&EPA
   United States
   Environmental Protection
   Agency
   Method 1623: Cryptosporidium and
   Giardia in Water by Filtration/IMS/FA

   December 2005


                  i
                    *
                 * :*
                 ..


-------
Office of Water (4607)
EPA815-R-05-002
http ://www. epa. gov/microbes/
December 2005
                                                    Printed on Recycled Paper

-------
                                  Acknowledgments

This method was prepared under the direction of William A. Telliard of the Engineering and Analysis
Division within the U.S. Environmental Protection Agency (U.S. EPA) Office of Water. This document
was prepared by CSC under a U.S. EPA contract, with assistance from its subcontractor, Interface, Inc.

The U.S. EPA Office of Water gratefully acknowledges the contributions of the following persons and
organizations to the development of this method:

Mike Arrowood, Centers for Disease Control and Prevention, Division of Parasitic Diseases (MS-F13),
       4770 Buford Highway, N.E., Atlanta, GA 30341-3724, USA

Phil Berger,  Office of Groundwater and Drinking Water, U.S. Environmental Protection Agency, 401 M
       Street,  S.W., Washington, DC 20460, USA

Jennifer Clancy, Clancy Environmental Consultants, Inc., P.O. Box 314, St. Albans, VT 05478, USA

Kevin Cornell, CSC, 6101 Stevenson Avenue, Alexandria, VA 22314, USA

Ricardo DeLeon, Metropolitan Water District  of Southern California, 700 Moreno Avenue, LaVerne, CA
       91760, USA

Shirley Dzogan, EnviroTest Laboratories, 745 Logan Avenue, Winnipeg, Manitoba R3E 3L5, Canada

Mary Ann Feige (retired), Technical Support Center, Office of Ground Water and Drinking Water, U.S.
       Environmental Protection Agency, 26  W. Martin Luther King Drive, Cincinnati, OH 45268-1320,
       USA

Colin Fricker, Thames Water Utilities, Manor Farm Road, Reading, Berkshire, RG2 OJN, England

Carrie Moulton (Hancock), Technical Support Center, Office of Ground Water and Drinking Water, U.S.
       Environmental Protection Agency, 26  W. Martin Luther King Drive, Cincinnati, OH 45268-1320,
       USA
Stephanie Harris,Manchester Laboratory, U.S. Environmental Protection Agency, Region 10, 7411
       Beach Drive East, Port Orchard, WA 98366, USA

Dale Rushneck, Interface, Inc., 3194 Worthington Avenue, Fort Collins, CO 80526, USA

Frank Schaefer HI, National Exposure Research Laboratory, U.S. Environmental Protection Agency, 26
       W. Martin Luther King Drive, Cincinnati, OH 45268-1320, USA

Steve Schaub, Health and Ecological Criteria Division (4304), Office of Science and Technology, U.S.
       Environmental Protection Agency, 401 M Street, S.W., Washington, DC 20460, USA

Ajaib Singh, City of Milwaukee Health Department, 841 North Broadway, Milwaukee, WI 53202, USA

Huw Smith, Department of Bacteriology, Scottish Parasite Diagnostic Laboratory, Stobhill NHS Trust,
       Springburn, Glasgow, G21 3UW, Scotland

Timothy Straub, Lockheed Martin, 7411 Beach Drive East, Port Orchard, WA 98366, USA

William A. Telliard, Office of Science and Technology, U.S. Environmental Protection Agency, 401 M
       Street,  S.W., Washington, DC 20460, USA

Cryptosporidium cover photo courtesy of the U.S. Centers for Disease Control

Giardia cover photo courtesy of CH Diagnostic & Consulting Service, Inc.

-------
                                        Disclaimer

This method has been reviewed by the U.S. EPA Office of Water and approved for publication. Mention
of trade names or commercial products does not constitute endorsement or recommendation for use.
Questions regarding this method or its application should be addressed to:

       Carrie Moulton
       Coordinator, Laboratory Quality Assurance Program for the Analysis of Cryptosporidium
       U.S. Environmental Protection Agency
       Office of Ground Water and Drinking Water
       Technical Support Center, MCI40
       26 West Martin Luther King Drive
       Cincinnati,  OH 45268-1320
       (513)569-7919
       (513)569-7191 (fax)
       moulton.carrie@epa.gov

-------
                                       Introduction

To support future regulation of protozoa in drinking water, the Safe Drinking Water Act Amendments of
1996 require the U.S. Environmental Protection Agency (EPA) to evaluate the risk to public health posed
by drinking water contaminants, including waterborne parasites, such as Cryptosporidium and Giardia. To
implement these requirements, EPA must assess Cryptosporidium and Giardia occurrence in raw surface
waters used as source waters for drinking water treatment plants. EPA Method 1623 was developed to
support this assessment.

Method Development and Validation

EPA initiated an effort in 1996 to identify new and innovative technologies for protozoan monitoring and
analysis. After evaluating potential alternatives to the then-current method through literature searches,
discussions with research and commercial laboratories, and meetings with experts in the field, the
Engineering and Analysis Division within the Office of Science and Technology within EPA's Office of
Water developed draft Method 1622 for Cryptosporidium detection in December 1996. This
Cryptosporidium-only method was validated through an interlaboratory study in August 1998, and was
revised as a final, valid method for detecting Cryptosporidium in water in January 1999.

Although development of an acceptable immunomagnetic separation system for Giardia lagged behind
development of an acceptable system for Cryptosporidium, an acceptable system was identified in
October 1998, and EPA validated a method for simultaneous detection of Cryptosporidium and  Giardia in
February 1999 and developed quality control (QC)  acceptance criteria for the method based on this
validation study. To avoid confusion with  Method 1622, which already had been validated and was in use
both domestically and internationally as a  stand-alone Cryptosporidium-only detection method,  EPA
designated the new combined procedure EPA Method 1623.

The interlaboratory validated versions of Method 1622 (January 1999; EPA-821-R-99-001) and Method
1623 (April 1999; EPA-821-R-99-006) were used to analyze approximately 3,000 field and QC  samples
during the Information Collection Rule Supplemental Surveys (ICRSS) between March  1999 and
February 2000. Method 1622 was used to analyze samples from March 1999 to mid-July 1999; Method
1623 was used from mid-July 1999 to February 2000.

Changes in the April 2001 Versions  of the Methods

Both methods were revised in April 2001,  after completion of the ICRSS and multiple meetings with
researchers and experienced laboratory staff to discuss potential method updates. Changes incorporated in
the April 2001 revisions of the methods (EPA-821-R-01-025 and EPA-821-R-01-026) included the
following:

•      Nationwide approval of modified versions of the methods using the  following components:
       (a)    Whatman Nuclepore CrypTest™ filter
       (b)    IDEXX Filta-Max® filter
       (c)    Waterborne Aqua-Glo™ G/C Direct FL antibody stain
       (d)    Waterborne Crypt-a-Glo™ and Giardi-a-Glo™ antibody stains

•      Clarified sample acceptance criteria

•      Modified capsule filter elution procedure

•      Modified concentrate aspiration procedure

-------
•      Modified IMS acid dissociation procedure
•      Updated QC acceptance criteria for IPR and OPR tests
•      Addition of a troubleshooting section for QC failures
•      Modified holding times
•      Inclusion of flow cytometry-sorted spiking suspensions
Changes in the June 2003 Versions of the Methods
Both methods were revised again in June 2003 to support proposal of EPA's Long Term 2 Enhanced
Surface Water Treatment Rule. Changes incorporated into the December 2002 versions include:
•      Nationwide approval of a modified version of the methods using the Pall Gelman Envirochek™
       HV filter
•      Removal of Whatman Nuclepore CrypTest™ filter from the methods as a result of discontinuation
       of the product by the manufacturer
•      Nationwide approval of the use of BTF EasySeed™ irradiated oocysts and cysts for use in routine
       quality control (QC) samples
•      Minor clarifications and corrections
•      Rejection criteria for sample condition upon receipt
•      Guidance on measuring sample temperatures
•      Clarification of QC sample requirements and use of QC sample  results
•      Guidance on minimizing carry-over debris onto microscope slides after IMS
Changes in the December 2005 Versions of the Methods
Both methods were revised again in 2005 to support promulgation of EPA's  Long Term 2 Enhanced
Surface Water Treatment Rule. Changes incorporated into the June 2003 versions include:
•      Nationwide approval of the use of portable continuous-flow centrifugation as a modified version
       of the method. The product met all method acceptance criteria for Cryptosporidium using 50-L
       source water samples (but not Giardia, however, individual laboratories are permitted to
       demonstrate acceptable performance for Giardia in their laboratory).
•      Addition of BTF EasyStain™ monoclonal antibody stain as an acceptable reagent for staining in
       Methods 1622/1623. The product was validated through an interlaboratory validation study using
       the Pall Envirochek™ HV filter.
•      Clarification of the analyst verification procedure
•      Clarification of sample condition criteria upon receipt
Performance-Based Method Concept and Modifications Approved for Nationwide Use
EPA Method 1623 is a performance-based method applicable to the determination of Cryptosporidium
and Giardia in aqueous matrices. EPA Method 1623 requires filtration, immunomagnetic separation of the
oocysts and cysts from the material captured, and enumeration of the target organisms based on the results
of immunofluorescence assay, 4',6-diamidino-2-phenylindole (DAPI) staining results, and differential
interference contrast microscopy.
                                              IV

-------
The interlaboratory validation of EPA Method 1623 conducted by EPA used the Pall Gelman capsule
filtration procedure, Dynal immunomagnetic separation (IMS) procedure, and Meridian sample staining
procedure described in this document. Alternate procedures are allowed, provided that required quality
control tests are performed and all quality control acceptance criteria in this method are met.

Since the interlaboratory validation of EPA Method 1623, interlaboratory validation studies have been
performed to demonstrate the equivalency of modified versions of the method using the following
components:
•      Whatman Nuclepore CryptTest™ filter (no longer available)
       IDEXX Filta-Max® filter
       Pall Gelman Envirochek™ HV filter
•      Portable Continuous-Flow Centrifugation (PCFC)
•      Waterborne Aqua-Glo™ G/C Direct FL antibody stain
•      Waterborne Crypt-a-Glo™ and Giardi-a-Glo™ antibody stains
•      BTF EasyStain™ antibody stain
•      BTF EasySeed™ irradiated oocysts and cysts for use in routine QC samples

The validation studies for these modified versions of the method met EPA's performance-based
measurement system Tier 2 validation for nationwide use (see Section 9.1.2 for details), and have been
accepted by EPA as equivalent in performance to the original version of the method validated by EPA.
The equipment and reagents used in these modified versions of the method are noted in Sections 6 and 7
of the method.

Because this is a performance-based method, other alternative components not listed in the method may be
available for evaluation and use by the laboratory. Confirming the acceptable performance of a modified
version of the method using alternate components in a single laboratory does not require that an
interlaboratory validation study be conducted. However, method modifications validated only in a single
laboratory have not undergone sufficient testing to merit inclusion in the method. Only those modified
versions of the method that have been demonstrated as equivalent at multiple laboratories on multiple
water sources through a Tier 2 interlaboratory study will be cited in the method.

-------
                                   Table of Contents







1.0    Scope and Application	  1




2.0    Summary of Method	  1




3.0    Definitions 	2




4.0    Contamination, Interferences, and Organism Degradation	2




5.0    Safety 	3




6.0    Equipment and Supplies	4




7.0    Reagents and Standards 	  8




8.0    Sample Collection and Storage	  11




9.0    Quality Control	  13




10.0   Microscope Calibration and Analyst Verification	21




11.0   Oocyst and Cyst Suspension Enumeration and Sample Spiking  	  28




12.0   Sample Filtration and Elution	  36




13.0   Sample Concentration and Separation (Purification)	46




14.0   Sample Staining  	  51




15.0   Examination 	  52




16.0   Analysis of Complex Samples  	  54




17.0   Method Performance	55




18.0   Pollution Prevention	55




19.0   Waste Management	55




20.0   References	  55




21.0   Tables and Figures 	57




22.0   Glossary of Definitions and Purposes	66
                                              VI

-------
        Method  1623:  Cryptosporidium  and Giardia in Water
                                by  Filtration/IMS/FA

1.0   Scope and Application
•| •]    This method is for the detection of Cryptosporidium (CAS Registry number 137259-50-8) and
       Giardia (CAS Registry number 137259-49-5) in water by concentration, immunomagnetic
       separation (IMS), and immunofluorescence assay (FA) microscopy. Cryptosporidium and Giardia
       may be verified using 4',6-diamidino-2-phenylindole (DAPI) staining and differential interference
       contrast (DIG) microscopy. The method has been validated in surface water, but may be used in
       other waters, provided the laboratory demonstrates that the method's performance acceptance
       criteria are met.
•j 2    This method is designed to meet the survey and monitoring requirements of the U.S.
       Environmental Protection Agency (EPA). It is based on laboratory testing of recommendations by
       a panel of experts convened by EPA. The panel was charged with recommending an improved
       protocol for recovery and detection of protozoa that could be tested and implemented with
       minimal additional research.
1 3    This method identifies the genera, Cryptosporidium or Giardia, but not the species. The method
       cannot determine the host species of origin, nor can it  determine the viability or infectivity of
       detected oocysts and cysts.
1 4    This method is for use only by persons  experienced in the determination of Cryptosporidium and
       Giardia by filtration, IMS, and FA. Experienced persons are defined in Section 22.2 as analysts or
       principal analysts.  Laboratories unfamiliar with analyses of environmental samples by the
       techniques in this method should gain experience using water filtration techniques, IMS,
       fluorescent antibody staining with monoclonal antibodies, and microscopic examination of
       biological particulates using bright-field and DIG microscopy.
1 5    Any modification of the method beyond those expressly permitted is subject to the application and
       approval of alternative test procedures under 40 CFR Part 141.27.

2.0   Summary  of Method
2"|    A water sample is filtered and the oocysts, cysts, and extraneous materials are retained on the
       filter. Although EPA has only validated the method using laboratory filtration of bulk water
       samples shipped from the field, field-filtration also may be used.
2 2    Elution and separation
       2.2.1    Materials on the filter are eluted and the eluate is  centrifuged to pellet the oocysts  and
               cysts, and the supernatant fluid is aspirated.
       2.2.2    The oocysts and cysts are magnetized by attachment of magnetic beads conjugated to
               anti-Cryptosporidium and anti-Giardia antibodies. The magnetized oocysts and cysts are
               separated from the extraneous materials using a magnet,  and the extraneous materials are
               discarded. The magnetic bead complex is then detached from the oocysts and cysts.
2 3    Enumeration
       2.3.1    The oocysts and cysts are stained on well slides with fluorescently labeled monoclonal
               antibodies and 4',6-diamidino-2-phenylindole (DAPI). The stained sample is examined
               using fluorescence and differential interference contrast (DIG) microscopy.
                                                                               December 2005

-------
Method 1623 - Cryptosporidium and Giardia
       2.3.2    Qualitative analysis is performed by scanning each slide well for objects that meet the
                size, shape, and fluorescence characteristics of Cryptosporidium oocysts or Giardia
                cysts.
       2.3.3    Quantitative analysis is performed by counting the total number of objects on the slide
                confirmed as oocysts or cysts.
2 4    Quality is assured through reproducible calibration and testing of the filtration, immunomagnetic
       separation (IMS), staining, and microscopy systems. Detailed information on these tests is
       provided in Section 9.0.

3.0   Definitions
3 1    Cryptosporidium is a genus of protozoan parasites potentially found in water and other media.
       The recent taxonomy of the genus Cryptosporidium includes the following species and their
       potential hosts:  C. hominis (humans; formerly C. parvum genotype I; Reference 20.1); C. parvum
       (bovine and other mammals including humans; formerly genotype II;); C. baileyi and C.
       meleagridis (birds); C. muris (rodents); C. canis (dogs); C.felis (cats); C. serpentis (reptiles); and
       C. nasorum (fish). Cryptosporidium oocysts are defined in this method as objects exhibiting
       brilliant apple green fluorescence under UV light (FA-positive), typical size (4 to 6 urn) and shape
       (round to oval), and no atypical characteristics by FA, DAPI fluorescence, or DIG microscopy.
       Examination and characterization using fluorescence (FITC and DAPI stain) and DIG microscopy
       are required for exclusion of atypical organisms (e.g., those possessing spikes, stalks, appendages,
       pores, one or two large nuclei filling the cell, red fluorescing chloroplasts, crystals, spores, etc.).
3 2    Giardia is a genus of protozoan parasites potentially found in water and other media. The recent
       taxonomy of the genus Giardia includes the following species and their potential hosts: G.
       lamblia (also called G. intestinalis or G. duodenalis; humans and other mammals); G. muris
       (rodents); G. agilis (amphibians); G. psittaci and G. ardeae (birds).  Recent molecular studies
       suggest the division of G. lamblia into multiple genotypes (Reference 20.2).  Giardia cysts are
       defined in this method as objects exhibiting brilliant apple green fluorescence under UV light
       (FA-positive), typical size (8 to 18 urn long by 5 to 15 urn wide) and shape (oval to round), and no
       atypical characteristics by FA, DAPI fluorescence, or DIG microscopy. Examination and
       characterization by fluorescence (FITC and DAPI stain) and DIG microscopy are required for
       exclusion of atypical organisms (e.g., those possessing spikes, stalks, appendages, pores, one or
       two large nuclei filling the cell, red fluorescing chloroplasts, crystals, spores, etc.).
3 3    Definitions for other terms used in this method are given in the glossary (Section 22.0).

4.0   Contamination, Interferences, and Organism Degradation
4 1    Turbidity caused by inorganic and organic debris can interfere with the concentration, separation,
       and examination of the sample for Cryptosporidium oocysts and Giardia cysts. In addition to
       naturally-occurring debris, e.g. clays and algae, chemicals,  e.g. iron, alum coagulants and
       polymers added to source waters during the treatment process may result in additional
       interference.
4 2    Organisms and debris that autofluoresce or demonstrate non-specific immunofluorescence, such
       as algal and yeast cells, when examined by epifluorescent microscopy, may interfere with the
       detection of oocysts and cysts and contribute to false positives by immunofluorescence assay (FA)
       (Reference 20.3).
December 2005

-------
                                                         Method 1623 - Cryptosporidium and Giardia
4 3    Solvents, reagents, labware, and other sample-processing hardware may yield artifacts that may
       cause misinterpretation of microscopic examinations for oocysts and cysts. All materials used
       must be demonstrated to be free from interferences under the conditions of analysis by running a
       method blank (negative control sample) initially and a minimum of every week or after changes in
       source of reagent water. Specific selection of reagents and purification of solvents and other
       materials may be required.
4 4    Freezing samples, filters, eluates, concentrates, or slides may interfere with the detection and/or
       identification of oocysts and cysts.
4 5    All equipment should be cleaned according to manufacturers' instructions.  Disposable supplies
       should be used wherever possible.

5.0   Safety
5 •]    The biohazard associated with, and the risk of infection from, oocysts and cysts is high in this
       method because live organisms  are handled. This method does not purport to address all of the
       safety problems  associated with its use. It is the responsibility of the laboratory to establish
       appropriate safety and health practices prior to use of this method. In particular, laboratory staff
       must know and observe the safety procedures required in a microbiology laboratory that handles
       pathogenic organisms while preparing, using, and disposing of sample concentrates, reagents and
       materials, and while operating sterilization equipment.
5 2    The toxicity or carcinogenicity of each compound or reagent used in this method has not been
       precisely determined; however, each chemical compound should be treated as a potential health
       hazard. Exposure to these compounds should be reduced to the lowest possible level. The
       laboratory is responsible for maintaining current knowledge of Occupational Safety and Health
       Administration regulations regarding the safe handling of the chemicals specified in this method.
       A reference file  of material safety data sheets should be made available to all personnel involved
       in these analyses. Additional information on laboratory safety can be found in References 20.4
       through 20.7.
5 3    Samples may contain high concentrations of biohazards and toxic compounds, and must be
       handled with gloves. Reference materials and standards containing oocysts and cysts must also be
       handled with gloves and laboratory staff must never place gloves in or near the face after exposure
       to solutions known or suspected to contain oocysts and cysts. Do not mouth-pipette.
5 4    Laboratory personnel must change gloves after handling filters and other contaminant-prone
       equipment and reagents. Gloves must be removed or changed before touching any other laboratory
       surfaces or equipment.
5 5    Centers for Disease Control (CDC) regulations (42 CFR 72) prohibit interstate shipment of more
       than 4 L of solution known to contain infectious materials (see
       http://www.cdc.gov/od/ohs/biosfty/shipregs.htm for details). State regulations may contain similar
       regulations for intrastate commerce. Unless the sample is known or suspected to contain
       Cryptosporidium, Giardia, or other infectious agents (e.g., during an outbreak), samples should be
       shipped as noninfectious and should not be marked as infectious. If a sample is known or
       suspected to be infectious, and the sample must be shipped to  a laboratory by a transportation
       means affected by CDC or state regulations, the sample should be shipped in accordance with
       these regulations.
                                                                                  December 2005

-------
Method 1623 - Cryptosporidium and Giardia
6.0   Equipment and Supplies
       NOTE:  Brand names, suppliers, and part numbers are for illustrative purposes only. No
       endorsement is implied. Equivalent performance may be achieved using apparatus and
       materials other than those specified here, but demonstration of equivalent performance
       that meets the requirements of this method is the responsibility of the laboratory.
g •]    Sample collection equipment for shipment of bulk water samples for laboratory filtration.
       Collapsible LDPE cubitainer for collection of 10-L bulk sample(s)—Cole Farmer cat. no. U-
       06100-30 or equivalent. Fill completely to ensure collection of a full 10-L sample. Discard after
       one use.
g 2    Equipment for sample filtration. Four options have been demonstrated to be acceptable for use
       with Method 1623. Other options may be used if their acceptability is demonstrated according to
       the procedures outlined in Section 9.1.2.
       6.2.1    Cubitainer spigot to facilitate laboratory filtration of sample (for use with any filtration
                option)—Cole Farmer cat. no. U-06061-01, or equivalent.
       6.2.2    Original Envirochek™ sampling capsule or Envirochek™  HV sampling capsule
                equipment requirements (for use with the procedure described in Section 12.2). The
                versions of the method using these filters were validated using 10-L and 50-L sample
                volumes, respectively. Alternate sample  volumes may be used, provided the laboratory
                demonstrates acceptable performance on initial and ongoing spiked reagent water and
                source water samples (Section 9.1.2).
                6.2.2.1        Sampling capsule
                             6.2.2.1.1      Envirochek™, Pall Corporation, Ann Arbor, MI, part no.
                                           12110 (individual filter) and or part no. 12107 (box of 25
                                           filters) (www.pall.com or (800) 521-1520 ext. 2)
                             6.2.2.1.2      Envirochek™ HV, Pall Corporation,  Ann Arbor, MI, part
                                           no. 12099 (individual filter) or part no. 12098 (box of 25
                                           filters) (www.pall.com or (800) 521-1520 ext. 2)
                6.2.2.2       Laboratory shaker with arms for agitation of sampling capsules
                             6.2.2.2.1      Laboratory shaker—Lab-Line model 3589 (available
                                           through VWR Scientific cat. no. 57039-055), Pall
                                           Corporation part no. 4821,  Fisher cat. no. 14260-11, or
                                           equivalent
                             6.2.2.2.2      Side arms for laboratory shaker—Lab-Line Model 3587-
                                           4 (available through VWR Scientific cat. no. 57039-045),
                                           Fisher cat. no. 14260-13, or equivalent
       6.2.3    Filta-Max® foam filter equipment requirements (for use with the procedure described in
                Section  12.3). The version of the method using this filter was validated using 50-L
                sample volumes; alternate sample volumes may be used, provided the laboratory
                demonstrates acceptable performance on initial and ongoing spiked reagent water and
                matrix samples (Section 9.1.2).
December 2005

-------
                                                        Method 1623 - Cryptosporidium and Giardia
               6.2.3.1       Foam filter—Filta-Max®, IDEXX, Westbrook, ME. Filter module cat.
                             no. FMC 10603
       NOTE: Check at least one filter per batch to ensure that the filters have not been
       affected by improper storage or other factors that could result in brittleness or other
       problems.  At a minimum confirm that the test filter expands properly in water before
       using the batch or shipping filters to the field.

