&EFA
                                United States
                                Environmental Protection
                                Agency
                                Municipal Environmental Research
                                Laboratory
                                Cincinnati OH 45268
                                Research and Development
                                EPA-600/S2-81-170  Oct. 1981
Project  Summary
                                Density Levels  of Pathogenic
                                Organisms in  Municipal
                                Wastewater  Sludge—
                                A Literature  Review
                                Dana C. Pederson
                                 This report discusses a critical
                                review of the literature from 1940 to
                                1980 of laboratory and full-scale
                                studies on density levels of indicator
                                and pathogenic organisms in munici-
                                pal wastewater sludges and septage.
                                The effectiveness of conventional
                                municipal sludge stabilization processes
                                (mesophilic anaerobic and aerobic
                                digestion, composting and lime stabil-
                                ization) and dewatering processes
                                (drying beds, lagooning/storage, and
                                sludge conditioning/mechanical  de-
                                watering) was evaluated for reducing
                                density levels of indicator and patho-
                                genic organisms. An annotated bibli-
                                ography presents all citations reviewed,
                                with pertinent abstracts and methods
                                used by researchers.
                                 This Project Summary was devel-
                                oped by EPA's Municipal Environmen-
                                tal Research Laboratory, Cincinnati,
                                OH, to announce key findings of the
                                research project that is fully docu-
                                mented in a separate report of the
                                same title (see Project Report ordering
                                information at back).

                                Introduction
                                 Sludges originating from municipal
                                wastewater treatment plants harbor a
                                multitude of microorganisms, many of
                                which present a potential health hazard.
                                Risk of public exposure to these  or-
                                ganisms is possible when sludges are
                                applied to land as a means of disposal. In
                                recognition of this problem, and as
                                required by Section 405 of the Clean
                                Water Act of 1977 (PL 95-217), criteria
                                for the control of infectious disease in
                                the land application of sewage sludge
                                and septic tank pumpings were issued
                                by the U.S. Environmental Protection
                                Agency (EPA) in 40 CFR Part 257
                                (Federal Register Vol. 44, No.  179,
                                September 13, 1979).
                                  The "Part 257 criteria" specify what
                                minimum treatment of municipal waste-
                                water treatment plant  sludges is re-
                                quired  prior to land application of the
                                residue. Acceptable treatment methods,
                                termed "Processes to Significantly
                                Reduce Pathogens," are as follows:
                                  • Aerobic digestion—Agitation of
                                   sludge  in aerobic conditions at
                                   residence times ranging from 60
                                   days at 15 °C to 40 days at 20 °C,
                                   with a volati le sol ids red uction of at
                                   least 38%.
                                  • Air drying—Draining and/or drying
                                   of liquid sludge on underdrained
                                   sand beds, or on paved or unpaved
                                   basins in which the sludge is at a
                                   depth  of 9 inches (22.9 cm). A
                                   minimum of three months is needed,
                                   two months of which temperature
                                   average on a daily basis is above 0
                                   °C.
                                  • Anaerobic digestion—Maintenance
                                   of sludge in the absence of air at
                                   residence times ranging from 60
                                   days at 20°C to 15 days at 35°C to

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    55°C, with a volatile solids reduc-
    tion of at least 38%.
  • Composting—Using the within-
    vessel, static aerated pile or wind-
    row composting  methods, the
    sludge is maintained at minimum
    operating  conditions of 40°C for
    five days. For four hours during this
    period,  the temperature exceeds
    55°C.
  • Lime  stabilization—Application of
    lime to sludge in  quantities suf-
    ficient to produce a pH of 12 after
    two hours of contact.
  • Techniques demonstrated to be the
    equivalent of the above on the
    basis of pathogen  removals and
    volatile solids reduction.
  An additional category of treatment
processes, termed "Processes to Further
Reduce Pathogens", was designated in
Appendix  II of  40  CFR Part 257 as
required if (1) affected land is to be used
within  18 months of sludge application
for the cultivation of food crops and (2)
the edible portion of the crop is likely to
be exposed to the sludge. These addi-
tional processes are:
  • High temperature composting
  • Heat drying
  • Heat treatment
  • Thermophilic aerobic digestion
  * Irradiation
  In 1980, Camp, Dresser and McKee,
Inc. (COM) undertook a literature review
of available domestic and foreign data,
from 1940 to 1980, of bacteria, viruses
and parasites densities in raw municipal
wastewater sludges, on the effectiveness
of the  "Processes  to Significantly
Reduce Pathogens" and of conventional
sludge dewatering techniques (mechan-
ical dewatering/sludge conditioning
and sludge storage/lagooning) to reduce
levels of these organisms.
  The following organisms, categorized
into four groupings, were emphasized:
  • Indicators—Total  coliform, fecal
    coliform, and fecal streptococcus
    bacteria; Clostridum perfringens
    (welchii); bacteriophage
  • Pathogenic bacteria—Salmonellae,
    Shigellae, Pseudomonas sp.,
    Mycobacterium spp., Candida
    albicans, Aspergillus fumigatus
  • Enteric viruses—Enterovirus and
    its subgroups (polioviruses,  echo-
    viruses and coxsackieviruses),
    reovirus and adenovirus
  • Parasites—Entamoeba histolytica,
    Ascaris lumbricoides,  Taenia spp.,
    Schistosoma spp.,  and others
  In addition to reporting density levels
in raw sludge  and septage, and the
effectiveness of conventional sludge
treatment processes in reducing density
levels, this review also identified design
and operating variables that affect
process efficiency, compared results of
laboratory pilot-scale studies to those of
full-scale plants, and contrasted survival
of  indicator  organisms to that  of
pathogens. Methods used  by  each
researcher  to  enumerate organisms
were also  described, and brief  sum-
maries  were provided of  related cita-
tions that were encountered but were
not actually used  in this report.

