&EPA
United States
Environmental Protection
Agency
EPA/600/R-15/052
www.epa.gov/ord
ADDITIONAL
BENEFICIAL
OUTCOMES  OF
IMPLEMENTING
THE
CHESAPEAKE BAY
TMDL:
Quantification and
description of
ecosystem services
not monetized
                                               Prepared for
                                     Naomi Detenbeck, Brenda Rashleigh
                                     US Environmental Protection Agency
                                              ORD/NHEERL
                                          Atlantic Ecology Division
                                             Narragansett, Rl

                                               Prepared by
                                 Lisa Wainger1, Jennifer Richkus2, Mary Barber2
                                              March 4, 2015
                           1 Oneida Total Integrated Enterprises, LLC, Oak Ridge, TN and
                      University of Maryland Center for Environmental Science, Solomons, MD
                                     2 RTI International, Washington, DC
          Office of Research and Development
          National Health and Environmental Effects Research Laboratory

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WORK ASSIGNMENT 031
Developing and Refining Ecosystem Services Approaches Relevant
to Restoring the Chesapeake Bay
Notice
Support for this work was provided by the US EPA Office of Research and Development, National
Exposure Research Laboratory and the US EPA National Center for Environmental Economics.
Although this research has been funded, in part, by US EPA contract (Contract EP-D-11-060), it
has not been subjected to the Agency's review and therefore does not necessarily reflect the
views of the Agency, and no official endorsement should be inferred.
Acknowledgements
The authors wish to acknowledge the contributions of Michael Kemp, Howard Townsend,
Kenneth Moore, Dave Secor, and Ed Houde who provided written input and were available for
many thoughtful discussions on Chesapeake Bay processes. We would also like to acknowledge
the contributions of Walter Boynton, Denise Breitburg, Lee Karrh, Richard LaCouture, Al Place,
Erin Shields, Jim Uphoff, and Kathy Wozniak who provided insights from their many years of
experience with Chesapeake Bay ecosystems. Finally, we thank Anna McMurray, Elizabeth Price
and Jean Mayo for help preparing this report.

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Abstract
Over the last 60 years, the Chesapeake Bay water quality and seagrass beds have diminished to
the point that the system is less able to support abundant crabs and diverse fish, feed
waterfowl, and produce safe recreational opportunities. Further, the long-term resilience of the
bay is in question as climate change, invasive species, and emerging diseases create novel
stressors on this already struggling system. As a result of improved pollution management, the
bay has improved in some respects in the most recent decades, and the implementation of
Chesapeake Bay Total Maximum Daily Load (TMDL), which sets pollution caps, has the potential
to further ameliorate problems and provide a wide variety of benefits to society.

This effort supplements other efforts to monetize a range of benefits of the TMDL and explains
why some key benefits that motivated the TMDL will not be included in the final dollar estimate.
The purpose of this report is to provide quantification and description of the magnitude of
improvements to conditions in the bay that cannot be monetized but can be linked to human
welfare. We evaluate benefit indicators (e.g., reductions in disease-causing organisms), but we
are not demonstrating benefits in the strict sense because we have not evaluated what people
would have been willing to pay to achieve these benefits. Yet, non-monetary benefit indices are
used routinely to establish cost-effectiveness of management actions and can enrich the context
in which the benefit-cost results are considered.

We analyze and synthesize existing scientific literature and data to quantify and describe how
the practices that the bay states have proposed to meet the TMDL could positively affect
selected ecosystem services produced by the Chesapeake Bay system. In support of public
health, food supply, and recreation, we estimate that the TMDL practices collectively have the
potential to decrease disease-causing pathogen loads to the bay by at least 19-27%, reduce
human exposure to West Nile Virus, and reduce incidence of harmful algal blooms. Perhaps
most significantly, implementing the practices to meet the TMDL would also promote benefits
derived from enhancing or maintaining bay ecosystem resilience. We describe how resilience to
multiple stresses, including climate change effects, is fostered by the regrowth of submerged
aquatic vegetation, increased fish diversity, and reduced hypoxia. These changes would be
expected to promote a system that recovers more readily from disturbance and avoids tipping
points that could shift the system to an undesirable state.

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Table of Contents






Notice	ii



Acknowledgements	ii



Abstract	iii



Introduction	1



  Management actions	2



Measuring Potential Benefits without Economic Valuation	3



  Steps used in analysis	3



    Defining socially-relevant outcomes	4



Ecosystem Service 1. Public Health Protection	4



  Pathogens	5



    Current conditions and effects on ecosystem services	5



    Potential improvements from implementing the WIPs	7



    Potential magnitude of benefits	19



    Conclusions for pathogens	22



  Reduction in health risk from West Nile Virus	22



    Current conditions and effects on ecosystem services	22



    Potential improvements from implementing the TMDL	23



    Conclusions for West Nile Virus	23



  Harmful Algal Blooms (HABs)	24



    Current conditions and effects on ecosystem services	24



    Potential improvements from implementing the TMDL	24



    Conclusions for HABs	25



  Difficult to value benefits of reducing  health  risks	25



Ecosystem Service Benefit 2. Ecosystem  Resilience and Contributions to Nonuse Values	26



  SAV and fish as indicators of resilience	27



    Current conditions of SAV	27



    Current conditions of fisheries	28



    Why the TMDL may enhance resilience	28



    Potential for SAV regrowth due to improved water quality	29



    Potential for fisheries improvements due to improved water quality	29
                                                                                  -v -

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    Resilience to climate change or new stressors	32
    Potential beneficiaries	34
    Conclusions for resilience reflected in SAV and fish	35
  Toxins	35
    Current conditions and effects on ecosystem services	35
    Potential improvements from implementing the WIPs	38
    Potential magnitude of impacts	39
    Conclusions for toxins	39
Summary	41
Appendix A. Supplemental Information for Pathogen Analysis	43
Appendix B. Data Quality and Limitations	48
References	49
Tables and Figures

Tables

Table 1. Days of Beach Closure in Maryland and Virginia (2007-2012)	6
Table 2. Reported Diseases due to Pathogens in Water Bodies in Maryland and Virginia
(2004-2013)*	7
Table 3. Modeled Loadings per Land Use Source in the Upper Potomac River Basin
(above the Fall Line)	11
Table 4. Land Use Composition of Potomac River Basin and the Chesapeake Bay Watershed.... 11
Table 5. Total Loading Reduction Estimates for the Potomac River Basin	15
Table 6. Total Loading Reduction Estimates for the Chesapeake Bay Watershed	17
Table 7. Summary of Adverse Events due to Pathogens and Potential Change with TMDL	21
Table 8. Summary of TMDL Effects on Ecosystem Service Benefit Indicators	42

Figures

Figure 1. Probability of illness as a function of Enterococcus concentration. From Wade et al.
(2010)	20
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Introduction
The US Environmental Protection Agency (EPA) is conducting a benefit-cost analysis (BCA) of the
Chesapeake Bay Total Maximum Daily Load (TMDL), even though the enabling legislation does
not require that TMDLs meet a benefit-cost criterion and, more commonly, TMDLs are set using
other criteria (Keplinger 2003). What is driving this unusual effort is a desire to determine
whether the money that is, and will be, invested in reducing nutrients and sediments to the bay
generates net benefits, and therefore, is in the public interest. BCA is a powerful tool for
promoting the sound use of our public resources because it allows us to evaluate economic
efficiency by evaluating whether the costs or sacrifices of a proposed action are more than
offset by the improvements in welfare that it creates.

However, the monetized benefits of a BCA never provide a complete picture of benefits of any
action and this will be true for the BCA of the Chesapeake Bay TMDL. Despite its strengths for
establishing the economic efficiency of an action, BCA cannot incorporate everything society
values, due to information gaps and the inability of economic analysis to fully incorporate the
full suite  of public concerns. For example,  a well-known drawback of BCA is that  it does not
address how fairly benefits  and costs are distributed among different groups and may not fully
consider  effects on future generations. People are concerned about equity among current and
future generations and are  averse to some types of risk in ways that are not captured by the
expert assessments of the expected incidence of morbidity and mortality (Sunstein 1996; Slovic
2000a). Thus,  BCA is intended to support decisions, rather than replace the judgment of decision
makers who may need to consider many other factors (Freeman et al. 2014 p. 10).

Of particular relevance to environmental decision-making are subtle issues related to what can
be valued in BCA. Namely, some types of environmental benefits are more readily monetized
than others, and the benefits that are monetizable may not be the primary benefits that are
motivating the regulatory or other action.  The  "use" services of the environment represent
things people use (directly or indirectly) from ecosystems, such as resource extraction (e.g.,
timber harvest, commercial fishing), outdoor recreation (e.g., recreational fishing, wildlife
watching) and hazard mitigation (e.g., property protection from flooding). Use services of the
environment,  such a fishing, hunting, and food production, have been monetized numerous
times in multiple settings. However, the "nonuse values" or "passive uses" of ecosystems
represent things people value just because they like it or think it should be protected, such as
values people hold for protecting natural elements of their heritage (National Research Council
[NRC] 1999). Nonuse values tend to be more time consuming and controversial to monetize and
thus are measured less frequently than use values.

What the Chesapeake Bay BCA is likely to reveal is that the TMDL's caps on nutrients and
sediments are expected to generate many types of benefits induced by the expected water
quality improvements. In addition to direct water quality effects, the management actions used
to prevent nutrients from reaching water bodies (e.g., planting forested riparian buffers) are
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anticipated to generate many co-benefits such as improved recreational opportunities,
aesthetics and air quality (Van Houtven 2011; Wainger et al. 2013). Yet, when it comes to
complex ecosystems, such as the Chesapeake Bay, only a fraction of benefits from water quality
improvements are captured as part of monetary valuation due to limitations on data, scientific
understanding, and analytic resources.

The process of quantifying and describing benefits that cannot be monetized is an inherent part
of conducting BCA and is the recommended practice for federal agencies preparing materials for
regulatory review (U.S. Office of Management and Budget 2003). Yet, effects that have not been
monetized cannot be included in a benefit-cost ratio, which can serve as a litmus test for taking
an action. For this reason, some consider the non-monetized potential benefits to be uncounted
in policy decisions.

Given that the TMDL decision context is not required to make decisions based on a benefit-cost
ratio, the purpose of this report is to provide quantification and description of the magnitude of
improvements to conditions in the bay that cannot be  monetized but can be linked to human
welfare. We evaluate benefit indicators (e.g., reductions in disease-causing organisms) but we
are not demonstrating benefits in the strict sense because we have not evaluated what people
would have been willing to  pay to achieve these benefits. Yet, non-monetary benefit indices are
used routinely to establish cost-effectiveness of management actions and can enrich the context
in which the benefit-cost results are considered.

Management actions
It is difficult for many to imagine today, but shallow regions of the bay were, in relatively recent
history (1950s and prior), covered by extensive submerged aquatic vegetation (SAV) beds that
were rich with plant and animal life (Kemp et al. 1984;  Borum et al. 2012). Throughout the bay,
diverse finfish species were abundant and oyster beds  were consistently producing healthy
oysters. The bay has shown some improvements in water quality in recent years (Kemp et al.
2005), but is still under stresses that limit some benefits and make it vulnerable to climate
change and other emerging threats.

To restore the Chesapeake  Bay, jurisdictions in the watershed are taking actions to meet the
Chesapeake Bay Total Maximum Daily Load (TMDL). A TMDL is a quantitative pollutant cap that
is established by a state to enable a water body to attain its designated use, as required under
Section 303(d) of the Clean Water Act, when a water body is in non-attainment. The legislation
requires the states to develop implementation plans, known as watershed implementation
plans (WIPs) to achieve the caps. In this study, we quantify and describe a suite of benefits that
are likely to be attributable to these actions but that could not be readily monetized.

The Chesapeake Bay TMDL  sets yearly caps on nitrogen, phosphorus and sediment entering the
Chesapeake Bay. We will refer to these caps as a single TMDL. The caps are intended to restore
the aquatic habitat of the Chesapeake Bay,  which, in turn, will support human uses such as safe
recreation and food  harvesting and promote the future use and maintain the heritage of this
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valued resource. The work presented here to quantify benefits complements other on-going
work to monetize many benefits of the program (including commercial and recreational
fisheries, property value enhancements, avoided costs of dredging, water treatment and trout
stocking, and value of water quality improvements in the bay and freshwater tributaries) but
reveals why some key benefits that motivated the TMDL will not be included in the final dollar
estimate.


Measuring Potential Benefits without Economic Valuation
Monetizing or valuing the benefits of an action, like the TMDL, to restore environmental quality
involves 1) establishing the effectiveness of the action for changing ecological structures and
processes in  desirable ways; 2) relating those ecological changes to outcomes that affect well-
being; and 3) establishing how much people value those changes, after considering their ability
and willingness to adapt, substitute, or trade off goods and services. All of these steps must be
possible in order to estimate values of a change.

Conducting these valuation steps involves a great deal of effort and can easily break down due
to lack of appropriate data or understanding. Ecological effectiveness is measured as the change
in a biophysical condition, relative to a  no-action baseline, based on available field studies and
models. Socially-relevant outcomes that reflect well-being are usually developed with models
that accept the changes in basic ecological structures and process (e.g., number and types of
trees, water  quality) and then convert those inputs to metrics that are easier for people to value
(e.g., abundance of game fish, water clarity,  or bird abundance and diversity).

The value of  these changes is analyzed  in terms of the quantity of goods and services (i.e.,
dollars) that  people would be willing to give  up in order to achieve one or more changes. Those
values are measured by evaluating markets for commercial goods, analyzing behavior of
recreators, homebuyers and others, and by implementing survey instruments. Values depend on
the number of affected beneficiaries and the importance of the change to beneficiaries.

When any step in this process cannot be rigorously quantified, we quantify or describe the
evidence for benefits in terms of socially relevant outcomes or ecological effectiveness, as
appropriate to the data conditions. To ensure that such changes are connected to the action, we
seek to demonstrate changes in these variables from a no-action baseline.

Steps used  in analysis
The detailed  methods used to quantify or describe changes in ecosystem services depend on the
ecosystem service being analyzed. For each service, we do not follow the three valuation steps
mentioned above exactly, but rather, adjust that approach to quantify or describe changes in
terms most relevant for understanding the magnitude of potential benefits for each service. The
steps, which  are implemented only when feasible, are:
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    1.  Relate ecological changes to potential well-being by identifying the specific benefits that
       may be created by implementing the TMDL in terms of ecosystem services.
    2.  Establish effectiveness of the action by estimating the magnitude of change in a
       beneficial outcome (basic biophysical or benefit-relevant metric) as a result of all
       management actions expected to be implemented specifically as part of the TMDL and
       omitting practices that were otherwise required.
    3.  Suggest an order of magnitude of benefits by estimating the number of potential
       beneficiaries.
    4.  Suggest an order of magnitude of benefits by estimating a range of value change per
       beneficiary.

If all four steps were possible to conduct, the benefit could be monetized through benefit
transfer methods. However, in all cases presented here, one or more of the steps could not be
completed to generate quantitative outputs. Some of these effects might be monetized with
additional resources.

Defining socially-relevant outcomes
We express socially-relevant outcomes in terms of ecosystem services, which have been defined
in multiple ways (Heal 2000; Brown et al. 2007; Costanza 2008; Fisher et al. 2009). Here, we use
the term to mean the ecological outcomes that matter to people and for which they can express
meaningful preferences. For example, ecosystem  services are expressed as "increases in fish
catches"  or "fewer days of beach closures" rather than  in terms of basic biophysical processes,
such as "changes in nutrient cycling." The general principle is that the closer an ecosystem
service outcome metric is to a familiar good or service, the easier it  is to understand likely
benefits of that change. However, this definition does not preclude  using basic ecological
metrics to reflect the nonuse values that people hold, including restoring the health and
integrity of an ecosystem or preserving it in good condition for future generations.

We developed a list of potential benefits of the TMDL through literature reviews and
conversations with scientists, government officials, representatives  of non-governmental
organizations and other stakeholders. The list included potential benefits in terms of public
health, waterfront or water-associated businesses including commercial fishing, agricultural
producers, recreation (fishing, boating, swimming, wildlife watching), homeowners, heritage
tourism, and quality of life effects throughout the watershed including social relationships and
sense of place. These conversations informed this analysis and the separate (monetary)
valuation analyses.


Ecosystem Service 1. Public Health Protection
Under the category of public health protection, we evaluate the ecological effects of reduced
pathogen loads to surface waters, reduced incidence of harmful algal blooms (HABs), and
increased area of wetlands and forests, associated with increases in bird diversity. Reduced
toxin exposures (other than HABs) are another outcome with the potential to affect human
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health, but the risks to human health are not well understood, so we only relate this outcome to
aquatic organism health in the next ecosystem service of Ecosystem Resilience, because recent
research has synthesized what is known about these risks.

Pathogens
The WIPs have the potential to reduce pathogens that can cause disease through water contact,
seafood consumption, or mosquito bites. Water contact and seafood consumption carry risks of
gastrointestinal illnesses and ear and skin infections, among other illnesses, when they are
contaminated by bacteria and viruses. Mosquitoes can carry multiple illnesses, but here we
focus on the potential for WIP practices to reduce incidence of West Nile Virus by lowering
transmission rates as a result of increases in natural land cover and bird diversity.

Current conditions and effects on ecosystem services
A variety of potentially dangerous pathogens enter water bodies when runoff entrains and
accumulates fecal matter from humans and domestic and wild animals along its flow path.
Agricultural and urban settings are the primary areas where delivery of pathogens via runoff has
been observed (Howell et al. 1995; Kistemann et al. 2002; Shehane et al. 2005; Coulliette &
Noble 2008). The amount of pathogen delivery depends on many factors including precipitation
patterns, concentration of fecal material on land, soil and aquifer properties, location of fecal
material relative to water bodies of different sizes, and patterns of land use that affect delivery
of pathogens to water bodies (US EPA 2001; Vann et al. 2002; Thurston-Enriquez et al. 2005).

Water that interacts with fecal matter can contain diverse pathogens such as Vibrio, E. coli
(pathogenic), Shigella, Rotavirus, Yersinia, Cryptosporidium  and Giardia (Savichtcheva & Okabe
2006) that have been linked to gastrointestinal illnesses, skin infections, fevers and other human
health concerns (Vann et al. 2002). Humans become exposed to these pathogens through direct
contact with water, consumption of shellfish, or handling of animals that are contaminated with
the waterborne pathogens. Because of the potential for creating illness, government officials
respond to potential water contamination by closing beaches and waterways to recreators and
closing shellfish beds to commercial and recreational harvest. Such decisions can be based on
whether pathogens are detected at all, for the most dangerous pathogens, or whether they
reach threshold concentrations associated with illness.

The level of concern for pathogens in the bay and watershed is evident from the actions that
officials have taken to address them. A variety of streams have local TMDLs (distinct from  the
bay-wide nutrient and sediment TMDL) to alleviate chronic pathogen impairment  in the three
states that make up the majority of the watershed.1 Over 9000 stream miles in Virginia (US EPA
2013b), over 4000 miles in Maryland (Maryland Department of the Environment [MDE], 2012),
and 190 miles in Pennsylvania (US EPA 2013a) are impaired for E. coli and fecal coliform. In
addition to streams not meeting designated uses, 176 Virginia shellfishing areas are  indefinitely
1 The watershed also includes the District of Columbia and portions of West Virginia, Delaware, and
New York.
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closed due to elevated fecal coliform (VDH 2012; US EPA 2013b) and 77 shellfish beds are
occasionally or permanently closed in MD (MDE 2014). Virginia also had 29 days of beach
actions (notifications and closure days) out of a total of 6,900 beach days (open days multiplied
by number of beaches) in 2012 (VDH 2011a; US EPA 2012b) and Maryland had 139 days of
beach actions out of a total 6,501 beach days in 2012 (US EPA 2013c, 2013d) (Table 1).

The strongest evidence of harm from pathogens may come from cases of reported illness that
can be linked to waterborne pathogens. We evaluated the  reported data for illnesses that have
the potential to come from untreated water bodies but report total cases of these illnesses from
treated and untreated sources because we do not have data to separate illnesses by source
water (Table 2). Virginia had an annual average of 902 reported cases of gastrointestinal
illnesses over the period 2004-2013 that were associated with waterborne pathogens (VDH
2014). Maryland had an annual average of 621 cases of reported gastrointestinal illnesses
related to waterborne pathogens from 2005-2012 (Maryland Department of Health and Mental
Hygiene 2013). We analyzed MD and VA because they are the states with bay shoreline, but
other swimmable water bodies will also be affected by pathogens.

These data on illnesses must be interpreted cautiously since only a fraction of cases are likely to
be associated with swimming in the bay or its tributaries. Data collected by the CDC using
different reporting criteria found that 70% of reported illnesses due to waterborne pathogens
were from pools or other treated water, and 30% were from open (untreated) water, such as
lakes and oceans (Hlavsa et al. 2014). On the other hand, many more cases of gastrointestinal
illnesses are likely to occur than are reported (Hlavsa  et al.  2014). In addition to gastrointestinal
illness, anecdotal information suggests that skin rashes and infections due to water contact are
not an uncommon ailment in the Chesapeake Bay (Kobell 2011, 2013) particularly in the
warmest months. These are not usually reported, although they have been documented
elsewhere (Wade et  al. 2010). Thus, the numbers in Tables 1 and 2 are provided to suggest a
potential order of magnitude of illnesses caused by pathogens but are not an accurate
accounting due to data limitations.

Table 1. Days of Beach Closure in Maryland and Virginia (2007-2012)
 No.of days under a
                                                                  Ax/erase
 beach action          2007   2008   2009  2010   2011  2012   Total   „    ,
 .         ..    .   .                                                 Annual
 (monitored beaches)
 VA beach	63     41    51     81    69     29   334	56
 MD beach	248     61   133    351   244    139  1176	196
Source data: VDH (2011a) and US EPA (2012b).
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Table 2. Reported Diseases due to Pathogens in Water Bodies in Maryland and Virginia
(2004-2013)*
Maryland
Cryptosporidiosis
Giardiasis
Listeriosis
Shiga - toxin
producing E. coli
(STEC)
Shigellosis
Vibriosis
Total
2004
na
na
na
na
na
na

2005
33
210
19
75
103
25
465
2006
20
256
28
131
139
31
605
2007
36
269
15
85
117
25
547
2008
54
284
17
129
137
33
654
2009
43
277
14
91
370
34
829
2010
42
262
11
107
131
45
598
2011
70
291
19
71
94
35
580
2012
86
239
16
75
222
53
691
2013
na
na
na
na
na
na
na
Avg
48
261
17
96
164
35
621

Virginia
Cryptosporidiosis
Pathogenic E. coli
Giardiasis
Listeriosis
Shigellosis
Vibriosis
Total
2004
66
62
563
27
167
20
905
2005
77
111
602
17
134
25
966
2006
71
168
514
20
120
32
925
2007
90
165
582
16
200
33
1086
2008
81
241
432
17
310
29
1110
2009
86
156
503
16
198
29
988
2010
109
149
512
13
145
40
968
2011
140
123
290
15
107
30
705
2012
144
81
272
18
91
41
647
2013
144
109
278
29
115
42
717
Avg
101
137
455
19
159
32
902
* Totals include illnesses due to treated (e.g., pools) and untreated (e.g., estuaries) water bodies, and the
majority of these illnesses are likely from treated water bodies. One study suggested 70% of cases are
from treated waters, however, that study was not conducted on these data so they are unadjusted
(Hlavsa et al. 2014).
Source data: VDH (2014) and Maryland Department of Health and Mental Hygiene (2013).

