water pollution and health
TRANSCRIPT
Water Pollution and Health
Martin CormicanNational University of Ireland, GalwayCentre for Health from Environment
@cormican_martin
Water Pollution and Health
?
Martin CormicanNational University of Ireland, GalwayCentre for Health from Environment
@cormican_martin
Pollution
pollutio – defilement, contaminationApplied to environment: first recorded use 1860General use since 1955
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Water Pollution and Disease
as distinct from Water and Wellbeing
Martin CormicanNational University of Ireland, GalwayCentre for Health from Environment
@cormican_martin
Pure Water
Pure: is the opposite of polluted / defiled
But “pure” water is essentially non existent and is not in any case what people value
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Water and WellbeingAttributes of Wholesome Water
Physical : Appearance, taste and odour, hardness,
Wholesome water is expected to contain minerals (natural & good things) as distinct from chemicals (artificial and bad things)
Metaphysical: Origin and narrative (see web site of any major bottled water company)
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What do People Value: How Much Will People Pay (3-5 cent per 10 ml)
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Estimated carbon footprint 250g / 1 Litre bottle
Anthropology:
It is not just applicable to aboriginal /traditional societies
Turns out we have culture too and it is central to how we value and engage with water and how it impacts on our health
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One (Biased) Perspective on Water Composition & Health in Ireland: Drinking
WaterWe could talk about
• Calcium• Magnesium• Lead• Trihalomethane• Heavy metals • Fluoride• Alumminium• Pharmaceuticals
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BUT !
What Could Possibly Go Wrong ?
NorovirusCampylobacter spp.Salmonella spp.Other gastrointestinal pathogens
AND now there is something else Antimicrobial resistant bacteria / Extra-intestinal pathogenic E. coli
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Antimicrobial Resistant Enteric Bacteria & Water
Extended-spectrum beta-lactamase producing (ESBL) E. coliFluoroquinolone resistant E. coli Extended-spectrum beta-lactamase producing (ESBL) K. pneumoniaeVancomycin-resistant Enterococcus (VRE)Carbapemase producing Enterobacteriaceae (CPE)Colistin-resistant E.coliDo not cause gastrointestinal illness but they may settle in the gut for years
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Extra-Intestinal Pathogenic E. coli
E. coli variants that are harmless in the gut but with a propensity to cause infection at other sites
Uropathogenic E.coliE. coli blood stream infectionCombining AMR & Virulence E. coli ST131 pathogenic, AMR, globally disseminated and still changing
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If We Can’t See the Faeces How Do We Know It’s There ?
E. coli – the indicator of faecal contamination
Criterion for drinking water:
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How Do We Know It’s Not There ?
E. coli – not detected in 100ml does not confirm absence of faecal contamination
Some E. coli are not “legally” E. coli do not produce beta-glucuronidase
Finding virus and Cryptosporidium spp. in water in harder
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How Do We Know Where it Came From ?
Tools for AccountabilityMicrobial Source Tracking
Next Generation Sequenecing (NGS)
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Other Smaller Things: NanomaterialsDeTER Project
Can we find them ?
How much do they matter for health ?
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Water & Health Beyond Drinking and Infection
Nature and Environment to Attain and Restore Health
• We will utilise perceptions and values to develop a framework that integrates health and environment in Ireland, devise and pilot toolkits to evaluate what communities value in relation to public spaces and to pilot the mechanisms and pathways to mobilise use of blue and green spaces such as parks, coasts and other nature-based solutions to improve people’s health and wellbeing.
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Water & Health Beyond Drinking and Infection
Eutrophication
Biodiversity impacts
Loss of amenity
Loss of integrity & connection
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Summary: The Key Challenge
Since 1854 (or longer) it has been clear that drinking dilute faeces is a bad idea Why do we still do it ?
How do we begin to convince ourselves that we need to stop?
Protecting sources by managing discard of faeces matters What we can’t protect we must at least treat to safety
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Summary: The Key Challenge
Since 1854 (or longer) it has been clear that drinking dilute faeces is a bad idea
It spreads gastrointestinal infectionIt spreads antimicrobial resistance
It spreads extra-intestinal pathogensIt spreads pharmaceuticals (including antibiotics)
Why do we still do it ?
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Anthropology: Understanding the Dominant Species
Perhaps the most important and most difficult field ofstudy for advancing human health and environment
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