, the use of indicator microorganisms
such as total coliform or coliphage in wastewater aerosol monitoring appears
to be inadequate to characterize the pathogenicity of the aerosols.

Enterovirus Aerosol Levels (Run 7)—
     Since the concentrations of human enteroviruses in the DAWTP aeration
basin were very low, relative to those of the monitored bacteria and coli-
phage, special sampling and analytical techniques were necessary to detect
enterovirus aerosol levels coming from the aeration basin.  Consequently, a
special enterovirus aerosol sampling effort (Run 7) was performed.   Seven to
eight high-volume aerosol samplers were run simultaneously at 30 meters down-
wind of the DAWTP aeration basin for nine consecutive 30-minute sampling peri-
ods, so that a very large volume of air (1980 m ) was sampled. The collecting
fluids from all samplers and all nine sampling periods were combined into
one sample (6.185 L), concentrated and analyzed for enteroviruses.

     Table 12 shows the wastewater and aerosol concentration data obtained
from this enterovirus aerosol run.  As can be seen, no enteroviruses were
found 30 meters downwind of the DAWTP aeration basin, indicating that the
enterovirus aerosol concentration was less than 0.0009 pfu/m.

     In addition to enteroviruses, the samples of wastewater and aerosol
(prior to concentration) were also assayed for the routinely monitored organ-
isms.  Except for the Pseudomonas aerosol measurement, the levels on Run 7
were typical or slightly higher than those found on Runs 1 through 6.  The
high Pseudomonas aerosol concentration obtained from the pooled BHI  sample
was due to contamination of the same high-volume aerosol sampler used
on Runs 1 through 6 at station SB50.

PREDICTION OF AEROSOL EXPOSURE LEVELS

     A major aim of the monitoring program was to provide information about
the dose of aerosolized microorganism from the DAWTP which the school chil-
dren at Durham Elementary were likely to be receiving.   Since aerosol moni-
toring at such distances downwind of the DAWTP aeration basin is infeasible,
the only means to obtain exposure dose information is by calculation involving
a mathematical model, monitoring data, and wind direction data.  Quantitative
estimates of the peak exposure dose were calculated and are presented in

                                      52

-------
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53

-------
this section.  Since the calculation required data extrapolations and
assumptions whose validity is uncertain, the estimated peak exposure doses
do contain considerable uncertainty.

Estimated Levels During Aerosol Runs

     The center of the Durham Elementary classroom area is about 450 meters
from the center of the DAWTP aeration basins.  To estimate the distribution
of microorganism aerosol concentrations at a downwind distance of 450 meters
from the aeration basin, the predicted levels at this center line distance
were calculated using the microbiological  dispersion model '  for each of the
six aerosol runs.  The general  form and parameter estimates for this model
were developed from extensive monitoring data obtained at a spray irrigation
site in Pleasanton, California.4  The predictions of the model  have been
validated for indicator microorganisms based on monitoring programs at two
other spray irrigation sites.

     A modified form of the microbiological  dispersion model was used to
represent the DAWTP aeration basin aerosol during each aerosol  run:

                         Aan
               Pd - QDd e  d                                          (1)

     where Pd = predicted microorganism aerosol concentration from the
                source at a downwind distance d, (cfu/nr)
           Q  = aerosol source strength (includes factors for microorganism
                wastewater concentration,  aerosolization rate,  and
                microorganism impact survival), (cfu/s)
           Dd = diffusion factor at distance d, (s/m3)
           A  = viability decay rate of the microorganism, (s  )
           a^ = aerosol age at distance d, (s), a
-------
     The model input data are shown in Table 13.  The calculated values of
the viability decay rate A and the predicted center line pathogen aerosol
concentration at 450 meters downwind, P45Q, are presented in Table 14.

     Each calculation of X is based on only two points and their microorgan-
ism aerosol concentrations are subject to considerable measurement uncertainty.
The coefficients of variation due to measurement uncertainty have been esti-
mated4 as 50 percent for total coliform, 58 percent for Pseudomonas, 73 per-
cent for coliphage, 77 percent for fecal streptococci, and 81 percent for
mycobacteria.  This variability has resulted in some nonnegative decay rates •
(shown as X's in Table 14), which are actually indistinguishable from a via-
bility decay rate of zero.  Clearly, the negative decay rate estimates in
Table 14 also contain considerable uncertainty.  Since A is the slope of the
line that is extrapolated well beyond the two points in order to obtain
^450' ^nis Prec!icted aerosol concentration at 450 meters downwind may be very
imprecise.  An uncertainty of one order of magnitude in the larger P^^Q
values and of several orders of magnitude in the very small P^Q values
is likely.

     For Runs 3 and 5, many of the P^Q values in Table 14 exceed the moni-
tored aerosol concentrations at the AB100 sampling station.  Because of
treatment facility obstacles (i.e., secondary clarifiers, chemical  clarifiers,
control building, and chlorine contact chambers), the AB30 and AB100
sampler stations had to be aligned well off the prevailing wind direc-
tion from the aeration basin for both of these runs (see Figures F-3 and
F-5 of Appendix F).  Many organism types also exhibited a viability
decay rate of zero during both runs.  Thus, it is reasonable to predict
a higher aerosol concentration of hardy microorganisms at 450 meters
downwind along the centerline than at a 100-meter distance in an infre-
quent downwind direction.

     The distributions of A and P450 obtained from the individual  values in
Table 14 are summarized in Table 15.  Geometric interpolation was used to
estimate the 25th, 50th (median), and 75th percentiles of these distributions.

     Despite the large uncertainties in individual P^Q values,  the distribu-
tions in Table 15 do provide an indication of the typical level  and range of
aerosol levels to which the school children in the Durham Elementary class-
rooms are exposed when the classrooms are downwind.  The typical  levels are
quite low, with values of 0.01 cfu/m3 for the pathogens fecal streptococci
and mycobacteria.  Since fecal streptococci levels of 0.13 and 0.07  cfu/m
were sampled at the upwind station, the typical pathogen levels  coming from
the DAWTP are probably similar to background levels.   However, Table 15
indicates that pathogenic aerosol concentrations considerably above  back-
ground (approximately 2 cfu/m3 for fecal streptococci  and 5 cfu/m3  for
mycobacteria) may occur in the classroom area about 25 percent of the time
that the school  is downwind of the DAWTP aeration basin.   This interpretation

                                     55

-------

































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-------
            TABLE 14.  CALCULATED DECAY RATES AND PREDICTED
                    PATHOGEN AEROSOL CONCENTRATIONS
Aerosol
Run No.
  Total                  Fecal
Coliform  Coliphage Streptococci
Mycobacteria  Pseudomonas
Viability Decay
Rate, xfs-1)

     1           -0.09      x
     2           -0.05     -0.06
     3            xx
     4           -0.04      x
     5           -0.07      x
     6           -0.03      x

Predicted Centerline Aerosol
Concentration at 450m,
P.,50 (cfu/m3)
                     -0.10
                     -0.02
                      x
                     -0.02
                      x
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 -0.11
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 -0.0002
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5.
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x  Indeterminate viability decay rate:  calculated non-negative
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Note:  All values subject to considerable uncertainty.
                                     57

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of Table 15 assumes the wastewater quality and meteorological  conditions dur
ing the week of aerosol sampling are representative of both the mean levels
and variability occurring over the two school years of interest.

     Making this same assumption, the SB50 sampler data in Table 10 indicate
that children playing on the Durham Elementary playground near the surge
basin would frequently be exposed to mycobacteria levels of 0.4 cfu/nr when
downwind of the surge basin.  However, their exposure to fecal streptococci
would seldom be as high as 0.1 cfu/m .

Frequency of Exposure at Durham Elementary

     The frequency with which children at Durham Elementary were exposed to
aerosols from the DAWTP was investigated.  Two aerosol sources at the DAWTP
(aeration basins and aerated surge basins) and two exposure locations at
the school (classroom area and playground area) were considered.  The
distances and directions of the exposure locations from the aerosol sources
are presented in Table 16.

