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           NATIONAL CENTER FOR ENVIRONMENTAL RESEARCH

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                        2001 STAR Drinking Water Progress Review Workshop
                                       Table of Contents


Introduction	vii

Section 1.  Chemical Contaminants:  Exposure, Effects, & Assessment

Development of Biomarkers for Haloacetonitriles-Induced Cell Injury in Peripheral Blood	3
        Ahmed Elsayed Ahmed

Metabolic Fate of Halogenated Disinfection Byproducts In Vivo and Relation to Biological Activity	5
        L.M. Ball

Genotoxicity and Occurrence Assessment of Disinfection Byproducts in Drinking Water	6
        Roger A. Minear, MichaelJ. Plewa

Assessment of Human Dietary Ingestion Exposures to Water Disinfection Byproducts via Food	8
        James H. Raynier, E.D. Pe/lizzari, Y. Hu, B. Chi Ids, K. Briggs, H. Weinberg, V. Unnam

Bioavailability of Haloacetates in  Human Subjects	10
        Irvin R. Schultz, Robert Shangraw, Torka Poet

Physiologically Based Pharmacokinetic Modeling of Haloacid Mixtures in Rodents and Humans	12
        Irvin R. Schultz, Robert D. Stenner, Richard J. Bull

Inhalation and Dermal Exposure to Disinfection Byproducts of Chlorinated Drinking Water	14
        Clifford P.  Weisel, Jeffrey Laskin

NHEERL Research on Carcinogenic Contaminants in Drinking Water	16
        Douglas C. Wolf

Aluminum Toxicokinetics: Oral Absorption From Drinking Water and Brain Retention	17
        Robert A. Yokel, Patrick J. McNamara, David Elmore

Section 2. Chemical Contaminants:  Arsenic

Overview of EPA's Arsenic in Drinking Water Regulation	21
        Irene S. Dooley

Arsenic-Glutathione Interactions and Skin Cancer	23
        Catherine B. Klein, Elizabeth T. Snow

A Dose-Response and Susceptibility Investigation of Skin Keratoses and Hyperpigmentation
        Caused by Arsenic in Drinking Water	25
        Allan H. Smith, Reina Haque, Joyce Chung, Lee Moore, D.N. Guha Mazumder,
        Binay K. De, Nilima Ghosh, Soma Mitra, David Kalman

Trivalent Methylated Arsenicals:  Novel Biomarkers of Arsenic Toxicity in Humans	26
        Miroslav Styblo, Luz M. Del Razo, Shan Lin, William R. Cullen, David J. Thomas
The Office of Research and Development's National Center for Environmental Research                  '"

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                        2001 STAR Drinking Water Progress Review Workshop
Section 3. Chemical Contaminants:  Formation of DBFs

Use of Differential Spectroscopy To Study DBF Formation Reactions	31
        Mark M. Benjamin, Oregon' V. Korshin

Brominated DBF Formation and Speciation Based on the Specific UV  Absorbance
        Distribution of Natural Waters	32
        James E. Kilduff, Tanju Karanfil

Molecular Weight Separation and HPLC/MS/MS Characterization of Previously
        Unidentified Drinking Water Disinfection Byproducts	35
        Roger A. Minear, Sylvia Barrett

Membrane Introduction Mass Spectrometry Studies of Halogenated Cyano
        Byproduct Formation in Drinking Water	37
        Terese M. Olson

Mechanisms and Kinetics of Chloramine Loss and Byproduct Formation in the Presence
        of Reactive Drinking Water Distribution System Constituents	39
        Richard L. Valentine, Junghoon Choi, Steve Duirk

Development of a New, Simple, Innovative Procedure for the Analysis of Bromate
        and Other Oxy-Halides at Sub-ppb Levels in Drinking Water	41
        Howard S. Weinberg, Carrie Delcomyn

Formation  and Stability of Ozonation Byproducts in Drinking Water	42
        Howard S. Weinberg, Alice Harris, Shikha Bhatnagar

Kinetic-Based Models for Bromate Formation in Natural Waters	44
        Paul Westerhoff

Mechanistic-Based Disinfectant and Disinfectant Byproduct Models	46
        Paul Westerhoff, David Reckhow, Gary Amy, Zaid Chowdhwy

Section 4. Drinking Water Treatment Studies

Evaluation of the Efficacy of a New Secondary Disinfectant Formulation Using Hydrogen Peroxide
        and Silver and the Formulation of Disinfection Byproducts Resulting
        From Interactions With Conventional Disinfectants	51
        Stuart A. Batterman, Khalil H. Mancy, Shuqin Wang, Lianzhong Zhang, James Warila,
        Ovadia Lev, Mil lei Shuval, Badri Fattal, An-Tsun Huang

Evaluation of Ozone Byproduct Formation Under Ozone Dose, Temperature, and pH Variation	55
        Michael S. Elovitz, Jehng-Jyun  Yao,  Dick J. Miltner

Integrated Approach for the Control of Cryptosporidium parvum Oocysts and Disinfection
        Byproducts in Drinking Water Treated With Ozone and Chloramines	57
        Benito J. Marinas, Roger A. Minear, Jaehong Kim, Hongxia Lei, Jason L. Rennecker,
        Amy M. Driedger, Benito Corona-Vasquez
iv                  The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Pilot Studies of an Ozonation/FBT Process for the Control of DBPs in Drinking Water	59
        Susan J. Masten, Kyung-Hyuk Lee. Kuan-Chung Chen, Alexander A. Yavich

Section 5. Microbial Contaminants

Prevalence and Distribution of Genotypes of Cryptosporidium parvitm in United States Feedlot Cattle	63
        Edward R. Atwill, C. Elmi, W.P. Epperson, DM. Grotelueschen, J. Kirkpatrick.
        B. Hoar, W.M. Sischo, L.V. Carpenter, D. Brewster, W. Riggs

Development of Detection and Viability Methods for Waterborne Microsporidia
        Species Known To Infect Humans	64
        David A. Battigelli, MM. Marshall, M. Borchardt

Meaningful Detection of Mycobacterium avium Complex in Drinking Water:
        Are Disinfectant-Resistant Morphotypes Virulent?	65
        Gerard Cangelosi, Christine Palermo, Shawn Faske

Detection of Emerging Microbial Contaminants in Source and Finished
        Drinking Water With DNA Microarrays	67
        Darrell P.  Chandler, Ricardo DeLeon, Timothy M.  Straub

Infectivity and Virulence of Cryptosporidium Genotype 1/H Oocysts in Healthy Adult Volunteers	68
        Cynthia L. Chappell, Pablo C. Okhuysen, Saul Tzipori, Giovanni Widmer

Mycobacterium avium Complex in Drinking Water: Detection, Distribution, and Routes of Exposure	70
        Timothy E. Ford, Anand Patel, Yu-Rong Chu

NERL Microbial Program With Emphasis on Protozoan Methods	73
        H.D. Alan Lindquist

Studies of the Infectivity of Norwalk and Norwalk-Like Viruses	74
        Christine L. Moe, Lisa Lindesmith, Ralph S. Baric, Paul Stewart,
        William Heizer, Jeffrey A. Frelinger

Development and Evaluation of Procedures for Detection of Infectious Microsporidia in Source Waters	76
        Paul A. Rochelle

Attachment and Inactivation During Virus Transport in Ground Water	78
        Joseph N. Ryan, Menachem Elimelech, Ronald W. Harvey

Molecular Detection of Vegetative and Coccoid Forms of H. pylori	80
        Manoucher Shahamat, C. Povlick, J.  Hind, F. Robb, K. Sowers, M. Levin, B. Bradley

Detection and Occurrence of Human Caliciviruses in Drinking Water	81
        Mark D. Sobsey

Development and Evaluation of Methods for the Concentration, Separation, and Detection
        of Three Protozoa From Large Volumes of Water	83
        Saul Tzipori, Udi Zuckerman, Michael Buckholt, Giovanni Widmer, Abhineet Sheoran

Risk Factors for Cryptosporidium parvum Infection and Disease	84
        Lucy A.  Ward, Y. Wang, S. Pereira, S. Clarke
The Office of Research and Development's National Center for Environmental Research

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                       2001 STAR Drinking Water Progress Review Workshop
Development of a Rapid, Quantitative Method for the Detection of Infective
       Coxsackie and Echo Viruses in Drinking Water	85
       Marylynn V.  Yates, W. Chen, A. Mulchandani

Section 6. Contaminant Sources

Molecular Tracers of Contaminant Sources to Surface Water Drinking Supplies	89
       Laurel J. Standley, Louis A. Kaplan, J. Denis Newbold

Appendix:  STAR Drinking Water Progress Review Workshop Agenda	93

Index of Authors	99
vi                 The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
                                             Introduction
    The mission of the U.S. Environmental Protection Agency (EPA) is to protect public health and to safeguard
and improve the natural environmentCair, water, and land. Achieving this mission requires applying sound science
to assessing environmental  problems and  evaluating possible solutions.  The National Center for Environmental
Research (NCER) at EPA is committed to providing the best products in high-priority areas of scientific research
through significant support for long-term research.

    One high-priority research  program  identified  by EPA's Office of Research and  Development  (ORD)  is
Drinking Water. The Safe Drinking Water Act (SDWA) was originally passed in  1974 to protect public health by
regulating the Nation's public drinking water supply. The law was amended in 1986 and 1996. The  1996 amend-
ments greatly enhanced the existing law by recognizing source water protection, operator training, funding for water
system  improvements, and  public information as important components  of safe drinking  water. This approach
ensures the quality of drinking water by protecting it from source to tap. The SDWA applies to every public water
system in the United States,  and the responsibility for making sure these public water systems provide safe drinking
water is divided among EPA, states, tribes, water systems, and the public.

    Research described in this progress review was funded through  EPA's Science to  Achieve Results (STAR)
Program, which is managed by NCER. Grants were awarded through  an open, peer-reviewed competition of pro-
posals  submitted in  response to Requests  for Application (RFA) for  each of the years  from 1997 to 1999. The
research being supported  by these grants,  along with work  conducted in the EPA laboratories and other outside
research institutions, is addressing key research questions identified in the Research Plan for Arsenic in Drinking
Water, the Research Plan for Microbial Pathogens and  Disinfection By-Products in Drinking Water (both available
at http://www.epa.gov/ORD/WebPubs/final/), and research on  drinking water contaminants  identified as priorities
for additional research (the Contaminant Candidate List, CCL).

    This progress review provided an opportunity for investigators to  interact with one another and to discuss the
progress and findings of their research with EPA and other interested  parties. If you have any questions regarding
the program, please contact the program manager, Cynthia Nolt-Helms, at 202-564-6763 or nolt-helms.cynthia@
epamail.epa.gov.
The Office of Research and Development's National Center for Environmental Research                  vu

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       Section 1.

Chemical Contaminants
       Exposure,
 Effects, & Assessment

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                         2001 STAR Drinking Water Progress Review Workshop
Development of Biomarkers
for Haloacetonitriles-Induced Cell Injury in Peripheral Blood
Ahmed Elsayed Ahmed
The University of Texas Medical Branch, Galveston, TX
    Drinking waters are  contaminated with a mixture
of halogenated  hydrocarbons that are disinfection by-
products. Among these are a number of toxic and car-
cinogenic  halogenated acetonitriles (HANs)^that are
known to induce a variety of acute and chronic adverse
effects in humans and laboratory animals. The goal of
this project is  to develop  unique biomarkers,  in  a
readily accessible compartment such as blood, for HAN
exposure and HAN-induced cell injury. This injury may
result from HAN-induced alkylative or oxidative dam-
age to cellular macromolecules. To evaluate the mech-
anism  of  HAN-induced  DNA damage,  the  effect  of
HANs on the conversion  of native supercoiled plasmid
DNA  to circular or linear forms was quantified electro-
phoretically. The results indicated HAN-induced oxida-
tive DNA damage in vitro. H2O2 mediation of dibromo-
acetonitrile (DBAN) induced DNA damage is a possi-
ble mechanism of HAN genotoxicity.
    In a dose-response and  time  course study,  fibro-
blasts were  exposed to various concentrations of the
water disinfection byproduct, DBAN. The results indi-
cate that there was a concentration and time-dependent
depletion  of cellular  antioxidants, while markers for
oxidative stress and cellular  damage were significantly
increased (see Figure 1). The effect progressed and was
followed by an  increase in membrane damage and cell-
ular death. Treated cells exhibited features of apoptosis
at low exposure levels and severe membrane damages
and necrosis at higher concentrations of the chemical.
    The ability of fibroblasts to withstand DNA dam-
age induced by  DBAN was evaluated by determining
the magnitude of DNA repair processes in the cell using
a base excision repair (BER) assay. BER was upregu-
lated in cells exposed to low concentrations of DBAN,
and was  downregulated at higher concentrations and
longer exposure periods (see Figure 2). These studies
indicate that DBAN activates oxidative stress. Depend-
ing on its magnitude, oxidative stress signals induce up-
or downregulation of gene expression of BER enzymes.
The existence of human diseases associated  with im-
paired DNA repair graphically  illustrates the impor-
tance  of these processes of quality control. Chemically
induced disruption of BER might be found in humans,
and may  lead to a  decrease in  defense  mechanisms
against various types of carcinogenic DNA  damage.
    Currently, the goal is to closely investigate the
sequence  of the signals  leading  to the  regulation  of
BER  induced by the  drinking  water disinfectant by-
products  and how to intervene in  their  progression.
These signals will constitute an array of mechanism-
based biomarkers for HAN exposure and effects. Future
studies will focus  on the  characterization and quanti-
tative  determination  of oxidative and alkylative dam-
ages  to cellular macromolecules  following inhalation
exposure  of animals  to HANs.  These  studies should
provide a  basis  for  the  development of regulatory
guidelines and policies governing the tolerance  levels
for chronic human exposure to HANs.
The Office of Research and Development's National Center for Environmental Research

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                  2001 STAR Drinking Water Progress Review Workshop
   04
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       f-f
                              . 2hr



                              • 1 hr
      0  25  50   75   100  125  150  175  200 225
                                               Control EtOH   10    20
                                                                              120   240
              DBAN (fiM)
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                 Figure 1. Effect of dose-response and time on DBAN-mduced lipid peroxidation
           Time Course
                          lit     20 mi».
   iiM& JR. es|i
                                                                     10
                          Figure 2. Effect of DBAN on DNA base excision repair.
             The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Metabolic Fate of Halogenated Disinfection
Byproducts In Vivo and Relation to Biological Activity
L.M. Ball
University of North Carolina at Chapel Hill, Chapel Hill, NC
    Halogenated byproducts of drinking water disinfec-
tion are of concern because of their widespread human
consumption  and the  current uncertainty  over  their
health effects. Haloacids as a class are the most abun-
dant of the halogenated disinfection byproducts. Many
of these compounds are suspect  carcinogens, and in
addition, may form macromolecular adducts that could
be useful as  biomarkers of exposure to  disinfectants.
This project attempts to elucidate mechanisms of bio-
logical activity and disposition of haloacids.
    The initial hypothesis was that dihaloacetic  acids
could be metabolically activated to genotoxic interme-
diates by a glutathione-dependent enzyme pathway, and
that tricyclic  adducts would  be  formed  on  the  DNA
bases. The goals were to: (1) use the Ames plate incor-
poration assay to measure  the production of genotoxic
species in  the form  of mutations,  and manipulate the
metabolic  activation conditions  to favor glutathione
conjugation,  cytochrome  P450-linked  oxidation, or
NAD+-dependent oxidation, by addition of the appro-
priate cofactors, alone or in combination, to define the
metabolic pathway(s) that produce  genotoxic products,
with the intent of using that information to prioritize the
synthesis  of  potential DNA adducts towards  those
molecules  that  were plausibly produced  by pathways
linked to mutagenicity; (2)  synthesize such  potential
DNA adducts;  and  (3) investigate the  formation of
DNA adducts following treatment with  haloacids in
vivo.
    Evidence was obtained from mutagenicity assays
that  glutathione-mediated  pathways  did not lead to
mutagenic  products  from dichloroacetic  acid—in  fact,
they were  more likely to enhance  the toxicity of this
compound. However, NAD+ enhanced the mutagenicity
of dichloroacetic acid, hypothetically  by  acting as co-
factor for  oxidation of an intermediate  alcohol to a
carboxyl group. This conclusion was investigated to see
whether it held true for the brominated analogues. The
purpose at this  stage  was to prioritize  the  different
haloacetic  acids for  in vivo metabolic studies; prefer-
ence was given to the  most mutagenic compounds for
investigation  of potential in vivo DNA adduct forma-
tion.
    The brominated  haloacids each exhibited  some
interesting features.  Monobromoacetic acid clearly was
toxic to the bacteria, because few or no colonies (either
revertant or background) were able to grow at the two
highest doses,  and  this toxicity was mitigated  when
glutathione was  included in the assay mix. NAD+ did
not appear to have any effect on plate counts with or
without glutathione.  With  dibromoacetic acid,  plate
counts increased at  low doses, just barely reached a
doubling of the background rate, and fell off at the
highest dose.  A similar pattern was seen when gluta-
thione was  added alone.  In  the presence  of NAD+,
either alone or in combination with glutathione, no in-
crease  in  plate  counts was  seen,  or  was  toxicity
especially marked. The only compound of those tested
to exhibit a clear mutagenic response  was the mixed
haloacid, bromochloroacetic acid  (BCA). BCA  more
than doubled  the background rate,  consistently, either
alone or in the presence of NAD*. This increase in plate
counts was not observed when glutathione was added,
either alone or in combination with NAD+. Synthesis of
putative DNA adducts  has been unproductive to date
(results not shown).
    The original  hypothesis developed was that  a
glutathione-dependent  pathway could  contribute  to
formation of genotoxic metabolites  from dihaloacetic
acids.  The  results presented here confirm earlier find-
ings that the presence  of glutathione does not enhance
the mutagenicity of haloacetic acids  in  the Ames plate
incorporation  assay. However,  while  glutathione ap-
peared to increase the toxicity  of dichloroacetic acid,
for the brominated species bromoacetic acid  and bro-
mochloroacetic acid, the effects of glutathione amount-
ed to detoxication, in the form of a decrease in toxicity
for MBA and of mutagenicity  for BCA. Thus, inter-
action with glutathione is biologically important for this
class  of compounds; the  outcome  of that  interaction
would appear to differ depending on the nature of the
halogen substituent.
    Earlier  conclusions that thioether  conjugates de-
rived from haloacetic  acids are unlikely to contribute
greatly to the genotoxicity of these compounds, and that
synthesis of DNA adducts  inferred to be derived from
this  route  can be assigned a  lower  priority, remain
unchanged.  Nevertheless,  sufficient  evidence  has been
developed to show that glutathione-dependent pathways
play important, and perhaps different, roles in the over-
all  biological activity of  the haloacetic acids. BCA,
although not the most abundant dihaloacetic acid pro-
duced from drinking water disinfection, would appear
to be the most mutagenic  haloacetic acid; hence,  it is
expected to offer the highest chance  of observing DNA
adducts in  any quantity, in addition  to the high likeli-
hood that it will form adducts similar to those arising
from dichloroacetic acid.
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Genotoxicity and Occurrence Assessment
of Disinfection Byproducts in Drinking Water
Roger A. Minear and Michael J. Plewa
Department of Civil Engineering, University of Illinois at Urbana-Champaign, Urbana, IL
    The objectives of this project were to:  (1) calibrate
short-term genotoxicity assays based on  mutation  in
Salmonella  typhimurium and  direct DNA damage  in
cultured mammalian cells using regulated disinfection
byproducts (DBFs); (2) compare the relative genotoxic-
ities of chlorinated versus brominated DBFs;  (3) com-
pare the relative genotoxicities of chlorination byprod-
ucts versus brominated byproducts; (4) compare the rel-
ative genotoxicities  of DBFs  derived  from  singular
versus combination (sequential) use of  ozonation and
chlorination; and (5) provide a DBF occurrence data-
base for extrapolating genotoxicity results to practice.
    This  project merged quantitative  chemistry and
biology components. A new method was developed to
evaluate brominated and chlorinated DBFs based on an
ion chromatograph system as the detector, instead of a
coulometric titration  cell. Gas  phase HBr and  HC1 that
corresponded to brominated  and chlorinated  com-
pounds were dissolved in water, and the aqueous sam-
ple was applied to  ion  chromatography for separation
and quantification.
    Comparison  among chlorination, chloramination,
and chlorine dioxide treatment of Suwannee River ful-
vic acid with bromide ions showed that the ratio of the
brominated  fraction of total  organic halogen (TOX) to
the chlorinated fraction of TOX during chlorine dioxide
treatment was much  higher than those during  chlorina-
tion and chloramination. The cytotoxic  and mutagenic
properties of known  DBFs were quantitatively compar-
ed using bacterial and mammalian cell systems. A rapid
microplate cytotoxicity assay using S. typhimurium was
developed and calibrated. The cytotoxicity data were
incorporated into the analysis of the genotoxic potency
of each DBF. Selected DBFs were assayed for muta-
genicity in  strains TA98, TA100,  and  RSJ100  under
preincubation test conditions. The rank order  of  de-
creasing  cytotoxicity   in   TA100  was  3-chloro-4-
(dichloromethyl)-5-hydroxy-2-(5H)-furanone (MX)  »
bromoacetic acid  (BA) » bromoform (BF) > dibro-
moacetic acid (DBA) » tribromoacetic acid (TEA) >
chloroform (CF) » dimethylsulfoxide.  The rank order
of the mutagenic potency of the DBFs from the highest
to lowest was MX >» BA » BF > DBA » dichloro-
acetic acid (DCA) > chloroacetic acid (CA) » TEA ~
trichloroacetic acid  (TCA).  Rapid,  quantitative  mam-
malian cell cytotoxicity and genotoxicity assays using
cultured Chinese hamster ovary (CHO)  cells also were
developed and calibrated.  The CHO cell cytotoxicity
rank order from  highest to  lowest was  bromonitro-
methane  (BNM) >  dibromonitromethane  (DBNM) >
BA > MX > DBA > CA > potassium bromate > TBA >
DCA > TCA. Genotoxicity analyses of the DBFs were
conducted using single-cell gel electrophoresis (SCGE),
which detects genomic DNA damage at  the level of the
individual nucleus. Using SCGE genotoxic potency, the
rank order was BA  > DBNM > tribromonitromethane
> trichloronitromethane > BNM > MX > CA >  di-
chloronitromethane  > DBA > ethylmethane-sulfonate
([EMS] positive control) > TBA » TCA ~ DCA (see
Figure 1).
    Comparative toxicological  analyses of DBFs  and
DBF mixtures isolated from disinfected water using a
variety of biological endpoints are  important for  risk
assessment and assist the formulation of public regula-
tory policies that protect the environment and the public
health. Data to date show that there was no significant
correlation between  the relative cytotoxicity and geno-
toxicity data of the  DBFs when compared between S.
typhimurium and CHO cell assays.  Order ranking and
magnitude of responses of some DBFs are quite differ-
ent between the bacterial and mammalian assays.
    Complex DBF  mixtures  have been isolated from
real waters after chlorination, chloramination, or ozona-
tion.  Cytoxicity and genotoxicity  analysis of these
samples currently are underway and will be the focus of
the work in the final  project year.
                    The Office of Research and Development's National Center for Environmental Research