Potential improvements from implementing the WIPs
Pathogens are associated with wildlife, livestock, manure handling, pets, failing septic systems,
and wastewater treatment plants. The WIP efforts include the following types of actions that
have the potential to affect the delivery and concentration of these waterborne agents of
disease (categorized by source):

       1.  Agricultural: pasture and grazing management, nutrient management on crop
           fields, livestock waste management, restricted stream  access, plantings and other
           structural practices to reduce nutrient and sediment runoff.
       2.  Urban: detention and retention ponds, impervious surface reduction, street
           sweeping, forested riparian buffers, bioswales, and afforestation.
       3.  Septic: connecting septics to sewers, septic pumping, and on-site septic upgrades.
       4.  Wastewater Treatment Plants: new and enhanced treatment of municipal waste.
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The actions prescribed by the WIPs have the potential to reduce pathogens either by directly
preventing pathogens or fecal matter from being washed into waterways or by reducing the
amount of fecal matter available to runoff (Mallin et al. 2000). Efforts to enhance the
water-holding capacity of WWTPs will prevent some sewer overflows, which are another major
source of pathogen inputs to water bodies, but we do not evaluate those effects here,
particularly since many systems will be required to make upgrades to prevent overflows to
comply with state and federal regulations that are required external to the TMDL Here we focus
on the effect of agricultural best management practices (BMPs) and selected urban stormwater
(SW) practices.

In order to compare pathogens with and without the TMDL, we compared conditions for two
scenarios that have been developed by the US EPA Chesapeake Bay Program (CBP) to represent
a "without TMDL" baseline and a "with TMDL" condition. The baseline "without TMDL" scenario
uses population; land use; point sources; and the number, location, and size of point and
nonpoint source nutrient and sediment control practices in the Chesapeake Bay Watershed that
were present in 2009. It also includes additional nutrient and sediment control measures that
were not in place in 2009, but that would be expected to be implemented by 2025 to meet  non-
TMDL requirements (e.g., requirements associated with the Clean Air Act and  new stormwater
requirements). The "with TMDL" scenario captures the actions expected to occur as part of the
WIP implementation targets for 2025 (as specified in the Phase II WIPs). These actions include
non-point source controls placed on agricultural land, some urban stormwater practices, and
upgrades to wastewater treatment plants. To allow comparison with the "without TMDL"
scenario, the "with TMDL" scenario assumes that population, land use, and the point and
nonpoint sources in the bay watershed are the same as in 2009. The WIPs provide types and
quantities of BMPs that are expected to be implemented to meet the nutrient caps, and the CBP
modelers have estimated their placement in the watershed.

We conducted four steps to estimate pathogens for these two scenarios for the Potomac River
watershed and the Chesapeake Bay. First, we estimated the pathogen reductions (as percent
removal) that were likely to be associated with the BMPs specified in the Phase II WIPs. Second,
we estimated the total baseline pathogen load by multiplying an average per acre pathogen
load for major land  uses (derived from Vann  et al. 2002) by the land use acreages of the CBP
baseline scenario to generate a total baseline pathogen  load at the edge of stream. Third, we
applied an average downstream delivery factor derived from Vann et al. (2002) to capture the
attenuation of pathogens that occurs in stream prior to delivery in the main channel. Fourth,
using the BMP reduction efficiencies and downstream delivery factors, we estimated the total
reduction of pathogen  loadings (E. coli and fecal coliform) to edge of stream and main channel
due to TMDL implementation.

Pathogen Reduction Efficiencies for BMPs
We conducted a literature review to investigate the potential efficiency of agricultural, urban
and septic BMPs in reducing pathogens at edge of field or edge of (small) streams. The literature
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review was conducted by employing each of the Chesapeake Bay Best Management Practices
(BMP) within the state Watershed Implementation Plans (WIPs) and pathogen-related terms as
keywords (e.g., "restricted stream access" or "riparian buffer" and "fecal coliform" or "E. coli" or
"bacteria") using Google Scholar, EBSCO and Google as search engines. Pathogen reduction
estimates from peer-reviewed journal articles, documentation prepared by state agencies for
compliance with TMDLs, and best practice guidance reports from state agencies and universities
were all considered for the purposes of this paper. Data were only included in the analysis when
they matched the BMP and pathogen being evaluated.

Table A.I (Appendix A, page 43) summarizes the removal efficiency data found. Fecal Indicator
Bacteria (FIB), which includes fecal coliform and E. coli, were most often evaluated as a
surrogate for a variety of pathogens (Marion et al. 2010; US EPA 2012a). Therefore, we averaged
the efficiencies found in the literature by practice for FIB to use in the analysis.

Agricultural practices showed a range of efficiencies at removing fecal coliform and E. coli
(28-100%), but the average performance per practice was above 50% for all practices except
wetland and stream restoration. Studies also showed high efficiency of grassed buffers at
removing cryptosporidium (93-99%). Stormwater practices showed a wider range of removal
efficiencies (-6%-99%) than agricultural practices when looking across the  range of practices.
However, a few practices were responsible for the cases of low performance (bioswales, street
sweeping and septic pump outs). The majority of practices had average efficiencies of 48% or
greater.

Baseline Pathogen Loads
To estimate the baseline pathogen load, we required an understanding of pathogen sources and
deliveries to water bodies for the given level of management practices implemented in the
baseline scenario. A study of the portion of the Potomac River basin that lies above the fall line2
provided the best available information about how pathogens were being produced,
transformed, intercepted and, finally, delivered downstream (Vann et al. 2002). That study
estimated average annual edge of stream pathogen loadings for a period that roughly
corresponded to 2000-2010. The 2010 scenario was a projection of land use and population
changes expected to occur by 2010 combined with 2000 estimates of non-point source BMPs
and wastewater loads, and 2010 estimates for septic conditions. We use the  2010 model results
as if they occurred in conditions equivalent to the CBP 2009 baseline  scenario.

Vann et al. (2002) estimated loadings by land use type, using models  similar to those of the CBP
but modified to include pathogen movement and transformation and a wide variety of data
sources on fecal sources. Data on livestock, geese, deer and human populations; NPDES and
wastewater emissions; and other sources were used to inform modeling of pathogen loads by
2 The fall line in the Chesapeake Bay watershed is a geomorphic feature marked by a steep drop in
elevation that occurs where the Piedmont and Coastal Plain geophysical provinces meet. It roughly
corresponds to the division between non-tidal waters (above) and tidal waters (below).
                                                                                   -9-

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land use type. The CBP watershed model was adapted to include bacterial fate and transport,
and the loads by land use were calibrated using pathogen concentrations measured at
monitoring stations, primarily within the main channel of this major Chesapeake tributary
(Table 3). The model was also combined with data from surface water intakes to estimate the
downstream delivery factors for the Potomac.

To use the Vann et al. (2002) results to estimate baseline loads for the land uses in the entire
Potomac watershed and the bay watershed, we converted the edge of stream loads to per acre
loadings per land use type (Table 3). We only evaluated the three land uses being  modified by
the BMPs used in the analysis, as described below. We then multiplied the per acre loads for
acreages of pasture, cropland and urban for the baseline scenario to estimate baseline loads.

This method relies on transferring results of sophisticated models for the upper Potomac to two
different scales of analysis (Potomac and entire bay watershed) to provide a rough estimate of
TMDL effects at these scales. Clearly, using data from a portion of the Potomac to  represent
either the whole Potomac or the entire bay requires making considerable  assumptions about
the similarity of patterns and processes at these two scales. We have greater confidence in the
Potomac results since the whole Potomac would be expected to be more similar to the modeled
area than the bay as a whole. The Potomac may be a reasonable model for the entire bay since
it makes up over one-fifth of the bay watershed and has proportions and distribution of land use
types that are similar to the entire bay watershed. However, the Potomac differs from the bay in
that it has slightly more urban land and pasture and less forest (Table 4), and BMPs were
applied in different proportions to the whole bay, as shown in the results.
-10-

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Table 3. Modeled Loadings per Land Use Source in the Upper Potomac River Basin
(above the Fall Line)
               Loading
               Type/
               Land Use
Edge of Stream
Delivery of
Fecal Coliform
(cfu/yr)t
Edge of Stream
Delivery per
Acre
(cfu/ac/yr)
% of Edge of
Stream Loading
Delivered
Downstream (%)
Forest
Crop
Geesef
Pasture
Feedlots
Cattle'
Point
Septic
Urban
Total
3.9E+14
6.0E+16
8.6E+13
3.2E+17
6.3E+16
l.OE+16
3.1E+13
3.2E+14
2.2E+16
4.7E+17

5.18E+10

3.88E+111



1.82E+10

18%
25%
33%
28%
24%
21%
23%
28%
27%
28%
All data derived from Vann et al. (2002)
f Geese and Cattle land uses are an estimate of deposition of feces directly into water bodies.
* Pathogens were measured as fecal coliform in colony forming units per year (cfu/year).
* Proportion delivered downstream was calculated with mass balance equations, based on data provided
by Vann etal. (2002).
; Land uses were combined for the delivery estimates per acre because acreages were not reported
separately for these land uses.

Table 4. Land Use Composition of Potomac River Basin and the Chesapeake Bay Watershed
Land
Use
Forest
Cropland
Pasture
Urban
Other
Total
Potomac
River Basin
(acres)
5,189,905
1,405,191
920,935
1,245,535
99,827
8,861,392
Potomac
River Basin
Land Use
59%
16%
10%
14%
1%
22% of bay
watershed
Chesapeake Chesapeake
Bay Land Bay Basin
Use (acres) Land Use
26,512,720
6,640,633
2,438,478
4,853,216
653,219
41,098,267
65%
16%
6%
12%
2%
100%
            Data provided by Jeff Sweeney of the US EPACBP; 2009 baseline scenario data
                                                                                      -11-

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Change in Pathogens Due to the TMDL
The acreage of BMPs implemented due to the TMDL was derived by subtracting the baseline
BMP implementation (on the ground in 2009) from the "with TMDL" scenario. Each BMP was
associated with a particular land use and quantified in terms of the acres of that land use that
were affected by implementation of the BMP. For example, prescribed grazing was associated
with pasture and the percentage of total pasture under prescribed grazing was used to estimate
changes in pathogen loads. These acreages were used to estimate change in loads based on
baseline loads from the associated land use.

Because of data limitations, only a subset of BMPs that are capable of reducing pathogen loads
were used in our analysis. BMPs were omitted from analysis if they were not measured in terms
of acreage in the state WIPs or if efficiencies were specific to baseline conditions that could not
be accurately measured. For example, BMPs measured as pounds of manure transported
outside of the watershed and miles of stream  restored were omitted (Table A.2, page 47).  Also,
some cropland practices in widespread use, such as continuous no-till, can be effective at
reducing pathogens, but only when applied to cropland receiving manure;  lack of sufficient data
on manure handling prevented their inclusion. Omitting these practices, as well as point source
practices, tends to make our study more conservative in terms of the TMDL effectiveness for
reducing pathogens, since practices that are expected to be implemented as part of the WIPs
were not counted, and some of these practices have been demonstrated to be highly effective
at reducing pathogen loads (Table A.I).

To estimate the change in pathogen loads (measured as FIB) delivered to the main channel as a
result of applying a subset of BMPs from the WIPs, we applied Equation  1:
                                  '•+— (%FIB reduction~)b  (EOS load](%DS Delivery],
                          landarea]l                   )           l                l

                                                                            Equation 1

where

  b is the BMP applied and

  / is the land use type.

The equation shows that delivery of pathogens to the main channel depends on edge of stream
(EOS) loads and downstream (DS) attenuation of pathogen loads. However, we report changes
in EOS stream loads in addition to attenuated downstream loads, because EOS loads represent
delivery to small channels, which can be relevant for projecting human health if people have
contact with water  in these small channels or adjacent receiving water bodies prior to
substantial attenuation.
-12-

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BMP Acres represents the acres of a given land use treated with a given BMP. The Total land
area per land use (/) was derived from the baseline scenario. The %FIB reduction was the
average removal efficiency for fecal coliform and E. coliior a given BMP. The proportion of
treated acres to total acres in a given land use was multiplied by the percentage reduction for a
given practice, and then these values were summed for all BMPs affecting a land use in order to
generate a weighted sum representing the percentage reduction in pathogen loads expected for
a given land use. The expected percent reduction for a given land use was multiplied by the
baseline load for that land use to generate the edge-of-stream (EOS) load (cfu/yr). Finally, the
downstream (DS) load was estimated by multiplying the edge of stream load by the average
delivery ratio for all Potomac River segments modeled in the Vann et al. (2002) study, which
was 21%.

Results of Pathogen Reduction Analysis
The analysis suggested that even with the limited set of BMPs that we were able to include, the
pathogen reductions in the Potomac Basin due to the TMDL would be on the order of 23% of
loads from pasture, 6% of loads from cropland, and 7% of urban loads (excluding point source
loads) (Table 5). These load reductions sum to 19% of total estimated pathogen loads from all
sources to the mainstem Potomac, including domestic and wild animal sources.

Percentage reductions are higher for the entire Chesapeake Bay Watershed. We estimate
pathogen reductions on the order of 36% of loads from pasture, 8% of loads from cropland, and
17% of urban loads (excluding point source loads) (Table 6). These load reductions sum to  27%
of total estimated pathogen  loads from  all sources to the tidal waters of the bay.

We expect these numbers to be underestimates of the mainstem effects because the analysis
does not include effects of septic upgrades, CSO eliminations and some BMPs that are known to
have high efficiency at removing pathogens. Also, the urban load reduction was lower for the
Potomac compared to the bay watershed because some urban  BMPs that were estimated  to be
on the ground in 2009 are not expected to be present in 2025 (i.e., negative acreages in
Table 5). Urban load reduction results are sensitive to assumptions that practices will  not be
maintained.

The exclusion of BMPs, such  as the waste management systems and septic connections, are a
source of underestimation. For example, analyses developed for The Bacteria TMDL
Development for Three Tributaries to the Potomac River (2011)  estimated that the elimination of
emissions from 46 failing septic systems in Sugarland Run would reduce E. coli loadings by  8.89 x
1011 cfu/yr - which is an estimated per unit loading of 1.93 x 1010 cfu/yr (VDEQ 2011). If, based
on the literature review, we assume 1.93 x 1010 cfu/yr loadings  per failing septic3, and if the
number of septic system connections identified in the TMDL were implemented, loadings could
3 Several estimates of fecal coliform loadings per failing septic units were identified within the Chesapeake
Bay Watershed during the literature review.  The range per unit was 4.47 xlO9 to 6.39xl012 cfu/yr. The
median range was selected for this estimate because it was based on HSPF modeling of instream loadings
rather than per capita fecal coliform production rate (VDEQ 2003, 2011; WVDEP 2012).
                                                                                  -13-

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be reduced by 4.22 x 1015, which is 19% of the fecal coliform loadings from other urban non-
point sources in the Potomac River Watershed but only 1% of total loadings from all natural and
anthropogenic sources.

These reductions in loads are a substantial fraction of total loads to either the Potomac or bay
watersheds. However, percentage reductions could be much higher in small water bodies.
Because pathogen loads tend to become concentrated in localized areas, these reductions could
be significant in  terms of improving local water safety and preventing beach or shellfish
closures, if practices were implemented at sufficient levels within small basins.
-14-

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Table 5. Total Loading Reduction Estimates for the Potomac River Basin
                                                                % Land    Average    Weighted   Potential    Potential
                                                                use       Fecal      sum        reduction   reduction
                                                    BMP acres   category   Indicator   (efficiency  at edge     main
                                                    Phase II-    covered    Bacteria    x%BMP    of stream   channel
Potomac     by BMP    reduction   cover)
                                                                                                  (cfu/yr)     (cfu/yr)
                                                                              Loadings
                                                                              Reduced
   Pasture Practices
   Barnyard Runoff Control
Pasture
     3,028
0.33%
81%
 0.0027
   Loafing Lot Management
Pasture
        55
0.01%
75%
 0.0000
   Pasture Alternative Watering
Pasture
    20,702
2.25%
90%
 0.0202
   Prescribed Grazing
Pasture
   165,042    17.92%
             80%
          0.1425
   Precision Intensive Rotational Grazing
Pasture
    31,017
3.37%
90%
 0.0303
   Horse Pasture Management
Pasture
    15,074
1.64%
72%
 0.0118
   Forest Buffers on Fenced Pasture Corridor
Pasture
     3,845
0.42%
50%
 0.0021
   Grass Buffers on Fenced Pasture Corridor
Pasture
     6,741
0.73%
77%
 0.0056
   Stream Access Control with Fencing
Pasture
    27,919
                                                                      3%
             36%
          0.0108
   Total Pasture Reduction (pasture + feedlots)
            273,423
                 30%
                       0.2261    8.07E+16   1.73E+16
                                              23%
   Agriculture Practices
   Forest Buffers
  Crop
    41,934
2.98%
43%
 0.0128
   Wetland Restoration
  Crop
    13,156
0.94%
35%
 0.0033
   Land Retirement
  Crop
    39,312
2.80%
93%
 0.0260
   Grass Buffers
  Crop
    41,700
2.97%
69%
 0.0205
   Water Control Structures
  Crop
       238
                                                                      0%
             67%
          0.0001
   Total Crop Reduction
           136,341
                 10%
                       0.0627   4.57E+15   9.80E+14
                                               6%
   Urban/Suburban Practices
   Wet Ponds & Wetlands
 Urban
    -9,098
-0.7%
48%
-0.0035
   Dry Ponds
 Urban
   -78,767
-6.3%
80%
-0.0506
   Extended Dry Ponds
 Urban
    -6,324
-0.5%
80%
-0.0041
   Infiltration Practices
 Urban
    69,533
 5.6%
93%
 0.0519
   Filtering Practices
 Urban
   112,630
 9.0%
75%
 0.0678

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Table 5 (continued)
 BioRetention
                                                               % Land    Average    Weighted    Potential    Potential
                                                               use       Fecal       sum        reduction   reduction
                                                  BMP acres   category  Indicator   (efficiency   at edge     main
                                                  Phase II -     covered   Bacteria    x % BMP    of stream   channel
Urban
                                                  Potomac
 15,321
                     by BMP    reduction   cover)
                                            (cfu/yr)
                                           (cfu/yr)
 1.2%
71%
 0.0087
                                          Loadings
                                          Reduced
 BioSwale
Urban
  6,685
 0.5%
-6%
-0.0003
 Retrofit Stormwater Management
Urban
   354
 0.0%
57%
 0.0002
 Erosion and Sediment Control
Urban
-29,738
-2.4%
57%
-0.0135
 Impervious Surface Reduction
Urban
 21,904
 1.E
57%
 0.0099
 Forest Buffers
Urban
 12,177
                                                                    1%
             43%
          0.0042
Total Urban Reduction (urban + septic)
         114,676
              9%
                       0.0708   1.60E+15   3.44E+14
                                                7%
 Potomac River Basin Total (all sources)
                                                        8.69E+16   1.86E+16
                                                                       19%t
1"The percentage of total load reduction is calculated as the expected reduction in load from agriculture and urban non-point source
sectors divided by estimated pathogen loads from all watershed sources (includes wildlife and point sources). Therefore the sum is
smaller than the sum of the percentage reductions from the three individual source sectors shown in the table.

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Table 6. Total Loading Reduction Estimates for the Chesapeake Bay Watershed
                                                           %of      Average    Weighted    Potential   Potential
                                                           land use   Fecal      sum        reduction   reduction   % Loadings
                                               BMP acres    category   Indicator   (efficiency   at edge    main      Reduced

.and
Jse
Phase II -
Chesapeake
covered Bacteria
by BMP reduction
x%BMP of stream channel (of delivered
cover) (cfu/yr) (cfu/yr) to tidal)
Pasture Practices
Barnyard Runoff Control
Loafing Lot Management
Pasture Alternative Watering
Prescribed Grazing
Precision Intensive Rotational Grazing
Horse Pasture Management
Forest Buffers on Fenced Pasture Corridor
Grass Buffers on Fenced Pasture Corridor
Stream Access Control with Fencing
Total Pasture Reduction (pasture + feedlots]
Pasture
Pasture
Pasture
Pasture
Pasture
Pasture
Pasture
Pasture
Pasture

12,055
498
83,693
545,282
277,657
81 ,062
13,395
24,217
60,807
1 ,098,666
0.49%
0.02%
3.43%
22.36%
1 1 .39%
3.32%
0.55%
0.99%
2%
45%
81%
75%
90%
80%
90%
72%
50%
77%
36%
0
0.0040
0.0002
0.0309
0.1778
0.1025
0.0239
0.0027
0.0076
0.0089
0.3585 3.39E+17 7.28E+16 36%
Agriculture Practices
Forest Buffers
Wetland Restoration
Land Retirement
Grass Buffers
Water Control Structures
Total Crop Reduction
Crop
Crop
Crop
Crop
Crop

202,951
86,978
328,392
173,492
28,616
820,429
3.06%
1.31%
4.95%
2.61%
0%
12%
43%
35%
93%
69%
67%

0.0131
0.0046
0.0460
0.0180
0.0029
0.0846 2.91 E+1 6 6.25E+15 8%
Urban/Suburban Practices
Wet Ponds & Wetlands
Dry Ponds
Extended Dry Ponds
Infiltration Practices
Filtering Practices
BioRetention
Urban
Urban
Urban
Urban
Urban
Urban
98,290
-452,870
1 1 ,289
545,939
740,706
47,980
2.0%
-9.3%
0.2%
11.2%
15.3%
1.0%
48%
80%
80%
93%
75%
71%
0.0097
-0.0747
0.0019
0.1046
0.1145
0.0070

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oo
          Table 6. (continued)
          BioSwale
                                                                                    Average    Weighted    Potential    Potential
                                                                          land use   Fecal      sum         reduction   reduction   % Loadings
                                                            BMP acres    category  Indicator   (efficiency   at edge
                                                            Phase II
                      covered   Bacteria   x%BMP    of stream   channel
                                                                  Reduced (of
                                                                  delivered
        Chesapeake   by BMP    reduction  cover)
                                                                                                            (cfu/yr)     (cfu/yr)     to tidal)
Urban
 13,142
 0.3%
-6%
-0.0001
          Retrofit Stormwater Management
Urban
 24,513
 0.5%
57%
 0.0029
          Erosion and Sediment Control
Urban
-56,349
-1.2%
57%
-0.0066
          Impervious Surface Reduction
Urban
 61,683
 1.3%
57%
 0.0072
          Forest Buffers
Urban
 37,454
                                                                               1%
             43%
          0.0033
          Total Urban Reduction (urban + septic)
          1,071,777
             22%
                       0.1697    1.50E+16   3.21 E+15
                                                 17%
          Chesapeake Basin Total (all sources)
                                                        3.83E+17   8.22E+16
                                                                         27%t
       t The percentage of total load reduction is calculated as the expected reduction in load from agriculture and urban non-point source sectors divided by estimated
       pathogen loads from all watershed sources (includes wildlife and point sources). Therefore the sum is smaller than the sum of the percentage reductions from the
       three individual source sectors shown in the table.