     Students attended Durham Elementary for 178 days in the 1976-77 school
year and for 177 days in the 1977-78 school year.  Wind direction observa-
tions made at Portland International Airport (24 kilometers northeast of the
DAWTP) by the Portland Weather Service Office at 7 a.m., 10 a.m., 1 p.m.,
and 4 p.m. on each of these school days were used in determining the fre-
quency of student exposure.
 TABLE 16.  ORIENTATION OF EXPOSURE LOCATIONS RELATIVE TO AEROSOL SOURCES
Exposure
Locations
Classroom
Area
Aerosol
Source
Aeration Basin
Aerated Surge Basin
Distance Range
m.
330-560
220-310
Range of Downwind
Directions
200°-230°
170°-200°
Playground      Aeration Basin              200-500            200°-250
Area            Aerated Surge Basin          40-240            160°-230
                                     59

-------
     A daily exposure index was computed for each exposure location-aerosol
source combination, based on the four wind direction observations for the day.
If an observation was within the range of downwind directions for the
location-source combination given in Table 16, it was given a value of 1.0.
Wind direction observations within 30° of this range were considered to repre-
sent occasional exposure and given a value of 0.5.  The four observation
values for the day were then summed to yield the daily exposure index for
that location-source combination.  Thus, a daily exposure index of 4.0 would
indicate steady exposure from the aerosol source throughout the school day,
while a daily exposure index of 0.0 would indicate no exposure.

     The frequency distributions of the daily exposure index over the 355
school days that the DAWTP was operational are presented in Table 17.  On
the majority of school days, the classroom area had no exposure to DAWTP
aerosols.  Seldom was the classroom area steadily exposed throughout the day
to aerosolized microorganisms from the DAWTP aerosol sources.  Considering
daily exposure index values of 3.5 or 4.0 to represent steady exposure, the
classroom area was steadily exposed to aeration basin aerosols only on
ten days and to surge basin aerosols only on five days.  The playground
area had a steady exposure to DAWTP aerosols somewhat more frequently,
but the number of days is still low.

     Table 18 shows the distribution of the daily exposure index by quarter
of the school year, for the classroom area from aeration basin aerosols and
for the playground area from surge basin aerosols.  Days of steady aerosol
exposure in the playground area began occurring in December 1976; steady
exposure days in the classroom area did not begin until February 1977.

     The weather on the days of steady aerosol exposure (index values of
3.5 or 4.0) was reviewed.  Periods of rainfall occurred either during or
before school on all 14 school days of steady aerosol exposure in the
classroom area.  These days were characterized by cloudiness (generally
overcast), high relative humidity (usually 60 percent to 90 percent), cool
temperatures (4°C to 14°C), and frequent steady rainfall.  These conditions
are conducive to survival of aerosolized microorganisms, but precipitation
scavenging during periods of rainfall would reduce the duration of exposure.
The weather on days of steady aerosol exposure in the playground area was
similar.  Based on precipitation during and preceding the school day, the
playground was considered usable for student play on only 13 of the 31 school
days with steady aerosol exposure.

Microorganism Doses to Which Durham Elementary Students Are Exposed

     The preceding sections provide information from which one can infer the
likely peak daily doses of airborne microorganisms that the Durham Elementary
students may have inhaled while at school.  In making this calculation, it is

                                      60

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assumed that the wastewater and aerosols sampled during the one-week moni-
toring period are representative of the levels and variability occurring
throughout  *he two-year DAWTP operational period.  Known changes in plant
operating procedures and presumed influent variability suggest that such an
assumption may be inappropriate.  It is further assumed that the extrapo-
lation procedure for estimating P450 is valid.

     With this caveat, the calculation of the estimated peak microorgan-
ism dose received by Durham Elementary students on a single school day dur-
ing the school year is presented in Table 19.  At a breathing rate of 0.25
m /hr (see Table 19), the students may have inhaled as many as 9 cfu of
mycobacteria and 3.5 cfu of fecal streptococci during seven hours while in
the classroom area on the school day on which aerosol exposure was highest.
Substantially lower doses are calculated for one hour of playing on the
playground downwind from the surge basin.  However, because the bacteri-
ological strength of the surge basin wastewater may vary substantially
for different batches of wastewater, the peak playground exposure from
surge basin aerosols may be considerably underestimated in Table 19.

     As a comparison, the usual outdoor background exposure doses can also be
calculated, based on the upwind station aerosol samples.  During a seven-hour
period, the usual background exposure dose would be 0.05 cfu of fecal strepto-
cocci and <0.02 cfu of mycobacteria.  Hence, the peak exposure dose during
a school day may exceed the usual seven-hour outdoor background dose by two
orders of magnitude for fecal streptococci, and by perhaps three or more
orders of magnitude for mycobacteria.

SCHOOL ATTENDANCE

     An analysis was made to determine the magnitude of the potential health
hazard posed by the DAWTP to the children attending a nearby school, Durham
Elementary, using available school  attendance records to measure  health  status.
Durham Elementary's school  attendance records before and after the sewage
treatment plant's initial operation {July 1976) were examined and compared to
the attendance patterns of eight control elementary schools.  The purpose of
this investigation was to determine whether the attendance data followed a
pattern consistent with the research hypothesis that adverse health effects
due to the sewage treatment plant were occurring.  That is, if subsequent to
the operation of the DAWTP  the student absenteeism rate at Durham Elementary
increased above the baseline years, after adjusting for area-wide effects
reflected in the control  schools, then it might be attributed to the opera-
tion of the sewage treatment plant.  Another possible effect of DAWTP opera-
tion might be increased absenteeism at Durham after the first several
aerosol  exposure episodes (perhaps the first two or three  quarters of the
1976-77 school year), followed thereafter by normal  or reduced absentee-
ism at Durham as immunity is acquired through repeated exposure.

                                      63

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Analysis by School

     School attendance data (total days present, total  days absent, and
total days membership) were obtained for grades one through six by school,
year, and quarter year from 1969-70 through 1977-78 for Durham Elementary
and the eight control schools.  For the schools in the Lake Oswego School
District (Bryant Elementary, Lake Grove Elementary, and River Grove
Elementary), only annual totals were available for 1969-70 through 1974-75.
The ratio (total days absent)/(total days membership) defining the percent
absent was used as the school attendance statistic.

     The annual percent absent data for each school during each school  year
studied is presented in Table 20.  Durham Elementary typically encountered
1,000 days of absence and 20,000 days of membership in a school year.  Since
the control schools had larger enrollments, most control schools typically
experienced 3,000 to 5,000 days of absence and 70,000 to 110,000 days of
membership per school year.  Hence, the percent absent figures reported in
Table 20 are all accurate to at least the three significant digits reported.

     The annual percent absent values for Durham Elementary and for all eight
of the control schools (total days absent divided by total days membership)
are plotted in Figure 10 as two time series, with the intervention of initial
DAWTP operation in July 1976 indicated.  Figure 10 shows that historically,
Durham Elementary has tended to have higher levels of absenteeism than the
surrounding (control) schools.  This high absenteeism rate at Durham
Elementary is more evident in the baseline years (1969-70 through 1975-76)
than in the operational period (1976-77) through 1977-78).  After the DAWTP
began operation, the absence percentages at Durham Elementary decreased to
lower levels which were similar to those of the eight control schools.

     In Table 21, the percent absent in the two-year operational period is
compared to the percent absent in the last two years of the baseline period.
While a slight decrease in absenteeism occurred at the control schools (-0.32
percent), Durham Elementary had a stronger decrease in absenteeism (-0.69
percent).  Figure 10 and Table 21 show improved attendance at Durham
Elementary in relation both to the Durham baseline and to the control school
pattern.  Thus, no evidence of an adverse health effect due to operation of
the DAWTP is apparent in the total attendance data at Durham Elementary.

   TABLE 21.  A COMPARISON OF TWO-YEAR BASELINE AND OPERATIONAL PERIODS
Schools
Durham Elementary
Tigard Control Schools
All Control Schools

Baseline
1974/75-
1975/76
5.36
4.96
4.81
Percent Absent
DAWTP Operational
1976/77-
1977/78
4.67
4.64
4.49

Operational
Effect
-0.69
-0.32
-0.32
                                      66

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     The annual percent absent time series plots for each of the nine study
schools are presented in Figure 11.  While the percent absent at a school
showed considerable variation from one year to another, Figure 11 shows that
Durham Elementary tended to have a higher annual absence percentage than
most of the control schools in the baseline school  years (1969-70 through
1975-76).  This is especially true of Durham Elementary's attendance in
1970-71, 1972-73, 1973-74, and 1975-76.  It should be noted that school
attendance during the 1975-76 school  year was worse than in the preceding
and following school years, not only for Durham Elementary but also for
each of the eight control schools.  This indicates the existence of area-wide
effects, such as inclement weather or severe "flu" seasons, that differ in
magnitude from one year to the next.

