United States
                 Environmental Protection
                 Agency
National Risk Management
Research Laboratory
Cincinnati, OH 45268
                 Research and Development
EPA/600/SR-97/025  July 1997
SEPA       Project Summary

                 Removal  of  Cryptosporidium and
                 Giardia through  Conventional
                 Water  Treatment and  Direct
                 Filtration
                 Eva C. Nieminski
                  Pilot- and  full-scale evaluations of
                 Giardia and Cryptosporidium cyst re-
                 movals through direct filtration and con-
                 ventional water  treatment were con-
                 ducted by the Utah Department of En-
                 vironmental Quality. Cysts were seeded
                 continuously in  a step dose at a 0.5
                 gpm pilot plant, and in a spike at a 900
                 gpm full-scale plant; both plants were
                 operated under conventional  treatment
                 and direct filtration regime. The results
                 of 20 pilot-scale cyst seeding  trials and
                 8 full-scale trials indicated that source
                 water quality (turbidity and algal con-
                 tent),  as  well as treatment  effective-
                 ness in removing turbidity, controlled
                 the removal of  seeded  Giardia and
                 Cryptosporidium. Changes in source
                 water quality influenced removal rates
                 more than  the  mode of treatment.
                 Higher removal rates were consistently
                 observed for Giardia cysts (3.3-log) than
                 for  Cryptosporidium oocysts (3.0-log).
                 A high correlation was found between
                 cyst removal rates and removal of the
                 respective size particles; poorer corre-
                 lation existed between cysts and tur-
                 bidity removal, while no significant cor-
                 relation was  established  between the
                 removals of  cysts and heterotrophic
                 bacteria.
                  To assure that the best available de-
                 tection method was  used in  enumera-
                 tion  of the cysts in  raw and treated
                 water, two versions of the immunofluo-
                 rescence staining method were evalu-
                 ated for their efficiencies in  detecting
                 Giardia cysts and Cryptosporidium oo-
                 cysts seeded at known concentrations
 in water: (1) the ASTM method for de-
 tection of  Giardia cysts and Crypto-
 sporidium oocysts in low-turbidity wa-
 ter and (2) a modified  Sauch's proce-
 dure employing sampling by 2.0 um mem-
 brane filters, Percoll/Percoll step gradient
 flotation, and immunofluorescence stain-
 ing on 2.0 |jm porosity polycarbonate mem-
 brane filters. The second method was se-
 lected, since it was characterized by higher
 recovery rates in all three types of waters
 tested: raw surface water, partially treated
 water from  a flocculation basin, and fil-
 tered water. Cyst and oocyst recovery effi-
 ciencies decreased with  increasing water
 turbidity regardless of the method used.
 Recoveries  of seeded Giardia cysts ex-
 ceeded those of Cryptosporidium oocysts
 in all types of water sampled.
   This Project Summary was developed
 by EPA's  National Risk Management
 Research Laboratory,  Cincinnati, OH,
 to announce key findings  of the re-
 search project that is fully documented
 in a separate  report of the same title
 (see Project Report  ordering  informa-
 tion at the back).

 Introduction

 Problem Statement and Study
 Objectives
   The Surface Water  Treatment Rule re-
 quires all public water system treating sur-
 face water  to effectively remove enteric
 viruses and Giardia cysts. The removal of
 microbial contaminants by filtration is be-
 ing re-evaluated by the U.S. Environmen-
 tal Protection Agency  in  conjunction with

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the publication of the proposed Interim
Enhanced Surface Water Treatment Rule.
While the removal requirements for Giar-
dia may  be  increased depending on cyst
concentration in raw water, additional, more
stringent  regulations may  be developed to
control Ciyptosporidium in response to health
concerns  surrounding this pathogen. As new
rules are  being  developed,  allowable filtration
credits should be revisited and possibly re-
vised. Also,  as the analytical  methods for
detection of Giardia and Ciyptosporidium cysts
in water are being improved  and new  meth-
ods developed,  surrogate  water quality pa-
rameters  should be established to allow for
an accurate, economical, and practical evalu-
ation of cyst removal effectiveness through
treatment.
  The project objectives were designed to
address  some of  the questions associ-
ated with the  development of  the  new
regulations.  The  specific tasks were  to
examine  the most critical relationships in
removal  of Giardia and  Cryptosporidium
by comparing the effectiveness  of Giardia
and Cryptosporidium  removal through con-
ventional treatment with that resulting from
direct filtration, the effectiveness of Giar-
dia removal with Cryptosporidium removal,
and  the   effectiveness  of Giardia  and
Cryptosporidium removals with the remov-
als of turbidity, cyst-size particles, and het-
erotrophic bacteria.
  To  enable accurate evaluation of Giar-
dia and Cryptosporidium removal efficiency
in  water  treatment processes,  a reliable
method  for  measuring the concentration
of these pathogens in water must be  used.
  Therefore,  another objective of this
project was to  select  an analytical method
capable of measuring the concentration of
Giardia cysts and Cryptosporidium oocysts
that would be accurate,  reliable, flexible,
and verifiable,  and  could  be  applied  to
measuring the cyst/oocyst removal perfor-
mance of water treatment processes.