-------
Potential magnitude of benefits
To evaluate the significance of these numbers, we considered their potential effect on human
health. FIB are correlated with a number of illnesses caused by bacteria and viruses, and the
illness that has been most consistently and clearly linked to water contact is increased risk of
gastroenteritis (Kay et al. 1994; Fleisher et al. 1998; Wade et al. 2010), although other diseases
have also been observed including respiratory illnesses, ear infections, and skin rashes, among
others (Fleisher et al. 1998, 2010). Skin diseases (infections and rashes) have been most closely
linked to non-point sources of pathogens (Fleisher et al. 2010) while gastroenteritis is more
clearly linked to sewage  (Wade et al. 2010). The gastrointestinal illnesses caused by shellfish
consumption have been  linked to concentrations of Vibrio spp. (Hlady & Klontz 1996), but Vibrio
concentrations are widespread in the marine environment and are not highly correlated with
fecal coliform (DePaola et al. 2000) and only weakly correlated with nitrogen concentrations
(Pfeffer  et al. 2003; Eiler et al. 2006; Johnson et al. 2010). However, concentrations of Vibrio
spp. have been linked to increased sediment suspension in some cases (Vanoy et al. 1992;
Pfeffer et al. 2003; Fries  et al. 2008).

Whether or not reductions in pathogens reduces human illness from water contact or shellfish
ingestion is a function of the probability of exposure to the pathogens, pathogen concentration,
the number of people exposed, and the characteristics of the people that influence their
susceptibility to disease  (e.g., Seller et al. 2003). However, data for these characteristics are not
generally available for the bay.  If we draw from literature studies of other water bodies, we can
see that dose-response relationships between pathogen concentrations in marine waters and
cases of illness have been developed for several case studies. Cases are generally shown to have
a roughly log-linear relationship (Cabelli et al. 1983; Kay et al. 1994; Wade et al. 2010), indicating
that a relatively large decline in pathogens is needed to see a reduction in probability of disease.

An estimation of the reduction  in cases of disease is beyond the scope of this effort, but we can
reasonably assume that water bodies contain a range of pathogen concentrations  that will be
reduced in different proportions depending on the extent of BMP implementation in the
watershed. As a type of sensitivity analysis, we can apply the 27% reduction estimated for the
bay to water bodies with high and low concentrations  of pathogens. Using the relationship
estimated by Wade et al. (2010) (Figure 1), then a 27% reduction in pathogen concentration at
either low or high concentrations of Enterococcus would translate to one fewer swimmer
getting sick (e.g., a change from 1000 to 700 qPCR CCE/lOOml2 causes a decline in  probability of
illness from 0.13-0.12). Although Gl illness is most closely associated with sewage  or point
sources  of bacteria, stormwater can also be a source of pathogens that cause Gl disease
(Haile et al. 1999). We note that Wade et al. (2010) did not find a statistically significant
response of skin infections and other diseases to concentrations of various bacteria species,
although other studies have suggested a relationship (Haile et al. 1999; Dwight et al. 2004).
                                                                                   -19-

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     —  Probability of illness

     —   95% Confidence bound
    10
                 100             1000

             Enterococcus Geometric Mean
            (daily average. qPCR CCE/100 ml)
Adjused estrrates from logistic model
Figure 1. Probability of Illness as a Function of Enterococcus Concentration. From Wade et al.
(2010)
-20-

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Willingness to Pay
The increased water safety from reducing pathogens is likely to generate value to people in three
primary ways. First, those who are in contact with the water (commercial fishermen, recreational
anglers, boaters, and swimmers) are likely to have improved welfare due to illnesses avoided and may
increase the number of trips they take. Second, more risk-averse recreators, who might currently be
avoiding the water, might be induced to recreate in the bay, in response to improved water safety.
Third, increased safety of shellfish could benefit commercial watermen, the burgeoning aquaculture
industry, and seafood consumers. We would expect welfare increases from additional recreation trips,
increased safety per trip, lowered costs of production for producers, and safer shellfish for consumers.

Table 7 summarizes government actions to prevent illness and reported cases of illnesses due to
pathogens in Maryland and Virginia. For reference, we include a very rough estimate of the potential
reduction in these adverse events due to the TMDL practices by assuming that the reduction in adverse
events is equivalent to the 27% decrease in pathogens that we estimated for the bay. Although these
values are modest, they have the potential to change public perception of the bay in ways that could
substantially affect benefits, as further discussed  at the end of this public health section.

Table 7. Summary of Adverse Events due to Pathogens and Potential Change with TMDL
•

Beach closures & advisories
(avg annual days)
Shellfish bed closures (2013 sites)
Gastrointestinal illnesses
(avg annual cases)
Other illnesses
Impaired streams -
TMDLs for pathogens (miles)
^KT^I
Baseline w/TMDL1
69 (out of 50
6900 days)
176 128
705 5512
n/a
9,200

Baseline w/TMDL1
244 (out of 178
5900 days)
77 56
491 3832
n/a
4,100
r Annual reduction
MD and VA events
w/TMDL1

-85
-68
-262


1A rough estimate created by assuming a 27% decrease, which is the reduction value estimated for the entire bay
watershed
2 Values are estimated by first assuming that only 30% of cases are contracted from contact with open water (after
Hlavsa et al. 2014) and that 27% of these cases are eliminated by the TMDL

The potential value of beach closures and illnesses avoided has been evaluated in the economic
literature. In a study that estimated willingness to pay to avoid illness, Machado and Mourato (2002)
found beach goers in Lisbon, Portugal, were willing to pay on average $64.43 (2013 USD) per person to
avoid gastroenteritis from contact with polluted water. The median willingness to pay (WTP) was
substantially lower, $20.70 (2013 USD), per person, demonstrating a skewed distribution of values. Bin
et al. (2005) summarized studies that evaluated the effects of reduced pathogens and we summarize his
findings in the remainder of this  paragraph, after converting his reported values to 2013 dollars.
McConnell and Tseng (1999) evaluated the impacts of increased fecal coliform on use in 10 western
shore beach sites of the Chesapeake Bay. For these generally wide sandy beaches within state or county
                                                                                          -21-

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parks, the study estimated the individual losses per trip of a two-fold increase in fecal coliform counts to
be $2.51 per individual per trip for one site and $19.71 per individual per trip for all 10 sites. The study
also valued lost availability of beach sites (due to closure) at $4.35 to $7.96 per individual per trip,
depending on the site. Murray et al. (2001) estimated the seasonal value of removing one water quality
advisory for Lake Erie single-day beach users in Ohio to be about $40.02 per person per year. Parsons et
al. (1999) valued the estimated impact of beach closures on Delaware residents to be from $0 - $24.46
per individual per trip across six beach sites (three most and three least visited sites by Delaware
residents) located in New Jersey, Delaware, and Maryland.

Conclusions for pathogens
Our literature review reveals that many BMPs being installed to reduce nutrients are effective at
reducing pathogens. We provide a rough estimate of a 19% reduction in loads to tidal waters of the
Potomac and a 27% reduction in loads to tidal waters of the Chesapeake Bay. Substantial new modeling
and data collection would be  required to improve this estimate and relate it to reduced cases of illness,
beach closures, or shellfish bed closures. If we take the simple approach of assuming that adverse
events decline at the same rate as pathogen concentrations in the bay (27%), we estimate this would
translate into hundreds of fewer cases of reported illness and substantial welfare effects, given the
potential number of beach users in the bay4 and their willingness to pay to avoid illness. The health
benefits of these reductions appear modest, based on overall reported numbers of illnesses, but could
represent a significant change in safety of water contact, beach use or shellfish bed use in localized
areas, if BMPs were concentrated in a watershed with high pathogen concentrations. Both beach
closures and gastrointestinal illness are associated with low to moderate average willingness to pay per
person, and when aggregated over the many beach users, the total WTP could be substantial.

Reduction in health risk from West Nile Virus

Current conditions and effects on ecosystem services
West Nile Virus (WNV) was first reported in 1999 in the bay watershed and the prevalence of the
disease has been increasing (WVDNR 2003; CDC 2011a, 2011b,  2011c, 2012a, 2012c). In 2012 alone,
over 80 cases of WNV and 8 WNV-related deaths were reported in Virginia, Maryland and DC (CDC
2012c). Although WNV has been reported in all age groups, people over 50 are most likely to have
severe complications from the disease, including debilitating encephalitis and death (CDC 2012b).
Because no vaccine exists for the virus, the only preventative methods available are reduction of bites
from infected mosquitos and  a reduction of infected  mosquitos.

WNV is a zoonotic pathogen that is transferred from  infected mosquitos, namely Culex (Cx.) pipiens and
C. tarsalis, to avian  and mammal hosts through mosquito bites (Winters et al. 2008). Evidence suggests
that the incidence of WNV in  humans is related to land use practices. In particular, and somewhat
counterintuitively, increases in wetland area and the area of other types of vegetated areas suitable for
bird habitat have been shown to reduce incidence of the disease. Both greater wetland area and bird
4 The number of people swimming in the Bay was not readily available but a survey estimates that 42% of US
residents engage in swimming in lakes, ponds, oceans, or rivers in a given year (Cordell et al. 2005).
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diversity have been observed to be negatively correlated with WNV transmission to humans (Ezenwa et
al. 2007; Allan et al. 2008).

The observed reduction in disease incidence with increasing amounts of wetland or other bird habitat is
thought to be driven largely by changes in the availability of hosts. The probability of WNV human
infection appears to be driven both by the availability of blood meal species (such as different bird
species) that are more preferred than human hosts and the probability that mosquitos will feed from
competent reservoirs, meaning those species that are capable of maintaining and amplifying WNV.
When preferred animal hosts are unavailable, mosquitoes carrying the virus may switch to feeding on
humans, thus changing the rate of human disease incidence. In addition, bird  species differ in their
ability to spread the virus, so conditions that favor birds with less ability to spread the virus (low
competence reservoirs) are thought to reduce transmission rates (Bradley et al. 2008; Allan et al. 2008).

In addition to the direct linkages between bird diversity and WNV, land use cover type has also been
associated with changes in WNV transmission to humans. A study that modeled eight northeastern
states suggested that individuals in counties with the lowest fraction of forested land use  had a greater
than fourfold risk of WNV infection than those individuals from counties with  the highest quartile of
forested land use (Brown et al. 2008). Ezenwa et al. (2007) observed that wetland cover was associated
with a decline in  mosquito infection rates, despite increased mosquito density. Similarly, Johnson et al.
(2012) found that WNV-infected birds and mosquitos were significantly more prevalent in residential
areas than large urban wetlands. The Ezenwa et al. (2007) and Johnson et al. (2012) studies also
observed even lower  rates in wetlands with diverse bird communities, further supporting  the link
between bird community composition and WNV.

Potential improvements from implementing the TMDL
The Phase II WIPs for  the Chesapeake Bay add over 600,000 acres of BMPs which would increase the
area of riparian buffers and wetlands, which are important habitats for birds and many other species.
The habitat enhancements are likely to increase the number of bird species and change the abundance
of certain key species linked to WNV transmission. Because bird diversity is positively correlated with
increased forested land and wetlands, plans for tree planting and wetland creation may indirectly dilute
WNV reservoirs by increasing species richness (Melles et al. 2003; Ezenwa et al. 2007). These changes, in
turn, have the potential to reduce the incidence of WNV in human populations. However, further
research would be needed to determine the ability of revegetation to increase bird diversity and to
project the rate of WNV dilution associated with additional  bird diversity.

Conclusions for West Nile Virus
Recent studies indicate that a higher proportion of wetland and forest cover (in urban and suburban
settings) and the correlated increase in bird diversity lead to lower incidence of WNV, all else equal.
Available information was insufficient to quantify the magnitude of change, but these studies suggest
that the practices implemented to meet the Chesapeake Bay TMDL have the potential to decrease
transmission of WNV  to humans by increasing natural cover and associated bird diversity.
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Harmful Algal Blooms (HABs)

Current conditions and effects on ecosystem services
Harmful algal blooms (HABs) are events in which algae become overabundant in a water body in
response to a variety of biophysical factors (Paerl 1988; Smayda 1990; Anderson et al. 2002; Lopez et al.
2008). Blooms can be deemed harmful simply because of the high concentrations of algae, and/or
because algae produce toxins. In the first situation, blooms may cause unappealing slicks and conditions
such as floating mucilage, they may foul recreational fishing gear (Paerl 1988; Smayda 1990), and lead to
hypoxic conditions (Anderson et al. 2002; Lopez et al. 2008).

For species that produce toxins, only small increases in the population size of toxin-producing algae may
result in significant effects by killing or sickening masses of fish and other organisms that eat the fish,
such as birds and people (Landsberg 2002; Anderson et al. 2002; Sellner et al. 2003; Lopez et al. 2008).
Some HAB species produce toxins that are even harmful to inhale, creating risks of illness to recreational
boaters and commercial fishers (Lopez et al. 2008). As a  result of these risks, the presence of HABs
prompts closure of fisheries and recreational boating areas, which can generate economic impacts to
local businesses (Burkholder 1998; Anderson 2005; Ramsdell et al. 2005).

A global pattern of increased HABs that is associated with increased human population and
eutrophication has been observed in all coastal areas (Anderson et al. 2002; Sellner et al. 2003). The
Chesapeake Bay is no exception, and a seasonal increase in algae blooms is associated with  spring
riverine high flows that carry high nutrient loads (Anderson et al. 2002). Because the mechanisms of
bloom formation are complex, they cannot always be related to nutrient enrichment. However,
according to Kemp et al. (2005), "blooms of both the common bay dinoflagellate Prorocentrum
minimum and the rarer dinoflagellate Pfiesteria piscicida appear to be stimulated by addition of
dissolved organic nitrogen..." (Heil 2005; Glibert et al. 2012).

Recently a consensus has emerged among those who study HABs that "degraded water quality from
increased nutrient pollution promotes the development and persistence of many HABs and is one of the
reasons for their expansion in the U.S and other nations" (Heisler et al. 2008). Several HAB species (toxic
and non-toxic) are found in bay waters (Marshall 1996; Glibert et al. 2012) and the most studied HAB
species, Prorocentrum, occurs in the bay. Blooms of Prorocentrum have been associated with high
concentrations of nitrogen (Glibert et al. 2012).

Potential improvements from implementing the TMDL
Observations from estuaries within and outside of the Chesapeake Bay suggest that HAB frequency and
extent are related to nutrient loads and that negative effects are reversible (Anderson 2005; Heisler
et al. 2008). The frequency and extent of blooms of the toxic cyanobacterium Microcystis aeruginosa
declined sharply after wastewater treatment plants began removing phosphorus in the  1970s (Jaworski
1990; Sellner et al. 2003; Jones & Kraus 2010). In the Gulf of Mexico, a HAB species has exhibited an
increasing  number of blooms per year since the 1950s, which correlates with increased  nutrient loading
from the Mississippi  River over the same time period (Dortch et al. 1997; Parsons et al. 2002). Similarly,
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there are examples from the Inland Sea of Japan and the Black Sea where reductions in nutrient loadings
have corresponded to a reduction in the incidence of HABs (Anderson et al. 2002; Anderson 2005).

Given this evidence, the expected 25% reduction in nitrogen due to meeting the TMDL would be
anticipated to reduce the frequency and/or extent of some types of HABs, based on the evidence that
phytoplankton in general, and some HAB species in particular, have enhanced growth under elevated
nitrogen levels. Evidence further suggests that production of toxins by some bloom species increases
when nitrogen levels increase, suggesting that the deleterious effects of blooms, when they occur, may
be reduced under conditions of lower nitrogen concentrations (Li et al. 2012).

Conclusions for HABs
Although data connecting HABs to nutrient concentrations is limited, a scientific consensus has emerged
that eutrophication plays a substantial role in promoting their occurrence. In the bay, some toxin-
producing species have been shown to decline in response to decreases in nutrients (Glibert et al. 2012),
suggesting that the TMDL will reduce some particularly harmful HAB species. Any decline in blooms has
the potential to generate benefits related to protection of human health, reductions in fish kills,
reduction of hypoxia, and ultimately, to increased resilience of the ecosystem through the reduction of
hypoxia-inducing bloom events. An added benefit of diminished incidence of HABs is reduction in
spending on monitoring and detection, prevention strategies, and emergency response (Anderson et al.
2002; Hoagland et al. 2002; Sellner et al. 2003).

Difficult to value benefits of reducing health risks
Although the number of reported illnesses due to poor water quality in the bay (from pathogens and
HABs) is relatively modest, and suggests that a reduction due to the TMDL would thus have only modest
economic benefits, this analysis does not tell the whole story. The TMDL implementation has the
potential to create something potentially more valuable - an improved feeling of safety regarding use of
the bay for fishing, swimming and boating. Higher confidence in bay safety can potentially increase a
variety of benefit types.

To understand why feeling safe  matters, consider that the public response to an event that adversely
affects health or safety can generate behavior changes that are disproportionate to the risks (Kasperson
et al. 1988; Slovic 2000b) and these behavior changes can, in turn, generate disproportionate economic
harms. This effect has been called the social amplification of risk (Kasperson et al. 1988) and it occurred
in the bay area during the Pfisteria outbreak of 1997. In  1997, watermen reported widespread incidence
of lesions and unnatural tissue growths in fish in the Lower Pocomoke River, on the Eastern Shore of
Maryland. Watermen working that area also reported cold-like symptoms, skin problems, and overall
poor health (Magnien 2001). Researchers later documented effects on memory and cognitive function in
this group (Grattan et al. 2001). The proportion  of fish affected was probably low, since sampling trawls
found rates of problems of 0-6% (Magnien 2001). Eventually, the source of the problem was diagnosed
as a toxic form of algae known as Pfisteria piscicida (Burkholder & Glasgow Jr 2001).

The public responded to news of this risk by avoiding seafood and cancelling fishing trips throughout the
bay, even though the affects were limited to a few areas or a few seafood types (Magnien 2001). This
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had a substantial, though temporary, effect on restaurants, charter boat businesses, seafood
wholesalers and others (Meyer 1997). Whitehead et al. (2003) used a survey to confirm the high risk
aversion among the public to such threats and estimated that the lost benefits to seafood consumers in
the Mid-Atlantic would be $37-$72 million in the month following a fish kill due to Pfisteria.

The study by Whitehead et al. (2003) further suggested that once risk becomes amplified, minor events
can generate substantial economic impacts and be expensive to reverse. Their survey, conducted in the
mid-Atlantic, showed that people rated seafood consumption as riskier when they were told of a major
fish kill compared to those answering a survey that did not mention a fish kill, even though no
relationship was made between the fish kill and the seafood. Interestingly, this higher risk perception
persisted in the responses despite being told that the seafood was safe to eat. Only the use of
(hypothetical) seafood inspections was sufficient to cause respondents to perceive the risk as
comparable to the case without the fish kill. The same survey also found that people said that they
would buy less seafood at any given price after any fish kill (major or minor).

While Pfisteria has not recurred, a more persistent amplification of risk occurs in the bay and has the
potential to be ameliorated by the pathogen reductions that would occur as a result of the TMDL.
Conversations with stakeholders and news articles indicate that some residents and visitors to the bay
are hesitant to swim in open waters due to increased, although rare, occurrences of severe illnesses and
deaths resulting from Vibrio and other bacteria in the bay (Wood 2009; Hale 2009; Dvorak 2010).
Although only 30 cases were reported in Virginia in 2011 and 45 cases reported  in Maryland in 2010
(including cases resulting from ingestion of raw filter-feeding shellfish), those interviewed are more
cautious about swimming in the bay during warmer months or have decided not to swim in the bay at all
(Wood 2009; Hale 2009; Dvorak 2010). These actions are inconsistent with state health department
recommendations which  suggest that more moderate approaches to reducing risk are adequate such as
checking for beach closures, not swimming with open wounds, and avoiding the water for 48 hours after
a heavy rainfall (VDH 2011b; AACDoH 2013).

With reduced pathogens  as a result of the TMDL, we would not only expect fewer instances of serious
health threats, the public could also have a dampened reaction to isolated events that  are perceived as
serious health threats, such as HABs, beach closures and shellfishing bans. The TMDL efforts, which will
be enacted by many people throughout the watershed, could help to promote a "brand"  of a clean  bay-
an effect that has been shown to help interrupt the social amplification of risk (Busby et al. 2009).


Ecosystem Service Benefit 2. Ecosystem Resilience and Contributions  to
Nonuse Values
Many people have concerns for protecting nature independent of human use (NRC 1999). People value
the pure existence of natural assets, want to pass these assets along to future generations, and/or think
that these  assets ought to be protected for the benefit of others. Economists sometimes refer to these
types of values as existence, bequest and altruistic values or, collectively, as nonuse values to distinguish
them from the values derived from recreation, food supply, health protection or other uses.
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When people are asked about their nonuse values for any natural system, including the Chesapeake Bay,
they often mention concepts related to stewardship of a system and protection from disturbance (e.g.,
Manning et al. 1999). People also commonly recognize that some species (e.g., SAV) and water quality
conditions (e.g., algae levels) serve as indicators of an ecosystem's overall condition or resilience in the
face of disturbance (NRC 1999). Because people value stewardship, we can evaluate the potential
magnitude of change in nonuse values by considering how the TMDL actions improve the resilience of
the bay.