     Figure 11 also shows that the attendance patterns of the three control
schools in the Lake Oswego School District (Bryant, Lake Grove, and River
Grove) were almost consistently better (i.e., lower percent absent) than
those of the five control schools in the Tigard School District.  The Lake
Oswego School District is generally considered to be one of the "prestige"
districts in the Portland area.  Furthermore, the Bryant, Lake Grove, and
River Grove students live in a more settled (completely developed) resi-
dential area of more uniformly high socioeconomic status than do the Tigard
School District students.  Thus, these three Lake Oswego schools may be less
similar to Durham Elementary than are the other five Tigard District schools.
Consequently, only the other five Tigard schools were used as controls for
Durham Elementary for the remainder of the school attendance analysis.

     Figure 12 contrasts the annual percent absent time series for Durham
Elementary with the time series for the five control schools in the Tigard
School District.  By excluding the attendance data of the Lake Oswego School
District in Figure 12, the magnitude of the difference between absenteeism at
the Durham Elementary and the control schools has been reduced.  However,  the
same general features remain.  Durham Elementary continues to have a higher
annual absence percentage than the control schools, especially in most base-
line school years.  However, after the operation of the DAWTP, the absence
percentage at Durham Elementary was very close to the level of the five con-
trol schools.  The comparison of two-year baseline and operational period
absenteeism in Table 21 confirms the pattern.  While there is virtually no
difference in percent absent during the operational period (4.67 percent at
Durham Elementary vtrsus 4.64 percent at the Tigard control schools), Durham
showed more than twice the improvement in attendance in the operational
period (absences down 0.69 percent at Durham versus only 0.32 percent at
the control schools).  Again, the annual attendance data for grades one
through six provide no evidence of a persistent adverse health effect due
to operation of the DAWTP.
                                     68

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     Figures 10 through 12 suggest that factors other than DAWTP operation are
primarily responsible for the differences that occurred in the school  attend-
ance patterns at Durham Elementary and the control  schools.  Similar changes
in pattern, such as the increased absenteeism that occurred at each of the
schools in 1975-76, are obviously due to longitudinally varying factors of
area-wide effect, such as communicable disease epidemics or periods of severe
weather.  However, more school-specific factors are also evident from the
school-to-school variability depicted in Figure 11.  A possibly significant
factor at Durham Elementary were the changes in principal.  After the peren-
nial principal at Durham retired in July 1974, a second principal  remained
two years and was followed by a third principal in July 1976, coinciding
with the opening of the DAWTP.  A comparison of school attendance under the
three principals is presented in Table 22.  School  absenteeism declined
with each succeeding principal:  from 5.50 percent absent under the first
principal to 5.36 percent under the second principal  and to 4.67 percent with
the third principal.  Adjusting for area-wide factors via the Tigard control
schools shows a 0.50 percent excess under the first principal, a 0.40 per-
cent excess under the second, and only a 0.03 percent excess under the
third principal.  Hence, changes in principal may have contributed to
the recent improvement in school attendance at Durham Elementary.

     To examine more transitory health effects, quarterly time series of per-
cent absent at Durham Elementary  and the combination of the five Tigard control
schools are presented in Figure 13.  There is a very  pronounced seasonal pat-
tern with the lowest percentage of absences in the first quarter (September)
and the highest absence rate usually in the third quarter (January-March).
Likely factors leading to poorer attendance, especially in the third quarter
of a year, are communicable diseases such as cold and flu-type illnesses and
rainy weather conditions which usually occur during the winter months in
the Portland area.
          TABLE 22.  ASSOCIATION OF SCHOOL ATTENDANCE WITH PRINCIPAL
                         CHANGES AT DURHAM ELEMENTARY
Percent Absent
Durham
Principal
First
Second
Third
School Years
From To
1969/70-1973/74
1974/75-1975/76
1976/77-1977 /78
Durham
Elementary
5.50
5.36
4.67
Tigard
Control
Schools
5.00
4.96
4.64
Difference
at Durham
+0.50
+0.40
+0.03
                                     71

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                                                        72

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     Figure 13 shows that Durham Elementary's absence percentage differed
from the pattern of the Tigard control schools on several  occasions.   The
marked deviations all occurred during the baseline period and are summar-
ized below:

            Period                         Higher Percent Absent

     2Q through 3Q, 1969-70              Tigard control  schools
     2Q through 3Q, 1970-71              Durham Elementary
     3Q, 1972-73 through 2Q, 1973-74     Durham Elementary

     To examine the quarterly differences between Durham Elementary and the
control schools in the context of school-to-school  variability,  the quarterly
time series for each school are displayed in Figure 14.   As in Figure 13,
the most pronounced deviation was the continually higher absence percentage
at Durham Elementary during all four quarters of calendar year 1973.

     Because of the time lag after initial viral exposure before antibody
levels will provide immunologic protection, the most pronounced effect of
the DAWTP on Durham Elementary School attendance due to viral aerosols might
be expected to occur in the first two or three quarters of the 1976-77 school
year.  Figures 13 and 14 do suggest a very slight elevation in absenteeism
at Durham Elementary (relative to the control schools) during these first two
quarters, followed by a slight relative improvement in absenteeism during the
rest of the DAWTP operational period.  However, this pattern is extremely
small in comparison to the huge deviations occurring in the baseline  period.
It is no larger than many slight discrepancies occurring throughout the
baseline period.  Hence, the very slight elevation in absenteeism at  Durham
Elementary during the first two quarters cannot be considered an unusual
occurrence.

Analysis by Class Cohorts

     The preceding analysis does not rule out the possibility of adverse
health effects from DAWTP operation on some Durham class cohorts which is
obscured in the grouped data for grades one through six.  Consequently, atten-
dance data was obtained for each grade at Durham Elementary and the two near-
est Tigard District control schools, Templeton and Tualatin, for each quarter
of the seven schools years 1971-72 through 1977-78.

     These attendance data are summarized by school and grade in Table 23.
There is a very slight tendency for absenteeism to decrease as children
progress from first grade through sixth grade.  Also, Durham Elementary
had a higher rate of absenteeism over the seven school years than did
the control schools (Templeton and Tualatin).  Both of these factors
should be considered when analyzing the data by class cohorts.

                                      73

-------
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            TABLE 23.  ASSOCIATION OF ABSENTEEISM WITH GRADE LEVEL	
                               Percent Absent Over Seven School  Years,
                       	(1971-72 through 1977-78)	
                                                                     All
                       Durham      Tempieton      Tualatin      Three Schools
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Grades 1-6
6.06
6.01
4.95
5.18
5.14
4.77
5.35
4.96
4.64
4.47
4.46
4.27
4.27
4.50
5.29
4.97
4.85
4.74
5.27
4.80
4.99
5.21
4.92
4.66
4.64
4.69
4.49
4.76
     The quarterly attendance data for each Durham class cohort and its con-
trol (Templeton plus Tualatin) class cohort are presented as a set of time
series plots in Appendix G.  Several intervals of marked discrepancies
between the Durham and control class cohorts occurred during the baseline
period, as summarized below:

                                                                Higher
          Cohort                 Discrepancy Interval         Absenteeism

Entered grade 5 in 1971-72     3Q, 71-72 thru 4Q, 72-73         Durham
Entered grade 3 in 1971-72     1Q, 72-73 thru 4Q, 73-74         Durham
Entered grade 1 in 1971-72     3Q, 72-73 thru 2Q, 73-74         Durham
Entered grade 1 in 1972-73     4Q, 74-75 thru 1Q, 76-77         Durham

The first three discrepancies occurred over roughly the same time interval
and account for the prolonged discrepancy noted in the analysis by school.