Procedure

Evaluation of Analytical
Methods
  Two methods for  finding Giardia  cysts
and Cryptosporidium  oocysts in water were
compared. Both methods follow flotation
steps and  immunofluorescence staining.
These methods were 1) The  American
Society for Testing and Materials (ASTM)
method   and  2) another immunofluores-
cence antibody (IFA) method,  referred to
as the alternate method, and applied  prin-
cipally by Ongerth  and Stibbs. The objec-
tive was  to evaluate the two IFA methods
using three factors as criteria for compari-
son. First, the applicability to cyst seeding
experiments  in full- or pilot-scale  water
treatment plant was  evaluated. Second,
the applicability of the methods to cyst
detection in environmental water samples
of varying  water quality was  assessed.
The third criterion was the economics as-
sociated with the two methods.  The supe-
rior method  was then  used in the cyst
seeding experiments  in the pilot- and in
the full-scale  treatment plant.
  The ASTM method involves  sampling
100 L or more of water through a 1.0 |im
porosity polypropylene  yarn  cartridge fil-
ter, extracting the  particulates  from  the
cartridge filter, and concentrating the ex-
tracted particulates by centrifugation. The
concentrated  particulates are  then pro-
cessed  to  selectively concentrate cysts
and oocysts  by flotation in  50  ml_ tubes
on  a  Percoll/sucrose gradient. The par-
ticulates recovered at the interface  of the
Percoll/sucrose are stained with fluores-
cent-tagged antibodies on  25 mm  diam-
eter,  0.2 urn  pore size cellulose acetate
filters. After mounting  on slides, the mem-
brane filters   are  scanned  using  a  UV
epifluorescent microscope  for  objects of
the right size, shape,  and fluorescence
characteristic as Giardia cysts and Crypto-
sporidium oocysts. On finding  such  ob-
jects  the microscope  optics are switched
to phase contrast to look for internal char-
acteristics of  the organisms.
  The alternate method involves filtration
of the water sample through  either a 293
or  142  mm  diameter, 2.0 |im pore-size
polycarbonate membrane filter; recovery
of particles from the filter by rinsing and
scraping them from the surface; and con-
centration of the  particulates by centrifu-
gation.  The cysts and  oocysts are then
selectively  concentrated from other par-
ticulates by flotation in 15 ml_ tubes on a
two-step Percoll/Percoll gradient, followed
by  IFA  staining on 13 mm diameter,  2.0
H.m pore-size polycarbonate membrane fil-
ters. After mounting on slides,  the  mem-
brane filters  are  scanned using an  UV
epifluorescent microscope  for  objects of
the right size,  shape, and fluorescence as
Giardia cysts and Cryptosporidium oocysts.
Confirmation  of internal structures  is not
performed in  this method.

Cyst Seeding and Sampling
Procedures
  Monitoring of raw and filtered water quality
was conducted throughout the seeding trials.
In addition to monitoring the major water qual-
ity parameters, particle counting in four size
ranges (2-4 urn, 4-7 nm, 7-14 ^m, and 14-25
H-m), was performed during the seeding trials.
Raw water sources were  sampled and ana-
lyzed  for background count of Giardia and
Cryptosporidium, naturally occurring in the
two watersheds.
  Inactivated, formalin-fixed Giardia
lamblia cysts and Cryptosporidium parvum
oocysts were used in seeding experiments
in a pilot- and  a full-scale treatment plant.
A total of 20 trials were conducted  in the
pilot plant, and 8 trials  in the  full-scale
plant,   alternating  between  conventional
treatment and  direct filtration.
  The first site for testing was a pilot plant
residing  at the 180 MGD Jordan Valley
Water Treatment Plant  in Bluffdale, UT.
The pilot plant simulated the actual, con-
ventional  treatment plant, treating  Provo
River  water downstream from Deer Creek
Reservoir. Water flow rate was maintained
at 0.5 gpm.  Alum was used as  a coagu-
lant, at dosages  established through jar
testing. After each seeding trial using the
conventional treatment train, the  water was
re-routed through the direct  filtration train
for seeding trials the following day.  Alter-
nating between the conventional treatment
and direct filtration allowed for a compari-
son of treatment effectiveness of the wa-
ter of  comparable quality.
  The second site  was  a 900 gpm Hun-
tington Water Treatment Plant, situated
near Price, UT. The plant was operated at
600 gpm for  cyst  seeding  experiments.
Polyaluminum chloride was used as a co-
agulant. The Huntington  Plant was oper-
ated by conventional treatment during the
first four seeding trials.  After  converting
the  plant to direct filtration mode, another
four seeding trials were performed.