We define resilience as the ability of a system to self-regulate and buffer the effects of modest
environmental disturbance and recover from severe disturbance. Such resilience may take on increased
importance as the bay ecosystems are forced to respond to climate change and the associated increases
in acidity, temperature, precipitation intensity, salinity variability, and other effects that can stress fish
and other bay organisms (Najjar et al. 2010). If disturbance becomes more common, then increased
resilience could translate into less time spent in a  degraded state.

SAV and fish as indicators of resilience

Current conditions of SAV
The extent of seagrass and other submersed plants, collectively referred to as SAV, is a reflection of
overall condition of the bay ecosystem and the magnitude of current and future benefits to people. SAV
beds contribute to fishery productivity by serving  as important feeding sites and refuges from predation
for juvenile stages of fish and invertebrate species (e.g., striped bass, sea trout and blue crabs) in spring
and summer (Perkins-Visser et al. 1996; Heck et al. 2003, 2008).  During the fall, they serve as gathering
grounds and as sources of food for diverse migrating  or overwintering waterfowl. Further, SAV beds
dampen the energy of waves and reduce storm surges, which prevents shoreline erosion and protects
property during storms  (Koch et al. 2009; Barbier  et al. 2011, 2013).

Shallow regions of the bay were historically inhabited by extensive SAV beds that were rich with plant
and animal life (Kemp et al. 1984; Borum et al. 2012). Starting in the 1960s, however, massive bay-wide
declines in SAV abundance occurred (Kemp et al. 1983; Orth & Moore 1983), reducing plant cover to less
than 30% of the potential plant habitat at mean water depths < 1m (Kemp et al. 2004). SAV growth is
limited by algae and sediment in the water which  prevents sunlight from reaching plants both by directly
absorbing sunlight and indirectly by promoting growth of epiphytes (algae and other microscopic plants
that grow on SAV leaves), which further shade plants (Kemp et al. 2005).

Because SAV has the ability to improve water quality, its loss exacerbates water quality problems by
removing nutrient and sediment buffering capacity (Kemp et al. 2005). Water improvements occur when
SAV facilitates the settling of particulates (Ward et al. 1984; Rybicki et al. 1997), prevents erosion and
resuspension of materials (Madsen et al. 1993), and removes nutrients from  the system (Caffrey &  Kemp
1990, 1992; Tyler et al. 2003).

In the absence of SAV, water quality degradation may prevent the development of benthic algae (an
important food source for some fish species) by preventing light from reaching sediments. In addition to
loss of this prime fish food, SAV loss is associated with the loss of fish refuge, and both  effects suggest a
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loss of prime habitat that would tend to increase stresses on the fish populations that use these habitats
(Beck et al. 2001). Finally, the loss of SAV as quality habitat for waterfowl may have been a factor in
declines in waterfowl populations and, at a minimum, has reduced diversity of waterfowl diets (Perry &
Deller 1996).

Current conditions of fisheries
Fish are relatively abundant in the bay, but compared to even the recent past (1930-1970), the
dominant species have shifted, the proportion of large fish has declined for some species, and certain
species have shown dramatic declines (CBFEAP 2006). The oyster fishery has experienced near complete
collapse, and in addition to major declines earlier this century, has declined 92% since 1980 (Wilberg et
al. 2011). In addition to these changes, some fish and shellfish are showing signs of stress such as:
reduced larval and juvenile production in menhaden; increased  incidence of bacteria-induced lesions on
striped bass; newly identified diseases in menhaden, softshell clams, and blue crabs; and, until recent
management efforts were enacted, blue crab harvests were on the decline (Kemp et al. 2005; CBFEAP
2006; Houde 2011). The loss of oysters, in particular, is thought to have reduced removal of nutrients
from the water column, a prominent ecological function of oysters (Newell et al. 2005; Sisson et al.
2011).

Why the TMDL may enhance resilience
For decades, ecologists and environmental managers have sought to improve understanding of the
physical and biological mechanisms by which aquatic ecosystems buffer the effects of modest
environmental disturbance and recover from severe disturbance (May 1972; Moiling 1973). Some
ecosystems are by nature adaptable and resilient, enabling them to recover quickly from external
climatic and anthropogenic stresses; however, other ecosystems are prone to respond to stress by
shifting, often abruptly, from one stable state to another (May 1977; Gunderson 2000). The shallow
water environments that are common in the bay often exhibit complex, non-linear ecological dynamics
that make systems unpredictable (Cloern 2001; Rose et al. 2009; Breitburg et al. 2009a). As a result,
such systems defy simple cause-and-effect modeling of future condition because it can be difficult to
judge which of the many interacting and counteracting forces will dominate (Costanza et al. 1993;
O'Neill 1998; Rose et al. 2009; Breitburg et al. 2009a).

Despite these complexities, available evidence describes several mechanisms by which TMDL
implementation may enhance the Chesapeake Bay ecosystem's ability to withstand stress and promote
rapid recovery from disturbance. The mechanisms all fall under a common theme. Namely, that
reducing nutrients and sediments alleviates multiple sources of stress to promote a greater diversity of
species, more efficient functioning, and increased capacity within individual organisms and the system
as a whole to respond to extreme events or novel stresses. Although nutrients are not the only stress on
the bay, the literature suggests that alleviating even one stress can prevent multiple stressors from
combining to create  an impact more extreme than the sum of the individual effects acting
independently.

The next section  describes evidence that reduced nutrients and sediments in the bay may improve
resilience through such mechanisms, and offers examples from severely degraded systems that may
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serve as cautionary tales of how failure to reduce controllable stresses can contribute to undesirable
and sudden shifts in system condition. In describing the mechanisms by which eutrophication may
influence resilience, we focus on two markers of bay condition, fish populations and SAV. We choose
these endpoints because they serve as integrative indicators of many system processes, and because
they are likely to affect people's future use and enjoyment of the bay.

Potential for SAV regrowth due to improved water quality
The evidence that the TMDL will promote improvements in SAV extent is relatively strong because SAV
decline has been closely correlated with increased nutrient loads (Twilley et al. 1985; Kemp et al. 2005),
and case studies have demonstrated that this process is reversible (Orth et al. 2010; Gurbisz & Kemp
2014). Recovery has been demonstrated in the  Potomac River, where reductions in phosphorus loads
due to wastewater treatment plant upgrades in the 1970s were associated with an almost complete
elimination of blue-green algae blooms (an algal type associated with HABs) and a reappearance of SAV
that appeared due to the water quality improvements (Carter & Rybicki 1986, 1990; Carter et al. 1994;
Kempetal. 2005).

Potential for fisheries improvements due to improved water quality
As a result of high natural variability and multiple, sometimes counterbalancing, drivers of change, it is
difficult to project how the TMDL will influence fish populations. The evidence from estuaries and seas
where nutrient inputs have been reduced from high levels to more moderate levels supports the idea
that nutrient reductions reduce hypoxia, which will, in turn, improve habitat for many types offish.
However, it is not clear that this habitat improvement will translate into large changes in total fish
abundance (Breitburg et al. 2009b).  Models suggest that the improvements are likely to be most
immediate for oysters and clams, which are most susceptible to hypoxia. However, for  many mobile fish,
the expected average annual effects of reduced hypoxia appear modest, based on existing models and
understanding (Townsend 2012), but uncertainty of these results is high.

The lack of a dramatic response of fisheries to reductions in nutrient  loads has many causes, which can
be well described by a simple model relating fishery production to  nutrient concentrations. Breitburg et
al. (2009b) demonstrated that a concave function provided the best fit for data relating nitrogen
loadings to total biomass of fish landings for a worldwide set of estuaries, supporting a  theory first
proposed by Caddy (1993). The model suggests that total fish biomass increases in response to nutrients
over low to moderate levels of nitrogen loadings and then peaks before declining, as nitrogen continues
to increase. The initial positive response by fish is due to the "fertilization"  effect of nutrients on the
algae and plant life  (phytoplankton and epiphytes) that serves as the basis of the food web for fish that
live throughout the water column (Nixon & Buckley 2002).  The negative effects of nutrients on fish are
expected to occur as a result of a combination of factors such as shifts in prey abundance and
composition, hypoxia, harmful algal  blooms, disease, and changes in  habitat quality (e.g., loss of SAV)
that reduce growth and increase mortality (Wu 2002; Kemp et al. 2005; Rose et al. 2009; Zhang  et al.
2009; Breitburg  et al. 2009a; Ludsin et al. 2009).

An implication of this model that is not well understood outside of fishery ecology, is that at moderate
to high levels of nutrient inputs, the positive and negative effects of eutrophication on fisheries  largely
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compensate for each other when viewed at the scale of the estuary (Breitburg et al. 2009a), resulting in
high fish productivity under eutrophication. Multiple effects are at work to balance the system's
response to positive and negative effects of eutrophication. A primary population stabilizer is that
reduced productivity among bottom-feeding fish (e.g., flounder, croaker) is compensated by increased
productivity offish that live in the water column (e.g., menhaden) (de Leiva Moreno et al. 2000; Kemp et
al. 2005). Also, some fish, such as striped bass, can adapt to conditions by shifting their feeding from
bottom sources that are depleted to water column sources that are enhanced by eutrophication,  such as
the small fish that eat algae or zooplankton (Pruell et al. 2003). Further, even though some fish species
within the bay may decline due to adverse conditions of eutrophication, others of that species may be
thriving along the eastern seaboard, and these species can "subsidize" the bay every year, providing
stability for the population (Ray 1997). However, this stabilizing effect is not as strong for species  when a
large fraction of the population uses the bay as primary habitat, such as striped bass, Atlantic croaker,
eels, white perch, and American shad (Ray 1997).

Resilience effects from reducing the overall level of stress
Estimates from available models on fish production (particularly when based on commercial catch data)5
are considered neither conclusive nor representative of non-average conditions because they are based
on an incomplete understanding of relative influence of competing factors and feedbacks (Kemp et al.
2005; Rose et al. 2009). Fisheries have complex dynamics that suggest that they can decline rapidly if
multiple stresses coincide, or conversely, can rebound from having one type of stress reduced.

A well-known case study that demonstrates how fisheries can respond to reduction in one stress, even
when multiple stresses co-occur, is the decline and recovery of the striped bass in the bay. The
commercial catch of striped bass peaked  in 1973 and then declined 80-90% in the years  before a
moratorium was enacted in 1984 (Houde 2011). This reduction in stock was largely attributed to
overharvesting, however, water quality was hypothesized to be a contributor to the decline because of
the increased mortality of eggs and larvae that was attributed to low DO, low pH, trace metals, and
temperature drops (Coutant & Benson 1990; Hall Jr et al. 1993; Richards & Rago 1999; Houde 2011).

The rebound of the striped bass fishery, which is both a commercial and recreational species, was
largely attributed to continuous management of fishing pressure and inherent traits of the species. In
particular, a store of old and large fish were available for spawning (Secor 2000) that produced  large
year classes in the  1980s, that ultimately translated into recreational catches increasing more than 400%
coast  wide between 1985 and 1989 (Richards & Rago 1999). Thus, the natural recuperative power of the
species produced a recovery, when fishing pressure was reduced, that overcame any stresses due to
systemic  hypoxia and other sources of pollution.
5 It is understood that commercial catch data may be an inadequate indicator offish stock since data are
confounded by human adaptation to change in fish populations, such as increased effort, changes in location of
effort, and shifts to formerly unexploited or less exploited species (Pauly et al. 1998; Caddy 2000; Kemp et al. 2005;
Essington et al. 2006). Some evidence suggests that fish harvest may be more efficient under hypoxia since fish are
known to aggregate near the edges of low oxygen zones which may increase fish catchability by commercial fishers
(Craig 2012). If fish become easier to catch under hypoxia, it limits the ability to use landings to detect changes in
stock abundance (Winters & Wheeler 1985).
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While the striped bass fishery is currently doing well, a bacterial disease (mycobacteriosis) that produces
lesions on fish and is thought to contribute to mortality is affecting a substantial percentage (10%) of
young fish resident in the bay (Blankenship 2004; Kaattari et al. 2005; Houde 2011), and the overall
infection rate may be as much as 50% (Overton et al. 2003; Gauthier et al. 2008). The causes of
mycobacteriosis are not clear,  but its rapid increase provides an example of how fisheries are frequently
confronted with emergent stressors that can potentially reduce the vigor of the fishery, and when
combined with other stressors, can substantially reduce survival and productivity. Thus, just as a past
moratorium on fisheries catalyzed recovery, improvements in water quality might allow striped bass to
better adapt and recover from new and novel stresses.

Other species have not demonstrated the same type of recovery as the striped bass and may be more
likely to improve under the TMDL. Most notably, iconic bay species such as oysters, American shad,
shortnose sturgeon, and Atlantic sturgeon, which were once abundant, currently remain at low
percentages of their former stock levels (CBFEAP 2006; Wilberg et al. 2011). Although oysters have
shown some increases in recent years, other species have sensitivities that require reducing multiple
stressors. American shad larvae, for example, have been shown to have significantly reduced survival
when subjected to very high suspended sediment concentrations (greater than 100 mg per liter) (Auld &
Schubel 1978), suggesting that reductions in sediment loads would help these and similar species
recover, particularly if frequency of very high sediment concentrations could be reduced.

Since sturgeon fishing is tightly regulated, their failure to recover is thought to be related to reduced
suitability of spawning and  nursery habitats (ASMFC 1998; Atlantic Sturgeon Status Review Team 2007)
which appears to be due, in large part, to hypoxia (Collins et al. 2000; Niklitschek & Secor 2005) and loss
of hard bottom that serves as spawning grounds (Secor et al. 2000a). Evidence that the TMDL may help
in the recovery of these diminished species can be found in the case of the federally endangered
shortnose sturgeon in the Hudson River. This ancient fish, beloved for its caviar, appears to have shown
a marked increase in abundance in response to improved oxygen conditions in the river (Woodland et al.
2009). Further, because native juvenile sturgeon have been found  in the Chesapeake Bay, it is not
unreasonable to conclude that sturgeon could become more abundant,  if oxygen levels were improved
(Secor etal. 2000b).

Resilience due to having more oxygen
Water quality improvements are expected to enhance the vigor of fisheries by ameliorating the negative
impacts on  individuals. Hypoxia due to poor water quality is often cited as one of the most important
pathways of harm to fish from eutrophication, and low oxygen levels are thought to  directly harm fish
by reducing growth, feeding rate, survival, and fecundity of individual fish (Rahel & Nutzman 1994;
McNatt & Rice 2004; Shimps et al. 2005; Stierhoff et al. 2006; Thomas et al. 2006, 2007; Landry et al.
2007; Hanks & Secor 2011). Localized fish kills and crab jubilees6 are often used  as evidence of the harm
that low oxygen can cause to fish. Recently, an additional pathway of harm has been identified. Namely,
6 When crabs move to shallow water to escape hypoxic areas, they can create an abundance of easy-to-catch
crabs, or a crab jubilee.
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hypoxia appears to act as an endocrine disrupter on croaker with the potential to result in widespread
failure of reproduction (Wu et al. 2003; Thomas et al. 2006, 2007; Landry et al. 2007).

In addition to direct stresses, hypoxia induces behavioral changes that create harm by displacing fish
from their preferred habitat (Coutant & Benson 1990; Breitburg 2002; Wu 2002; Craig & Crowder 2005;
Eby et al. 2005; Eggleston et al. 2005; Craig et al. 2005; Chan et al. 2008). This displacement is thought to
"cost" the fish in terms of reduced growth or reproduction (Pyke 1984; Micheli 1997; Taylor & Eggleston
2000; Tyler & Targett 2007; Costantini et al. 2008; Rose et al. 2009) because fish are assumed to use the
most favorable habitat for maximizing feeding, reproduction, and predator avoidance. For example,
young summer flounder appear to use shallow waters to avoid large predators (Manderson et al. 2004),
but shallow water hypoxia could force them into oxygenated deeper water7 where predation risk
increases. Hypoxia also can reduce the food supply for  bottom-feeding fish by killing or reducing the size
and diversity of shellfish, worms, and other creatures that serve as food sources (Llanso 1992; Wetzel et
al. 2001; McAllen et al. 2009; Seitz et al. 2009).

Whether reducing hypoxia would  have substantial effects on fisheries is unclear (Diaz & Solow 1999;
Breitburg et al. 2009b). Some evidence from lakes and  semi-enclosed seas, such as the Great Lakes,
Baltic Sea, Black Sea, Sea of Azov,  and Mediterranean Sea suggests that hypoxia, in concert with fishing
pressure and other effects, has played a role in reducing the abundance of commercially exploitable fish
and enhancing the dominance of invasive species, including jellyfish, (Caddy 1993, 2000; Diaz 2001;
Breitburg 2002; Daskalov 2002, 2003; Oguz 2005). An estuarine example is from the Gulf of Mexico,
where catch per unit effort of brown shrimp was negatively correlated with the extent of hypoxia
(Zimmerman & Nance 2001; O'Connor & Whitall 2007). However, the same effect on abundance was
not found to be true for the white shrimp (Zimmerman & Nance 2001), suggesting that this effect is not
generalizable across species.

Resilience to climate change or new stressors

SAV
As has been seen with fish, reduction of a single source of stress is expected to help SAV be resilient to
other stresses. Although  SAV are expected to expand their range in response to improved water quality,
the future of two important SAV species remains uncertain due to their intolerance to the combined
stresses of low water clarity and expected climate change effects. Temperature increases stress on
eelgrass (Zostera marina) by increasing their light requirements (Wetzel & Penhale 1983; Moore et  al.
1997). When temperatures rise, respiration rates increase, thus requiring more light to maintain plant
condition (Evans et al. 1986). Thus, the combined stress of high summertime temperatures that are
expected with climate change (Preston 2004; Najjar et  al. 2010) and low light as a result of eutrophic
water can lead to complete bed loss, particularly if combined stresses occur in consecutive years
because seed banks have become depleted (Jarvis & Moore 2010, 2010; Moore et al. 2012). Similarly,
the higher variability of salinity in the bay that is expected with climate change (Neff et al. 2000; Najjar
et al. 2010) is likely to create stress on a second SAV  species, wild celery or Valisneria americana. French
7 Although much of the hypoxia occurs in deep water, shallow water can lose oxygen due to daily cycling of oxygen
by photosynthesis, while deeper water remains oxygenated.
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and Moore (2003) found that light requirements may be 50% higher when this plant is growing in higher
salinity, suggested that periods of both high salinity and low water clarity will be difficult for this species
to tolerate.

What remains unknown is whether bay SAV species may transition to heat or salt-tolerant species as
conditions change. Evidence for such a transition has not been seen so far in the bay and a recent review
of aquatic plant responses to climate change concluded that "the rate of climate change appears more
rapid than aquatic plant dispersal" (Bornette & Puijalon 2011). If new species do not establish and if
plants do not adapt, then, without the TMDL to improve the light levels reaching SAV, the added stress
of climate change may be lethal to multiple seagrasses.

Fish
Despite the relatively optimistic picture of overall fishery productivity under eutrophication, shifts within
or among species cause functional changes in the ecosystem that could reduce its resilience to stress
(Steele 1991), particularly when multiple stressors combine (Caddy 1993, 2000; de Leiva Moreno et al.
2000). Evidence that functional changes that affect fisheries are occurring in the bay comes from several
sources. For one, if menhaden are excluded from fishery landings, total fisheries landings and
biodiversity have declined since 1980  (Kimmel et al. 2012). Declines in species diversity are a concern
because they represent a loss of genetic and behavioral variability that may diminish a system's ability
to maintain productivity year-to-year under different types and levels of stress (Loreau et al. 2001;
Hooper et al. 2005; Hector & Bagchi 2007). In particular, species have different preferences for salinity
and temperature, so maintaining a variety of species allows the system to be productive when these
physical conditions fluctuate (Winemiller & Rose 1992), as might occur with climate change.

Reducing stress to avoid tipping points
Another line of thinking regarding how nutrient reductions may influence the stability of fishery
production, SAV beds, or other aspects of the ecosystem, is the potential for promoting or preventing
sudden  shifts between alternative stable states. In other words, rather than systems moving gradually
along either a degradation or recovery trajectory, systems may make sudden jumps between states
when multiple stressors combine  in novel ways (Scheffer & Carpenter 2003). Paine et  al. (1998)
described this effect by saying,  "...disturbances leave a residual assemblage that provides a legacy on
which subsequent patterns build." While nutrients are not expected to increase dramatically without
the implementation of the TMDL, the  current level of stress from water quality may leave the system
vulnerable to shifts initiated by such events as major storms or changing climate.

A recent story of seagrass recovery provides a dramatic example of how water quality improvements
may have promoted a shift to a more desirable stable state after a system reached a tipping point. The
Susquehanna flats seagrass bed was a vibrant lush ecosystem that served as valuable habitat for fish and
waterfowl and offered popular sites for anglers and hunters, until its peak abundance in the 1960s. After
this peak, SAV cover gradually declined,  coinciding with deteriorating water quality conditions. Finally,
Tropical Storm Agnes in 1972 delivered the final straw. After Agnes, SAV abundance declined by > 70%
in one year and the bed remained sparse for 30 years (Kemp et al. 1983).
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Remarkably, this bed has recently recovered to a great extent and has been able to withstand two
extreme weather events (Tropical Storms Irene and Lee in 2011) with only a temporary decline in
grasses. Research by Gurbisz and Kemp (2014) suggest that the recovery was initiated by a combination
of a drought that reduced nutrient loads sufficiently for beds to re-establish and a decline in nutrient
loads that helped to maintain the bed. A probable mechanism for this recovery was the positive
feedbacks that occurred when small improvements in water clarity promoted sparse seagrass growth.
That initial growth slowed down overlying water and caused settling of suspended particles. This
improved water clarity promotes more seagrass growth, further decreasing suspended particles,
increasing water clarity, and so on (Gruber & Kemp 2010; Gruber et al. 2011). Thus, in the presence of
sufficient water quality, positive feedback loops reinforced and accelerated small improvements in
environmental conditions and promoted a more resilient bed than existed in the recent past.

Evidence that declining water quality may contribute to detrimental shifts in state, comes from
ecological case studies that show the cascading effects of accumulated stresses. Scheffer and Carpenter
(2003) document a recent example of how excess nutrients appear to have contributed to a dramatic
shift in Caribbean coral reefs from diverse reef ecosystems with abundant fish to one in which the corals
became algae-encrusted with less diverse and abundant fish communities (Hughes 1994). According to
Scheffer and Carpenter (2003): "Only with hindsight were the probable mechanisms unraveled.
Increased  nutrient loading as  a result of changed land use had promoted algal growth, but this result did
not show as long as herbivorous fish suppressed the algae. With time, intensive fishing reduced the
numbers offish, but, in response, the sea urchin Diadema antilliarum became abundant and took the
role of key herbivore. Finally,  when a pathogen hit the dense D.  antilliarum populations, algae  were
released from grazer control and the reefs became overgrown rapidly."