     Several intervals of slighter discrepancies between class cohorts
occurred in the DAWTP operational  period:

                                                                Higher
          Cohort                 Pi screpancy Interval         Absenteei sm

Entered grade 1 in 1975-76     4Q, 75-76 thru 4Q, 76-77         Durham
Entered grade 1 in 1976-77     2Q, 76-77 thru 1Q, 77-78         Durham
Entered grade 1 in 1977-78            2Q thru 4Q                Durham

It should be noted that the higher absenteeism occurring after DAWTP  opera-
tion at Durham happened among the younger children (in first and second
                                     75

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grade at the time).   However,  except for 2Q in  the cohort entering  first
grade in 1977-78, the percent  absent at Durham  during these  periods did not
exceed seven percent.  In four of the five baseline years, the  first grades
and/or second grades at Durham had at least one quarterly absentee  rate
above eight percent.  Hence,  it is questionable whether the  DAWTP had even
a slight adverse effect on absenteeism among students in the first  and
second grades at Durham Elementary.
                                     76

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                                   SECTION 7

                                   DISCUSSION
MONITORING OF WASTEWATER AND AEROSOLS

     Comparison of the wastewater concentrations of the routinely-assayed
microorganisms shows a consistent difference between the large volume sam-
ples (Table 6) taken in November 1977 and the routine monitoring  samples
(Table 9) taken in March 1978.  In samples taken from the aeration  basin,
the microorganism levels were much lower in the large volume sample than
in the routine monitoring samples (e.g., 1,800 cfu/mL versus 450,000 cfu/mL
for total coliform).  However, in samples taken from the surge basin, the
microorganism levels were somewhat higher in the large volume sample (e.g.,
1,100 cfu/mL versus 44 cfu/mL for total  coliform).   While less extreme,
this same pattern was also evident for fecal streptococci and mycobacteria.
The large volume aeration basin sample also had much lower concentrations
of Pseudomonas and coliphage than did the routine monitoring samples
from the aeration basin.

     There are at least two possible explanations for this observation.
First, during the November sampling period, considerable quantities of
wastewater were being returned to the aeration basin from the surge basin,
thus diluting the time-composite sample.  This was not the case during the
March sampling period. Second, the large volume samples taken in  November
were 24-hour time-composite samples, whereas the March samples were short-
term (i.e., 30-minute) samples taken during periods of the day when the
influent being treated might be expected to have the highest microorganism
levels.

     Microorganism concentrations in wastewater have also been monitored
recently from the primary aeration basin at the Egan sewage treatment plant,
Schaumburg, Illinois,  and from the aerated effluent holding pond of the
Pleasanton sewage treatment plant, Pleasanton, California.4  The  DAWTP
aeration basin and surge basin results from the routine wastewater
monitoring are contrasted with the comparable Egan and Pleasanton results
in Table 24.  The DAWTP aeration basin was generally quite similar to the
Egan primary aeration basin in the concentrations of most monitored
                                     77

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     TABLE 24.  SITE COMPARISON OF MICROORGANISM CONCENTRATIONS
                   IN WASTEWATER BEFORE AEROSOLIZATION
                      Geometric Mean of Wastewater Sample Assays (No./mL)

                                                 Egan Plant   Pleasanton

Total Plate Count
Total Col i form (cfu)
Fecal Streptococci (cfu)
Mycobacteria (cfu)
Pseudomonas (cfu)
'Agar F
'Centrimide Agar
Coliphage (pfu)
Enterovi ruses (pfu)
Durham
Aeration
Basin
4,800,000b
450,000
4,500
59,000
1,500
930
690
Plant3
Surge
Basin
210,000b
44
5.3
320
1,200
130
0.3
0.50 0.0019
Primary
Aeration
Basin
5,900,000
400,000
740
1,000
8,600
120
0.13
S.T.P.
Effluent
Pond
610,000
7,100
62
46
2,600
275
0.033
aExcludes large volume samples (except for total  plate count).

kfiased on single large volume sample.
                                   78

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microorganisms in the mixed liquor.  Since the physical  conditions at the
two sites were also similar, this observation confirms our expectation.
The wastewater in the DAWTP surge basin tended to have much lower micro-
organism concentrations than either of the aeration basins, and somewhat
lower microorganism levels than the Pleasanton effluent pond.   The major
exception was mycobacteria, which was much more prevalent in the DAWTP
wastewater than at the other sites.

     Aerosol microorganism concentrations downwind of the Durham and Egan
aeration basins and the line of sprinklers at the Pleasanton spray irriga-
tion site are presented in Table 25.  Because of the prevalence of myco-
bacteria in the Durham wastewater, the mycobacteria aerosol levels were
higher at the DAWTP aeration basin than at the other study sites.   Coliphage
and fecal streptococci aerosol  levels were also somewhat higher
at short downwind distances at the Durham site.
      TABLE 25.  SITE COMPARISON OF AEROSOL MICROORGANISM CONCENTRATIONS
     	AT 30 TO 50 METERS DOWNWIND OF AEROSOL SOURCE	

                            Geometric Mean of Aerosol  Concentrations  (No./nr)
                               Aeration Basin Source       Sprinkler  Source
                            Durham Plant    Egan Plant3      Pleasanton3
Total Col i form (cfu)
Fecal Streptococci (cfu)
Mycobacteria (cfu)
Pseudomonas (cfu)
Coliphage (pfu)
Enterovi ruses (pfu)
5.8
2.0
9.1
7.
0.71
<0.0009
7.1
<2.
—
40.
0.03
<0.01
2.4
0.61
0.8
34.
0.38
0.014
a  Data for samplers at 50 meters downwind of aerosol  source.
                                    79

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     No aerosolized enteroviruses were detected downwind of the DAWTP aera-
tion basin on the enterovirus aerosol run, despite the large volume of air
sampled.  Hence, the enterovirus aerosol  concentration was less than 0.0009
pfu/m .  This result is not surprising.   The data in Table 9 indicate that
only 2.1 percent (geometric mean of sample percentages) of the enteroviruses
found in the DAWTP aeration basin wastewater were in the liquid fraction of
the wastewater.  This agrees very well with the 2.0 percent of wastewater
enteroviruses found to be in the liquid fraction at the Egan site.   Thus,
98 percent of the wastewater enteroviruses were adsorbed onto or incorporated
into the mixed liquor suspended solids in the aeration basin.  Consequently,
these enteroviruses are less likely to become or remain aerosolized to
downwind distances of even 30 meters, because of the large particle size.

     The distributions of microorganism viability decay rates   shown in
Table 15 for the DAWTP aeration basin aerosol can be compared to the viabil-
ity decay rate distributions of the same organisms obtained for the Pleasanton
spray irrigation aerosol.  These comparisons are presented in Table 26.
From the distribution percentiles, it appears that viability decay  at
Durham differed somewhat from the Pleasanton pattern (i.e., more rapid
decay of mycobacteria and fecal streptococci and less rapid decay of coli-
phage).  Two nonparametric statistical tests were conducted to test the null
hypothesis of no difference in viability decay between sites against the
two-sided alternative.  These were the two-sample Kolmogorov-Smirnov test
of cumulative distribution functions to examine distributional differences
and the signed ranks test** to detect shifts in location.  At the 0.10 sig-
nificance level, no significant differences between sites were found for
any microorganism by either test.  The inability to detect significant
differences in the viability decay distributions at Durham from those at
Pleasanton may reflect either the small  Durham sample size (i.e., six aero-
sol runs), the wide variability of individual estimates, or the lack of any
site difference.  Nevertheless, use of the Durham percentiles instead of the
Pleasanton percentiles of viability decay would substantially alter the
predicted aerosol concentration P obtained from the microbiological disper-
sion model at downwind distances beyond several hundred meters.

     The Pleasanton data ranked fecal streptococci and mycobacteria as
having less viability decay than coliphage, which survived only slightly
better than total coliform.  However, the Durham ranking showed coliphage
with less viability decay than fecal streptococci and mycobacteria.  Since
the Durham ranking of these microorganisms is not statistically significant,
the Pleasanton and Durham rankings of microorganism viability decay are not
necessarily inconsistent.

     Using the microbiological dispersion model predictions for the Durham
aerosol runs, the highest dose of aerosolized microorganisms from the DAWTP
inhaled in one school day by the Durham Elementary students was estimated to

                                     80

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    TABLE 26.  SITE COMPARISON OF VIABILITY DECAY RATE DISTRIBUTIONS

Microorganism
Total Col i form
Mycobacteria
Fecal
Streptococci
Coliphage
Site
Durham
Pleasanton
Durham
Pleasanton
Durham
Pleasanton
Durham
Pleasanton
Number
of
Estimates
6
44
6
8
6
31
6
43
Viability_Decay
Rate X(s-1) Significant
Distribution of Difference9
Values - Percentiles Between
25%
-0.08
-0.09
-0.06
-0.009
-0.04
-0.006
-0.02
-0.05
50%
-0.05
-0.03
-0.02
X
-0.01
X
X
-0.01
75% Sites?
-0.02 No
-0.004
-0.0001 No
X
X No
X
X No
X

X - Indeterminate viability


decay rate,

presumably close to zero.
.


functions and on the signed ranks test of shifts  in  location,  both  at the
0.10 significance level.
                                 81

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be about 9 cfu of mycobacteria and 3.5 cfu of fecal  streptococci.  These
peak exposure doses exceed the usual  background dose by about two orders
of magnitude for fecal streptococci and by perhaps three or more orders of
magnitude for mycobacteria.  Since the calculation required data extrapo-
lations and assumptions whose validity is uncertain, these peak exposure
doses do contain considerable uncertainty.  The importance of these peak
microorganism dosage values is that they provide a rough estimate of the
dosing level against which to evaluate the health response measured by
school attendance.