               6.2.3.2       Filter processing equipment—Filta-Max® starter kit, IDEXX,
                             Westbrook, ME, cat. no. FMC 11002. Starter kit includes manual wash
                             station with clamp set (FMC 10101 or 10106) including plunger head
                             (FMC 12001), tubing set (FMC 10307), vacuum set (FMC 10401), MKII
                             filter housing with hose-tail fittings (FMC 10504) and green housing
                             tools (FMC 10506).  In addition, processing requires magnetic stirrer
                             (FMC 10901) and filter membranes, 100 pk, (FMC 10800).
       6.2.4   Portable Continuous-Flow Centrifuge (PCFC) requirements (for use with procedures
               described in Section 12.4). The version of the method using this technique was validated
               for Cryptosporidium in 50-L sample volumes; alternate sample volumes may be used,
               provided the laboratory demonstrates acceptable performance on initial and ongoing
               spiked reagent water and matrix samples (Section 9.1.2). Individual laboratories are also
               permitted to demonstrate acceptable performance for Giardia in their laboratory. The
               technique is based on technology from Haemonetics Corporation, Braintree, MA.
g 3    Ancillary sampling equipment
       6.3.1   Tubing—Glass, polytetrafluoroethylene (PTFE), high-density polyethylene (HDPE), or
               other tubing to which oocysts and cysts will not easily adhere, Tygon formula R-3603, or
               equivalent. If rigid tubing (glass, PTFE, HDPE) is used and the sampling system uses a
               peristaltic pump, a minimum length of compressible tubing may be used in the pump.
               Before use, the tubing must be autoclaved, thoroughly rinsed with detergent solution,
               followed by repeated rinsing with reagent water to minimize sample contamination.
               Alternately, decontaminate using hypochlorite solution, sodium thiosulfate, and multiple
               reagent water rinses. Dispose of tubing after one use whenever possible or when wear is
               evident.
       6.3.2   Flow control valve—0.5 gpm (0.03 L/s), Bertram Controls, Plast-O-Matic cat. no.
               FCOSOB/^-PV,  or equivalent; or 0.4- to 4-Lpm flow meter with valve, Alamo Water
               Treatment, San Antonio, TX, cat. no. R5310, or equivalent
       6.3.3   Pump— peristaltic, centrifugal, impeller, or diaphragm pump; MasterFlex I/P®
               EasyLoad® peristaltic pump (Cole-Parmer cat. No. EW-77963-10) with 77601-10
               pumphead, 77410-00 drive unit, and 06429-73 Tygon LFL tubing; Dayton, model
               number 3YU61 (available through Grainger),  Jabsco Flexible Impeller Pump (Cole-
               Parmer cat. No. EW-75202-00); Simer, model number M40; or equivalent.  It is
               recommended that the pump be placed on the  effluent side of the filter, when possible, to
               reduce the risk of contamination and the amount of tubing replaced or cleaned.
       6.3.4   Flow meter—SaMeCo cold water totalizer, E. Clark and Associates, Northboro, MA,
               product no. WFU 10.110; Omega flow meter, Stamford, CT, model FTB4105; or
               equivalent. Alternatively, use a graduated carboy(s) (See Section 6.18)
g 4    Equipment for spiking samples in the laboratory
       6.4.1   Collapsible 10-L LDPE cubitainer with cubitainer spigot—Cole Farmer cat. no. U-
               06100-30 or equivalent and Cole Farmer cat. no. U-06061-01, or equivalent. Discard
               after one use to eliminate possible contamination. Alternatively, use clean,  10-L carboy
                                                                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
               with bottom delivery port (Yz"), Cole-Palmer cat. no. 06080-42, or equivalent; calibrate
               to 10.0 L and mark level with waterproof marker
       6.4.2   Stir bar—Fisher cat. no. 14-513-66, or equivalent
       6.4.3   Stir plate—Fisher cat. no. 11-51049S, S50461HP, or equivalent
       6.4.4   Hemacytometer—Neubauer type, Hausser Scientific, Horsham, PA, product no. 3200 or
               1475, or equivalent
       6.4.5   Hemacytometer coverslip—Hausser Scientific, product no. 5000 (for hemacytometer cat.
               no. 3200) or 1461 (for hemacytometer cat. no 1475), or equivalent
       6.4.6   Lens paper without silicone—Fisher cat. no. 11-995, or equivalent
       6.4.7   Polystyrene or polypropylene conical tubes with screw caps—15- and 50-mL
       6.4.8   Equipment required for enumeration of spiking suspensions using membrane filters
               6.4.8.1       Glass microanalysis filter holder—25-mm-diameter, with fritted glass
                             support, Fisher cat. no. 09-753E, or equivalent. Replace stopper with size
                             8, one-hole rubber stopper, Fisher Cat. No. 14-135M, or equivalent.
               6.4.8.2       Three-port vacuum filtration manifold and vacuum source—Fisher Cat.
                             No. 09-753-39A, or equivalent
               6.4.8.3       Cellulose acetate support membrane—1.2-[un-pore-size, 25-mm-
                             diameter, Fisher cat. no. A12SP02500, or equivalent
               6.4.8.4       Polycarbonate track-etch hydrophilic membrane filter—1 -[im-pore-size,
                             25-mm-diameter, Fisher cat. no. K10CP02500, or equivalent
               6.4.8.5       100 x 15 mm polystyrene petri dishes (bottoms only)
               6.4.8.6       60 x 15 mm polystyrene petri dishes
               6.4.8.7       Glass microscope slides—1 in. x 3 in or 2 in. x 3 in.
               6.4.8.8       Coverslips—25 mm2
g 5    Immunomagnetic separation (IMS) apparatus
       6.5.1   Sample mixer—Dynal Inc., Lake Success, NY, cat. no. 947.01, or equivalent
       6.5.2   Magnetic particle concentrator for 10-mL test tubes—Dynal MPC®-1 , cat. no. 120.01 or
               MPC®-6, cat. No 120.02, or equivalent
       6.5.3   Magnetic particle concentrator for microcentrifuge tubes—Dynal MPC®-M, cat. no.
               120.09 (no longer available); Dynal MPC®-S, cat. no. 120.20, or equivalent
       6.5.4   Flat-sided sample tubes—16 x  125 mm Leighton-type tubes with 60 x  10 mm flat-sided
               magnetic capture area, Dynal L10, cat. no. 740.03, or equivalent
g g    Powder-free latex gloves—Fisher cat no. 113945B, or equivalent
g 7    Graduated cylinders, autoclavable—10-, 100-,  and 1000-mL
g g    Centrifuges
       6.8.1   Centrifuge capable of accepting 15- to 250-mL conical centrifuge tubes and achieving
               1500 x G—International Equipment Company, Needham Heights, MA, Centrifuge Size
               2, Model K with swinging bucket, or  equivalent
       6.8.2   Centrifuge tubes—Conical, graduated, 1.5-, 50-, and 250-mL
g g    Microscope
       6.9.1   Epifluorescence/differential interference contrast (DIG) with stage and ocular
               micrometers and 20X (N.A.=0.4) to 100X (N.A.=1.3) objectives—Zeiss™ Axioskop,
               Olympus™ BH, or equivalent.  Hoffman Modulation Contrast optics may be equivalent.
December 2005

-------
                                                         Method 1623 - Cryptosporidium and Giardia
6.11
6.12
6.13
6.14
6.15
6.16

6.17
       6.9.2
       6.9.3
               Excitation/band-pass filters for immunofluorescence assay (FA)—Zeiss™ 487909 or
               equivalent, including, 450- to 490-nm exciter filter, 510-nm dicroic beam-splitting
               mirror, and 515- to 520-nm barrier or suppression filter
               Excitation/band-pass filters for DAPI—Filters cited below (Chroma Technology,
               Brattleboro, VT), or equivalent
Microscope
model
Zeiss™ -
Axioskop
Zeiss™ -IM35
Olympus™ BH
Olympus™ BX
Olympus™
IMT2
Fluoro-chrome
DAPI (UV)
DAPI (UV)
DAPI (UV)
Excitation
filter (nm)
340-380
340-380
340-380
Dichroic
beam- splitting
mirror (nm)
400
400
400
Barrier or
suppression
filter (nm)
420
420
420
Filter holder
DAPI (UV)
340-380
400
420
Filter holder
DAPI (UV)
340-380
400
420
Filter holder
Chroma
catalog
number
CZ902
CZ702
11000
91002
11000
91008
11000
91003
610   Ancillary equipment for microscopy
       6.10.1   Well slides— Spot-On well slides, Dynal cat. no. 740.04; treated, 12-mm diameter well
                slides, Meridian Diagnostics Inc., Cincinnati, OH, cat. no. R2206; or equivalent
       6.10.2   Glass coverslips—22 x 50 mm
       6.10.3   Nonfluorescing immersion oil—Type FF, Cargille cat. no. 16212, or equivalent
       6.10.4   Micropipette, adjustable:      0- to 10-uL with 0- to 10-uLtips
                                            10- to 100-uL, with 10- to 200-uL tips
                                            100- to 1000-uL with 100- to 1000-uL tips
       6.10.5   Forceps—Splinter, fine tip
       6.10.6   Forceps—Blunt-end
       6.10.7   Desiccant—Drierite™ Absorbent, Fisher cat. no. 07-577-1 A, or equivalent
       6.10.8   Humid chamber—A tightly sealed plastic container containing damp paper towels on top
                of which the  slides are placed
       Pipettes—Glass or plastic
       6.11.1   5-, 10-, and25-mL
       6.11.2   Pasteur, disposable
       Balances
       6.12.1   Analytical—Capable of weighing 0.1 mg
       6.12.2   Top loading—Capable of weighing 10 mg
       pH meter
       Incubator—Fisher Scientific  Isotemp™, or equivalent
       Vortex mixer—Fisons Whirlmixer, or equivalent
       Vacuum source—Capable of maintaining 25 in. Hg, equipped with shutoff valve and vacuum
       gauge
       Miscellaneous labware and supplies
       6.17.1   Test tubes and rack
                                                                                  December 2005

-------
Method 1623 - Cryptosporidium and Giardia
       6.17.2  Flasks—Suction, Erlenmeyer, and volumetric, various sizes
       6.17.3  Beakers—Glass orplastic, 5-, 10-, 50-, 100-, 500-, 1000-, and 2000-mL
       6.17.4  Lint-free tissues
g ig   10- to 15-L graduated container—Fisher cat.  no. 02-961-50B, or equivalent; calibrate to 9.0, 9.5,
       10.0, 10.5, and 11.0 L and mark levels with waterproof marker
g -jg   Filters for filter-sterilizing reagents—Sterile Acrodisc, 0.45 urn, Pall Corporation, cat. no. 4184,
       or equivalent

7.0   Reagents and  Standards
7 1    Reagents for adjusting pH
       7.1.1   Sodium hydroxide (NaOH)—ACS reagent grade, 6.0 N and 1.0 N in reagent water
       7.1.2   Hydrochloric acid (HC1)—ACS reagent grade, 6.ON, l.ON, andO.l N in reagent water
       NOTE: Due to the low volumes ofpH-adjusting reagents used in this method, and the
       impact that changes in pH have on the immunofluorescence assay, the laboratory must
       purchase standards at the required normality directly from a vendor. Normality must not
       be adjusted by the laboratory.
1 2    Solvents—Acetone, glycerol, ethanol, and methanol, ACS reagent grade
7 3    Reagent water—Water in which oocysts and cysts and interfering materials and substances,
       including magnetic minerals, are not detected by this method. See Reference 20.8 (Section 9020)
       for reagent water requirements.
7 4    Reagents for eluting filters
       NOTE: Laboratories should store prepared eluting solution for no more than 1 week or
       when noticeably turbid, whichever comes sooner.
       7.4.1   Reagents for eluting Envirochek™ and Envirochek™ HV sampling capsules (Section
               6.2.2)
               7.4.1.1       Laureth-12—PPG Industries, Gurnee, IL, cat. no. 06194, or equivalent.
                             Store Laureth-12 as a 10% solution in reagent water. Weigh 10 g of
                             Laureth-12 and dissolve using a microwave or hot plate in 90 mL of
                             reagent water. Dispense 10-mL aliquots into sterile vials and store at
                             room temperature for up to 2 months, or in the freezer for up to a year.
               7.4.1.2       1 M Tris, pH 7.4—Dissolve 121.1 g Tris (Fisher cat. no. BP152) in 700
                             mL of reagent water and adjust pH to 7.4 with 1 N HC1 or NaOH. Dilute
                             to a final 1000 mL with reagent water and adjust the final pH. Filter-
                             sterilize through a 0.2-um membrane into a sterile plastic container and
                             store at room temperature. Alternatively, use prepared TRIS, Sigma
                             T6066 or equivalent.
               7.4.1.3       0.5 M EDTA, 2 Na, pH 8.0—Dissolve 186.1 g ethylenediamine
                             tetraacetic acid, disodium salt dihydrate (Fisher cat. no. S311) in 800 mL
                             of reagent water and adjust pH to 8.0 with 6.0 N HC1 or NaOH. Dilute to
                             a final volume of 1000 mL with reagent water and adjust to pH 8.0 with
                             1.0 N HC1 or NaOH. Alternatively, use prepared EDTA, Sigma E5134 or
                             equivalent.
               7.4.1.4       Antifoam A—Sigma Chemical Co. cat. no. A5758, or equivalent
               7.4.1.5       Preparation of elution buffer solution—Add the contents of a pre-
                             prepared Laureth-12 vial (Section 7.4.1.1) to a 1000-mL graduated

December 2005                                 8

-------
                                                        Method 1623 - Cryptosporidium and Giardia
                             cylinder. Rinse the vial several times to ensure the transfer of the
                             detergent to the cylinder. Add 10 mL of Tris solution (Section 7.4.1.2), 2
                             mL of EDTA solution (Section 7.4.1.3), and 150 uL Antifoam A (Section
                             7.4.1.4). Dilute to 1000 mL with reagent water.
       7.4.2   Reagents for eluting Filta-Max® foam filters (Section 6.2.3)
               7.4.2.1       Phosphate buffered saline (PBS), pH 7.4—Sigma Chemical Co. cat. no.
                             P-3813, or equivalent. Alternately, prepare PBS by adding the following
                             to 1 L of reagent water: 8 g NaCl; 0.2 g KC1;  1.15 g Na2HPO4, anhydrous;
                             and 0.2 g KH2PO4.
               7.4.2.2       Tween® 20 —Sigma Chemical Co. cat. no. P-7949, or equivalent
               7.4.2.3       High-vacuum grease—BDH/Merck. cat. no. 636082B, or equivalent
               7.4.2.4       Preparation of PBST elution buffer. Add 100 uL of Tween®  20  to
                             prepared PBS (Section 7.4.2.1). Alternatively, add the contents of one
                             packet of PBS to  1.0 L of reagent water. Dissolve by stirring  for 30
                             minutes. Add 100 uL of Tween® 20 . Mix by stirring for 5 minutes.
       7.4.3   Reagents for Portable Continuous-Flow Centrifuge (Section  6.2.4)
               7.4.3.1       Sodium dodecyl sulfate—Sigma Chemical Co. cat. no. 71730 or
                             equivalent
               7.4.3.2       TWEEN 80— Sigma Chemical Co. cat. no. P1754 or equivalent
               7.4.3.3       Antifoam A—Sigma Chemical Co. cat. no. A5758, or equivalent
               7.4.3.4       Preparation of concentrated elution buffer. Add above reagents to obtain
                             a final concentration of 1% sodium dodecyl sulfate, 0.01% TWEEN 80,
                             and 0.001% Antifoam A in concentrated sample volume of ~250mL
7 5    Reagents for immunomagnetic separation (IMS)—Dynabeads® GC-Combo, Dynal cat. nos.
       730.02/730.12, or equivalent
7 g    Direct antibody labeling reagents for detection of oocysts and cysts. Store reagents between 1°C
       and 10°C and return promptly to this temperature after each use. Do not allow any of the reagents
       to freeze. The reagents should be protected from exposure to light. Diluted, unused working
       reagents should be discarded after 48 hours. Discard reagents after the expiration date is reached.
       The labeling reagents in Sections 7.6.1-7.6.3 have been approved for use with this method.
       7.6.1   MeriFluor® Cryptosporidium/Giardia, Meridian Diagnostics cat. no. 250050,
               Cincinnati, OH, or equivalent
       7.6.2   Aqua-Glo™ G/C Direct FL, Waterborne cat. no. A100FLR, New Orleans, LA, or
               equivalent
       7.6.3   Crypt-a-Glo™ and Giardi-a-Glo™, Waterborne cat. nos. A400FLR and A300FLR,
               respectively, New Orleans, LA, or equivalent
       7.6.4   EasyStain™C&G, BTF Pty Limited, Sydney, Australia or equivalent

       NOTE: If a laboratory will use multiple  types of labeling reagents, the laboratory must
       demonstrate acceptable performance through an initial precision and recovery test
       (Section 9.4) for each type, and must perform positive and negative staining controls for
       each batch of slides stained using each product. However, the laboratory is not required
       to analyze additional ongoing precision and recovery samples or method blank samples
       for each type. The performance of each labeling reagent used also should be monitored in
       each source water type.

       7.6.5   Diluent for labeling reagents—Phosphate buffered saline (PBS) (Section 7.4.2).
                                                                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
1 i    4',6-diamidino-2-phenylindole (DAPI) stain—Sigma Chemical Co. cat. no. D9542, or equivalent
       7.7.1   Stock solution—Dissolve 2 mg/mL DAPI in absolute methanol. Prepare volume
               consistent with minimum use. Store between 1°C and 10°C in the dark. Do not allow to
               freeze. Discard unused solution when positive staining control fails or after specified
               time determined by laboratory.
       7.7.2   Staining solution—Follow antibody kit manufacturer's instructions. Add 10 (iL of 2
               mg/mL DAPI stock solution to 50 mL of PBS for use with Aqua-Glo™ G/C Direct FL or
               MeriFluor® Cryptosporidium/'Giardia. Add 50 f^L of 2 mg/mL DAPI stock solution to
               50 mL of PBS for use with EasyStain™.  Prepare working solution daily and store
               between 1°C and 10°C (do not allow to freeze). DAPI is light sensitive; therefore, store
               in the dark except when staining. The  DAPI concentration may be increased if
               fading/diffusion of DAPI staining is encountered, but the staining solution must be tested
               first on expendable environmental samples to confirm that staining intensity is
               appropriate.
7 g    Mounting medium
       7.8.1   DABCO/glycerol mounting medium (2%)—Dissolve 2 g of DABCO (Sigma Chemical
               Co. cat no. D-2522, or equivalent) in 95 mL of warm glycerol/PBS (60% glycerol, 40%
               PBS). After the DABCO has  dissolved completely, adjust the solution volume to 100 mL
               by adding an appropriate volume of glycerol/PBS solution. Alternately, dissolve the
               DABCO in 40 mL of PBS, then add azide (1 mL of 100X, or 10% solution), then 60 mL
               of glycerol.
       7.8.2   Mounting medium supplied with MeriFluor® Cryptosporidium/'Giardia, Meridian
               Diagnostics cat. no. 250050, or equivalent (Section 7.6.1)
       7.8.3   Mounting medium supplied with Aqua-Glo™ G/C Direct FL kit, Waterborne cat. no.
               A100FLR, cat. no. M101, or  equivalent (Section 7.6.2)
       7.8.4   Mounting medium supplied with EasyStain™C&G, BTF Pty Limited or equivalent
               (Section 7.6.4)
       7.8.5   Elvanol or equivalent permanent, non-fade archiving mounting medium

7 g    Clear fingernail polish or clear  fixative, PGC Scientifics, Gaithersburg,  MD, cat. no.  60-4890-00,
       or equivalent
y-|0   Oocyst and cyst suspensions for spiking
       7.10.1  Enumerated spiking suspensions prepared by flow cytometer—not formalin fixed.
               7.10.1.1      Live, flow cytometer-sorted oocysts and cysts—Wisconsin State
                             Laboratory of Hygiene Flow Cytometry Unit ([608] 224-6260), or
                             equivalent
               7.10.1.2      Irradiated, flow cytometer-sorted oocysts and cysts—flow
                             cytometer-sorted oocysts and cysts—BTF EasySeed™
                             (contact@btfbio.com). or equivalent
       7.10.2 Materials for manual enumeration of spiking suspensions
               7.10.2.1      Purified Cryptosporidium oocyst stock suspension for manual
                             enumeration—not formalin-fixed: Sterling Parasitology Laboratory,
                             University of Arizona, Tucson, or equivalent
               7.10.2.2      Purified Giardia cyst stock suspension for manual enumeration—not
                             formalin-fixed:  Waterborne, Inc., New Orleans, LA; Hyperion  Research,
                             Medicine Hat, Alberta, Canada; or equivalent
December 2005                                 10

-------
                                                        Method 1623 - Cryptosporidium and Giardia
               7.10.2.3      Tween® 20 , 0.01%—Dissolve 1.0 mL of a 10% solution of Tween® 20
                             in 1 L of reagent water
       7.10.3  Storage procedure—Store oocyst and cyst suspensions between 1°C and 10°C, until
               ready to use; do not allow to freeze
7 11   Additional reagents for enumeration of spiking suspensions using membrane filtration (Section
       11.3.6)—Sigmacote® Sigma Company Product No. SL-2, or equivalent

8.0   Sample Collection and Storage
g •]    Sample collection, shipment, and receipt
       8.1.1   Sample collection. Samples are collected as bulk samples and shipped to the laboratory
               on ice for processing through the entire method, or are filtered in the field and shipped to
               the laboratory on ice for processing from elution (Section 12.2.6) onward.
       8.1.2   Sample shipment Ambient water samples  are dynamic environments and, depending  on
               sample constituents and environmental conditions, Cryptosporidium oocysts or Giardia
               cysts present in a sample can degrade, potentially biasing analytical results. Samples
               should be chilled to reduce biological activity, and preserve the state of source water
               samples between collection and analysis. Samples analyzed by an off-site laboratory
               should be shipped on ice via overnight service on the day they are collected.
       NOTE:  See transportation precautions  in Section 5.5.