Other case study examples that are specific to estuaries or semi-enclosed seas support the idea that
eutrophication sets the stage  for shifting to undesirable states. In San  Francisco Bay, the combined
effect of a sparse benthic community (due to hypoxia) and two years of climate extremes promoted
establishment of the non-native invasive corbiculid clam that appears to have contributed to the decline
of several  commercial fish species and the endangered delta  smelt (Paine et al. 1998). Similarly,  Kemp et
al. (2005) describe the deterioration of fisheries in the Black Sea (Daskalov et al. 2007; Oguz & Gilbert
2007), from which they draw the conclusion that, "detrimental effects of eutrophication may not be
fully manifested until a combination of excessive fishing activity, unusual climate regimes, introductions
of alien species, and nutrient  loading overwhelm the ecosystem's resilience."

Potential beneficiaries
It is difficult to estimate who values the bay in ways that do not involve direct or indirect use. After all,
we cannot observe people valuing the bay without using it in some fashion. However, survey results
consistently show that nonuse values are prevalent among many types of people, and that people who
use systems like the bay for fishing and other types of recreation typically also hold nonuse values
(Johnston  et al. 2013). In focus groups that we have conducted with bay stakeholders, we often  hear
people express concerns about their children or grandchildren being able to enjoy the bay. These
concerns are clear examples of nonuse values.
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Conclusions for resilience reflected in SAV and fish
The complexities of estuarine responses to nutrient loading suggest that the benefits of implementing
the TMDL will not be a simple gradual improvement in all conditions as nutrients and sediments decline
(Boynton et al. 1983; Cloern 2001). Rather, the benefits of having lessened the stress of eutrophication
may not fully manifest until the system needs to withstand or recover from new or unusual levels of
stress. The literature strongly suggests that the ability to adapt to higher water temperatures, salinity
variability, storm damage, or the introduction of an invasive species may be enhanced once the system
is released from high eutrophication stress.

In addition to these long-term and uncertain benefits, some benefits will be readily apparent as a direct
result of implementing the TMDL. Evidence is relatively strong that SAV beds will increase in extent and
thus provide benefits associated with promoting fish productivity, waterfowl habitat and shore
stabilization. Further, evidence suggests that improvements in water quality and associated restoration
of SAV beds and shellfish would contribute to an increased ability to buffer nutrient loads by promoting
settling and removal of nutrients and sediments from the system and  by reducing the amount of algae
that depletes oxygen during decomposition.

History and understanding of fish physiology suggest that improvements in water quality might allow
fish to better adapt and recover from new and novel stresses. Yet, as a result of  high natural variability
and multiple, sometimes counterbalancing, drivers of change, it is difficult to project how the TMDL will
influence fish populations in the absence of novel stressors. Ignoring the potential for tipping points or
feedbacks in the system for the moment, the literature and available models suggest that we should
expect modest increases in certain sensitive fish species, such as sturgeon, and possibly a slight shift in
the relative abundance of bottom-feeding fish, such as flounder, relative to fish that feed in the water
column, such as menhaden (de  Leiva Moreno et al. 2000; Kemp et al. 2005). However, the tendency of
estuaries to shift between alternative stable states suggests that the TMDL may  play a more important
role in averting system shifts to less desirable states, which could include states that have lower fish
productivity than present. The net effect of the TMDL may be to promote the feedbacks that allow
species to resist stress  or that reinforce recovery mechanisms following disturbance.

Toxins

Current conditions and effects on ecosystem services
Toxins reach the environment through a variety of pathways including atmospheric deposition, point
sources, and non-point sources. A recent EPA review of toxic contamination in the Chesapeake Bay
Watershed (USEPA et al. 2012) considered a number of groups of contaminants, only some of which are
likely to be affected by the TMDL practices because they are washed into the bay during rainfall and
runoff events.

A number of toxic contaminants can be associated with non-point sources like agricultural lands and
stormwater runoff, especially from impervious surfaces such as roads, parking lots, and  driveways
(Hwang & Foster 2006). The following subsections define each of these groups of toxins and, where
possible,  their impacts on ecosystem services.
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Polycyclic Aromatic Hydrocarbons (PAHs)
PAHs are a family of compounds derived from either petroleum and coal or the combustion of fossil
fuels and wood products. PAHs found in sediment can have a deleterious effect on benthic organisms
which can lead to decreased growth, survival and reproductive success of the fish that consume them
(USEPA et al. 2012). Chronic exposure to PAHs by fish embryos can result in death, deformities, or
decreased growth (USEPA et al. 2012). In general, fish tend to metabolize, rather than accumulate PAHs.

Petroleum hydrocarbons
Petroleum hydrocarbons include a mixture of chemicals originating from crude oil. Petroleum can enter
the environment through point (e.g., oil spills) or non-point (e.g., stormwater runoff) sources. In the
Chesapeake Bay, petroleum contamination is localized to areas with high levels of shipping activity (EPA
et al. 2012) (USEPA et al. 2012). A water standard for petroleum hydrocarbons has not been established,
but a numerical standard for "oils and grease" (including non-petroleum based oils) exists. A narrative
standard (i.e., no visible sheen) is typically used to evaluate compliance (USEPA et al. 2012). Data for
petroleum residue in fish tissue are not available, and petroleum-related risk to wildlife is primarily
associated with oil spills rather than stormwater runoff (USEPA et al. 2012).

Pesticides
Pesticides are products designed to prevent, destroy, repel or reduce pests. They have a wide range of
chemical characteristics, targets and application procedures. Most pesticide use is associated with
agriculture and residential land, as well as golf courses, mosquito and gypsy moth control, invasive
species control, etc. (USEPA et al.  2012). Due to the wide variety of applications, many point and non-
point pathways to the Chesapeake Bay Watershed exist.

The USGS National Water Quality Assessment monitors pesticide occurrence in the nation's rivers and
streams. Among the major findings of this assessment are that, nationwide, the occurrence of  pesticides
in many streams may affect aquatic life or fish-eating wildlife, but pesticides are seldom present in
concentrations that exceed human health benchmarks; however, these benchmarks are constantly
being updated (USEPA et al. 2012). Among the potential environmental effects of the presence of
various pesticides on fish and wildlife are the suppression of the immune system  in certain  fish species,
correlations between atrazine concentrations in the water column near smallmouth bass nesting sites
and intersex conditions in fish found at those sites, and immune system suppression in tadpoles
following exposure to certain pesticides (USEPA et al. 2012). Due to the variety of pesticides in use, the
regular introduction of new pesticides, and the persistence in the environment of pesticides no longer in
use (e.g., DDT), the extent and severity of pesticides in the Chesapeake Bay watershed is  uncertain.

Ph arm aceuticals
Pharmaceuticals  are chemicals used in the diagnosis, mitigation, treatment, cure and prevention of
disease. They are widely used in human, veterinary, and livestock applications. The environmental
effects of Pharmaceuticals on aquatic ecosystems are not well understood, and at present, no  aquatic-
life or related water-quality or sediment-related benchmarks exist for Pharmaceuticals (USEPA
etal. 2012).
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Two large classes of Pharmaceuticals found in the environment, synthetic hormones and anti-
depressants, are associated with point sources. A third class of commonly used Pharmaceuticals,
antibiotics, have the potential to enter the environment from point or not-point sources. The effect of
antibiotics released to the environment on microbial communities is not well understood, although
research is ongoing. Data on the occurrence of Pharmaceuticals in the environment in the Chesapeake
Bay Watershed is limited, so the extent and severity is also uncertain, but sources of these chemicals in
the watershed are widespread.

Household and personal care products
Household and personal care products are a loosely defined group of products including cosmetics,
detergents, soaps, and food additives that include a mixture of organic and inorganic ingredients. These
products are most frequently introduced to the environment through point sources (e.g., landfills,
wastewater treatment plants), but there is also potential for non-point introduction as well (e.g.,
through careless handling of trash).

Antimicrobials such as triclosan and triclocarban have been shown to have sublethal effects at relevant
environmental concentrations on a number of species (USEPA et al. 2012). However, the severity of
contamination from household and personal care products in the Chesapeake Bay watershed is poorly
understood due to gaps in understanding the  range of potential adverse ecological consequences of the
presence of these products and their degradates at environmentally relevant concentrations (USEPA
etal. 2012).

Biogenic hormones
Biogenic hormones are naturally occurring hormones created and excreted by humans and other
organisms. Biogenic hormones primarily enter the environment through point sources (e.g., wastewater
treatment plants), but their presence  in animal waste means a potential non-point source as well.
Manure management practices will determine the magnitude of this pathway. Biogenic hormones have
the potential for endocrine disruption in fish (USEPA et al. 2012).

Metals and metalloids
Metals are naturally occurring constituents of rock and sediment that may also be delivered to the
environment via anthropogenic sources. Mercury is one  of the most prevalent sources of waterbody
impairment in the Chesapeake Bay watershed; however, it enters the environment primarily through
atmospheric deposition, and is therefore unlikely to be affected by the WIPs. Other metals that may
enter the environment through point  or non-point sources have more localized contamination in the
Chesapeake Bay watershed and include:

       • cadmium from tire fillers, tire wear, and lubricants (WSDOT 2007)
       • chromium from moving engine parts, metal plating and brake linings (WSDOT 2007)
       • copper from bearing and bushing wear, moving engine parts, brake linings, radiator repair,
         and copper roofs (BCMoE n.d.; UWEX 1997; WSDOT 2007)
       • iron from automobiles, moving engine parts, and urban infrastructure such as bridges and
         guardrails (BCMoE n.d.; WSDOT 2007)
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              • lead from tire fillers, bearing wear, and automotive and radiator repair(BCMoE n.d.;
                WSDOT 2007)
              • manganese from moving engine parts (BCMoE n.d.; WSDOT 2007)
              • nickel from diesel fuel, lubricating oil, metal plating, brake linings and asphalt paving
                (BCMoE n.d.; WSDOT 2007)
              • zinc from galvanized metal roofs, gutters and downspouts (UWEX 1997)

For many of these groups of toxins, their effects on water quality, sediments, fish and wildlife are not
completely understood, and therefore there are no water quality benchmarks defined (e.g.,
Pharmaceuticals, household and personal care products,  biogenic hormones). However, some toxic
contaminants have known effects on birds, fish,  amphibians and other organisms, depending on the
contaminant and concentration at which fauna are exposed. For example, lead can adversely impact
reproduction, growth and development  offish at levels as low as 7 micrograms per liter (UNEP 2010).
Similarly, PAHs may cause deformities and abnormalities and adversely impact reproduction, growth
and development of fish at sediment levels as low as 22.8 mg/kg total PAHs (USGS 2011; EPA et al.
2012). Further, elevated levels of the pesticide atrazine in the Potomac River have been associated with
reproductive development abnormalities in male fish in the Potomac River (EPA et al. 2012).

Toxic contaminants can also have developmental, neurological and carcinogenic effects on humans
depending on the contamination and exposure level. Children with blood lead levels as low as 10
micrograms per decaliter can experience declines in IQ (UNEP 2010).

Potential improvements from implementing the WIPs
The TMDL has the potential to reduce toxics by implementing BMPs that reduce loadings of toxic-laden
sediments, reduce impervious surfaces, and decrease runoff volume and flow. Many metals, PAHs and
other organic contaminants are significantly correlated with suspended solids (Hwang & Foster 2006;
Schiff & Tiefenthaler 2011; Gunawardana et al. 2012). By reducing the sediment loading to the bay and
its waterways, many toxics are  likely to be  diverted from streams as well. Furthermore, many toxics are
associated with impervious surfaces because these pollutants accumulate and are easily washed off of
impervious surfaces (e.g., petroleum) (Hwang &  Foster 2006).

Common agricultural practices  such as the use of pesticides and spreading manure on fields can
introduce toxins found in animal waste (e.g., Pharmaceuticals, biogenic hormones) to the environment.
A USEPA report (US EPA 2000) found that the amount of manure applied per acre of farmland in states
in the Chesapeake Bay watershed was among the highest in the nation. The implementation of BMPs
that reduce runoff from agricultural lands (e.g., barnyard runoff control, forest buffers, etc.) will  likely
result in reduced introduction of these types of toxins in the Chesapeake Bay.

The state of Maryland (in cooperation with the District of Columbia) has established trash TMDLs for the
Anacostia and Patapsco rivers.  In these urban areas, the interception of trash will reduce contamination
associated with household products (USEPA et al. 2012).
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Potential magnitude of impacts
The potential impact of the TMDL on toxins is difficult to quantify, but will be significantly tied to
sediment prevented from entering the waterways, as well as the runoff volume and velocity which
determines flushing capability. For example, in the Anacostia, 68-97% of PAHs have been observed to
be associated with sediment particles in stormwater runoff, and approximately 75% of PAHs entering
the Chesapeake Bay annually are estimated to be associated with particles (Ko & Baker 2004; Hwang &
Foster 2006). The study also noted that areas with higher percentages of roadways and impervious
surfaces generated higher PAH concentrations in runoff.

The size of solids captured by the BMPs will also affect the magnitude of effect. One California study
found that metals were most often correlated with particles between 100 and 250 micrometers,
whereas PAHs were most often associated with particles smaller than 100 micrometers (Lau &
Stenstrom 2005). Since micrometer size particles are easily entrained in moving surface water, we can
assume that most reductions in surface runoff over impervious surfaces will be associated with a large
proportional reduction in these toxins. However, we have not estimated the absolute size of this effect.

In agricultural and suburban settings, vegetative buffers may be capable of reducing pesticides and
antibiotics from entering waterways by greater than 58 and 75%, respectively (USDA-NRCS 2000;  Lin et
al. 2011; Everich et al. 2011). The TMDL may also assist in the overall reduction of certain pesticides by
promoting degradation in areas of permanent vegetative cover (USDA-NRCS 2000). The degradation of
pesticides have been observed to take place at a faster rate in soils compared to surface  water and
sediments (US EPA 2003).

Conclusions for toxins
Toxic contaminants found in nonpoint source runoff can have varying deleterious effects on humans,
birds, fish, amphibians and other organisms, depending on the contaminant and concentration at which
fauna are exposed. The Chesapeake Bay nutrient and sediment TMDL has the potential to reduce toxics
by implementing BMPs that reduce loadings of toxic-laden sediments by reducing impervious surfaces,
runoff volume and flow, and trash that would otherwise carry toxins to the bay.
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Summary
This report describes some of the benefits that might result from implementing the TMDL, but that
cannot be valued in monetary terms (summarized in Table 8). These potential benefits are a direct result
of decreasing nutrient and sediment loads and are by-products of implementing management practices
and projects to achieve the TMDL. The first section of the report discusses the potential for reduced
risks to human health that might occur from substantial reductions in pathogens (at least 19-27%),
reduced risk of West Nile virus transmission to people, and reduced incidence of HABs. Although the
incidence of illnesses from these causes is low, people have been shown to dramatically change their
behavior in response to low health risks. Therefore, small reductions in illnesses may generate
disproportionate increases in welfare by increasing recreational opportunities and enhancing feelings of
safety and well-being. Further, reduced incidence of health threats would be expected to prevent
economic  impacts to local businesses that can result from the social amplification of these risks.

The second section of the report discusses the potential for reduced nutrient, sediment, and toxic loads
to enhance resilience of bay ecosystems to future changes. Increased resilience of the bay enhances the
chances that the bay will continue to support fisheries far into the future and could lessen the time that
the bay spends in a degraded state following major disturbance. Reduced nutrient and sediment loads
are expected to increase distribution of SAV, increase abundance of selected fish species, and reduce
hypoxia, all of which are thought to promote the ability of the system to tolerate and adapt to novel
threats. The benefits of increased resilience may not be clear until the bay experiences more intense
climate change stressors, or unless stressors combine in undesirable ways. However, recent
improvements in the bay and case studies of other degraded systems suggest that improved water
quality helps to create a system that recovers more readily from disturbance and avoids tipping points
that could shift the system to an undesirable state.
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Table 8. Summary of TMDL Effects on Ecosystem Service Benefit Indicators
  Ecological Indicator
Human Welfare Effects
 Expected
Direction of
 Change in
  Welfare
  Level of
Certainty of
  Benefit
  Change
In-water pathogens
Bird diversity & land
cover
HAB incidences &
toxicity
Oysters & fish diversity
Abundance of dominant
fish (short-term)
SAV
Toxics
(from non-point
sources)
Probability of system
shift to undesirable
state (due to novel
stressors)
Reduced risks to human health +
(gastroenteritis, infections, etc.) . 1Q -,-,„,
^>iy-z/ /o
reduction in
loads)
Reduced risks to human health +
(West Nile Virus)
Reduced risks to human health (toxin- +
induced illnesses); food supply; recreation;
local business support; nonuse benefits from
improved bay resilience1
Increases in food supply; recreation; +
business support; nonuse benefits from
improved bay resilience and support of local
heritage
Food supply; recreation; business support;
nonuse benefits from improved bay neutral
resilience
Property protection; nonuse benefits from +
improved bay resilience
Reduced risks to human health; nonuse +
benefits from improved bay resilience
Nonuse benefits from improved bay +
resilience
Moderate
Low
Low
Moderate
Moderate
High
Low
Low
1 Nonuse benefits from improved bay resilience reflects the values that many people express for stewardship of the
natural environment and preserving resources for future generations.
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Appendix A. Supplemental Information for Pathogen Analysis
Table A.I. Pathogen Reduction Efficiencies for Crop, Pasture, Urban and Septic BMPs
                                                       Avg Fecal
                                                      Coliform and
                                                      E. Coli(FIB)t
                                                      Efficiency (%)
Best Management
    Practice*
Loading Reduction
  Efficiency (%)
                                        Crop Practices
      Reference
 Forest Buffers
                       Fecal coliform: 43-57%
                      50%
VDEQ2003
 Grass Buffers
                       E.co//: 58-99%
                       Total coliform 67-99%
                       Fecal coliform: 28-100%
                       Fecal streptococci: 70-84%
                       Cryptosporidium: 93-99%
                       Giardia: 26%
                      71%
MPCA 2009; Peterson et
al. 2012b
Land Retirement
Water Control Structures
Wetland Restoration
Non-urban Stream
Reduction
90-93%
Detention structures: 67%
E co//: 40%
Fecal coliform :30%
No estimate
92%
67%
35%
Not included in
reduction
estimate
VDEQ2003; Peterson et
al. 2012b
Leisenring et al. 2012
VDEQ2003

Pasture Practices
Barnyard Runoff Control
Forest Buffers
Fecal coliform: 81%
Fecal coliform: 43 -57%
81%
50%
(USGS 1998)
VDEQ2003
 Grass Buffers
                       Eco//: 58-99%
                       Total coliform 67-99%
                       Fecal coliform: 28-100%
                       Fecal streptococci: 70-84%
                       Cryptosporidium: 93-99%
                       Giardia: 26%
                      71%
MPCA 2009; Peterson et
al. 2012b
 Horse Pasture Management   E co//: 72%
                                                72%
                                     Peterson et al. 2012a
* No comprehensive list defining the BMPs used in the WIPs was identified, however definitions for these agricultural
practices agricultural practices can be found at:
http://mda.maryland.gov/resource conservation/WIPCountyDocs/bmpdef pg.pdf. Summaries of the types of
practices used in the urban BMPs can be found here:
http://www.dnrec.delaware.gov/swc/wa/Documents/ChesapeakePhasellWIP/Final Phase2 CBWIP 03302012A.pdf.
f FIB, or Fecal Indicator Bacteria; Reduction Efficiency is represented by the average reduction efficiencies of E co//
and fecal coliform for the purposes of this analysis.
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 Table A.I. (continued)
     Best Management
          Practice*
 Loafing Lot Management
   Loading Reduction
      Efficiency (%)
Fecal coliform: 50%
  Avg Fecal
 Coliform and
 E. Co//(FIB)t
 Efficiency (%)
50%
       Reference
VDEQ2003
 Pasture Alternative
 Watering
f. co//: 85-95%
Fecal coliform: 51-94%
Fecal streptococci: 77%
82%
Sheffield et al. 1997;
Byers et al. 2005
 Precision Intensive
 Rotational Grazing
 Prescribed Grazing
Fecal coliform: 90%
90%
MPCA 2009
f. co//: 66- 72%
Fecal coliform: 90-96%
80%
Peterson et al. 2011a,
2011b
 Stream Access Control with
 Fencing
f. co//: 37-46%
Fecal coliform: 30-94%
52%
Schaetzle 2005; Peterson
etal. 2011b
 Ammonia Emission
 Reductions
No estimate
Not included in
reduction
estimate
 Conservation Tillage w/
 Continuous No Till
No estimate: Heavily
dependent on if and when
animal manure has been
applied.
Not included in   Ramirez et al. 2009
reduction
estimate
Dairy Precision Feeding
Livestock Mortality
Composting
Livestock Waste
Management Systems
Manure Transport Inside
CBWS
No estimate
No estimate
f . co//: 97-99%
Fecal coliform: 44-99%
Fecal streptococci:
46 -99%
Total coliform: 99%
No estimate
Not included in
reduction
estimate
Not included in
reduction
estimate
Not included in VDEQ 2003; Redmon et
reduction al. 2012;
estimate
Not included in
reduction
estimate
 Manure Transport Outside     Assumed to be 99%
 CBWS
                          Not included in
                          reduction
                          estimate
 Non-urban Stream
 Restoration
Fecal Coliform: 30%
Not included in   VDEQ 2003
reduction
estimate
 Poultry Phytase
No estimate
Not included in
reduction
estimate
 Poultry Waste Management   Fecal coliform: 75%
 Systems                     f. co//: 96%
                          Not included in   VDEQ 2003; Redmon et
                          reduction        al. 2012
                          estimate
-44-

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 Table A.I. (continued)
     Best Management
          Practice*
   Loading Reduction
      Efficiency (%)
  Avg Fecal
 Coliform and
 E. Co//(FIB)t
 Efficiency (%)
       Reference
                                         Urban Practices
 BioRetention
E. co//: 71%
71%
Leisenring et al. 2012
 BioSwale
Fecal coliform :-5%*
E. co//: -6%
-6%
Leisenring et al. 2012
 Dry Ponds
Fecal coliform: 80%
80%
Tilman et al. 2011
 Erosion and Sediment
 Control
 Reduction
Assumed average of all
urban stormwater
practices:
Fecal coliform: 53%
E. co//: 60%
57%
Filtering Practices
Forest Buffers
Impervious Surface
Fecal coliform: 60%
E . co//: 99%
Fecal coliform: 43 -57%
Assumed average of all
80%
50%
57%
Clary et al. 2008
VDEQ2003

urban stormwater
practices:
Fecal coliform: 53%
E. co//: 60%
 Infiltration Practices
Assumed to be equivalent
to Leisenring et al. 2012
retention ponds:
E. coir. 95%
Fecal coliform: 65%
80%
Leisenring et al. 2012
 Retrofit Stormwater
 Management
Assumed average of all
urban stormwater
practices:
Fecal coliform: 53%
E. co//: 60%
57%
Wet Ponds & Wetlands
Abandoned Mine
Reclamation
Street Sweeping
Tree Planting
Fecal coliform: 53%
E. co//: 43%
No estimate
Fecal coliform: 1.4-4.3%
No estimate
48%
Not included in
reduction
estimate
Not included in
reduction
estimate
Not included in
reduction
estimate
Leisenring et al. 2012