EFFECTS ON SCHOOL ATTENDANCE

     In the two school years after the DAWTP began operating, annual school
attendance at neighboring Durham Elementary School improved.  The improvement
at Durham was evident in comparison both to prior school attendance at Durham
and to school attendance in the surrounding control  schools.  Hence, there is
no evidence that operation of the DAWTP had any sustained adverse effect
on school attendance at Durham Elementary.

     Analysis of the school attendance data on a quarterly basis also yielded
no evidence of adverse effects having a shorter duration.   However, very occa-
sional transitory effects could not have been identified from the quarterly
attendance data available for this study.

     The analysis of class cohorts showed some extended periods of elevated
absenteeism among first and second grade students at Durham Elementary (com-
pared to the control school cohorts)  after operations at the DAWTP  commenced.
However, periods of even higher absenteeism among first and second grade
students at Durham Elementary also characterized many of the baseline
years.  Thus, it is uncertain whether the absenteeism among the younger
students at Durham Elementary had any relationship to DAWTP operation.

     This study illustrates both the advantages and disadvantages of using
elementary school attendance data for an epidemiologic investigation of a
localized potential health hazard.  The advantages are the uniformity,  avail-
ability, and copious volumes of school attendance data, which permit the
detection of many significant differences.  The primary disadvantage is the
existence of many potentially-confounding factors affecting school  attendance
which are unrelated to student health and which can obscure the potential
hazard being investigated.  Elsbree and McNally1^ emphasize that school  atten-
dance is affected by school factors under the principal's and teachers'
control (e.g., policies regarding student progress,  nature of curricular and
extracurricular activities), as well  as student factors (e.g., personal ill-
ness, sickness in family, work at home, poverty, inclement weather, parental
                                     82

-------
indifference, travel distance in rural schools).  While personal illness is
one of the leading causes of absence, other factors may also have sizable
effect.  Hence, school attendance is quite an insensitive measure of
adverse health effects.  The lack of an effect on school absenteeism does
not necessarily imply the absence of any health hazard.

     There were three principals at Durham Elementary during the school
attendance study period.  The third principal served only during the two DAWTP
operational years, so the effects of his policies on school attendance are
confounded with those of the DAWTP.  This change in principal may have been
responsible for part of the improvement in attendance at Durham Elementary
in the DAWTP operational years.

     There were few school days during the two years of DAWTP operation
when the wind blew steadily from the southwest and south to provide pro-
longed student exposure to microorganisms in the wastewater aerosol.
Furthermore, prolonged periods of rainfall occurred on many of these
steady downwind days, reducing both the duration of exposure and the
extent of outdoor activity.  Hence, the Durham students probably received
the predicted peak daily doses (9 cfu of mycobacteria and 3.5 cfu of fecal
streptococci) about one school day per year.  These peak doses may exceed
the usual outdoor background doses by perhaps three or more orders of mag-
nitude for mycobacteria and by about two orders of magnitude for fecal
streptococci.  Such dose increases are relatively small compared with the
dosage ranges used in controlled dose-response studies on animals.  At this
dosing level and frequency, no clear evidence of adverse health effects
could be detected in the Durham Elementary students when using the rela-
tively insensitive school absenteeism measure.

     As originally conceived, the study results were to be used to evaluate
the need for a more complete epidemiologic investigation of the school chil-
dren and other populations living near .the DAWTP.  Such a health effects  study
might involve health diaries, a serosurvey, and illness monitoring using
clinical specimens.  The study results (i.e., no preliminary evidence of
an adverse effect based on school attendance, apparently typical aerosol
levels from the aeration basin, and low aerosol levels from the surge
basin) do not suggest a health hazard exists.  Considering these results
in light of the limited available funding for health effects studies,
further epidemiologic investigation of health effects around the DAWTP
does not appear to be warranted at this time.
                                    83

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                                 REFERENCES
1.  Carnow, B., R.  Northrop,  R.  Madden, S. Rosenberg, J. Holden, A. Neal,  L.
    Sheaff, P. Scheff,  and S.  Meyer.   "Health Effects of Aerosols Emitted
    from an Activated Sludge  Plant."   EPA Grant R-805003, U.S. Environmental
    Protection Agency,  Cincinnati,  Ohio, 1979.

2.  Johnson, D. E., D.  E.  Camann, J.  W. Register, R. J. Prevost, J. B.
    Tillery, R. E.  Thomas, J.  M. Taylor and J. M. Hosenfeld.  "Health
    Implications of Sewage Treatment  Facilities." EPA-600 1-78-032, U.S.
    Environmental  Protection  Agency,  Cincinnati, Ohio, 1978, 361 pp.

3.  Manual of Cloud Forms  and Codes for States of the Sky.  Circular S,
    Second Edition.United States  Department of Commerce and Weather  Bureau,
    Washington, D.C., 1949, 43 pp.

4.  Johnson, D. E., D.  E.  Camann, J.  W. Register, R. E. Thomas, C. A.  Sorber,
    M. N. Guentzel, J.  M.  Taylor, and H. J. Harding.  "The Evaluation
    of Microbiological  Aerosols  Associated with the Application
    of Wastewater to Land: Pleasanton, California."  Contract.DAMD
    17-75-C-5072 (in preparation).

5.  Taras, M. J.,  A. E.  Greenburg,  R.  D. Hoak, and M. C. Rand.  Standard
    Methods for the Examination  of  Water and Wastewater, 13th Edition.
    American Public Health Association, Washington, D.C., 1971.

6.  Rand, M. D., A. E.  Greenberg, M.  J. Taras, and M. A. Franson.  Standard
    Methods for the Examination  of  Water and Wastewater, 14th Edition,
    American Public Health Association, Washington, D.C., 1975, 1193 pp.

7.  Camann, D. E.,  C. A. Sorber,  B.  P. Sagik, J. P. Glennon and D.  E. Johnson.
    "A Model for Predicting Pathogen  Concentrations in Wastewater Aerosols."
    In: Proceedings of the Conference on Risk Assessment and Health Effects
    of Land Application of Municipal  Wastewater and Sludge, University of
    Texas at San Antonio,  San Antonio, Texas, 1978, 240-271 pp.

8.  Dumbauld, R. E.  "Calculated Aerosolization Efficiencies for the Deer
    Creek Lake and the 1974 and  1975  Fort Huachuca Wastewater Spray Trials."
    H. E. Cramer Co. technical report TR 77-124-01 to U.S. Army, Ft.
    Detrick, Maryland,  1978,  118 pp.

9.  Sorber, C. A.,  H. T. Bausum, S. A. Schaub, and M. J. Small.   "A Study of
    Bacterial Aerosols  at  a Wastewater Irrigation Site."  Jour. Water Poll.
    Control Fed.,  48:2367, 1976.


                                    84

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10.  Lindgren, B.  W.   Statistical Theory.  MacMillan, New York, 1962. 427 pp.

11.  Snedecor, G.  W.  and W.  G.  Cochran.  Statistical Methods.  6th Edition,
     Iowa State University Press, Ames,  Iowa, 1967, 593 pp.

12.  Elsbree, W. S. and H. J. McNally.   Elementary  School Administration  and
     Supervision.   2nd Edition.  American Book Co., New York, 1959.
                                    85

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                               APPENDIX A

            PROCEDURES FOR OPERATING A PAIR OF HIGH-VOLUME
                AEROSOL SAMPLERS DURING AN AEROSOL RUN
1.   After sampling sites have been selected and assigned, set up two
     sample tables 1m* apart.   Check the tables to make sure they are
     level.  Set a generator off to the downwind side the full  length
     of the extension cord and check the gas and oil  levels before
     starting.  Set the samplers in the center of each table with the
     control panel on the downwind side.

2.   Place a piece of masking  tape on a BHI  media bottle and mark the
     level of the liquid.  Run the media into the high-volume sampler
     and when the media returns to the bottle, mark the liquid  level
     on the BHI bottle again.   Keep the level of the  liquid at this
     second mark throughout the run by adding sterile water as  is
     necessary.  Keep the BHI  bottle covered with its lid and masking
     tape during the run.