               8.1.2.1       If samples are collected early in the day, chill samples by storing in a
                             refrigerator between 1°C and 10°C or pre-icing the sample in a cooler. If
                             the sample is pre-iced before shipping, replace with fresh ice immediately
                             before shipment.
               8.1.2.2       If samples are collected later in the day, these samples may be chilled
                             overnight in a refrigerator between 1°C and 10°C. This should be
                             considered for bulk water samples that will be shipped off-site,  as this
                             minimizes the potential for water samples collected during the summer  to
                             melt the ice in which they are packed and arrive at the laboratory at
                             >20°C.
               8.1.2.3       If samples are shipped after collection at >20°C with no chilling, the
                             sample will not maintain the temperature during shipment at <20°C.
               8.1.2.4       Public water systems shipping samples to off-site laboratories for analysis
                             should include in the shipping container a means for monitoring the
                             temperature of the sample during shipping to verify that the sample did
                             not freeze or exceed 20°C. Suggested approaches for monitoring sample
                             temperature during shipping are discussed in Section 8.1.4.
       8.1.3   Sample receipt. Upon receipt, the laboratory must record the sample temperature.
               Samples that were not collected the  same day they were received, and that are received at
               >20°C or frozen, or samples that the laboratory has determined exceeded >20°C or froze
               during shipment, must be rejected. After receipt, samples must be stored at the laboratory
               between 1°C and 10°C, and not frozen, until processed.
       8.1.4   Suggestions on measuring sample temperature. Given the importance of maintaining
               sample temperatures for Cryptosporidium and Giardia determination, laboratories
               performing analyses using this method must establish  acceptance criteria for receipt of
               samples transported to their laboratory. Several options are available to measure sample
               temperature upon receipt at the  laboratory and, in some cases, during  shipment:
               8.1.4.1       Temperature sample. One option, for filtered samples only (not for 10-L
                             bulk samples), is for the sampler  to fill a small, inexpensive sample bottle

                                              11                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                             with water and pack this "temperature sample" next to the filtered
                             sample. The temperature of this extra sample volume is measured upon
                             receipt to estimate the temperature of the filter. Temperature sample
                             bottles are not appropriate for use with bulk samples because of the
                             potential effect that the difference in sample volume may have in
                             temperature equilibration in the sample cooler. Example product: Cole
                             Farmer cat. no. U-06252-20.
               8.1.4.2       Thermometer vial. A similar option is to use a thermometer that is
                             securely housed in a liquid-filled vial. Unlike temperature samples, the
                             laboratory does not need to perform an additional step to monitor the
                             temperature of the vial upon receipt, but instead just needs to read the
                             thermometer. The thermometer vial is appropriate for use with filtered
                             samples not bulk samples. Example product: Eagle-Picher Sentry
                             Temperature Vial 3TR-40CS-F or 3TR-40CS.
               8.1.4.3       iButton. Measures the sample temperature during shipment and upon
                             receipt. An iButton is a small, waterproof device that contains a
                             computer chip that can be programmed to record temperature at different
                             time intervals. The information is then downloaded from the iButton
                             onto a computer. The iButton should be placed in a temperature sample,
                             rather than placed loose in the cooler, or attached to the sample container.
                             This option is appropriate for use with both filtered and bulk samples.
                             Information on Thermocron® iButtons is available from
                             http://www.ibutton.com/.  Distributors include http://www.pointsix.com/.
                             http://www.rdsdistributing.com, and http://www.scigiene.com/.
               8.1.4.4       Stick-on temperature strips. Another option is for the laboratory to
                             apply a stick-on temperature strip to the outside of the sample container
                             upon receipt at the laboratory. This option does not measure temperature
                             as precisely as the other options, but provides an indication of sample
                             temperature to verify  that the sample temperature is acceptable. This
                             option is appropriate for use with both filtered and bulk samples. Example
                             product: Cole Farmer cat. no. U-90316-00.
               8.1.4.5       Infrared thermometers. A final option is to measure the temperature of
                             the surface  of the sample container or filter using an infrared
                             thermometer. The thermometer is pointed at the sample, and measures the
                             temperature without coming in contact with the sample volume. This
                             option is appropriate for use with both filtered and bulk samples. Example
                             product: Cole Farmer cat. no. EW-39641-00.
               As with other laboratory equipment,  all temperature measurement devices must be
               calibrated routinely to ensure accurate measurements. See the EPA Manual for the
               Certification of Laboratories Analyzing Drinking Water (Reference 20.9) for more
               information.
g 2    Sample holding times. Samples must be processed or examined within each of the holding times
       specified in Sections 8.2.1 through 8.2.4. Sample processing should be completed as soon as
       possible by the laboratory. The laboratory should complete sample filtration, elution,
       concentration, purification, and staining the day  the sample is received wherever possible.
       However, the laboratory is permitted to split up the  sample processing steps if processing a
       sample completely in one day is not possible.  If this is necessary, sample processing can be halted
       after filtration, application of the purified sample onto the slide, or staining. Table 1, in Section
       21.0 provides abreakdown of the holding times for each set of steps. Sections 8.2.1 through 8.2.4
       provide descriptions of these holding times.
December 2005                                 12

-------
                                                         Method 1623 - Cryptosporidium and Giardia
       8.2.1    Sample collection and filtration. Sample elution must be initiated within 96 hours of
                sample collection (if shipped to the laboratory as a bulk sample) or filtration (if filtered
                in the field).
       8.2.2    Sample elution, concentration, and purification. The laboratory must complete
                elution, concentration, and purification (Sections 12.2.6 through 13.3.3.11) in one work
                day. It is critical that these steps be completed in one work day to minimize the time that
                any target organisms present in the sample sit in eluate or concentrated matrix. This
                process ends with the application of the purified sample on the slide for drying.
       8.2.3    Staining. The sample must be stained within 72 hours of application of the purified
                sample to the slide.
       8.2.4    Examination. Although immunofluorescence assay (FA) and 4',6-diamidino-2-
                phenylindole (DAPI) and differential interference contrast (DIG) microscopy
                examination and characterization should be performed immediately after staining is
                complete, laboratories have up to 168 hours (7 days) from the completion of sample
                staining to perform the examination and verification of samples. However, if
                fading/diffusion of FITC or DAPI staining is noticed, the laboratory must reduce this
                holding time. In addition the laboratory may adjust the concentration of the DAPI
                staining solution (Sections 7.7.2) so that fading/diffusion does not occur.
g 3    Spiking suspension enumeration holding times. Flow-cytometer-sorted spiking suspensions
       (Sections 7.10.1 and  11.2) used for spiked quality control (QC) samples (Section 9) must be used
       within the expiration date noted on the suspension. Manually enumerated spiking suspensions
       must be used within 24 hours of enumeration of the spiking suspension if the hemacytometer
       chamber technique is used (Section 11.3.4); or within 24 hours of application of the spiking
       suspension to the slides if the well slide or membrane filter enumeration technique is used
       (Sections 11.3.5 and  11.3.6). Oocyst and cyst suspensions must be stored between 1°C and 10°C,
       until ready to use; do not allow to freeze.

9.0   Quality Control
g 1    Each laboratory that uses this method is required to operate a formal quality assurance (QA)
       program that addresses and documents data quality, instrument and equipment maintenance and
       performance, reagent quality and performance, analyst training and certification, and records
       storage and retrieval. General requirements and recommendations for QA and quality control
       (QC) procedures for microbiology laboratories are provided in References 20.8, 20.9, 20.10. The
       minimum analytical requirements of this program consist of an initial demonstration of laboratory
       capability (IDC) through performance of the initial precision and recovery (IPR) test (Section
       9.4), and ongoing demonstration of laboratory capability and method performance through the
       matrix spike (MS) test (Section 9.5.1), the method blank test (Section 9.6), the ongoing precision
       and recovery (OPR) test (Section 9.7), staining controls (Section 14.1 and 15.2.1), and analyst
       verification tests (Section 10.6). Laboratory performance is compared to established performance
       criteria to determine if the results of analyses meet the performance characteristics of the method.
       9.1.1    A test of the microscope used for detection of oocysts and cysts is performed prior to
                examination of slides. This test is described in Section 10.0.
       9.1.2    In recognition of advances that are occurring in analytical technology, the laboratory is
                permitted to modify certain method procedures to improve recovery or lower the costs of
                measurements, provided that all required quality control (QC) tests are performed and all
                QC acceptance criteria are met. Method procedures that can be modified include front-
                end techniques, such as filtration or immunomagnetic separation (IMS). The laboratory
                is not permitted to use an alternate determinative technique to replace
                immunofluorescence assay in this method (the use of different determinative techniques
                are considered to be different methods, rather than modified version of this method).


                                               13                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
               However, the laboratory is permitted to modify the immunofluorescence assay
               procedure, provided that all required QC tests are performed (Section 9.1.2.1) and all QC
               acceptance criteria are met (see guidance on the use of multiple labeling reagents in
               Section 7.6).
       NOTE: Method modifications should be considered only to improve method
       performance, reduce cost, or reduce sample processing time. Method modifications that
       reduce cost or sample processing time, but that result in poorer method performance
       should not be used.

               9.1.2.1       Method modification validation/equivalency demonstration requirements
                             9.1.2.1.1      Method modifications at a single laboratory. Each
                                           time a modification is made to this method for use in a
                                           single laboratory, the laboratory must, at a minimum,
                                           validate the modification according to Tier 1 of EPA's
                                           performance-based measurement system (PBMS) (Table
                                           2) to demonstrate that the modification produces results
                                           equivalent or superior to results produced by this method
                                           as written. Briefly, each time a modification is made to
                                           this method, the laboratory is required to demonstrate
                                           acceptable modified method performance through the
                                           IPR test (Section 9.4). IPR results must meet the QC
                                           acceptance criteria in Tables 3 and 4 in Section 21.0, and
                                           should be comparable to previous results using the
                                           unmodified procedure. Although not required, the
                                           laboratory also should perform a matrix spike/matrix
                                           spike duplicate (MS/MSD) test to demonstrate the
                                           performance of the modified method in at least one real-
                                           world matrix before analyzing field samples using the
                                           modified method. The laboratory is required to perform
                                           MS samples using the modified method at the frequency
                                           noted in Section 9.1.8. If the modified method involves
                                           changes that cannot be adequately evaluated through
                                           these tests, additional tests may be required to
                                           demonstrate acceptability.
                             9.1.2.1.2     Method modifications for nationwide approval. If the
                                           laboratory or a manufacturer seeks EPA approval of a
                                           method modification for nationwide use, the laboratory
                                           or manufacturer must, at a minimum, validate the
                                           modification according to Tier 2 of EPA's PBMS (Table
                                           2). Briefly, at least three laboratories must perform IPR
                                           tests (Section 9.4) and MS/MSD (Section 9.5) tests using
                                           the modified method, and all tests must meet the QC
                                           acceptance criteria specified in Tables 3 and 4 in Section
                                           21.0. Upon nationwide approval, laboratories electing to
                                           use the modified method  still must demonstrate
                                           acceptable performance in their own laboratory according
                                           to the requirements in Section 9.1.2.1.1. If the modified
                                           method involves changes that cannot be adequately
                                           evaluated through these tests, additional tests may be
                                           required to demonstrate acceptability.
               9.1.2.2       The laboratory is required to maintain records of modifications made to
                             this method. These records include the following, at a minimum:

December 2005                                 14

-------
                                                  Method 1623 - Cryptosporidium and Giardia
                      9.1.2.2.1      The names, titles, addresses, and telephone numbers of
                                     the analyst(s) who performed the analyses and
                                     modification, and of the quality control officer who
                                     witnessed and will verify the analyses and modification.
                      9.1.2.2.2      A listing of the analyte(s) measured (Cryptosporidium
                                     and Giardia).
                      9.1.2.2.3      A narrative stating reason(s) for the modification.
                      9.1.2.2A      Results from all QC tests comparing the modified method
                                     to this method, including:
                                     (a)     IPR (Section 9.4)
                                     (b)     MS/MSD (Section 9.5)
                                     (c)     Analysis of method blanks (Section 9.6)
                      9.1.2.2.5      Data that will allow an independent reviewer to validate
                                     each determination by tracing the following processing
                                     and analysis steps leading to the final result:
                                     (a)     Sample numbers and other identifiers
                                     (b)     Source of spiking suspensions, as well as lot
                                            number and date received (Section 7.10)
                                     (c)     Spike enumeration date and time
                                     (d)     All spiking suspension enumeration counts and
                                            calculations (Section 11.0)
                                     (e)     Sample spiking dates and times
                                     (f)     Volume filtered (Section 12.2.5.2)
                                     (g)     Filtration and elution dates and times
                                     (h)     Pellet volume, resuspended concentrate volume,
                                            resuspended concentrate volume transferred to
                                            IMS, and all calculations required to verify the
                                            percent of concentrate examined (Section 13.2)
                                     (i)     Purification completion dates and times (Section
                                            13.3.3.11)
                                     (j)     Staining  completion dates and times (Section
                                            14.10)
                                     (k)     Staining  control results (Section  15.2.1)
                                     (1)     All required examination information (Section
                                            15.2.2)
                                     (m)    Examination completion dates  and times (Section
                                            15.2.4)
                                     (n)     Analysis sequence/run chronology
                                     (o)     Lot numbers of elution, IMS, and staining
                                            reagents
                                     (p)     Copies of bench sheets, logbooks, and other
                                            recordings of raw data
                                     (q)     Data system outputs, and other data to link the
                                            raw data to the results reported
9.1.3   The laboratory shall spike a separate sample aliquot from the same source to monitor
        method performance. The frequency of the MS test is described in Section 9.1.8 and the
        procedures are described in Section 9.5.1.
9.1.4   Analysis of method blanks is required to demonstrate freedom from contamination. The
        frequency of the analysis of method blanks is described in Section 9.1.7 and the
        procedures and criteria for analysis of a method blank are described in Section 9.6.
                                        15                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
       9.1.5    The laboratory shall, on an ongoing basis, demonstrate through analysis of the ongoing
                precision and recovery (OPR) sample that the analysis system is in control. Frequency of
                OPR samples is described in Section 9.1.7 and the procedures are described in Section
                9.7.
       9.1.6    The laboratory shall maintain records to define the quality of data that are generated.
                Development of accuracy statements is described in Sections 9.5.1.4 and 9.7.6.
       9.1.7    The laboratory shall analyze one method blank (Section 9.6) and one OPR sample
                (Section 9.7) each week (7 day or 168 hours time period which begins with processing
                the OPR) in which samples are analyzed if 20 or fewer field samples are analyzed during
                this period. The laboratory shall analyze one laboratory blank and one OPR sample for
                every 20 samples if more than 20 samples are analyzed in a one week (7 day or 168
                hours) period.
       9.1.8    The laboratory shall analyze MS samples (Section 9.5.1) at a minimum frequency of 1
                MS sample per 20 field samples from each source analyzed. The laboratory should
                analyze an MS sample when samples are first received from a PWS for which the
                laboratory has never before analyzed samples to identify potential method performance
                issues with the matrix (Section 9.5.1; Tables 3 and 4). If an MS sample cannot be
                analyzed on the first sampling event, the first MS sample should be analyzed as soon as
                possible to identify potential method performance issues with the matrix.
g 2    Micropipette calibration
       9.2.1    Micropipettes must be sent to the manufacturer for calibration annually. Alternately, a
                qualified independent technician specializing in micropipette calibration can be used, or
                the calibration can be performed by the laboratory, provided the laboratory maintains a
                detailed procedure that can be evaluated by an independent auditor. Documentation on
                the precision of the recalibrated micropipette must be obtained from the manufacturer or
                technician.
       9.2.2    Internal and external calibration records must be kept on file in the laboratory's QA
                logbook.
       9.2.3    If a micropipette calibration problem is suspected, the laboratory shall tare an empty
                weighing boat on the analytical balance and pipette the following volumes of reagent
                water into the weigh boat using the pipette in question: 100% of the maximum
                dispensing capacity of the micropipette,  50% of the capacity, and 10% of the capacity.
                Ten replicates should be performed at each  weight. Record the weight of the water
                (assume that 1.00 mL of reagent water weighs 1.00 g) and calculate the relative standard
                deviation (RSD) for each. If the weight of the reagent water is within 1% of the desired
                weight (mL) and the RSD of the replicates at each weight is within 1%, then the pipette
                remains acceptable for use.
       9.2.4    If the weight of the reagent water is outside the acceptable limits, consult the
                manufacturer's instruction manual troubleshooting section and repeat steps described in
                Section 9.2.3. If problems with the pipette persist, the laboratory must send the pipette to
                the manufacturer for recalibration.
g 3    Microscope adjustment and calibration —Adjust the microscope as specified in Section 10.0. All
       of the requirements in Section 10.0 must be met prior to analysis of IPRs, method blanks, OPRs,
       field samples, and MS/MSDs.
g 4    Initial precision and recovery (IPR)—To establish the ability to demonstrate control over the
       analytical system and to generate acceptable precision and recovery, the laboratory shall perform
       the following operations:
       9.4.1    Using the spiking procedure in Section 11.4 and enumerated spiking suspensions
                (Section 7.10.1  or Section 11.3), spike, filter, elute, concentrate, separate (purify), stain,


December 2005                                 16

-------
                                                 Method 1623 - Cryptosporidium and Giardia
        and examine the four reagent water samples spiked with ~100-500 oocysts and ~100-500
        cysts.
        9.4.1.1       The laboratory is permitted to analyze the four spiked reagent samples on
                      the same day or on as many as four different days (provided that the
                      spiked reagent samples are analyzed consecutively), and also may use
                      different analysts and/or reagent lots for each sample (however, the
                      procedures used for all analyses must be identical). Laboratories should
                      note that the variability of four measurements performed on multiple days
                      or using multiple analysts or reagent lots may be greater than the
                      variability of measurements performed on the same day with the same
                      analysts and reagent lots. As a result, the laboratory is at a greater risk of
                      generating unacceptable IPR results if the test is performed across
                      multiple days, analysts, and /or reagent lots.
        9.4.1.2       If more than one modification will be used for filtration and/or separation
                      of samples, a separate set of IPR samples must be prepared for each
                      modification.
        9.4.1.3       The set of four IPR samples must be accompanied by analysis of an
                      acceptable method blank (Section 9.6).
9.4.2   For each organism, calculate the percent recovery (R) using the following equation:


                        N
          R=   100x  	
                        T

        where:
               R = the percent recovery
               N = the number of oocysts or cysts counted
               T = the number of oocysts or cysts spiked

        This calculation assumes that the total volume spiked was processed and examined.
9.4.3   Using percent recovery (R)  of the four analyses, calculate the mean percent recovery and
        the relative standard deviation (RSD)  of the recoveries for Cryptosporidium and for
        Giardia. The RSD is the standard deviation divided by the mean, times 100.
9.4.4   Compare the mean and RSD to the corresponding method performance acceptance
        criteria for initial precision and recovery in Tables 3 and 4 in Section 21.0. If the mean
        and RSD for recovery meet the acceptance  criteria, system performance is acceptable
        and analysis of blanks and samples may begin. If the mean or RSD falls outside the range
        for recovery, system performance is unacceptable. In this event, trouble-shoot the
        problem by starting at the end of the method (see guidance in Section 9.7.5), correct the
        problem and repeat the IPR test (Section 9.4.1).
9.4.5   Examine and document the  IPR slides following the procedure in Section 15.0. The first
        three Cryptosporidium oocysts and first three  Giardia cysts identified in each IPR
        sample must be characterized (size, shape, DAPI category, and DIG category) and
        documented on the examination form, as well as any additional comments on organisms
        appearance,  if notable.
9.4.6   Using 200X to 400X magnification, more than 50% of the oocysts or cysts must appear
        undamaged and morphologically intact;  otherwise, the organisms  in the spiking
        suspension maybe of unacceptable quality or the analytical process maybe damaging
        the organisms. If the quality of the organisms on the IPR test slides is unacceptable,
        examine the spiking suspension organisms directly (by centrifuging, if possible, to
        concentrate the organisms in a volume that can be applied directly to a slide). If the

                                       17                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                unprocessed organisms appear undamaged and morphologically intact under DIG,
                determine the step or reagent that is causing damage to the organisms. Correct the
                problem (see Section 9.7.5) and repeat the IPR test.
g 5    Matrix spike (MS) and matrix spike duplicate (MSD)
       9.5.1    Matrix spike— The laboratory shall spike and analyze a separate field sample aliquot to
                determine the effect of the matrix on the method's oocyst and cyst recovery. The MS and
                field sample must be that was collected from the same sampling location as split samples
                or as samples sequentially collected immediately after one another. The MS sample
                volume analyzed must be within 10% of the field sample volume. The MS shall be
                analyzed according to the frequency in Section 9.1.8.
                9.5.1.1       Analyze an unspiked field sample according to the procedures in Sections
                             12.0 to 15.0. Using the spiking procedure in Section 11.4 and enumerated
                             spiking suspensions (Section 7.10.1 or Section 11.3), spike, filter, elute,
                             concentrate, separate (purify), stain, and examine a second field sample
                             aliquot with a similar number of organisms as that used in the IPR or
                             OPR tests (Sections 9.4 and 9.7).
                9.5.1.2       For each organism, calculate the percent recovery (R) using the following
                             equation.

                                               N5P - N5
                                R=    100x  	
                                                 T

                             where
                                     R is the percent recovery
                                     Nsp is the number of oocysts or cysts counted in the spiked sample
                                     Ns is the number of oocysts or cysts counted in the unspiked
                                     sample
                                     T is the true value of the oocysts or cysts spiked

                9.5.1.3       Compare the recovery for each organism with the acceptance criteria in
                             Tables 3 and 4 in Section 21.0.
       NOTE:  Some sample matrices may prevent the acceptance criteria in Tables 3 and 4
       from being met. An assessment of the distribution of MS recoveries across 430 MS
       samples from 87 sites during the ICR Supplemental Surveys is provided in Table 5.

                9.5.1.4       As part of the QA program forthe laboratory, method precision for
                             samples should be assessed and records maintained. After the analysis of
                             five samples, the laboratory should calculate the mean percent recovery
                             (P) and the standard deviation of the percent recovery (sr). Express the
                             precision assessment as a percent recovery interval from P - 2 sr to P + 2
                             sr for each matrix. For example, if P = 80% and sr = 30%, the accuracy
                             interval is expressed as 20% to 140%. The precision assessment should
                             be updated regularly across all MS samples and stratified by MS samples
                             for each source.
       9.5.2    Matrix spike duplicate—MSD analysis is required as part of Tier 2 or nationwide
                approval of a modified version of this method to demonstrate that the modified version
                of this method produces results equal or superior to results produced by the method as
                written (Section 9.1.2.1.2). At the same time the laboratory spikes and analyzes the
                second field sample aliquot in  Section 9.5.1.1, the laboratory shall spike and analyze a
                third, identical field sample aliquot.

December 2005                                 18

-------
                                                         Method 1623 - Cryptosporidium and Giardia
       NOTE: Matrix spike duplicate samples are only required for Tier 2 validation studies.
       They are recommended for Tier 1 validation, but not required.