Density Levels in Raw Sludge
  Levels of bacteria, viruses and para-
sites in raw sludge are presented in
Table  1. Note that the densities  of
pathogenic organisms are several logs
less than indicator  organisms. Also,
there is a noticeable lack of information
on  the  densities  of  select pathogenic
organisms in raw sludges and septages
(i.e., lack of parasite  organisms data in
septages).

Anaerobic Digestion
  This  process  involves biological
degradation of complex  organic sub-
stances present in wastewater sludges
in the absence of free oxygen. Primary
or secondary  sludge, or a mixture of
both, is fed continuously or intermittently
into an  airtight vessel and retained for
varying periods of time.
  Retention times can vary from 30 to
60 days in low-rate (unmixed) reactors
and from 10  to 20  days  in high-rate
              reactors which are mixed and heated to
              either mesophilic—30  to  38 °C—or
              thermophilic—50 to 60 °C—tempera-
              tures.  The digester's performance  is
              indicated by the percent  of volatile
              solids (VS) destroyed. Reduction of VS
              usually ranges between  35% and 60%,
              depending on  the character of the
              sludge, detention  time  and tempera-
              ture.
                Only limited  information was found
              on levels and reductions of densities of
              organisms in low-rate digesters. Longer
              detention times and higher temperatures
              are  correlated  with greater  density
              reductions.  In  high-rate digesters  at
              full-scale  plants, reductions of greater
              than 1 log occur in densities of bacteria
              and viruses,  with  the exception  of
              Pseudomonas aeruginosa (Table 2). Ova
              and cysts of parasitic tapeworms,
              flatworms and roundworms (with the
              exception of Trichinelta spiralis) were
              able to survive this digestion process,
              while parasitic protozoans were reduced
              to non-detectable levels.
                Comparison of laboratory/pilot-scale
              data  to those  of full-scale plants
              generally indicated that greater density
              reductions are  accomplished  in the
              smaller-scale studies. The larger density
              reductions are  attributed to (1) the
              ability to achieve optimum digestion
              conditions on  a smaller scale; (2) the
              absence of short circuiting—when fresh
              sludge (and, with it,  high levels  of
              organisms) is allowed to exit—in labora-
              tory/pilot-scale studies;  (3) the dif-
              ferences in sensitivity to the effects of
              anaerobic digestion of  laboratory-
Table 1.    Density Levels of Organisms in Raw Sludge and Septage (Average
           Geometric Mean of Organisms Per Gram Dry Weight)
       Organism
Primary     Secondary
Mixed
Septage
Total coliform bacteria
Fecal coliform bacteria
Fecal streptococci
Bacteriophage
Salmonella sp.
Shigella sp.
Pseudomas aeruginosa
Parasite ova/cysts (total)
Ascaris sp.
Trichiuris trichiura
Trichiuris vulpis
Toxocara sp.
Hymenolepsis diminuta
Enteric viruses*
1.2 x 10s
2.0 x W7
8.9 x 10s
1.3 x 10s
4. 1 x 102
NR
2.8 x JO3
2. 1 x 102
7.2 x JO2
1.0 x W
1.1 x 1O2
2.4 x 102
6. x 10°
3.9 x 102
7.1 x 10*
8.3 x 10s
1.7 x 10s
NR*
8.8 x 102
NR
1.1 x 104
NR
1.4 x 103
<1.0x 10'
<1.0x W
2.8 x 102
2.0 x W
3.2 x 102
1.1 x 10s
1.9 x 10s
3.7 x 106
NR
2.9 x 102
ND*
3.3 x 103
<5.0x 10'
2.9 x 102
0
1.4 x 102
1.3 x 103
0
3.6 x 102"
1.4 x 10s
1.2 x 10s
6.6 x 10s
NR
5.1 x 10''
NR
2.6 x 10'
NR
NR
NR
NR
NR
NR
NR
 * NR = No data available
 " ND = None detected
 c Plaque forming units per gram dry weight (PFU/gdw)
 d TCIDso = 50 percent tissue culture infectious dose