Detection of Giardia and
Cryptosporidium Cysts
  The alternate IFA method  for  sampling,
processing, and detection of Giardia and
Cryptosporidium cysts was chosen for the
seeding trials, based on results of the method
comparison. Samples were collected by mem-
brane  filtration through 2.0 urn porosity, 293
mm diameter polycarbonate membrane  fil-
ters, processed on  Percoll/Percoll  step gradi-
ent in  15 mL  centrifuge tubes, stained on 2.0
(im  porosity,  13 mm diameter  polycarbonate
membrane filters, and enumerated under  an
epifluorescent microscope.
  In calculations of cyst  removal through
treatment, a direct  ratio of the  difference
between the cysts seeded and the cysts
detected was  calculated for each run  in
the  pilot plant. Two cyst removal  rates
were  determined  based  on  two different

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initial  cyst  concentrations:  concentration
in  the seeding  solution prior to  being
pumped into the raw influent, and concen-
tration in the seeded influent already mixed
with the  raw influent. The cyst removal
rates,  achieved in the full-scale plant, were
also calculated as relative differences be-
tween the influent and effluent concentra-
tions,  but the influent concentrations were
adjusted for dilution of cysts in respective
basins.
  Three  conservative assumptions  were
made for data interpretation  in calcula-
tions  of the  removal rates,  both in the
pilot- and full-scale plant. First, the remov-
als based on the cyst  concentrations found
in the seeded influent were  used in data
analysis.  Otherwise,  the higher cyst con-
centrations found in the seeding solutions
would result  in higher  removal rates  re-
ported. Secondly, cyst removal rates were
calculated  only for trials in which  cysts
were detected in both influent and effluent
samples.  Otherwise, calculations of remov-
als during trials when cysts were not de-
tected in  the effluent would  be based on
very  low detection  limits, and therefore
would result  in  higher removal rates.  Fi-
nally,  no  adjustments were made for the
differences in cyst recovery efficiencies in
turbid raw  influent samples versus clean
filtered effluent samples. Adjusting for low
recovery  rates in  influent samples  would
also result  in higher  removal rates being
calculated.
Results and Discussion

Evaluation of Two IFA Methods
for Detection of Giardia and
Cryptosporidium
  The effectiveness of cyst recovery from
spiked water samples was impacted pri-
marily by the  number of analytical steps
involved  in the cyst detection. Both  IFA
methods were characterized by low  re-
covery efficiency, when seeded raw water
samples  were filtered, then concentrated,
transferred to gradients, stained, and enu-
merated. Higher recovery rates were ob-
served in detecting  Giardia  cysts when
the alternate  method was employed (Fig-
ure 1). In spiked  raw water samples,  an
average  12% of the seeded Giardia cysts
were detected by the ASTM method, while
the alternate  method was characterized
by an average 49%  Giardia cysts recov-
ery efficiency. Recovery rates for Crypto-
sporidium oocysts in spiked raw water av-
eraged 8% detected by the ASTM method
and  9%  detected by the alternate  IFA
method. The  recovery rates in filtered wa-
ter were 14% and  52%  for  Giardia and
12% and 12% for Cryptosporidium, using
the ASTM, and the alternate  method,  re-
spectively.  In  flocculated water samples,
an average 22% of Giardia cysts were
detected  using the ASTM method and 40%
using the alternate method. The recover-
ies  of Cryptosporidium in flocculated wa-
ter were 7% with the ASTM method and
1% with the alternate method.
  Losses were demonstrated to occur due
to incomplete yarn  cartridge  filtration.  In
sampling raw water, 5% Giardia cysts and
6% Cryptosporidium  oocysts  were cap-
tured  from the  yarn cartridge filtrate by
passing it through a 293 mm diameter 2.0
|im pore size Nuclepore membrane filter.
An  average 7%  of Giardia  and 8%  of
Cryptosporidium were recovered  from
membrane filters after cartridge filtration.
  The sampling step resulted in a high loss of
seeded  Giardia  cysts and Cryptosporidium
oocysts. When the sampling step was elimi-
nated  and cysts were seeded  directly onto
flotation gradients, the resulting recovery rates
increased dramatically (Figure 2). An average
53% of Giardia cysts and 27% of Cryptospori-
dium oocysts was detected from seeded
Percoll/sucrose gradients used in the ASTM
method. The  alternate  method employing
Percoll/Percoll flotation, yielded recoveries of
82% for seeded Giardia cysts and 69% for
Cryptosporidium oocysts.
  The  highest cyst  recovery rates were
reported when both  sampling and flotation
steps were avoided and spiked with Giar-
dia cysts and  Cryptosporidium oocysts
samples were stained  directly onto the
membrane filters used for IFA assay. The
ASTM  method  resulted in  recoveries  of
72% and 56% for Giardia cysts and Crypto-
                       Giardia           Cryptosporidium

                       	 ASTM method 	
                       Giardia            Cryptosporidium

                      	  Alternate method  	
                                   Flocculated
       Water source

        I   I  Raw, 5NTU
                                                                            Filtered
Figure 1.  Water quality vs. recovery of cysts seeded into water.