               9.5.2.1       For each organism, calculate the percent recovery (R) using the equation
                             in Section 9.5.1.2.
               9.5.2.2       Calculate the mean of the number of oocysts or cysts in the MS and MSD
                             (X™ J (= [MS+MSD]/2).
               9.5.2.3       Calculate the relative percent difference (RPD) of the recoveries using the
                             following equation:
                                RPD=    100 x
                                                   NMS - NMSD
                                                     XMEAN

                             where
                                     RPD is the relative percent difference
                                     NMS is the number of oocysts or cysts counted in the MS
                                     NMSD is the number of oocysts or cysts counted in the MSD
                                     Xmean is the mean number of oocysts or cysts counted in the MS
                                     and MSD
                9.5.2.4       Compare the mean MS/MSD recovery and RPD with the acceptance
                             criteria in Tables 3 and 4 in Section 21.0 for each organism.
9 g    Method blank (negative control sample, laboratory blank)—Reagent water blanks are routinely
       analyzed to demonstrate freedom from contamination. Analyze the blank immediately after
       analysis of the IPR test (Section 9.4) and OPR test (Section 9.7)  and prior to analysis of samples
       for the week to demonstrate freedom from contamination.
       9.6.1    Filter, elute, concentrate, separate (purify), stain, and examine at least one reagent water
                method blank per week (Section 9.1.7) according to the procedures in Sections 12.0 to
                15.0. A method blank must be analyzed each week (7 day or 168 hours time period that
                begins with processing the OPR) in which samples are  analyzed if 20 or fewer field
                samples are analyzed during this period. If more than 20 samples are analyzed in a week
                (7 days or 168 hours), process and analyze one reagent  water method blank for every 20
                samples.
       9.6.2    Actions
                9.6.2.1       If Cryptosporidium oocysts, Giardia cysts, or potentially interfering
                             organisms or materials that may be misidentified as oocysts or cysts are
                             not found in the method blank, the method blank test is acceptable and
                             analysis of samples may proceed.
                9.6.2.2       If Cryptosporidium oocysts, Giardia cysts (as defined in Section 3), or
                             any potentially interfering organism or materials that may be
                             misidentified as oocysts or cysts are found in the method blank, the
                             method blank test is unacceptable. Any  field sample in a batch associated
                             with an unacceptable method blank is assumed to be contaminated and
                             should be recollected. Analysis of additional samples is halted until the
                             source of contamination is eliminated, the method blank test is performed
                             again, and no evidence of contamination is detected.
9 7    Ongoing precision and recovery (OPR; positive control sample;  laboratory control
       sample)—Using the spiking procedure  in Section 11.4 and enumerated spiking suspensions
       (Section 7.10.1 or Section 11.3), filter, elute, concentrate, separate (purify), stain, and examine at
       least one reagent water sample spiked with -100 to 500 oocysts  and -100 to 500 cysts each week

                                               19                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
       to verify all performance criteria. The laboratory must analyze one OPR sample for every 20
       samples if more than 20 samples are analyzed in a week. If multiple method variations are used,
       separate OPR samples must be prepared for each method variation. Adjustment and/or
       recalibration  of the analytical system shall be performed until all performance criteria are met.
       Only after all performance criteria are met should samples be analyzed.
       9.7.1    Examine the slide from the OPR prior to analysis of samples from the same batch.
                9.7.1.1       Using 200X to 400X magnification, more than 50% of the oocysts or
                             cysts must appear undamaged and morphologically intact; otherwise, the
                             organisms in the spiking suspension maybe of unacceptable quality or
                             the analytical process may be damaging the organisms. Examine the
                             spiking suspension organisms directly (by centrifuging, if possible, to
                             concentrate the organisms in a volume that can be applied directly to a
                             slide). If the organisms appear undamaged and morphologically intact
                             under DIG, determine the step or reagent that is causing damage to the
                             organisms. Correct the problem and repeat the OPR test.
                9.7.1.2       Identify and enumerate each organism using epifluorescence microscopy.
                             The first three Cryptosporidium oocysts and three Giardia cysts
                             identified in the OPR sample must be examined using FITC, DAPI, and
                             DIG, as per Section  15.2, and the detailed characteristics (size, shape,
                             DAPI category, and DIG category) reported on the Cryptosporidium and
                             Giardia report form, as well as any additional comments on organism
                             appearance, if notable.
       9.7.2    For each organism, calculate the percent recovery (R) using the following equation:


                                N
                  R=   100x  	
                                T

                where:
                      R = the percent recovery
                      N = the number of oocysts or cysts detected
                      T = the number of oocysts or cysts spiked
       9.7.3    Compare the recovery with the acceptance  criteria for ongoing precision and recovery in
                Tables 3 and 4 in Section 21.0.
       9.7.4    Actions
                9.7.4.1       If the recoveries  for Cryptosporidium and Giardia meet the acceptance
                             criteria, system performance is acceptable and analysis of samples may
                             proceed.
                9.7.4.2       If the recovery for Cryptosporidium or Giardia falls outside  of the
                             criteria, system performance is unacceptable. Any sample in a batch
                             associated with an unacceptable OPR sample is unacceptable. Analysis of
                             additional samples is halted until the analytical system is brought under
                             control. Troubleshoot the problem using the procedures at Section 9.7.5
                             as a guide.  After assessing the issue, perform another OPR test and verify
                             that Cryptosporidium and Giardia recoveries meet the acceptance
                             criteria.
       9.7.5    Troubleshooting. If an OPR sample has failed, and the cause  of the failure  is not known,
                the laboratory generally should identify the problem working backward in the analytical
                process from the microscopic examination to filtration.
December 2005                                 20

-------
                                                         Method 1623 - Cryptosporidium and Giardia
                9.7.5.1       Quality of spiked organisms. Examine the spiking suspension organisms
                             directly (by centrifuging, if possible, to concentrate the organisms in a
                             volume that can be applied directly to a slide). If the organisms appear
                             damaged under DIG, obtain fresh spiking materials. If the organisms
                             appear undamaged and morphologically intact, determined whether the
                             problem is associated with the microscope system or antibody stain
                             (Section 9.7.5.2).
                9.7.5.2       Microscope system and antibody stain: To determine if the failure of
                             the OPR test is due to changes in the microscope or problems with the
                             antibody stain, re-examine the positive staining control (Section 15.2.1),
                             check Kohler illumination, and check the fluorescence of the fluorescein-
                             labeled monoclonal antibodies (Mabs) and 4',6-diamidino-2-phenylindole
                             (DAPI). If results are unacceptable, re-examine a previously-prepared
                             positive staining control to determine whether the problem is associated
                             with the microscope or the antibody stain.
                9.7.5.3       Separation (purification) system: To determine if the failure of the
                             OPR test is attributable to the separation system, check system
                             performance by spiking a 10-mL volume of reagent water with -100 - 500
                             oocysts and cysts and processing the sample through the IMS, staining,
                             and examination procedures in Sections 13.3 through 15.0. Recoveries
                             should be greater than 70%.
                9.7.5.4       Filtration/elution/concentration system: If the failure of the OPR test is
                             attributable to the filtration/elution/concentration system, check system
                             performance by processing spiked reagent water according to the
                             procedures in  Section 12.2 through 13.2.2, and filter, stain, and examine
                             the sample concentrate according to Section 11.3.6.
       9.7.6    The laboratory should add results that pass the specifications in Section 9.7.3 to initial
                and previous ongoing data and update the QC chart to form a graphic representation of
                continued laboratory performance.  The laboratory should develop a statement of
                laboratory accuracy (reagent water, raw surface water) by calculating the mean percent
                recovery (R) and the standard deviation of percent recovery (sr). Express the accuracy  as
                a recovery interval from R - 2 sr to R + 2 sr. For example, if R = 95% and sr = 25%, the
                accuracy is 45% to 145%.
g g    The laboratory should periodically analyze an external QC sample, such as a performance
       evaluation or standard reference material, when available. The laboratory also should periodically
       participate in interlaboratory comparison studies using the method.
g 9    The specifications contained in this method  can be met if the analytical system is under control.
       The standards used for initial (Section 9.4) and ongoing (Section 9.7) precision and recovery
       should be identical, so that the most precise results will be obtained. The microscope in particular
       will provide the most reproducible results if dedicated to the settings and conditions required for
       the determination of Cryptosporidium and Giardia by this method.
9 1 o   Depending on specific program requirements, field replicates may be collected to determine the
       precision of the sampling technique, and duplicate spiked samples may be required to determine
       the precision of the analysis.

10.0  Microscope Calibration and  Analyst Verification
-| 0 1   In a room capable of being darkened to near-complete darkness, assemble the microscope, all
       filters, and attachments. The microscope should be placed on a solid surface free from vibration.
       Adequate workspace should be provided on  either side of the microscope for taking notes and
       placement of slides and ancillary materials.

                                               21                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
102   Using the manuals provided with the microscope, all analysts must familiarize themselves with
       operation of the microscope.
103   Microscope adjustment and calibration (adapted from Reference 20.10)
       10.3.1   Preparations for adjustment
                10.3.1.1      The microscopy portion of this procedure depends upon proper alignment
                             and adjustment of very sophisticated optics. Without proper alignment
                             and adjustment, the microscope will not function at maximal efficiency,
                             and reliable identification and enumeration of oocysts and cysts will not
                             be possible. Consequently, it is imperative that all portions of the
                             microscope from the light sources to the oculars are properly adjusted.
                10.3.1.2      While microscopes from various vendors are configured somewhat
                             differently, they all operate on the same general physical principles.
                             Therefore, slight deviations or adjustments may be required to make the
                             procedures below work for a particular instrument.
                10.3.1.3      The sections below assume that the mercury bulb has not exceeded time
                             limits of operation, that the lamp socket is connected to the lamp house,
                             and that the condenser is adjusted to produce Kohler illumination.
                10.3.1.4      Persons with astigmatism should always wear contact lenses or glasses
                             when using the microscope.

       CAUTION:    In  the procedures below, do not touch the quartz portion of the mercury

       bulb with your bare fingers. Finger oils can cause rapid degradation of the quartz and
       premature failure of the bulb.

       WARNING:   Never look at the ultraviolet (UV) light from the mercury lamp, lamp

       house, or the UV image without a barrier filter in place. UV radiation can cause serious
       eye damage.

       10.3.2   Epifluorescent mercury bulb adjustment: The purpose of this procedure is to ensure even
                field illumination. This procedure must be followed when the microscope is first used,
                when replacing bulbs, and if problems such as diminished fluorescence or uneven field
                illumination are experienced.
                10.3.2.1      Remove the diffuser lens between the lamp and microscope or swing it
                             out of the transmitted light path.
                10.3.2.2      Using a prepared microscope slide, adjust the focus so the image in the
                             oculars is sharply defined.
                10.3.2.3      Replace the slide with a business card or a piece of lens paper.
                10.3.2.4      Close the field diaphragm (iris  diaphragm in the microscope base) so only
                             a small point of light is visible  on the card. This dot of light indicates the
                             location of the center of the field of view.
                10.3.2.5      Mount the mercury lamp house on the microscope without the UV
                             diffuser lens in place and turn on the mercury bulb.
                10.3.2.6      Remove the objective in the light path from the nosepiece. A primary
                             (brighter) and secondary image (dimmer) of the mercury bulb arc should
                             appear on the card after focusing the image with the appropriate
                             adjustment.
December 2005                                 22

-------
                                                 Method 1623 - Cryptosporidium and Giardia
        10.3.2.7      Using the lamp house adjustments, adjust the primary and secondary
                      mercury bulb images so they are side by side (parallel to each other) with
                      the transmitted light dot in between them.
        10.3.2.8      Reattach the objective to the nosepiece.
        10.3.2.9      Insert the diffuser lens into the light path between the mercury lamp
                      house and the microscope.
        10.3.2.10     Turn off the transmitted light and replace the card with a slide of
                      fluorescent material. Check the field for even fluorescent illumination.
                      Adjustment of the diffuser lens probably will be required.  Additional
                      slight adjustments as in Section 10.3.2.7 above may be required.
        10.3.2.11     Maintain a log of the number of hours the UV bulb has been used. Never
                      use the bulb for longer than it has been rated. Fifty-watt bulbs should not
                      be used longer than 100 hours;  100-watt bulbs should not be used longer
                      than 200 hours.
10.3.3  Transmitted bulb adjustment: The purpose of this procedure is to center the filament and
        ensure even field illumination. This procedure must be followed when the bulb is
        changed.
        10.3.3.1      Remove the diffuser lens between the lamp and microscope or swing it
                      out of the transmitted light path.
        10.3.3.2      Using a prepared microscope slide and a 40X (or similar) objective,
                      adjust the focus so the image in the oculars is sharply defined.
        10.3.3.3      Without the ocular or Bertrand optics  in place, view the pupil and
                      filament image at the bottom of the tube.
        10.3.3.4      Focus the lamp filament image  with the appropriate adjustment  on the
                      lamp house.
        10.3.3.5      Similarly, center the lamp filament image within the pupil with the
                      appropriate adjustment(s) on the lamp house.
        10.3.3.6      Insert the diffuser lens into the light path between the transmitted lamp
                      house and the microscope.
10.3.4  Adjustment of the interpupillary distance and oculars for each eye: These adjustments
        are necessary so that eye strain is reduced to a  minimum, and must be made for each
        individual using the microscope. Section 10.3.4.2 assumes use of a microscope with both
        oculars adjustable; Section 10.3.4.3 assumes use of a microscope with a single  adjustable
        ocular. The procedure must be followed each time an analyst uses the microscope.
        10.3.4.1      Interpupillary distance
                      10.3.4.1.1      Place a prepared slide on the microscope stage,  turn on
                                     the transmitted light, and focus the specimen image using
                                     the coarse and fine adjustment knobs.
                      10.3.4.1.2     Using both hands, move the oculars closer together or
                                     farther apart until a single circle of light is observed
                                     while looking through the oculars with both eyes. Note
                                     interpupillary distance.
        10.3.4.2      Ocular adjustment for microscopes capable of viewing a photographic
                      frame through the viewing binoculars: This procedure assumes both
                      oculars are  adjustable.
                      10.3.4.2.1      Place a card between the right ocular and eye keeping
                                     both eyes open. Adjust the correction (focusing) collar on


                                       23                                December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                                            the left ocular by focusing the left ocular until it reads the
                                            same as the interpupillary distance. Bring an image
                                            located in the center of the field of view into as sharp a
                                            focus as possible.
                              10.3.4.2.2     Transfer the card to between the left eye and ocular.
                                            Again keeping both eyes open, bring the same image into
                                            as sharp a focus for the right eye as possible by adjusting
                                            the ocular correction (focusing) collar at the top of the
                                            right ocular.
                10.3.4.3      Ocular adjustment for microscopes without binocular capability: This
                              procedure assumes a single focusing ocular. The following procedure
                              assumes that only the right ocular is capable of adjustment.
                              10.3.4.3.1     Place a card between the right ocular and eye keeping
                                            both eyes  open. Using the fine adjustment, focus the
                                            image for the left eye to its sharpest point.
                              10.3.4.3.2     Transfer the card to between the left eye and ocular.
                                            Keeping both eyes open, bring the image for the right eye
                                            into  sharp focus by adjusting the ocular collar at the top
                                            of the ocular without touching the coarse or fine
                                            adjustment.
       10.3.5  Calibration of an ocular micrometer: This section assumes that a reticle has been
                installed in one of the oculars by a microscopy specialist and that a stage micrometer is
                available for calibrating the ocular micrometer (reticle). Once installed, the ocular reticle
                should be left in place. The more an ocular is manipulated the greater the probability is
                for it to become contaminated with dust particles. This calibration should be done for
                each objective  in use on the microscope. If there is a top lens on the microscope, the
                calibration procedure must be done for the respective objective at each top lens setting.
                The procedure  must be followed when the microscope is first used and each time  the
                objective is changed.
                10.3.5.1       Place the stage micrometer on the microscope stage, turn on the
                              transmitted light, and focus the micrometer image using the coarse and
                              fine adjustment knobs for the objective to be calibrated. Continue
                              adjusting the focus on the  stage micrometer so you can distinguish
                              between the large (0.1 mm) and the small (0.01 mm)  divisions.
                10.3.5.2      Adjust the  stage and ocular with the micrometer so the "0" line on the
                              ocular micrometer is exactly superimposed on the "0" line on the stage
                              micrometer.
                10.3.5.3      Without changing the stage adjustment, find a point as distant as possible
                              from the two 0 lines where two other lines are exactly superimposed.
                10.3.5.4      Determine the number of ocular micrometer spaces as well as the number
                              of millimeters on the stage micrometer between the two points of
                              superimposition. For example: Suppose 48 ocular micrometer spaces
                              equal 0.6 mm.
                10.3.5.5      Calculate the number of mm/ocular micrometer space. For example:


                                            0.6mm                            0.0125mm
                                   48 ocular micrometer spaces              ocular micrometer space
December 2005                                 24

-------
                                                  Method 1623 - Cryptosporidium and Giardia
        10.3.5.6      Because most measurements of microorganisms are given in urn rather
                      than mm, the value calculated above must be converted to um by
                      multiplying it by 1000 um/mm. For example:
                               0.0125mm
                                1,000 |
       12.5 |
                          ocular micrometer space
                                  mm
ocular micrometer space
        10.3.5.7
Follow the procedure below for each objective. Record the information as
shown in the example below and keep the information available at the
microscope.
Item
no.
1
2
3
4
Objective
power
10X
20X
40X
100X
Description
N.A.3=
N.A.=
N.A.=
N.A.=
No. of ocular
micrometer
spaces




No. of stage
micrometer
mm1




|jm/ocular
micrometer
space2




                      11000 um/mm
                      2(Stage micrometer length in mm x (1000 um/mm)) •*• no. ocular micrometer
                      spaces
                      3N.A. refers to numerical aperature. The numerical aperature value is engraved
                      on the barrel of the objective.
10.3.6  Kohler illumination: This section assumes that Kohler illumination will be established
        for only the 100X oil DIG objective that will be used to identify internal morphological
        characteristics in Cryptosporidium oocysts and Giardia cysts. If more than one objective
        is to be used for DIG, then each time the objective is changed, Kohler illumination must
        be reestablished for the new objective lens. Previous sections have adjusted oculars and
        light sources. This section aligns and focuses the light going through the condenser
        underneath the stage at the specimen to be observed. If Kohler illumination is not
        properly established, then DIG will not work to its maximal potential. These steps need
        to become second nature and must be practiced regularly until they are a matter of reflex
        rather than a chore.  The procedure must be followed each time an analyst uses the
        microscope and each time the objective is changed.
        10.3.6.1      Place a prepared slide on the microscope stage, place oil on the slide,
                      move the 100X oil objective into place, turn on the transmitted light, and
                      focus the specimen image using the coarse and fine adjustment knobs.
        10.3.6.2      At this point both the radiant field diaphragm in the microscope base and
                      the aperture diaphragm in the condenser should be wide open. Now close
                      down the radiant field diaphragm in the microscope base until the lighted
                      field is reduced to a small opening.
        10.3.6.3      Using the condenser centering screws on the front right and left of the
                      condenser, move the small lighted portion of the field to the center of the
                      visual field.
        10.3.6.4      Now look to see whether the leaves of the iris field diaphragm are sharply
                      defined (focused) or not. If they are not sharply defined, then they can be
                      focused distinctly by changing the height of the condenser up and down
                      with the condenser focusing knob while you are looking through the
                      binoculars. Once you have accomplished the precise focusing of the
                                        25
                                                     December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                             radiant field diaphragm leaves, open the radiant field diaphragm until the
                             leaves just disappear from view.
                10.3.6.5     The aperture diaphragm of the condenser should now be adjusted to make
                             it compatible with the total numerical aperture of the optical system. This
                             is done by removing an ocular, looking into the tube at the rear focal
                             plane of the objective, and stopping down the aperture diaphragm iris
                             leaves until they are visible just inside the rear plane of the objective.
                10.3.6.6     After completing the adjustment of the aperture diaphragm in the
                             condenser, return the ocular to its tube and proceed with the adjustments
                             required to establish DIG.
104   Microscope cleaning procedure
       10.4.1   Use canned air to remove dust from the lenses,  filters,  and microscope body.
       10.4.2   Use a Kimwipe-dampened with a microscope cleaning solution (MCS) (consisting of 2
                parts 90% isoproponal and 1 part acetone) to wipe down all surfaces of the microscope
                body. Dry off with a clean, dry Kimwipe.
       10.4.3   Protocol for cleaning oculars and condenser
                10.4.3.1      Use a new, clean Q-tip dampened with MCS to clean each lense. Start at
                             the center of the lens and spiral the Q-tip outward using little to no
                             pressure.  Rotate the Q-tip head while spiraling to ensure a clean surface is
                             always contacting the lens.
                10.4.3.2     Repeat the procedure using a new, dry Q-tip.
                10.4.3.3     Repeat Sections 10.4.3.1  and  10.4.3.2.
                10.4.3.4     Remove the ocular and repeat the cleaning procedure on the bottom lens
                             of the  ocular.
       10.4.4   Protocol for cleaning objective lenses
                10.4.4.1      Wipe 100X oil objective with lens paper to remove the bulk of the oil
                             from the objective.
                10.4.4.2     Hold a new Q-tip dampened with MCS at a 45° angle on the objective
                             and twirl.
                10.4.4.3     Repeat Sections 10.4.4.2 with a new, dry Q-tip.
                10.4.4.4     Repeat Sections 10.4.4.2 and  10.4.4.3.
                10.4.4.5     Clean all  objectives whether they are used or not.
       10.4.5   Protocol for cleaning light source lens and filters
                10.4.5.1      Using a Kimwipe dampened with microscope cleaning solution, wipe off
                             the surface of each lens and filter.
                10.4.5.2     Repeat the procedure using a dry Kimwipe.
                10.4.5.3     Repeat Sections 10.4.5.1  and  10.4.5.2.
       10.4.6   Protocol for cleaning microscope stage
                10.4.6.1      Using a Kimwipe dampened with microscope cleaning solution, wipe off
                             the stage and stage clip. Be sure to  clean off any residual immersion oil or
                             fingernail polish. Remove the stage clip if necessary to ensure that it is
                             thoroughly cleaned.
       10.4.7   Use 409 and a paper towel to  clean the bench top  surrounding the microscope.
       10.4.8   Frequency
                10.4.8.1      Perform Sections 10.4.2, 10.4.3,  10.4.4, 10.4.5 and 10.4.7 after each
December 2005                                 26

-------
                                                         Method 1623 - Cryptosporidium and Giardia
                             microscope session.
                10.4.8.2     Perform complete cleaning each week.
•|05   Protozoa libraries: Each laboratory is encouraged to develop libraries of photographs and
       drawings for identification of protozoa.
       10.5.1  Take color photographs of Cryptosporidium oocysts and Giardia cysts by FA, 4',6-
               diamidino-2-phenylindole (DAPI), and DIG that the analysts (Section 22.2) determine
               are accurate (Section  15.2).
       10.5.2  Similarly, take color photographs of interfering organisms and materials by FA, DAPI,
               and DIG that the analysts believe are not Cryptosporidium oocysts or Giardia cysts.
               Quantify the size, shape, microscope settings, and other characteristics that can be used
               to differentiate oocysts and cysts from interfering debris and that will result in accurate
               identification of positive or negative organisms.
106   Verification of analyst performance: Until standard reference materials, such as National Institute
       of Standards and Technology standard reference materials, are available that contain a reliable
       number of DAPI positive or negative oocysts and cysts, this method shall rely upon the ability of
       the analyst for identification and enumeration of oocysts and cysts. The goal of analyst
       verification is to encourage comparison and discussion among analysts to continually refine the
       consistency of characterizations between analysts.
       10.6.1  At least monthly when microscopic  examinations are being performed, the laboratory
               shall prepare a slide containing 40 to 200 oocysts and 40 to 200 cysts. More than 50% of
               the oocysts and cysts must be DAPI positive and  undamaged under DIG.
       10.6.2  Each analyst shall determine the total number of oocysts and cysts detected by FITC on
               the entire slide meeting the criteria in 10.6.1. For the same 10 oocysts and 10 cysts, each
               analyst shall determine the DAPI category (DAPI negative, DAPI positive internal
               intense blue and DAPI positive number of nuclei) and the DIG category (empty,
               containing amorphous structures, or containing identifiable internal structures) of each.
               The DAPI/DIC comparisons may be performed on the slide prepared in 10.6.1, OPR
               slide, MS slide,  or a positive staining control slide.
       10.6.3  Requirements for laboratories with multiple analysts
                10.6.3.1      The  total number of oocysts and cysts determined by each analyst
                             (Section 10.6.2.) must be within ±10% of each other. If the number is  not
                             within this range, the analysts must identify the source of any variability
                             between analysts' examination criteria, prepare a new slide, and repeat
                             the performance verification (Sections 10.6.1 to 10.6.2). It is
                             recommended that the DAPI and DIG categorization of the same 10
                             oocysts and 10 cysts occur with all analysts at the same time, i.e. each
                             analyst determines the categorizations independently, then the differences
                             in the DAPI and DIG categorizations among analysts are  discussed and
                             resolved, and these resolutions documented. Alternatively, organism
                             coordinates may be recorded for each analyst to locate and categorize  the
                             organisms  at different times. Differences among analysts must be
                             discussed and resolved.
                10.6.3.2     Document  the date, name(s) of analyst(s), number of total oocysts and
                             cysts, and DAPI and DIG categories determined by the analyst(s),
                             whether the test was passed/failed and the results of attempts before the
                             test was passed.
                10.6.3.3     Only after  an analyst has passed the criteria in Section 10.6.3, may
                             oocysts and cysts in QC samples and field samples be identified and
                             enumerated.
                                               27                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
       10.6.4  Laboratories with only one analyst should maintain a protozoa library (Section 10.5) and
               compare the results of the examinations performed in Sections 10.6.1 and 10.6.2 to
               photographs of oocysts and cysts and interfering organisms to verify that examination
               results are consistent with these references. These laboratories also should perform
               repetitive counts of a single verification slide for FITC. These laboratories should also
               coordinate with other laboratories to share slides and compare counts.