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Table 2.
Density Levels of Indicator Bacteria, Pathogenic Bacteria and Enterovirus
Following High Rate Anaerobic Digestion at 35°C for 14-15 to 21 Days

                                         Log Reduction
Organism
Total coliform
Fecal coliform
Fecal streptococcus
Salmonella sp.
Ps. aeruginosa
Enterovirus
Density Level"
per 1OO ml
3x 10^
2 x Wec
9 x W5C
3.7 x W"
6x 10s"
7.9 x 10
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(f2) when added to sludge was found to
be far more resistant to  mesophilic
temperatures and, therefore, reductions
in levels of this non-pathogenic and
easily cultured virus could provide  a
useful indication of enterovirus inacti-
vation.

  Ova  of the  roundworm, Ascaris
lumbricoides, can survive at tempera-
tures higher than  those specified for
mesophilic composting, presenting  a
potential  problem in sludge treated by
mesophilic composting.
Lime Stabilization
  Lime is mixed with sludge in quantities
sufficient to raise the pH to  12.0 for at
least two hours. Lime may be added (1)
to liquid sludge prior to dewatering, (2)
directly to a mixed-sludge storage tank,
followed by land application; or (3) to a
dewatered sludge cake. The technique
most commonly used by the researchers
whose data were utilized in this review
involved the addition of lime to liquid
sludge.

  Lime stabilization can effect signifi-
cant reductions in levels of  some
indicator and pathogenic  bacteria and,
possibly,  of poliovirus. The effective-
ness has been shown to be  contingent
upon the pH achieved in the stabilization
protocol. It  appears that different
bacteria respond differently  to increas-
ing levels of pH achieved in the process.
Even  after  an effective pH  level  is
achieved in sludge, the decrease in pH
level  that  occurs after the initial
exposure and minimum  contact time
can create an environment favorable to
regrowth of some bacteria.

  Fecal coliform, Salmonella spp.  and
Pseudomonas aeruginosa density levels
all  appear to be  reduced by 2 logs or
greater at pH 11  or above. There is no
apparent tendency for  these micro-
organisms to regrow. Fecal strepto-
coccus, however, are more resistant to
lime inactivation and are able to regrow
quickly with decreasing pH to near
original densities or greater within 24
hours.

  In one study, lime treatment of
sludges inactivated Ascaris  eggs; how-
ever, the lime concentrations and time
needed were substantially greater than
is normally  used for sludge condition-
ing. Also, this inactivation  of Ascaris
eggs  was  not always consistent  and
therefore cannot be relied upon.
Conventional Sludge
Dewatering Processes

Drying Beds
  In general practice, digested sludge is
placed on sand beds or paved beds that
have been provided with drainage. The
sludge is  allowed to dry to approxi-
mately 40% solids content, over a period
of about 10 to 15 days (under favorable
conditions)—a significantly shorter time
period than the minimum of three
months delineated by the EPA.
  Information  was  found on  the in-
activation of  bacteria, viruses and
parasites during drying, but none of the
data conformed to the criteria specified
by the EPA. The research conducted
does,  however, focus attention on the
solids level achieved during drying. This
parameter could be useful, in addition to
time, temperature, and sludge depth, as
an additional criterion for defining air
drying of sludge.

Sludge Storage/Lagooning
  In this  process,  anaerobically or
aerobically digested sludge is stored in
earth- or concrete-lined lagoons at
depths of from 60 to 600 cm for periods
ranging from several months to years.
The performance of  the lagoons is
affected by climate; both precipitation
and low  temperatures will  inhibit
dewatering and  the rate of volatile
solids reduction. The two factors that
have  been studied with regard to
survival of indicators,  pathogens and
parasites are temperature and length of
storage time. At  lower temperatures, a
longer detention time  is required to
achieve reduction of density levels.
  It was concluded, based on trends
indicated by the  data reviewed, that at
temperatures of 20°C  or greater, the
minimum storage  time required to
achieve a 1 -log density reduction is one
month for bacteria, two months for
viruses, and greater than six months for
parasitic ova. At temperatures of less
than  20°C, more than six months,
storage is required to  reduce  density
levels of pathogenic bacteria by 1 log,
more than eight months for viruses, and
at least three years for  parasitic ova.