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                           2001 STAR Drinking Water Progress Review Workshop
              Bromoacetic Acid
              Dibromoacetic Acid
              Tribromoacetic Acid
              Chloroacetic Acid
              Dichloroacetic Acid
              Trichloroacetic Acid
              Bromonitromethane
              Dibromomtromethane
              Tnbromonitromethane
              Dichloronrtromethane
              Trichloronitromethane
              MX(EMX)
              Ethylmethanesulfonate
                              0.01
0.1
10
                                    Water Disinfection By-Product (mM)
  Figure 1. Single-cell gel electrophoresis analysis of genomic DNA damage in CHO cells induced by selected DBFs.  For comparison of the
          relative genotoxic activities of the DBFs, the standard chemical mutagen ethylmethyl-sulfonate was included. The halonitro-
          methanes were provided by Dr. Susan Richardson, U.S. Environmental Protection Agency
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Assessment of Human Dietary Ingestion
Exposures to Water Disinfection Byproducts via Food
James H. Raynter', E.D. Pellizzari1, Y. Hu', B. Childs', K. Briggs', H. Weinberg2, and V. Unnam 2
'Research Triangle Institute, Research Triangle Park, NC; 2 School of Public Health, University of North Carolina,
Chapel Hill, NC
    The overall objective of this research project is to
estimate  the  magnitude  of exposure  to  disinfection
byproducts (DBFs) in drinking water via their ingestion
after uptake  into  food during cooking or home pro-
cessing. Although the potential for contamination has
been shown,  the magnitude of this contamination has
not been  studied.  This  research  will specifically ad-
dress the uptake of compounds known to arise from the
process of water disinfection (ozonation in conjunction
with a secondary process such  as chloramination),
including nonhalogenated aldehydes, ketones and acids,
trihalomethanes,  haloacetic acids,   bromate,  chloro-
picrin,  and haloacetonitriles. The main hypotheses to be
tested are: (1) foods prepared using contaminated water
become contaminated; (2) food is a  significant source
of DBF exposure: (3) DBF concentrations in food can
be predicted with knowledge of DBF concentrations in
tap water and foods  consumed; and  (4) dietary expo-
sures of children are higher than for adults living in the
same household.
    Work to  date has focused on the investigation of a
method for nonhalogenated aldehydes  and ketones in
composite foods and beverages, the  stability of halo-
acetonitriles and haloacetic acids (HAAs) to boiling, the
partition   of  HAAs  into  foods   during cooking  and
rinsing, and  on a method for  the  determination  of
bromate in food.  A  method for nonhalogenated alde-
hydes  and ketones based on derivatization of carbonyl
compounds with o-(2,3,4,5,6pentafluorobenzyl)-hydro-
xylamine  to form the corresponding  oxime was devel-
oped and  applied to  foods  and beverages. The sample
extracts were very complex and contained many of the
target  analytes without the  addition  of  any known
DBFs. During boiling  of spiked water,  haloaceto-
nitriles were  lost very rapidly, while  some HAAs were
more  persistent. Chloroacetic, dichloroacetic,  bromo-
chloroacetic,  and  dibromoacetic acids were unaffected
following boiling for 60 minutes  while bromodichlo-
roacetic,  chlorodibromoacetic, and tribromoacetic acids
were lost quickly  (within  10 minutes); trichloroacetic
acids were of intermediate stability.
    The  partition of HAAs into  carrots,  green beans,
pinto beans,  chicken, and  lettuce  following cooking or
contact with water spiked to contain HAAs was studied.
The foods selected  for study were spaghetti, dried
beans,  carrots, green beans, chicken, and lettuce and
were  chosen  based  on different cooking conditions,
different chemical compositions (i.e., starch, vegetable,
protein), and the fact that they are commonly consumed
by children. Foods were cooked according  to package
directions  using either reagent water or water spiked to
contain  HAAs.  Following cooking, foods were  homo-
genized and extracted  as previously described  (Raymer
et al., J Exposure Anal Environ  Epidemiol 2000; 10:
808-15).
    In some cases, more than 60  percent of HAAs in
the cooking water were taken up by the food  during
cooking (see Table 1). In general,  chlorodibromoacetic
and tribromoacetic  acids are not  detected following
cooking, consistent with the rapid loss of  these com-
pounds  during  boiling.  The  soaking of lettuce  also
resulted in uptake of HAAs (1.8-7.8% of the total
available). Results for spaghetti indicated that  as much
as 15 percent of the available HAAs  are adsorbed/
absorbed during cooking in spiked water.  Given  the
large volumes of water used to cook pasta,  the masses
absorbed could  be much higher than for other types of
food.
    In addition, the data obtained to measure  uptake
following  rinsing  with spiked  water  indicate  that
additional  HAAs—up to 10 percent—are taken up from
the rinsing water.  This was  true whether the pasta was
cooked  in  reagent water or in spiked water.  It  also was
clear that  the HAAs that typically show low  recovery
following  cooking (bromodichloroacetic acid, chloro-
dibromacetic acid, and tribromoacetic acid) can become
available to contribute to exposure following contact of
the pasta with fresh, DBF-containing water.
    Initial  evaluation  of a method to extract bromate
from  food (spaghetti) showed that  material extracted
from pasta interfered with measurement of the recovery
of  bromate.  A specific  and  sensitive method  for
bromate based on ion chromatographic  separation/
postcolumn reaction method developed  for water was
adapted for this work.  Analysis of water recovered from
the cooking  of spaghetti   showed  that dilution  was
needed  to affect detection of the bromate; whether this
was  due  to adsorption of  bromate onto  suspended/
dissolved  solids or  a suppression  of the chromato-
graphic detection was not clear. Bromate was detected
in reagent water following  its use to cook pasta, which
indicated its presence  in the pasta. Initial extractions of
homogenized,  cooked pasta indicated  fewer interfer-
ences than with the recovered water, but that method's
precision was not very good. Further method work will
be conducted during the next year.
                     The Office of Research and Development's National Center for Environmental Research

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                              2001 STAR Drinking Water Progress Review Workshop
                               Table 1.  Percent uptake of haloacetic acids into foods during cooking
Percent Uptake (%RSD)
_, , Concentration 	 	 	 c 	 J — 	 	 	
Compound . ... , , . Green Pinto i,
1 in Water (ppb) Carrots „ OR Lettuce"
Beans Beans'"
Chloroacetic acid
Bromoacetic acid
Dichloroacetic acid
Trichloroacetic acid
Bromochloroacetic acid
Dibromoacetic acid
Bromodichloroacetic acid
Chlorodibromoacetic acid
Tribromoacetic acid
500
100
150
50
100
50
100
100
100
NRb
57C (3.8)
64C (24)
24 (294)
40C (9.7)
5T (8.0)
26C (43)
ND
ND
17C(38)
21 (50)
48C (39)
33 (92)
35C(8)
60C(18)
2.2(182)
ND
ND
62d(3.1)
NDe
85d(3.4)
INTf
37d (5.0)
51d(16.6)
5.3d (87)
ND
ND
2.5d(42)
4.5d(9.1)
3.9d(19)
3.1d(75)
4.2d(5.4)
7.2" (6.7)
1.8d(40)
6.5C(5.5)
7.8d(12)
Chicken8
15C(3.2)
ND
llc(22)
14C(121)
7.1C(45)
llc(23)
NR
ND
ND
a  Uptake = [(HAA mass in food cooked in spiked water - mass in food cooked in reagent water) x 100] - total HAA mass in cooking water,
  N=3
b  NR = Not reported A decrease in concentration was measured following cooking in spiked water
c  Significant at p < 0 05.
d  p value  not calculated because n = 1  for control case, a substantial increase was noted for these compounds relative to the food  cooked in
  reagent water
c  ND = Not detected
f  INT = Interferent.  Very high trichloroacetic acid concentration in the blank made estimation of the uptake difficult.
8  Pinto  beans soaked in reagent water and cooked in water spiked with HAAs, chicken soaked and cooked in spiked water
h  Lettuce soaked for 5 minutes in water containing HAAs
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Bioavailabilitv of Haloacetates in Human Subjects
Irvin R. Schultz , Robert Shangraw ', and Torka Poet
1 Battelle, Pacific Northwest Division, Rich/and,  WA; 2Oregon Health Sciences University, Portland, OR
    The objective of this research project  is to char-
acterize the  absorption,  disposition, and oral  bioavail-
ability of chlorinated and brominated  haloacetates in
human volunteers after consumption of drinking water
containing a natural mixture of these compounds. It is
hypothesized that accurate assessment of the  oral bio-
availability  of haloacetates  can  be  achieved by  the
simultaneous administration  of an oral dose of I2C-
labeled  haloacetate with an intravenous  dose of LlC-
labeled haloacetate. It is hypothesized that measurable
plasma  levels of dichloroacetate, bromochloroacetate,
and dibromoacetate can  be detected from the  debromi-
nation of bromodichloroacetate, dibromochloroacetate,
and tribromoacetate.
    This research will directly test the hypothesis that
prolonged exposure  to  low  concentrations of dihalo-
acetates reduces their metabolism  and increases their
systemic bioavailability  in humans.  These experimental
results will be used to validate a  physiologically based
pharmacokinetic (PBPK) model for haloacetates in hu-
mans that is based on in vitro metabolism parameters
obtained with human tissue homogenates (see Figures 1
and 2). Dichloroacetate (2 mg haloacetate/Kg) in 1 pint
of water will be given to volunteers. After 5 minutes,
'JC-labeled  dichloroacetate  will be given by  intraven-
ous injection (via a catheter placed in the arm).
                                      A similar  experiment  will  be  performed using
                                  mixtures of chlorinated and  brominated haloacetates in
                                  rhesus monkeys.  In a second experiment,  volunteers
                                  will consume 1 pint of tap water previously verified to
                                  contain the seven haloacetates of interest. For all exper-
                                  iments, serial blood samples will be removed using the
                                  intravenous catheter,  and the blood  plasma will be
                                  analyzed simultaneously  for  both the  ljC haloacetates
                                  and I2C  haloacetates  (using gas chromatography-mass
                                  spectrometry or  liquid  chromatography-MS/MS tech-
                                  niques). The area-under-the-curve ratio for the oral and
                                  intravenous doses will be determined to estimate the
                                  oral bioavailability.
                                      This project  will provide critical data needed to
                                  make accurate and reliable exposure estimates of halo-
                                  acetates  to humans  consuming  municipal  drinking
                                  water supplies.  In addition, this project will identify the
                                  consequences of  low-level exposure to haloacetates on
                                  their  subsequent  metabolism and disposition. This in-
                                  formation is needed to assess whether individuals  who
                                  consume water containing high levels of byproducts
                                  experience greater than predicted exposure  due to de-
                                  creased elimination of haloacetates. This project  also
                                  will allow for the direct testing of physiologically based
                                  pharmacokinetic model predictions of haloacetate dosi-
                                  metry in humans.
 10
The Office of Research and Development's National Center for Environmental Research

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                           2001 STAR Drinking Water Progress Review Workshop
        ^ 1.2 •
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           \M BDCA
Figure 1.  Left graph  DCA metabolism in human liver S9 Right graph- BDCA metabolism (total, solid squares) and DCA formation (open
         circles) in human liver microsomes  Formation of DCA accounts for most of the consumption of BDCA Solid lines on both graphs
         are the nonlinear least squares fit of the observed data to the Michaelis-Menten equation
                                                           100 -a
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Figure 2.  Left graphs. PBPK model predictions of DCA plasma profiles in humans after 1 and 50 mg/kg oral doses. Observed data (circles) is
         from Curry et al (1991) Biopharm Drug Dispos 12 375-390 Right graphs: PBPK model predictions of BDCA and DCA plasma
         profiles in humans after 1 and 5 mg/kg oral doses of BDCA
The Office of Research and Development's National Center for Environmental Research
                                                                                                    11

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                         2001 STAR Drinking Water Progress Review Workshop
Physiologically Based Pharmacokinetic
Modeling of Haloacid Mixtures in Rodents and Humans
Irvin R. Schultz, Robert D. Stenner, and Richard J. Bull
Battelle, Pacific Northwest Division, Rich/and, WA
    The goals of this research project are:  (1) char-
acterization of the comparative toxicokinetics and  me-
tabolism of chloro, bromo,  and  mixed  chlorobromo
haloacids (HAs) in rodents; and (2) development of a
physiologically based pharmacokinetic (PBPK) model
that can predict the tissue distribution and elimination
of HAs during chronic oral exposure in mice, rats, and
humans.
    Prior experiments established that di- and tri-HAs
have distinct pharmacokinetic properties, and that prior
exposure to di-HAs can alter their metabolism. Current
studies have focused  on characterizing the kinetics of
di- and tri-HAs at lower doses and as a mixture of HAs.
In vivo  experiments  used mice and rats given either
intravenous or gavage doses of an HA or HA mixture
and the blood plasma  concentration-time profile  and
urinary excretion characterized in individual animals.
Both control (naive) and animals  pretreated with a di-
HA for 7 days at various drinking water concentrations
were used  to measure  the  effects of prolonged  HA
exposure on the disposition.  In vitro metabolism exper-
iments  of tri-HAs  used mouse and rat  microsomes.
These  experiments  were  performed  under varying
oxygen  tensions  ranging from zero (pure  N2  atmo-
sphere), 2  percent O2, and normoxic  (normal  atmo-
sphere).
    Di-HA elimination by naive rats was so rapid that
only higher doses (1-20 mg/kg for the intravenous and
5-20 mg/kg for  the  gavage) achieved blood plasma
concentrations above  the analytical  limit of detection.
The oral bioavailability was approximately 30 percent
in nai've rats at the 5 and 20 mg/kg doses. Oral bio-
availability increased to 39 percent and 82 percent at 5
and  20  mg/kg doses, respectively, in  HA-pretreated
                                 animals. The oral absorption plasma profile of di-HAs
                                 was  complex  and exhibited secondary peaks several
                                 hours after dosing. This  phenomenon appeared to be
                                 enhanced  in mixtures of HAs. The metabolism  of di-
                                 HAs is known to be mediated by the enzyme  gluta-
                                 thione-S-transferase Zeta (GSTzeta).
                                     Pretreatment of rats  with  a di-HA greatly  dimin-
                                 ished the  GSTzeta activity and  metabolism of all di-
                                 HAs. This effect on metabolism could be observed after
                                 pretreatment  with drinking water levels  as low as 1
                                 mg/Kg (see Figure 1). Microsomal metabolism of tri-
                                 HAs proceeded  by reductive debromination forming a
                                 di-HA free radical  intermediate, which was stimulated
                                 under a reducing environment. The Vmax for the  loss of
                                 parent trihaloacetate was 4-5 times higher under nitro-
                                 gen headspace than under atmospheric conditions.  In-
                                 trinsic  metabolic  clearance  was  of the  order  Tri-
                                 Bromoacetate > Chlorodibromoacetate»Bromodichlo-
                                 roacetate.
                                     Eadie-Hofstee plots for the consumption of the par-
                                 ent tri-HA appeared linear, suggesting  that a single
                                 P450 enzyme  is responsible.  Carbon monoxide and
                                 diphenylene-iodonium (a  specific P450 reductase inhib-
                                 itor) blocked  the metabolism. However, inhibitors of
                                 specific P450 proteins (CYP 2E1, 2D6, and 3A4) failed
                                 to block metabolism significantly.
                                     These results indicate that low-level exposure to
                                 di-HAs decreases metabolism, causing an increase in
                                 the oral bioavailability. The delayed absorption of di-
                                 HAs may allow greater levels to reach the  colorectal
                                 region than previously thought.  These results will be
                                 incorporated into the working PBPK model  for HAs to
                                 predict tissue  dosimetry during low exposure rates of
                                 mixtures of HAs.
12
The Office of Research and Development's National Center for Environmental Research

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                          2001 STAR Drinking Water Progress Review Workshop
        c
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       O

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100 -i
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Figure 1.    GSTzeta activity in liver cytosol prepared from rats treated for 7 days with a di-HA at various drinking water concentrations

           (mean ± SD)
The Office of Research and Development's National Center for Environmental Research
13

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                          2001 STAR Drinking Water Progress Review Workshop
Inhalation and Dermal Exposure
to Disinfection Byproducts of Chlorinated Drinking Water
Clifford P. Weisel and Jeffrey Luskin
Enviromental and Occupational Health Sciences Institute, Piscataway, NJ
    Inhalation and dermal exposure to haloacetic acids,
haloketone,  haloacetonitrile,  and  chlorohydrate  from
showering and  bathing are being determined.  The ex-
posures will be determined from:  (1) concentration of
the DBFs or their metabolites in urine or breath follow-
ing known exposures; (2) estimation of dermal  trans-
port  coefficients  using in  vitro measurements across
excised skin; and  (3) size  and number distribution of
residential water aerosols generated during showering
and disinfection byproduct (DBF) concentration.
    The dermal absorption during both in  vivo and in
vitro studies was  minimal  for  chloroacetic acid, di-
chloroacetic  acid,  bromoacetic  acid,  trichloroacetic
acid, bromochloroacetic acid, and  dibromochloroacetic
acid. Only trichloroacetic acid had measurable penetra-
tion through the skin in vitro at pH 7, with a Kp value
of 0.00039 cm2/hr at 37°C. The haloacetic  acids were
either only slightly above the background levels  in the
urine (total excess excretion 1-2 \ig for dichloroacetic
acid) or not detectable in the urine (dibromoacetic acid)
following a bath using concentrations of 200 [ig/L. Low
or nonmeasurable levels of the haloacetic acids in urine
after bathing could be due to rapid metabolism  of the
compound, although a portion of  even  rapidly  meta-
bolized compounds are expected to be excreted prior to
being metabolized  after being dermally absorbed.
    The in  vitro and  in vivo results strongly suggest
that dermal absorption of haloacetic acids from water at
pH of approximately 7 is insignificant. Dichloropropan-
one and trichloropropanone had Kp values of 0.019 and
0.0081 cm2/hr, respectively, at 21°C.
    The  in  vitro  measurements   were made  under
steady-state conditions of high concentrations (g/L), run
for 20-50  hours.  Chloroacetonitrile  rapidly adsorbed
across  the skin within the in  vitro  studies, made under
nonsteady state (|J.g/L concentrations), with a peak flux
of 0.01 u.g/hr/cm2 within minutes of the exposure,
followed by a decline after several hours.
                                      For water concentrations of 20 |0,g/L, a 30-minute
                                  bath would provide a dose of 1-3 (ig, or 5-15 percent
                                  of that obtained from ingestion of 1 L of water. The in
                                  vivo studies also documented penetration through the
                                  skin, although a majority of the compounds are meta-
                                  bolized rapidly, making measurement of the DBF itself
                                  difficult. Chlorohydrate was observed to dermally pene-
                                  trate the skin based on measurement of its metabolite
                                  trichloroacetic acid.
                                      Aerosols of 0.5-2.0 microns were produced by
                                  showers using different showerheads and temperatures.
                                  The aerosol size distribution was characterized by p =
                                  3.2  x  10"Jd""4, where  p  is the percentage of aerosols
                                  within a certain size range, and d is the diameter of the
                                  aerosol.
                                      For water spiked with 25  |ig/L of haloketones and
                                  200 |ig/L of haloacetic acids, the upper limits of what is
                                  expected in a water distribution system, the  airborne
                                  particulate levels near the shower stream were 10 u,g/mj
                                  for  the haloacetic acids and  100 ng/nr5 for  the halo-
                                  ketones.
                                      The expected inhalation contribution to the total
                                  dose from these aerosols  is calculated to be 1 percent or
                                  less compared to  an ingestion of 1  L  of water, Jt is
                                  expected that the  haloketones also will  have a vapor
                                  component that will contribute more to  the inhalation
                                  dose.
                                      These results provide evidence that  dermal and in-
                                  halation exposures are not important routes  for halo-
                                  acetic  acid, but should  be considered  for haloaceto-
                                  nitrile, chlorohydrate, and haloketone (see Table 1).
                                      The  data necessary for drinking water  exposure
                                  models, including dermal uptake, particle size, and par-
                                  ticle number distributions are being generated. In vivo
                                  studies need to be completed. Additional work also is
                                  needed to develop biomarkers that adequately can mea-
                                  sure exposure to  these  DBFs  in  field  and controlled
                                  studies.
 14
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
                          Table I. Importance of exposure route to total dose relative to ingestion
Compound Class Dermal
Haloacetic Acid
Haloketone
Haloacetonitrile
Chlorohyrate
No
Yes
Probable
Yes
Inhalation- Aerosol Inhalation-Vapors
No
No
No
No
No
Probable
Probable
Probable
The Office of Research and Development's National Center for Environmental Research
15

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                         2001 STAR Drinking Water Progress Review Workshop
NHEERL Research
on Carcinogenic Contaminants in Drinking Water
Douglas C. Wolf
Environmental Carcinogenesis Division, National Health and Environmental Effects Research Laboratory, Office of
Research and Development,  U.S. Environmental Protection Agency, Research Triangle Park, NC
    Water  research  in  the Environmental  Carcino-
genesis Division focuses on improved understanding of
the mechanisms of mutagenesis and Carcinogenesis of
water contaminants for incorporation into human cancer
risk  assessment models.  The  program uses cellular,
animal, and computer models for assessing responses to
individual  and  mixtures  of water disinfection by-
products  (DBFs), arsenic, and  chemicals on the U.S.
Environmental  Protection Agency's (EPA)  chemical
contaminant list.  A significant component of the  re-
search effort is directed  toward a better understanding
of mechanisms underlying  tumor  development to  in-
form the  cancer risk assessment process. As examples,
research on potassium bromate  (KbrO3), dichloroacetic
acid (DCA), arsenicals, and a defined  mixture of four
water DBPs will be discussed.
    Ozone has been proposed  for water disinfection
because it  is more  efficient in killing microbes than
chlorine and  results  in much lower levels of trihalo-
methanes than  chlorination. Ozone leads to formation
of  hypobromous acid  in  surface waters  with high
bromine  content  and forms brominated organic by-
products and bromate. The carcinogenicity and chronic
toxicity of KBrO3 was studied in mice and rats. KBrO3
is carcinogenic in the rat kidney, thyroid,  and meso-
thelium and is  a renal carcinogen in the male mouse.
These data were used to predict the human health risk
associated with exposure to bromate in drinking water.
    DCA is  the main  component of the  haloacetic
acids, the second most prevalent group of  DBPs after
trihalomethanes. DCA is a rodent liver carcinogen that
results in tumor development after 2 years, even when
mice are  exposed to DCA for only 10 weeks. DCA has
been shown to depress apoptosis in hepatocytes and is a
weak inducer of DNA mutations, as it has been weakly
                                positive  in both in vitro and  in vivo mutagenicity as-
                                says, including the Big-Blue Mouse*. These and other
                                data  are being used  to  develop a biologically based
                                dose-response model  for DCA hepatocarcinogenesis in
                                the mouse. Arsenic is a known human carcinogen  and
                                has  been shown to promote cancer in the rat  urinary
                                bladder,  kidney,  liver, and thyroid  as well as in the
                                mouse lung. It has been generally thought that arsenite
                                is the carcinogenic form,  and that methylation is the
                                detoxification  and excretion pathway. However, recent
                                evidence shows that methylation of arsenic also  may be
                                a toxification pathway. Arsenic may act as both  a geno-
                                toxic and nongenotoxic carcinogen, thereby acting as an
                                initiator and/or a tumor promoter. Additional  research is
                                examining the interaction  between  arsenic  and DNA
                                methylation, as well as the carcinogenic activity of di-
                                methylarsenic acid and the contribution free radicals
                                may  have in  arsenic-induced cancer. Current  default
                                risk assessments  for  chemical mixtures  assume addi-
                                tivity of carcinogenic effects, but this may under- or
                                over-represent the actual biological response.
                                     A rodent model of hereditary renal cancer was used
                                to evaluate the carcinogenicity of a mixture  of  KBrO3,
                                3-chloro-4-(dichloromethyl)-5-hydroxy-2(5H)-furanone
                                (MX), chloroform, and bromodichloromethane. Treat-
                                ment with the mixture did not produce more neoplasms
                                than the individual compounds, suggesting less  than an
                                additive  response  for carcinogenicity. Research within
                                the  Environmental Carcinogenesis Division not only
                                attempts to develop methods for detecting environment-
                                al carcinogens, but also tries to define the mechanisms
                                of Carcinogenesis  with the intent of resolving issues,
                                assumptions, and  uncertainties  in  cancer risk  assess-
                                ment for water contaminants.  This abstract does not re-
                                flect EPA policy.
 16
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Aluminum Toxicokinetics:  Oral
Absorption From Drinking Water and Brain Retention
Robert A. Yokel  , Patrick J. McNamara1, and David Elmore
 College of Pharmacy and Graduate Center for Toxicology, University of Kentucky, Lexington,  KY; 'Purdue Rare
Isotope Measurement Laboratory, Purdue University, Lafayette, IN
    Aluminum (Al) is a neurotoxicant that plays a role
in dialysis  encephalopathy and similar conditions. Al-
though  highly   controversial,  some epidemiological
studies suggest a positive association between drinking
water Al concentration  and  the  incidence of Alzhei-
mer's disease. It has been suggested that Al is better
absorbed from water than foods.  The overall objective
of this study is  to  determine if  Al  in drinking water
significantly contributes to brain Al accumulation.
    There were  four aims of the study.  The first aim
was to determine the absolute bioavailability of Al from
drinking water.
    The second  aim was to assess whether water hard-
ness and/or food in the stomach affect oral Al bioavail-
ability. Repeated measurements of both 26A1 and 27A1 in
rat plasma  were obtained after concurrent administra-
tion  of a single  stomach feeding of 26A1 in water and
continuous   27A1 intravenous  infusion.   The stomach
feeding was given in the absence ("soft" water) or pres-
ence  of  calcium and  magnesium  carbonate  ("hard"
water) and  in  the  absence  or presence of stomach
contents. Al bioavailability  was calculated from the
area under  the Al concentration x time curve for 26A1
compared to the equivalent term for 27A1.
    The third aim was to determine the fraction of Al
that enters the brain from blood by quantitation  of 26A1
in the rat brain after  its systemic administration.
    The fourth  aim  was to determine the rate of brain
Al  elimination.  Two approaches were  utilized. Rat
brain 26A1 was quantitated at  multiple times after sys-
temic 26A1   dosing.  Additionally, some  rats received
repeated  injections of the Al  chelator desferrioxamine
to determine whether it affected the brain 26A1 half-life.
Approximately  0.3  percent of the 26A1 was absorbed
independent of whether it was given in "soft" or "hard"
water and independent of the absence or presence of
stomach contents.
    After intravenous 26A1  administration,  approxi-
mately 5 x 10"'  percent of the dose appeared in each
gram of brain.  The half-life of brain Al elimination was
approximately  150 and 85 days in the absence and pre-
sence of repeated desferrioxamine injections, respec-
tively.  Al shows a prolonged residence in the brain.  As
the human lifespan is about 30 times that of the rat, the
150-day half-life in rat brain translates to a human brain
Al half-life of approximately 12 years. Brain Al concen-
tration  resulting from continuous Al intake can be pre-
dicted from the amount of Al that  enters the brain and
the half-life of Al in the brain.
    For this prediction, 0.3 percent absorption of the 8
mg Al consumed  daily  in drinking  water and  food,
entry into the brain  of 5 x 10"J percent of the  absorbed
Al, and a 12-year brain Al half-life were assumed. The
results  suggest that brain  Al in the  average 60 year-old
human should  be approximately tenfold more than is
reported.  One explanation for  this discrepancy is that
0.3 percent is an overestimate of oral Al bioavailability
from food. Water provides  only about 1  percent of the
typical daily Al  consumption,  whereas  food  provides
about 95 percent.
    If  Al bioavailability from food  is  approximately
0.03  percent,  the prediction  would match  observed
human brain  Al  concentrations. Drinking  water then
would  provide approximately  10 percent of the daily
absorbed Al that might contribute to brain Al accumu-
lation.  The Al concentration  in drinking  water then
might  impact  human  brain Al accumulation. Deter-
mination of the oral bioavailability of Al from food is
required to clarify the ability of Al in drinking water to
significantly contribute to brain Al.
The Office of Research and Development's National Center for Environmental Research
                                                 17

