Waterborne epidemics in Finland in 1998-1999.

Fourteen waterborne epidemics occurred in Finland during 1998-1999. About 7,300 illness cases were registered in these outbreaks. All except one of the waterborne epidemics were associated with undisinfected groundwaters. An equal number of waterborne epidemics occurred in public and private water systems, but most cases of illness occurred in public water systems. The three largest epidemics comprised 6,700 illness cases. Insufficient purification treatment unable to remove Norwalk-like viruses caused the only waterborne epidemic in a surface water plant. The main reasons for groundwater outbreaks were floods and surface runoffs which contaminated water. Norwalk-like viruses caused eight and Campylobacter three of the outbreaks. In two cases the epidemic ceased by the exhaustion of susceptible persons in the exposed community but in most cases it was terminated by changing the water source, boiling the drinking water, and starting chlorination.

Soft deposits, the key site for microbial growth in drinking water distribution networks.

In this project we studied the microbiological quality of soft pipeline deposits removed from drinking water distribution networks during mechanical cleaning. Drinking water and deposit samples were collected from 16 drinking water distribution networks located at eight towns in different parts of Finland. Soft pipeline deposits were found to be the key site for microbial growth in the distribution networks. The microbial numbers in the soft deposits were significantly higher than numbers in running water. The highest microbial numbers were detected in the main deposit pushed ahead by the first swab. The deposits contained high numbers of heterotrophic bacteria, actinomycetes and fungi. Also coliform bacteria were often isolated from deposit samples. Manganese and copper in the deposits correlated negatively with the numbers of heterotrophic bacteria. After a year, the viable microbial numbers in the new deposits were almost as high as in the old deposits before the first mechanical cleaning. The bacterial biomass production was higher in the new than in the old deposits.

Copper and silver ions more effective against legionellae than against mycobacteria in a hospital warm water system.

We studied the influence of electrolytically released copper and silver ions on the microbiological quality in a warm water system of a hospital. The concentration of nontuberculous mycobacteria was followed for three, and that of legionellae and other heterotrophic bacteria in the water for four years. The highest concentrations of copper and silver ions were 220 and 68 microg/l, respectively. Silver ion concentration of about 3 microg/l was sufficient to control the growth of legionellae in circulating warm water. The results showed that it is more difficult to eradicate legionellae from taps and showers: these points were colonized by a small number of legionellae after the metal ion concentrations were increased in the circulating water. A regular use of water eradicated legionellae from the shower. One tap was still used irregularly, and this may be a reason why it still contained small concentrations of legionellae also in the last years of the study. Mycobacteria were occasionally isolated from the circulating water and repeatedly from the shower, even when the metal concentrations were high. To control legionella bacteria in warm water systems, silver concentrations of only 3 microg/l are needed if all taps and showers of the system are regularly used. Such low copper and silver concentrations, however, are not efficient against nontuberculous mycobacteria or other heterotrophic bacteria.

Physicochemical quality of drinking and hot waters in Finnish buildings originated from groundwater or surface water plants.

The physicochemical quality of drinking and hot waters of 67 buildings in different parts of Finland was studied. Some of the buildings used processed groundwater and some processed surface water. Drinking water samples were taken from the first tap after the water was led into the building. Hot water samples were taken from taps and showers and from circulating hot water systems. Thy physicochemical quality of drinking water was affected by the origin of raw water used in the water plants. Drinking water from surface water plants contained more organic matter and less metals than water from groundwater plants. The quality goal for total organic carbon (TOC; < 2 mg l-1) was exceeded by all drinking water samples. In groundwaters, the variation in the content of non-purgeable organic carbon (NPOC) was great, probably because artificial groundwaters processed from surface waters were included in this group. Unlike in natural waters, the correlation between KMnO4-number and NPOC in the processed waters was weak. This result shows that KMnO4-number is an inaccurate estimate for organic carbon in processed waters. Corrosion of pipe materials was seen as elevated concentrations of iron and copper. In general, the physicochemical quality of drinking and hot waters in the buildings was rather similar.

Efficiency of medium containing a low concentration of organic nutrients in the enumeration of thermophilic bacteria from hot water.

Thermophilic bacteria from drinking and hot water samples in Finnish buildings were enumerated at 50 degrees C on media with low (R2A) and high (tryptone yeast; TY) concentrations of organic nutrients. In both types of water, the maximum viable counts were obtained on R2A medium. In hot water samples, the plate counts at 50 degrees C were 86 times higher on R2A than on TY medium. In hot water distribution systems, the difference between these media was highest in taps and showers where R2A medium produced 130 times higher plate counts than TY medium. The difference between the plate counts with these media was higher in hot water in the buildings supplied with processed groundwater than those supplied with processed surface water. In hot water samples originating from groundwater and surface water, the plate counts with R2A medium were 280 and 25 times the counts with TY medium, respectively.

Effect of heat flushing on the concentrations of Legionella pneumophila and other heterotrophic microbes in hot water systems of apartment buildings.

The decontamination of Legionella pneumophila and other heterotrophic microbes by heat flushing in four legionellae-positive hot water systems was studied. Before the decontamination procedure, the concentration of legionellae varied from 3.0 x 10(3) to 3.5 x 10(5) cfu/L and the hot water temperature from 43.6 to 51.5 degrees C. During the contamination the temperature was raised to 60-70 degrees C. All taps and showers were cleaned from sediments and flushed with hot water twice a day for several minutes. The decontamination lasted for 2-4 weeks. In a few weeks the heat-flushing method reduced the concentration of legionellae below the detection limit (50 cfu/L) in the hot circulating water system just before and after the heat exchanger. The high hot water temperature also decreased the viable counts of heterotrophic bacteria, fungi, and total microbial cells determined by the epifluorescent microscopy. However, the eradication of legionellae failed in a water system where the water temperature remained below 60 degrees C in some parts of the system. After the decontamination, the temperature of hot water was lowered to 55 degrees C. Thereafter, all the studied hot water systems were recolonized by legionellae within a few months, showing that the decontamination by heat flushing was temporary. Also, the contamination of other bacteria increased in a few months to the level before decontamination.

Occurrence of legionellae in hot water distribution systems of Finnish apartment buildings.

The occurrence of legionellae in the hot water distribution systems of 67 buildings located in different parts of Finland was studied. Most of the buildings were apartment buildings. They had different hot water temperatures, and some received their cold potable water from surface water plants and some from ground water plants. Hot water samples were taken from taps, showers, and water mains just before and after the heat exchanger. Legionella pneumophila was isolated from 30% of the distribution systems. In the legionella-positive samples the legionella concentration varied from < 50 to 3.2 x 10(5) colony-forming units (cfu)/L (mean 2.7 x 10(3) cfu/L). The highest concentration of legionellae was found in the shower water. Legionellae appeared more often and with higher concentrations in hot water systems using cold water processed in surface water plants than in hot water systems associated with ground water plants. A high organic matter content in surface waters might favor the occurrence of legionellae and also the growth of other heterotrophic microbes. Mean water temperature just after heating was slightly higher in the legionella-negative systems than in the legionella-positive systems (53.5 vs. 51.5 degrees C).