3.   Make sure that the plate  is wetting properly and then set the
     liquid flow rate at 3-6mL/min.  Adjust  the air flow rate to read
     the calibrated lOOOL/min  mark.

4.   After 3 minutes of BHI media recirculation, turn the high-voltage
     power supply to 14 kv and sample for 30 minutes  unless instructed
     differently.  Pay careful attention to  the liquid levels of the
     BHI and to excessing arcing.

5.   At the end of the 30 minutes, turn off  the high-voltage power
     supply and pull the supply line out of  the BHI reservoir.   Run
     the liquid pump and the air blower until all the liquid has been
     collected in the original bottle.  Make the level up to the
     original lOOmL mark on the bottle with  sterile water.

6.   Clean up the samplers either in the field or the lab as instructed


* See text - Section 5, Methods and Materials
                                  86

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                              APPENDIX B

     PROCEDURE FOR DECONTAMINATION OF HIGH-VOLUME AEROSOL SAMPLERS
Solutions:      1% CloroP
                   Buffers - KHzPO^ (136g/L)       26,lmL   ,  nT
                                             	L Ul
                             Na2HP04 (142g/L)      40.5mL

                   Autoclave 50mL of buffer in 2 oz.  bottles

                   Add ImL of 5% Clorox^ prior to use

                1% Sodium Thiosulfate

                   lOg Na Thio/L DI H20

                   Autoclave lOOmL in 4 oz. bottles prior to use

                Sterile water

                   Autoclave lOOmL in 4 oz. bottles prior to use
Procedure:
Initial Cleanup

1.   Calibrate air flow meter for 1000 1pm.

2.   Disconnect electrical  supply, remove side plates from unit.

3.   Using Kim Wipes dipped in 100% ethyl alcohol,  wipe the inside top
     half sides and all upper section parts.   Dry with clean Kim  Wipes.

4.   Run disc (but not blower) and pump 1% Clorox*solution through
     all tubes.  Small amounts of the solution may be poured on the
     top of the disc to speed up the cleaning procedure.

5.   After decontamination  with Clorox^solution, flush the system with
     the contents of a sodium thiosulfate bottle.
6.   Rinse the system with  the contents of a  sterile water bottle.
     Place 5 drops of the last lOmL of H20 fluid from the outlet  tube
     on a TGY plate.  Incubate at 37 C for 48 hours and check for
     colonies.

7.   After most of the liquid has been pumped out of the system,  attach
     a microfilter to the sampler inlet and  run the blower until  the
     disc is dry.

8.   Place the ends of the  tubes in a clean  plastic bag and tape  shut.

                                    87

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     Seal the sampler inlet and exhaust ports with aluminum foil.

Subsequent Cleanup:  After the initial  cleanup, steps 4 through 8 are
sufficient for future decontamination provided no contamination is indi-
cated by the TGY plates.
                                   88

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                              APPENDIX C

       DESCRIPTION OF LITTON MODEL M HIGH-VOLUME AEROSOL SAMPLER
     "The Model M Sampler is designed to continuously collect particu-
late matter from a large volumetric flow rate of air (approximately
1000 liters/minute) and deposit it into a small amount of liquid (flow
rate of 2mL/min).  This effects a volumetric concentration factor on
the order of 5 x 105.  Basically, the sampler is an electrostatic
precipitator of a rather unusual configuration.  With reference to
the schematic diagram, Figure C-l, and an interior view, Figure C-2,
aerosol is drawn into the unit through a converging nozzle and passes
through the center of the high-voltage plate.  It then flows radially
between this plate and a lower rotating collection disc.  An electric
potential of 15,000 volts, which is maintained across a 11/16-inch
spacing between the plate and disc, creates two effects:  (1) A corona
is emitted from a ring of 60 needles that is located concentric to
the air inlet.  Particles, exposed to air ions created from the corona,
acquire an electrical charge.  (2) The electric field provides the
driving force to precipitate charged particles onto the lower disc.

     "Liquid is pumped onto the center of the collection disc and,
because of the centrifugal force, forms a thin moving film over the
entire disc surface.   Particles collected on the film are transported
to a rotating collection ring where the liquid is removed by the pickup.
Subsequently, the liquid drips into the collection funnel where it is
pumped to a receiver located outside the sampler.

     "To accommodate a broad range of sampling situations, several
variable features are incorporated into the unit.  These are:

           Air Flow Rate         400 to 1200 liters/minute
           Liquid Flow Rate      0 to 8mL/minute
           Disc Speed            0 to 45 rpm
           High Voltage          0 to 20 kilovolts

     "When the sampler is in operation, the air flow rate is read
directly from a calibrated meter on the front panel and is adjusted
with a blower control potentiometer (see Figure C-3).  Both disc speed
and pump flow rate are controlled by high and low range toggle switches,
together with potentiometers.  Although no direct readouts are pro-
vided for these two variables, calibrations are easily obtained so the
arbitrary scales on the potentiometers can be converted to actual


                                  89

-------
   Corona Needles
High-Voltage Plate
   Aerosol
    Inlet
                  Liquid Inlet Tube

                        Collection Disc
                                                     y
                                          Liquid
                                          Input
                                          From
                                          Pump
To Pump
and Receiver
                                                       Air Discharge
   Figure C-l.  Schematic Diagram of Large-Volume Air Sampler System
                                90

-------
       Hinged Top

       Strobelight

   Ozone-Resistant
   Gasket Material
High-Voltage Plate

       Ring Motor


  Air Exhaust Fan
       Strobelight
         Circuitry

 Fluid Supply Tank
       Removable
       Side Panel

   Collection Disc
    Speed Control
                                                                Air Inlet
Ceramic Insulator
Pickup Assembly
Collection Ring

Collection Disc
                                                                Disc Motor
Peristaltic Punj?


Pump Motor


Removable Side Panel

High-Voltage
Power Supply
                                                               Pump Speed Control
                                                               Electrical Connector
           Figure C-2.   Interior View  of Large-Volume Air Sampler
                                        91

-------
   Air Flow
 Rate Gauge
     Control
tentiometers
                                        e
  MPUN« RATE
\ITERS /MINUTt
                     BLOWEB  DISC  PUMP

                       0"    HI    HI
                              Orf

                       Off   LOW    LOW
                                   High-Voltage
                                   Voltmeter
                                                           High-Voltage
                                                           Milliammeter
                                                           High-Voltage
                                                           Control
                                                           Potentiometer
                                   High-Voltage
                                   Circuit Breaker
                                   and ON-OFF
                                   Switch
     Figure C-3. Instrument Panel of Model M Large-Volume Air Sampler
                                     92

-------
speed or flow rates.  The high-voltage system is set with the aid of
a potentiometer and is provided with the meter to show voltage and
current."1

     To facilitate  visual observation of the surface condition of the
disc in operation,  the operator made observations through the windows
with the aid of a flashlight.  The air flow rate was set at 1000
liters/minute.
1 Litton Model M Large-Volume Air Sampler:  Instruction Manual, Report
  No. 3028.  Minneapolis, Minnesota (1966).


                                  93

-------
                              APPENDIX D

             PHASE-SEPARATION METHOD FOR CONCENTRATION  OF
                  ENTEROVIRUSES FROM AEROSOL SAMPLES
Reagents:    20% (w/w) Dextran sulfate,  sodium salt (Pharmacia)
             30% (w/w) Polyethylene glycol  6000 (Union  Carbide)
             5 M NaCl

Procedure:

1.   Measure volumes of BHI  with 0.1% Tween 80^ to  be concentrated  (±10
     mL) and transfer to separatory funnel.

2.   Add volumes of reagents specified in  the table below in  the follow-
     ing order; sodium dextran sulfate,  PEG, NaCl.

     Sample Size   20% Na-DS*   30% PEG  6000*   5M  NaCl*   Total  Vol
       (mL)	      (w/w)          (w/w)        	      (mL)

        500          6.7mL          145mL           20mL       672
       1000         13mL            290mL           41mL      1344
       1500         20mL            435mL           61mL      2016
       2000         27mL            580mL           82mL      2689

     * Final concentrations:  0.2% Na-dextrane sulfate, 6.45% PEG 6000,
       0.15M NaCl.

3.   Shake the total volume  vigorously to  facilitate total  mixing of
     polymers and sample.  Place separatory funnel  at 4 C to  allow  phase
     separation.