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           Section 2.
Chemical Contaminants: Arsenic

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                          2001 STAR Drinking Water Progress Review Workshop
Overview of EPA's Arsenic
in Drinking Water Regulation
IreneS. Dooley
Office of Ground Water and Drinking Water, U.S. Environmental Protection Agency,  Washington, DC
    The goals and objectives  of this project  are to
propose arsenic regulation by January 1, 2000, issue a
final rule by  June  22,  2001,  and reevaluate at least
every 6 years. The  Safe Drinking Water Act directed
the U.S. Environmental  Protection Agency (EPA) to
revise its 1975 Drinking Water Standard (the Maximum
Contaminant  Level  [MCL]) and  list  affordable tech-
nologies for small systems.  EPA  may adopt an  MCL
"that maximizes health risk reduction benefits at a cost
that is justified by the benefits."
    The Act, as amended in 1996, charged the Agency
to develop a  research plan by February 2, 1997, to
address the uncertainty  in assessing health risks from
low levels  of arsenic to support  the  rulemaking, and
conduct the research in  consultation with the National
Academy of  Sciences (NAS), other federal agencies,
and interested public and private entities.
    In December  1996,  EPA submitted its draft  re-
search plan for peer review and issued the final plan in
February 1998. The plan identified the  short-term re-
search (available before January 2000) that  would sup-
port regulation development and long-term  research to
reassess the arsenic MCL, as specified  by the statute. In
1996, EPA asked the  NAS to review arsenic  health
effects research and EPA's  risk characterization from
arsenic  exposure. The NAS report,  issued in March
1999, concluded that the Taiwanese studies provide the
best  data available for quantifying risks.  The  report
stated that  EPA's MCL  of 50 ppb is not  adequately
protective and should be lowered as soon as possible.
    In the preamble to EPA's June 22, 2000, proposed
rule, the Agency explained how it used NAS' bladder
cancer risk analysis to prepare EPA's initial risk assess-
ment  (see Figure I). In the  proposal, EPA  identified
sources of scientific uncertainty and requested comment
on MCL options ranging from 3-20 ppb.  Although the
possible mechanisms for arsenic-induced  cancer are
associated with sublinear dose-responses, available data
do not meet EPA's criteria for departing from a linear
extrapolation.
    Studies  published  in 2000 show that trivalent
organic forms of arsenic are more toxic than inorganic
arsenic. Current studies  do  not identify  infants and
children as being at greater risk.
    In the January 22, 2001, final  rule,  EPA's lower
bound risk estimates  accounted for the arsenic  in Tai-
wanese food and from food preparation in Taiwan.
    More  than  2,900 of the  3,000  community water
systems projected to require treatment serve fewer than
10,000 people. The MCL of 10 ppb will avoid 37-56
bladder and lung cancers per year, and cost households
$38-$327 per year in  systems serving under  10,000
people.
    Although ecological studies  identify health ef-
fects,  uncertainties about exposure, differences in nutri-
tion, selenium, and linear extrapolation of data affect
the risk assessment. Additional mode of action studies,
animal studies,  population studies,  and studies  of in-
fants  and  children could improve future risk  assess-
ments.
The Office of Research and Development's National Center for Environmental Research
                                                21

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                   2001 STAR Drinking Water Progress Review Workshop
          Peer-Reviewed
             Research
                             .>.•'
/ »EPA Research
]  •IndustryStudies
                    f
                                       Risk
                                   Assessment
                                      Hazard
                                   Identification
                                                               Risk
                                                           Management
       International
                      I R esearch,! D OSe-ReSpOIl SB / MC LG   '!>
                       Needs*
                                  Assessment
                                                                MCL

                                                                Treatment and

                              E xpo sii re
                             Assessment
                                                 ization^/
• Small System     \
• Technologies      l
• Test Methods
• C ost-Benefrts of  /
 Options          /
• Occurrence,
 Number of
 Systems  ^
                      * Arsenic Research Plan (www epa gov/ORDAVebPlus/final/arsenic pdf)
                      * 1996 Cancer Assessment Guidelines (61 FR 17960)
                       Figure 1. Role of research and studies in standards development.
22
            The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Arsenic-Glutathione Interactions and Skin Cancer
Catherine B. Klein ' and Elizabeth T. Snow 2
'Department of Environmental Medicine, New York University School of Medicine, Tuxedo, NY;2 Center for
Cellular and Molecular Biology, Deakin University, Victoria, Australia
    The goal of this research project is to test the hypo-
thesis that  arsenic-induced cancer  could  result  from
changes in cellular redox control mediated by gluta-
thione (GSH).  Specific aims were designed to:  (1) ex-
amine the in vitro effects of arsenic on the activities of
GSH-metabolizing enzymes glutathione S-transferase-
pi (GST-Tt), glutathione reductase (GR),  and glutathi-
one peroxidase (GPx); (2) assess GSH-dependent redox
status, production  of reactive  oxygen species (ROS),
GSH/GSSG levels, and the activities of GR and GPx in
low-dose inorganic arsenite (As"1) treated cultured hu-
man keratinocytes; and (3) evaluate the role of GSH in
arsenic-induced carcinogenesis  by examining the effect
of varied GSH levels on the  rate  of  skin papilloma
induction in normal and GPx-overexpressing mice.
    The approach taken by this project was to explore
the effects of arsenic  on glutathione-regulating enzymes
in human skin keratinocytes in vitro, and  in mice in
vivo.  It was predicted that exposure to physiologically
relevant,  low  doses  of As could  activate the  gluta-
thione-related enzymes due to changes in cellular phos-
phorylation  and/or redox status.  If this occurred, it
could either potentiate or ameliorate the induction of
cellular stress responses, and perhaps skin carcinogene-
sis. This research has shown that physiologically rele-
vant concentrations of arsenic  (less than  100 uM) do
not directly inhibit GSH-metabolizing enzymes. Direct
enzyme  inhibition  is  only  seen at  high  arsenic  con-
centrations. Low concentrations of As"1 do, however,
cause significant changes in cellular GSH levels and in
the relative  activity and gene expression of a variety of
redox-active enzymes in cultured human keratinocytes
or fibroblasts (see Figure 1).
    These  results show that low, relatively nontoxic
concentrations of arsenic can directly modulate cellular
redox activity that, in turn, may alter cellular signaling,
thereby contributing to the carcinogenic process.
    In experiments designed to evaluate the hypothe-
sis that arsenic acts as a progressor or copromoter in the
production  of skin cancer, this  research has confirmed
that As does not act as a  copromoter with  7,12-di-
methylbenz[a]anthracene  (DMBA)  and  12-O-tetrade-
canoyl phorbol-13-acetate (TPA) in  a standard skin
carcinogenesis protocol. This is consistent with the lack
of As-induced carcinogenesis in other animal models,
and again shows that the biological response of humans
to As is quite different from that of rodents. In another
mouse experiment using a  higher dose  of TPA,  the
significant  level  of papilloma formation in the DMBA/
TPA-treated animals is  reduced in the  arsenic-exposed
animals.
    During the  last  year of this project,  additional
animal experiments with the GPx-overproducing trans-
genie  mice will  be performed.  GPx is one of the few
identified genes that is downregulated by a low dose of
As"1,  and these  animals  also are highly sensitive  to
DMBA/TPA-induced  skin cancer.  They  should pro-
vide an interesting additional test of As  as a copromoter
or progressor.
    Frozen samples of skin  and other tissues from the
first three  animal experiments  have been  stored, and
other  samples have been preserved in  paraffin blocks.
These samples will be used to investigate tissue arsenic
levels  and the  levels  of GSH-related  proteins and
mRNA in the skin, bladder,  and other tissues from the
As-treated and control animals.
The Office of Research and Development's National Center for Environmental Research
                                                23

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                       2001 STAR Drinking Water Progress Review Workshop
                    0         5        10        15       20        25       30
                                              As111 \M
                           Figure 1. mRNA levels in cells exposed to As for 24 hours
24
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
A Dose-Response and Susceptibility Investigation of Skin
Keratoses and Hyperpigmentation  Caused by Arsenic in Drinking Water
Allan H. Smith', Reina Haque', Joyce Chung', Lee Moore', D.N. Guha Mazumder2, Binay K. De 2,
Nilima Ghosh2, Soma Mitra2, and David Kalman3
'University of California, Berkeley, CA;'Institute of Post Graduate Medical Education and Research, Calcutta,
India;  ~ University of Washington, Seattle, WA
    The first detailed assessment of the dose-response
relationship of arsenic-induced keratoses  and hyper-
pigmentation at low doses has been completed. Key ob-
jectives of the study also included determining whether
susceptibility varies by arsenic methylation capability
and nutritional factors such as methionine and cysteine.
Arsenic methylation was assessed  by urinary  assays.
Nutritional status was determined by blood measure-
ments of key macronutrients and micronutrients as well
as by analysis of a dietary questionnaire.
    Recently,  a case-control  study was completed that
took advantage of the largest population-based survey
conducted of a district in West Bengal, India, with ele-
vated inorganic  arsenic levels in  its drinking water
supplies. The source of the arsenic is geologic.
    Potential  participants  for the  case-control study
were identified from the 1995 cross-sectional survey for
further medical examination and detailed arsenic expo-
sure assessment.  The cross-sectional  survey included
more than 7,000  participants,  and measured the resi-
dents'  current arsenic concentration  in their tubewell
water supplies. All individuals identified with keratoses
and/or hyperpigmentation in the survey, and exposed to
<500 ug/L of arsenic, comprised the  case group for the
present  investigation.  The control group  consisted of
lesion-free  individuals randomly selected from  the
cross-sectional  survey database matched  on age  and
sex.
    The information used  in  the earlier survey of ar-
senic in drinking water was expanded to include infor-
mation from all current and past water sources  used in
households and work sites. Data obtained from personal
interviews and chemical analyses  of drinking water
samples were  used to assess arsenic  exposure. The in-
terviews consisted of questions about lifetime residen-
tial history,  water sources at home and work, and fluid
consumption. The clinical exam involved various derm-
atologic, neurologic, and respiratory endpoints. A num-
ber of participants suspected to have an arsenic-induced
skin lesion were photographed. A dietary questionnaire
supplemented with results of blood assays will be  used
to ascertain the participants' nutritional status. Urinary
assays will  be  used to determine arsenic methylation
efficiency.
    The interviews  and sample  collection  started in
June 1998, and ended in December 1999. Participation
was excellent (93% in cases and 97% in controls).  Ulti-
mately,  192 cases and 213 controls participated.  Key
preliminary results  on the dose-response relation in-
clude: (1)  strong dose-response  trends with peak and
average exposures were found based on known years of
exposure (test for trend  with peak  and average expo-
sures, /><0.0001); (2) these trends remained after adjust-
ing for  sex, age, smoking status, socioeconomic  fac-
tors, and body mass index; (3) the proportion  of cases
confirmed  as definite or probable by photograph  was
high  (87%)—an  implication of this  finding  is   that
keratoses and hyperpigmentation are the best biomark-
ers of long-term effect; and (4)  some cases  who  were
initially thought to have consumed very low  arsenic
levels actually were exposed to higher concentrations in
past decades.
    For the first time, the dose-response relation of skin
lesions  and arsenic  ingestion at low doses was charac-
terized  using a detailed  exposure assessment. Also, it
was the first study  to  confirm  cases  by photograph.
Interviewing and sample collection have been com-
pleted for 405 total participants.  Data entry and editing
have been completed, and scientific reports are being
prepared for publication regarding the dose-response
relation, arsenic methylation capability, and  nutritional
factors.
The Office of Research and Development's National Center for Environmental Research
                                                 25

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                          2001 STAR Drinking Water Progress Review Workshop
Trivalent Methylated Arsenicals:  Novel
Biomarkers of Arsenic Toxicity in Humans
Miroslav Styblo', Luz M. Del Razo 2, Shan Lin s, William R. Cullen 4, and David J. Thomas5
'Departments of Pediatrics and Nutrition, University of North Carolina,  Chapel Hill, NC; 'CINVESTA V-IPN,
Mexico City, Mexico; 3 University of North Carolina, Chapel Hill, NC; 4 University of British Columbia,  Vancouver,
BC, Canada; ^ National Health and Environmental Effects Research Laboratory, U.S. Environmental Protection
Agency, Research Triangle Park, NC
    The major goal of this project is to study the effects
of inorganic arsenic on a major cellular redox enzyme,
glutathione reductase  (GR), and on the redox status of
cells exposed to arsenic. To better understand the role
of metabolism in the toxicity of arsenic, the correlation
between effects induced by arsenic and the patterns of
its metabolic conversions are systematically  examined
in live cells. Cells from tissues that metabolize arsenic
(liver) and  tissues that are targets  for  carcinogenic
effects of arsenic (skin, lung, and  bladder) are used in
the study. A summary of results obtained during the 3
years (1997-2000) of the study follows.
    An inorganic form  of trivalent arsenic, arsenite
(iAs111), is toxic  for most cell types examined only at
relatively high concentrations.  It is a weak inhibitor of
GR and of another major oxidoreductase, thioredoxin
reductase  (TR),  in cultured cells.  iAs111 is effectively
metabolized to methylarsenic (MA) and dimethylarsen-
ic (DMA) species  in primary human hepatocytes.  How-
ever,  the capacity of human hepatocytes to  methylate
iAs"1  varies  significantly  among  individuals. Human
epidermal keratinocytes and human bronchial epithelial
cells are  much less effective methylators of iAs1" than
are hepatocytes. Epithelial  cells derived from the hu-
man bladder do not methylate iAs1".  There  is no ap-
parent correlation between  the  capacity  of cells to
methylate iAs and their susceptibility to acute toxicity
of iAs111.
    Trivalent methylated metabolites of iAs"1, methyl-
arsonous  acid   (MAsm)  and  dimethylarsinous  acid
(DMAs"1), are  significantly more toxic for  most cell
types than is iAs"1. In addition, MAs"' is a more potent
inhibitor  of GR and  TR than  is iAs1"  by  an order of
magnitude. An acute exposure of cells to MAs111 results
in a  significant  reduction of intracellular levels  of a
major cellular antioxidant, glutathione (GSH).  Penta-
                                  valent methylated metabolites of iAs"1, methylarsonic
                                  acid (MAsv), and dimethylarsinic acid (DMAsv) do not
                                  inhibit either GR or TR and are not cytotoxic. In cells
                                  exposed to iAs1",  inhibition of TR  activity  strongly
                                  correlates with intracellular MAs, suggesting  that the
                                  trivalent form of MAs1" is a product of the metabolism
                                  of iAs1" in cells.
                                       Treatments with antioxidants  (catalase, N-acetyl-
                                  cysteine,  or glutathione-ethyl ester)  partially  protect
                                  cultured cells against the toxicity of iAs1",  MAs1", or
                                  DMAs"1,  indicating that generation of reactive oxygen
                                  species may be, in  part, responsible for cytotoxiciry of
                                  trivalent arsenicals. On the other hand, a concurrent ex-
                                  posure  to selenite  increases cytotoxicity of all  three
                                  species.
                                       Using  an  optimized hydride  generation  atomic
                                  absorption spectrometric technique, it was found that
                                  trivalent methylated arsenicals, MAs"1 and DMAs"1, are
                                  indeed products of the methylation of iAs'" in human
                                  hepatic (HepG2) cells (see Figure 1). Both MAs1" and
                                  DMAs"1 also were found in the urine of individuals
                                  chronically exposed to iAs from  drinking water (see
                                  Table 1).  The amounts  of  MAs1" and DMAs1"  posi-
                                  tively correlated with total  urinary  arsenic and  thus,
                                  with the extent of the exposure to iAs.
                                       In  conclusion,  trivalent methylated  metabolites,
                                  MAs111  and DMAs"1, are more potent cytotoxins and
                                  enzyme  inhibitors  than is iAs1".  Trivalent methylated
                                  arsenicals are natural products of the metabolism of iAs
                                  in humans, suggesting that  methylation of iAs  is not
                                  necessarily a detoxification  mechanism.  In fact,  these
                                  species may significantly contribute to the adverse  ef-
                                  fects associated with the exposure to iAs. Because of
                                  their pronounced biological effects, MAs111 and DMAs1"
                                  may become sensitive biomarkers of arsenic toxicity in
                                  humans.
26
The Office of Research and Development's National Center for Environmental Research

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                        2001 STAR Drinking Water Progress Review Workshop
    100  -




 co   80  -
 o
-I—>
LI—
 o
60 -



40



20 -



 0 -
                                                                                   IAs"



                                                                                   iAsv



                                                                                   MAs"1



                                                                                   MAsv



                                                                                   DMAs"1



                                                                                   DMAsv
                       0.1                1                 10

                        Concentration  of  iAsm  (pM)
Figure 1.   Arsenic metabolites in human hepatocellular carcinoma (HepG2) cells exposed to various concentrations of lAs"1 for 24 hours

         Metabolites in the whole culture (medium + cells) are shown (n=2)
                Table 1. Arsenic metabolites m urine (ng/mL) collected from residents of Zimapan region, Mexico.
r Age/Sex iAs"1 \ iAsv ^MAs1" ~~| MAsv F DMAs1" F DMAsv Total As 1
39/f
19/m
21/m
12/m
20/f
11/f
8.1
25.2
59.4
104.2
14.7
11.2
4.5
16.8
72.1
122.8
10.1
12.2
Nd
2.3
5.2
12.3
1.2
1.0
7.1
37.7
119.8
276.7
19.3
11.2
Nd
18.2
59.8
114.3
5.7
18.3
18.6
40.1
408.2
467.2
90.5
52.7
38.3
140.3
724.5
1097.5
141.5
106.6
  The Office of Research and Development's National Center for Environmental Research
                                                                                        27

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       Section 3.

Chemical Contaminants
  Formation of DBFs

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                         2001 STAR Drinking Water Progress Review Workshop
Use of Differential Spectroscopy
To Study DBF Formation Reactions
Mark M. Benjamin and Gregory V. Korshin
Department of Civil and Environmental Engineering, University of Washington, Seattle, WA
    The  major goal of this study is to ascertain the
intrinsic  mechanism of formation of halogenated  dis-
infection byproducts (DBFs). The novelty of the  em-
ployed approach is  twofold.  First, it is designed to ex-
plore the nature of intermediates formed prior  to the
release of individual controlled DBFs (notably, trihalo-
methanes, haloacetic acids,  chloral  hydrate).  Second,
the approach makes use of in situ techniques  (such as
differential  absorbance spectroscopy [DAS] and stop-
ped-flow spectrophotometry  [SFS]) capable of probing
the system  with adequate temporary resolution.  These
techniques  were applied to track and quantify the in-
corporation of halogens into representative organic sub-
strates, which were exemplified by natural organic mat-
ter  (NOM) and model compounds (e.g., 3,5-dihydro-
benzoic acid, [DHBA]  and resorcinol). The  latter type
of species represents halogen attack sites in NOM.
    Several major  findings  have been  made. It  was
determined  that the differential spectra of NOM record-
ed in the conventional mode are dissimilar to  those of
the model compounds.  Nonetheless, a secondary com-
ponent whose features were comparable to those found
for the model aromatic compounds has been detected.
The secondary differential spectra appear to be associ-
ated with the formation of chlorinated aromatic inter-
mediates that form prior to cleavage  of small  DBFs
from larger NOM precursors. The disappearance of the
secondary component of the differential spectra coin-
cided with the onset of release of individual DBFs such
as di- and trichloroacetic acids. Time-resolved experi-
ments indicated that the intensity of the features corres-
ponding to  the formation of halogenated aromatic units
incorporated into NOM molecules is much higher in the
SFS mode  than  it was  in  the  conventional regime.
Halogenation of the model compounds in the SFS mode
showed that  each  step of the  halogen  incorporation
consists of two  main  phases.  The  first  rapid phase
corresponds to the formation of a charge-transfer com-
plex, while the slow second phase corresponds to the
actual incorporation  of the halogen  into the aromatic
ring. In the case of the model compounds, the charge-
transfer complexes exhibit distinct spectroscopic  pro-
perties, which so far have not been observed  for NOM.
The reason for this is being explored. It has  been  sug-
gested that either the rate of halogen interaction  with
NOM is higher than that with model compounds, or the
stereochemistry of NOM  does not  allow the charge-
transfer complexes to form. Thus, the pathway of NOM
halogenation is distinct from that of the  model com-
pounds.
    Despite the need to ascertain the existence of the
transient complexes for halogenated NOM, the data of
DAS unambiguously indicate that  the  release of all
individual DBFs  ranging from  trihalomethanes to halo-
acetonitriles  is associated with the  breakdown of the
halogenated intermediates.
    Experiments  in  which  these  intermediates were
subjected to hydrolysis, oxidation, or thermal treatment
demonstrated that the formation of haloacetic acids in-
volves oxidative  destruction, while trihalomethanes are
released following their hydrolytical breakdown. These
data provide important  insights into the identity, forma-
tion,  and breakdown of the halogenated intermediates
during chlorination of NOM. The results  also support
novel technological approaches pertinent to the control
and prediction of DBF concentrations in drinking water.
Currently, studies of the kinetics and mechanisms  of
halogenation of model compounds (e.g., flavonoids) are
being conducted, as is  exploration of the nature of se-
quential halogen incorporation into the  reactive sites.
Eventually, it is planned to use the data to create a con-
sistent mechanistic model of DBF formation.
The Office of Research and Development's National Center for Environmental Research
                                                31