Zarriello. etal. 2003

* Negative removal efficiencies indicate that the concentrations of pathogens were increased as a result of the BMP
implementation.
                                                                                                 -45-

-------
 Table A.I. (continued)
     Best Management
          Practice*
 Street Sweeping
   Loading Reduction
      Efficiency (%)
Fecal coliform: 1.4-4.3%
  Avg Fecal
 Coliform and
 E. Co//(FIB)t
 Efficiency (%)
Reference
Not included in   Zarriello. et al. 2003
reduction
estimate
 Tree Planting
No estimate
Not included in
reduction
estimate
 Urban Stream Restoration     No estimate
                          Not included in
                          reduction
                          estimate
                                        Septic Practices
 Combined Sewer Overflow
 Elimination
Fecal coliform: 99%
Not included in   CGR2011
reduction
estimate
 Septic Connections
Fecal coliform: 99%
Not included in   Vann et al. 2002;
reduction        Petersen et al. 2009
estimate
 Septic Denitrification
No estimate obtained
Not included in
reduction
estimate
 Septic Pumping
Fecal coliform:  5%
Not included in   VDEQ2003
reduction
estimate
 Treatment Plant Upgrades
No estimate: Heavily
dependent on type of
upgrade and technology
implemented.
Not included in
reduction
estimate
-46-

-------
Table A.2. Agricultural and urban BMPs excluded from analysis because pathogen efficiency reductions
were unavailable
Agricultural BMPs
 Non-Urban Stream Restoration
 Livestock Waste Management Systems
 Poultry Waste Management Systems
 Livestock Mortality Composting
 Poultry Mortality Composting
 Manure Transport Outside CBWS
 Manure Transport Within CBWS
 Poultry Phytase (layers+pullets)
 Poultry Phytase (broilers+turkeys)
 Dairy Precision Feeding
 Ammonia Emission Reductions
 Continuous No-till
                                                           Urban BMPs
                              Urban Stream Restoration
                              Street Sweeping
                              Septic Connections
                              Septic Denitrification
                              Septic Pumping
                              Combined Sewer Overflow Elimination
                              Wastewater and Sewage Treatment Plant
                              Upgrades
                              Tree planting (distinct from forest conservation
                              and forest buffers)
                              Abandoned mine reclamation
                                                                                         -47-

-------
Appendix B. Data Quality and Limitations
These analyses used the best available data and models at the time of analysis. Readers are advised to
refer to the original data sources for detailed information about input data quality. For the pathogen
analysis, results should be viewed as order of magnitude estimates, rather than precise numbers, because
the approach used a model at one scale (Upper Potomac) to estimate results for a substantially coarser
scale (Chesapeake Bay). The estimation approach was reviewed by two of the original model developers
and they concurred that the approach was a reasonable transfer of their initial model results. Further,
they were not aware of other transferable pathogen models that would improve estimation given the
analysis  resources available. However, the sources of estimation error could be reduced by  a modeling
effort designed specifically for the entire Chesapeake Bay watershed. In addition, these order of
magnitude results are subject to change as the Chesapeake Bay states refine their WIPs and as new
research becomes available to understand BMP effectiveness at pathogen reductions or how pathogens
are attenuated in surface water bodies.
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References
AACDoH. 2013. Water Quality, Health Risks, and Swimming or Fishing in Anne Arundel County Rivers and
       Creeks. Anne Arundel County Department of Health. Retrieved from
       http://www.aahealth.org/programs/env-hlth/rec-water/risks.
Allan, B. F. et al. 2008. Ecological correlates of risk and incidence of West Nile virus in the United States.
       Oecologia 158:699-708.
Anderson, D. 2005. The ecology and oceanography of harmful algal blooms: Multidisciplinary approaches
       to research and management. Paris, France. Retrieved February 28, 2013, from
       http://www.tos.org/oceanography/archive/18-2_andersonl.html.
Anderson, D. M., P. M. Glibert, and J. M. Burkholder. 2002. Harmful algal blooms and eutrophication:
       Nutrient sources, composition, and consequences. Estuaries 25:704-726.
ASMFC. 1998. Review of the Atlantic States Marine Fisheries Commission Fishery Management Plan for
       Atlantic sturgeon (Acipenser oxyrhynchus). Washington, DC.
Atlantic Sturgeon Status Review Team. 2007. Status Review of Atlantic Sturgeon (Acipenser oxyrinchus
       oxyrinchus). National Marine Fisheries Service, Northeast Regional Office, Gloucester, MA.
Auld, A. H., and J. R. Schubel. 1978. Effects of suspended sediment on fish eggs and larvae: A laboratory
       assessment. Estuarine and Coastal Marine Science 6:153-164.
Barbier, E. B., I. Y. Georgiou, B. Enchelmeyer, and D. J. Reed. 2013. The value of wetlands in protecting
       southeast Louisiana from hurricane storm surges. PLoS ONE 8:e58715.
Barbier, E. B., S. D. Hacker, C. Kennedy, E. W. Koch, A. C. Stier, and B. R. Silliman. 2011. The value of
       estuarine and coastal ecosystem services. Ecological Monographs 81:169-193.
BCMoE. (n.d.). Urban Runoff. Retrieved from
       http://www.env.gov.bc.ca/wat/wq/nps/BM P_Compendium/Municipal/Urban_Runoff/Urban_Run
       off. htm.
Beck, M. W., K. L Heck, K. W. Able, D. L. Childers, D. B. Eggleston, B. M. Gillanders, B. Halpern, C. G. Hays,
       K. Hoshino, T. J. Minello, R. J. Orth, P. F. Sheridan, and M. P. Weinstein. 2001. The identification,
       conservation, and management of estuarine and marine nurseries for fish and invertebrates.
       BioScience 51:633-641.
Bin, O., C. E.  Landry, C. L. Ellis, and H. Vogelsong. 2005. Some consumer surplus estimates for North
       Carolina beaches. Marine Resource Economics 20:145.
Blankenship, K. 2004. Mycobacteriosis infection rate in Bay's striped  bass increasing. Bay Journal 14.
       Retrieved from www.bayjournal.com/article/old_id/1252.
Bornette, G., and S. Puijalon. 2011. Response of aquatic plants to abiotic factors: A review. Aquatic
       Sciences 73:1-14.
Borum, J., R. K. Gruber, and W. M. Kemp. 2012. Seagrass and Related Submersed Vascular Plants. Pages
       111-127 in J. W. Day, B. C. Crump, W. M. Kemp, and A. Yanez-Arancibia, editors. Estuarine
       Ecology. John Wiley & Sons, Inc., Hoboken, NJ, USA. Retrieved February 11, 2013, from
       http://doi.wiley.com/10.1002/9781118412787.ch5.
Boynton, W. R., C. A. Hall, P. G. Falkowski, C. W. Keefe, and W. M. Kemp. 1983. Phytoplankton productivity
       in aquatic ecosystems. Physiological Plant Ecology 4:305-327.
Bradley, C. A., S. E. J. Gibbs, and S. Altizer. 2008. Urban land use predicts West Nile Virus exposure in
       songbirds. Ecological Applications 18:1083-1092.
Breitburg, D. 2002. Effects of hypoxia, and the balance between hypoxia and enrichment, on coastal fishes
       and fisheries. Estuaries and Coasts 25:767-781.
Breitburg, D. L. et al. 2009a. Nutrient enrichment and fisheries exploitation: Interactive effects on
       estuarine living resources and their management. Hydrobiologia 629:31-47.
                                                                                           -49-

-------
Breitburg, D. L, D. W. Hondorp, L A. Davias, and R. J. Diaz. 2009b. Hypoxia, nitrogen, and fisheries:
       Integrating effects across local and global landscapes. Annual Review of Marine Science 1:329-
       349.
Brown, H. E., J. E. Childs, M. A. Diuk-Wasser, and D. Fish. 2008. Ecologic factors associated with West Nile
       Virus transmission, northeastern United States. Emerging Infectious Diseases 14:1539-1545.
Brown, T. C., J. C. Bergstrom, and J. B. Loomis. 2007. Defining, valuing and providing ecosystem goods and
       services. Natural Resources Journal 47:329-376.
Burkholder, J. M. 1998. Implications of harmful microalgae and heterotrophic dinoflagellates in
       management of sustainable marine fisheries. Ecological Applications 8:S37-S62.
Burkholder, J. M., and H. B. Glasgow Jr. 2001. History of toxic Pfiesteria in North Carolina estuaries from
       1991 to the present. BioScience 51:827-841.
Busby, J.  S., R. E. Alcock, and B. H. MacGillivray. 2009. Interrupting the social amplification of risk process:
       A case study in collective emissions reduction. Environmental Science & Policy
       12:297-308.
Byers, H.  L, M. L. Cabrera, M. K.  Matthews, D. H. Franklin, J. G. Andrae, D. E. Radcliffe, M. A. McCann, H. A.
       Kuykendall, C. S. Hoveland, and V. H. Calvert 2nd. 2005. Phosphorus, sediment, and Escherichia
       coli loads in unfenced streams of the Georgia Piedmont, USA. Journal of Environmental Quality
       34:2293-2300.
Cabelli, V. J., A. P. Dufour, L. J.  McCabe, and M. A. Levin. 1983. A marine recreational water quality
       criterion consistent with indicator concepts and risk analysis. Journal Water Pollution Control
       Federation 55:1306-1314.
Caddy, J.  F. 1993. Toward  a comparative evaluation of human impacts on fishery ecosystems of enclosed
       and semi-enclosed seas. Reviews in Fisheries Science 1:57-95.
Caddy, J.  F. 2000. Marine catchment basin effects versus impacts of fisheries on semi-enclosed seas. ICES
       Journal of Marine Science: Journal du Conseil 57:628-640.
Caffrey, J., and W. M. Kemp. 1990. Nitrogen cycling in sediments with estuarine populations of
       Potamogeton perfoliatus L and Zostera marina L. Marine Ecology-Progress Series 66:147-160.
Caffrey, J., and W. M. Kemp. 1992. Influence of the submersed plant, Potamogeton perfoliatus L, on
       nitrogen cycling in estuarine sediments: Use of 15N techniques. Limnology and Oceanography
       37:1483-1495.
Carter, V., and N. Rybicki.  1986. Resurgence of submersed aquatic macrophytes in the tidal Potomac River,
       Maryland, Virginia, and the District of  Columbia. Estuaries 9:368.
Carter, V., and N. B. Rybicki. 1990. Light attenuation and submersed  macrophyte distribution in the tidal
       Potomac River and estuary. Estuaries 13:441.
Carter, V., N. B. Rybicki, J.  M. Landwehr, and M. Turtora. 1994. Role of weather and water quality in
       population dynamics of submersed macrophytes in the tidal Potomac River. Estuaries 17:417.
CBFEAP. 2006. Fisheries Ecosystem Planning for Chesapeake Bay. American Fisheries Society, Bethesda,
       MD.
CDC. 2011a, June 22.  Final 2009 West Nile virus Human Infections in the United States. Center for Disease
       Control (CDC). Retrieved December 28, 2012, from
       http://www.cdc.gov/ncidod/dvbid/westnile/surv&controlCaseCount09_detailed.htm.
CDC. 2011b, June 22.  Final 2010 West Nile virus Human Infections in the United States. Center for Disease
       Control (CDC). Retrieved December 28, 2012, from
       http://www.cdc.gov/ncidod/dvbid/westnile/surv&controlCaseCountlO_detailed.htm.
CDC. 2011c, June 22. Final 2008 West Nile Virus Human Infections in the United States. Center for Disease
       Control (CDC). Retrieved December 28, 2012, from
       http://www.cdc.gov/ncidod/dvbid/westnile/surv&controlCaseCount08_detailed.htm.
-50-

-------
CDC. 2012a, April 18. Final 2011 West Nile Virus Human Infections in the United States. Center for Disease
       Control (CDC).  Retrieved December 28, 2012, from
       http://www.cdc.gov/ncidod/dvbid/westnile/surv&controlCaseCountll_detailed.htm.
CDC. 2012b, September 12. West Nile Virus: What You  Need To Know. Retrieved January 4, 2013, from
       http://www.cdc.gov/ncidod/dvbid/westnile/wnv_factsheet.htm.
CDC. 2012c, December 18. West Nile Virus (WNV) Human Infections Reported to ArboNET, by State,
       United States,  2012 (as of December 11, 2012). Retrieved December 28, 2012, from
       http://www.cdc.gov/ncidod/dvbid/westnile/surv&controlCaseCountl2_detailed.htm.
CGR (City of Grand Rapids). 2011. What are Combined Sewers? Retrieved January 11, 2013, from
       http://grcity.us/enterprise-services/Environment-Services/Pages/Combined-Sewer-Overflow.aspx.
Chan, F., J. A. Barth, J. Lubchenco, A. Kirincich, H. Weeks, W. T. Peterson, and B. A. Menge. 2008.
       Emergence of anoxia in the California current large  marine ecosystem. Science 319:920-920.
Clary, J., J. Jones, B. Urbonas, M. Quigley, E. Strecker, and T. Wagner. 2008, May. Can Stormwater BMPs
       Remove Bacteria? New Findings from the International Stormwater BMP Database. Stormwater
       Magazine 9:14.
Cloern, J. 2001. Our evolving conceptual model of the coastal eutrophication problem. Marine Ecology
       Progress Series 210:223-253.
Collins, M. R., S. G. Rogers, T. I. J. Smith, and M. L Moser. 2000. Primary factors affecting sturgeon
       populations  in  the southeastern United States: Fishing mortality and degradation of essential
       habitats. Bulletin of Marine Science 66:917-928.
Cordell, H. K., G. T. Green, V. R. Leeworthy, R. Stephens, M.  J. Fly, and C. J. Betz. 2005. United States of
       America: Outdoor Recreation. Pages  245-264.  Retrieved November 26, 2014, from
       http://www.treesearch.fs.fed.us.proxy-um.researchport.umd.edu/pubs/21302.
Costantini, M.,  S. A. Ludsin, D. M. Mason, X. Zhang, W. C. Boicourt, and S. B. Brandt. 2008. Effect of
       hypoxia on habitat quality of striped  bass (Morone saxatilis) in Chesapeake Bay. Canadian Journal
       of Fisheries and Aquatic Sciences 65:989-1002.
Costanza, R. 2008. Ecosystem services: Multiple classification systems are needed. Biological Conservation
       141:350-352.
Costanza, R., L. Wainger, C. Folke, and K.-G. Ma'ler. 1993. Modeling complex ecological economic systems.
       BioScience 43:545-555.
Coulliette, A. D., and R. T. Noble. 2008. Impacts of rainfall on the water quality of the Newport River
       Estuary (Eastern  North Carolina, USA). Journal of Water and Health 06:473.
Coutant, C.  C., and D. L. Benson.  1990. Summer habitat suitability for striped bass in Chesapeake Bay:
       Reflections on  a population decline. Transactions of the American Fisheries Society 119:757-778.
Craig, J. K. 2012. Aggregation on the edge: Effects of hypoxia avoidance on the spatial distribution of
       brown  shrimp  and demersal fishes in the northern Gulf of Mexico. Marine Ecology Progress Series
       445:75-95.
Craig, J. K., and L. B. Crowder. 2005. Hypoxia-induced habitat shifts and energetic consequences in Atlantic
       croaker and  brown shrimp on the Gulf of Mexico shelf. Marine Ecology Progress Series 294:79-94.
Craig, J. K., L. B. Crowder, and T. A. Henwood. 2005. Spatial distribution of brown shrimp (Farfantepenaeus
       aztecus) on the northwestern Gulf of Mexico shelf: Effects of abundance and hypoxia. Canadian
       Journal of Fisheries and Aquatic Sciences 62:1295-1308.
Daskalov, G. M. 2002. Overfishing drives a trophic cascade in the Black Sea. Marine Ecology Progress Series
       225:53-63.
Daskalov, G. M. 2003. Long-term changes in fish abundance and environmental indices in the Black Sea.
       Marine Ecology Progress Series 255:259-270.
                                                                                           -51-

-------
Daskalov, G. M., A. N. Grishin, S. Rodionov, and V. Mihneva. 2007. Trophic cascades triggered by
       overfishing reveal possible mechanisms of ecosystem regime shifts. Proceedings of the National
       Academy of Sciences 104:10518-10523.
De Leiva Moreno, J. I., V. N. Agostini, J. F. Caddy, and F. Carocci. 2000. Is the pelagic-demersal ratio from
       fishery landings a useful proxy for nutrient availability? A preliminary data exploration for the
       semi-enclosed seas around Europe. ICES Journal of Marine Science: Journal du Conseil
       57:1091-1102.
DePaola, A., C. A. Kaysner, J. Bowers, and D. W. Cook. 2000. Environmental investigations of Vibrio
       parahaemolyticus in oysters after outbreaks in Washington, Texas, and New York (1997 and 1998).
       Applied and Environmental Microbiology 66:4649-4654.
Diaz, R. J. 2001. Overview of hypoxia around the world. Journal of Environment Quality 30:275.
Diaz, R. J., and A. Solow. 1999. Ecological and economic consequences of hypoxia. Topic 2. Gulf of Mexico
       hypoxia assessment. NOAA Coastal Ocean Program, Silver Spring, MD.
Dortch, Q.,  R. Robichaux, S. Pool, D. Milsted, G. Mire, N. Rabalais, T. Soniat, G. Fryxell, R. Turner, and  M.
       Parsons. 1997. Abundance and vertical flux of Pseudo-nitzschia in the northern Gulf of Mexico.
       Marine Ecology Progress Series 146:249-264.
Dvorak, P. 2010. That repulsive unflushed toilet? Better to swim in it than in the Chesapeake Bay.
       Washington Post. Washington, D. C. Retrieved from http://www.washingtonpost.com/wp-
       dyn/content/article/2010/07/26/AR2010072605203.html.
Dwight, R. H., D. B. Baker, J. C. Semenza, and B. H. Olson. 2004. Health effects associated with recreational
       coastal water use: Urban versus rural California. American Journal of Public Health 94:565-567.
Eby, L. A., L. B. Crowder, C. M.  McClellan, C. H. Peterson, and M. J. Powers. 2005. Habitat degradation from
       intermittent hypoxia: Impacts on demersal fishes. Marine Ecology Progress Series
       291:249-262.
Eggleston, D. B., G. W. Bell, and A. D. Amavisca. 2005. Interactive effects of episodic hypoxia and
       cannibalism on juvenile blue crab mortality. Journal of experimental marine biology and ecology
       325:18-26.
Eiler, A., M. Johansson, and S. Bertilsson. 2006. Environmental influences on Vibrio populations in
       northern temperate and boreal coastal waters (Baltic and Skagerrak Seas). Applied and
       Environmental Microbiology 72:6004-6011.
EPA, FWS, and USGS.  2012. Toxic Contaminants in the Chesapeake Bay and its Watershed: Extent and
       Severity of Occurrence and Potential Biological Effects. Page 175. USEPA Chesapeake Bay Program
       Office, Annapolis, MD.
Essington, T. E., A. H. Beaudreau, and J. Wiedenmann. 2006.  Fishing through marine food webs.
       Proceedings of the National Academy of Sciences of the United States of America
       103:3171-3175.
Evans, A.  S., K. L. Webb, and P. A. Penhale. 1986. Photosynthetic temperature acclimation in two
       coexisting seagrasses, Zostera marina L. and Ruppia maritima L. Aquatic Botany 24:185-197.
Everich, R.,  A. Newcombe, M. Nett, and J. Olinger. 2011. Efficacy of a Vegetative Buffer for Reducing the
       Potential Runoff of the Insect Growth Regulator Novaluron. Pages 175-188 in K.  S. Goh, B. L.  Bret,
       T. L. Potter, and J. Gan, editors. Pesticide Mitigation Strategies for Surface Water Quality.
       American Chemical Society, Washington, DC. Retrieved March 21, 2013, from
       http://pubs.acs.org/doi/abs/10.1021/bk-2011-1075.ch012.
Ezenwa, V. O., L. E. Milheim, M. F. Coffey, M. S. Godsey, R. J.  King, and S. C. Guptill. 2007. Land cover
       variation and  West Nile Virus prevalence: patterns, processes, and implications for disease
       control. Vector-Borne andZoonotic Diseases 7:173-180.
Fisher, B., R. K. Turner, and P. Morling. 2009. Defining and classifying ecosystem services for decision
       making. Ecological Economics 68:643-653.
-52-