4.   After 18 hr, phase separation will  be ±95% complete.  Three par-
     titioned volumes may be observed:  upper phase, interphase, and
     lower phase.  (The volume of interface may not be  significant,
     depending upon constituents present in original test sample.)
     Collect lower phase and interphase  volumes in  sterile centrifuge
     tubes avoiding channelization as much as possible.  (Remember
     to remove stopper from  funnel.)  If interface  volume contains
     solids/debris, collect  it separately to avoid  microbial  contami-
     nation of lower phase.

5.   Store collected volumes at 4°C.

6.   Disinfect remaining phase system.

                                 94

-------
             APPENDIX E.   TYPICAL CODED DATA REPORTING FORMS


Figure                         Title
          Environmental  Monitoring Data Reporting Forms
 E-l          Aerosol Run Report on Meteorology
 E-2          UTSA-CART  Wastewater Analysis Report
 E-3          UTSA-CART  Aerosol  Run Analysis Report
          School  Attendance Data Reporting Forms
 £.4          Attendance Data Collection and Recording Form
 E.5          Pupil  Personnel Attendance Accounting Form 81-581-3200
 E-6          Attendance Codes
 E-7          Summary of Enrollment Data by School, Year and Quarter
                Year
 E-8          Summary of Enrollment Data by School, Year, Quarter Year
                and  Grade Level
                                  95

-------
Aerosol Run Mo. 	
Run Date    3-6-78
AEROSOL SAMPLERS
Upwind
Aeration basin
  30m downwind
                Sampler
                  208
                  123
                  202

                  216
 100m downwind    206
                 223
Surge basin
  50 downwind
                 226
                 211  '
METEOROLOGICAL CONDITIONS

Actual Wind Direction     2m Tower

  Just prior to run        70°

  0-15 min                 60°

  10-20 min               	

  15-30 min                7Q°

Wind Run (miles)
Wind Speed mph
Plant Wind Direction
      Wind Speed
Clouds
2.5

5.0
                           70°
                            4 mph
  Cover

  Type

  Min Ht.
           8.
             M7, L5
                                     AEROSOL RUN REPORT
                                      Project 01-5082
                            Final
                             Vol.   Label  Code
                            200     l-Upwind-200
                            100     1-A30L-100

                            100     1-A30R-100
                            200     1-A100-200
                            200     1-550-200
                                       60°
                                      65°
                                       2.8

                                       5.6
                                                         Run  Times:  Start    0956

                                                                    Finish
                                                                              1026
                                                       Location
                                                     Operator
                                                      J. Paulk
                                                      J. Harding
                                                                                 R. Wyckoff
                                                                                 J. Trevino
                                                                                 Downwi nd

                                                                                  51.2

                                                                                  47.0

                                                                                  72	
10m Tower      Temperature

 60°             dry bulb         	

                 wet bulb         47.0

               Relative  humidity  72



               Solar Radiation
                               2
                  0.24  g/cal/cm /min
                                               Aeration Basin D.O.  -  1.1 mg/L
                                               Aeration Basin Flow  -  14.0 MGD
                                               Air Flow Totalizer Reading - 1441
                                               Aeration Basin Water Temperature - 18°C
            12000-14000
                                         Field Supervisor
                                                              HJH
               Figure E-l.   Aerosol  Run  Report  on Meteorology
                                           96

-------
                  UTSA-CART WASTEi.AlER  AilALYSIS REPORT
 1
      of
                  to SwRI on Project 01-5082, Portland

                                                 Date Reported   3'28'78

                                                   G-2 AB       G-2 SB
Sample Number
Bacteria
SwRI Label Code
'Total Coliform, cfu/100 ml
Mycobacteria, cfu/100 ml
Fecal Streptococci, cfu/100 ml
Pseudomonas, cfu/100 ml a
Col iphaqe
SwRI Label Code
Total Count, pfu/1
Solids Fraction, pfu/1
Liquid Fraction, pfu/1
Efficiency, "
Viruses ° •
SwRI Label Code
3- Day (HeLa):
Total Count, pfu/1
Solids Fraction, pfu/1
Liquid Fraction, pfu/1
7- pay (BGH):
Total Count, pfu/1
Solids Fraction, pfu/1
Liquid Fraction, pfu/1
Efficiency, %
COI-NENTS:
G-l AB
1-AER.B-l
B.lxlO7.
2.4*10*°
4.1xl05
5.7xl04 (C)
1-AER. B-l
3.8xl05
2.2xl05
1.6xl05
NA
1-AER.B-l
7.8xl02
7.6xl02
1.6X101
2.8xl02
2.6xl02
2.0X101
100

G-l SB
1-SURGE-l
7.7xl03
I.IX-IO6
S.lxlO2
3.7xl05
1-SURGE-l
6.0xl02
NA
NA
NA
1-SURGE-l
2.9X101
NA
NA
3.2x10°
HA
NA
100

                                                   2-AER.B-l
 2-SURGE-l
                                                   S.lxlO7      4.3xl03
                                                    Z.IXIO
                                                   5.4x10°
4.5xl0
                                                   7.3xl04  (C)  5.3xl04
                                                   2-AER.B-l
2-SURGE-l
                                                   9.6xl05      S.OxlO2
                                                   5.0x10°
   NA
                                                   4.6xl03
   NA
                                                      NA   _
                                                   2-AER.B-l
                                                   4.9x102

                                                   4.8xl02
                                                   8.6x10
                                                        ,0
                                                   l.lx!0c
                                                   1.1x10'
                                                   1.3x10°
                                                        86
2-SURGE-l
< 0.05

   HA
   NA
<0.05

   HA
                                                                  NA
     69
     a (C)  isolations on Cetrimide  agar.
     8 Virus  levels corrected for concentration efficiency as indicated.
Figure  E-2.   UTSA-CART Wastewater Analysis  Report
                               97

-------
                                                                          1   of   1
Run Number  	]_
Run Date   3-6-78
Aerosol Analysis:
Sampler
SwRI Label  Code
Coliphage
Coliphage Count,  pfu/ml
Bacteria
                           UTSA-CART AEROSOL RUN AflALYSIS REPORT
                           to  SwRI onl>roject 01-5082, Portland
                               A-l-1
                               1-UPWIND
                                     °
A-l-2
1-A30R
                               <0.04(ND)     Q.20
^.OxlO (NO)  8.5x10
       ,0
Total Coliform, cfu/lOOml
Fecal Streptococci,  cfu/lOOml   <2.0xlOu(ND)  3^
Pseudcmonas, cfu/lOOml
Myccbacteria, cfu/lOOml
                               <3.3xl02(ND)  3.0xl03
                                                         Date Reported 3-28-78
                           A-l-3
1-A30L
             0.36
                                                                      A-l-4
                                       1-A100
                                       0.16
                                                          1.4xl02      1.4X101
                         A-1-5
                                                                                   1-S50
                                                                                   <0.04(ND)
              	  	 <2.0x10°(NI
              4-OxlO1      4.0x10°     <2.0xlO°(N(
            <3.3xl02(ND)  2.5x104(CS)   4.2xlQ5(CJ
                                                                                    1.3X10
COMMENTS:
NOTATION:   TNTC .-  too  numerous  to count
           ND - none detected
           CS - contaminated sample
                                                                     .      Lab  Director
           Figure E-3.   UTSA-CART Aerosol  Run Analysis  Report
                                            98

-------
 ATTENDANCE
 ATTENDANCE DATA COLLECTION AND RECORDING FORM:
                                           rE 63 rS j|3 jS p. ;T r£ rS :S 3! Hs .-2 :3
                                           1 i   i i   : M i 9 P H
                                           A--c,rr.'-<.feUST,i-
Figure E-4.    Attendance Data Collection and Recording  Form
                                 99

-------
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Figure E-5.  Pupil Personnel Attendance Accounting Form 81-581-3200
                              100

-------
Attendance Cedes
 El - Original entry - not previously
     enrolled during current school
     year in U.S.

 E2 - Original entry - previously en-
     rolled during current school year
     in state other than Oregon.

 Rl - Received from another roorp.,
     same school.

 R2 - Received from another public
     school, same district.

 R3 - Received from public  school
     in state but outside local
     district.

 R4 - Re-entering after withdrawal
     or discharge.

 R5 - Received from non-public
     school in state.

 Wl - Promoted or transferred to
     another classroom, same bldg.

 W2 - Promoted or transferred to
     another public school, same
     district.

 W3 - Promoted or transferred to
     another non-public school,
     same district.