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                         2001 STAR Drinking Water Progress Review Workshop
Brominated DBF Formation  and Speciation Based
on the Specific UV Absorbance Distribution of Natural Waters
James E. Kilduff' and Tanju Karanfil2
'Department of Energy and Environment, Rensselaer Polytechnic Institute, Troy, NY; 2 Department of
Environmental Engineering and Science, Clemson  University, Clemson, SC
Understanding the characteristics of natural waters that
influence   disinfection   byproduct   formation   and
treatability  is critical for providing safe water and for
meeting current  drinking water regulations (e.g., the
disinfection/disinfection byproducts [D/DBP] rule). Un-
derstanding natural organic  matter reactivity is of pri-
mary  importance. Although  sophisticated  fractionation
and characterization of organic mater in natural waters
yields important information, one bulk water parameter,
the specific ultraviolet absorbance  (SUVA), has proved
to be a useful and robust predictor  of both reactivity
with oxidants and treatability.  SUVA determination of
a water sample yields a single aggregate value that re-
presents the response of a distribution of chromophores
within a single natural organic matter (NOM) molecule
and among different NOM molecules. Similarly,  reac-
tivity  of bulk water represents the combined reactivity
of many different molecules and molecular moities. The
objective of this research is to examine how specific
UV absorbance,  and more importantly, how the distri-
bution of  SUVA  in a  source water,  influences the
formation and speciation of brominated  DBFs.  Such
information will  be useful for optimizing treatment
goals, understanding the  effects of treatment processes,
and devising strategies to comply with the D/DBP rule.
    Two high-SUVA waters  (Charleston  and  Myrtle
Beach)  and two low-SUVA waters  (Troy and Water-
ford)  were fractionated  using  four physicochemical
separation  processes (i.e., carbon  and XAD  resin ad-
sorption, coagulation, and ultrafiltration). For each wa-
ter, approximately 50-60 fractions were obtained, each
having  different  SUVA  values.  The fractions  were
chlorinated according to the uniform formation condi-
tion protocol. The formation of trihalomethane (THM),
nine species of haloacetic  acids  (HAA9), haloaceto-
nitriles, chloropicrin,  chloral hydrate,  and cyanogen
chloride were quantified. The relation between the for-
mation and speciation of DBFs and the SUVA of each
fraction was examined.  Experimental procedures are
presented in detail elsewhere (Kitis et al., 2000a,b).
    Preliminary  results showed that for the three phy-
sicochemical separation  processes  (GAC adsorption,
XAD-8 [batch and column] adsorption,  and alum co-
agulation),  each  fractionated dissolved organic matter
(DOM) in  natural water  samples  by preferentially re-
moving higher SUVA components. Similar trends were
observed for all water samples tested.  The SUVA of
DOM remaining in solution was plotted versus adsorb-
ent (GAC  or XAD-8) or alum dose applied. The re-
                                  sulting profiles indicated that by increasing the adsorb-
                                  ent or coagulant dose in small increments, it is possible
                                  to  incrementally fractionate a  natural  water and to
                                  probe the hypothetical SUVA distribution of the sample
                                  from high to low values (see Figure 1). However, each
                                  process showed a different fractionation endpoint, indi-
                                  cating that low- or non-UV  absorbing components of
                                  DOM are removed to different extents by each pro-
                                  cess. As expected, ultrafiltration separated DOM com-
                                  ponents  in solution based primarily on molecular size
                                  differences; no preferential  removal of higher SUVA
                                  components  was observed  because there  was not a
                                  strong correlation between SUVA and molecular size.
                                      The results of chlorination  experiments and DBF
                                  yields obtained thus far  clearly indicate that  for each
                                  water tested, there are strong correlations between the
                                  SUVA  values of DOM  fractions and their THM and
                                  HAA9  yields, independent of how the fractions were
                                  obtained (see Figure 2).  The apparent single  trend for
                                  each DBF provides evidence that the observed behavior
                                  represents the intrinsic reactivity profile of DOMs to
                                  DBF formation in a (single) natural water. Also, it was
                                  found that low SUVA components of DOM  are more
                                  efficient at incorporating bromine.  The reactivity pro-
                                  file concept (i.e., understanding how reactivity is cor-
                                  related to SUVA) will allow water utilities to optimize
                                  the degree of treatment required to comply with D/DBP
                                  regulations. The  reactive components that  require re-
                                  moval, and the degree of treatment necessary to accom-
                                  plish this removal, may  be  directly obtained  from the
                                  relationship between SUVA removal and the degree of
                                  treatment (e.g., alum dose).
                                      Future  work  will evaluate whether there  is any
                                  impact of commonly used isolation processes (e.g., re-
                                  verse osmosis, XAD adsorption) on the DBF  reactivity
                                  of isolates obtained from natural waters. The  observed
                                  DBF reactivity profile concept will be further tested for
                                  waters having a range of hydrophobicity, measured by
                                  the relative proportion of hydrophobic and hydrophilic
                                  DOM components. Using physicochemical fractiona-
                                  tion, DOM components with different  SUVA values
                                  will be obtained. The impact of bromine incorporation
                                  by these  fractions will be examined. Additional physi-
                                  cochemical characterization  of the fractions will be
                                  attempted to provide insight to the differences in  the
                                  bromine incorporation by different DOM components.
                                  The  formation and speciation  kinetics  of  brominated
                                  DBFs will be investigated  as  a  function  of SUVA,
                                  water chemistry, and reaction conditions.
 32
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
References
Kitis M, Karanfi! T, Kilduff JE, Wigton A. The reac-         Kitis M, Karanfil T, Kilduff JE, Wigton A. Probing
tivity   of  natural  organic  matter  to  disinfection         the reactivity of natural organic matter to disinfection
byprod-ucts  formation  and its  relation to specific         byproduct formation using different separation  pro-
ultraviolet absorbance. Proceedings of 2000 Annual         cesses. Proceedings of 1st World Water Congress of
Conference,  American  Water Works  Association,         International Water Association, Paris, France (June
Denver, CO (June 2000a).                                  2000b).
The Office of Research and Development's National Center for Environmental Research                  33

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                            2001 STAR Drinking Water Progress Review Workshop
                                          Hypothetical SUVA Distribution
->
                   Lower MW hydrophilic
                   acids, hydrocarbons, etc.   ^_
                                                3+4        5
                                              SUVAMean=SUVAMeasured
                                             Fulvic acids
                                                                  Humic acids
                                   Typical Drinking Water Sources
                          Figure 1. A hypothetical SUVA distribution in a natural water
                                                                                 Increasing
                                                                                 Adsorbent or
                                                                      7        8
                                                                       SUVA254
           O)
          I
          O
          O
          Q
               100
                80
 60
                40
                20
                   0.0
                 1.0           2.0          3.0          4.0
                              SUVA280 (L/mg DOC-m)
                                                                    O F400GAC
                                                                    O XAD-8 batch
                                                                    A XAD-8 column
                                                                    A Alum
                                                                      Coagulation
                                                                    • Ultrafiltration
                                                                    — Raw Water
                                                                    — Linear (All
                                                                      fractions)
                                                5.0
6.0
         Figure
2.  THMs reactivity profile of the natural organic matter fractions obtained from Myrtle Beach water. The solid line
   represents a linear fit to all experimental data.
34
       The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Molecular Weight Separation
and HPLC/MS/MS Characterization of Previously
Unidentified Drinking Water Disinfection Byproducts
Roger A. Minear' and Sylvia Barrett2
'Department of Civil Engineering, University of Illinois at Urbana-Champaign, Urbana, IL; 2Metropolitan Water
District of Southern California, Los Angeles, CA
    New approaches  are being examined for better
characterizing disinfection byproduct (DBF) molecular
weight profiles by  using tandem  mass  spectrometry
(MS/MS) techniques.  The study will  include an  ex-
amination of the differences in DBFs that result from
different water disinfection processes.  The underlying
hypothesis of this work is that new  approaches  are
needed for this assessment and that tandem mass spec-
trometry, coupled with prior separations, offers promise
in that regard.
    A prerequisite to  making such procedures mean-
ingful is the development of preseparation procedures
that will simplify  the mass spectral data. The MS/MS
system has the  potential for assessment  of molecular
weight in  the  first  stage,  followed  by generation of
specific chemical structural data on selected mass peaks
in the distributions  via measurement of related frag-
ments  from  the  selected  ion. The MS/MS  system,
hence, has its own separation capabilities.
    The work is directed at enhancing these capabilities
for complex DBF mixtures with preselection by mol-
ecular-size separations using ultra filtration (UF) mem-
branes and  size  exclusion  chromatography  (SEC).
These preselected molecular-size fractions then would
be followed by  other high-performance liquid  chro-
matographic (HPLC) techniques. Information has been
developed on determining levels of halogenated natural
organic matter (NOM), required to obtain measurable
mass  spectra in both stages of the  MS system,  using
surrogate compounds and their mixtures and chlorin-
ated NOM, represented by Suwannee River Fulvic Acid
(SRFA) and a hydrophilic NOM.  Studies have been
conducted on two  instruments, Micromass AutoSpe-OA
TOP  mass  spectrometer  at  the Metropolitan  Water
District of Southern California, and  a  TSQ 7000 ESI
quadrapole ion trap mass spectrometer at Kyoto Uni-
versity in Japan. From these studies, information  has
been found on optimal solvent composition, flow rates,
and scan rates  for  quality  spectra.  Using individual
known compounds, their  mixtures, and chlorinated
SRFA, variables for the second stage MS were exam-
ined   as to the  balance  between  obtaining spectral
fingerprints and demonstrating the presence of chlorine
in the mass selected.
    From the complexity of bulk sample spectra, it is
apparent that preseparation of the DBF samples will be
essential. To that end, chlorination  of SRFA and Su-
wannee River Humic Acid  (SRHA) have  been con-
ducted using chlorine 36 labeling to obtain molecular
size  distribution of the chlorinated products on size
separation columns (see Figure  1).  To  date, this has
been a 25 x  200 mm BIAX column (Chrom, Germany)
packed with Toyopearl HW  508 resin (Japan), with  a
nominal fractionation range of 100-20,000 g/mol.
    It is apparent that chlorine is distributed across the
entire molecular size range, SRHA has chlorine at high-
er molecular size  than SRFA (as expected), and radio-
activity also  shows up at longer retention times than for
inorganic chloride. This is not surprising, as work with
known compounds has demonstrated that several  low
molecular weight chlorinated compounds eluted after
chloride, including haloacetic  acids. Longer chlorine
contact times show a slight  shift to  smaller molecular
size  distributions (1 hour versus 24  hours versus  5
days).
    The  levels of sample concentration required to ob-
tain MS  data have been defined; however, the prelim-
inary results demonstrate that separations to reduce the
complexity of the first stage spectra are going to be
essential to reduce the complexity of the second stage
MS.
    The  use of chlorine 36 affords the mechanism for
evaluation of the separation process by greatly facil-
itating data  acquisition from  SEC  and  other  HPLC
columns. Traditional  total organic  halogen measure-
ments proved to be tedious and impractical.
    The  following are projected activities for the im-
mediate future: (1) additional  HPLC columns will be
evaluated for  separation of  the components prior to
MS/MS examination—Protein  Pak SEC and CIS col-
umns will be used; (2) solid-phase  extraction will be
explored as a preconcentration step prior to mass spec-
trometry analysis; and (3) using a mixture of standards,
high resolution electrospray  ionization  will  be  inves-
tigated,  which  may provide accurate  mass  determin-
ation at the first stage (Am = 0.1 for m/z 500 at 5,000
resolution) and  better definition of parent  ions for
MS/MS.
The Office of Research and Development's National Center for Environmental Research
                                                35

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                         2001 STAR Prinking Water Progress Review Workshop
                     1 .OE+04
•g- 8.0E+03
2;
•
                   2; 6.0E+03
                     4.0E+03
                   < 2.0E+03
                     O.OE+00
                                                                     -SRFA
                                                                      SRHA
                                     20      40       60      80
                                               Retention time (min)
                                                    100
                                                            120
                        Figure I. Comparison of SEC-CI36 chlorinated SRFA and SRHA samples.
36
 The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Membrane Introduction Mass Spectrometry Studies
of Halogenated Cyano Byproduct Formation in Drinking Water
Terese M. Olson
Department of Civil and Environmental Engineering, University of Michigan, Ann Arbor, MI
    Increasing recognition is  being  given to the im-
portance of nonhumic  precursors  of disinfection by-
products (DBFs) in drinking water. This especially is an
issue  in water supplies  with low humic matter content
and as  more  effective removal  of humic  matter  is
achieved. Proteins, peptides, and amino acids have been
implicated  as  important precursors of halosubstituted
nitriles  and cyanogen halides  under these conditions.
Efforts to reduce the use of chlorine disinfectants also
have  increased the  significance  of brominated cyano
byproducts  when bromide concentrations are elevated.
    Colorado River Water (CRW), a source of drinking
water for more than 20 million people, represents a
water supply where these conditions  collide;  it is both
low in humic matter and contains moderately high bro-
mide  concentrations.  The proposed research seeks  to:
(1) determine which amino acid precursor compounds
represent the most important source of these DBFs and
the structural features that contribute to their reactivity,
(2) characterize the kinetics and formation mechanism
of chlorinated and brominated cyanosubstituted DBFs,
and (3) model the  formation of halogenated cyano com-
pounds  in CRW. Initial phases of the project involve a
set of characterization and screening experiments that
will provide the basis for selecting a subset  of amino
acids  and peptides for later mechanistic study. The ami-
no acid composition of CRW samples currently is being
characterized. Relative reactivities of free and combin-
ed amino acids in CRW with chlorine and chloramine
will  be determined, and  the  formation potentials of
haloacetonitriles (HANs) and cyanogen halides (CNX)
due to the chlorination, chloramination, and bromina-
tion of model amino acids will be examined.
    Upon selecting a short list of amino acid and pep-
tide precursors, the kinetics of amino acid halogenation
will  be studied by applying a new online technique
known as  membrane introduction mass spectrometry
(MIMS). The method relies on the selective membrane
separation of volatile species directly from aqueous sol-
ution  into the vacuum of a mass spectrometer ion  trap
(see  Figure 1). This "pervaporation"  approach offers
important advantages for the kinetic study  of  volatile
byproduct  formation, such  as  cyanogen halides  and
nitriles, as extraction and reaction quenching steps are
avoided.
    Based on the proposed kinetic studies of cyano
byproduct  formation, a  model  for HAN  and CNX
formation in CRW  will be formulated. Simulation re-
sults will  be  compared with actual  CRW chlorination
and chloramination experiments.
    The  findings  of this research  will  help water
suppliers to assess the  precursor sources of HAN  and
CNX, gain insight into  possible control strategies (e.g.,
controlling algal activity,  adjusting solution chemistry),
and assess the  risk of disinfection strategies.  The re-
search also will help to establish optimal approaches for
applying MIMS techniques to  disinfection byproduct
analysis.
The Office of Research and Development's National Center for Environmental Research
                                                37

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                        2001 STAR Drinking Water Progress Review Workshop

—
******2f*'liUii "^.r— *"*^^
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                         2001 STAR Drinking Water Progress Review Workshop
Mechanisms and Kinetics of Chloramine
Loss and Byproduct Formation in the Presence
of Reactive Drinking Water Distribution System Constituents
Richard L. Valentine, Junghoon Choi, and Steve Duirk
Universitv of Iowa, Iowa City, IA
    This project seeks to enhance understanding of the
influence of reactive substances in  drinking water on:
(1) the fate  of monochloramine and the nature of in-
organic  reaction products, (2) the  kinetics of mono-
chloramine  loss, and (3) the formation of selected or-
ganic disinfection byproducts (DBPs). Results also will
be used  to develop and extend mechanistic chloramine
reaction models to  include the effects of these reactive
substances.
    The approach has been to investigate reactions in
batch reactors containing  laboratory prepared model
waters. These waters  contained a  variety  of reactive
organic  and inorganic  components.  Natural  organic
matter (NOM) includes both extracted humic  material
(HM) and nitrogenous compounds  (NCs) such as di-
methylamine. Monochloramine  reacts  slowly  with
humic-type  organic matter. Most of this  loss can be
attributed to relatively simple reduction reactions, not
substitution to form organic DBPs.  The loss is charac-
terized by a biphasic reaction. Modeling results indicate
that  a one-site reaction  model is not adequate to de-
scribe monochloramine loss in the presence of HM. The
reactivity of monochloramine correlates  with  the UV
absorbance.  After  resolving several  monochloramine
loss  pathways  occurring  in the presence  of humic
NOM, the decrease in UV absorbance with time was
observed to  correlate  with the amount of monochlor-
amine reacting with HM. The  stability of both nitrite
and monochloramine in their mixtures successfully was
modeled by consideration of its oxidation to nitrate by
monochloramine via a direct reaction.
    Haloacetic  acid (HAA) formation was correlated
with monochloramine  reactivity with HM.  Several
HAAs also  were reactive with iron  oxides.  The fastest
and most extensive decay was observed for monobro-
moacetic acid. Dichloroacetic acid was the most stable.
Several  brominated  trihalomethanes  were reactive in
the presence of ferrous hydroxide. Monochloramine re-
acts with dimethylamine to form dimethylnitrosamine
(NDMA), a potent carcinogen. A mechanism is pro-
posed in which monochloramine reacts with dimethyl-
amine to form hydrazine, which in turn is oxidized by
additional monochloramine to NDMA. A reaction mo-
del, which  considers several important  reactions,  ap-
pears reasonably  capable of predicting NDMA forma-
tion in this simple system (see Figure 1).
    Reaction  of monochloramine  with  humic  type
NOM may be an important loss pathway, which also
results  in the formation of several DBPs, especially
HAAs. Reaction  of some HAAs with pipe deposit ma-
terial may be an  important  loss pathway  in distribution
systems.
    The  stability of nitrite in the presence of mono-
chloramine indicates that they may coexist in drinking
water.  It is believed that  formation of NDMA (and
other  nitrosamines)  by reaction  of monochloramine
with appropriate precursor substances may be important
in chlorinated and chloraminated water and wastewater.
The hypothesized mechanism is in contrast to classical
nitrosation reaction, which requires the presence  of ni-
trite. NDMA should therefore be considered a "new"
disinfectant byproduct.
    Future work  will focus on improving the model for
monochloramine  loss and HAA  formation in the pre-
sence of NOM and nitrite. A special emphasis will be
on improving the understanding of the newly proposed
NDMA  formation mechanism, and its potential signifi-
cance in chlorinated and chloraminated waters.
The Office of Research and Development's National Center for Environmental Research
                                              39

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                          2001 STAR Drinking Water Progress Review Workshop
                 0.0   0.2    0.4   0.6   0.8    1.0    1.2   1.4    1.6    1.8   2.0

                                              DMA, mM
Figure 1. Formation of dimethylnitrosamme (NDMA) by reaction of monochloramine with dimethylamine (DMA). Reaction time  24 hours
        Monochlorammeconcentration  0.1 mM  Temperature' 25°C. Air: saturated 1 mM bicarbonate buffer. pH: adjusted to 7 0± 0.1.
40
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Development of a New, Simple, Innovative
Procedure for the Analysis of Bromate and Other
Oxy-Halides at Sub-ppb Levels in Drinking Water
Howard S. Weinberg and Carrie Delcontyn
Department of Environmental Sciences and Engineering, University of North Carolina, Chapel Hill, NC
    This project developed a relatively simple method-
ology to provide  the tools  for  assessing exposure to
bromate in drinking water at the 10~6 cancer risk level
of 0.05 ug/L that has hitherto been impeded by the lack
of sensitivity of existing methodologies. This new ana-
lytical  methodology provides the  U.S.  Environmental
Protection Agency and the water monitoring commun-
ity with the ability, using existing analytical equipment
with simple  add-on accessories, to  monitor  bromate,
chlorite, and iodate  in drinking water in a linear range
from 0.05-100  u.g/L without being  impacted  by  the
presence of higher levels of anions.
    The postcolumn reaction converts bromate, chlor-
ite, iodate, and to  a  lesser extent chlorate, eluting from
an ion chromatographic column into  the highly sensi-
tive chromophore, the tribromide ion,  which can be de-
tected at levels as low as 0.05 ug/L in  drinking water
(see Table 1).  This  method was evolved  with the  ex-
press purpose of providing a tool  for meeting the  ob-
jective of evaluating bromate  occurrence at the  10"6
cancer risk level  resulting primarily  from the  use of
ozone in drinking water treatment.
    Coincidentally, the sensitivity of this method pro-
vided proof of the presence of bromate resulting from
the use of hypochlorite as the agent of disinfection. De-
pending on the dosage and number of points of hy-
pochlorite addition during treatment, the levels of bro-
mate resulting from its usage are indicated in the range
0.1-3 ug/L.
    Among 20 plants surveyed using  this  technique,
the average level of bromate contributed by the use of
hypochlorite was 0.94 ug/L. A mass balance  between
the levels of bromate in the hypochlorite feedstocks and
finished water  proved  beyond  doubt the source of the
added contaminant. The results do suggest that the level
of contamination  of bromate in hypochlorite  varies
across the country with those plants sampled in Region
5 exhibiting the highest levels of contamination. With
discussions towards future  regulation  of bromate  in
drinking water  required to balance risk with the cost of
alternative treatment, this finding seriously is impeding
attempts to regulate  bromate closer to 0.05  ng/L from
its current regulated  level of 10 ug/L in the United
States.
                                      Table 1.  Statistics of analysis.
„ . , i PQL ,, Standard ! RSD MDL
Detection Analvte , ,. . N . . ;
! (ug L) Deviation | Percent (ug/L) |

UV-PCR

Conductivity
Iodate
Chlorite
Bromate
Chlorate
Bromide
Chlorate
0.06
0.10
0.05
70.0
10.0
10.0
7
6
7
7
7
7
0.01
0.02
0.004
8.5
1.5
1.0
12
18
7.8
12.2
15.4
10.1
0.04
0.08
0.01
31.5
5.6
3.7
                PQL = Practical quantitation limit.
                RSD = Relative standard deviation.
                MDL = Method detection limit.
The Office of Research and Development's National Center for Environmental Research
                                              41

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                          2001 STAR Drinking Water Progress Review Workshop
Formation and Stability
of Ozonation Byproducts in Drinking Water
Howard S. Welnberg, Alice Harris, and Shikha Bhatnagar
Department of Environmental Sciences and Engineering, University of North Carolina, Chapel Hill, NC
    Generally, it is perceived that disinfection byprod-
ucts (DBFs) produced by ozonation represent less of a
health  hazard than those produced by  the  chlorine-
containing  disinfectants, at least  by the  use  of short-
term bioassays. Also, it has been noted that the types of
oxidation byproducts produced by ozonation of natural
waters are  in many cases the same as compounds pro-
duced by natural oxidation processes in streams, lakes,
and reservoirs. The implication is that naturally occur-
ring compounds will be safer  than  "unnatural" com-
pounds such as trihalomethanes (THMs) and haloacetic
acids (HAAs) produced by chlorination. However, there
are fallacies associated with each of these arguments.
    Short-term bioassays  are not at a  stage  of de-
velopment  to use in relative risk assessments.  Also, the
preconcentration methods used to obtain extracts for
bioassays  may not efficiently  trap  polar byproducts
from ozonation of natural waters. Natural waters them-
selves often are mutagenic, so the argument that ozone
produces "natural" organics is not  encouraging.
    With less than 50 percent of the assimilable organic
carbon generated  by ozonation  remaining unidentified,
this project is investigating new methodologies for target-
ing unidentified byproducts. These together with refined
existing techniques will be employed to study the impact
of water quality parameters on the formation and stability
of these compounds in distributed drinking waters.
    Stage  one of this study  focused  on  evaluating
methodologies for accurately targeting carbonyl-contain-
ing compounds tentatively identified in a variety of lit-
erature results combining field-, pilot-, and laboratory-
scale ozonations. The species targeted in this initial ap-
proach include the following compounds:  CrC12 mono-
saturated aldehydes, glyoxal,  methyl glyoxal, dimethyl
glyoxal, trans-2-hexenal, formic, acetic, and oxalic acids,
and the three mixed functional  pyruvic, glyoxylic, and
ketomalonic acids.
    Previous attempts  to quantify these byproducts in
aquatic matrices involving derivatization techniques may
have suffered from inadequate recoveries.  This  conclu-
sion was arrived at by  synthesizing the relevant oximes
and esters and comparing derivatization efficiency in the
                                  aquatic medium alongside the pure derivatized standard.
                                  Purification of the derivatized standards involved utilizing
                                  a stepwise thin layer chromatography with the isolated
                                  product assayed by proton nuclear magnetic resonance.
                                      Stage two of the project involved the development
                                  of new analytical methods for determining three distinct
                                  groups of proposed ozonation byproducts that hitherto
                                  have not been identified in ozonated waters. These in-
                                  clude organic peroxides, epoxides, and multifunctional
                                  carbonyl-containing organic byproducts. In the absence
                                  of many commercial standards for these  compounds,
                                  these efforts  have  focused on  evolving strategies for
                                  maximizing isolation from  the aquatic  matrix and en-
                                  hancing  detection  for  low molecular  weight  repre-
                                  sentative compounds from each of these classes.
                                      The peroxides are separated on a C-18 column by
                                  high-performance  liquid  chromatography  (HPLC). A
                                  postcolumn reaction then converts the  individual spe-
                                  cies  into hydroxyl radicals,  which then react with para-
                                  hydroxyphenylacetic acid at pH 11 to produce a fluor-
                                  escent dimer  whose detector response  is directly pro-
                                  portional to the concentration of organic peroxide in the
                                  original  sample. Current  detection limits  are in the
                                  range of 10-30 u.g/L, but these probably can be lowered
                                  by an order  of magnitude using a preconcentration
                                  approach. Epoxides are extracted from  water  after
                                  derivatization with difluoroaniline, but the kinetics of
                                  the latter reaction are slow and are impacting a realistic
                                  minimum quantitation limit.
                                      Carbonyl-containing compounds that have not been
                                  amenable to  derivatization with  pentafluorobenzylhy-
                                  droxylam successfully  are  isolated from  water using
                                  2,4-dinitrophenylhydrazine, which produces  a finger-
                                  print diode-array spectrum following resolution of indi-
                                  vidual components by HPLC. Online preconcentration
                                  permits detection  at the  10 nanomolar level, and the
                                  technique is compatible with electrospray mass spectro-
                                  metric detection, which will be used to identify new
                                  byproducts. Laboratory-generated ozonated surface wa-
                                  ters  are  being used to  assess these methods using a
                                  semibatch operation to generate the byproducts (see
                                  Figure 1).
42
The Office of Research and Development's National Center for Environmental Research

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                        2001 STAR Drinking Water Progress Review Workshop
            Air   Ozonizer
                                              NaOH Trap
                                5-Wav Valve
                                  To measure gas
                                  inflow absorbance
                                                               10L
     To measure
	^ gas outflow
     absorbance
                                                                         A
           A
                                                                                  Kl
                   Figure 1. Scheme of the approach used in the laboratory for generating ozonated waters
The Office of Research and Development's National Center for Environmental Research
                         43

