The incidence of waterborne infectious disease outbreaks attributed to opportunistic pathogens (OPs), which are not regulated by the U.S. EPA, appears to be increasing. Although many studies have surveyed premise plumbing and distribution systems for OPs, there is no unified method to monitor drinking water systems for all OPs of interest. This lack of unified methodology stems from differences in life cycle stages and physiologies of different OPs.
This project provides guidance for accurately detecting and quantifying bacterial and protozoan OPs in drinking water systems, with a particular focus on L. pneumophila, P. aeruginosa, nontuberculous mycobacteria, and Acanthamoeba spp.
The research team developed guidelines for utilities with different levels of expertise and resources on how to implement OP monitoring. In addition, the team also examined the effectiveness of several mitigation strategies to reduce the abundance of OPs with a focus on in-home premise plumbing modifications.
Published in 2022.