-------
sporidium oocysts,  respectively.  The  al-
ternate method was characterized  by  an
average recovery of 86% for Giardia cysts
and 78% for Cryptosporidium oocysts.
  Testing of cyst recovery efficiencies from
raw,  flocculated, and filtered  water indi-
cated that any increase in water turbidity,
whether  due  to  presence of algae or to
that of chemical  floe, resulted  in a signifi-
cant  decrease in parasite recoveries. The
results also indicate both methods were
more effective in detecting  seeded Giar-
dia cysts than Cryptosporidium oocysts.
  The results of testing  the  processing
and detection methods indicated that  re-
coveries  of cysts were substantially and
consistently  higher with the alternate
method,  employing  Percoll/Percoll  step
gradient  combined  with  IFA on  13 mm
polycarbonate filters, than with  the ASTM
method,  in  all three types of water. Con-
sequently, the alternate method was se-
lected as the method of choice for seed-
ing experiments. Added  support for this
choice was provided by a comparison of
the qualitative advantages and disadvan-
tages of the  two methods.  In  summary,
the main advantage of the ASTM method
was its ability to confirm presumptive cysts
and oocysts.  The most serious disadvan-
tages of this  method were its relatively
high  cost and the amount of time required
to complete it. The alternate method,  on
the other hand, was found to be  less ex-
pensive and  required less time to com-
plete  than the ASTM method. Attractive
features of the  membrane filter sampling
method include relatively small sample
volumes, flexibility, and compatibility with
frequent seeded controls. The major limi-
tation of the alternate method was its lack
of a confirmation step.
  Experience with detecting Giardia cysts
and  Cryptosporidium oocysts in the wa-
ters tested during this study and the re-
sults  generated during  this part of  the
study,  indicate that the alternate method
be recommended to evaluate water treat-
ment processes that  use high concentra-
tions of seeded parasites in which algae,
occurring  in concentrations  much  lower
than the seeded parasites, are not of con-
cern.  The alternate  method can be con-
sidered for analysis of  environmental
samples, particularly  for low-turbidity wa-
ters. When high water turbidity requires
higher-volume samples to be collected and
examined, and when  cross-reacting algae
should be differentiated from the organ-
isms of interest, the ASTM method should
be used with environmental samples.
  The results of this stage of the study
have  indicated  Giardia  cysts and  espe-
cially,  Cryptosporidium oocysts  are  lost
during the gradient flotation steps of both
methods.  Therefore,  it is recommended
that the flotation step should be avoided,
whenever possible when  processing
treated (filtered) water samples.
  A  hybrid method, combining  the most
efficient  steps  from the  two  methods,
should be investigated.  Such  a hybrid
method should include sampling by mem-
brane  filtration only for  low-turbidity wa-
ters.  High-turbidity  waters  should  be
sampled  by the ASTM cartridge sampling
method. Since the Percoll/Percoll step gra-
dient in 15 ml_ tubes is more economical
and  had higher  cyst  recovery than  the
Percoll/sucrose gradient, it should be used.
Staining on cellulose acetate membranes,
as opposed to polycarbonate membranes,
allows  the demonstration  of the internal
morphological characteristics of the organ-
isms. Consequently, staining on cellulose
acetate membranes  should be incorpo-
rated into a hybrid method. Elvanol mount-
ing medium  should not be  incorporated
into a  hybrid method. As  a water-based
medium,  it is not compatible with the de-
hydrated cellulose acetate membrane and
does not allow the membrane to be cleared
so that the cyst's internal structure can be
visualized by contrast microscopy.

Removal of Giardia and
Cryptosporidium  through
Conventional Water Treatment
and Direct Filtration
  A general  observation  about removal of
seeded Giardia and Cryptosporidium was
made that was valid in both pilot- and full-
scale plant throughout the entire seeding
studies. Consistent removal rates of Giar-
dia and Cryptosporidium were achieved,
when  the treatment plant was producing
water of consistently low turbidity (0.1-0.2
         CO
         to
         T3
         
S.D. =32
l
                                                                                           -S_D.=-8-
                         Giardia           Cryptosporidium

                        	 ASTM method 	
                       Giardia            Cryptosporidium

                       	  Alternate method  	
                                                  Water source

                                    Flocculated      I   I  Raw, 5 NTU
                                   Filtered
Figure 2.  Water quality vs. recovery of cysts seeded into flotation gradients.

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NTU). As soon as the plant's performance
changed, and  resulting filtered water tur-
bidity fluctuated, a high variability in cyst
concentrations was detected in collected
samples.
  Removal of Cryptosporidium was com-
pared with removal of Giardia  by both
methods of treatment, conventional and
direct filtration, at both the full-scale plant,
and the pilot plant. Trials at the full-scale
plant  were impacted  by the change  in
seasonal water temperature and algal con-
tent. Because  of the need for a construc-
tion to  bypass the sedimentation  basin,
the first four trials by conventional treat-
ment were conducted from June through
September, while the  four trials using  di-
rect filtration were conducted in Novem-
ber and December. Greater flexibility  of
the pilot plant allowed trials by both treat-
ment methods to be conducted within one
day of each other and enhanced not  only
the comparison between  removal of
Cryptosporidium with Giardia removal, but
also the comparison between conventional
treatment  and direct filtration,  as well as
the comparison  of cyst removal with re-
moval of other water quality indicators.