11.0  Oocyst and  Cyst Suspension Enumeration  and  Sample  Spiking
•j 1 1   This method requires routine analysis of spiked QC samples to demonstrate acceptable initial and
       ongoing laboratory and method performance (initial precision and recovery samples [Section 9.4],
       matrix spike and matrix spike duplicate samples [Section 9.5], and ongoing precision  and
       recovery samples  [Section 9.7]). The organisms used for these samples must be enumerated to
       calculate recoveries (and precision) and monitor method performance. EPA recommends that flow
       cytometry be used for this enumeration, rather than manual techniques. Flow cytometer-sorted
       spikes generally are characterized by a relative standard deviation of <2.5%, versus greater
       variability for manual enumeration techniques (Reference 20.11). Guidance on preparing spiking
       suspensions using a flow cytometer is provided in Section  11.2. Manual enumeration  procedures
       are provided in Section 11.3. The procedure for spiking bulk samples in the laboratory is provided
       in Section 11.4.
•| 1 2   Flow cytometry enumeration  guidelines. Although it is unlikely that many laboratories
       performing Method 1623 will have direct access to a flow cytometer for preparing spiking
       suspensions, flow-sorted suspensions are available from commercial vendors and other sources
       (Section 7.10.1). The information provided in Sections 11.2.1 through 11.2.4 is simply meant as a
       guideline for preparing spiking  suspensions using a flow cytometer. Laboratories performing flow
       cytometry must develop and implement detailed standardized protocols for calibration and
       operation of the flow cytometer.
       11.2.1  Spiking suspensions should be prepared using unstained organisms that have not been
               formalin-fixed.
       11.2.2  Spiking suspensions should be prepared using Cryptosporidium parvum oocysts <3
               months old, and Giardia intestinalis cysts <2 weeks old.
       11.2.3  Initial calibration. Immediately before sorting spiking suspensions, an initial calibration
               of the flow cytometer should be performed by conducting 10 sequential sorts directly
               onto membranes or well slides. The oocyst and cyst levels used for the initial calibration
               should be the same as the levels used for the spiking suspensions. Each initial calibration
               sample should be stained and manually counted microscopically and the manual counts
               used to verify the accuracy of the system. The relative standard deviation (RSD) of the
               10 counts should be <  2.5%. If the RSD is > 2.5%, the laboratory should perform the
               initial calibration again, until the RSD of the 10 counts is < 2.5%. In addition to counting
               the organisms, the laboratory also should evaluate the quality of the organisms using
               DAPI fluorescence and DIG to confirm that the organisms are in good condition.
       11.2.4  Ongoing calibration. When sorting the spiking suspensions for use in QC samples, the
               laboratory should perform ongoing calibration samples at a 10% frequency, at a
               minimum. The laboratory should sort the  first run and every eleventh sample directly
               onto a membrane or well slide. Each ongoing calibration sample should be stained and
               manually counted microscopically and the manual counts used to verify the accuracy of
               the system. The mean of the ongoing calibration counts also should be used as the
               estimated spike dose, if the relative standard deviation (RSD) of the ongoing calibration
               counts is < 2.5%. If the RSD is > 2.5%, the laboratory should discard the batch.
       11.2.5  Method  blanks. Depending on the operation of the flow cytometer, method  blanks
               should be prepared and examined at the same frequency as the ongoing calibration


December 2005                                28

-------
                                                        Method 1623 - Cryptosporidium and Giardia
               samples (Section 11.2.4).
       11.2.6  Holding time criteria. Flow-cytometer-sorted spiking suspensions (Sections 7.10.1 and
               11.2) used for spiked quality control (QC) samples (Section 9) must be used within the
               expiration date noted on the suspension. The holding time specified by the flow
               cytometry laboratory should be determined based on a holding time study.
•| 1 3   Manual enumeration procedures. Two sets of manual enumerations are required per organism
       before purified Cryptosporidium oocyst and Giardia cyst stock suspensions (Section 7.10.2)
       received from suppliers can be used to spike samples in the laboratory. First, the stock suspension
       must be diluted and enumerated (Section 11.3.3) to yield a suspension at the appropriate oocyst or
       cyst concentration for spiking (spiking suspension). Then, 10 aliquots of spiking suspension must
       be enumerated to calculate a mean spike dose. Spiking suspensions can be enumerated using
       hemacytometer chamber counting (Section 11.3.4), well slide counting (Section 11.3.5), or
       membrane filter counting (Section 11.3.6).
       11.3.1  Precision criteria. The relative standard deviation (RSD) of the calculated mean spike
               dose for manually enumerated spiking suspensions must be < 16% for Cryptosporidium
               and < 19% for Giardia before proceeding (these criteria are based on the pooled RSDs of
               105 manual Cryptosporidium enumerations and 104 manual Giardia enumerations
               submitted by 20 different laboratories under the EPA Protozoa Performance Evaluation
               Program).
       11.3.2  Holding time criteria. Manually enumerated spiking suspensions must be used within
               24 hours of enumeration of the spiking suspension if the hemacytometer chamber
               technique is used (Section 11.3.4); or within 24 hours of application of the spiking
               suspension or membrane filter to  the slides if the well slide or membrane filter
               enumeration technique is used (Sections 11.3.5 and 11.3.6).
       11.3.3  Enumerating and diluting stock suspensions
               11.3.3.1      Purified, concentrated stock suspensions (Sections 7.10.2.1 and 7.10.2.2)
                             must be diluted and enumerated before the diluted suspensions are used
                             to spike samples in the laboratory. Stock suspensions should be  diluted
                             with reagent water/Tween® 20 , 0.01% (Section 7.10.2.3), to  a
                             concentration of 20 to 50 organisms per large hemacytometer square
                             before proceeding to Section 11.3.3.2.
               11.3.3.2      Apply a clean hemacytometer coverslip (Section 6.4.5) to the
                             hemacytometer and load the hemacytometer chamber with 10 \aL of
                             vortexed suspension per chamber. If this operation has been properly
                             executed, the  liquid should amply fill the entire chamber without bubbles
                             or overflowing into the surrounding moats. Repeat this step with a clean,
                             dry hemacytometer and coverslip  if loading has been incorrectly
                             performed. See Section 11.3.3.13, below, for the hemacytometer cleaning
                             procedure.
               11.3.3.3      Place the hemacytometer on the microscope stage and allow the oocysts
                             or cysts to settle for 2 minutes. Do not attempt to adjust the coverslip,
                             apply clips, or in any way disturb  the chamber after it has been filled.
               11.3.3.4      Use 200X magnification.
               11.3.3.5      Move the chamber so the ruled area is centered underneath the objective.
               11.3.3.6      Move the objective close to the coverslip while watching it from the side
                             of the microscope, rather than through the microscope.
               11.3.3.7      Focus up from the coverslip until  the hemacytometer ruling appears.
               11.3.3.8      At each of the four corners of the  chamber is a 1-square-mm area divided
                             into 16 squares in  which organisms are to be counted (Figure  1).

                                               29                                December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                             Beginning with the top row of four squares, count with a hand-tally
                             counter in the directions indicated in Figure 2. Avoid counting organisms
                             twice by counting only those touching the top and left boundary lines.
                             Count each square millimeter in this fashion.
                11.3.3.9     Use the following formula to determine the number of organisms per u,L
                             of suspension:

                             number of            ._        dilution         .    3         number of
                          organisms counted                   factor                      organisms
                           number of mm2         „             „            „  ,              ,
                              counted           1mm          1            1^L            ^L

                11.3.3.10    Record the result on a hemacytometer data sheet.
                11.3.3.11    A total of six different hemacytometer chambers must be loaded, counted,
                             and averaged for each suspension to achieve optimal counting accuracy.
                11.3.3.12    Based on the hemacytometer counts, the stock suspension should be
                             diluted to a final concentration of between 8 to 12 organisms per u,L;
	however, ranges as great as 5 to 15  organisms per u.L can be used.	
       NOTE:  If the diluted stock suspensions (the spiking suspensions)  will be enumerated
       using hemacytometer chamber counts (Section 11.3.4) or membrane filter counts (Section
       11.3.6), then the stock suspensions should be diluted with 0.01% Tween® 20 . If the
       spiking suspensions will be enumerated using well slide counts (Section 11.3.5), then the
       stock suspensions should be diluted in reagent water.


                             To calculate the volume (in u,L) of stock suspension required per u,L of
                             reagent water (or reagent water/Tween® 20 , 0.01%), use the following
                             formula:

                                                               required number of organisms
                   volume of stock suspension (uL) required =
                                                          number of organisms/ uL of stock suspension

                             If the volume is less than 10 uL, an additional dilution of the stock
                             suspension is recommended before  proceeding.
                             To calculate the dilution factor needed to achieve the required number of
                             organisms per 10 uL, use the following formula:

                                                          number of organisms required x 10uL
                              total volume (uL) =
                                                   predicted number of organisms per 10uL (8 to 12)

                             To calculate the volume of reagent water (or reagent water/Tween® 20 ,
                             0.01%) needed, use the following formula:

                   reagent water volume (uL)  =   total volume (uL) -   stock  suspension volume required (uL)


                11.3.3.13    After each use, the hemacytometer and coverslip must be cleaned
                             immediately to prevent the organisms and debris from drying on it. Since
                             this apparatus is precisely machined, abrasives cannot be used to clean it,

December 2005                                 30

-------
                                                 Method 1623 - Cryptosporidium and Giardia
                      as they will disturb the flooding and volume relationships.
                      11.3.3.13.1   Rinse the hemacytometer and cover glass first with tap
                                    water, then 70% ethanol, and finally with acetone.
                      11.3.3.13.2   Dry and polish the hemacytometer chamber and cover
                                    glass with lens paper. Store it in a secure place.
        11.3.3.14     Several factors are known to introduce errors into hemacytometer counts,
                      including:
                      •      Inadequate mixing of suspension before flooding the chamber
                      •      Irregular filling of the  chamber, trapped air bubbles, dust, or oil
                             on the chamber or coverslip
                      •      Total number of organisms counted is too low to provide
                             statistical confidence in the result
                      •      Error in recording tally
                      •      Calculation error; failure to consider dilution factor, or area
                             counted
                      •      Inadequate cleaning and removal of organisms from the previous
                             count
                      •      Allowing filled chamber to sit too long, so that the chamber
                             suspension dries and concentrates.
11.3.4  Enumerating spiking suspensions using a hemacytometer chamber

NOTE: Spiking suspensions enumerated using a hemacytometer chamber must  be used
within 24 hours of enumeration.

        11.3.4.1      Vortex the tube containing the spiking suspension (diluted stock
                      suspension; Section  11.3.3) for a minimum of 2 minutes. Gently invert
                      the tube three times.
        11.3.4.2      To an appropriate-size beaker containing a stir bar, add enough spiking
                      suspension to perform all spike testing and the enumeration as described.
                      The liquid volume and beaker relationship should be such that a spinning
                      stir bar does not splash the sides of the beaker, the stir bar has unimpeded
                      rotation, and there is enough room to draw sample from  the beaker with a
                      10-(iL micropipette without touching the stir bar. Cover  the beaker with a
                      watch glass or petri dish to prevent evaporation between sample
                      withdrawals.
        11.3.4.3      Allow the beaker contents to stir for a minimum of 30 minutes before
                      beginning enumeration.
        11.3.4.4      While the stir bar is still spinning, remove a 10-(iL aliquot and carefully
                      load one side of the hemacytometer. Count all organisms on the platform,
                      at 200X magnification using phase-contrast or darkfield microscopy. The
                      count must include the entire area under the hemacytometer, not just the
                      four outer 1-mm2 squares. Repeat this procedure nine times. This step
                      allows confirmation of the number of organisms per 10 \aL (Section
                      11.3.3.12). Based on the 10 counts, calculate the mean, standard
                      deviation, and RSD of the counts. Record the counts and the calculations
                      on a spiking suspension enumeration form. The relative  standard
                      deviation (RSD)  of the calculated mean spike dose must be < 16% for
                      Cryptosporidium and < 19%  for Giardia before proceeding. If the RSD is
                      unacceptable, or the mean number is outside the expected range, add

                                       31                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                              additional oocysts from stock suspension or dilute the contents of the
                              beaker appropriately with reagent water. Repeat the process to confirm
                              counts. Refer to Section 11.3.3.14 for factors that may introduce errors.
       11.3.5  Enumerating spiking suspensions using well slides

       NOTE:  Spiking suspensions enumerated using well slides must be used within 24 hours
       of application of the spiking suspension to the slides.

                11.3.5.1       Prepare well slides for sample screening and label the slides.
                11.3.5.2       Vortex the tube containing the spiking suspension (diluted stock
                              suspension; Section 11.3.3) for a minimum of 2 minutes. Gently invert
                              the tube three times.
                11.3.5.3       Remove a 10-uL aliquot from the spiking suspension and apply it to the
                              center of a well.
                11.3.5.4       Before removing subsequent aliquots, cap the tube and gently invert it
                              three times to ensure that the oocysts or cysts are in suspension.
                11.3.5.5       Ten wells must be prepared and counted, and the counts averaged, to
                              sufficiently enumerate the spike dose. Air-dry the well slides. Because
                              temperature and humidity varies from laboratory to laboratory, no
                              minimum time is specified. However, the laboratory must take care to
                              ensure that the sample has dried completely before staining to prevent
                              losses during the rinse steps. A slide warmer set at 35°C to 42°C also can
                              be used.
                11.3.5.6       Positive and negative controls must be prepared.
                              11.3.5.6.1     For the positive control, pipette 10 uL of positive antigen
                                            or 200 to  400 intact oocysts or cysts to the center of a
                                            well and distribute evenly over the well area.
                              11.3.5.6.2     For the negative control, pipette 50 uL of PBS onto the
                                            center of a well and spread it over the well area with a
                                            pipette tip.
                              11.3.5.6.3     Air-dry the control  slides.
                11.3.5.7       Follow the manufacturer's instructions  (Section 7.6) in applying the stain
                              to the slide.
                11.3.5.8       Place the  slides in a humid chamber in the dark and incubate according to
                              manufacturer's directions. The humid chamber consists of a tightly sealed
                              plastic container containing damp paper towels on top of which the slides
                              are placed.
                11.3.5.9       Apply one drop of wash buffer (prepared according to the manufacturer's
                              instructions [Section 7.6]) to each well. Tilt each slide on a clean paper
                              towel, long edge down. Gently aspirate the excess detection reagent from
                              below the well using a clean Pasteur pipette or absorb with a paper towel
       	or other absorbent material. Avoid disturbing the sample.	
       NOTE:  If using the MeriFluor® Cryptosporidium/Giardia stain  (Section 7.6.1), do not
       allow slides to dry completely.


                11.3.5.10     Add mounting medium (Section 7.8) to each well.
December 2005                                 32

-------
                                                  Method 1623 - Cryptosporidium and Giardia
        11.3.5.11     Apply a cover slip. Use a tissue to remove excess mounting fluid from the
                      edges of the coverslip. Seal the edges of the coverslip onto the slide using
                      clear nail polish.
        11.3.5.12     Record the date and time that staining was completed. If slides will not be
                      read immediately, store in a humid chamber in the dark between 1°C and
                      10°C until ready for examination.
        11.3.5.13     After examination of the 10 wells, calculate the mean, standard deviation,
                      and RSD of the 10 replicates. Record the counts and the calculations on a
                      spiking suspension enumeration form. The relative standard deviation
                      (RSD) of the calculated mean spike dose must be < 16% for
                      Cryptosporidium and < 19% for Giardia before proceeding. If the RSD is
                      unacceptable, or the mean number is outside the expected range, add
                      additional oocysts from stock suspension or dilute the contents of the
                      beaker appropriately with reagent water. Repeat the process to confirm
                      counts.
11.3.6  Enumeration of spiking suspensions using membrane filters

NOTE: Spiking suspensions enumerated using membrane filters must be used within 24
hours of application of the filters to the slides.

        11.3.6.1      Precoat the glass funnels with Sigmacote® by placing the funnel in a
                      large petri dish and applying 5-mL of Sigmacoat® to the  funnel opening
                      using a pipette and allowing it to run down the inside of the funnel.
                      Repeat for all funnels to be used. The pooled Sigmacoat® may be
                      returned to the bottle for re-use. Place the funnels at 35°C or 41 °C for
                      approximately 5 minutes to dry.
        11.3.6.2      Place foil around the bottoms of the 100 x 15 mm petri dishes.
        11.3.6.3      Filter-sterilize (Section 6.19) approximately 10 mL of PBS  (Section
                      7.4.2.1). Dilute detection reagent (Section 7.6) as per manufacturer's
                      instructions using sterile PBS. Multiply the anticipated number of filters
                      to be stained by 100 mL to calculate total volume of stain required.
                      Divide the total volume required by 5 to obtain the microliters of
                      antibody necessary. Subtract the volume of antibody from the total stain
                      volume to obtain the required microliters of sterile PBS to add to the
                      antibody.
        11.3.6.4      Label the tops of foil-covered, 60 x 15 mm petri dishes for 10 spiking
                      suspensions plus positive and negative staining controls and multiple
                      filter blanks controls (one negative control, plus a blank after every five
                      sample filters to control for carry-over). Create a humid chamber by
                      laying damp paper towels on the bottom of a stain tray (the  inverted foil-
                      lined petri dishes will protect filters from light and prevent evaporation
                      during incubation).
        11.3.6.5      Place a decontaminated and cleaned filter holder base (Section 6.4.8.1)
                      into  each of the three ports of the vacuum manifold (Section 6.4.8.2).
        11.3.6.6      Pour approximately 10 mL of 0.01% Tween® 20 into a 60  x 15 mm petri
                      dish.
        11.3.6.7      Using forceps, moisten a 1.2-[im cellulose-acetate support membrane
                      (Section 6.4.8.3) in the 0.01% Tween® 20  and place it on the fritted
                      glass support of one of the filter bases. Moisten a polycarbonate filter
                      (Section 6.4.8.4) the same way and position it on top of the  cellulose-


                                        33                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                              acetate support membrane. Carefully clamp the glass funnel to the loaded
                              filter support. Repeat for the other two filters.
                11.3.6.8      Add 5 mL of 0.01% Tween® 20 to each of the three filtration units and
                              allow to stand.
                11.3.6.9      Vortex the tube containing the spiking suspension (diluted stock
                              suspension; Section 11.3.3) for a minimum of 2 minutes. Gently invert
                              the tube three times.
                11.3.6.10     Using a micropipettor, sequentially remove two, 10-uL aliquots from the
                              spiking suspension and pipet into the 5 mL of 0.01% Tween® 20
                              standing in the unit. Rinse the pipet tip twice after each addition. Apply
                              10 uL of 0.01% Tween® 20 to the third unit to serve as the negative
                              control. Apply vacuum at 2" Hg and allow liquid to drain to miniscus,
                              then close off vacuum. Pipet 10 mL of reagent water into each funnel and
                              drain to miniscus, closing off the vacuum.  Repeat the rinse and drain all
                              fluid, close off the vacuum.
                11.3.6.11     Pipet 100 mL of diluted antibody to the center of the bottom of a 60 x 15
                              mm petri dish for each sample.
                11.3.6.12     Unclamp the top  funnel and transfer each cellulose acetate support
                              membrane/ polycarbonate filter combination onto the drop of stain using
                              forceps (apply each membrane/filter combination to a different petri  dish
                              containing stain). Roll the filter into the  drop to exclude air. Place the
                              small petri dish containing the filter onto the damp towel and cover with
                              the corresponding labeled foil-covered top. Incubate for approximately 45
                              minutes at room temperature.
                11.3.6.13     Reclamp the top funnels, apply vacuum  and rinse each three times, each
                              time with 20 mL  of reagent water.
                11.3.6.14     Repeat Sections 11.3.6.4 through 11.3.6.10 forthe next three samples (if
                              that the diluted spiking suspension has sat less than 15 minutes, reduce
                              the suspension vortex time to 60 seconds). Ten, 10-uL spiking suspension
                              aliquots must be prepared and counted, and the counts averaged, to
                              sufficiently enumerate the spike dose. Include a filter blank  sample at a
                              frequency of every five samples; rotate the position of filter blank to
                              eventually include all three filter placements.
                11.3.6.15     Repeat Sections 11.3.6.4 through 11.3.6.10 until the 10-uL spiking
                              suspensions have been filtered. The last  batch should include a 10-uL
                              0.01 Tween® 20 blank control and 20 uL of positive control antigen as a
                              positive staining  control.
                11.3.6.16     Label slides. After incubation is complete, for each sample,  transfer the
                              cellulose acetate  filter support and polycarbonate filter from drop of stain
                              and place on fritted glass support. Cycle vacuum on  and off briefly to
                              remove excess fluid. Peel the top polycarbonate filter off the supporting
                              filter and place on labeled slide. Discard cellulose acetate filter support.
                              Mount and apply coverslips to the filters immediately to avoid drying.
                11.3.6.17     To each slide, add 20 uL of mounting medium (Section 7.8).
                11.3.6.18     Apply a coverslip. Seal the edges of the  coverslip onto the slide using
                              clear nail polish.  (Sealing may be delayed until cover slips are applied to
                              all slides.)
December 2005                                 34

-------
                                                      Method 1623 - Cryptosporidium and Giardia
             11.3.6.19    Record the date and time that staining was completed. If slides will not be
                          read immediately, store sealed slides in a closed container in the dark
                          between 1°C and 10°C until ready for examination.
             11.3.6.20    After examination of the 10 slides, calculate the mean, standard
                          deviation, and RSD of the 10 replicates. Record the counts and the
                          calculations on a spiking suspension enumeration form. The relative
                          standard deviation (RSD) of the calculated mean spike dose must be
                          < 16% for Cryptosporidium and < 19% for Giardia before proceeding. If
                          the RSD is unacceptable, or the mean number is outside the expected
                          range, add additional oocysts from stock suspension or dilute the contents
                          of the beaker appropriately with reagent water. Repeat the process to
                          confirm counts.
             11.3.6.21    If oocysts or cysts are  detected  on the filter blanks, modify the rinse
                          procedure to ensure that no carryover occurs and repeat enumeration.
4   Procedure for spiking samples in the laboratory with enumerated spiking suspensions.
    11.4.1   Arrange a disposable cubitainer or bottom-dispensing container to feed the filter or insert
             the influent end of the tube connected to the filter through the top of a carboy to allow
             siphoning of the sample.
    11.4.2   For initial precision and recovery (Section 9.4) and ongoing precision and recovery
             (Section 9.7) samples, fill the container with 10 L of reagent water or a volume of
             reagent water equal to the volume of the field samples analyzed in the analytical batch.
             For matrix spike samples (Section 9.5), fill the container with the field sample to be
             spiked. Continuously mix the sample  (using a stir bar and stir plate for smaller-volume
             samples and alternate means for larger-volume samples).
    11.4.3   Follow the procedures in Section 11.4.3.1 or manufacturer's instructions for flow
             cytometer-enumerated suspensions and the procedures in Section 11.4.3.2 for manually
             enumerated suspensions.
             11.4.3.1      For flow cytometer-enumerated suspensions (where the entire volume of
                          a spiking suspension tube will be used):
                          11.4.3.1.1     Add 400 (iL of Antifoam A to 100 mL of reagent water,
                                         and mix well to emulsify.
                          11.4.3.1.2     Add 500 (iL of the diluted antifoam to the tube
                                         containing the spiking suspension and vortex for 30
                                         seconds.
                          11.4.3.1.3     Pour the suspension into the sample container.
                          11.4.3.1.4     Add 20 mL of reagent water to the empty tube,  cap,
                                         vortex 10 seconds to rinse, and add the rinsate to the
                                         carboy.
                          11.4.3.1.5     Repeat this rinse using another 20 mL of reagent water.
                          11.4.3.1.6     Record the estimated number of organisms spiked, the
                                         date and time the sample was spiked, and the sample
                                         volume spiked  on a bench sheet. Proceed to Section
                                         11.4.4.
             11.4.3.2      For manually enumerated spiking suspensions:
                          11.4.3.2.1     Vortex the spiking suspension(s) (Section 11.2  or Section
                                         11.3) for a minimum of 30 seconds.
                          11.4.3.2.2     Rinse  a pipette tip with 0.01% Tween® 20  once, then
                                         repeatedly pipette the well-mixed spiking suspension a

                                            35                                December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                                           minimum of five times before withdrawing an aliquot to
                                           spike the sample.
                             11.4.3.2.3     Add the spiking suspension(s) to the carboy, delivering
                                           the aliquot below the surface of the sample.
                             11.4.3.2.4     Record the estimated number of organisms spiked, the
                                           date and time the sample was spiked, and the sample
                                           volume  spiked on a bench sheet. Proceed to Section
                                           11.4.4
       11.4.4  Allow the spiked sample to mix for approximately 1 minute in the container.
       11.4.5  Turn on the pump and allow the flow rate to stabilize.  Set flow at the rate designated for
               the filter being used. As the carboy is depleted, check the flow rate and adjust if
               necessary.
       11.4.6  When the water level approaches the discharge port of the carboy, tilt the container so
               that it is completely emptied. At that time, turn off the pump and add 1-L PBST or
               reagent water to the 10-L carboy to rinse (5 L PBST or reagent water rinse to 50-L
               carboy). Swirl the contents to rinse down the sides. Additional rinses may be performed.
       11.4.7  Turn on the pump. Allow all of the water to flow through the filter and turn off the
               pump.
       11.4.8  Proceed to filter disassembly.