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                         2001 STAR Drinking Water Progress Review Workshop
Kinetic-Based Models
for Bromate Formation in Natural Waters
Paul Westerhoff
Department of Civil and Environmental Engineering, Arizona State University, Tempe, AZ
    Ozone (O3) is an effective disinfectant, but it can
form byproducts (e.g., bromate). Bromate forms via ox-
idation of naturally occurring bromide through a series
of steps involving  Oj  and hydroxyl radicals  (HO).
There is a need to develop tools to understand and pre-
dict  bromate (BrO3~) formation  while  still achieving
high levels of microbial disinfection. The central hypo-
thesis is that a kinetic-based understanding of natural
organic  matter (NOM) reactions with HO and aqueous
bromine (HOBr/OBr~) over a range  of temperatures is
necessary to develop mechanistic-based models for
bromate formation in bulk waters.
    The objectives of this project are to:  (1) develop a
comprehensive  database of BrO3~, O3, and HO radical
concentrations;  (2) determine rates of reaction between
HOBr and OBr~ and NOM; (3) calibrate and verify a
BrO3~ formation mechanistic-based model that includes
NOM; (4) simulate BrO3~ control measures necessary
to meet proposed and  future  maximum contaminant
levels; and (5) link  the  numerical  BrO3~ formation
model with hydraulic and concentration x time disin-
fection models.
    Approximately one-half of the database including
oxidant  concentrations (O3 and HO) and bromate data
has been completed  for ultrapure water  and Colorado
River Water. R^  values  have  been calculated  that
represent  the ratio of O3  to  HO  concentrations. A
correlation between RC,  and dissolved organic  carbon
                                 (DOC), alkalinity, pH, and temperature has been de-
                                 veloped from literature values.
                                     After testing  several experimental methods for
                                 determination of reaction rates between NOM and halo-
                                 gens (e.g., aqueous bromine), a colorimetric approach
                                 (ABTS) was adopted. A  large experimental  matrix of
                                 reaction rate constants have been determined  for the
                                 reaction of HOBr and OBr~ with unozonated and ozon-
                                 ated NOM (see Figure 1). Although not directly related
                                 to  bromate  formation, companion experiments  using
                                 HOC1 and  OC1~ were simultaneously undertaken to
                                 better understand the reaction mechanisms and provide
                                 insight into organohalogen formation.
                                     As an example of representative results, the second
                                 order reaction between HOBr and CAP-NF for HOBr
                                 was 31 M'V and only  1.4 M'V for HOC1.  Hence,
                                 HOBr reacts faster with NOM than HOC1, but the rate
                                 of reaction  is quite low given the rates of reaction
                                 between  important oxidants  (ozone and HO radicals)
                                 and bromine species during the formation of bromate.
                                 The presence of NOM is likely to exert a larger effect
                                 on the amount of oxidant present than affect the  inter-
                                 mediate bromine species during bromate formation.
                                     A mechanist model has been developed to predict
                                 bromate formation  as a function of oxidant pathways
                                 and key water quality factors  (pH, ammonia concen-
                                 tration, alkalinity).  The model handles the presence of
                                 DOC as a site-specific rate constant value.
44
The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
              2.5
              1.5
           o
           c
           o
          U
              0.5
00*

0 1 .
02 |


03 ,

04 ;
05 '
-06 :
A "J 	 	
O
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B


0 Blank
•0 24 uM
A0 6 uM
°1 2uM
A 1 8 uM


O



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A





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0
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                                                        30      60      90
                                                          Reaction Time (sec)
120
                       "*~~ SR-RO:Br,
                       -*— CAP-NF:Br2
                        *•'- SR-RO:C12
                        ^-'CAP-NFrCl,
                           20       40        60       80       100      120

                              Reaction Time (min for HOC1, sec for HOBr)
     140
         Figure 1. Consumption of HOBr and HOC1 by a reverse osmosis isolate (SR-RO) from the Suwannee River or nanofiltration
                 isolate (CAP-NF) from the Colorado  River (pH = 5, DOC = 50 (iM)  The inset figure represents analysis for
                 estimation of pseudo first-order rate constant for HOBr consumption by CAP-NF
The Office of Research and Development's National Center for Environmental Research
                     45

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                         2001 STAR Drinking Water Progress Review Workshop
Mechanistic-Based Disinfectant
and Disinfectant Byproduct Models
Paul Westerhoff', David Reckhow2, Gary Amy3, and Zaid Chowdhury4
'Department of Civil and Environmental Engineering, Arizona State University, Tempe, AZ;2 University of
Massachusetts, Amherst, MA;} University of Colorado, Boulder, CO; 4Malcom Prinie, Inc., White Plains, NY
    The water industry faces new challenges in under-
standing and controlling  disinfection byproduct (DBF)
formation as health  concerns  demonstrate a need for
more stringent regulatory DBF requirements. Mechan-
istic tools for understanding and predicting the rate and
extent of DBF formation are required to facilitate the
evaluation of DBF control alternatives.
    This research project involves the development of a
mechanistic-based numerical model for chlorine decay
and regulated DBF (trihalomethane [THM] and  halo-
acetic acid [HAA]) formation derived from (free) chlor-
ination; the model framework will allow future modi-
fications for other DBFs and chloramination.
    Predicted chlorine residual and DBF results will be
compared against predictions from several other quasi-
mechanistic models. It is anticipated that a significant
improvement in prediction  accuracy over existing em-
pirical models  will occur. The  central modeling hypo-
thesis is that a two-site reaction mechanism can be used
to predict disinfectant decay in the presence of natural
organic matter (NOM). It assumes that NOM contains
both  slow  and fast disinfectant-reacting and   DBF-
forming sites.  NOM  site densities and  concentrations
are related to the concentration,  size,  structure, and
functionality of NOM. The project is approximately 90
percent  completed.  Raw waters from  the  Colorado
River (AZ),  Lake Houston (TX), and Harwoods Mill
(VA) were collected and subjected to laboratory treat-
                                 ment by the following  processes:  filtration only plus
                                 coagulation,  ozonation,  chemical softening, activated
                                 carbon sorption, and  ultrafiltration followed by  filtra-
                                 tion. A total of 18 samples were produced and subse-
                                 quently subjected to chlorination.
                                     The  amount  and characteristics of the dissolved
                                 organic carbon were  altered by these processes, and
                                 were quantified by UV absorbance, fluorescence,  mole-
                                 cular weight, and hydrophobicity.  Upon chlorination,
                                 the kinetic consumption of chlorine residual and DBF
                                 formation was monitored under different water treat-
                                 ment conditions (pH, temperature, chlorine dose, spiked
                                 bromide) over the timeframe of a few minutes to days.
                                     Figure  1  represents  typical THM  species  pro-
                                 duction (symbols), shown  for  raw  Colorado  River
                                 water. DBF production was  simulated  using  a C+-
                                 language model that simultaneously solved differential
                                 equations (lines  in   Figure  1). A  good  correlation
                                 between  experimental and predicted  values has been
                                 obtained for chlorine residual,  THM species,  and di-
                                 halogenated HAAs.
                                     The model has been encoded into Version 2  of the
                                 U.S. Environmental Protection Agency's Water Treat-
                                 ment Plant Simulation Model, which has the option of
                                 using either the mechanistic model developed herein, or
                                 the existing empirical models, for predicting DBF for-
                                 mation in water treatment plants and distribution sys-
                                 tems.
46
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                          2001 STAR Drinking Water Progress Review Workshop
                                                  _            2	x
                                    20
   40
time (h)
60
80
         Figure 1.  Kinetic production of THM species observed in laboratory batch tests (symbols) and simulated by the mechanistic
                  model (lines) upon chlonnation (38 nM) of raw Colorado River water (T= 15°C, pH=7.5, Br= 1.18 uM)
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        Section 4.

Drinking Water Treatment
         Studies

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                          2001 STAR Drinking Water Progress Review Workshop
Evaluation of the Efficacy of a New Secondary
Disinfectant Formulation Using Hydrogen Peroxide
and Silver and the Formulation of Disinfection Byproducts
Resulting From Interactions With Conventional Disinfectants
Stuart A. Batterman ', Khali! H. Money', Shuqin Wang', Lianzhong Zhang', James Warila',
Ovadia Lev2, HillelShuval2, Badri Fattal2, and An-Tsun Huang1
'Department of Environmental Health Sciences, School of Public Health. University of Michigan, Ann Arbor, MI;
'Division of Environmental Science, Graduate School of Applied Science and Technology:, Hebrew University,
Jerusalem, Israel
    The objectives of this research project address two
critical issues associated with the use of a new second-
ary disinfectant formulation utilizing hydrogen perox-
ide (H2O2) and silver (Ag+): (1) the efficacy of the for-
mulation  to provide  long-term  residual disinfection,
including the control of coliform bacteria, bacterial re-
growth, and  slime/biofilm control;  and  (2) the identifi-
cation  and  quantification  of disinfection byproducts
(DBFs) that  may result from interactions with conven-
tional chlorine- and oxidant-based disinfectants. The re-
search encompasses laboratory studies  and demonstra-
tions to evaluate the effectiveness of the alternative dis-
infectant in a range of source waters and utility system
characteristics. The secondary disinfectant is one of the
few nonchlorine-based disinfectants  that can provide
long-term  residual disinfection in  drinking water sys-
tems.  By combining two or more disinfection  agents, it
may be possible to lower concentrations of each com-
ponent, reduce  exposures, minimize the formation of
toxic and undesirable DBFs, and thus minimize health
risks associated with disinfection.
    The approach to this research  includes the follow-
ing: (1) laboratory evaluation of microbial disinfection
efficacy, including optimal formulation of the second-
ary disinfectant and optimal doses  of primary and sec-
ondary disinfectants; (2)  laboratory evaluation of DBF
formation  resulting from interactions with various pri-
mary disinfectants; and (3) demonstration of the disin-
fectant's  effect on biofilm  formation and removal to
provide "real world" results. These components are de-
signed to  provide  a comprehensive evaluation of the
microbial  disinfection  efficiency  and DBF  formation
potential of the new disinfectant.
    Preliminary  findings  indicate that  the addition of
the secondary disinfectant following the use of chlorine
as a primary disinfectant produces very  dramatic reduc-
tions in DBF formation (e.g., trihalomethanes [THMs]
and haloacetic acids  [HAAs]), as demonstrated in Fig-
ure 1  using local groundwater. This results  from the
reduction of chlorine to chloride by H2O2, which halts
further reaction of chlorine with dissolved organic mat-
ter and other DBF precursors. When used with ozone,
H2O2  quenches formation of THMs and also reduces, to
an extent, the formation of inorganic byproducts (e.g.,
 bromate), as demonstrated in  Figure 2. These reduc-
 tions result from several reactions that have been  in-
 vestigated  in  both  empirical and mechanistic  studies
 (e.g., Figure 3 shows the kinetics of bromate formation
 in a model system). The reduction in DBFs resulting
 from interactions among primary and secondary disin-
 fectants applies  to a wide range of temperatures, pH,
 bromide concentrations, and dissolved organic carbon
 levels. Sequential additions of chlorine, ozone, or other
 primary  disinfectant  (possibly  with  ammonia) and
 H2O2/Agf as a secondary disinfectant may provide op-
 timal performance. Aldehyde formation from reactions
 between H2O2 and ozone are being investigated.
     The inactivation performance of the combined disin-
 fectant, its individual components, and a commercially
 available stabilized formulation of H2O2 and Ag+ have
 been evaluated for several bacteria and viruses. Labora-
 tory studies indicate that the combined disinfectant ex-
 hibits  a synergistic action on the viability of E. coli;
 however,  no increased virucidal action was observed.
 The biocidal  action generally  increased with higher
 temperature and pH, and decreased in secondary and
 tertiary effluents. The H2O2 component induced a wide
 array of stress responses, and bacteria deficient in the
. ability to activate central cellular stress responses were
 hypersensitive to both H2O2 and Ag+.
     These studies suggest that the combined disinfec-
 tant may be appropriate for use as a long-term second-
 ary  residual  disinfectant for  relatively  high-quality
 water. However, further experiments examining biofilm
 prevention showed that the bacteria surviving after  48
 hours of disinfection had high catalase activity, hinting
 that the combined disinfectant may have limited effec-
 tiveness in continuous  operation. Figures 4a  and  4b
 show that biofilm prevention effectivity is largely due
 to H2O2, and that inactivation  activity is higher at the
 first stages of biofilm  formation and less effective at
 later ones.
     Widespread use of the combined  disinfectant, if
 practical, might result in potential for uptake in fish and
 humans. An ecological  model was constructed to simu-
 late partitioning  between water and sediment, uptake by
 algae, invertebrates, and fish (trout and carp) as well as
 risks to humans from  fish consumption.  Monte-Carlo
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                           2001 STAR Drinking Water Progress Review Workshop
simulations were used  to represent the uncertainty and
variability of  input  parameters.  The  modeling  effort
used a variety of scenarios, including "worst case" con-
ditions  in  which  receiving  waters  provided  small
amounts of dilution  and subsistence fishers consumed
large amounts of high trophic-level feeders. The results
suggest that risks are  minimal under all likely scenarios.
    Information  is being  developed  regarding  long-
term disinfection efficacy in different source waters and
environmental  and utility conditions.  Effects on  DBFs
of the  primary disinfectants and any new byproduct
formation  are quantified, as are optimum dosages and
                                   pathogen inactivation. These results will be compared
                                   to the disinfection efficacy and DBF formation of con-
                                   ventional  disinfectants.  The research  results will  be
                                   suitable for use in exposure and risk assessment pur-
                                   poses to support future policies and decisions regarding
                                   disinfection approaches.
                                       Laboratory  tests on  the DBF  formation  potential
                                   are being concluded  with an investigation of aldehyde
                                   and other species resulting from interactions with H2O2
                                   and  ozone. The inactivation performance  evaluation
                                   studies for poor water quality conditions (i.e., high total
                                   organic carbon-level water) are underway.
  p p b
                                                                                         H202/Ag
   Figure 1. Reduction in THMs and HAAs as a result of the addition of a secondary disinfectant following the addition of chlorine as a
            primary disinfectant in laboratory tests.  Mixed ground and surface water in the local city supply was used The graph reflects
            DBFs resulting after 24 hours. The bars in the foreground reflect the secondary disinfectant, the bars in the rear reflect Cl alone.
            The basic water parameters were:  Br" = 0.081 mg/L, TOC = 3 1 mg/L, initial Cl = 5 mg/L, residual Cl = 1 85 mg/L, pH = 6.85
            (buffered) TTHM=total THMs, THAAs=total HAAs.
52
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                           2001 STAR Drinking Water Progress Review Workshop
250

200
  g  100
      50

      0
               D without S/H

               E3vvitliS/H
    50
~  40
!30
|   20
                                                      10

                                                      0
                       03(mg/L)
                                                                        D
                                                                        10
                                                                               20
                                                                           Time(min)
                                                                                       *  without S/H
                                                                                       D  with S/H

                                                                                           D
                                          30
40
Figure 2.  BrO-, formation with and without additions of Ag'/HiO?
         (S/H) at various initial  O; concentrations [Br~] = 600
         ug/L, [DOC] = 30 mg/L. pH = 7 0. T = 30 C. t = 30 mm
                                                    Figure 3.  Time  trend of BrO-,'  formation with and  without
                                                             AgVH,O, (S/H) addition  [O5] = 60 mg/L,  [Br'] = 600
                                                             ug/L. [DOC] = 30 mg/L, pH = 7 0; T = 25. Ag+/H,O, (30
                                                             Hg/L/30 mg/L) added 1 mm after ozonation started
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                        2001 STAR Drinking Water Progress Review Workshop
                                                             CFU/ml, with AgNO,
                                                             CFU/c m with AgNO,
                                                    -HO— CFU/ml, with H2O2
                                                             CFU/c m with H2O2
                                                       Q    CFU/ml, with H2O2+AgNO3
                                                             CFU/c m with H2Oz+AgNO3
                                5O       1OO      ISO
                                    Time (hours)
                                               200
                                                              A     CFU/ml, with AgNO3

                                                                     CFU/c m with AgNO,

                                                           —Q— CFU/ml, with H2O2
                                                                     CFU/c m with H2O2
                          f    • I • • • •'• I
                         50   60    70   80   90   100 110  120
                                     Time  (hours)
      Figure 4a.  Effect of AgNO; (30 ppb) and H2O2 (30 ppm) combined addition after 48 hours of biofilm formation In this case, silver
               ions reduced biofilm bacteria by a half order of magnitude for short time (approx. 5 hours), then bacterial counts returned
               to previous values A much sharper reduction was observed with free living and biofilm bacteria under the activity of H2C>2.
               For 20 hours, biofilm count decreased by four orders of magnitude, while free living bacteria continued up to 95 hours to
               drop by four orders of magnitude

      Figure 4b.  Effect of AgNOi (30 ppb) and H2C>2 (30 ppm) on free living and adsorbed bacteria (biofilm) on galvanized iron coupons in
               tap water. Free living bacteria were  reduced by 3.5 logs during 24 hours under combined AgNCb and HjOi Biofilm
               bacteria were reduced under similar conditions by 2 logs for the same period of time. In both cases, bacterial numbers did
               not change and remained stable up to  100 hours (termination time of the experiment)
54
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                         2001 STAR Drinking Water Progress Review Workshop
Evaluation of Ozone Byproduct Formation
Under Ozone Dose, Temperature, and pH Variation
Michael S. Elovitz', Jehng-Jyun Yao 2, and Dick J. Miltner'
1 Treatment Technology Evaluation Branch,  Water Supply and Water Resources Division,
U.S. Environmental Protection Agency, Cincinnati, OH; 'Oak Ridge Institute for Science and Education
Postdoctoral Fellow, Oak Ridge, TN
    This project was one part of a comprehensive re-
search plan (Research  Plan for  Microbial Pathogens
and Disinfection By-Products in Drinking Water) estab-
lished by the U.S. Environmental Protection Agency's
Office of  Research and  Development in 1997.  The
principal goal of this study  was to study the effects of
ozone dose, temperature,  and pH on the  formation of
ozonation byproducts (OBPs) as well as ozone's benefi-
cial use for decreasing ultraviolet  (UV) absorbing com-
ponents and the precursors  of chlorinated disinfection
byproducts.
    A main objective of this project was to examine
bromate (BrC>3~) formation resulting from low to mod-
erate bromide levels (< 200 ppb)  and higher than nor-
mal  ozone dosages in accord with anticipated  high
ozone CT  requirement for  inactivation of Qyptospo-
ridium.  In addition, at the time the  Research Plan was
written, nonhalogenated organic OBPs still were receiv-
ing considerable scrutiny; therefore, another objective
was  to  include the formation  of aldehydes,  carboxy-
lates, and ketoacids in the analyses.
    Finally, another objective was to examine the abil-
ity of ozonation to eliminate reactive sites within the
dissolved  organic  matter that would  otherwise react
with chlorine to form  chlorinated  DPBs. Assessment
was made by evaluating the  loss of UV-absorbance and
performing chlorination experiments and analyzing for
trihalomethanes, haloacetic acids,  and total organic ha-
lide formation.  A natural  water (East Fork Lake,  OH)
with a final dissolved organic carbon (DOC)  concen-
tration of 2 mg/L was used for the study. The water was
spiked with bromide to either 100  ppb or 200 ppb.
    Ozonation experiments were conducted in both a 1 -
L batch reactor and in a 2-L (14-minute theoretical hy-
draulic  residence  time) flow-through reactor, which
consisted of a counter-current bubble column followed
by a  second  reaction column and  equipped with  10
sampling ports along the flow path.
    The main experimental matrix included: (1) five O3
doses 
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                         2001 STAR Drinking Water Progress Review Workshop
      80
       70
      60
       50
  Q.
       30
                         _      V. ,,
       2Q     ^         -O                                                    •Batch-2.6mg/L

                 -~ O                                                          * Batch-3 8mg/L
            —  O                                                               OColumn-2.6mg/L

       10  Q                                                                   1Column-3.2mg/_L
          0               5              10             15              20              25              30
                                           O3-exposure(/-CT) [mg/Lxmin]
  Figure 1. Bromate formation as a function of CVexposure and O,-CT in the batch (solid symbols) and column (open symbols) reactors,
          respectively  Circles represent a low Ch dose (2.6 mg/L) and squares a high O:, dose (3.2 or 3 8 mg/L), 22° C, pH 7.5, 2 mg/L
          DOC.
56                  The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
Integrated Approach for the Control
of Cryptosporidium parvum Oocysts and Disinfection
Byproducts in Drinking Water Treated With Ozone and Chloramines
Benito J. Marinas, Roger A. Minear, Jaehong Kim, Hongxia Lei, Jason L. Rennecker,
Amy M. Driedger, and Benito Corona-Vasquez
Department of Civil and Environmental Engineering, University of Illinois at Urbana-Champaign, Urbana, IL
    The overall goal of this project is the development
of process design recommendations for the  simulta-
neous control of Cryptosporidium parvum oocysts and
disinfection  byproducts (DBFs)  during  ozone/chlora-
mines  sequential  disinfection  of natural waters.  Be-
cause the main objective of the study is  to develop an
integral control strategy, the scope of work focuses on a
limited  number of selected DBFs (bromate, formalde-
hyde, and cyanogen halides) associated with the ozone/
chloramines sequential disinfection process.
    Experiments  have  been performed  to investigate
the kinetics of C. parvum  oocyst inactivation resulting
from  sequential application of ozone and  monochlor-
amine. Experiments with single disinfectants resulted in
inactivation curves characterized by the presence of an
initial lag phase, during which little inactivation occur-
red followed by pseudo-first order inactivation kinetics.
The rate of C. parvum oocyst inactivation with mono-
chloramine was enhanced when this chemical was used
as secondary  disinfectant.  Ozone pretreatment resulted
in the removal of the  lag phase  during  the secondary
inactivation  with  monochloramine.  Furthermore,  the
rate  of secondary monochloramine  inactivation  was
faster than that observed for postlag-phase primary dis-
infection. This synergistic  effect was more pronounced
at lower temperatures.
    Experimental results revealed that the CT (product
of disinfectant concentration and contact time) required
to achieve a certain level of inactivation was unique. No
pH dependence was  observed for primary inactivation
with ozone in the pH  range of 6-10, or primary  and
secondary inactivation with monochloramine at pH  val-
ues of 8 and  10. The mechanism of cyanogen bromide
(BrCN) formation during  O3/NH2C1 sequential  disin-
fection also is under investigation. BrCN can be formed
through the reaction between HCHO and NH2Br, the
latter compound produced from  the reaction between
NH2C1 and Br~ ion. Based on the reaction pathway re-
ported for cyanogen chloride, potential intermediates in
the formation of  BrCN  include JV-bromoaminometh-
anol,  N-bromodimethanolamine, iV-bromomethanimine,
and cyanide. The competing decomposition of NH2Br
involves many reactions with the overall rate affected
by pH, [NH3]/[HOBr] ratio, initial  NH2Br concentra-
tion, and temperature.
    An integrated model has been developed to simul-
taneously predict bromate formation  and C. parvum
oocyst inactivation  during ozone treatment of natural
waters. The model  consists  of elementary chemical
reactions that are responsible for ozone decomposition
and bromate  formation as well as  a delayed Chick-
Watson kinetic expression for ozone disinfection of C.
parvum oocysts. This model has been evaluated experi-
mentally with a laboratory-scale batch reactor,  and a
laboratory-scale flow-through   ozone bubble-diffuser
contactor using  synthetic  solutions.  In addition, semi-
empirical expressions taking into account the effect of
natural organic  matter on  relevant  chemical and  dis-
infection  reactions  have  been  incorporated into  the
model. The  kinetic  expressions were combined with
empirical mass transfer correlations, and the axial  dis-
persion model to simulate the  gas transfer and hydro-
dynamic characteristics in pilot- and  full-scale  ozone
bubble-diffuser contactors.  Figure 1  shows an example
of the integrated model application to simulate the full-
scale ozone contactor located at the Los Angeles Aque-
duct Filtration Plant.
    Future research  plans  include the performance of
additional  experiments  to  assess the role  of natural
organic matter in the  formation  of bromate at tempera-
tures in the range of 5-25° C. The kinetic information
obtained from laboratory-scale experiments will be in-
corporated into the computer model. Model evaluation
with full-scale ozone contactors will be attempted using
data available either in the literature  or from water util-
ities.
    Future efforts also will focus on the quantitative
study  of the fast equilibrium reactions and subsequent
slower reactions between monobromamine and formal-
dehyde. Experiments  also will be performed with  var-
ious preozonated natural waters dosed with NH2C1 and
Br.
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                         2001 STAR Drinking Water Progress Review Workshop
                               A
                                          D   F G H
               (a)
               Liquid Phase
               Ozone
               Conccntratio
               Profile
               (c)
               C. parvum
               Inactivation
                                                                                 — 100% capacity
                                                                                 	 75% capacity
                                                                                 — 50% capacity
                                                                                 — 25% capacity
                  0.1    0.2   0.3   0.4   0.5   0.6   0.7