Removal of Seeded Giardia and
Cryptosporidium During Pilot-
Scale Seeding Trials
  Table 1  summarizes cyst removal rates
calculated based on cyst concentration in
seeded influent (after mixing the cysts with
the incoming raw water). These removal
rates, based on  seeded  influent concen-
 Table 1. Removal of Giardia and Cryptosporidium Through Conventional Treatment
         and Direct Filtration at Jordan Valley
                                  Giardia removal
                                                      Cryptosporidium removal
Trial No.
Date
Percent
removal
Log
removal
Percent
removal
Log
removal
Conventional treatment
1-C
2-C
3-C
4-C
5-C
6-C
7-C
8-C
9-C
10-C
4/27/93
5/11/93
5/25/93
6/8/93
6/22/93
7/6/93
7/20/93
8/4/93
8/17/93
8/31/93
ND
99.16
ND
99.98
ND
99.95
99.95
ND
99.91
99.98
ND
2.20
ND
3.90
ND
3.69
3.69
ND
3.03
3.90
99.65
98.66
99.87
99.95
ND
99.88
99.45
ND
99.69
99.96
2.81
1.94
2.94
3.98
ND
2.94
2.64
ND
2.84
3.78
        Average log removal

        Standard deviation


          Direct Filtration
  3.40

  0.67
2.98

0.64
1-D
2-D
3-D
4-D
5-D
6-D
7-D
8-D
9-D
10-D


4/29/93
5/13/93
5/28/93
6/15/93
6/23/93
7/8/93
7/22/93
8/5/93
8/19/93
9/2/93
Average log removal
Standard deviation
ND
ND
99.78
ND
ND
ND
99.90
ND
ND
99.99


ND
ND
2.90
ND
ND
ND
3.00
ND
ND
4.00
3.30
0.77
99.95
ND
92.06
99.96
ND
ND
99.80
ND
99.92
99.84


3.60
ND
1.31
3.78
ND
ND
2.90
ND
3.31
2.93
2.97
0.89
ND indicates that cysts were not detected in filter effluent.
tration, were consistently lower than the
removal rates based  on cyst  concentra-
tions in seeding solution (indicating 99.99%
or 4  log  removal for both  Giardia  and
Cryptosporidium regardless  of the treat-
ment  mode). Calculations of cyst remov-
als, observed during seeding experiments,
can also be highly impacted by measure-
ments of cyst concentration  in filter efflu-
ent samples.  When  cysts were not de-
tected in filter effluent samples, their con-
centration  could be estimated based on
analytical  detection limits, determined for
each  sample batch. Such estimates lead
to underestimation of cyst  concentration
in finished water  samples  and  in turn,
result in overestimation of calculated  cyst
removal rates.

Removal of Seeded Giardia and
Cryptosporidium During Full-Scale
Seeding Trials
  Table 2 presents a  summary of  results
and removal rates calculated  only from the
trials  where cysts  were detected  both  in
influent and  effluent in the full-scale plant.
Similar to  the  pilot-scale experiments, the
removal of Giardia and  Cryptosporidium can
be  overestimated  when  calculations are
based on estimated effluent concentrations.
Removal rates based  on cyst concentra-
tions detected and enumerated both in in-
fluent and  effluent can be considered con-
servative.
  Several  factors impacted the results of
the full-scale seeding trials,  which made
the comparison  between  conventional
treatment and direct filtration more depen-
dent on uncontrolled variables. Changes
in raw water  quality,  observed from the
time the plant was in operation  by the
conventional  mode, compared  to raw wa-
ter quality during operation  by the direct
filtration mode, influenced removal rates
more  than the mode of treatment.  The
water was  treated in the conventional plant
during summer, when treatability was more
difficult, while  direct filtration was used in
late fall, when the water was easier  to
treat.  The presence of prolific algal blooms
in samples collected during  the first  four
trials,  and  the lack  of algal  content  in
samples from the last four trials, was an-
other  variable making the comparison  of
removal data problematic.
  The results of the pilot-plant experiments
indicate that Giardia cysts were removed
more  effectively than were Cryptospori-
dium  oocysts. This observation was valid
regardless  of the treatment mode.  The
difference  between log removals of Giar-
dia and Cryptosporidium ranged from 0.1

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Table 2. Removal of Giardia and Cryptosporidium Through Conventional Treatment and
        Direct Filtration at Huntington
                                    Giardia removal
                                                            Cryptosporidium removal
       Trial No.
                     Date
                                 Percent
                                 removal
                            Log
                          removal
                           Percent
                           removal
                             Log
                           removal
        Conventional treatment
        1-C
        2-C
        3-C
        4-C
6/11/92
7/7/92
8/5/92
10/6/92
99.95
ND
ND
99.66
        Average log removal

        Standard deviation
            Direct Filtration
        1-D
        2-D
        3-D
        4-D
11/10/92
11/20/92
12/8/92
12/22/92
99.97
ND
99.97
ND
        Average log removal