12.0  Sample Filtration and Elution
•121   A water sample is filtered according to the procedures in Section 12.2, 12.3, or 12.4. Alternate
       procedures may be used if the laboratory first demonstrates that the alternate procedure provides
       equivalent or superior performance per Section 9.1.2.
       NOTE: Sample elution must be initiated within  96 hours of sample collection (if shipped
       to the laboratory as a bulk sample) or filtration (iffiltered in the field).
122   Capsule filtration (adapted from Reference 20.12). This procedure was validated using 10-L
       sample volumes (for the  original Envirochek ™ filter) and 50-L sample volumes (for the
       Envirochek™ HV filter). Alternate sample volumes may be used, provided the laboratory
       demonstrates acceptable  performance on initial and ongoing spiked reagent water and source
       water samples (Section 9.1.2).
       12.2.1  Flow rate adjustment
               12.2.1.1      Connect the sampling system, minus the capsule, to a carboy filled with
                            reagent water (Figure 3).
               12.2.1.2     Turn on the pump and adjust the flow rate to 2.0 L/min.
               12.2.1.3     Allow 2 to 10 L of reagent water to flush the system. Adjust the pump
                             speed as required during this period. Turn off the pump when the flow
                            rate has been adjusted.
       12.2.2  Install the capsule filter in the line, securing the inlet and outlet ends with the appropriate
               clamps/fittings.
       12.2.3  Record the sample number, sample turbidity (if not provided with the field sample),
               sample type, and sample  filtration start  date and time on a bench sheet.
       12.2.4  Filtration
               12.2.4.1     Mix the sample well by shaking, add stir bar and place on stir plate. Turn
                             on stir plate to lowest setting needed to keep sample thoroughly mixed.
                             Connect the sampling system to the field carboy of sample water, or

December 2005                                36

-------
                                                  Method 1623 - Cryptosporidium and Giardia
                      transfer the sample water to the laboratory carboy used in Section
                      12.2.1.1. If the sample will be filtered from a field carboy, a spigot
                      (Section 6.2.1) can be used with the carboy to facilitate sample filtration.
NOTE: If the bulk field sample is transferred to a laboratory carboy, the laboratory
carboy must be cleaned and disinfected before it is used with another field sample.
         12.2.4.2
         12.2.4.3
         12.2.4.4
12.2.5
12.2.6
12.2.4.5


12.2.4.6

Disassembly
12.2.5.1



12.2.5.2


12.2.5.3
Elution
Place the drain end of the sampling system tubing into an empty
graduated container with a capacity of 10 to 15 L, calibrated at 9.0, 9.5,
10.0,  10.5, and 11.0 L (Section 6.18). This container will be used to
determine the sample volume filtered. Alternately, connect a flow meter
(Section 6.3.4) downstream of the filter, and record the initial meter
reading.
Allow the carboy discharge tube and capsule to fill with  sample water by
gravity. Vent residual air using the bleed valve/vent port, gently shaking
or tapping the capsule, if necessary. Turn on the pump to start water
flowing through the filter. Verify that the flow rate is 2 L/min.
After all of the sample has passed through the filter, turn off the pump.
Allow the pressure to decrease until flow stops. (If the sample was
filtered in the field, and excess sample remains in the filter capsule upon
receipt in the laboratory, pull the remaining sample volume through the
filter before  eluting the filter [Section 12.2.6].)
Turn off stir plate; add 1 L PBST or reagent water rinse (to 10-L carboy)
or 5 L PBST or reagent water rinse (to 50-L carboy).  Swirl or shake the
carboy to rinse down the side walls.
Reconnect to pump, turn on pump and allow pump to pull all water
through filter; turn off pump.

Disconnect the inlet end of the capsule filter assembly while maintaining
the level of the inlet fitting above the level of the outlet fitting to prevent
backwashing and the loss of oocysts  and cysts from the filter. Restart the
pump and allow as much water to drain as possible. Turn off the pump.
Based on the water level in the graduated container and Va-L hash marks
or meter reading, record the volume filtered on the bench sheet to the
nearest quarter liter. Discard the contents of the graduated container.
Loosen the outlet fitting, then cap the inlet and outlet fittings.
NOTE:  The laboratory must complete the elution, concentration, and purification
(Sections 12.2.6 through 13.3.3.11) in oneworkday. It is critical that these steps be
completed in one work day to minimize the time that any target organisms present in the
sample sit in eluate or concentrated matrix. This process ends with the application of the
purified sample on the slide for drying.
         12.2.6.1
              Setup
              12.2.6.1.1
                                     Assemble the laboratory shaker with the clamps aligned
                                     vertically so that the filters will be aligned horizontally.
                                     Extend the clamp arms to their maximum distance from
                                     the horizontal shaker rods to maximize the shaking
                                     action.
                                        37
                                                                  December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                12.2.6.2
12.2.6.1.2



12.2.6.1.3

Elution
12.2.6.2.1
Prepare sufficient quantity of elution buffer to elute all
samples that are associated with the OPR/MB which used
that batch of elution buffer. Elution may require up to
275 mL of buffer per sample.
Designate at least one 250-mL conical centrifuge tube for
each sample and label with the sample number.

Record the elution date and time on the  bench sheet.
                                            Using a ring stand or other means, clamp each capsule in
                                            a vertical position with the inlet end up.
                              12.2.6.2.2     Remove the inlet cap, pour elution buffer through the
                                            inlet fitting, and allow the liquid level to stabilize.
                                            Sufficient elution buffer must be added to cover the
                                            pleated white membrane with buffer solution or elution
                                            buffer may be measured to ensure the use of one 250-mL
                                            centrifuge tube. Replace the inlet cap.
                              12.2.6.2.3     Securely clamp the capsule in one of the clamps on the
                                            laboratory shaker with the bleed valve positioned at the
                                            top on a vertical axis (in the 12 o'clock position). Turn on
                                            the shaker and set the speed to maximum (approximately
                                            900 rpm or per manufacturer's instructions). Agitate the
                                            capsule for approximately 5 minutes. Time the  agitation
                                            using a lab timer, rather than the timer on the shaker to
                                            ensure accurate time measurement.
                              12.2.6.2.4     Remove the filter from the shaker, remove the inlet cap,
                                            and pour the contents  of the capsule into the 250-mL
                                            conical centrifuge tube.
                              12.2.6.2.5     Clamp the capsule vertically with the inlet end up and
                                            add sufficient volume of elution buffer through the inlet
                                            fitting to cover the pleated membrane. Replace  the inlet
                                            cap.
                              12.2.6.2.6     Return the capsule to the shaker with the bleed valve
                                            positioned at the 4 o'clock position. Turn on the shaker
                                            and agitate the capsule for approximately 5 minutes.
                              12.2.6.2.7     Remove the filter from the shaker, but leave the elution
                                            buffer in the capsule. Re-clamp the capsule to the shaker
                                            at the 8 o'clock position. Turn on the shaker and agitate
                                            the capsule for a final 5 minutes.
                              12.2.6.2.8     Remove the filter from the shaker and pour the  contents
                                            into the 250-mL centrifuge tube. Rinse down the inside
                                            of the capsule filter walls with reagent water or elution
                                            buffer using a squirt bottle inserted in the inlet end of the
                                            capsule. Invert the capsule filter over the centrifuge tube
                                            and ensure that as much of the eluate as possible has been
                                            transferred.
       12.2.7  Proceed to Section 13.0 for concentration and separation (purification).
•|23   Sample filtration using the Filta-Max® foam filter. This procedure was validated using 50-L
       sample volumes. Alternate sample volumes may be used, provided the laboratory demonstrates
December 2005
   38

-------
                                                  Method 1623 - Cryptosporidium and Giardia
acceptable performance on initial and ongoing spiked reagent water and source water samples
(Section 9.1.2).
NOTE:  The filtration procedures specified in Sections 12.3.1.2 - 12.3.1.6.3 are specific
to laboratory filtration of a bulk sample. These procedures may require modification if
samples will be filtered in the field.

12.3.1   Filtration
         12.3.1.1       Flow rate adjustment
                       12.3.1.1.1     Connect the sampling system, minus the filter housing, to
                                     a carboy filled with reagent water.
                       12.3.1.1.2     Place the peristaltic pump upstream of the filter housing.
                       12.3.1.1.3     Turn on the pump and adjust the flow rate to 1 to 4 L per
                                     minute.
NOTE:  A head pressure of 0.5 bar (7.5 psi) is required to create flow  through the filter,
and the recommended pressure of 5 bar (75 psi) should produce the flow rate of 3 to 4 L
per minute.  The maximum operating pressure of 8 bar (120 psi) should not be exceeded.

                       12.3.1.1.4     Allow 2 to  10 L of reagent water to flush the system.
                                     Adjust the pump speed as necessary during this period.
                                     Turn off the pump when the flow rate has been adjusted.
         12.3.1.2       Place filter module into the filter housing bolt head down and secure lid,
                       hand tighten housings, apply gentle pressure to create the seal  between
                       the module  and the 'O' rings in the base and the lid of the housing.
                       Excessive tightening is not necessary, and may shorten the life of the 'O'
                       rings. Tools may be used to tighten housing to the alignment marks (refer
                       to manufacturer's instructions). 'O' rings should be lightly greased before
                       use (refer to manufacturer's instructions).
         12.3.1.3       Install the filter housing in the line, securing the inlet and outlet ends with
                       the appropriate clamps/fittings. Verify that the  filter housing is installed
                       so that the end closest to the screw top cap is the inlet and the  opposite
                       end is the outlet.
         12.3.1.4       Record the sample number, sample turbidity (if not provided with the
                       field sample), and the name of the analyst filtering the sample  on a bench
                       sheet.
         12.3.1.5       Filtration
                       12.3.1.5.1     Connect the sampling system to the field carboy of
                                     sample water,  or transfer the sample water to the
                                     laboratory carboy used in Section 12.3.1.1.1. If the
                                     sample will be filtered from a field carboy, a spigot can
                                     be used with the carboy to facilitate sample filtration.
NOTE:  If the bulk field sample is transferred to a laboratory carboy, the laboratory
carboy must be cleaned and disinfected before it is used with another field sample.

                       12.3.1.5.2     Place the drain end of the sampling system tubing into an
                                     empty graduated container with a capacity greater than or
                                     equal to the volume to be filtered. This container will be
                                     used to determine the sample volume filtered.
                                     Alternately, connect a flow meter downstream of the
                                     filter, and record the initial meter reading.

                                        39                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                             12.3.1.5.3     Allow the carboy discharge tube and filter housing to fill
                                            with sample water. Turn on the pump to start water
                                            flowing through the filter. Verify that the flow rate is
                                            between 1 and 4 L per min.
                             12.3.1.5.4     After all of the sample has passed through the filter, turn
                                            off the pump. Allow the pressure to decrease until flow
                                            stops.
                12.3.1.6     Disassembly
                             12.3.1.6.1     Disconnect the inlet end of the filter housing assembly
                                            while maintaining the level of the inlet fitting above the
                                            level of the outlet fitting to prevent backwashing and the
                                            loss of oocysts and cysts from the filter. Restart the pump
                                            and allow as much water to drain as possible.  Turn off
                                            the pump.
                             12.3.1.6.2     Based on the water level in the graduated container or the
                                            meter reading, record the volume filtered on a bench
                                            sheet to the nearest quarter liter.
                             12.3.1.6.3     Loosen the outlet fitting, the filter housing should be
                                            sealed with rubber plugs.
       NOTE:  Filters should be prevented from drying out, as this can impair their ability to
       expand when decompressed.

       12.3.2   Elution
                12.3.2.1      The filter is eluted to wash the oocysts from the filter. This can be
                             accomplished using the Filta-Max® wash station, which moves a plunger
                             up and down a tube containing the filter and eluting solution (Section
                             12.3.2.2), or a stomacher, which uses paddles to agitate the stomacher bag
                             containing the foam filter in the eluting solution (Section 12.3.2.3). If the
                             Filta-Max® automatic wash station is used please see the manufacturer's
                             operator's guide for instructions on its use. If Filta-Max® Quick Connect
                             kit is used please follow manufacturer's instructions.
                12.3.2.2     Filta-Max® wash station elution procedure
                             12.3.2.2.1     First wash

                                            (a)  Detach the removable plunger head using the tool
                                                provided, and remove the splash guard.
                                            (b) Place the filter membrane flat in the concentrator
                                                base with the rough side up. Locate the concentrator
                                                base in the jaws of the wash station and screw on the
                                                concentrator tube (the longer of the two tubes),
                                                creating a tight seal at the membrane. Take the
                                                assembled concentrator out of the jaws and place on
                                                the bench.
                                            (c)  Replace the splash guard and temporarily secure it at
                                                least 15 cm above the end of the rack. Secure the
                                                plunger head with the tool provided ensuring that the
                                                lever is fully locked down.
                                            (d) Remove the filter module from the filter housing or
                                                transportation container. Pour excess liquid into  the
                                                assembled concentrator, then rinse the housing or

December 2005                                 40

-------
                                                 Method 1623 - Cryptosporidium and Giardia
                                        container with PBST and add the rinse to the
                                        concentrator tube. Screw the filter module onto the
                                        base of the plunger. Locate the elution tube base in
                                        the jaws of the wash station and screw the elution
                                        tube (the shorter of the two tubes) firmly in place.
                                     (e) Pull the plunger down until the filter module sits at
                                        the bottom of the elution tube; the locking pin (at the
                                        top left of the wash station) should "click" to lock the
                                        plunger in position.
                                     (f) Remove the filter module bolt by turning the adapted
                                        alien key (provided) in a clockwise direction (as seen
                                        from above). Attach the steel tube to the elution tube
                                        base.
                                     (g) Add 600  mL of PBST to the assembled concentrator.
                                        If more than 50 mL of liquid has been recovered from
                                        the shipped filter module, reduce the volume of
                                        PBST accordingly. Screw the concentrator tube onto
                                        the base beneath the elution tube. Release the locking
                                        pin.
NOTE:  Gentle pressure on the lever, coupled with a pulling action on the locking pin
should enable the pin to be easily released.


                                     (h) Wash the foam disks by moving the plunger up and
                                        down 20  times. Gentle movements of the plunger are
                                        recommended to avoid generating excess foam.

NO TE:  The plunger has an upper movement limit during the wash process to prevent it
popping out of the top of the chamber.

                                     (i) Detach the concentrator and hold it such that the
                                        stainless  steel tube  is just above the level of the
                                        liquid. Purge the remaining liquid from the elution
                                        tube by moving the plunger up and down 5 times,
                                        then lock the plunger in place. To prevent drips,
                                        place the plug provided in the end of the steel tube.
                                     (j) Prior to the second wash the eluate from the first
                                        wash can be concentrated using the Filta-Max®
                                        apparatus according to Section 12.3.3.2.1 or the
                                        eluate can be decanted into a 2-L pooling beaker and
                                        set aside.
                      12.3.2.2.2     Second wash

                                     (a) Add an additional 600 mL of PBST to the
                                        concentrator module, remove the plug from the end
                                        of the steel tube and screw the concentrator tube back
                                        onto the elution module base. Release the locking
                                        pin.
                                     (b) Wash the foam disks by moving the plunger up and
                                        down 10  times. Gentle movements of the plunger are
                                        recommended to avoid generating excess foam.
                                        41                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                                           (c) The eluate can be concentrated using the Filta-Max®
                                               apparatus according to Section 12.3.3.2.2 or the
                                               eluate can be decanted into the 2-L pooling beaker
                                               containing the  eluate from the first wash and
                                               concentrated using centrifugation, as described in
                                               Section 12.3.3.3.
                12.3.2.3      Stomacher elution procedure
                             12.3.2.3.1     First wash

                                           (a) Place the filter module in the stomacher bag then use
                                               the alien key to remove the bolt from the filter
                                               module, allowing the rings to expand. Remove the
                                               end caps from the stomacher bag and rinse with
                                               PBST into the stomacher bag.
                                           (b) Add 600 mL of PBST to stomacher bag containing
                                               the filter pads.  Place bag in stomacher and wash for 5
                                               minutes on a normal setting.
                                           (c) Remove the  bag from the stomacher and decant the
                                               eluate into a 2-L pooling beaker.
                             12.3.2.3.2     Second wash

                                           (a) Add a second 600-mL aliquot of PBST to the
                                               stomacher bag. Place bag in stomacher and wash for
                                               5 minutes on a normal setting. Remove the bag from
                                               the stomacher and decant the eluate from the
                                               stomacher bag into the 2-L pooling beaker. Wring the
                                               stomacher bag by hand to remove eluate from the
                                               foam filter and add to the pooling beaker. Remove
                                               the foam filter  from the bag and using a squirt bottle,
                                               rinse the stomacher bag with reagent water and add
                                               the rinse to the pooling beaker.
                                           (b) Proceed to concentration (Section 12.3.3).
       12.3.3   Concentration
                12.3.3.1      The eluate can be concentrated using the Filta-Max® concentrator
                             apparatus, which pulls most of the eluate through a membrane filter
                             leaving the oocysts concentrated in a small volume of the remaining
                             eluting solution (Section 12.3..2), or by directly centrifuging all of the
                             eluting solution used to wash the filter (Section 12.3.2.3).
                12.3.3.2      The Filta-Max® concentrator procedure
                             12.3.3.2.1     Concentration of first wash
                                           (a) If the stomacher was used to elute the sample
                                               (Section 12.3.2.3), transfer 600 mL of eluate from the
                                               pooling beaker to the concentrator tube. Otherwise
                                               proceed to Step (b).
                                           (b) Stand the concentrator tube on a magnetic stirring
                                               plate and attach the lid (with magnetic stirrer bar).
                                               Connect the  waste bottle trap and hand or electric
                                               vacuum pump to the valve on the concentrator base.
                                               Begin stirring and open the tap. Increase the vacuum
                                               using the hand pump.
December 2005                                42

-------
                                                Method 1623 - Cryptosporidium and Giardia
NOTE: The force of the vacuum should not exceed 30 cmHg.
                                    (c) Allow the liquid to drain until it is approximately
                                       level with the middle of the stirrer bar then close the
                                       valve. Remove the magnetic stirrer, and rinse it with
                                       PBST or distilled water to recover all oocysts. Decant
                                       the concentrate  into a 50-mL tube, then rinse the
                                       sides of the concentration tube and add the rinsate to
                                       the 50-mL tube.
                      12.3.3.2.2     Concentration of second wash

                                    (a) If the stomacher was used to elute the sample
                                       (Section  12.3.2.3), transfer the remaining 600 mL of
                                       eluate from the pooling beaker to the concentrator
                                       tube. Otherwise proceed to Step (b).
                                    (b) Add the concentrate, in the 50-mL tube, retained
                                       from the  first concentration (Section 12.3.3.2.1 (c)) to
                                       the 600 mL of eluate from the second wash, then
                                       repeat concentration steps from Sections 12.3.3.2.1
                                       (b) and 12.3.3.2.1 (c). The final sample can be poured
                                       into the same 50-mL tube used to retain the first
                                       concentrate. Rinse the sides of the concentrator tube
                                       with PBST and  add the rinse to the 50-mL tube.
                                    (c) Remove the magnetic stirrer. Insert the empty
                                       concentrator module into the jaws of the wash station
                                       and twist off the concentrator tube.
                                    (d) Transfer the membrane from the concentrator base to
                                       the bag provided using membrane forceps.
                      12.3.3.2.3     Membrane elution. The membrane can be washed
                                    manually or using a stomacher:
                                    •   Manual wash. Add 5 mL of PBST to the bag
                                       containing the membrane. Rub the surface of the
                                       membrane through the bag until the membrane
                                       appears clean. Using a pipette, transfer the  eluate to a
                                       50-mL tube. Repeat the membrane wash with another
                                       5 mL of PBST and transfer the eluate to the 50-mL
                                       tube. (Optional: Perform a third wash using another 5
                                       mL of PBST, by hand-kneading an additional minute
                                       or placing the bag on a flat-headed vortexer and
                                       vortexing for one minute. Transfer the eluate to the
                                       50-mL tube.)
NOTE: Mark the bag with an "X" to note which side of the membrane has the oocysts to
encourage the hand-kneading to focus on the appropriate side of the membrane.


                                    •   Stomacher wash. Add 5 mL of PBST to the bag
                                       containing the membrane. Place the bag containing
                                       the membrane into a small stomacher and stomach
                                       for 3 minutes. Using a pipette transfer the eluate to a
                                       50-mL tube. Repeat the wash two times using the
                                       stomacher and 5-mL aliquots of PBST. (Optional:

                                       43                                December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                                               Perform a fourth wash losing another 5 mL of PBST,
                                               by hand-kneading an additional minute or placing the
                                               bag on a flat-headed vortexer and vortexing for one
                                               minute. Transfer the eluate to the 50-mL tube.)
                             12.3.3.2.4     If the membrane filter clogs before concentration is
                                            complete, there are two possible options for completion
                                            of concentration. One option is replacing the membrane
                                            as often as necessary. Filter membranes may be placed
                                            smooth side up during the second concentration step.
                                            Another option is concentrating the remaining eluate
                                            using centrifugation. Both options are provided below.
                                            •   Using multiple membranes. Disassemble the
                                               concentrator tube and pour any remaining eluate back
                                               into the pooling beaker. Remove the membrane using
                                               membrane forceps, placing it in the bag provided.
                                               Place a new membrane in the concentrator tube
                                               smooth side up, reassemble, return the eluate to the
                                               concentrator tube, rinse the pooling beaker and add
                                               rinse to the eluate,  and continue the concentration.
                                               Replace the membrane as often as necessary.
                                            •   Centrifuging remaining volume. Decant the
                                               remaining eluate into a 2-L pooling beaker. Rinse the
                                               sides of the concentrator tube and add to the pooling
                                               beaker. Remove the filter membrane and place it in
                                               the bag provided. Wash the membrane as described
                                               in Section 12.3.3.2.3, then concentrate the sample as
                                               described in Section 12.3.3.3.1.
                12.3.3.3      If the Filta-Max® concentrator is not used for sample concentration, or if
                             the membrane filter clogs before sample concentration is complete, then
                             the procedures described in Section 12.3.3.3.1  should be used to
                             concentrate the sample. If less than 50 mL of concentrate has been
                             generated, the sample can be further concentrated, as described in Section
                             12.3.3.3.2, to reduce the volume of sample to be processed through IMS.
       NOTE:  The volume must not be reduced to less than 5 mL above the packed pellet.  The
       maximum amount of pellet that should be processed through IMS is 0.5 mL. If the packed
       pellet is greater than 0.5 mL  then the pellet may be subsampled as described in Section
       13.2.4.

                             12.3.3.3.1      Centrifugation of greater than  50 mL  of eluate

                                            (a) Decant the eluate from the 2-L pooling beaker into
                                               250-mL conical centrifuge tubes. Make  sure that the
                                               centrifuge tubes are balanced.
                                            (b) Centrifuge the 250-mL centrifuge tubes containing
                                               the eluate at 1500 x G for  15 minutes. Allow the
                                               centrifuge to coast to a stop.
                                            (c) Using a Pasteur pipette, carefully aspirate off the
                                               supernatant to 5 mL above the  pellet. If the sample is
                                               reagent water (e.g. initial or ongoing precision and
                                               recovery sample) extra care must be taken to avoid
                                               aspirating oocysts and cysts during this step.

December 2005                                 44

-------
                                                         Method 1623 - Cryptosporidium and Giardia
                                            (d) Vortex each 250-mL tube vigorously until pellet is
                                                completely resuspended. Swirl the centrifuge tube
                                                gently to reduce any foaming after vortexing.
                                                Combine the contents of each 250-mL centrifuge
                                                tube into a 50-mL centrifuge tube. Rinse each of the
                                                250-mL centrifuge tubes with PBST and add the
                                                rinse to the 50-mL tube.
                                            (e) Proceed to Section 12.3.3.3.2.
                              12.3.3.3.2     Centrifugation of less than 50 mL of eluate

                                            (a) Centrifuge the 50-mL centrifuge tube  containing the
                                                combined concentrate at 1500 x G for 15 minutes.
                                                Allow the centrifuge to coast to a stop. Record the
                                                initial pellet volume (volume of solids) and the date
                                                and time that concentration was completed on a
                                                bench sheet.
                                            (b) Proceed to Section 13.0 for concentration and
                                                separation (purification).
       12.3.4   Maintenance and cleaning
                12.3.4.1       Maintenance of O-rings
                              12.3.4.1.1     Check all rubber O-rings for wear or deterioration prior
                                            to each use and replace as necessary.
                              12.3.4.1.2     Lubricate the plunger head O-ring inside and out with
                                            silicon before each use.
                              12.3.4.1.3     Lubricate all other O-rings (concentrator tube set, filter
                                            housing) regularly in order to preserve their condition.
                12.3.4.2       Cleaning
                              12.3.4.2.1     All components of the Filta-Max® system can be cleaned
                                            using warm water and laboratory detergent. After
                                            washing, rinse all components with oocyst and cyst free
                                            reagent water and dry them. All O-rings should be re-
                                            lubricated. Alternatively a mild (40°C) dishwasher cycle
                                            without bleach or rinse aid can be used.
                              12.3.4.2.2     To wash the detachable plunger head slide the locking
                                            pin out and wash the plunger head and locking pin in
                                            warm water and laboratory detergent. Rinse the plunger
                                            head and locking pin with oocyst and cyst free reagent
                                            water and dry. Lightly lubricate the locking pin and re-
                                            assemble the plunger head.
•|24   Sample collection (filtration and concentration) using portable continuous-flow centrifugation.
       Please follow manufacturer's instructions. This procedure was validated for the detection of
       Cryptosporidium using 50-L sample volumes.  Alternate sample volumes maybe used, provided
       the laboratory demonstrates acceptable performance on initial and ongoing spiked  reagent water
       and source water samples (Section 9.1.2). Laboratories are permitted to demonstrate acceptable
       performance for Giardia in their individual laboratory.
                                               45                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
13.0  Sample Concentration and Separation  (Purification)
•j 3 1   During concentration and separation, the filter eluate is concentrated through centrifugation, and
       the oocysts and cysts in the sample are separated from other particulates through immunomagnetic
       separation (IMS). Alternate procedures and products maybe used if the laboratory first
       demonstrates equivalent or superior performance as per Section 9.1.2.
132   Adjustment of pellet volume
       13.2.1  Centrifuge the 250-mL centrifuge tube containing the capsule filter eluate at 1500 x G
               for 15 minutes. Allow the centrifuge to coast to a stop—do not use the brake. Record the
               pellet volume (volume of solids) on the bench sheet.
       NOTE: Recoveries may be improved if centrifugation force is increased to 2000 x G.
       However, do not use this higher force if the sample contains sand or other gritty material
       that may degrade the condition of any oocysts and/or cysts in the sample.