                           Normalized Cumulative Volume
                                        0.8   0.9
1.0
     Figure 1. Simulation of dissolved ozone concentration, bromate formation, and C. parvum mactivation at the ADWP plant ozone
             contactor (water flow rate = 85 MOD; gas flow rate = 17.8 kscfh; temperature = 9° C, pH = 8.2; Br~ = 33 Ug/L; DOC = 1.9
             mg/L; ozone input capacity = 25-100%)
58
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                         2001 STAR Drinking Water Progress Review Workshop
Pilot Studies of an Ozonation/FBT Process
for the Control of DBPs in Drinking Water
Susan J. Masten, Kyung-Hyuk Lee, Kuan-Chung Chen, and Alexander A. Yavich
Department of Civil and Environmental Engineering, Michigan State University, East Lansing, MI
    A combined ozonation/biological  fluidized  bed
treatment  (FBI)  for the removal  of trihalomethane
(THM) and other disinfection  byproduct  (DBF) pre-
cursors from drinking water is being investigated. This
project also aims at developing design criteria for the
proposed ozonation/FBT system. The goals of this pro-
ject are being accomplished through bench-scale  and
pilot-scale studies using Lake Erie  water  collected at
the Monroe Water Filtration Plant  (Monroe,  Ml)  and
Lake  Lansing water (Haslett, Ml). Huron  River water
has a total organic carbon (TOC) concentration of 6-8
mg/L and  is typical of rivers across the United States.
Although Lake Lansing water does not provide source
water to any treatment  plant, it has  been selected be-
cause of its high TOC concentration (9-11 mg/L). Fu-
ture work will involve other source waters.
    The effects of ozonation reaction pathways on the
formation  of  both DBPs and  biodegradable organic
carbon (BDOC) were investigated using a  bench-scale
ozonation  system. The  study showed that  the produc-
tion of OH radicals relative  to ozone dose  adjusted for
alkalinity was the greatest  in water with the lowest
TOC concentration (Lake Erie water) and the lowest in
water having highest TOC concentration (Lake Lansing
water). This suggests that organic  matter  in  selected
source waters  acted more as a scavenger rather than as a
promoter of radical  reactions. Direct ozone reactions
appear to favor the production of BDOC,  whereas ra-
dical reactions result in the removal of organic carbon.
    In biodegradation studies involving a  bench-scale
biodegradation system, several parameters were identi-
fied that described the kinetics of the removal of organ-
ic matter during biodegradation. These included: (1) the
minimum  empty bed contact time  (EBCTmm), which
represented the minimum EBCT required to remove
rapidly BDOC  ("fast"  BDOC);  (2)  BDOC5,OW, which
represented the amount of BDOC that at least remained
after biodegradation at  EBCTmm;  and (3) Rmax, which
was defined as the maximum rate of the biodegradation
of "fast" BDOC.  It was found that  essentially all or-
ganic matter in Lake Erie water was  refractory  (i.e., not
subject  to  biodegradation).  Huron  River water con-
tained approximately 20  percent of potentially bio-
degradable organic  matter, whereas  nearly one-half of
the organic matter  in  Lake Lansing  could be bio-
degraded. The ozonation of Lake Erie water at doses of
up to 3 mg/mg C did not result in the production of
biodegradable  organic carbon. Ozonation of Huron Ri-
ver water resulted in an increase of BDOC concentra-
tion from 1.2 mg/L in raw water to  2.8 mg/L in water
ozonated at a  dose  of 1 mg/mg C. However, the con-
centration of BDOCS|OW also was increased after ozona-
tion.
    Unlike Huron River water, for which no significant
changes  in biodegradation kinetics  were observed at
doses greater  than  0.5  mg/mg  C,  the  biodegradation
parameters for ozonated  Lake  Lansing water  were
affected  by ozone  doses  to a much  greater extent.
Ozonation  of  Lake Lansing water at a dose of 0.75
mg/mg  C resulted  in an  increase  in  BDOC concen-
tration from 5.04 to 6.06 mg/L. Ozonation  at  ozone
doses of 1.5 and 3 mg/mg C resulted  in the formation of
additional 0.8  and 1.33  mg/L BDOC, respectively. An
increase  in ozone dose resulted in an increase in Rmax
and a decrease  in  EBCTmm. The most striking  dif-
ference  between  Huron  River water and Lake Lansing
water was observed with respect to "slow" BDOC. The
concentration  of BDOCsiow  in  Lake  Lansing  water
decreased with an increase in ozone dose compared to
Huron River water, in which BDOCS|OW increased at a
dose of 0.5 mg/mg C and leveled off at higher  ozone
dosages.
    A pilot-scale study of the ozonation/FBT system
has been initiated.  The 1-gpm pilot-scale system has
been installed at the Monroe Water Treatment Plant in
Monroe, MI. Although  all necessary kinetic  data and
operating information have been generated, bench-scale
studies  with selected   source waters  will  continue.
These studies will be directed towards further optimiz-
ing parameters for ozonation and biodegradation to in-
crease the  efficiency of the  combined  ozonation/FBT
system.
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       Section 5.
Microbial Contaminants

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                         2001 STAR Drinking Water Progress Review Workshop
Prevalence and Distribution of Genotypes
of Cryptosporidium parvum  in United States Feedlot Cattle
EdwardR. Aftviil1, C. Elmi2, W.P. Epperson3, D.M. Grotelueschen4, J. Kirkpatrick*, B. Hoar6,
W.M. Sischo7, L.y. Carpenter*, D. Brewster9,  W. Riggs10
'Department of Population Health and Reproduction, School of Veterinary Medicine, University of California,
Davis, CA; 'U.S. Department of Agriculture, Fresno, CA; 'South Dakota State University, Brookings, SD;
4 University of Nebraska, Lincoln, NE; ^Oklahoma State University, Stillwater, OK; ^California Department of
Health Sen-ices, Davis, CA; 7 University of California, Davis, CA;*U.S.  Department of Agriculture, Olympia,  WA;
9 U.S. Department of Agriculture, Lakewood, CO; "'U.S. Department of Agriculture, Austin, TX
    The overall goal of the proposed research project is
to establish the  prevalence and distribution of geno-
types of Cryptosporidium parvum  in western and  cen-
tral U.S. feedlot cattle. In addition, the fecal concen-
tration of oocysts from each genotype will be quantified
to estimate oocyst loading rates for this source of patho-
gen. A secondary  objective  is to  determine manage-
ment  and  animal risk factors that  are associated  with
cattle shedding one or more  genotypes of C. parvum.
The original geographic focus for the multistate cross-
sectional survey  of feedlot cattle was California,  Ne-
braska, Washington, South Dakota, and Colorado. Two
additional states with large feedlot cattle populations
have been added—Texas  and Oklahoma—for an over-
all  enrollment of seven  states located throughout the
central and western United States. As of December 31,
2000, approximately  240  cattle per feedlot have been
sampled from feedlots located in six of the seven en-
rolled states, resulting in 1,440 tested samples. Using a
direct immunofluorescent  assay that reliably  can detect
600 or more oocysts per gram of fecal material,  four
infected cattle have been  identified out  of the 1,440
tested. To  confirm that the  diagnostic method  is not
falsely classifying  fecal samples as negative, 10  ran-
domly chosen samples per feedlot  are being tested us-
ing immunomagnetic separation of oocysts, followed
by the standard direct immunofluorescent assay.
    This research project  has  shown  previously that
this combined method can, on average, detect as few as
one oocyst per gram of bovine fecal material. Of the 60
samples tested to date,  none contained detectable levels
of C. parvum oocysts.  Using a polymerase chain re-
action-restriction fragment length polymorphism (PCR-
RFLP) technique developed by the Centers for Disease
Control and  Prevention that  targets the 18S small-
subunit rRNA gene locus, three of these four presump-
tive C. parvum isolates have been confirmed as C. par-
vum, displaying the typical bovine PCR-RFLP pattern.
DNA sequencing  of the  amplicon is  in progress to
improve the  discriminatory power of this  genotyping
method and to detect minor polymorphisms in the ge-
nome.  Preliminary inferences from the first year of re-
search are that feedlot cattle located throughout central
and western United States  are not serving as an envi-
ronmental source of C. parvum. It should be  stressed
that there still are more than 4,500 cattle to examine, so
valid  and precise  conclusions  should  not  be formed
until the cross-sectional survey is completed. In parti-
cular, the survey data will be statically  modeled to de-
termine the oocyst  loading rate from this cohort of adult
cattle.  It is this parameter, the oocysts loading rate, that
is the primary parameter of public health interest and an
ideal parameter for risk assessment applications, not the
overall prevalence  of fecal shedding.
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                         2001 STAR Drinking Water Progress Review Workshop
Development of Detection and Viability Methods
for Waterborne Microsporidia Species Known To Infect Humans
David A. Battigelli', MM. Marshall2, and M. Borchardt3
'Wisconsin State Laboratory of Hygiene, Department of Preventive Medicine, University of Wisconsin, Madison,
Wl; 'Department of Veterinary Science and Microbiology, University of Arizona, Tucson, AZ; 3Marshfield Medical
Research Foundation, Marshfield,  Wl
    The proposed  study targets the development  of a
strategy for the recovery and identification of the hu-
man microsporidia  from natural waters, and it is divid-
ed into five major  components: (1) sample collection,
(2) sample concentration, (3) sample processing, (4) di-
agnostic assay, and (5) method validation in natural
waters. The study design emphasizes the application  of
several biotechnologies that, when  combined,  offer the
potential for the development of a highly sensitive and
specific environmental monitoring tool.
    The techniques proposed in the study (continuous
flow centrifugation [CFC], flow cytomerry/cell sorting,
DNA amplification, and oligoprobe hybridization) were
selected in part due to their successful application for
the development of recovery methods  for Cryptospo-
ridium and Giardia. In addition, the proposed strategy
offers the potential  to detect low levels of microsporidia
while simultaneously providing strain-specific identifi-
cation. Continuous  infections of model microsporidia
(E. intestinalis, E. hellem, and E. cuniculi) were estab-
lished in rabbit kidney cells, and a preliminary viability
assay has been evaluated using coverslips according to
a 24-well plate format.  Sensitivity characterization sug-
gests that fewer than 100 viable spores can be detected
per coverslip  in this format. A variety of monoclonal
and polyclonal antisera have been produced and charac-
terized for their binding characteristics  against model
microsporidia. Both primary and  secondary  labeling
methods have been evaluated. Preliminary results  indi-
cate optimal fluorescence with fluorescein isothiocya-
nate-conjugated polyclonal  antisera—improvements  to
                                  indirect labeling methods with monoclonal antisera are
                                  underway. Spores  labeled with  fluorescent  antibodies
                                  have been successfully sorted using automated cytome-
                                  try technology.
                                      Evaluation of sample collection methods during the
                                  first 3  months has focused on assessing the efficiency
                                  of  filter/elution  and CFC.  Seeded challenge  studies
                                  using reticulated foam filter  units to capture spores in-
                                  dicate that recover}' efficiencies as high as 60 percent
                                  may be achieved with idealized waters (reverse osmosis
                                  grade).  Preliminary recovery experiments using  CFC
                                  indicate that recovery efficiencies as high as 90 percent
                                  are possible.
                                      Initial studies  indicate that  the viability  of model
                                  microsporidia spores can be measured  using cell cul-
                                  ture-based techniques, and that an enumerative assay
                                  based on epifluorescence microscopy is possible.  Con-
                                  tinued  improvements  to these  diagnostic  procedures
                                  may make it possible to produce a finished method for
                                  the assessment of the fate, ecology, and distribution of
                                  infectious microsporidia in natural waters, and will as-
                                  sist in  the effort to collect data for regulatory discus-
                                  sions on the contaminant candidate list  of microorgan-
                                  isms.
                                      The balance of the first  year's  effort will focus on
                                  the development of in  situ labeling methods to improve
                                  the sensitivity and specificity of microsporidia detection
                                  using flow cytometry. The research also will focus on
                                  improving the sensitivity of the viability assay and will
                                  continue to optimize the immunological  labeling proce-
                                  dures.
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                         2001 STAR Drinking Water Progress Review Workshop
Meaningful Detection of Mycobacterium avium Complex
in Drinking Water;  Are Disinfectant-Resistant Morphotypes Virulent?
Gerard Cangelosi,  Christine Palermo, and Shawn Faske
Seattle Biomedical Research Institute and Department ofPathobiology, University of Washington, Seattle, WA
    The  bacterial  pathogen  Mycobacterium  avium-
intracellulare (MAC) is resistant to chlorine and diffi-
cult to eliminate from water supplies. The public health
significance  of MAC in  drinking water is  not  well
understood, and correlations between the occurrence of
MAC in  water and  the incidence of MAC disease are
not always perfect.
    One  source of variation is the unique propensity of
the pathogen to segregate  into "colony  type" variants,
also  known  as morphotypes, with differing character-
istics of  virulence,  resistance to  antimicrobial  agents,
and  ability to survive in  the environment.  Typically,
any MAC cell found in water is assumed to be a threat
to public health, even though some MAC morphotypes
are orders of magnitude more infectious than  others.
This research is aimed at  identifying virulent morpho-
types and the circumstances under which they come in-
to contact with humans.
    Four morphotypic variants of MAC were examin-
ed for virulence (ability to cause disease), sliding mo-
tility (ability to spread over solid surfaces), and sensi-
tivity to chlorine.  The morphotypes, distinguishable by
colony opacity and  ability  to bind to Congo red, were:
red-opaque (RO), white-opaque (WO),  red-transparent
(RT), and white-transparent (WT).
    Virulence was assessed by using a cultured human
blood cell model of disease, a mouse model of disease,
and analysis of very fresh clinical isolates. Sliding mo-
tility was measured  on soft agar plates. Chlorine sensi-
tivity was measured in side-by-side and combined ex-
periments, using hypochlorite as the  chlorine  source.
WT was the only form  that survived and  grew within
cultured human cells and mouse organs, suggesting that
the other forms were weakly virulent or avirulent. Con-
sistent  with this, white  was the  predominant morpho-
type in 25 of the clinical isolates examined. RT and RO
variants were capable  of sliding  motility, whereas WT
and WO variants were  not.  RT  cells  were markedly
more resistant  to chlorine than the other three morpho-
types.
    In  the isolates that were studied, only one morpho-
type, RT, was  resistant to  chlorine.  This form  was not
virulent. Other forms,  including the  virulent WT form,
were more easily killed  by chlorine (see Figure 1).  If
this pattern applies to all MAC strains, it would suggest
that virulent MAC  might  be easier to eliminate from
drinking water than  previously believed. This is an ex-
ample  of how colony morphotype  can be a  factor  in
determining the human health consequences of MAC  in
drinking water.
    The role that morphotype plays in other character-
istics important to the survival of MAC in water sup-
plies will be examined,  including the abilities to form
biofilms and to grow on filters. The morphotypic char-
acteristics and  virulence  properties of isolates taken di-
rectly from various public water supplies without exten-
sive passage in the laboratory (which inevitably results
in morphotypic switching) will be determined.  If water
distribution environments  favor specific morphotypes,
then the infectivity of those morphotypes must be taken
into account when  gauging their public health signifi-
cance.
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                  2001 STAR Drinking Water Progress Review Workshop
          1E6
          1E5
       D)
      f  1E4
          1E3
                    RT (attenuated)
               \  WT (virulent)
              0(0)       2(1.3)     4(3)       6(4)
                        ppm NaOCI (free CI-)
                                              8(6)
             Figure 1. Killing of RT and WT variants of M avium strain HMCO2 by sodium hypochlonte
66
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                          2001 STAR Drinking Water Progress Review Workshop
Detection of Emerging Microbial Contaminants
in Source and Finished Drinking Water With DNA Microarrays
Darrell P. Chandler', Ricardo DeLeon2, and Timothy M. Straub'
1 Battelle Memorial Institute, Pacific Northwest Division, Richland, WA; Metropolitan Water District of Southern
California, LaVerne, CA
    DNA microarrays have not been applied to envi-
ronmental samples (in general), and commercial array
companies are  focused  solely on the  high-throughput
genotyping and drug discovery markets. With the po-
tential to detect multiple genera of organisms and abil-
ity  to  incorporate live/dead discrimination via mRNA
analysis within  a single  water sample, microarray tech-
nology may provide a significant technological advance
in the pathogen monitoring of drinking water supplies.
    The objective of this research project is to develop
DNA microarrays for the detection of Ciyptosporidium
parvum and Helicobacter pylori and evaluate their sen-
sitivity, specificity, and quantification ability relative to
standard techniques for the detection of these pathogens
in source  and finished  water. Genotyping  arrays have
been constructed for the vacA and  cagA genes  of H.
pylori  (36 oligonucleotide probes), and the hsp70 gene
of C. parvum (68 oligonucleotide probes). Biotin-label-
ed  polymerase  chain reaction products  are generated
from genomic DNA  and hybridized  to their respective
arrays  (Cryptosporidium or Helicobacter). The signal
from hybridized probes is  generated using a strepavi-
din-alkaline phosphatase, ELF® chemiluminescent sub-
strate system (Molecular Probes, Eugene, OR). The hy-
bridized probes are visualized via ultraviolet transillu-
mination using a BioRad Fluor-S imager.
    Preliminary results from the H. pylori array dem-
onstrate that  reproducible  single-base mismatch dis-
crimination within vacA and cagA amplification  prod-
ucts is possible. C. parvum hsp70 genes also have been
successfully labeled, amplified, and detected  on a pro-
totype microarray.
    This research project now is poised to investigate
microarray  sensitivity and matrix effects in an environ-
mental context, and to assess the specificity of the mi-
croarrays on a collection of Helicobacter and Crypto-
sporidium (human  versus nonhuman) isolates. Work
during the next year will focus on: (1) optimizing hy-
bridization conditions for the Cryptosporidium array to
differentiate between human and non-human sources of
C. parvum, (2) processing environmental water samples
containing C. parvum to determine matrix effects on the
sensitivity and specificity of the arrays, and (3) expand-
ing  the  H.  pylori arrays to detect additional bacterial
pathogens (such as E. coli O157:H7) in source and fin-
ished  water.
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                         2001 STAR Drinking Water Progress Review Workshop
Infectivity and Virulence of Cryptosporidium
Genotype 1/H Oocysts in Healthy Adult Volunteers
Cynthia L. Chappell', Pablo C. Okhuysen ', Saul Tzipori 2, and Giovanni Widmer 2
 University of Texas-Houston Health Science Center, Houston,  TX;  Tufts University School of Veterinary Medicine,
North Crafton. MA
    Cryptosporidium parvum is comprised of a genet-
ically heterogeneous population, which can be  divided
into isolates that are transmitted among humans (geno-
type 1) and those transmitted between human and ani-
mal hosts  (genotype 2). Experimental infection with
genotype 2 oocysts has previously revealed significant
variability  in infectivity (ID50 range between 9-1,042
oocysts) and clinical outcome (asymptomatic to diar-
rheal  illness).  Further,  a comparison  of serologically
negative versus serologically positive individuals show-
ed a 20-fold increase in the ID,o in those persons with
preexisting serum IgG. These antibody-positive individ-
uals excreted much fewer oocysts than  the  antibody-
negative individuals, suggesting that  secondary infec-
tions would be less likely to occur with this population.
Although  the  presensitized  volunteers typically were
resistant to low-level exposures, high  challenge doses
(>5,000 oocysts) resulted in infection and diarrheal ill-
ness in a  number  of the volunteers. Indeed, some ill-
ness measures indicated that the diarrhea  in those with
preexisting antibody was more severe than in serolog-
ically negative persons.
    The overall goal of the present study is to generate
dose-response curves in healthy volunteers using geno-
type 1 oocysts and to compare the resulting infectivity,
clinical outcomes, and  immune responses to previous
genotype 2 results. Two different genotype  1  isolates
have been proposed for testing. The specific objectives
of the study are  to:  (1) establish the infectious dose
(ID50), clinical outcomes, and intensity of infection for
two Cryptosporidium genotype  1 isolates in  seronega-
tive individuals; (2) investigate the antibody and cellu-
lar responses in volunteers to genotype 1 isolates; and
(3) examine isolates for subtle genetic differences and
determine  the  stability  of DNA markers prior to and
after passage in pigs and humans.
                                      Year 1 activities have included: (1) identifying two
                                  genotype  1 isolates from HIV-negative donors that can
                                  be amplified in gnotobiotic (GNB) pigs; (2) establish-
                                  ing the genetic stability  of the isolate in multiple pig
                                  passages; and (3) testing the  first of several challenge
                                  doses in four healthy volunteers. The genotype  1 isolate
                                  used to date was obtained from an HIV-negative donor
                                  who developed a  relatively  mild,  symptomatic illness
                                  with  C. parvum.  Genetic polymorphism  studies re-
                                  vealed a banding pattern  typical of genotype 1  isolates.
                                  Multiple passages were carried out in  GNB pigs to ex-
                                  amine the "fingerprint" of the amplified oocysts at each
                                  passage. All  passages showed a  stable pattern with no
                                  detectable changes in the mobility of PCR products of
                                  any of the loci studied.
                                      After oocyst purification  and safety testing for ad-
                                  ventitious agents, 100 genotype 1 oocysts were ingested
                                  by each of four serologically negative volunteers. Vol-
                                  unteers were  monitored  daily for  14 days and three
                                  times per week  for  a total of 6  weeks. All  four vol-
                                  unteers showed  either clinical or parasitological evi-
                                  dence of infection,  suggesting that the ID50  for this
                                  isolate  (TU502)  may be similar to the genotype  2
                                  isolate, TAMU (ID50 = 9 oocysts). A diarrheal illness
                                  was noted in  three of the volunteers, while the fourth
                                  volunteer had unformed stools and gastrointestinal
                                  symptoms, but did not meet criteria  for diarrhea (see
                                  Table 1). Two of the four volunteers shed oocysts that
                                  were  detectable  by direct fluorescence assay  and en-
                                  zyme-linked  immunosorbent  assay. Peripheral  blood
                                  mononuclear cells and serum  samples, as well as saliva
                                  samples, have been collected at five time points (pre-
                                  and postchallenge) from volunteers, but evaluation of
                                  immune responses has not been completed. Continuing
                                  studies  will test additional volunteers at 100  oocysts
                                  and other groups at lower dosages.
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                            2001 STAR Drinking Water Progress Review Workshop
                   Table 1. Outcome of Ciypto^pondtum parvitm (genotype 1) challenge in serologically negative.
                           healthy adult volunteers  Each volunteer received 100 oocvsts of the TU502 isolate
Volunteer „. , ,
Diarrhea"
Number
132
133
134
135
+
+
+
-
GI
Symptomst
-
+
+
+
Oocysts
Detected
+
-
-
+
                      *  Diarrhea  is defined as the passage of unformed  stools fitting any of the following
                         criteria along with at least one additional gastrointestinal symptom  (1) > 3 in 8 hours,
                         (2) > 4 in 24 hours, or (3) >200 grams per day

                      t  GI symptoms are defined as the presence of two or more gastrointestinal symptoms
                         with one or more concurrent unformed stools
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                          2001 STAR Drinking Water Progress Review Workshop
Mycobacterium avium Complex in Drinking
Water;  Detection, Distribution, and Routes of Exposure
Timothy E. Ford, Anand Patel, and Yu-Rong Chu
Harvard School of Public Health, Boston, MA
    Organisms of the Mycobacterium avium complex
(MAC) are an increasingly prevalent cause of clinical
disease and are  known to be widespread in drinking
water supplies. However,  there are significant gaps in
current knowledge of MAC.  At present, there are no
validated methods for the detection of MAC in  bio-
films, a likely treatment-resistant reservoir for micro-
organisms  in  water  distribution systems. Also,  com-
monly used techniques  in  isolating MAC from water
are relatively insensitive due to aggressive decontamin-
ation steps.
    Objectives of the research project are to: (1) devel-
op improved methods for detecting MAC in biofilms,
(2) explore  and implement more sensitive techniques
for the detection of MAC in  drinking water samples,
and (3) determine the prevalence of MAC in municipal
drinking water distribution systems and at sites of end-
user exposure (drinking water, hot water, and toilet tank
water).
    MAC in biofilms will be quantified using powerful
image analysis equipment and software. A microscope
coupled with a digital camera will provide high-resolu-
tion  images of the specimens. Florescence in situ hy-
bridization,  using highly specific  labeled DNA probes
and antibodies,  will allow for the direct labeling of
MAC on histological sections of biofilms.  These bio-
films  will be obtained from cartridges (see Figure 1)
that form part of a bypass apparatus (see Figure 2) in-
tegrated into the hot water recirculating system  of a
suitable large  building.  Also,  it is proposed  to inves-
tigate a novel method for selectively culturing MAC on
paraffin wax slides. MAC's unique ability to utilize the
wax  as its  sole  source of carbon will be investigated,
                                  and modifications to the paraffin recipe to  increase
                                  specificity will be explored.
                                      Water and biofilms will be systematically sampled
                                  in  the  reservoirs, distribution  systems, and  end-user
                                  sites (commercial, institutional, and  residential  build-
                                  ings) of four geographically separate communities in
                                  eastern Massachusetts. Samples will be collected over
                                  both space  and time  to investigate  both  physical and
                                  seasonal factors. Within end-user buildings, liquid and
                                  biofilm samples will be obtained from drinking  water,
                                  hot water, and toilet tank water. Data on the presence of
                                  MAC will be correlated with water quality  parameters.
                                      To implement a bypass system, a suitable building
                                  water distribution system that  is  colonized  by  MAC
                                  first had to be identified. Water samples from 20 build-
                                  ings  were  processed  to selectively isolate MAC, and
                                  several have shown to be positive to varying degrees.
                                  In the interim, artificial MAC-Pseudomonas aeroginosa
                                  biofilms are being grown to develop and test the detec-
                                  tion and image analysis methods.
                                      This research should significantly improve the abil-
                                  ity to detect MAC in environmental  samples  and pro-
                                  vide information on the factors influencing the  distri-
                                  bution of MAC in municipal water systems. Successful
                                  completion of this research will provide information on
                                  optimal methodologies for assessing MAC in drinking
                                  water. Designs for the bypass system have been final-
                                  ized, and the  construction  and implementation stage
                                  will proceed in the coming 2-3 months. Also,  in the
                                  next phase,  collection of biofilm and water samples
                                  from the target list  of municipal drinking water dis-
                                  tribution systems and end-user exposure  sites will be-
                                  gin.
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                         2001 STAR Drinking Water Progress Review Workshop
                                                                          Coupon Stack Insert
       Reducer
  Figure 1.  A three-dimensional cutout view of the Biofilm Cartridge that integrates into a bypass apparatus of a building hot water re-
           circulating system  Biofilms will form on the flat surfaces of the coupons in the insert  Several inserts may reside in the car-
           tridge—these may be slid in and out by unscrewing the reducer
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                          2001 STAR Drinking Water Progress Review Workshop
                  Hot Water From
                   Recirculating
                     System
                 Clamp
                                                Hot Water Back
                                                to Recirculating
                                                   System
               Pump