-------
Fleisher, J. M. et al. 2010. The beaches study: Health effects and exposures from non-point source
       microbial contaminants in subtropical recreational marine waters. International Journal of
       Epidemiology 39:1291-1298.
Fleisher, J. M., D. Kay, M. D. Wyer, and A. F. Godfree. 1998. Estimates of the severity of illnesses
       associated with bathing in marine recreational waters contaminated with domestic sewage.
       International Journal of Epidemiology 27:722-726.
Freeman, A. M., J. A. Herriges, and C. L Kling. 2014. The Measurement of Environmental and Resource
       Values: Theory and Methods Third. RFF Press, New York.
French, G. T.,  and K. A. Moore. 2003. Interactive effects of light and salinity stress on the growth,
       reproduction, and photosynthetic capabilities of Vallisneria americana (wild celery). Estuaries
       26:1255-1268.
Fries, J. S., G. W. Characklis, and R. T. Noble. 2008. Sediment-water exchange of Vibrio sp. and fecal
       indicator bacteria: Implications for persistence and transport in the Neuse River Estuary, North
       Carolina, USA. Water Research 42:941-950.
Gauthier, D. T., R. J. Latour, D. M. Heisey, C. F. Bonzek, J. Gartland, E. J. Burge, and W. K. Vogelbein. 2008.
       Mycobacteriosis-associated mortality in wild striped bass (Morone saxatilis) from Chesapeake Bay,
       USA. Ecological Applications 18:1718-1727.
Glibert, P. M., J. M. Burkholder, and T. M. Kana. 2012. Recent insights about relationships between
       nutrient availability, forms, and stoichiometry, and the distribution, ecophysiology, and food web
       effects of pelagic and benthic Prorocentrum species. Harmful Algae 14:231-259.
Grattan, L. M., D. Oldach, and J. G. Morris. 2001. Human health risks of exposure to Pfiesteria piscicida.
       BioScience 51:853-858.
Gruber, R. K.,  D. C. Hinkle, and W. M. Kemp. 2011. Spatial patterns in water quality associated with
       submersed plant beds. Estuaries and Coasts 34:961-972.
Gruber, R. K.,  and W. M. Kemp. 2010. Feedback effects in a coastal canopy-forming submersed  plant bed.
       Limnology and Oceanography 55:2285-2298.
Gunawardana, C., A. Goonetilleke, P. Egodawatta, L. Dawes, and S. Kokot. 2012. Role of solids in heavy
       metals buildup on urban road surfaces. Journal of Environmental Engineering 138:490-498.
Gunderson, L. H. 2000. Ecological resilience-in theory and application. Annual Review of Ecology and
       Systematics 31:425-439.
Gurbisz, C., and W.  M. Kemp. 2014.  Unexpected resurgence of a large submersed  plant bed in Chesapeake
       Bay: Analysis of time series data. Limnology and Oceanography 59:482-494.
Haile, R. W., J. S. Witte, M. Gold, R. Cressey, C. McGee, R. C. Millikan, A. Glasser, N. Harawa, C. Ervin,  and
       P. Harmon. 1999. The health effects of swimming in ocean water contaminated by storm drain
       runoff. Epidemiology 10:355-363.
Hale, J. 2009,  October 6. Scientists, Triathletes Insist the Chesapeake Bay Is Safe for Swimming.  The Bay
       Beat.  College Park, MD. Retrieved from http://chesapeakebay.umd.edu/article/scientists-
       triathletes-insist-chesapeake-bay-safe-swimming.
Hall Jr, L. W., S. E. Finger, and M. C. Ziegenfuss. 1993. A review of in situ and on-site striped bass
       contaminant and water-quality studies in Maryland waters of the Chesapeake Bay watershed.
       American Fisheries Society Symposium. 1993.
Hanks, D. M.,  and D. H. Secor. 2011. Bioenergetic responses of Chesapeake Bay white perch (Morone
       americana) to nursery conditions of temperature, dissolved oxygen, and salinity. Marine Biology
       158:805-815.
Heal, G. 2000. Valuing ecosystem services. Ecosystems 3:24-30.
Heck, K., G. Hays, and R. Orth. 2003. Critical evaluation of the nursery role hypothesis for seagrass
       meadows. Marine Ecology Progress Series 253:123-136.
                                                                                           -53-

-------
Heck, K. L, T. J. B. Carruthers, C. M. Duarte, A. R. Hughes, G. Kendrick, R. J. Orth, and S. W. Williams. 2008.
       Trophic transfers from seagrass meadows subsidize diverse marine and terrestrial consumers.
       Ecosystems 11:1198-1210.
Hector, A., and R. Bagchi. 2007. Biodiversity and ecosystem multifunctionality. Nature 448:188-190.
Heil, C. A.  2005. Influence of humic, fulvic and hydrophilic acids on the growth, photosynthesis and
       respiration of the dinoflagellate Prorocentrum minimum (Pavillard) Schiller. Harmful Algae 4:603-
       618.
Heisler, J.  et al. 2008. Eutrophication and harmful algal blooms: A scientific consensus. Harmful Algae 8:3-
       13.
Hlady, W.  G., and K. C. Klontz. 1996. The epidemiology of Vibrio infections in Florida, 1981-1993. Journal
       of Infectious Diseases 173:1176-1183.
Hlavsa, M. C, V. A. Roberts, A. M. Kahler,  E. D. Hilborn, T. J. Wade, L. C. Backer, and J. S. Yoder. 2014.
       Recreational Water-Associated Disease Outbreaks — United States, 2009-2010. Centers for
       Disease Control and Prevention, Atlanta, GA. Retrieved from
       http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6301a2.htm.
Hoagland, P., D. M. Anderson, Y. Kaoru, and A. W. White. 2002. The economic effects of harmful algal
       blooms in the United States: Estimates, assessment issues, and information needs. Estuaries
       25:819-837.
Holling, C. S. 1973. Resilience and stability of  ecological systems. Annual Review of Ecology and
       Systematics 4:1-23.
Hooper, D. U., F. S. Chapin lii, J. J.  Ewel, A. Hector, P. Inchausti, S. Lavorel, J. H. Lawton, D. M. Lodge, M.
       Loreau, and S. Naeem. 2005. Effects of biodiversity on ecosystem functioning: A consensus of
       current knowledge. Ecological monographs 75:3-35.
Houde, E.  2011. Managing the Chesapeake's  Fisheries: A Work in Progress. Maryland  Sea Grant, College
       Park, MD.
Howell, J.  M., M. S. Coyne, and P.  Cornelius. 1995. Fecal bacteria in agricultural waters of the Bluegrass
       Region of Kentucky. Journal of Environment Quality 24:411.
Hughes, T. P. 1994. Catastrophes, phase shifts, and large-scale degradation of a Caribbean coral reef.
       Science 265:1547-1551.
Hwang, H., and G. Foster. 2006. Characterization of polycyclic aromatic hydrocarbons in urban stormwater
       runoff flowing into the tidal Anacostia River, Washington, DC, USA. Environmental Pollution
       140:416-426.
Jarvis, J. C., and K. A. Moore. 2010. The role of seedlings and seed bank viability in the recovery of
       Chesapeake Bay, USA, Zostera marina populations following a large-scale decline. Hydrobiologia
       649:55-68.
Jaworski, N.  1990. Retrospective Study of the Water Quality Issues of the Upper Potomac Estuary. Page 32.
       Environmental Protection Agency Office of Research and Development, Washington, DC.
Johnson, B. J., K.  Munafo, L. Shappell, N. Tsipoura, M. Robson, J. Ehrenfeld, and M. V. K. Sukhdeo. 2012.
       The  roles of mosquito and bird communities on the prevalence of West Nile Virus in urban
       wetland and residential habitats. Urban Ecosystems 15:513-531.
Johnson, C. N., A. R. Flowers, N. F. Noriea, A.  M. Zimmerman, J. C. Bowers, A. DePaola, and D. J. Grimes.
       2010. Relationships between environmental factors and pathogenic Vibrios in the northern Gulf of
       Mexico. Applied and Environmental Microbiology 76:7076-7084.
Johnston,  R.  J., E. T. Schultz, K. Segerson, E. Y. Besedin, and M. Ramachandran. 2013. Stated preferences
       for intermediate versus final ecosystem services:  Disentangling willingness to pay for omitted
       outcomes. Agricultural and Resource Economics Review 42:98-118.
-54-

-------
Jones, R., and R. Kraus. 2010. An Ecological Study of Gunston Cove 2009. Potomac Environmental Research
       and Education Center, Fairfax, VA. Retrieved from
       http://digilib.gmu.edu/dspace/handle/1920/6038.
Kaattari, I. M., M. W. Rhodes, H. Kator, and S. L Kaattari. 2005. Comparative analysis of mycobacterial
       infections in wild striped bass Morone saxatilis from Chesapeake Bay. Diseases of Aquatic
       Organisms 67:125.
Kasperson, R. E., O. Renn, P. Slovic, H. S. Brown, J. Emel, R. Goble, J. X. Kasperson, and  S. Ratick. 1988. The
       social amplification of risk: A conceptual framework. Risk Analysis 8:177-187.
Kay, D., F. Jones, M.  D. Wyer, J. M. Fleisher, R. L. Salmon, A. F. Godfree, A. Zelenauch-Jacquotte, and R.
       Shore. 1994. Predicting likelihood of gastroenteritis from sea bathing: Results from randomised
       exposure. The Lancet 344:905-909.
Kemp, M., W. Boynton, J. Stevenson, R. R. Twilley, and J. C. Means. 1983. The decline of submerged
       vascular plants in upper Chesapeake  Bay: Summary of results concerning possible causes. Marine
       Technology Society Journal 17:78-88.
Kemp, M., W. Boynton, R. R. Twilley, and L. G. Ward. 1984. Influences of submersed vascular plants on
       ecological processes in upper Chesapeake Bay. In: Estuaries as Filters. V.S. Kennedy (ed). Academic
       Press, New York.
Kemp, M. W.  et al. 2004. Habitat requirements for submerged aquatic vegetation in Chesapeake Bay:
       Water quality, light regime,  and physical-chemical factors. Estuaries 27:363-377.
Kemp, W. M., W. R. Boynton, J. E. Adolf, D. F. Boesch,  W. C. Boicourt, G. Brush, J. C. Cornwell, T. R. Fisher,
       P.  M.  Glibert, and J. D. Hagy. 2005. Eutrophication of Chesapeake Bay: Historical trends and
       ecological interactions. Marine Ecology Progress Series 303:1-29.
Keplinger,  K. 2003. The economics of total maximum daily Loads. Natural Resources Journal 43:1057.
Kimmel, D. G., W.  R. Boynton, and M. R. Roman. 2012. Long-term decline in the calanoid copepod Acartia
       tonsa in central Chesapeake Bay, USA: An indirect effect of eutrophication? Estuarine, Coastal and
       Shelf Science 101:76-85.
Kistemann, T., T. Classen, C. Koch, F. Dangendorf, R. Fischeder, J. Gebel, V. Vacata, and M. Exner. 2002.
       Microbial  load of drinking water reservoir tributaries during extreme rainfall and runoff. Applied
       and Environmental Microbiology 68:2188-2197.
Kobell, R. 2011. Health officials struggle with  how to react to Vibrio cases. Chesapeake Bay Journal.
       Annapolis, MD. Retrieved from
       http://www.bayjournal.com/article/health_officials_struggle_with_how_to_react_to_vibrio_
       cases_.
Kobell, R. 2013. To be safe, surf the  Internet before  swimming at the beach: Monitoring programs finding
       dangerous levels of bacteria in bay and many  of its rivers. Bay Journal. Annapolis, MD. Retrieved
       November 23, 2014, from
       http://www.bayjournal.com/article/to_be_safe_surf_the_internet_before_swimming_at_the_
       beach.
Koch, E. W. et al. 2009. Non-linearity in ecosystem services: Temporal and spatial variability in coastal
       protection. Frontiers in Ecology and the Environment 7:29-37.
Ko, F.-C, and  J. E.  Baker. 2004. Seasonal and annual loads of hydrophobic organic contaminants from the
       Susquehanna River basin to the Chesapeake Bay. Marine Pollution Bulletin 48:840-851.
Landry, C. A.,  S. L.  Steele, S. Manning, and A. O. Cheek. 2007. Long term hypoxia suppresses reproductive
       capacity in the estuarine fish, Fundulus grandis. Comparative Biochemistry and Physiology-Part A:
       Molecular & Integrative Physiology 148:317-323.
Landsberg, J.  H. 2002. The effects of harmful algal blooms on aquatic organisms. Reviews in Fisheries
       Science 10:113-390.
                                                                                           -55-

-------
Lau, S.-L, and M. K. Stenstrom. 2005. Metals and PAHs adsorbed to street particles. Water Research
       39:4083^092.
Leisenring, M., J. Clary, and P. Hobson. 2012. Pollutant Category Summary Statistical Addendum: TSS,
       Bacteria, Nutrients, and Metals. Page 31. Addendum, International Stormwater BMP Database.
       Retrieved from
       http://www.bmpdatabase.org/Docs/2012%20Water%20Quality%20Analysis%20Addendum/BMP
       %20Database%20Categorical_Summary Addendum Report_Final.pdf.
Li, J., P. M. Glibert, J. A. Alexander, and M. E. Molina. 2012. Growth and competition of several harmful
       dinoflagellates under different nutrient and light conditions. Harmful Algae 13:112-125.
Lin, C.-H., R. N. Lerch, K. W. Goyne, and H. E. Garrett. 2011. Reducing herbicides and veterinary antibiotics
       losses from agroecosystems using vegetative buffers. Journal of Environment Quality 40:791.
Llanso, R. J. 1992. Effects of hypoxia  on estuarine benthos: The lower Rappahannock River (Chesapeake
       Bay), a case study. Estuarine, Coastal and Shelf Science 35:491-515.
Lopez, C. B., Q. Dortch, E. B. Jewett, and D. Garrison. 2008. Scientific Assessment of Marine Harmful Algal
       Blooms. Page 62. Interagency Working Group on Harmful Algal Blooms, Hypoxia, and Human
       Health of the Joint Subcommittee on Ocean Science and Technology, Washington, D. C.
Loreau, M., S. Naeem, P. Inchausti, J. Bengtsson, J. P. Grime, A. Hector, D. U. Hooper, M. A. Huston, D.
       Raffaelli, B. Schmid, D. Tilman, and D. A. Wardle. 2001. Biodiversity and ecosystem functioning:
       Current  knowledge and future challenges. Science 294:804-808.
Ludsin, S. A., X. Zhang, S. B. Brandt, M. R. Roman, W. C. Boicourt, D. M. Mason, and M. Costantini. 2009.
       Hypoxia-avoidance by planktivorous fish in Chesapeake Bay: Implications for food web
       interactions and fish recruitment. Journal of Experimental Marine Biology and Ecology 381,
       Supplement:S121-S131.
Machado, F. S., and S. Mourato. 2002. Evaluating the multiple benefits of marine water quality
       improvements:  How important are health risk reductions? Journal of Environmental Management
       65:239-250.
Madsen, K. N., P. Nilsson, and K. Sundback. 1993. The influence of benthic microalgae on the stability of a
       subtidal sediment. Journal of Experimental Marine Biology and Ecology 170:159-177.
Magnien, R. E. 2001. The dynamics of science, perception, and policy during the outbreak of Pfiesteria in
       the Chesapeake Bay. BioScience 51:843-852.
Mallin, M. A., K.  E. Williams, E. C. Esham, and R. P. Lowe. 2000. Effect of human development on
       bacteriological water quality in coastal watersheds. Ecological Applications 10:1047-1056.
Manderson, J. P., J. Pessutti, J. G. Hilbert, and F. Juanes. 2004. Shallow water predation risk for a juvenile
       flatfish (winter flounder;  Pseudopleuronectes americanus, Walbaum) in a northwest Atlantic
       estuary. Journal of Experimental Marine Biology and Ecology 304:137-157.
Manning, R., W. Valliere, and B. Minteer. 1999. Values, ethics, and attitudes toward national forest
       management: An empirical study. Society & Natural Resources 12:421-436.
Marion, J. W., J.  Lee, S. Lemeshow, and T. J. Buckley. 2010. Association of gastrointestinal illness and
       recreational water exposure at an inland U.S. beach. Water Research 44:4796-4804.
Marshall, H. G. 1996. Toxin producing phytoplankton in Chesapeake Bay. Virginia Journal of Science 47:29-
       37.
Maryland Department of Health and Mental Hygiene. 2013.  Cases of Selected Notifiable Conditions
       Reported in Maryland. Retrieved September 23, 2014, from
       http://phpa.dhmh.maryland.gov/SitePages/disease-conditions-count-rates.aspx.
May, R. M. 1972. Will a large complex system be stable? Nature 238:413-414.
May, R. M. 1977. Thresholds and breakpoints in ecosystems with a multiplicity of stable states. Nature
       269:471-477.
-56-

-------
McAllen, R., J. Davenport, K. Bredendieck, and D. Dunne. 2009. Seasonal structuring of a benthic
       community exposed to regular hypoxic events. Journal of Experimental Marine Biology and
       Ecology 368:67-74.
McConnell, K. E., and W.-C. Tseng. 1999. Some preliminary evidence on sampling of alternatives with the
       random parameters logit. Marine Resource Economics 14:317-332.
McNatt, R. A., and J. A. Rice. 2004. Hypoxia-induced growth rate reduction in two juvenile estuary-
       dependent fishes. Journal of Experimental Marine Biology and Ecology 311:147-156.
MDE (Maryland Department of the Environment). 2012. Maryland's Final 2012 Integrated Report of
       Surface Water Quality. Table 31. Retrieved from
       http://www.mde.maryland.gov/programs/Water/TMDL/lntegrated303dReports/Documents/lnte
       grated_Report_Section_PDFs/IR_2012/MD_Final_2012_IR_Parts_A-E.pdf.
Melles, S., S. Glenn, and K. Martin. 2003. Urban bird diversity and landscape complexity: Species-
       environment associations along a multiscale habitat gradient. Conservation Ecology 7:5.
Meyer, E. L. 1997. Calm after Storm over Pfiesteria.  Washington Post.Ol.
Micheli, F. 1997. Effects of predator foraging behavior on patterns of prey mortality in marine soft
       bottoms. Ecological Monographs 67:203-224.
Moore, K. A., R. L. Wetzel, and R. J. Orth. 1997. Seasonal pulses of turbidity and their relations to eelgrass
       (Zostera marina L.) survival in an estuary. Journal of Experimental Marine Biology and Ecology
       215:115-134.
Moore, K., E. Shields, D. Parrish, and R. Orth. 2012. Eelgrass survival in two contrasting systems: Role of
       turbidity and summer water temperatures. Marine Ecology Progress Series 448:247-258.
MPCA. 2009. Groundhouse River Fecal Coliform and Biota (Sediment) Total  Maximum Daily Load
       Implementation Plan. Page 61. Minnesota Pollution Control Agency. Retrieved from
       http://www.pca.state.mn.us/index.php/view-document.html?gid=7922.
Murray, C, B. Sohngen, and L.  Pendleton. 2001. Valuing water quality advisories and beach amenities in
       the Great Lakes. Water Resources Research  37:2583-2590.
Najjar, R. G., C. R. Pyke, M. B. Adams, D. Breitburg, C. Hershner, M. Kemp, R. Howarth, M.  R. Mulholland,
       M. Paolisso, D. Secor, K. Sellner, D. Wardrop, and R. Wood. 2010. Potential climate-change
       impacts on the Chesapeake Bay. Estuarine, Coastal and Shelf Science 86:1-20.
National  Research Council (NRC). 1999. Perspectives on Biodiversity: Valuing Its Role in an Ever Changing
       World. Page 129. National Academies Press, Washington, DC.
Neff, R., H. Chang, C. Knight, R. Najjar, B. Yarnal, and H. Walker. 2000. Impact of climate variation and
       change on Mid-Atlantic Region hydrology and water resources. Climate  Research 14:207-218.
Newell, R. I. E., T. R. Fisher, R. R. Holyoke, and J. C. Cornwell. 2005. Influence of Eastern Oysters on
       Nitrogen and Phosphorus Regeneration in Chesapeake Bay, USA.  Pages 93-120 in R. F. Dame and
       S. Olenin, editors. The Comparative Roles of Suspension-Feeders  in  Ecosystems. Springer
       Netherlands. Retrieved Octobers, 2014, from http://link.springer.com. proxy-
       urn. researchport.umd.edu/chapter/10.1007/l-4020-3030-4_6.
Niklitschek, E. J., and D. H. Secor. 2005. Modeling spatial and temporal variation of suitable nursery
       habitats for Atlantic sturgeon in the Chesapeake Bay. Estuarine, Coastal and Shelf Science 64:135-
       148.
Nixon, S. W., and B. A. Buckley. 2002. "A strikingly rich zone"—Nutrient enrichment and secondary
       production in coastal marine ecosystems. Estuaries and Coasts 25:782-796.
O'Connor, T., and D. Whitall. 2007. Linking hypoxia to shrimp catch in the northern Gulf of Mexico. Marine
       Pollution Bulletin 54:460-463.
Oguz, T. 2005.  Long-term impacts of anthropogenic  forcing on the Black Sea ecosystem. Oceanography 18.
Oguz, T.,  and D. Gilbert. 2007. Abrupt transitions of the top-down controlled Black Sea pelagic ecosystem
       during 1960-2000: Evidence for regime-shifts under strong fishery exploitation and nutrient
                                                                                           -57-

-------
       enrichment modulated by climate-induced variations. Deep Sea Research Part I: Oceanographic
       Research Papers 54:220-242.
O'Neill, R. V. 1998. Recovery in complex ecosystems. Journal of Aquatic Ecosystem Stress and Recovery
       6:181-187.
Orth, R. J., and K. A. Moore. 1983. Chesapeake Bay: An unprecedented decline in submerged aquatic
       vegetation. Science (New York, N.Y.) 222:51-53.
Orth, R. J., M. R. Williams, S. R. Marion, D. J. Wilcox, T. J. B. Carruthers, K. A. Moore, W. M. Kemp, W. C.
       Dennison, N. Rybicki, P. Bergstrom, and R. A. Batiuk. 2010. Long-term trends in submersed aquatic
       vegetation (SAV) in Chesapeake Bay, USA, related to water quality. Estuaries and Coasts 33:1144-
       1163.
Overton,  A. S., F. J. Margraf, C. A. Weedon,  L H. Pieper, and E. B. May. 2003. The prevalence of
       mycobacterial infections in striped  bass in Chesapeake Bay. Fisheries Management and Ecology
       10:301-308.
Paerl, H. 1988. Nuisance phytoplankton blooms in coastal, estuarine, and inland waters'. Limnology and
       Oceanography 33:823-847.
Paine, R. T., M. J. Tegner, and E. A. Johnson. 1998. Compounded perturbations yield ecological surprises.
       Ecosystems 1:535-545.
Parsons, G. R., D. M. Massey, and T. Tomasi. 1999. Familiar and favorite sites in a random  utility model of
       beach recreation. Marine Resource Economics 14:299-315.
Parsons, M. L, Q. Dortch, and R. E. Turner.  2002. Sedimentological evidence of an increase in Pseudo-
       nitzschia (Bacillariophyceae) abundance in response to coastal eutrophication. Limnology and
       Oceanography 8:39-53.
Pauly, D., V. Christensen, J.  Dalsgaard,  R. Froese, and F. Torres. 1998. Fishing down marine food webs.
       Science 279:860-863.
Perkins-Visser, E., T. G. Wolcott, and D. L. Wolcott. 1996. Nursery role of seagrass beds: Enhanced growth
       of juvenile blue  crabs (Callinectes sapidus Rathbun). Journal of Experimental Marine Biology and
       Ecology 198:155-173.
Perry, M. C., and A. S. Deller. 1996. Review  of factors affecting the distribution and abundance of
       waterfowl in shallow-water habitats of Chesapeake Bay. Estuaries 19:272-278.
Petersen, C. M., H. S. Rifai, and R. Stein. 2009. Bacteria load estimator spreadsheet tool for modeling
       spatial Escherichia coli loads to an urban bayou. Journal of Environmental Engineering
       135:203-217.
Peterson, J., C. Cavinder, K. Wagner, and L.  Redmon. 2012a. Lone Star Healthy Streams: Horse Manual.
       Page 67. Department of Soil and Crop Sciences and AgriLife Communications, The Texas A&M.
       Retrieved from http://lshs.tamu.edu/media/340453/horse_manual.pdf.
Peterson, J., E. Jordan, K. Wagner, and  L. Redmon. 2012b. Lone Star Healthy Streams: Dairy  Cattle Manual.
       Page 80. Department of Soil and Crop Sciences and AgriLife Communications, The Texas A&M
       System. Retrieved from http://lshs.tamu.edu/media/340447/dairy_manual.pdf.
Peterson, J., L. Redmon, and McFarland, Michael. 2011a. Reducing Bacteria with  Best Management
       Practices for Livestock: Prescribed Grazing. Page 2. Texas AgriLife Extension Service. Retrieved
       from http://lshs.tamu.edu/media/340541/esp-415_prescribed_grazing.pdf.
Peterson, J., L. Redmon, and McFarland, Michael. 2011b. Reducing Bacteria with  Best Management
       Practices for Livestock: Access  Control. Page 2. Texas AgriLife Extension Service. Retrieved from
       http://lshs.tamu. edu/media/340523/esp-409_access_control.pdf.
Pfeffer, C. S., M. F. Hite, and J. D. Oliver. 2003. Ecology of Vibrio vulnificus in estuarine waters of eastern
       North Carolina. Applied and Environmental Microbiology 69:3526-3531.
Preston, B. L. 2004. Observed winter warming of the Chesapeake Bay estuary (1949-2002): Implications for
       ecosystem management. Environmental Management 34. Retrieved February 11, 2013, from
-58-