       13.2.2  Using a Pasteur pipette, carefully aspirate the supernatant to 5 mL above the pellet. Extra
               care must be taken to avoid aspirating oocysts and cysts during this step, particularly if
               the sample is reagent water (e.g. initial or ongoing precision and recovery sample).
       13.2.3  If the packed  pellet volume is < 0.5 mL, vortex the tube vigorously until pellet is
               completely resuspended. Swirl the centrifuge tube gently to reduce any foaming after
               vortexing. Record the resuspended pellet volume on the bench sheet. Proceed to Section
               13.3.
       NOTE: Extra care must be taken with samples containing sand or other gritty material
       when vortexing to ensure that the condition of any oocysts and/or cysts in the sample is
       not compromised.

       13.2.4  If the packed pellet volume is > 0.5 mL, the concentrate must be  separated into
               multiple subsamples (a subsample is equivalent to no greater than 0.5 mL of packed
               pellet material, the recommended maximum amount of particulate material to process
               through the subsequent purification and examination steps in the method). Use the
               following formula to  determine the total volume  required in the centrifuge tube before
               separating the  concentrate into two or more subsamples:

                                                           pellet volume
                               total volume (mL) required =                      x 5 mL
                                                             O.SmL

               (For example, if the packed pellet volume is 1.2 mL, the total volume required is 12 mL.)
               Add reagent water to the centrifuge tube to bring the total volume to the level calculated
	above.	
       NOTE: Extra care must be taken with samples containing sand or other gritty material
       when vortexing to ensure that the condition of any oocysts in the sample is not
       compromised.

               13.2.4.1      Analysis of entire sample. If analysis of the entire  sample is required,
                             determine the number of subsamples to be processed independently
                             through the remainder of the method:
                             13.2.4.1.1     Calculate number of subsamples: Divide the total
                                           volume in the centrifuge tube by 5 mL and round up to
                                           the nearest integer (for example, if the resuspended
                                           volume in Section 13.2.4 is 12 mL, then the number of
December 2005                                46

-------
                                                        Method 1623 - Cryptosporidium and Giardia
                                           subsamples would be 12 mL / 5 mL = 2.4, rounded = 3 subsamples).
                             13.2.4.1.2     Determine volume of resuspended concentrate per
                                           subsample. Divide the total volume in the centrifuge
                                           tube by the calculated number of subsamples (for
                                           example, if the resuspended volume in Section 13.2.4 is
                                           12 mL, then the volume to use for each subsample = 12
                                           mL / 3 subsamples = 4 mL).
                             13.2.4.1.3     Process subsamples through IMS. Vortex the tube
                                           vigorously for 10 to 15 seconds to completely resuspend
                                           the pellet. Record the resuspended pellet volume on the
                                           bench sheet. Proceed immediately to  Section 13.3, and
                                           transfer aliquots of the resuspended concentrate
                                           equivalent to the volume in the previous step to multiple,
                                           flat-sided sample tubes in Section 13.3.2.1. Process the
                                           sample as multiple, independent subsamples from Section
                                           13.3 onward, including the preparation and examination
                                           of separate slides for each aliquot. Record the volume of
                                           resuspended concentrate transferred to IMS on the bench
                                           sheet (this will be equal to the volume recorded in
                                           Section 13.2.4). Also record the number of subsamples
                                           processed independently through the  method on the
                                           bench sheet.
               13.2.4.2      Analysis of partial sample. If not all of the concentrate will be
                             examined, vortex the tube vigorously for 10 to 15 seconds to completely
                             resuspend the pellet. Record the resuspended pellet volume on the bench
                             sheet. Proceed immediately to Section 13.3, and transfer one or more  5-
                             mL aliquots of the resuspended concentrate to one or  more flat-sided
                             sample tubes in Section 13.3.2.1. Record the volume of resuspended
                             concentrate transferred to IMS on the bench sheet. To determine the
                             volume analyzed, calculate the percent of the  concentrate examined using
                             the following formula:

                                    total volume of resuspended concentrate transferred to IMS
                percent examined =                                                       x100%
                                    total volume of resuspended concentrate in Section 13.2.4
                             Then multiply the volume filtered (Section 12.2.5.2) by this percentage to
                             determine the volume analyzed.
133   IMS procedure (adapted from Reference 20.13)

       NOTE: The IMS procedure should be performed on a bench top with all materials at
       room temperature, ranging from 15°C to 25°C.

       13.3.1  Preparation and addition of reagents
               13.3.1.1      Prepare a IX dilution of SL-buffer-A from the 10X SL-buffer-A (clear,
                             colorless solution) supplied. Use reagent water (demineralized; Section
                             7.3) as the diluent. For every 1 mL of IX SL-buffer-A required, mix 100
                             u,L of 10X SL-buffer-A and 0.9 mL diluent water. A volume of 1.5 mL of
                             IX SL-buffer-A will be required per sample or subsample on which the
                             Dynal IMS procedure is performed.
                                              47                                December 2005

-------
Method 1623 - Cryptosporidium and Giardia
               13.3.1.2      For each lOmL sample or subsample (Section 13.2) to be processed
                             through IMS, add 1 mL of the 10X SL-buffer-A (supplied—not the
                             diluted IX SL-buffer-A) to a flat-sided tube (Section 6.5.4).
               13.3.1.3      For each subsample, add 1 mL of the 10X SL-buffer-B (supplied—
                             magenta solution) to the flat-sided tube containing the 1 OX SL-buffer-A.
       13.3.2  Oocyst and cyst capture
               13.3.2.1      Use a graduated, 10-mL pipette that has been pre-rinsed with elution
                             buffer to transfer the water sample concentrate from Section 13.2 to the
                             flat-sided tube(s) containing the SL-buffers. If all  of the concentrate is
                             used, rinse the centrifuge tube twice with reagent water and add the
                             rinsate to the flat-sided tube containing the concentrate (or to the tube
                             containing the first subsample, if multiple subsamples will be processed).
                             Each of the two rinses should be half the volume needed to bring the total
                             volume in the flat-sided sample tube to 12 mL (including the buffers
                             added in Sections 13.3.1.2 and 13.3.1.3). (For example, if the tube
                             contained 1 mL of SL-buffer-A and 1 mL of SL-buffer-B, and 5 mL of
                             sample was transferred after resuspension of the pellet, for a total of 7
                             mL, the centrifuge tube would be rinsed twice with 2.5 mL of reagent
                             water to bring the total volume in the flat-sided tube to 12 mL.) Visually
                             inspect the centrifuge tube after completing the transfer to ensure that no
                             concentrate remains. If multiple subsamples will be processed, bring the
                             volume in the remaining flat-sided tubes  to 12 mL with reagent water.
                             Label the flat-sided tube(s) with the sample number (and subsample
                             letters).
               13.3.2.2      Vortex the Dynabeads®Crypto-Combo vial from the IMS kit for
                             approximately 10 seconds to suspend the beads. Ensure that the beads are
                             fully resuspended by inverting the sample tube and making sure that there
                             is no residual pellet at the bottom.
               13.3.2.3      Add 100 uL of the resuspended Dynabeads®Crypto-Combo (Section
                             13.3.2.2) to the sample tube(s) containing the water sample concentrate
                             and SL-buffers.
               13.3.2.4      Vortex the Dynabeads®Giardia-Combo vial from the IMS kit for
                             approximately 10 seconds to suspend the beads. Ensure that the beads are
                             fully resuspended by inverting the tube and making sure that there is no
                             residual pellet at the bottom.
               13.3.2.5      Add 100 uL of the resuspended Dynabeads®Giardia-Combo (Section
                             13.3.2.4) to the sample tube(s) containing the water sample concentrate,
                             Dynabeads®Crypto-Combo, and SL-buffers.
               13.3.2.6      Affix the sample tube(s) to a rotating mixer and rotate at approximately
                             18 rpm for 1 hour at room temperature.
               13.3.2.7      After rotating for 1 hour, remove each sample tube from the mixer and
                             place the tube in the magnetic particle concentrator (MFC®-1 or MPC®-
                             6) with flat side of the tube toward the magnet.
               13.3.2.8      Without removing the sample tube from the MPC®-1, place the magnet
                             side of the MPC®-1 downwards, so the tube is horizontal and the flat side
                             of the tube is facing down.
               13.3.2.9      Gently rock the  sample tube by hand end-to-end through approximately
                             90°, tilting the cap-end and base-end of the tube up and down in turn.
December 2005                                48

-------
                                                 Method 1623 - Cryptosporidium and Giardia
                      Continue the tilting action for 2 minutes with approximately one tilt per
                      second.
        13.3.2.10     Ensure that the tilting action is continued throughout this period to
                      prevent binding of low-mass, magnetic or magnetizable material. If the
                      sample in the MFC®-1 is allowed to stand motionless for more than 10
                      seconds, remove the flat-sided tube from the MPC®-1, shake the tube to
                      resuspend all material, replace the sample tube in the MPC®-1  and repeat
                      Section 13.3.2.9 before continuing to Section 13.3.2.11.
        13.3.2.11     Return the MPC®-1 to the upright position, sample tube vertical, with
                      cap at top.  Immediately remove the cap and, keeping the flat side of the
                      tube on top, pour off all of the supernatant from the tube held in the
                      MFC®-1 into a suitable container. Do not shake the tube and do not
                      remove the tube from MPC®-1 during this  step. Allow more supernatant
                      to settle; aspirate additional supernatant with pipette.
        13.3.2.12     Remove the sample tube from the MPC®-1 and resuspend the sample in
                      0.5 mL IX SL-buffer-A (prepared from 10X SL-buffer-A
                      stock—supplied). Mix very gently to resuspend all material in the tube.
                      Do not vortex.
        13.3.2.13     Quantitatively transfer (transfer followed by two rinses)  all the liquid
                      from the sample tube to a labeled, 1.5-mL microcentrifuge tube. Use 0.5
                      mL of IX SL-buffer-A to perform the first rinse and 0.5  mL of IX SL-
                      buffer-A for the second rinse.  Allow the flat-sided sample tube to  sit for
                      a minimum of 1 minute after transfer of the second rinse volume, then use
                      a pipette to collect any residual volume that drips down to the bottom of
                      the tube  to ensure that as much sample volume is recovered as possible.
                      Ensure that all of the liquid and beads are transferred.
        13.3.2.14     Place the microcentrifuge tube into the second magnetic particle
                      concentrator (MPC®-M or MPC®-S), with its magnetic strip in place.
        13.3.2.15     Without removing the microcentrifuge tube from MPC®-M, gently
                      rock/roll the tube through 180° by hand. Continue for approximately 1
                      minute with approximately one 180° roll/rock per second. At the end of
                      this step, the beads should produce a distinct brown dot at the back of the
                      tube.
        13.3.2.16     Immediately aspirate the supernatant from the tube and cap held in the
                      MPC®-M. If more than one sample is being processed, conduct three 90°
                      rock/roll actions before removing the supernatant from each tube. Take
                      care not  to disturb the material attached to the wall of the tube adjacent to
                      the magnet. Do not shake the tube. Do not remove the tube from MPC®-
                      M while conducting these steps.
13.3.3  Dissociation of beads/oocyst/cyst complex

NOTE: Two acid dissociations are required.

        13.3.3.1      Remove the magnetic strip from the MPC®-M.
        13.3.3.2      Add 50 (iL of 0.1 N HC1, then vortex at the highest setting for
                      approximately 50 seconds.
NOTE: The laboratory must use 0.1-N standards purchased directly from a vendor,
rather than adjusting the normality in-house.
                                       49                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
               13.3.3.3      Place the tube in the MPC®-M without the magnetic strip in place and
                             allow to stand in a vertical position for at least 10 minutes at room
                             temperature.
               13.3.3.4      Vortex vigorously for approximately 30 seconds.
               13.3.3.5      Ensure that all of the sample is at the base of the tube. Place the
                             microcentrifuge tube in the MPC®-M.
               13.3.3.6      Replace magnetic strip in MPC®-M and allow the tube to stand
                             undisturbed for a minimum of 10 seconds.
               13.3.3.7      Prepare a well slide for sample screening and label the slide.
               13.3.3.8      Add 5 (iL of 1.0 N NaOH to the sample wells of two well slides (add 10
                             uL to the sample well of one well slide if the volume from the two
                             required dissociations will be added to the same slide).
       NOTE: The laboratory must use 1.0-N standards purchased directly from a vendor
       rather than adjusting the normality  in-house.

               13.3.3.9      Without removing the microcentrifuge tube from the MPC®-M, transfer
                             all of the sample from the microcentrifuge tube in the MPC®-M to the
                             sample well with the NaOH. Do not disturb the beads at the back wall of
                             the tube. Ensure that all of the fluid is transferred.
               13.3.3.10     Do not discard the beads or microcentrifuge tube after transferring the
                             volume from the first acid dissociation to the well slide. Perform the steps
                             in Sections  13.3.3.1 through 13.3.3.9 a second time. The volume from the
                             second dissociation can be added to  the slide containing the volume from
                             the first dissociation, or can be applied to a second slide.
       NOTE: The wells on Dynal Spot-On slides are likely to be too small to accommodate the
       volumes from both dissociations.

               13.3.3.11     Record the  date  and time the purified sample was applied to the slide(s).
               13.3.3.12     Air-dry the  sample on the well slide(s). Because temperature and
                             humidity vary from laboratory to laboratory, no minimum time is
                             specified. However, the laboratory must take care to ensure that the
                             sample has  dried completely before staining to prevent losses during the
                             rinse steps.  A slide warmer set at 35°C to 42°C  also can be used.
       13.3.4  Tips for minimizing carry-over of debris onto microscope slides after IMS

               •  Make sure the resuspended pellet is fully homogenized before placing the tube in the
                  MPC®-1 or MPC®-M to avoid trapping "clumps" or a dirty layer between the beads
                  and the side of the tube.
               •  When using the MPC®-1 magnet, make sure that the tube is snugged flat against the
                  magnet. Push the tube flat if necessary.  Sometimes the magnet is not flush with the
                  outside of the holder and, therefore, the attraction between the beads and the magnet
                  is not as strong as it should be. However, it can be difficult to determine this if you do
                  not have more than one  MPC®-1 to make comparisons.
               •  After the supernatant has been poured off at Section 13.3.2.11, leave the tube in the
                  MPC®-1 and allow time for any supernatant remaining in the tube to settle down to
                  the bottom. Then aspirate the settled supernatant and associated particles from the
                  bottom of the tube. The  same can be done at Section 13.3.2.16 with the
                  microcentrifuge tube.
December 2005                                50

-------
                                                         Method 1623 - Cryptosporidium and Giardia
                •  An additional rinse can also be performed at Section 13.3.2.11. After the supernatant
                  has been poured off and any settled material is aspirated off the bottom, leave the tube
                  in the MPC®-1 and add an additional 10 mL of reagent water or PBS to the tube and
                  repeat Sections 13.3.2.9 and 13.3.2.11. Although labs have reported successfully
                  using this technique to reduce carryover, because the attraction between the MPC®-1
                  and the beads is not as great as the attraction between the MPC®-M and the beads,
                  the chances would be greater for loss of cysts and oocysts doing the rinse at this step
                  instead of at Section 13.3.2.16.
                •  After the supernatant has been aspirated from the tube at Section 13.3.2.16, add 0.1
                  mL of PBS, remove the tube from the MPC®-M, and resuspend. Repeat Sections
                  13.3.2.15 and 13.3.2.16.
                •  Use a slide with the largest diameter well available to spread out the sample as much
                  as possible.

14.0  Sample Staining
       NOTE:  The sample must be stained within 72 hours of application of the purified sample
       to the slide.

•j 4 •]   Prepare positive and negative controls.
       14.1.1   For the positive control, pipette 10 \\L of positive antigen or 200 to 400 intact oocysts
                and 200 to  400 cysts to the center of a well.
       14.1.2   For the negative control, pipette 50 \aL of PBS (Section 7.4.2.1)  into the center of a well
                and spread it over the well area with a pipette tip.
       14.1.3   Air-dry the control slides (see Section 13.3.3.12 for guidance).

       NOTE:  If the laboratory has a large batch of slides that will be examined over several
       days, and is concerned that a single positive control may fade, due to multiple
       examinations,  the laboratory should prepare multiple control slides with  the batch of field
       slides and alternate between the positive controls when performing the positive control
       check.

142   Follow manufacturer's  instructions in applying stain to slides.
143   Place the slides in a humid chamber in the dark and incubate at room temperature for
       approximately 30  minutes. The humid chamber consists of a tightly sealed plastic container
       containing damp paper  towels on top of which the slides are placed.
-|4 4   Remove slides from humid chamber and allow condensation to evaporate, if present.
•|45   Apply one drop of wash buffer (prepared according to the manufacturer's instructions [Section
       7.6]) to  each well. Tilt each slide on a clean paper towel, long edge down. Gently aspirate the
       excess detection reagent from below the well using a clean Pasteur pipette or absorb with paper
       towel or other absorbent material placed at edge of slide. Avoid disturbing the sample.
146   Apply 50 f^L of 4',6-diamidino-2-phenylindole (DAPI) staining solution (Section 7.7.2) to each
       well. Allow to stand at room temperature for a minimum of 1 minute. (The  solution concentration
       may be increased up to  1 ug/mL if fading/diffusion of DAPI staining is encountered, but the
       staining solution must be tested first on expendable environmental samples to confirm that
       staining intensity is appropriate.)
-| 4 7   Apply one drop of wash buffer (prepared according to the manufacturer's instructions [Section
       7.6]) to  each well. Tilt each slide on a clean paper towel, long edge down. Gently aspirate the
       excess DAPI staining solution from below the well using a clean Pasteur  pipette or absorb with
       paper towel or other absorbent material placed at edge of slide. Avoid disturbing the sample.
                                               51                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
       NOTE: If using the MeriFluor® Cryptosporidium/Giardia  (Section 7.6.1), do not allow
       slides to dry completely.

148   Add mounting medium (Section 7.8) to each well.
149   Apply a cover slip. Use a tissue to remove excess mounting fluid from the edges of the coverslip.
       Seal the edges of the coverslip onto the slide using clear nail polish.
1410  Record the date and time that staining was completed on the bench sheet. If slides will not be read
       immediately, store in a humid chamber in the dark between 1 °C and 10°C until ready for
       examination.

15.0  Examination
       NOTE: Although immunofluorescence assay (FA) and 4',6-diamidino-2-phenylindole
       (DAPI) and differential interference contrast (DIC) microscopy examination should be
       performed immediately after staining is complete, laboratories have up to 168 hours (7
       days) from completion of sample staining to complete the examination and verification of
       samples. However, if fading/diffusion ofFITC or DAPI fluorescence is noticed, the
       laboratory must reduce this holding time. In addition the laboratory may adjust the
       concentration of the DAPI staining solution (Sections 7.7.2)  so that fading/diffusion does
       not occur.

•| 5 •]   Scanning technique: Scan each well in a systematic fashion.  An up-and-down or a side-to-side
       scanning pattern may be used (Figure 4).
152   Examination using immunofluorescence assay (FA), 4',6-diamidino-2-phenylindole (DAPI)
       staining characteristics, and differential interference contrast (DIC) microscopy. The minimum
       magnification requirements  for each type of examination are noted below.
       NOTE: All characterization (DAPI and DIC) and size measurements must be determined
       using 1OOOXmagnification and reported to the nearest 0.5 ^m.

       Record examination results  for Cryptosporidium oocysts on  a Cryptosporidium examination form;
       record examination results for Giardia cysts on a Giardia  examination results form. All
       organisms that meet the criteria specified in Sections 15.2.2 and 15.2.3, less atypical organisms
       specifically identified as non-target organisms by DIC or DAPI (e.g. possessing spikes, stalks,
       appendages, pores, one or two large nuclei filling the cell,  red fluorescing chloroplasts, crystals,
       spores, etc),  must be reported.
       15.2.1  Positive  and negative staining control. Positive and negative staining controls must be
               acceptable before proceeding with examination of field sample slides.
               15.2.1.1      Each analyst must characterize a minimum of three Cryptosporidium
                             oocysts  and three Giardia cysts on the positive staining control slide
                             before examining field sample slides. This characterization must be
                             performed by each analyst during each microscope examination session.
                             FITC examination must be conducted at a minimum of 200X total
                             magnification, DAPI examination must be conducted at a minimum of
                             400X, and DIC examination and size measurements must be conducted at
                             a minimum of 1 OOOX.  Size, shape, and DIC and DAPI characteristics of
                             three Cryptosporidium oocysts and three Giardia cysts must be recorded
                             by the analyst on a microscope log. The analyst also must indicate on
                             each sample examination form whether the positive staining control was
                             acceptable.
December 2005                                 52

-------
                                                  Method 1623 - Cryptosporidium and Giardia
        15.2.1.2      Examine the negative staining control to confirm that it does not contain
                      any oocysts or cysts (Section 14.1). Indicate on each sample examination
                      form whether the negative staining control was acceptable.
        15.2.1.3      If the positive staining control contains oocysts and cysts within the
                      expected range and at the appropriate fluorescence for both FA and
                      DAPI, and the negative staining control does not contain any oocysts or
                      cysts (Section 14.1), proceed to Sections 15.2.2 and 15.2.3.
15.2.2  Sample examination—Cryptosporidium
        15.2.2.1      FITC examination (the analyst must use a minimum of 200X total
                      magnification). Use epifluorescence to  scan the entire well for apple-
                      green fluorescence of oocyst and cyst shapes. When brilliant apple-green
                      fluorescing ovoid or spherical objects 4 to 6 urn in diameter are observed
                      with brightly highlighted edges, increase magnification to 400X and
                      switch the microscope to the UV filter block for DAPI (Section 15.2.2.2),
                      then to DIG (Section 15.2.2.3) at 1000X.
        15.2.2.2      DAPI fluorescence examination (the analyst must use a minimum of
                      400X total magnification).  Using the UV filter block for DAPI, the
                      object will exhibit one of the following characteristics:
                      (a)  Light blue internal staining (no distinct nuclei) with a green rim
                      (b)  Intense blue internal staining
                      (c)  Up to four distinct, sky-blue nuclei

                      Look for atypical DAPI fluorescence, e.g., more than four stained nuclei,
                      size of stained nuclei, and wall structure and color.  Record oocysts in
                      category (a) as DAPI-negative; record oocysts in categories (b) and (c)  as
                      DAPI-positive.
        15.2.2.3      DIC examination (the analyst must use a minimum of 1000X total
                      magnification [oil immersion lens]). Using DIC, look for external or
                      internal morphological characteristics atypical of Cryptosporidium
                      oocysts (e.g., spikes, stalks, appendages, pores, one or two large nuclei
                      filling the cell, red fluorescing chloroplasts, crystals, spores, etc.)
                      (adapted from Reference 20.10). If atypical structures are not observed,
                      then categorize each apple-green fluorescing object as:
                      (a)  An empty Cryptosporidium oocyst
                      (b)  A Cryptosporidium oocyst with amorphous structure
                      (c)  A Cryptosporidium oocyst with internal structure (one to four
                          sporozoites/oocyst)
                      Using 1000X total magnification, record the shape, measurements (to the
                      nearest 0.5 urn), and number of sporozoites (if applicable) for each apple-
                      green fluorescing object meeting the size and shape characteristics.
                      Although not a defining characteristic, surface oocyst folds may be
                      observed in some specimens.
        15.2.2.4      A positive result is a Cryptosporidium oocyst which exhibits typical IFA
                      fluorescence, typical size and shape  and exhibits nothing atypical on IFA,
                      DAPI fluorescence, or DIC microscopy. A positive result must be
                      characterized and assigned to one of the DAPI and DIC categories in
                      Sections 15.2.2.2 and 15.2.2.3.
15.2.3  Sample examination—Giardia
        15.2.3.1      FITC examination (the analyst must use a minimum of 200X total
                      magnification). When brilliant apple-green fluorescing round to ovoid

                                        53                                  December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                             objects (8-18 um long by 5 -15 um wide) are observed with brightly
                             highlighted edges, increase magnification to 400X and switch the
                             microscope to the UV filter block for DAPI (Section 15.2.3.2) then to
                             DIC (Section 15.2.3.3) at 1000X.
                15.2.3.2      DAPI fluorescence examination (the analyst must use a minimum of
                             400X total magnification). Using the UV filter block for DAPI, the object
                             will exhibit one or more of the following characteristics:
                             (a) Light blue internal staining (no distinct nuclei) and a green rim
                             (b) Intense blue internal staining
                             (c) Two to four sky-blue nuclei

                             Look for atypical DAPI fluorescence, e.g., more than four stained nuclei,
                             size of stained nuclei, and wall structure and color. Record cysts in
                             category (a) as DAPI negative; record cysts in categories (b) and (c) as
                             DAPI positive.
                15.2.3.3      DIC examination (the analyst must use a minimum of 1000X total
                             magnification [oil immersion lens]). Using DIC microscopy, look for
                             external or internal morphological characteristics  atypical of Giardia
                             cysts (e.g., spikes, stalks, appendages, pores, one or two large nuclei
                             filling the cell, red fluorescing chloroplasts, crystals, spores, etc.)
                             (adapted from Reference 20.10). If atypical structures are not observed,
                             then categorize each object meeting the criteria specified in Sections
                             15.2.3.1 through 15.2.3.3 as one of the following,  based on DIC
                             examination:
                             (a) An empty Giardia cyst
                             (b) A  Giardia cyst with amorphous structure
                             (c) A  Giardia cyst with one type of internal structure (nuclei, median
                                 body, or axonemes), or
                             (d) A  Giardia cyst with more than one type of internal structure
                             Using  1000X total magnification, record the shape, measurements (to the
                             nearest 0.5 um), and number of nuclei and presence of median body or
                             axonemes (if applicable) for each apple-green fluorescing object meeting
                             the size and shape characteristics.