               Flowmeter
On/Off Valve
I
Tri-CIover or Range
sanitary fitting
 Figure 2.  Schematic diagram of the bypass apparatus with three biofilm cartridges The diagram shows the positions of the pumps, flow-
          meters, valves, and various other fittings that connect the system together
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                         2001 STARDrinking Water Progress Review Workshop
NERL Microbial Program
With Emphasis on Protozoan Methods
H.D. Alan Lindquist
National Exposure Research Laboratory, Office of Research and Development, U.S. Environmental Protection
Agencv, Cincinnati, OH
    The National Exposure Research Laboratory's fa-
cility  in Cincinnati is engaged in a variety of microbio-
logical  research  projects  that include studies on  bac-
teria,  viruses, fungi, and protozoa. One of these was a
protozoology project to determine the best way to eval-
uate methods reported for detecting Cryptosporidium
parvum in  water. The technology used in preliminary
surveys to  determine the  incidence of this parasite in
watersheds has had  obvious shortcomings,  notably low
recovery of organisms and high inherent variability. To
improve this technology,  a large  number of possible
alternatives are available. Without a framework to com-
pare these alternative methods, there is no way to select
a method or battery  of methods that will  address the
basic question of the  underlying distribution of C. par-
vum in the environment.
    Procedures  for evaluating methods  have  inherent
variability, and thus, it is difficult to determine whether
the method, or the procedures for evaluating the meth-
od, is the source of variability. To meet this  challenge, a
set of criteria  were  developed  and tested  for use in
methods evaluation. One of the primary tools, counting
of absolute  numbers  of organisms  by flow cytometry,
has enabled  more precise method  evaluation. An ex-
ample of an evaluation of four methods using this tech-
nique is presented  in Figure  1.
                                                                    Ail spiked
                                                                     sari-pies
                                       Figure 1. Presumptive recoveries.
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                          2001 STAR Drinking Water Progress Review Workshop
Studies of the Infectivity
of Norwalk and Norwalk-Like Viruses
Christine L. Moe1, Lisa Lindesmith', Ralph S. Baric1, Paul Stewart2, William Heizer3, and Jeffrey A. Frelinger4
'Department of Epidemiolog)', 2Department of Biostatistics,3 Department of Medicine, and  4 Department of
Microbiology and Immunology,  University of North Carolina, Chapel Hill, NC
    The objective of this research is to develop the under-
standing of the risks associated with exposure to water-
borne caliciviruses as a function of dose and host suscep-
tibility factors. Specifically, this research will determine
the infectious dose of three important human caliciviruses
(HuCVs), a prototype Genogroup 1 virus (Norwalk virus
[NV]). and two prototype Genogroup II viruses (Snow
Mountain Agent [SMA] and Hawaii virus [HV]). that are
recognized as major waterborne pathogens. The specific
objectives are to: (1) identify the dose range of NV, SMA,
and HV (ID!0, ID50, and IDW) in human volunteers with
various levels of preexisting antibodies; (2) examine the
immune response (serum  and secretory antibodies) and
determine the characteristics of volunteers that are sus-
ceptible to infection; and (3) evaluate the  fit of several
mathematical models of dose-infectivity to these  data.
    Double-blinded human challenge studies are  being
conducted to determine the dose-infectivity relationships
for NV, SMA, and HV. These studies build on a previous
pilot NV dose-ranging study also supported by the U.S.
Environmental Protection  Agency (EPA). The NV study
focuses on infectivity in the critical low-dose region of the
dose-response curve and  provides more accurate  infor-
mation on the risks  of N V infection  associated  with low
levels of virus typical of the concentrations in water. The
SMA and HV dose-ranging studies will examine a range
of doses that approximate the IDio, ID50, and ID90. In all
studies, subjects are monitored for gastrointestinal symp-
toms for 5  days,  and return for Day 8, 14, and 21 fol-
lowup visits. Stool specimens are assayed for NV, SMA,
and HV RNA by reverse transcription-polymerase chain
reaction (RT-PCR). NV, SMA, and HV serum antibodies
and secretory antibodies are measured by enzyme immu-
noassay. Infection is defined as excretion of NV, SMA, or
HV or seroconversion.
    The outcomes of interest in these studies are sympto-
matic and asymptomatic  NV, SMA, and HV infection.
Symptomatic infection is  of concern because of the dis-
ease burden  on the population, the effect on absenteeism,
and the impact on  the health care system. In  terms of
public health protection, asymptomatic infection also is of
concern because  of the  potential for secondary  trans-
mission and the consequences of these infections for the
immunocompromised population,  including  infants and
the elderly.
    Several mathematical models of dose-infectivity will
be evaluated. A total of 76 subjects were challenged with
NV, and 25  became infected. NV doses ranged from 1 x
 10"1 to 1 x 107PCR detectable units (PDU). Seventy-two
                                   percent of the infected subjects had gastrointestinal symp-
                                   toms. Asymptomatic infections occurred more frequently
                                   at low doses. Most subjects shed virus for at least 8 days
                                   postchallenge, and several continued to shed virus for 18—
                                   23 days postchallenge. A simple dose-infectivity relation-
                                   ship was  not observed.  The presence of anti-NV serum
                                   IgG in prechallenge sera was a significant predictor  of
                                   infection, and subjects  who were anti-NV IgG positive
                                   had consistently higher infection rates at all doses.
                                       Assays for anti-NV salivary antibodies were devel-
                                   oped and used to examine the salivary immune response.
                                   Ninety-one percent of challenged subjects  developed  an
                                   anti-NV salivary IgA response. However,  the timing  of
                                   this response was different for subjects who developed in-
                                   fection compared to subjects who did not develop infec-
                                   tion, and suggests a mechanism of protective immunity to
                                   NV infection. The role of T-cell mediated immunity in
                                   NV infection currently  is being evaluated. A two-popu-
                                   lation beta-Poisson model provided the best fit to the
                                   dose-infectivity data. Preliminary risk  assessment using
                                   this NV dose-infectivity data indicates that the risk  of
                                   waterborne NV is higher than previous EPA estimates
                                   based on rotavirus infectivity data.
                                       SMA and HV inocula were extensively safety tested
                                   to  ensure the absence of other pathogens and toxins. To
                                   date, two subjects have been challenged with the SMA
                                   inoculum (105  PDU), and  both developed symptomatic
                                   infections. Seroconversion  could not be detected by re-
                                   combinant NV antigen, so SMA excreted  by these sub-
                                   jects was cloned and inserted into a Venezuelan Equine
                                   Encephalitis virus vector.  This expression system then
                                   was used to make recombinant SMA capsid protein that
                                   self-assembled into  particles.  This  recombinant protein
                                   will be used to examine the immune response in subjects
                                   challenged with SMA and HV, and to assess the preex-
                                   posure immune status of the subjects in all of the chal-
                                   lenge studies.
                                       These findings indicate that NV is  highly  infec-
                                   tious. The low infectious dose, mild illness or asymp-
                                   tomatic infections,  and prolonged shedding facilitate
                                   waterborne and  secondary transmission of this  virus.
                                   Humoral and mucosal  immune responses are markers
                                   of host susceptibility to NV infection. These challenge
                                   studies measure  HuCV infectivity in  humans in terms
                                   of RT-PCR detectable units because this  is the only
                                   avail-able method that can measure HuCVs  in both
                                   clinical samples  and  environmental samples.  These
                                   studies will provide the EPA with important data  on the
                                   relationship  between viral dose and host susceptibility
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                         2001 STAR Drinking Water Progress Review Workshop
to infection, clinical symptoms, and immune response.    to:  (1) challenge a small number of subjects with HV
The results of these studies are valuable for estimating    inoculum to determine whether it is infectious, (2) con-
trie risk of HuCV infection and gastroenteritis associ-    duct dose-ranging  studies with  SMA and HV-inocula
ated with exposure to contaminated water and to estab-    and compare their dose-infectivity relationships to NV,
lish safe exposure limits for HuCVs in water to reduce    and (3) examine host immune  response to SMA and
waterborne disease. The next steps of this research are    HV challenge.
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                         2001 STAR Drinking Water Progress Review Workshop
Development and Evaluation of Procedures
for Detection of Infectious Microsporidia in Source Waters
Paul A. Rochelle
Water Qualit)' Laboratoiy, Metropolitan Water District of Southern California, La Verne, CA
    The  microsporidia  Enterocytozoon bieneusi  and
Encephalitozoon spp. are considered as emerging path-
ogens that represent critical threats to public health with
potentially fatal consequences  for immunodeficient in-
dividuals  who become  infected.  Some microsporidia
can  lead  to  disseminated  infection  affecting almost
every organ of the human body, and they also can infect
immunocompetent  individuals. Because many animals
can carry  microsporidia, it is possible that surface wa-
ters can be contaminated, and consequently, may serve
as a route of transmission to  humans. However, very
little is known about the occurrence of microsporidia in
environmental water sources, and there is a critical need
to determine the role drinking water plays in the epide-
miology of this group of parasites. Moreover, there are
no routine methods for the detection of microsporidia in
water.
    The objectives of the proposed research project are
to develop a  method for detection of microsporidia in
environmental waters, determine the viability and infec-
tivity of detected spores, and use the methods to deter-
mine  the occurrence of microsporidia  in source waters
in the United States.  The  recovery  and purification
methods  that will  be  evaluated  include filtration of
water samples using a variety of different filter formats
and porosities, immunomagnetic  separation, and den-
sity gradient centrifugation (see Figure  1).
    Optimized DNA amplification assays and micro-
scopic methods will be used for  detection and identi-
fication. Viability will be assessed using a spore germi-
nation assay coupled with a  nucleic acid stain, a fluor-
escent dye exclusion assay,  and phase contrast micro-
scopy. Infectivity  will be determined by inoculating
spores into cell cultures and detecting infections using
molecular and microscopic methods.
                                      A variety of fluorescent agents have been evaluated
                                  for detecting spores. Staining procedures using calco-
                                  fluor were useful for enumerating purified  spore  sus-
                                  pensions, but could  not  be  used for detecting  spores
                                  recovered from natural water samples  due to the high
                                  level of staining of background material in the samples.
                                  Nonfluorescent stains, such as  a modified trichrome
                                  method, only were  practical  for  enumerating purified
                                  spore  preparations.  A commercially available fluores-
                                  cently labeled antibody to Encephalitozoon spp.  also
                                  was evaluated, but  it demonstrated extensive nonspe-
                                  cific binding to sample debris and other microorgan-
                                  isms. Published  amplification primers  were  evaluated,
                                  and those reported to be specific for E. cuniculi  and E.
                                  hellem did  not amplify  DNA  from  other parasites.
                                  However, primers reported to be  specific for E.  intest-
                                  inalis also amplified DNA from E. hellem and E. cuni-
                                  culi. A cell culture-based spore propagation method has
                                  been developed for E. intestinalis using Madin-Darby
                                  canine kidney cells and will be used as the basis for an
                                  infectivity assay for spores detected in water.
                                      The immediate  future plans for the project include
                                  evaluation of different filtration formats for recovery of
                                  spores  from  environmental  water  samples.  Custom
                                  manufactured capsule filters  with pore  sizes  of 0.1-0.8
                                  fim will be assessed along with compressed foam filters
                                  comprising stacks of 62-68  filter disks.  The expected
                                  outcome of this research will be optimized methods for
                                  the  detection of infectious microsporidia in  environ-
                                  mental water samples. Information will be obtained on
                                  the  prevalence of microsporidia in environmental wa-
                                  ters,  which  will allow the water industry and  public
                                  health officials to determine  whether drinking water
                                  represents a  significant route of transmission for these
                                  parasites.
76
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                       2001 STAR Drinking Water Progress Review Workshop
                                        Water sample
                 Capsule filtration
                     (Gelman)
Dual porosity
  filtration
Compressed foam
disks (Filta-Max)
                                   J         *
                     Method demonstrating highest recovery efficiencies
                                             1
                       Immunomagnetic separation
                           Gradient centrifugation
                 Dynal  jBiomag    MPG
                       Percoll-]  "Nycodenzj   | Ficoll
                       sucrose
                Method demonstrating highest recovery efficiencies and retention of infactivity
     Centrifugation
                          DNA extraction!
       Microscopic
        detection
         Viability and
          Infectivity
                     Polymerase chain reaction
           Figure 1. Outline of the approach for the development of a detection procedure for waterborne microsporidia.
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                         2001 STAR Drinking Water Progress Review Workshop
Attachment and Inactivation
During Virus Transport in Groundwater
Joseph N. Ryan ', Menachem Elimelech2, and Ronald W. Harvey*
] University of Colorado, Boulder, CO: 2Yale University, New Haven,  CT; *U.S. Geological Survey, Boulder. CO
    The major objective of this research is to provide a
better understanding of the processes that govern virus
transport in groundwater. The specific goals  are to in-
vestigate four key processes that are the source of much
of the uncertainty in predicting virus transport and to
develop a virus transport model that accounts for these
processes. The  four key processes,  outlined as hypo-
theses, are: (1) organic matter will enhance virus trans-
port in aquifers by adsorbing to positively charged grain
surfaces  and  occupying these favorable virus attach-
ment sites; (2) the reversibility of virus  attachment to
aquifer sediments is controlled by heterogeneity of aq-
uifer grains and virus interactions  with different mineral
and organic matter surfaces;  (3) the inactivation of vi-
ruses in groundwater is accelerated  by strong, irrevers-
ible attachment, but not by weak, reversible attachment;
and (4) the transport of viruses during long-term release
will be enhanced by blocking of favorable attachment
sites by attached viruses, but the extent of blocking will
be diminished by accelerated inactivation  of attached
viruses.
    The  first task is to conduct  virus attachment and
release experiments in  pulse-injection flow-through col-
umns  and a two-dimensional aquifer tank. These ex-
periments are examining the effect of organic matter on
virus  attachment and  release and the reversibility of
virus  attachment using the bacteriophage PRD1,  syn-
thesized  ferric oxyhydroxide-coated quartz sand, vari-
ous surfactants, two natural organic matter samples, and
sewage-derived organic matter.
    The second task is to determine the effect of attach-
ment  on virus  inactivation.  These  experiments were
                                  conducted in static column experiments using the bac-
                                  teriophages PRD1 and  MS2, and ferric oxyhydroxide-
                                  coated sand and groundwater from the U.S. Geological
                                  Survey Cape Cod field site. The third task is to conduct
                                  virus  attachment and  release experiments in continu-
                                  ous-injection flow-through columns to test the dynam-
                                  ics  of virus  attachment. These experiments  are being
                                  conducted in columns similar to those described in the
                                  first task.
                                      The  fourth task  is to develop a two-dimensional
                                  virus  transport model that incorporates physically and
                                  geochemically heterogeneous porous media, irreversi-
                                  ble  and reversible virus attachment, deposition dynam-
                                  ics, and surface inactivation.
                                      Virus transport  experiments in geochemically and
                                  physically heterogeneous sands have been conducted in
                                  flow-through columns and the two-dimensional aquifer
                                  tank.  Geochemical heterogeneity, in the  form of ferric
                                  oxyhydroxide coatings, dominates virus  attachment in
                                  the  aquifer tank (see Figure 1) and in a field experiment
                                  at the Cape Cod site. Virus transport results from col-
                                  umn studies with porous media used to fill the aquifer
                                  tank have been to calibrate the virus transport model.
                                  Attachment of viruses to ferric  oxyhydroxide-coated
                                  quartz sand accelerates virus inactivation relative to in-
                                  activation of viruses in the solution phase. The findings
                                  of this research currently indicate that geochemical he-
                                  terogeneity and attachment-enhanced inactivation must
                                  be included in modeling and predictions  of virus trans-
                                  port.  The remaining work will  focus on the  effects of
                                  organic matter and deposition dynamics on virus trans-
                                  port.
78
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                            2001  STAR Drinking Water Progress Review Workshop
            u
                 1 0
                 08
                 °6
                 04
                 02
                 00
                                                                               10 cm above
                                                                            the heterogeneiH
                              10cm belcm
                          the heterogeneity
   chemical
heterogeneity
  Figure 1. Breakthrough curves of bactenophage PRD1 at a 6-m transport distance within, above, and below a "chemical heterogeneity" layer
           in a two-dimensional aquifer tank The chemical heterogeneity layer is  a partially ferric oxyhydroxide-coated sand The break-
           through curves are presented as the concentration of PRD1 at a given time normalized by the maximum concentration of PRD1  The
           concentration of PRO 1 was measured by radioassay of a P-32 label
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                          2001 STAR Drinking Water Progress Review Workshop
Molecular Detection
of Vegetative and  Coccoid Forms of H. pylori
Manoucher Shahamat', C. Povlick', J. Hind', F. Robb', K. Sowers', M. Levin', and B. Bradley 2
1 University of Maryland Biotechnology Institute, Baltimore, MD;2 Department of Biological Sciences, University of
Man'land Baltimore Count\>, Baltimore, MD
    Helicobacter pylori is a major factor in the etiology
of peptic ulcer disease and is the predominant cause of
chronic gastritis, one of the  major risk factors in the
development of gastric cancer. More than 50 percent of
the world's population may be infected with H. pylori.
H. pylori has two morphological forms. In fresh culture
and in the exponential phase of growth, most  of the
cells are curved, helical, rods; as the culture ages, or is
environmentally stressed,  the cells  change  to coccoid
form (VBNC). The VBNC cells cannot be  cultured on
or in the media that support the growth of the vegetative
form, although they can multiply if they encounter the
appropriate environmental conditions. Coccoid H. pylo-
ri is suspected to  be  responsible for disease transmis-
sion or relapse of infections.
    The basic goals of this project are to  validate an
accurate and  sensitive molecular and/or immunodiag-
nostic  method for the rapid  detection of H. pylori in
both the culturable and coccoid forms from environ-
mental samples.  The ability to do this is crucial for pre-
venting underestimation of the number of bacteria in
samples, developing epidemiological evidence, and un-
derstanding  the  ecological and  public  health signifi-
cance.
    Three laboratory approaches have been  followed in
the development of H. py/on'-specific molecular and
immunodiagnostic  probes: (1) the application of mono-
clonal antibody specific to H. pylori—the  monoclonal
antibody must be  capable of crossreacting with both
helical and coccoid cells and be specific to H. pylori;
(2) the evaluation and standardization of a polymerase
chain reaction (PCR) based technique with specific oli-
gonucleotide probes  to detect  vegetative  and coccoid
forms of H. pylori; and (3)  the analysis of the entire
protein output (proteome) of the organism for suites  of
proteins specific to each form and unique to H. pylori
as a species. The monoclonal antibody has been applied
using the  immunofluorescence assay method, and the
preliminary results using IgG  are promising.
    Work to identify variable regions that can be used
for the design of strain-specific primers  for PCR or the
development of high throughput  microarray screening
has started. Sequencing of amplified fragments derived
from eight strains  has identified  unique  DNA in all
eight strains as well as consensual  primer  sites. Evi-
dence to date  suggests that  this variable region may
provide a  unique sequence that can be  used to discri-
minate between individual strains of H.  pylori. A PCR
or microarray technique may be  particularly  suited  to
rapid screening  and also to the  detection of the coccoid
form of//, pylori from environmental samples.
    Proteomic analysis has started and several proto-
cols  have been tested. Homogenization methods  spe-
cific to H. pylori have been developed to yield the opti-
mum resolution of the proteins.  The preliminary test
results are promising—early  analysis indicates that the
2D-PAGE protein pattern can be used to detect H. py-
lori in a mixed  culture as well as  differentiate specific
strains. Further  analysis will  determine  the protein ex-
pression signatures for morphological form.
80
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                         2001 STAR Drinking Water Progress Review Workshop
Detection and Occurrence
of Human Caliciviruses in Drinking Water
Mark D. Sobsey
Department of Environmental Sciences and Engineering, University of North Carolina, Chapel Hill, NC
    The general objectives of this research project are
to: (1) develop improved methods to recover, concen-
trate,  and purify Norwalk-like caliciviruses (NLVs) of
both genogroups from water; (2) develop new and im-
proved reverse transcription-polymerase chain reaction
(RT-PCR) and oligonucleotide probe (OP) materials
and methods to amplify and detect the recovered,  con-
centrated, and purified NLVs; and (3) further evaluate
these  methods by applying them to the detection  of
field NLVs in environmental sewage and water sam-
ples,  and thereby determine occurrence  of NLVs  in
representative samples of sewage and raw and finished
waters from both surface and ground sources. Lysine,
glycine, and arginine eluants were evaluated at different
pH  levels with and without added nonionic detergents
for efficient recoveries of Norwalk virus (NV) adsorbed
to electropositive microporous filters from  seeded tap
water. These amino acid eluants were evaluated for in-
hibition of RT-PCR detection of NV compared to inhi-
bition by beef extract-containing eluants.
    Seven primer sets, representing four approaches to
broad  detection, were evaluated on  a panel  of eight
samples representing seven  distinct clusters within  both
genogroups, including Norwalk, Bristol, Hawaii, Desert
Shield, Toronto, Gwynedd,  and Cruise Ship (see Table
1). To confirm the presence of the desired amplicon, a
subset of samples was dot-blot hybridized with a set of
four oligoprobes, previously demonstrated  to confirm
NLV amplification.
    Amino acid eluents efficiently eluted viruses ad-
sorbed to  electropositive microporous filters.  Eluants
were most compatible with RT-PCR at pH  9.5. At pH
8.5, glycine was the  most  compatible eluant.  Eluants
were least compatible with RT-PCR at pH 7.0. Initially,
candidate  detergents resulted in one log!0 decrease in
the detection limit by RT-PCR.  Detergent concentra-
tions and NV detection limits were not consistently cor-
related.  Inhibition of RT-PCR by detergents was over-
come by using them at low concentrations, and the de-
tergents performed best when used at a concentration of
0.01 percent.
    All  of the primer sets evaluated were able to pre-
sumptively detect virus in the majority  of samples.
However,  most of the  primer  sets also demonstrated
some nonspecific amplification  demonstrated by smear-
ing or distinct bands of inappropriate size.
    Although experiments to evaluate sensitivity to low
copy number are not  complete at this time, YGDD/
GLPSG1 and YGDD/GLPSG2  primers seem to be the
most promising for heat-release  RT-PCR. However, ini-
tial results suggest differences  in primer performance
between heat-released and chemically extracted RNA.
    The results of these studies suggest that NLVs can
efficiently be recovered  from water  by adsorption-
elution methods that are compatible with RT-PCR, and
that the recovered viruses can be detected efficiently by
RT-PCR and oligoprobe hybridization.
    Additional experiments will  be completed  on  the
detection of low copy number of NLVs in environmen-
tal samples. Additional experiments to  optimize recov-
ery and  RT-PCR compatibility  of adsorbed NLV from
positively  charged filters will be completed. Additional
experiments on the effect of RNA extraction on the per-
formance  of candidate primer pairs will be  evaluated.
Attempts will be  made to propagate human NLVs  in
cell cultures.
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                            2001 STAR Drinking Water Progress Review Workshop
         Table 1. Detection of NLVs by RT-PCR with confirmation by dot-blot hybridization is summarized for seven primer sets.
Primer Set
Ando
GI/GII
Vinje
LeGuyader
Wright
Green
Jiang
Monroe
Gwynedd
C
C
+
+
C
-
+
Cruise
Ship
+
P
C
C
C
+
+
Desert^
Shield
C
-
P
C
C
P
+
Bristol 1
C
+
+
C
C
P
+
Hawaii
C
C
C
C
C
C
+
Norwalk
C
+
+
C
C
-
+
Bristol 2
C
C
-
C
C
C
+
Toronto
C
C
C
C
C
C
+
+ = Presumptive positive, visible band failed probe
- = Did not detect
C = Confirmed positive, visible band probed positive
P = Probed positive, no visible band
82
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                         2001 STAR Drinking Water Progress Review Workshop
Development and Evaluation of Methods
for the Concentration, Separation, and Detection
of Three Protozoa From Large Volumes  of Water
Saul Tzipori, Udi Zuckerman, Michael Buckholt, Giovanni Widmer, and Abhineet Sheoran
Division of Infectious Disease, Tufts University School of Velerinaiy Medicine, North Grafton, MA
    The first phase of this project includes two aims.
Aim 1 is the optimization and standardization of a port-
able continuous  flow centrifuge (CFC)  device.  The
CFC was modified and built from a blood separator into
a compact portable unit for  concentrating C. parvum
oocysts, Giardia cysts, and Microsporidium spores from
various volumes  of water (10-1,000 L) and different
matrices. Flow rate ranged from 0.5-1.4 L/min, with a
maximum speed of 8,000 rpm (3,000 xg). After centri-
fugation, the residual  volume was 250 mL, from which
oocysts and cysts were dislodged by injecting a concen-
trated 10 mL elution buffer. The centrifuged  residue
was  transferred for  immunomagnetic separation,  fol-
lowed by reaction with specific monoclonal antibodies
(MABs) and enumeration by fluorescence microscopy.
The  entire procedure, including parasite enumeration,
takes approximately 2 hours. For C. parvum oocysts (90
oocysts) spiked into 10 L of filtered tap water, the aver-
age recovery (n = 12, flow rate 0.5, 0.75/ LPM)  was
90.3 percent ± 49.8 percent. For the same dose spiked
into  50 L (n = 11, flow rate 0.5-1.0/LPM), recovery
was 82.7 percent ± 42 percent. For oocysts (250) spiked
in 10 L of secondary effluent (turbidity = 2.8^.6 NTU,
n = 5, flow rate = 0.75/LPM), the average recovery  was
56.5 percent. For a spike dose of 100 oocysts (80 ± 40
oocysts) in 1,000 L of tap water (turbidity = 0.5 NTU, n =
43, flow rate = 0.75/LPM), the average  recovery  was
57.33 percent ± 42.85 percent. C. parvum presence  was
confirmed by immunofluorescence microscopy  and by
polymerase chain reaction.
    For Giardia cysts (95  and 1,080 cysts) spiked  into
50 L (same  matrix,  n = 12, flow rate  = 0.75  and I/
LPM), the average recovery was 106.1  percent ± 24.4
percent. Aim two is the production of antibodies against
Microsporidia. Encephalitozoon intestinalis and  E. cun-
iculi were grown in rabbit kidney cells (RK13). Mouse
anti-£.  intestinalis MABs  were obtained by  immuniz-
ing BALB/c mice with E. intestinalis spores and sub-
sequent fusion of spleen cells with Ag 8.653 myeloma
cells. Hybridoma supernatants were tested by EL1SA on
E. intestinalis and E. cuniculi lysate-coated plates.
    Positive supernatants also were tested on methanol-
fixed spores  by indirect immunofluorescence and in
parallel by immunoblotting. Positive hybridomas  were
cloned twice and isotyped. Two clones, MABs CE5 and
CG9, were derived following the  screening of 1,000
wells from two fusion  experiments. Both  MABs  react
with E. intestinalis as well as E. cuniculi by ELISA and
immunoblot. CG9  identifies proteins  of about 48,000
and 44,000 daltons, whereas CE5 reacts with proteins
of about 70,000, 41,000, and  36,000 daltons. CG9 ex-
hibits strong surface staining of both E. intestinalis and
E. cuniculi by  indirect immunofluorescence, suggesting
that  a spore wall antigen located on the surface is de-
tected, whereas CE5 shows no reactivity with either
spore.  Rabbit polyclonal antibodies also were raised by
immunization  with E.  intestinalis, which crossreacts
with E. cuniculi.
    Currently, CG9 is being evaluated for its ability to
inhibit invasion by mature spores,  and is being charac-
terized for its cross-reactivity with other bacteria, fungi,
and protozoa.  Also, two additional fusions have  been
performed to obtain E. intestinalis-specific MABs.
    Enterocytozoon bieneusi  spores for antibody pro-
duction  were  purified  from  the stool  of infected
humans.  E. bieneusi spores, detected by  chromotrope
stain, were votexed in suspension  and filtered sequen-
tially through four sieves of pore  diameters 425,  280,
106, and 45 urn.
    Density gradient  centrifugation   was  performed
with various concentrations of Percoll and Nycodenz.
To eliminate or reduce bacterial and fungal load, the
30/37 percent band of Nycodenz was mixed with  anti-
biotics.  The sterile concentrate will be used  to immu-
nize rabbits and mice to produce polyclonal and mono-
clonal antibodies.
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                          2001 STAR Drinking Water Progress Review Workshop
Risk Factors for Cryptosporidium parvum Infection and Disease
Lucy. A. Ward, Y. Wang, S. Pereira, and S. Clarke
Food Animal Health Research Program, Ohio Agricultural Research and Development Center, The Ohio State
University, Wooster, OH
    The  risk  of transmitting  the  protozoan  parasite
Cryptosporidium parvum to humans via drinking water
is  multifactorial and  includes not only the conditions
under which  C. pan'iim is introduced and survives in
water,  but  also knowledge  of the  minimum infective
dose, strain virulence variability,  and  a variety of indi-
vidual host risk factors. A gnotobiotic (Gn) pig model is
being used to assess risk factors to cryptosporidiosis.
     Comparative  studies  in  Gn pigs  using  two C.
parvum genotype  2 (bovine) strains  originating  from
humans (GCH1 and Ohio) suggest that host age is a sig-
nificant determinant of risk to disease and death, but not
infection. These Type 2 strains also demonstrated a 10-
to 100-fold difference between their  median diarrheal
and lethal doses, but not median infective dose for neo-
natal  pigs.  However,  upon  deriving  single  oocyst
"clones" of each strain, these differences were lost, with
the cloned strains demonstrating significantly lower, al-
beit  identical  median diarrheal,  lethal,  and infective
doses of less than five  oocysts. In  contrast to  the  par-
ental strains, the phenotypic behavior  of these "clones"
has remained predictable and uniform  between different
pools and among multiple animal passages. This  find-
ing further suggests that the clones are more genetically
homogenous  (or clonal) compared to each  parental
strain.
    Comparative  morphologic  and  cytokine  studies
have demonstrated a positive correlation between cyto-
kine mRNA levels and C. /wrrvww-induced pathology,
suggesting that the host immune response may be in-
volved in disease expression,  at least for genotype 2
strains. Comparative analyses of the different cytokine
                                  levels present in the intestine suggest a mixed Thl-Th2
                                  cytokine  response. Ongoing  humoral and cellular im-
                                  muneity studies suggest that blood lymphoproliferative
                                  responses to C. parvum develop sooner than serum anti-
                                  body responses following infection. In fact, serum hu-
                                  moral responses do not develop until  3 weeks or more
                                  postinfection and  loosely correlate with final clearance
                                  of the parasite from the intestinal epithelial surface.
                                      Neonatal Gn  pigs given  105-106 Type 2 oocysts
                                  typically  begin shedding oocysts 2-3  days pbstinocula-
                                  tion and often shed intermittently or continuously up to
                                  19 days postinfection. Hence, this apparent "delay" in
                                  serum antibody production (until 3 or  more weeks post-
                                  infection) suggests that there may be  a need for multi-
                                  ple  or prolonged  exposure  to  C. parvum to facilitate
                                  seroconversion, as has been suggested  in  studies of
                                  adult human volunteers.
                                      This research recently has propagated three geno-
                                  type 1 (human) C. parvum strains and one C. meleagri-
                                  dis  strain (derived from an AIDS patient) in neonatal
                                  Gn  pigs, and now is in the process  of deriving single
                                  oocyst clones  from each of these isolates. The mere
                                  availability of several Type 1 and 2  C. parvum clones
                                  as well as other non-C. parvum clones (such as C. mele-
                                  agradis)  for research purposes is an enormous advance-
                                  ment.
                                      Preliminary studies demonstrate a uniquely differ-
                                  ent  phenotypic behavior for the Type 1  strains com-
                                  pared to the Type  2 strains in the Gn pig model. Further
                                  studies will be conducted to determine whether differ-
                                  ences also  exist in the cytokine, antibody, and cellular
                                  responses of Gn pigs to Type 1 versus Type 2 strains.
 84
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                         2001 STAR Drinking Water Progress Review Workshop
Development of a Rapid, Quantitative Method for the
Detection of Infective Coxsackie and Echo Viruses  in Drinking Water
Marylynn V. Yates, W. Chen, and A. Mulchandani
University of California, Riverside, CA
    The objective of this research is to improve on the
current analytical methods for quantitative detection of
infective coxsackie and echo viruses in drinking water.
The  specific objectives are  to: (1) improve the sensi-
tivity and specificity  of immunomagnetic  separation
polymerase chain  reaction  (IMS-PCR)  for infective
coxsackie and echo virus detection in water using poly-
clonal or monoclonal antibodies; (2) improve the effi-
ciency and quantitation capabilities of IMS-PCR using
molecular beacons; and (3) quantify the presence and
viability of coxsackie and echo viruses in concentrated
drinking water samples.
    IMS-PCR will be combined with molecular bea-
cons to increase the sensitivity and specificity of anal-
ysis of environmental water samples for coxsackie and
echo viruses. The research approach includes; (1) opti-
mization of IMS-PCR with polyclonal or monoclonal
antibodies to the coxsackie and echo viruses; (2) devel-
opment of molecular  beacon-based, real-time  reverse
transcription PCR (RT-PCR) assays for the quantitative
detection of target viruses; (3) analysis of virus-seeded
water with the IMS-molecular beacon combination; and
(4) testing of protocols on  seeded drinking water con-
centrates  to enable an assessment of the sensitivity of
the method to inhibitors present  in environmental wa-
ters.  The specificity and quantitative capability of the
protocols  will be  assessed  by comparing  results to
quantitative cell culture analysis. To date, experiments
have been conducted in which the quantitation of polio-
virus  I, echovirus 11, and coxsackie virus B6 are  com-
pared using typical cell culture plaque assay on buffalo
green monkey (BGM) kidney cells, direct RT-PCR, and
IMS-RT-PCR.  Results  of these  experiments indicate
close agreement between  the number of viruses de-
tected using cell culture and IMS-RT-PCR (see  Figure
1). The number of viruses detected using RT-PCR is
100 times higher than with the other two methods. This
finding has been consistent for all three viruses studied.
Primers to amplify a 149-base pair fragment of the con-
served noncoding region of echovirus 11 and coxsackie
virus  B6 have  been selected. Molecular beacons were
designed to recognize  a 25-base pair region on the
amplicon. The  selectivity and the  specificity of the mo-
lecular beacon  are being assessed. Detection  and  quan-
titation are carried out entirely in sealed tubes, enabling
fast and direct measurements in a semiautomated for-
mat.
    The results to date suggest that the  use of IMS-RT-
PCR  allows for the  detection of only infective virus
particles. However, quantitation of virus particles using
this method still is approximate. The use of the mole-
cular beacon to quantify particles in combination with
the  IMS process to separate  the  infective  particles
should provide  a rapid method for  the enumeration  of
infective  virus  particles in water.  After the methods
have  been  refined, experiments will be  conducted  to
assess the ability of the combined IMS-molecular bea-
con procedure to detect and quantify infective virus par-
ticles, using cell culture plaque assay results as a stan-
dard for comparison.
The Office of Research and Development's National Center for Environmental Research
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                 2001 STAR Drinking Water Progress Review Workshop
               Virus Enumeration Using Cultural
                      and  Molecular Methods
              pfu/mL
             1.00E+09