        Standard deviation
3.7
 ND
 ND
 2.82

 3.26

 0.67
3.87
ND
3.87
ND
                           3.87

                           0.00
99.60
99.05
97.87
ND
99.75
99.82
99.37
ND
2.78
2.07
1.89
ND

2.25

0.47
2.88
2.92
2.57
ND
                                         2.79

                                         0.19
ND indicates that cysts were not detected in filter effluent.

to 1.1 log and averaged 0.3 log, as calcu-
lated  across all  seeding runs. The differ-
ence  between cysts and  oocysts  remov-
als were  even  more pronounced  in the
full-scale plant than those observed in the
pilot plant.
  Among the seeding  trials, where the
cysts  were  detected both  in influent and
effluent,  the following  average  removals
were  calculated  for the pilot plant runs:
  • average removal of Giardia
    through conventional treatment:
    3.40 log; S.D. = 0.67
  • average removal of Cryptosporidium
    in conventional treatment:
    2.98 log; S.D. = 0.64
  • average removal of  Giardia through
    direct filtration:
    3.30 log; S.D. = 0.77
  • average removal of Cryptosporidium
    through direct filtration:
    2.97 log; S.D. = 0.89
  Similarly,  the  following  average  remov-
als were reported from the full-scale seed-
ing trials:
  • average removal of  Giardia through
    conventional treatment:
    3.26 log; S.D. = 0.67
                         •  average removal  of  Cryptosporidium
                           in conventional treatment:
                           2.25 log; S.D. = 0.47
                         •  average removal  of  Giardia through
                           direct filtration; 3.87 log
                         •  average removal  of  Cryptosporidium
                           through direct filtration:
                           2.79 log; S.D. =0.19
                         Taking into  consideration that  the re-
                       ported   removal rates  of Giardia  and
                       Cryptosporidium were calculated very con-
                       servatively,  the values presented  above
                       can be  interpreted as expected removals,
                       resulting  from  a consistent  performance
                       and steady  operation of the treatment
                       plants.

                       Surrogate Parameters for
                       Evaluation of Giardia and
                       Cryptosporidium Removal
                         Both  surface  water sources treated in the
                       treatment plants were characterized by a high
                       quality water, with low levels of inorganic,
                       organic,  and  microbial  contamination.  Both
                       sources, however, were tested positive for
                       both Giardia and Cryptosporidium cysts, con-
                       firming previous hypothesis and observations
about these pathogens being  ubiquitous  in
surface waters.
  Both effectiveness and consistency of re-
moval of seeded  Giardia and  Cryptospori-
dium cysts depended  on the  effectiveness
and consistency of the removal of turbidity.
When raw water turbidity was high  and it
could not be removed  by direct filtration, re-
sulting removals of seeded  cysts were low
and inconsistent. On the other hand, if treat-
ment by direct filtration  consistently produced
low turbidity effluent, resulting cyst removals
were comparable to those achieved from con-
ventional treatment.
  The  results of seeded cyst removals,
generated  throughout the study regard-
less of  treatment mode, were compared
with the respective  results from particle
counting, turbidity measurements, and  het-
erotrophic bacteria counts. Correlation be-
tween  Giardia and Cryptosporidium cyst
removal  and removal of these potential
surrogates are  presented in  Figures  3
through 5.
  The analysis of correlation between cyst
removal  and  particle  removal was per-
formed  separately  for Giardia  cyst  and
cyst-size  particles,  and  for  Cryptospori-
dium  oocysts and oocyst-size particles
(Figure  3). High correlation was reported
between both sets  of data. A correlation
coefficient  of 0.82 was calculated (p<0.1)
for the relationship between  Giardia cyst
removal and  removal of particles ranging
between 7 |j,m and  11  um Similarly,  a
correlation coefficient  for the  relationship
between Cryptosporidium oocyst removal
and  removal of 4 |im to 7 |im particles
was 0.79.
  The results indicated that particle count-
ing  could  serve as a reliable  indicator  of
cysts  and  oocysts   removal. Particle
counters,  even though capital intensive,
are cheap to operate  and are more sensi-
tive than the assays  used  in Giardia  and
Cryptosporidium analyses.
  Much lower correlation was established be-
tween removals of Giardia and  Cryptospori-
dium and removal of turbidity (correlation co-
efficients of 0.64 and 0.55,  respectively). As
presented in Figure 4, log removal of tur-
bidity can be used as an indicator of cyst
and oocyst removals,  but with  lower accu-
racy than  particle counting. The most  pro-
nounced differences  between removal  of
Giardia  and Cryptosporidium and the ex-
pected removals of turbidity were observed,
when very high cysts removals (4-log) were
reported.

-------
  Heterotrophic plate count was not shown
to be a  surrogate  in evaluation  of cyst
removals (Figure 5). No correlation was
found between log removal of seeded cyst
and log  removal of HPC. Despite the fact
that the filters in both pilot- and full-scale
plants were backwashed with chlorinated
water, a  growth of heterotrophic bacteria
was reported in the filters during the seed-
ing experiment and plant run.
  Plant performance evaluation using par-
ticle  counting and turbidity measurement
can be an  effective  tool in evaluating ex-
pected removals of  Giardia and  Crypto-
                         sporidium. The search for a biological sur-
                         rogate for  Giardia  and Cryptosporidium
                         should continue and result in identification
                         of a parameter that defines  both  occur-
                         rence and removal of Giardia and Crypto-
                         sporidium. The results of the study coin-
                         cide with previously reported relationships
                         between cysts and  particulates.  Effective
                         removal  of Giardia and Cryptosporidium
                         from the water would,  however, require
                         treatment plants to consistently produce
                         very low turbidity (0.1-0.2 NTU)—much
                         lower than the levels currently required.
                     Conclusions and
                     Recommendations