                15.2.3.4      A positive result is a Giardia cyst which exhibits typical IFA
                             fluorescence, typical size and shape and exhibits nothing atypical on IFA,
                             DAPI fluorescence, or DIC microscopy. A positive result must be
                             characterized and assigned to one of the DAPI and DIC categories in
                             Section 15.2.3.2 and 15.2.3.3.
       15.2.4   Record the date and time that sample examination was completed on the examination
                form.
       15.2.5   Report Cryptosporidium and Giardia concentrations as oocysts/L and cysts/L,
                respectively.
       15.2.6   Record analyst name


16.0  Analysis of Complex Samples
•j g •]   Some samples may contain high levels (>1000/L) of oocysts and cysts and/or interfering
       organisms, substances, or materials. Some samples may clog the filter (Section 12.0); others will
       not allow separation of the oocysts and cysts from the retentate or eluate; and others may contain
       materials that preclude or confuse microscopic examination.


December 2005                                 54

-------
                                                       Method 1623 - Cryptosporidium and Giardia
162   If the sample holding time has not been exceeded and a full-volume sample cannot be filtered,
       dilute an aliquot of sample with reagent water and filter this smaller aliquot (Section 12.0). This
       dilution must be recorded and reported with the results.
1 g 3   If the holding times for the sample and for microscopic examination of the cleaned up
       retentate/eluate have been exceeded, the site should be re-sampled. If this is not possible, the
       results should be qualified accordingly.
1 g 4   Some samples may adhere to the centrifuge tube walls. The use of siliconized or low-adhesion
       centrifuge tubes (Fisherbrand siliconized/low retention microcentrifuge tubes, 02-681-320 or
       equivalent) may reduce adhesion. Alternately, rinse centrifuge tubes with PBST elution buffer or
       Sigmacote® prior to use.

17.0  Method Performance
•j 7 1   Method acceptance criteria are shown in Tables 3 and 4 in Section 21.0. The initial and ongoing
       precision and recovery criteria are based on the results of spiked reagent water samples analyzed
       during the Information Collection Rule Supplemental Surveys (Reference 20.11). The matrix
       spike and matrix spike duplicate criteria are based on spiked source water data generated during
       the interlaboratory validation study of Method  1623 involving 11 laboratories and 11 raw surface
       water matrices across the U.S. (Reference 20.14).
       NOTE:  Some sample matrices may prevent the MS acceptance criteria in Tables 3 and 4
       to be met. An assessment of the distribution of MS recoveries across 430 MS samples
       from 87 sites during the ICR Supplemental Surveys is provided in Table 5.


18.0  Pollution Prevention
•j g 1   The solutions and reagents used in this method pose little threat to the environment when recycled
       and managed properly.
182   Solutions and reagents should be prepared in volumes consistent with laboratory use to minimize
       the volume of expired materials that need to be discarded.

19.0  Waste Management
•j g 1   It is the  laboratory's responsibility to comply with all federal, state, and local regulations govern-
       ing waste management, particularly the biohazard and hazardous waste identification rules and
       land disposal restrictions, and to protect the air, water, and land by minimizing  and controlling all
       releases from fume hoods and bench operations. Compliance with all sewage discharge permits
       and regulations is also required. An overview of these requirements can be found in the
       Environmental Management Guide for Small Laboratories (EPA 233-B-98-001).
192   Samples, reference materials, and equipment known or suspected to have viable oocysts or cysts
       attached or contained must be sterilized prior to disposal.
193   F°r further information on waste management, consult The Waste Management Manual for
       Laboratory Personnel and Less is Better: Laboratory Chemical Management for Waste
       Reduction, both available from the American Chemical Society's Department of Government
       Relations and Science Policy, 1155 16th Street N.W., Washington, D.C. 20036.

20.0  References
20 1   Morgan-Ryan, UM, A. Fall, L.A Ward, N. Hijjawi, I. Sulaiman, R. Payer, R.C.Thompson, M.
       Olson, A. Lai, L. Xiao. 2002. Cryptosporidium hominis n. sp. (Apicomplexa: Cryptosporidiidae
       from Homo sapiens). Journal Eukaryot Microbiol 49(6):433-450.
20.2   Adam, R.D. 2001. Biology of Giardia lamblia. Clinical Microbiology Review 14(3):447-475.
                                              55                               December 2005

-------
Method 1623 - Cryptosporidium and Giardia
20.3   Rodgers, MarkR., Flanigan, Debbie J., and Jakubowski, Walter, 1995. Applied and
       Environmental Microbiology 6\_ (10), 3759-3763.
20 4   Fleming, Diane O., et al.(eds.), Laboratory Safety: Principles and Practices, 2nd edition. 1995.
       ASM Press, Washington, DC
20.5   "Working with Carcinogens,"  DREW, PHS, CDC, NIOSH, Publication 77-206, (1977).
20.6   "OSHA Safety and Health Standards, General Industry," OSHA2206, 29 CFR 1910 (1976).
20 7   "Safety in Academic Chemistry Laboratories," ACS Committee on Chemical Safety (1979).
20 8   APHA, AWWA, and WEF. 2005. Standard Methods for the Examination of Water and
       Wastewater; 21th Edition. American Public Health Association, American Water Works
       Association, Washington, D.C.
20 9   USEPA 2005. Manual for the Certification of Laboratories Analyzing Drinking Water;  Criteria
       and Procedures; Quality Assurance. Fifth Edition. EPA 815-R-05-004. Office of Ground Water
       and Drinking Water, U.S. Environmental Protection Agency, 26 West Martin Luther King Drive,
       Cincinnati, OH 45268.
2010  ICR Microbial Laboratory Manual, EPA/600/R-95/178, National Exposure Research Laboratory,
       Office  of Research and Development, U.S. Environmental Protection Agency, 26 Martin Luther
       King Drive, Cincinnati, OH 45268 (1996).
20.11  Cornell, K-> c-c- Rodgers, H.L.  Shank-Givens, J Scheller, M.L Pope, and K. Miller, 2000.
       Building a Better Protozoa Data Set. Journal AWWA, 92:10:30.
20 12  "Envirochek™ Sampling Capsule," PN 32915, Gelman Sciences, 600 South Wagner Road, Ann
       Arbor,  MI 48103-9019 (1996).
20.13  "Dynabeads® GC-Combo," Dynal Microbiology R&D, P.O. Box 8146 Dep., 0212 Oslo, Norway
       (September 1998, Revision no. 01).
20 14  USEPA. Results of the Interlaboratory Method Validation Study for Determination of
       Cryptosporidium and Giardia  Using USEPA Method 1623, EPA-821-R-01-028. Office of Water,
       Office  of Science and Technology, Engineering and Analysis Division, Washington, DC (2001).
20 15  USEPA. Implementation and Results of the Information Collection Rule Supplemental Surveys.
       EPA-815-R-01-003. Office of Water, Office of Ground Water and Drinking Water, Standards and
       Risk Management Division, Washington, DC  (2001).
20 16  Cornell, K., J. Scheller, K. Miller, and C.C. Rodgers, 2000. Performance of Methods 1622 and
       1623 in the ICR Supplemental Surveys. Proceedings, American Water Works Association Water
       Quality Technology Conference, November 5-9, 2000, Salt Lake City, UT.
December 2005                               56

-------
                                                  Method 1623 - Cryptosporidium and Giardia
21.0 Tables and Figures



Table 1. Method Holding Times (See Section 8.2 for details)
Sample Processing Step
Maximum Allowable Time between Breaks
(Samples should be processed as soon as possible)
Collection
Filtration
X Up to 96 hours are permitted between sample collection (if shipped to the laboratory as a bulk
sample) or filtration (if filtered in the field) and initiation of elution
Elution
Concentration
Purification
Application of purified sample to slide
These steps must be completed in 1 working day
Drying of sample
X Up to 72 hours are permitted from application of the purified sample to the slide to staining
Staining
X Up to 7 days are permitted between sample staining and examination
Examination
                                          57
December 2005

-------
Method 1623 - Cryptosporidium and Giardia
Table 2.    Tier 1 and Tier 2 Validation/Equivalency Demonstration Requirements
Test
IPR
(Section 9.4)
Method blank
(Section 9.6)
MS
(Section 9.5.1)
MS/MSD
(Section 9.5)
Description
4 replicates of spiked
reagent water
Unspiked reagent
water
Spiked matrix water
2 replicates of spiked
matrix water
Tier 1 modification111
Required. Must be accompanied by a
method blank.
Required
Required on each water to which the
modification will be applied and on every
20th sample of that water thereafter. Must be
accompanied by an unspiked field sample
collected at the same time as the MS sample
Recommended, but not required. Must be
accompanied by an unspiked field sample
collected at the same time as the MS sample
Tier 2 modification'2'
Required per laboratory
Required per laboratory
Not required
Required per laboratory.
Each laboratory must
analyze a different water.
(1)   If a modification will be used only in one laboratory, these tests must be performed and the results must meet all
     of the QC acceptance criteria in the method (these tests also are required the first time a laboratory uses the
     validated version of the method)
(2)   If nationwide approval of a modification is sought for one type of water matrix (such as surface water), a
     minimum of 3 laboratories must perform the tests and the results from each lab individually must meet all QC
     acceptance criteria in the method. If more than 3 laboratories are used in a study, a minimum of 75% of the
     laboratories must meet all QC acceptance criteria.

        NOTE: The initial precision and recovery and ongoing precision  and recovery (OPR)

        acceptance criteria listed in Tables 3 and 4 are based on  results from 293
        Cryptosporidium OPR samples and 186 Giardia OPR samples analyzed by six
        laboratories during the Information Collection Rule Supplemental Surveys (Reference
        20.15). The matrix spike acceptance criteria are based on data generated through
        interlaboratory validation of Method 1623 (Reference 20.14).
December 2005
58

-------
                                                            Method 1623 - Cryptosporidium and Giardia
Table 3. Quality Control Acceptance Criteria for Cryptosporidium
Performance test
Initial precision and recovery
Mean recovery (percent)
Precision (as maximum relative standard deviation)
Ongoing precision and recovery (percent)
Matrix spike/matrix spike duplicate (for method modifications)
Mean recovery1'2 (as percent)
Precision (as maximum relative percent difference)
Section
9.4
9.4.3
9.4.3
9.7
9.5
9.5.2.2
9.5.2.3
Acceptance criteria

24-100
55
11 - 100

13-111
61
(1)  The acceptance criteria for mean MS/MSD recovery serves as the acceptance criteria for MS recovery during
    routine use of the method (Section 9.5.1).
(2)  Some sample matrices may prevent the acceptance criteria from being met. An assessment of the distribution of
    MS recoveries from multiple MS samples from 87 sites during the ICR Supplemental Surveys is provided in Table
    5.
Table 4. Quality Control Acceptance Criteria for Giardia
Performance test
Initial precision and recovery
Mean recovery (percent)
Precision (as maximum relative standard deviation)
Ongoing precision and recovery (percent)
Matrix spike/matrix spike duplicate (for method modifications)
Mean recovery1'2 (as percent)
Precision (as maximum relative percent difference)
Section
9.4
9.4.3
9.4.3
9.7
9.5
9.5.2.2
9.5.2.3
Acceptance criteria

24-100
49
14-100

15-118
30
(1)  The acceptance criteria for mean MS/MSD recovery serves as the acceptance criteria for MS recovery during
    routine use of the method (Section 9.5.1).
(2)  Some sample matrices may prevent the acceptance criteria from being met. An assessment of the distribution of
    MS recoveries across multiple MS samples from 87 sites during the ICR Supplemental Surveys is provided in
    Table 5.
                                                  59
December 2005

-------
Method 1623 - Cryptosporidium and Giardia
Table 5. Distribution of Matrix Spike Recoveries from Multiple Samples Collected from 87 Source Waters
       During the ICR Supplemental Surveys (Adapted from Reference 20.16)
MS Recovery Range
<10%
>10%-20%
>20% - 30%
>30% - 40%
>40% - 50%
>50% - 60%
>60% - 70%
>70% - 80%
>80% - 90%
>90%
Percent of 430 Cryptosporidium MS
Samples in Recovery Range
6.7%
6.3%
14.9%
14.2%
18.4%
17.4%
11.2%
8.4%
2.3%
0.2%
Percent of 270 Giardia MS
Samples in Recovery Range
5.2%
4.8%
7.0%
8.5%
17.4%
16.3%
16.7%
14.1%
6.3%
3.7%
December 2005
60

-------
                                      Method 1623 - Cryptosporidium and Giardia
                              1 mm
                       A
        1/5 mm
                       D
B
C
Figure 1.  Hemacy to meter Platform Ruling. Squares 1, 2, 3, and 4
          are used to count stock suspensions of Cryptosporidium
          oocysts and Giardia cysts (after Miale, 1967)
                                61
                December 2005

-------
Method 1623 - Cryptosporidium and Giardia
           o
                        •
                                           o
                       0
                                                      O
                                            *
                                             •
                               O
                                        -O
                      c

                       6
                                                        o
         Figure 2.  Manner of Counting Oocysts and Cysts in 1
                   Square mm. Dark organisms are counted and
                   light organisms are omitted (after Miale,
                   1967).
December 2005
62

-------
                                              Method 1623 - Cryptosporidium and Giardia
   Sample
A
     --


  Influent
                Envirodiek111 capsule
           Flew rate meter
             with valve  ^
Inflyent
tubing
                           -     &
Outlet
tubing
                                       Flow Water    El uent tubing
                                       I—(Valve)
                                     pump
                                                   Effluent tub ing
            Pressure
            regulator
               Envirochel™
                capsule
                                                /,'  (Vahe)
                  Flow totalizer
                                    DIRECTION OF FLOW

Figure 3a.  Filtration Systems for Envirochek™ or
                                                                  ualue ITBJ be
                                                                  used h pace sf
                                                                  Ho* rae meter
             Envirochek™HV Capsule (unpressurized source - top,
             pressurized source - bottom)
                                     63
                                                   December 2005

-------
Method 1623 - Cryptosporidium and Giardia
                                              Flow rate
                                               meter
                                              with valve  «L
                                        Wter housing
     Sample
                                    '  II     ' 1 i    \
                            Inlet tubing              Outlet tabing
                                   QRKTION Of FU5W
                                                                        Effluent tub ing
                                         Outlet tubing
                                                       Flow rate meter* —
                                                         with valve
    Influent
    tubmg
                                                          Effluent tubing
Pressure   In let tubing
regulator             Filb-Uax™
                  filterhousirig
Row totalizer
                                         DIRECTION OF FLOW
                                                                       ' , Fte contni
                                                                        yihe ma^ be
                                                                        usedinpbccof
                                                                        flow rse meter
  Figure 3b. Filtration Systems for Filta-Max® filters (unpressurized
               source - top, pressurized source -  bottom)
December 2005
                            64

-------
                                            Method 1623 - Cryptosporidium and Giardia
                                           Til
Figure 4.  Methods for Scanning a Well Slide
                                    65
December 2005

-------
Method 1623 - Cryptosporidium and Giardia
22.0  Glossary of Definitions and Purposes

       These definitions and purposes are specific to this method but have been conformed to common
       usage as much as possible.

22 1   Units of weight and measure and their abbreviations
       22.1.1 Symbols
              °C     degrees Celsius
              (iL    microliter
              <      less than
              >      greater than
              %     percent
       22.1.2 Alphabetical characters
              cm    centimeter
              g      gram
              G     acceleration due to gravity
              hr     hour
              ID     inside diameter
              in.     inch
              L      liter
              m     meter
              MCS  microscope cleaning solution
              mg    milligram
              mL    milliliter
              mm    millimeter
              mM    millimolar
              N     normal; gram molecular weight of solute divided by hydrogen equivalent of
                     solute, per liter of solution
              RSD   relative standard deviation
              sr      standard deviation of recovery
              X     mean percent recovery

22 2   Definitions, acronyms, and abbreviations (in alphabetical order)

       Analyst—The analyst should have at least 2 years of college in microbiology or equivalent or
       closely related field. The analyst also should have a minimum of 6 months of continuous bench
       experience with Cryptosporidium and IFA microscopy. The analyst should have a minimum of 3
       months experience using EPA Method 1622 and/or EPA Method 1623 and should have
       successfully analyzed a minimum of 50 samples using EPA Method 1622 and/or EPA Method
       1623.

       Analyte—A protozoan parasite tested for by this method. The analytes in this method are
       Cryptosporidium and Giardia.

       Axoneme—An internal flagellar structure that occurs in some protozoa, such as Giardia,
       Spironucleous, and Trichonmonas.

       Cyst—A phase or a form of an organism produced either in response to environmental conditions
       or as a normal part of the life cycle of the organism. It is characterized by a thick and
       environmentally resistant cell wall.
December 2005                                66

-------
                                                  Method 1623 - Cryptosporidium and Giardia
Flow cytometer—A particle-sorting instrument capable of counting protozoa.

Immunomagnetic separation (IMS)—A purification procedure that uses microscopic, magnetically
responsive particles coated with an antibodies targeted to react with a specific pathogen in a fluid
stream. Pathogens are selectively removed from other debris using a magnetic field.

Initial precision and recovery (IPR)—Four aliquots of spiking suspension analyzed to establish
the ability to generate acceptable precision and accuracy. An IPR is performed prior to the first
time this method is used and anytime the method or instrumentation is modified.

Laboratory blank—See Method blank

Laboratory control sample (LCS)—See Ongoing precision and recovery (OPR) standard

Matrix spike (MS)—A sample prepared by adding a known quantity of organisms to a specified
amount of sample matrix for which an independent estimate of target analyte concentration is
available. A matrix spike is used to determine the effect of the matrix on a method's recovery
efficiency.

May—This action, activity, or procedural step is neither required nor prohibited.

May not—This action,  activity, or procedural step is prohibited.

Median bodies—Prominent, dark-staining, paired organelles consisting of microtubules and found
in the posterior half of Giardia. In G. intestinalis (from humans), these structures often have a
claw-hammer shape, while in G. muris (from mice), the median bodies are round.

Method blank—An aliquot of reagent water that is treated exactly as a sample, including exposure
to all glassware, equipment, solvents, and procedures that are used with samples. The method
blank is used to determine if analytes or interferences are present in the laboratory environment,
the reagents, or the apparatus.

Must—This action, activity, or procedural step is required.

Negative control—See  Method blank

Nucleus—A membrane-bound organelle containing genetic material. Nuclei are a prominent
internal structure seen both in Cryptosporidium oocysts and Giardia cysts. In Cryptosporidium
oocysts, there is one nucleus per sporozoite.  One to four nuclei can be seen in Giardia cysts.

Oocyst—The encysted  zygote of some sporozoa; e.g., Cryptosporidium. The oocyst is a phase or
form of the organism produced as a normal part of the life cycle of the organism. It is
characterized by a thick and environmentally resistant outer wall.

Ongoing precision and  recovery (OPR) standard—A method blank spiked with known quantities
of analytes. The OPR is analyzed exactly like a sample. Its purpose is to assure that the results
produced by the laboratory remain within the limits specified in this method for precision and
recovery.

Oocyst and cyst spiking suspension—See Spiking suspension

Oocyst and cyst stock suspension—See Stock suspension
                                        67                                 December 2005

-------
Method 1623 - Cryptosporidium and Giardia
       Positive control—See Ongoing precision and recovery standard

       Principal analyst—The principal analyst (may not be applicable to all monitoring programs)
       should have a BS/BA in microbiology or closely related field and a minimum of 1 year of
       continuous bench experience with Cryptosporidium and IFA microscopy. The principal analyst
       also should have a minimum of 6 months experience using EPA Method 1622 and/or EPA
       Method 1623 and should have analyzed a minimum of 100 samples using EPA Method 1622
       and/or EPA Method 1623.

       PTFE—Polytetrafluoroethylene

       Quantitative transfer—The process of transferring a solution from one container to another using
       a pipette in which as much solution as possible is transferred, followed by rinsing of the walls of
       the source container with a small volume of rinsing solution (e.g., reagent water, buffer, etc.),
       followed by transfer of the rinsing solution, followed by a second rinse and transfer.

       Reagent water—Water demonstrated to be free from the analytes of interest and potentially
       interfering substances at the method detection limit for the analyte.

       Reagent water blank—see Method blank

       Relative standard deviation (RSD)—The standard deviation divided by the mean times 100.

       RSD—See Relative standard deviation

       Should—This action, activity, or procedural step is suggested but not required.

       Spiking suspension—Diluted stock suspension containing the organism(s) of interest at a
       concentration appropriate for spiking samples.

       Sporozoite—A motile, infective stage of certain protozoans;  e.g., Cryptosporidium. There are four
       sporozoites in each Cryptosporidium oocyst, and they are generally banana-shaped.

       Stock suspension—A concentrated suspension containing the organism(s) of interest that is
       obtained from a source that will attest to the host source, purity, authenticity, and viability of the
       organism(s).

       Technician—The technician filters samples, performs centrifugation, elution, concentration,  and
       purification using IMS, and places purified samples on slides for microscopic examination, but
       does not perform microscopic protozoan detection and identification. No minimum education or
       experience requirements with Cryptosporidium and IFA microscopy apply to the technician.  The
       technician should have at least 3 months of experience in filter extraction and processing of
       protozoa samples by EPA Method 1622/1623 and should have successfully processed a minimum
       of 50 samples using EPA Method 1622/1623.
December 2005                                 68

-------