             1.00E+08

             1.00E+07
             1.00E+06
             1.00E+05
                                       D Plaque Assay
                                       BIMS-RT-PCR
                                       DRT-PCR
                     Echo virus 11  Coxsackievirus  P olio virus 1
                                   B6
                   Figure 1. Virus enumeration using cultural and molecular methods
86
The Office of Research and Development's National Center for Environmental Research

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     Section 6.
Contaminant Sources

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                          2001 STAR Drinking Water Progress Review Workshop
Molecular Tracers of Contaminant
Sources to Surface Water Drinking Supplies
Laurel J. Standley, Louis A. Kaplan, and J. Denis Newbold
Stroud Water Research Center, Avondale, PA
    The objective of this research project is to develop
a more quantitative method for apportioning the  contri-
bution of contaminants from point source effluents and
nonpoint source runoff to surface waters that are drink-
ing water supplies (e.g., rivers and reservoirs). In pre-
liminary research, a suite of molecular tracers was de-
veloped for several  potential contaminant sources that
included wastewater treatment plants, agricultural run-
off, urban/suburban  runoff, and wildlife. Although ac-
curate, the  molecular  tracer method  is not yet quanti-
tative. It is hypothesized that: (1) unique compounds
(i.e., molecular tracers) that are constituents of runoff or
effluent  of  contaminant sources reflect the contribution
of these sources to  contaminant  budgets in drinking
water supplies; (2) although the  instream fate of con-
taminants and corresponding molecular tracers may dif-
fer, selection of more than one  tracer can strengthen
quantification of contaminant sources; and (3) threshold
values for molecular tracers can be determined that are
predictive  for  unacceptable  levels  of contamination
(i.e., contaminant threshold values).
    The approach  is threefold: (1) concentrations and
relative proportions of molecular tracers will be deter-
mined for contaminant sources; (2) the distribution  of
tracers in  various  riverine  compartments  (e.g., water
column, suspended particles, and sediments) will be
measured  in  receiving waters of study streams;  and
(3) transport and transformation processes  that control
the riverine fate of the molecular tracers will be investi-
gated.
    Results  from this research  will provide  essential
information regarding tracer occurrence and fate that is
needed to develop  a quantitative method  for  appor-
tioning  sources  of  contaminants  in  drinking water
supplies.  By  quantitatively  addressing fate and trans-
port of the molecular tracers in streams and rivers, this
work will  provide  the framework for  future modeling
efforts.
    Beneficiaries of this work include the drinking wa-
ter industry and all users of water resources  by targeting
remedial  efforts  where they will achieve  the greatest
improvement.
The Office of Research and Development's National Center for Environmental Research
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Appendix

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                      2001 STAR Drinking Water Progress Review Workshop
                       U.S. Environmental Protection Agency
                    National Center for Environmental Research
                  STAR Drinking Water Progress Review Meeting
                                 February 22-23, 2001
                               Holiday Inn Silver Spring
                                 8777 Georgia Avenue
                                    Silver Spring, MD


                                         Agenda


Thursday, February 22.2001

Lincoln Ballroom, 4th Floor

8:30-9:10     Opening Remarks
              Dr. Peter W. Preuss, Director, National Center for Environmental Research, USEPA
              Ms. Cynthia Dougherty, Director, Office of Ground Water and Drinking Water, USEPA
              Ms. Cynthia L. Nolt-Helms, Program Manager, National Center for Environmental Research,
              USEPA

9:10 - 9:30     Overview of Regulatory Context for Drinking Water Research
              Ephraim King, Director, Standards and Risk Management Division, OGWDW, USEPA

9:30 - 9:45     Oven'iew ofORD^ Drinking Water Research Program
              Fred Hauchman, National Drinking Water Program Manager, USEPA

Chemical Contaminants: Exposure, Effects, & Assessment

Moderator: Joyce Donohue, Office of Water, Office of Science and Technology, Health and Ecological Criteria
           Division, USEPA

9:45 - 10:15    Genotoxicity and Occurrence Assessment of Disinfection Byproducts in Drinking Water
              Michael J. Plewa, University of Illinois at Urbana-Champaign, 1997 Recipient

10:15-10:30   BREAK

10:30 - 11:00   Assessment of Human Dietary Ingestion Exposures to Water Disinfection Byproducts via Food
              J.H. Raymer, Research Triangle Institute, NC, 1998 Recipient

11:00 - 11:30   The Toxicokinetics and Metabolism ofHaloacids in Rodents: Effect of Chronic Exposure and Co-
              Administration
              Irvin R. Schulz, Battelle Memorial Institute - Pacific Northwest Division, 1997 Recipient

11:30-1:00    LUNCH ON YOUR OWN

1:00 -1:30     Development of Biomarkers for Haloacetonitriles-Induced Cell Injury in Peripheral Blood
              Ahmed E. Ahmed, University of Texas- Medical Branch at Galveston, 1997 Recipient

1:30 - 2:00     NHEERL Research on Carcinogenic Contaminants in Drinking Water
              Douglas C. Wolf, National Health and Environmental Effects Research Laboratory, USEPA
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                       2001 STAR Drinking Water Progress Review Workshop
2:00 - 2:30      Aluminum Toxicokinetics:  Oral Absorption From Drinking Water and Brain Retention
               Robert A. Yokel, University of Kentucky and Purdue University, 1996 Recipient from Human
               Health Solicitation

2:30-2:45      BREAK

2:45 - 3:15      Overview ofEPA^ Arsenic in Drinking Water Regulation
               Irene Dooley, Office of Water, USEPA

3:15-3:45      Overview ofORDu Arsenic Research Activities
               Herman J. Gibb, National Center for Environmental Assessment, USEPA

3:45 -4:15      Arsenic-Glutathione Interactions and Skin Cancer
               Catherine B. Klein, New York University School of Medicine, 1997 Recipient from Arsenic
               Solicitation

4:15-4:45      Trivalent Methylated Arsenicals: Novel Biomarkers of Arsenic Toxicity in Humans
               Miroslav Styblo,  University of North Carolina at Chapel Hill, 1997 Recipient from Arsenic-
               Solicitation

4:45 - 6:00      POSTER SESSION

6:00           First Day of Meeting Adjourns


Friday, February 23.2001

Session A:  Potomac Room on the Lobby Level
Moderator: Jennifer Mclain, Office of Water, Office of Ground Water and Drinking Water, Standards and Risk
           Management Division, USEPA

Chemical Contaminants:  Formation of DBFs

8:00-8:15      Introductions

8:15 - 8:45      Development of a New, Simple, Innovative Procedure for the Analysis of Bromate and Other Oxy-
               Halides at Sub-ppb Levels in Drinking Water
               Howard Weinberg, University of North Carolina at Chapel Hill, 1997 Recipient

8:45 - 9:15      Kinetic-Based Models for Bromate Formation in Natural Waters
               Paul Westerhoff, Arizona State University, 1998 Recipient

9:15- 9:45      BrominatedDBF Formation and Speciation Based on the Specific  UVAbsorbanceDistribution of
               Natural  Waters
               Tanju Karanfil, Clemson University and James (Chip) E. Kilduff, Rensselaer Polytechnic Institute,
               1999 Recipients

9:45 - 10:00    BREAK

10:00 - 10:30   Mechanistic-Based Disinfectant and Disinfectant Byproduct Models
               Paul Westerhoff, Arizona State University, 1998 Recipient

10:30 - 11:00   Use of Differential Spectroscopy To Probe Reactions Between Natural Organic Matter and
               Chlorinated Oxidants
               Gregory Korshin and Mark M. Benjamin, University of Washington, 1998 Recipient from
               Exploratory Research - Environmental Chemistry Solicitation
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                       2001 STAR Drinking Water Progress Review Workshop
 11:00 - 11:30   Mechanisms and Kinetics of Chloramine Loss and Byproduct Formation in the Presence of
               Reactive Drinking Water Distribution System Constituents
               Richard L. Valentine, University of Iowa, 1998 Recipient

 11:30 - 12:30   LUNCH ON YOUR OWN

 12:30 - 1:00    Molecular Weight Separation and HPLC/MS/MS Characterization of Previously Unidentified
               Drinking Water Disinfection Byproducts
               Roger A. Minear, University of Illinois at Urbana-Champaign, 799$ Recipient

 1:00 - 1:30      Formation and Stability ofOzonation Byproducts in Drinking Water
               Howard Weinberg, University of North Carolina at Chapel Hill, 1998 Recipient

Drinking Water Treatment Studies

 1:30 - 2:00      Evaluation of Ozone Byproduct Formation Under Ozone Dose, Temperature, and pH Variation
               Michael S. Elovitz, National Risk Management Research Laboratory, USEPA

2:00 - 2:30      Pilot Studies of the Ozonation/FBT Process for the Control of Disinfection Byproducts
               in Drinking Water
               Susan J. Masten, Michigan State University, 7998 Recipient

2:30 - 3:00      Integrated Approach for the Control o/Cryptosporidium parvum Oocysts and Disinfection
               Byproducts in Drinking  Water Treated With Ozone and Chloramines
               Benito J. Marinas, University of Illinois at Urbana-Champaign 1998 Recipient

3:00           Adjourn


Friday, February 23,2001

Session B:  Lincoln Ballroom, 4th Floor
Moderator: Robin Oshiro, Office of Water, Office of Science and Technology, Health and Ecological Criteria
           Division, USEPA

Microbial Contaminants

8:00-8:15      Introductions

8:15 - 9:00      General Overview of'USEPA/National Exposure Research Laboratory Microbial Activities With
               Concentration on Protozoan Methods
               Bruce Mintz, NERL/USEPA, and Alan Lindquist, NERL/USEPA

9:00 - 9:30      Mycobacterium avium Complex in Drinking Water:  Detection, Distribution, and Routes of
               Exposure
               Timothy E. Ford, Harvard School of Public Health, 1999 Recipient

9:30 - 10:00    Meaningful Detection o/Mycobacterium avium Complex in Drinking Water: Are Disinfectant-
               Resistant Morphotypes Virulent?
               Gerald Cangelosi, University of Washington and Seattle Biomedical Research Institute, 1998
               Recipient

 10:00-10:15   BREAK

 10:15-10:45   Detection of Emerging Microbial Contaminants in Source and Finished Drinking Water With
               DNA Microarrays (also a poster)
               Darrell P. Chandler, Battelle Memorial Institute - Pacific Northwest Division, 7999 Recipient
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                       2001 STAR Drinking Water Progress Review Workshop
10:45 - 11:15    Development and Evaluation of Methods for the Concentration, Separation, and Detection of
               Three Protozoa From Large Volumes of Water
               Saul Tzipori, Tufts University, 1999 Recipient

11:15-11:45    Development ofDetection and Viability Methods for Waterborne Micmspovidla Species Known To
               Infect Humans
               David A. Battigelli,  Wisconsin State Laboratory of Hygiene and University of Wisconsin -
               Madison, 1999 Recipient

11:45-1:00     LUNCH

1:00 - 1:30      Investigation of Secondary Transmission of Cryptosporidium parvum
               Mary E. Brown, National Center for Environmental Assessment, USEPA

1:30 - 2:00      Infectivity and Virulence o/Cryptosporidium Genotype 1/HOocysts in Healthy Adult Volunteers
               Cynthia L. Chappell, University of Texas Health Science Center, 7999 Recipient

2:00 - 2:30      Attachment andInactivation in  Virus Transport in Ground Water
               Joseph N. Ryan, University of Colorado at Boulder, 1998 Recipient from Exploratory Research-
               Environmental Chemistry Solicitation

2:30 - 3:00      Studies of the Infectivity ofNorwalkandNorwalk-Like Viruses
               Christine L. Moe, Rollins School of Public Health of Emory University,  1997 Recipient

3:00 - 3:30      Detection and Occurrence of Human Caliciviruses in Drinking Water
               Mark D. Sobsey, University of North Carolina at Chapel Hill, 1998 Recipient

3:30           Adjourn
96               The Office of Research and Development's National Center for Environmental Research

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                         2001 STAR Drinking Water Progress Review Workshop
                                               Posters

Membrane Introduction Mass Spectrometry Studies ofHalogenated Cyano By-Product Formation in Drinking
Water
Terese M. Olson, University of Michigan, 7999 Recipient

Haloacid Kinetics in Humans and Rhesus Monkeys
Irvin Schultz, Battelle Memorial  Institute - Pacific Northwest Division, 7999 Recipient

Detection of Emerging Microbial Contaminants in Source and Finished Drinking Water With DNA Microarrays
(also oral presentation by Darrell P. Chandler)
Timothy M. Straub, Battelle Memorial Institute - Pacific Northwest Division, 7999 Recipient

Prevalence and Distribution of Genotypes of Cryptosporidium parvum in Feedlot Cattle in the Western United
States
E. Robert Atwill, University of California - Davis, 7999 Recipient

Development of a Rapid, Quantitative Method for the Detection of Infective Coxsackie and Echo Viruses in Drinking
Water Marylynn V. Yates, University of California, 7999 Recipient

Molecular Detection of Vegetative and Coccoid Helicobacter pylori
Manoucher Shahamat, University of Maryland Biotechnology Institute, 7999 Recipient
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                       2001 STAR Drinking Water Progress Review Workshop
                                     Index of Authors
       Ahmed, A.E., 3
       Atwill, E.R., 63
       Ball, L.M., 5
       Batterman, S.A., 51
       Battigelli, D.A., 64
       Benjamin, M.M., 31
       Cangelosi, G., 65
       Chandler, D.P., 67
       Chappell, C.L., 68
       Dooley, I.S., 21
       Elovitz, M.S., 55
       Ford, T.E., 70
       Kilduff, J.E., 32
       Klein, C.B., 23
       Lindquist, H.D.A., 73
       Marinas, B.J., 57
       Masten, S.J., 59
       Minear, R.A., 6, 35
       Moe, C.L., 74
Olson, T.M., 37
Raymer,J.H.,8
Rochelle, P.A., 76
Ryan, J.N., 78
Schultz, I.R., 10, 12
Shahamat, M., 80
Smith, A.H., 25
Sobsey, M.D., 81
Standley, L.J., 89
Styblo, M., 26
Tzipori, S., 83
Valentine, R.L., 39
Ward, L.A., 84
Weinberg, H.S., 41, 42
Weisel, C.P., 14
Westerhoff, P., 44, 46
Wolf, D.C., 16
Yates, M.V., 85
Yokel, R.A., 17
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