 W4 - Moved out of local district
     or state.

 W5 - Quit school.   Beyond
     compulsory school age.

 W6 - Issued work permit.

 W7 - Graduated.

 W3 - Withdrawn.  Other reasons.
Figure  E.6.   Attendance  Codes
             101

-------
                        ENROLLMENT SUMMARY FOR DURHAM
          1969-70
            Ql
            Q2
            03
            04
          1970-71
            01
            02
            Q3
            04
          1971-72
            01
            02
            03
            04
          1972-73
            01
            02
            03
            04
          1973-74
            Ql
            02
            03
            04
          1974-75
            01
            02
            03
            04
          1975-76
            Ql
            02
            03
            04
          1976-77
            01
            Q2
            Q3
            04
          1977-78
            01
            02
            03
            04
PRESENT

 2004
 5130
 5546
 4683

 1909
 6130
 5581
 5232

 2014
 6177
 6462
 5580

 2061
 5520
 5810
 4996

 2485
 6984
 6831
 5759

 1998
 5359
 5240
 4849

 2580
 6501
 6717
 6439

 2409
 6702
 6147
 5992

 2172
 6223
 6470
 5621
ABSENT

  73
 222
 263
 271

  42
 348
 413
 256

  72
 279
 566
 303

  68
 303
 536
 355

  98
 518
 369
 279

  47
 304
 262
 276

  83
 308
 605
 362

  69
 371
 299
 271

  69
 329
 353
 282
MEMBERSHIP

    2077
    5351
    5809
    4954

    1951
    6477
    5994
    5487

    2086
    6456
    7028
    5882

    2129
    5823
    6346
    5351

    2582
    7502
    7200
    6030

    2044
    5663
    5501
    5124

    2662
    6810
    7322
    6800

    2477
    7073
    6446
    6263

    2240
    6552
    6823
    5902
Figure E-7.  Summary Of Enrollment  Data  by School, Year  and Quarter  Year
                                      102

-------
1971-72 School  Year
Tualatin


K
1
2
3
4
5
6


K
1
2
3
4
5
6
Quarter 1
Mbr. Ab.
...
612.0 9.0
714.0 10.5
817.0 14.5
750.0 11.0
962.0 11.0
819.0 11.0
Quarter 3
Mbr. Ab.

2066.0 164.0
2245.0 202.0
2641.0 179.0
2696.0 144.5
3055.0 252.5
2801.0 113.0

Pres.

630.0
703.5
802.5
739.0
951.0
808.0

Pres.

1902.0
2043.0
2462.0
2551.5
2802.5
2688.0


K
1
2
3
4
5
6


K
1
2
3
4
5
6
Quarter 2
Mbr. Ab.
.._
1944.0 123.0
2184.0 116.0
2551.0 102,5
2461.0 125.5
3020.0 104.5
2623.0 88.5
Quarter 4
Mbr. Ab.

' 1774.0 113.0
1820.0 105.5
2200.0 123.0
2261.0 141.0
2640.0 122.0
2352.0 72.0

Pres.

1821.0
2068.0
2448.5
2335.5
2915.5
2534.5

Pres.

1661.0
1714.5
2077.0
2120.0
2518.0
2280.0
Figure E-8.   Summary of Enrollment Data by School,  Year,  Quarter Year and
                               Grade Level
                                    103

-------
                      APPENDIX F
             AEROSOL SAMPLING RUN LAYOUTS
Figure                    Title
F-l.                      Aerosol Run No. 1
F-2.                      Aerosol Run No. 2
F-3.                      Aerosol Run No. 3
F-4.                      Aerosol Run No. 4
F-5.                      Aerosol Run No. 5
F-6.                      Aerosol Run No. 6
F-7.                      Enterovirus Aerosol Run No. 7
                         104

-------
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                      APPENDIX G

              CLASS COHORT TIME SERIES PLOTS
Figure                Title

G-l                   Quarterly Cohort Attendance
                      (Entered Sixth Grade in 1971-72)

G-2                   Quarterly Cohort Attendance
                      (Entered Fifth Grade in 1971-72)

G-3                   Quarterly Cohort Attendance
                      (Entered Fourth Grade in 1971-72)

G-4                   Quarterly Cohort Attendance
                      (Entered Third Grade in 1971-72)

G-5                   Quarterly Cohort Attendance
                      (Entered Second Grade in 1971-72)

G-6                   Quarterly Cohort Attendance
                      (Entered First Grade in 1971-72)

G-7                   Quarterly Cohort Attendance
                      (Entered First Grade in 1972-73)

G-8                   Quarterly Cohort Attendance
                      (Entered First Grade in 1973-74)

G-9                   Quarterly Cohort Attendance
                      (Entered First Grade in 1974-75)

G-10                  Quarterly Cohort Attendance
                      (Entered First Grade in 1975-76)

G-ll                  Quarterly Cohort Attendance
                      (Entered First Grade in 1976-77)

G-12                  Quarterly Cohort Attendance
                      (Entered First Grade in 1977-78)
                         112

-------

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TECHNICAL REPORT DATA
(Please read Instructions on the reverse before completing)
1. REPORT NO. 2.
EPA-600/1-79-027
4. TITLE AND SUBTITLE
Environmental Monitoring of a Wastewater
Treatment Plant
7 AUTHOR(S)
D.E. Johnson, D.E. Camann, H.J. Harding, and
C.A. Sorber
9 PERFORMING ORGANIZATION NAME AND ADDRESS
Southwest Research Institute
P.O. Drawer 28510
San Antonio, Texas 78284
12. SPONSORING AGENCY NAME AND ADDRESS
Health Effects Research Laboratory, Cinti. , OH
Office of Research and Development
U.S. Environmental Protection Agency
Cincinnati, Ohio 45268
3. RECIPIENT'S ACCESSION NO.
5. REPORT DATE
AuRust 1979 issuing date
6. PERFORMING ORGANIZATION CODE
8. PERFORMING ORGANIZATION REPORT NO.
10. PROGRAM ELEMENT NO.
1BA607
11 CONTRACT/GRANT NO
R-805533
13. TYPE OF REPORT AND PERIOD COVERED
Final: 10/77 - 3/78
14 SPONSORING AGENCY CODE
EPA/600/10
15. SUPPLEMENTARY NOTES
I
16 ABSTRACT
      A wastewater aerosol monitoring program  was  conducted at an advanced wastewater
 treatment facility using the activated  sludge process.   This plant was recently con-
 structed next to an elementary school in  Tigard,  Oregon.   Wastewater aerosols contain-
 ing pathogenic organisms are generated  by the aeration  basin (within 400 meters of the
 classroom area) and by an aerated  surge basin (within 50 meters of the school play-
 ground).  From a preliminary microbial  screen of  the  wastewater, predominant indicator
 and pathogenic microorganisms were selected for routine wastewater and aerosol monitor-
 ing.  The geometric mean aerosol concentrations at  30 to 50 meters downwind of the
 aeration basin were 5.8 cfu/m3 of  total coliforms,  2.0  cfu/m3 of fecal streptococci,
 9.1 cfu/m3 of mycobacteria, 7 cfu/m of Pseudomonas,  0.7  pfu/m3 of coliphage, and
 <0.0009 pfu/m3 of enteroviruses.   The inability to  detect enteroviruses in air re-
 sulted from their low concentration (relative to  other  test organisms) in the waste-
 water and from their adsorption onto and  incorporation  into the mixed liquor suspended
 solids which are not easily aerosolized.

      While it is a relatively insensitive measure,  attendance at the nearby school and
 eight control schools provided no  evidence of adverse effects from wastewater treatment
 plant operation.  If any adverse effects  had  occurred,  it was slight enough to be
 completely obscured by the usual school absenteeism factors.
17. KEY WORDS AND DOCUMENT ANALYSIS
i. DESCRIPTORS
public health, health, sewage treatment,
aerosols, viruses, epidemiology, activated
sludge process
18. DISTRIBUTION STATEMENT
Release to public
b. IDENTIFIERS/OPEN ENDED TERMS
pathogens, Oregon
19. SECURITY CLASS (This Report)
Unclassified
20 SECURITY CLASS (This page)
Unclassified
c. COSATI Held/Group
68G
21. NO. OF PAGES
135
22. PRICE
EPA Form 2220-1 (Rev. 4-77)   PREVIOUS EDITION is OBSOLETE
                                                              OU.S. GOVERNMENT PRINTING OFFICE. 1979-657-060/5380
                                           125

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