                     Analytical Procedures for
                     Detection of Cysts in Water
                       Based on the results generated  during
                     the evaluation of the effectiveness of the
                     IFA  methods  in enumeration  of Giardia
                     cysts and Cryptosporidium oocysts, it was
                     concluded that the alternate IFA method
                     was more suitable for meeting  the project
                     objectives. This method  employed  sam-
              .ro
              •S
              to
              CD
4.5-

 4-

3.5-

 3-

2.5-

 2-

1.5-

  1-

0.5-
                  0
                                  y = 0.9246X + 0.7221
                                      R2 = 0.8247
                    0123
                        Log removal of 7-14jjm particles
I
:§
I
                                                               o
4.5

 4-

3.5-

 3-

2.5-

 2-

1.5-

  1-

0.5-
                     y = 0.8856X + 0.4647
                         R2= 0.7935
                                                                2          4
                                                         Log removal of 4-7 jjm particles
Figure 3.  Relationship between removal of cysts and particles.
                 4.5'
              •5
              •g
              •5
              CD
                   4-
                 2.5-
                  1.5-
               °>   X
               o   1-

                  0.5-

                   0
                  y = 1.0093x + 1.6697
                      R2= 0.6429
    0123
           Log removal of turbidity
                                                  4.5

                                               1    41
                                               '§  3.5-

                                               I    3-
                                                    2-

                                                   1.5-

                                                    1-
                     y = 0.9631 x +1.1000
                         R2= 0.5623
                                                                                 1          2
                                                                              Log removal of turbidity
Figure 4.  Relationship between removal of cysts and turbidity.

-------
pling  through a  2.0 |im polycarbonate
membrane filter,  centrifugation in  15 mL
tubes, flotation  on  a two-step  Percoll/
Percoll gradient,  IFA staining  on 13 mm
diameter, 2.0 |im  pore-size polycarbonate
membrane filters, and enumeration under
an UV epifluorescent microscope. The fol-
lowing conclusions were formed:
  • The  membrane  filtration for  low tur-
    bidity  samples  outperformed the
    polypropylene yarn sampling method
    in terms  of  recovery  efficiency  of
    seeded organisms.
  • The Percoll/Percoll step gradient had
    better  recoveries  of  seeded  organ-
    isms then the Percoll/sucrose gradi-
    ent. Since 15 mL tubes  were used in
    place of 50 mL tubes, the procedure
    of the step gradient flotation was more
    economical.
  • The  alternate  method  has proven
    more effective in  recovering seeded
    cysts, and therefore, was  considered
    more suitable in  parasite seeding ex-
    periments, where evaluation of water
    treatment process efficiencies  was
    conducted using  high concentrations
    of seeded cysts.
  The ASTM method,  employing staining
on cellulose acetate  membranes, had the
advantage  since  the gradients could be
cleared  and the  internal  structure of the
                            organisms could  be visualized under the
                            phase- or differential-interference contrast
                            microscopy. The ASTM method, due to its
                            ability to  confirm presumptive  cysts and
                            distinguish between algal  cells and  the
                            cysts by contrast microscopy, was  found
                            very applicable in testing of the environ-
                            mental water samples.
                               Based on the above results, it is recom-
                            mended that the alternate method should
                            be used in evaluating water treatment pro-
                            cess efficiencies using high concentrations
                            of seeded parasites. The ASTM method
                            is recommended in  analyses  of environ-
                            mental  samples  where the confirmation
                            step is essential.
                               A hybrid method, combining the most effi-
                            cient steps from the two methods, should be
                            investigated.  The membrane filtration for low
                            turbidity samples, which far outperformed the
                            polypropylene yarn sampling method in terms
                            of recovery efficiency of seeded  organisms,
                            shows promise in sample collection. Similarly,
                            Percoll/Percoll step gradient, used in the alter-
                            nate method, had better recoveries of seeded
                            organisms then the Percoll/sucrose gradient.
                            Since 15 mL tubes were used in  place of 50
                            mL tubes  used in the ASTM method,  the
                            procedure  of the  step gradient flotation was
                            more economical. On the other hand, staining
                            on cellulose acetate membranes  used in the
                            ASTM method, had the advantage since the
                            gradients could be cleared and the internal
structure of the organisms could be visualized
under the  phase- or differential- interference
contrast microscopy.
  The results of the testing of IFA method
effectiveness have indicated that Giardia cysts
and especially Cryptosporidium oocysts are
lost during the gradient flotation steps of both
methods. Recovery efficiencies increased dra-
matically in samples,  did not contain  much
debris, and could be processed without the
flotation steps and stained directly on  mem-
branes. Therefore, it is recommended that the
flotation step should be avoided  when pro-
cessing treated (filtered) water samples when-
ever possible.

