INTRODUCTION
Groundwater has traditionally been used to irrigate crops but, as populations increase and water resources become limited, alternative water sources are needed. Any water source other than groundwater, when used for crop irrigation, is referred to as a nontraditional water source, and sources can include runoff, surface, recycled, and reclaimed waste waters (
1). Surface water is currently used for agricultural irrigation in some environments; however, surface water is more likely to be contaminated with zoonotic microorganisms with the potential to transmit disease (
2). The Federal-Provincial-Territorial Committee on Drinking Water reviewed 22 studies in which enteric viruses (EVs) were detected in surface waters and groundwaters of North America; EVs were frequently detected in surface waters, and intact confined aquifers guarded groundwater against contamination; however, EVs could enter through infrastructure failures (
3). Reclaimed or recycled water is also used for irrigation, to reduce the environmental impact of agriculture and to repurpose water derived from municipalities, rivers, lakes, and other available sources. According to the Department of Water Resources of the State of California, water reclamation for use in crop irrigation began over 100 years ago, in the late 1800s, and 46% of all reclaimed water produced in the state is used for crop irrigation (
4).
The 1965 Water Quality Act propelled water research in the United States. In 1976, the U.S. Environmental Protection Agency (EPA) released a report on the quality criteria for water (
5), which identified
Escherichia coli as a water quality and fecal pollution indicator and recommended that fecal coliform levels in recreational waters should not exceed 1 log CFU/100 ml. A Food Safety Modernization Act rule was released almost 40 years later by the U.S. Food and Drug Administration (FDA) and provided regulations regarding the use of water applied to growing produce (
6).
E. coli remains the primary indicator of water quality, and the maximum allowable level for agricultural water is set at 126 CFU/100 ml for most commodities. The rule, as stated currently, also requires increased testing for nontraditional water sources such as surface waters, which are more susceptible to contamination (
7). While
E. coli continues to be used as a microbiological indicator for water today, many studies have identified the deficiencies in this practice, and it does not accurately assess the potential for viruses to be in the water (
8–11).
There are documented risks in the use of nontraditional water sources for irrigation of raw agricultural commodities, including increased microbial levels and complications experienced during water quality testing (
12–15). Human feces have been shown to contain up to 12 log EV particles/g (
16), and raw sewage has been shown to contain an average of 4.6 log genomic copies of norovirus (NoV)/liter (
17). Given the potentially high levels of virus particles in sewage, even a small sewage contamination event in a water supply used for crop irrigation could result in subsequent contamination events and gastrointestinal illnesses long after the initial incident.
EVs, i.e., viruses affecting the gastrointestinal tract, are the most common cause of acute gastroenteritis globally. Foodborne illnesses globally exceed 600 million cases annually, and approximately 120 million cases are attributed to NoV alone (
18). In the United States, more than one-half of foodborne illnesses are estimated to be caused by NoV (
19). NoVs are nonenveloped, RNA viruses of the
Caliciviridae family, which is divided into six genogroups and further divided into over 30 genotypes; genogroups I, II, and IV are infectious to humans, with the NoV GII.4 strain being the most prevalent cause of NoV outbreaks (
20). Another notable EV is hepatitis A virus (HAV), a nonenveloped, RNA virus of the
Picornaviridae family. HAV has seven genogroups, of which genogroups I, II, III, and VII affect humans and the rest affect simians (
21). In 1995, a lifelong immunity HAV vaccine was developed; however, HAV is still the second largest viral contributor to foodborne illness globally. Although the World Health Organization (WHO) initiated the Global Health Sector Strategy on Viral Hepatitis in 2016 and the HAV vaccine is considered a standard childhood vaccination in 16 countries, including the United States, there were still an estimated 6,700 new cases in the United States in 2017 (
https://www.cdc.gov/hepatitis/hav/havfaq.htm#general). Aichi virus (AiV), like HAV, is in the
Picornaviridae family, but it is a member of the
Kobuvirus genus. AiV A targets human gastrointestinal tracts and can cause vomiting, nausea, and diarrhea (
22). AiV seroprevalence and transmission were reviewed by Reuter et al. (
23), who determined that up to 80 to 95% of adults were seropositive by 40 years of age.
The use of
E. coli as an indicator may not sufficiently represent the viral communities of a water sample due to the vast differences in structure, persistence, and life cycles among the organisms. Viruses, unlike bacteria, cannot propagate in a water source, but they have been shown to remain detectable for more than 1 month in river water and after sewage treatment (
24–26). Pepper mild mottle virus (PMMoV), an RNA plant virus, has been suggested as an indicator of pathogenic viruses due to its high prevalence in human waste, compared to environmental and animal sources (
27). PMMoV has been detected in influent and effluent of a wastewater treatment plant at 6 and 5 log PFU/liter, respectively (
28), corroborating the prevalence and persistence of the virus.
The fluctuation of atmospheric and physicochemical conditions contributes to the highly variable nature of environmental waters through a series of reactions. Atmospheric or meteorological conditions include temperature, humidity, cloud cover, barometric pressure, and other parameters. Physicochemical parameters are water properties influenced by both physical and chemical components and include dissolved oxygen levels, turbidity, salinity, pH, and more. Atmospheric and physicochemical parameters during and prior to sample collection create a unique set of water characteristics that can have an influence on the methods used for virus recovery and detection. Increased precipitation has been shown to negatively affect the ability to recover viruses from environmental waters due to the surge of suspended solids and decreases in concentration efficacy (
29). Elevated turbidity has been positively correlated with detection of NoV genotype I (GI) (
30), but the combination of increased virus levels and decreased recovery efficacy can lead to underestimates of viral prevalence. Temperature, relative humidity, and overall seasonality have been associated with viral detection, correlating both positively and negatively throughout previous studies. Theories about these contradictory results include the persistence of the viruses, the seasonality of gastrointestinal illness, and variations in the detection assays implemented (
31–33).