-------
       http://springerlink.metapress.com/openurl.asp?genre=article&id=doi:10.1007/s00267-004-0159-
       x.
Pruell, R. J., B. K. Taplin, and K. Cicchelli. 2003. Stable isotope ratios in archived striped bass scales suggest
       changes in trophic structure. Fisheries Management and Ecology 10:329-336.
Pyke, G. H. 1984. Optimal foraging theory: A critical review. Annual Review of Ecology and Systematics
       15:523-575.
Rahel, F. J., and J. W. Nutzman. 1994. Foraging in a lethal environment: Fish predation  in hypoxic waters of
       a stratified lake. Ecology 75:1246-1253.
Ramirez, N. E., P. Wang, J. Lejeune, M. J. Shipitalo,  L A. Ward, S. Sreevatsan, and W. A. Dick. 2009. Effect
       of tillage and rainfall on transport of manure-applied Cryptosporidium parvum oocysts through
       soil. Journal of Environmental Quality 38:2394-2401.
Ramsdell, J. S., D. M. Anderson, and P. M. Glibert. 2005. Harmful Algal Research and Response: A National
       Environmental Science Strategy 2005-2015. Page 96. Ecological Society of America, Washington,
       DC. Retrieved from http://www.whoi.edu/cms/files/HARRNESS_18189_23045.pdf.
Ray, G. C. 1997. Do the metapopulation dynamics of estuarine fishes influence the stability of shelf
       ecosystems? Bulletin of Marine Science 60:1040-1049.
Redmon, L., K. Wagner, and J. Peterson. 2012. Lone Star Healthy Streams: Beef Cattle Manual. Page 70.
       Department of Soil and Crop Sciences  and AgriLife Communications, The Texas A&M. Retrieved
       from http://lshs.tamu.edu/media/340444/beef_cattle.pdf.
Richards, R. A., and P. J. Rago. 1999. A case history of effective fishery management: Chesapeake Bay
       striped bass. North American Journal of Fisheries Management 19:356-375.
Rose, K. A., A. T. Adamack, C. A. Murphy, S. E. Sable, S. E. Kolesar, J. K. Craig, D. L. Breitburg, P. Thomas, M.
       H. Brouwer, and C. F. Cerco. 2009. Does hypoxia have population-level effects  on coastal fish?
       Musings from the virtual world. Journal of Experimental Marine Biology and Ecology 381:5188-
       S203.
Rybicki, N. B., H. Jenter, R. Baltzer, and M. Turtora. 1997. Observations of the tidal flux between a
       submersed  aquatic plant stand and the adjacent channel in the Potomac River near Washington,
       DC. Limnology and Oceanography.307-317.
Savichtcheva, O., and S. Okabe. 2006. Alternative indicators of fecal pollution: Relations with pathogens
       and conventional indicators, current methodologies for direct pathogen monitoring and future
       application  perspectives. Water Research 40:2463-2476.
Schaetzle, H. L. 2005, July 28. Water Quality Assessment of a Degraded Stream Prior to Restoration and
       Nitrate Reduction through Controlled  Drainage. North Carolina State University.  Retrieved
       December 17, 2012, from  http://www.lib.ncsu.edu/resolver/1840.16/117.
Scheffer, M., and S. R. Carpenter. 2003. Catastrophic regime shifts in ecosystems: Linking theory to
       observation. Trends in Ecology & Evolution 18:648-656.
Schiff, K. C., and L. L. Tiefenthaler. 2011. Seasonal flushing  of pollutant concentrations  and loads in  urban
       stormwaterl. JAWRA Journal of the American Water Resources Association 47:136-142.
Secor, D. H. 2000. Spawning in the nick of time? Effect of adult demographics on spawning behaviour and
       recruitment in Chesapeake Bay striped bass. ICES Journal of Marine Science: Journal du Conseil
       57:403-411.
Secor, D. H., E. J. Niklitschek, J. T. Stevenson, T. E. Gunderson, S. P. Minkkinen, B. Richardson, B. Florence,
       M. Mangold, J. Skjeveland, and A. Henderson-Arzapalo.  2000a. Dispersal and growth of yearling
       Atlantic sturgeon, Acipenser oxyrinchus, released into Chesapeake Bay. Fishery Bulletin 98.
       Retrieved February 21, 2013, from http://www.vliz.be/imis/imis.php?module=ref&refid=5367.
Secor, D. H., E. J. Niklitschek, J. T. Stevenson, T. E. Gunderson, S. P. Minkkinen, B. Richardson, B. Florence,
       M. Mangold, J. Skjeveland, and A. Henderson-Arzapalo.  2000b. Dispersal and growth of yearling
                                                                                           -59-

-------
       Atlantic sturgeon, Acipenser oxyrinchus, released into Chesapeake Bay. Fishery Bulletin 98.
       Retrieved February 21, 2013, from http://www.vliz.be/imis/imis.php?module=ref&refid=5367.
Seitz, R. D., D. M. Dauer, R. J. Llanso, and W. C. Long. 2009. Broad-scale effects of hypoxia on benthic
       community structure in Chesapeake Bay, USA. Journal of Experimental Marine Biology and Ecology
       381, Supplement:S4-S12.
Sellner, K. G., G. J. Doucette, and G. J. Kirkpatrick. 2003. Harmful algal blooms: Causes, impacts and
       detection. Journal of Industrial Microbiology and Biotechnology 30:383-406.
Sheffield, R., S. Mostaghimi, D. H. Vaughan, E. R. J. Collins, and Allen, V.G. 1997. Off-stream water sources
       for grazing cattle as a stream bank stabilization and water quality BMP. Transactions oftheASAE
       40:595-604.
Shehane, S. D., V. J. Harwood, J. E. Whitlock, and J. B. Rose. 2005. The influence of rainfall on the incidence
       of microbial faecal indicators and the dominant sources of fecal pollution in a Florida river. Journal
       of Applied Microbiology 98:1127-1136.
Shimps, E. L, J. A. Rice, and J. A. Osborne. 2005. Hypoxia tolerance in two juvenile estuary-dependent
       fishes. Journal of Experimental Marine Biology and Ecology 325:146-162.
Sisson, G. M., M. L. Kellogg, M. W. Luckenbach, R. N. Lipcius, A. M. Golden, J. C. Cornwell, and M. Owens.
       2011. Assessment of Oyster Reefs in Lynnhaven River as a Chesapeake Bay TDML Best
       Management Practice. Virginia Institute of Marine Science, Department of Physical Sciences.
Slovic, P. (Ed.). 2000a. The perception of risk. Earthscan, London. Retrieved November 24, 2014, from
       http://www.decisionresearch.org/publication/the-perception-of-risk/.
Slovic, P. E. 2000b. The perception of risk. Earthscan Publications.
Smayda, T. J. 1990. Novel and nuisance phytoplankton blooms in the sea: Evidence for a global epidemic.
       Pages 29-40 Toxic marine phytoplankton. Graneli E., Sundstrom B., Edler L., Anderson D.M.
       Elsevier, New York.
Seller, J. A., A. W. Olivieri, J. Crook, R. C. Cooper, G. Tchobanoglous, R. T. Parkin, R. C. Spear, and J. N. S.
       Eisenberg. 2003. Risk-based approach to evaluate the public health benefit of additional
       wastewater treatment. Environmental Science & Technology 37:1882-1891.
Steele, J. H. 1991. Marine functional diversity. BioScience 41:470-474.
Stierhoff, K. L., T. E. Targett, and K. L. Miller. 2006. Ecophysiological responses of juvenile summer and
       winter flounder to hypoxia: Experimental and modeling analyses of effects on estuarine nursery
       quality. Marine Ecology Progress Series 325:255-266.
Sunstein, C. R. 1996. Congress, constitutional moments, and the cost-benefit state. Stanford Law Review
       48:247-309.
Taylor, D. L., and D. B. Eggleston. 2000. Effects of hypoxia on an estuarine predator-prey interaction:
       Foraging behavior and mutual interference in the blue crab Callinectes sapidus and the infaunal
       clam prey Mya arenaria. Marine Ecology Progress Series 196:221-237.
Thomas, P., M. Rahman,  I. A.  Khan, and J. A. Kummer. 2007. Widespread endocrine disruption and
       reproductive impairment in an estuarine fish population exposed to seasonal hypoxia. Proceedings
       of the Royal Society B: Biological Sciences 274:2693-2702.
Thomas, P., M. S. Rahman, J. A. Kummer, and S. Lawson. 2006. Reproductive endocrine dysfunction in
       Atlantic croaker exposed to hypoxia. Marine Environmental Research 62:S249-S252.
Thurston-Enriquez, J., J. Gilley, and B. Eghball. 2005. Microbial quality of runoff following land application
       of cattle manure and swine slurry. J Water Health 3:157-171.
Tilman, L., A. Plevan, and P. Conrad. 2011. Effectiveness of Best Management Practices for Bacteria
       Removal:  Developed for the Upper Mississippi River Bacteria TMDL. Page 18. Minnesota Pollution
       Control Agency.  Retrieved from http://www.pca.state.mn.us/index.php/view-
       document.html?gid=16328.
-60-

-------
Townsend, H. 2012. Estimating the fisheries economic benefits of the Chesapeake Bay TMDL using a
       fisheries-based ecosystem model. Annapolis, MD. Retrieved from
       http://www.Chesapeake.org/stac/presentations/206_Townsend_Est%20Fish%20Bene%20Eco%20
       Model_STAC%202012.pdf.
Twilley, R. R., W. M. Kemp, K. W. Staver, J. C. Stevenson, and W. R. Boynton. 1985. Nutrient enrichment of
       estuarine submersed vascular plant communities. 1. Algal growth and effects on production of
       plants and associated communities. Marine Ecology Progress Series 23:179-191.
Tyler, A. C, K. J. McGlathery, and I. C. Anderson. 2003. Benthic algae control sediment-water column
       fluxes of organic and inorganic nitrogen compounds in a temperate lagoon. Limnology and
       Oceanography 48:2125-2137.
Tyler, R. M., and T. E. Targett. 2007. Juvenile weakfish Cynoscion regalis distribution in relation to diel-
       cycling dissolved oxygen in an estuarine tributary. Marine Ecology Progress Series 333:257.
UNEP. 2010.  Final review of scientific information on lead. United Nations Environment Program,
       Chemicals Branch. Retrieved from
       http://www.unep.org/hazardoussubstances/Portals/9/Lead_Cadmium/docs/lnterim_reviews/UN
       EP_GC26_INF_ll_Add_l_Final_UNEP_Lead_review_and_apppendix_Dec_2010.pdf.
USDA-NRCS.  2000. Conservation Buffers to Reduce Pesticide Losses. Page 21. United States Department of
       Agriculture Natural Resources Conservation Service, Washington, D. C. Retrieved from
       http://www.in.nrcs.usda.gov/technical/agronomy/newconbuf.pdf.
US EPA. 2000. Profile of the Agricultural Livestock Industry.  USEPA310-R-00-002. Enforcement and
       Compliance Assurance. Washington, DC.
US EPA. 2001. Protocol for Developing Pathogen TMDLs. Page 132. United States Environmental
       Protection Agency, Washington, DC. Retrieved from
       http://www.epa. gov/owow/tmdl/pathogen_all.pdf.
US EPA. 2003. National Management Measures to Control Nonpoint Source Pollution from Agriculture.
       Environmental Protection  Agency Office of Water, Washington, D. C. Retrieved from
       http://water.epa. gov/polwaste/nps/agriculture/agmm_index.cfm.
US EPA. 2012a. Fecal Bacteria. U.S. Environmental Protection Agency.
US EPA. 2012b. Virginia 2011 Swimming Season Update. U.S. Environmental Protection Agency. Retrieved
       from http://water.epa.gov/type/oceb/beaches/2011va.cfm.
US EPA. 2013a. Pennsylvania Assessment Data for 2006. Site-specific Targeted Monitoring Results; Causes
       of Impairment; Pennsylvania Rivers and Streams 2006. Retrieved from
       http://ofmpub.epa.gov/waterslO/attains_state.report_control?p_state=PA&p_cycle=2006&p_rep
       ort_type=A.
US EPA. 2013b. Virginia Assessment Data for 2010. U.S. Environmental Protection Agency. Retrieved from
       http://ofmpub.epa.gov/tmdl_waterslO/attains_state.control?p_state=VA&p_cycle=2010&p_repo
       rt_type=A.
US EPA. 2013c. EPA's Beach Report: Maryland 2012 Swimming Season. Retrieved from
       http://www2.epa.gov/sites/production/files/2013-09/documents/md2012.pdf.
US EPA. 2013d. EPA's Beach Report: Virginia 2012 Swimming Season. Retrieved from
       http://www2.epa.gov/sites/production/files/2013-10/documents/va2012.pdf.
USGS. 1998.  Effectiveness of Barnyard Best  Management Practices in Wisconsin. Retrieved from
       http://wi.water.usgs.gov/pubs/FS-051-98/.
USGS. 2011. Coal-Tar-Based Pavement Sealcoat, Polycyclic Aromatic Hydrocarbons (PAHs), and
       Environmental Health.  U.S. Geological Survey. Retrieved from
       http://pubs.usgs.gov/fs/2011/3010/pdf/fs2011-3010.pdf.
U.S. Office of Management and Budget. 2003. Circular A-4.  Subject: Regulatory Analysis. Retrieved from
       http://www.whitehouse.gov/omb/memoranda_m03-21.
                                                                                         -61-

-------
UWEX. 1997. Polluted Urban Runoff-A Source of Concern. Page 3. University of Wisconsin-Extension.
       Retrieved from http://clean-water.uwex.edu/pubs/pdf/urban.pdf.
Van Houtven, G. 2011. Considering Ecosystem Services Co-benefits in Strategies to Restore the
       Chesapeake Bay. NOAA, Silver Spring, MD. Retrieved from
       http://www.nodc.noaa.gov/seminars/2011/06-jun.html.
Vann, D. T., R. Mandel, J. M. Miller, E. Hagen, A. Buda, and D. Cordalis. 2002. The District of Columbia
       Source Water Assessment. Pages 6.1-6.40. Interstate Commission on the Potomac River Basin.
       Retrieved from http://www.potomacriver.org/publicationspdf/DC_SWA_redacted.pdf
Vanoy, R. W., M.  L Tamplin, and J. R. Schwarz. 1992. Ecology of Vibrio vulnificus in Galveston Bay oysters,
       suspended particulate matter, sediment and seawater: Detection by monoclonal antibody —
       immunoassay — most probable number procedures. Journal of Industrial Microbiology 9:219-223.
VDEQ. 2003. Total Maximum Daily Load Development for Linville Creek: Bacteria and General Standard
       (Benthic) Impairments. Page 160. Virginia Department of  Environmental Quality. Retrieved from
       http://www.deq.virginia.gOV/portals/0/DEQ/Water/TMDL/apptmdls/shenrvr/linville.pdf.
VDEQ. 2011. Bacteria TMDL Development for the Tributaries to the Potomac River: Sugarland Run, Mine
       Run, and Pimmit Run. Page 103. Virginia Department of Environmental Quality. Retrieved from
       http://www.deq.virginia.gOV/portals/0/DEQ/Water/TMDL/drftmdls/sugarland.pdf.
VDH. 2011a. Number of Reported Cases of Selected Diseases and  Rate per 100,000. Virginia Department
       of Health. Retrieved from
       http://www.vdh.virginia.gov/Epidemiology/Surveillance/SurveillanceData/ReportableDisease/Tabl
       es/table6_regionll.pdf.
VDH. 2011b. Vibrio Vulnificus. Virginia Department of Health. Retrieved from
       http://www.vdh.state.va.us/epidemiology/factsheets/Vibrio.htm.
VDH. 2012. Shellfish Closure and  Shoreline Survey Documents. Virginia Department of Health. Retrieved
       from http://www.vdh.state.va.us/EnvironmentalHealth/Shellfish/closureSurvey/index.htm.
VDH. 2014. Reportable Disease Surveillance in Virginia, 2012. Virginia Department of Health, Richmond,
       VA. Retrieved from
       http://www.vdh.virginia.gov/Epidemiology/Surveillance/SurveillanceData/ReportableDisease/Tabl
       es/table6_region!2.pdf.
Wade, T. J., E. Sams, K. P. Brenner, R. Haugland, E. Chern, M. Beach, L. Wymer, C. C. Rankin, D. Love,  and
       Q. Li. 2010. Rapidly measured indicators of recreational water quality and swimming-associated
       illness at marine beaches: A prospective cohort study. Environmental Health 9:1-14.
Wainger, L. A., G. Van Houtven, R. Loomis, R. Beach, and M. Deerhake. 2013. Tradeoffs among ecosystem
       services,  performance certainty, and cost-efficiency in the implementation of the Chesapeake Bay
       TMDL. Agricultural and Resource Economics Review 42:196-224.
Ward, L., W. M. Kemp, and W. R. Boynton. 1984. The influence of water depth and submerged vascular
       plants on suspended particulates in  a shallow estuarine embayment. Marine Geology 59:85-103.
Wetzel, M. A., J. W. Fleeger, and S. P. Powers. 2001. Effects of hypoxia and anoxia on meiofauna: a review
       with new data from the Gulf of Mexico. Pages 165-184 in N. N. Rabalais and R. E. Turner, editors.
       Coastal hypoxia: consequences for living resources and ecosystems. American Geophysical Union,
       Washington, DC.
Wetzel, R. L., and P. Penhale. 1983. Production ecology of seagrass communities in the lower Chesapeake
       Bay. Marine Technology Society Journal 17:22-31.
Wilberg, M. J., M. E. Livings, J. S. Barkman, B. T. Morris, and J. M. Robinson. 2011. Overfishing, disease,
       habitat loss, and potential extirpation of oysters  in upper  Chesapeake Bay. Marine Ecology
       Progress Series 436:131-144.
-62-

-------
Winemiller, K. O., and K. A. Rose. 1992. Patterns of life-history diversification in North American fishes:
       Implications for population regulation. Canadian Journal of Fisheries and Aquatic Sciences
       49:2196-2218.
Winters, A. M., R. J. Eisen, S. Lozano-Fuentes, C. G. Moore, W. J. Rape, and L. Eisen. 2008. Predictive spatial
       models for risk of West Nile virus exposure in eastern and western Colorado. The American
       Journal of Tropical Medicine and Hygiene 79:581-590.
Winters, G. H., and J. P.  Wheeler. 1985. Interaction between stock area, stock abundance, and catchability
       coefficient. Canadian Journal of Fisheries and Aquatic Sciences 42:989-998.
Woodland, R. J., D. H. Secor, and E. J. Niklitschek. 2009. Past and future habitat suitability for the Hudson
       River population of shortnose sturgeon: A bioenergetic approach to modeling habitat suitability
       for an endangered species. American Fisheries Society Symposium 69:589-604.
Wood, P. 2009, July 7. Report: Swimming in the bay is risky. Severn River Association. Annapolis, MD.
       Retrieved from  http://severnriver.org/press/swimmingin.htm.
WSDOT. 2007. Untreated highway runoff in western Washington. Page 43. Washington State Department
       of Transportation. Retrieved from http://www.wsdot.wa.gov/NR/rdonlyres/B947A199-6784-
       4BDF-99A7-DD2A113DAB74/0/BA_UntreatedHwyRunoffWestWA.pdf.
Wu, R. S. S. 2002. Hypoxia: From molecular responses to ecosystem responses. Marine Pollution Bulletin
       45:35-45.
Wu, R. S. S., B. S. Zhou, D. J. Randall, N. Y. S. Woo, and P. K. S. Lam. 2003. Aquatic hypoxia is an endocrine
       disrupter and impairs fish reproduction. Environmental Science & Technology 37:1137-1141.
WVDEP. 2012. West Virginia's Nonpoint Source Program 2011 Annual Report. Retrieved from
       http://www.epa.gov/reg3wapd/pdf/pdf_nps/nps_annualreports/2011/WV%202011%20NPS%20A
       R.pdf.
WVDNR. 2003. West Nile Virus. West Virginia Division of Natural Resources. Retrieved from
       http://www.wvdnr.gov/Wildlife/WestNile.shtm.
Zarriello, P. J., R. F. Breault, and P. K. Weiskel. 2003. Potential effects of structural controls and street
       sweeping on stormwater loads to the lower Charles River, Massachusetts. Page 48. U.S. Geological
       Survey Water-Resources Investigations Report, U.S. Geological Survey. Retrieved from
       http://pubs.usgs.gov/wri/wri024220/pdfs/wrir024220.pdf.
Zhang, H., S. A. Ludsin, D. M. Mason, A. T. Adamack, S. B. Brandt, X. Zhang, D. G. Kimmel, M. R. Roman,
       and W. C.  Boicourt. 2009. Hypoxia-driven changes in the behavior and spatial distribution of
       pelagic fish and  mesozooplankton in the northern  Gulf of Mexico. Journal of Experimental Marine
       Biology and Ecology 381:580-591.
Zimmerman, R. J.,  and J. M. Nance. 2001. Effects of hypoxia on the shrimp fishery of Louisiana and Texas.
       Coastal and Estuarine Studies 58:293-310.
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