Sludge Conditioning/
Mechanical Dewatering
  For purposes of this review  (and as
commonly practiced),  dewatering in-
volves use of vacuum filter, chamber
filter press, belt filter press, or centrifuge
to separate the liquid and solid com-
ponents of sludge. Typically sludge cake
solids content of 15 to 40% are achieved.
Chemical conditioners used to aid
sludge dewatering include lime (CaO),
ferric chloride (FeCI3), ferrous sulfate
(FeS04), and  polyelectrolytes  or poly-
mers.
  The process of mechanical dewatering
of municipal wastewater sludges alone
has little effect on the density  levels of
pathogens. The conditioners that are
commonly used in combination  with
mechanical dewatering vary in effects.
Polymer has no  apparent effect on
density levels of pathogens. Lime,
added  in  concentrations to optimize
dewatering, cannot be relied on to
reduce pathogen levels because of the
variations  in pH levels obtained. Ferric
chloride, often used in conjunction with
lime, appears to reduce  whatever
virucidal and bactericidal  effects the
lime normally  has when applied to
sludge.


Conclusions and
Recommendations
  Because a  large body  of literature
containing comparable  data is  not
available,  it is recommended  that
additional research be conducted on the
effectiveness  of  sludge treatment
processes in reducing density  levels of
organisms. It is recommended, further,
that researchers document carefully all
pertinent aspects of their experimental
design.
  The following conclusions appear to
be valid based on the literature reviewed:
  • Anaerobic  digestion  and  lime
    stabilization consistently  produce
     reductions of about 1 to 2 logs in j
    densities of indicator and patho- [
    genie bacteria and, in the case of |
    anaerobic digestion, in densities of i
    viruses as well.  At  a  minimum, \
     effectiveness depends  on  the
     processes being carried out under'
     the conditions specified in 40 CFR
     Part 257. Neither sludge stabiliza-
    tion process appears to be particu-
     larly effective for inactivating
     parasite organisms.
  • Conditions of mesophilic composting
     may  inactivate common  indicator
     and pathogenic bacteria and viruses,
     provided that specified tempera-
     tures are  attained uniformly
     throughout the compost  mass for
     over the specified time period. The
     pathogenic fungus Aspergillus
     fumigatus thrives under conditions
                                  4

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     of mesophilic composting, how-
     ever, and parasite ova appear to
     survive this process.
  •  Density reductions of  bacteria  by
     aerobic digestion are variable and
     of relatively small magnitude.
     However, there is a lack of data on
     the  performance of this  process
     and  also of air drying  in reducing
     densities of microorganisms.
  •  Sludge lagoons can achieve 1-log
     reductions in densities of bacteria
     and  viable parasite ova, but,  de-
     pending on conditions, storage of
     one  month to more  than three
     years may be required.
  •  Mechanical dewatering of sludge,
     with or without the use of chemical
     conditioners, has little reliable
     effect on densities of pathogens.

  Few of the laboratory-scale studies
reviewed could  be related to  results
obtained  at full-scale treatment plants.
Operating parameters used in laboratory
experiments differed radically from
those  at full-scale  plants. For  this
reason, comparing density  levels was
seldom possible. In addition, laboratory
studies  often used seeded bacteria,
viruses, or  parasites and it is doubtful
whether  their behavior  mimics that of
naturally occurring organisms.
  No single indicator organism (either
bacteria or bacteriophage) was found to
maintain a density level of a constant
relative  value to that  of  pathogenic
organisms.  The data available  made it
impossible  to determine whether this
inconsistency is due to  the inability of
current techniques to enumerate patho-
genic bacteria  and enteroviruses  ac-
curately,  or to  the fact that densities
actually vary.
  Of the traditional indicators, fecal
streptococci  appear to be the most
conservative  indicator of both the
density  levels of pathogenic bacteria
and  enterovirus  in raw sludge and of
their inactivation during sludge treat-
ments. Additional research  is required
to identify other indicator systems, both
bacterial and viral,  whose numbers
better reflect both density and reduction
of density levels of pathogenic organisms.
  A wide variety of methods were used
to enumerate  all of the  organisms
considered  in this review. Although
standard methods are available  for
quantifying the coliform and strepto-
coccus bacteria and for Salmonella sp.,
there are no standard techniques for
other pathogens, enteroviruses,  or
parasites. It is recommended that this
area be addressed so that comparable
data can be produced in future studies.
  The full report was submitted in ful-
fillment of Work Task 08 for Contract
No. 68-03-2803 by  Camp Dresser &
McKee Inc., under the sponsorship of
the  U.S. Environmental Protection
Agency.
   Dana C. Pederson is with Camp, Dresser, and McKee, Inc., One Center Plaza,
     Boston, MA 02108.
   Gerald Stern is the EPA Project Officer (see below).
   The  complete  report,  entitled  "Density Levels of Pathogenic Organisms in
     Municipal Wastewater Sludge—A Literature Review," {Order No. PB 82-102 286;
     Cost: $21.50, 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:
           Municipal Environmental Research Laboratory
           U.S. Environmental Protection Agency
           Cincinnati. OH 45268
                                                                             U.S. GOVERNMENT PRINTING OFFICE:1981--559-092/3317

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