Removal of Giardia and
Cryptosporidium through
Conventional Treatment and
Direct Filtration
  The following conclusions were formed
from the pilot- and full-scale study on Gia-
rdia and  Cryptosporidium cysts removal
through conventional treatment and  direct
filtration:
  • In a properly operated treatment plant
    effectively  removing turbidity to 0.1-
    0.2 NTU,  either conventional  treat-
    ment or direct filtration can result in a
    3-log  removal  of Giardia.
  • Cryptosporidium oocysts are more dif-
    ficult  to  remove than  Giardia  cysts,
              3.5-
            ro
           ?   3H
2.5-

 2-

1.5-

  1-

0.5-

 0
                                y = 0.7675X + 2.5245
                                    R2= 0.0841
   0               0.5
            Log removal of HPC
E
.g
'c
o
CL
U)
IL
O
'o
"ra
o
E
0)
D)
O


3.5-
3-

2.5-
2-

1.5-

1-

0.5-
n -


	 ^_
•^^ ^^fc^^
^*— *^* ^
^ •*"



•*•

y = 0.7586X + 2.2524
R2= 0.0753

                                                                                    0.5               1
                                                                             Log removal of HPC
Figure 5. Relationship between removal of cysts and heterotrophic bacteria.

-------
    both  in  a conventional  plant  and
    through direct filtration (up to 1.0-log
    difference).
  • Removals of cyst-size particles and
    removal  of turbidity can  be  used as
    indicators of cyst removal effective-
    ness.
  A general  observation  about  removal
of seeded Giardia and Cryptosporidium
cysts was made that was valid  in both
pilot-  and full-scale plant  throughout the
entire seeding studies. Both effectiveness
and consistency  of removal  of  seeded
Giardia and  Cryptosporidium cysts de-
pended primarily on the effectiveness and
consistency of the removal  of turbidity.
When  treatment by direct filtration con-
sistently produced  low  turbidity  effluent
(0.1-0.2 NTU), the  resulting  Giardia and
Cryptosporidium cyst removals were con-
sistent and comparable to  these achieved
from conventional treatment.  As  soon as
the plant's performance changed, and re-
sulting filtered water turbidity fluctuated,
a high  variability in cyst  concentrations
was detected in collected samples. When
raw water turbidity was high,  and it could
not be removed by direct filtration, result-
ing removals of seeded cysts were  low
and inconsistent.
  A  high correlation coefficient was  calcu-
lated for the relationship between Giardia cyst
removal and removal of particles ranging be-
tween 7 urn and 14 urn, and similarly, for the
relationship  between Cryptosporidium oocyst
removal and removal of particles of 4 \m to 7
|im in size. Much lower correlation was estab-
lished  between removals  of  Giardia and
Cryptosporidium and removal of turbidity. Het-
erotrophic plate count was not shown to be a
surrogate in evaluation of cyst removals, with
no correlation found between log removal of
seeded cyst and log removal of HPC.
  A  combination of particle counting and
turbidity measurement was shown  to be
an effective tool in water treatment plant
performance evaluation in  terms of pre-
dicting removals of Giardia  and  Crypto-
sporidium. Effective removal of Giardia and
Cryptosporidium from the water would,
however, require treatment plants to con-
sistently  produce very low turbidity (0.1-
0.2 NTU)—much  lower than the  levels
currently required. The results of the study
indicate that the removal  of  particulates,
measured through  particle counting and
turbidity monitoring, should  be a  critical
factor used in the evaluation of plant per-
formance  in Giardia and Cryptosporidium
removal. Continuous  and  consistent re-
moval of particulates should be monitored
by continuous  particle counting and  tur-
bidity monitoring.
  The results of the project imply that the
credits given for Giardia cyst removal in
direct filtration  plants,  may be similar to
credits obtained in conventional treatment
plants, and also may be higher than the
credits applicable under the current regu-
lations. Since Cryptosporidium is more dif-
ficult to remove than Giardia, and it is also
more resistant  to  disinfection than Giar-
dia, new requirements need to be devel-
oped to control  this pathogen. Finally, due
to the need  of further defining the credits
given to treatment  plants for physical re-
moval of Giardia and Cryptosporidium, a
study on evaluation of removal of these
pathogens  through  pre-sedimentation
should be conducted.
  The  full report was  submitted in fulfill-
ment of CR818895-010 by the Utah  De-
partment of Environmental Quality  under
the  sponsorship of the U.S. Environmen-
tal Protection Agency.

-------
   Eva C. Nieminski is with the Utah Department of Environmental Quality, Salt Lake
     City, UT84114.
   Kim Fox is the EPA Project Officer (see below).
   The complete report, entitled "Removal ofCryptosporidium anc/Giardia through
     Conventional Water Treatment and Direct Filtration," (Order No. PB97-162507;
     Cost: $35.00, subject to change) will be available only from:
           National Technical Information Service
           5285 Port Royal Road
           Springfield, VA 22161
           Telephone: 703-487-4650
   The EPA Project Officer can be contacted at:
           National Risk Management Research Laboratory
           U. S. Environmental Protection Agency
           Cincinnati, OH 45268
United States
Environmental Protection Agency
Center for Environmental Research Information
Cincinnati, OH 45268

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