Currently, there are significant data gaps and contradictory results in the literature regarding the potential correlations of viral presence and atmospheric or physicochemical parameters of water sources. The evaluation of these characteristics separately does not provide a complete image of the risks associated with the use of nontraditional water sources. An investigation of a multitude of attributes will provide the data necessary to develop a method to mitigate viral threats in these highly variable water sources when they are used for crop irrigation.
The objectives of this study were to perform surveillance of foodborne viruses in nontraditional water sources used for crop irrigation in the Mid-Atlantic region of the United States and to evaluate the effects of physicochemical and atmospheric parameters of water on the detection of pathogenic and indicator viruses. The combination of these data collected from a variety of locations and water types, repeatedly sampled over a prolonged time, and robust statistical analysis provides a unique insight into nontraditional water samples used for crop irrigation in the Mid-Atlantic region of the United States.
DISCUSSION
To the best of our knowledge, this is the first study performed in the Mid-Atlantic region of the United States investigating nontraditional irrigation waters for the prevalence of foodborne EVs and potential viral indicators. Comprehensive analyses were performed on the atmospheric and physicochemical water parameters to determine whether any parameters could provide a labor- and cost-effective indicator of EV contamination. Examinations of surface and reclaimed waters are essential for the Mid-Atlantic region due to the general decrease in groundwater levels experienced throughout Delaware, Maryland, and Virginia (
34). This area of the United States may serve as a model system in many ways, and a few are described here. The watershed here is critical to a large ecoregion consisting of coastal plains, flatwoods, and mountain ranges, which compose one the greatest biologically and geographically diverse regions of the country (
35,
36). There are 14 watersheds throughout the Mid-Atlantic region and one subwatershed alone, Brandywine Creek, supports $10.3 billion of farmland and over $425 million of urban ecosystems (
37,
38). The $15.6 billion agricultural industry supports approximately 41 million residents of the Mid-Atlantic region, spread from rural environments to densely populated metropolitan areas (
39,
40).
Groundwater depletion combined with rising sea levels exacerbates saltwater intrusion and results in the decline of the quality of the remaining water supplies (
41). This too is an issue facing many regions around the world. Changes in climate, population, and agricultural production in the Mid-Atlantic region create difficulties in predicting the future impacts of these threats on the availability of groundwater as the primary source of agricultural irrigation water (
42–44). However, there is a consensus that more research is needed to proactively determine suitable alternatives, including the use of and risk associated with nontraditional water sources, to supplement groundwater for irrigation.
EV and indicator virus detection.
Unlike respiratory viruses, foodborne EVs can persist for extended periods within a contaminated water source. EVs (e.g., NoV and adenovirus [AdV]) have been shown to remain detectable in groundwater for more than 3 years (
45). In surface water under laboratory conditions, EVs were shown to remain infectious for 25 days and persisted for more than 70 days (
46). The sources and biological characteristics (e.g., size and persistence) of PMMoV allow the virus to potentially be used, in addition to bacterial water quality indicators, as a marker for human fecal contamination, and this concept has been explored previously (
8,
47–51). Compared to other viral or bacterial indicators, PMMoV prevalence is limited in animal feces (
18,
47); however, PMMoV has been found to be ubiquitous in both wastewater and surface water samples (
47–49). PMMoV has been shown to persist in surface water for more than 21 days without a significant reduction (
50). The prevalence and persistence of PMMoV, compared to EVs and other traditional indicators, further support its suitability as an indicator (
51).
In our study, EVs and indicator virus were analyzed in surface and reclaimed waters over a 17-month period between June 2017 and October 2018. EVs (AiV, HAV, NoV GI, and NoV GII) were detected in 4.1% of surface water samples and 31.8% of reclaimed water samples. PMMoV was detected in 44.4% of total samples, 33.3% of surface water samples, and 66.7% of reclaimed water samples. Overall, 9.8% of samples were positive for detection of both EVs and indicator virus. There was no correlation between the detection of the EVs and that of the indicator virus in surface waters; however, there was a significant correlation in the detection of these viruses in reclaimed waters.
Detection of EVs in this study was comparable to that in other studies. A study performed in California, United States, detected NoV GI in 20.1% and NoV GII in 11.9% of surface water samples (
n = 860) (
52). A study in China surveyed 108 surface water samples for NoV and detected the virus in 4.6% of samples (
53). Jurzik et al. evaluated surface water samples in Germany for NoV GII over 20 months and detected the virus in 25.7% of the 187 samples processed (
8). Brazilian surface waters (
n = 52) were examined for EV presence, and NoV was detected in only 5.8% of samples; however, 59.6% of samples contained at least one EV (
54).
The removal of EV and PMMoV through wastewater treatment was investigated by Kitajima et al. (
28). Both PMMoV and AiV were detected in all influent samples from two treatment facilities, averaging ∼6 log copies/liter and ∼4 to 6 log copies/liter, respectively. There was also a <3-log reduction observed for NoV GI and GII, AiV, and PMMoV, with PMMoV showing the smallest reduction (
28). In 2011, wastewater treatment influent (
n = 81) and effluent (
n = 79) samples were collected in France. NoV GI and GII were detected in 43% and 88% of influent samples and 24% and 14% of effluent samples, respectively (
55). In Norway, influent (
n = 64) and effluent (
n = 59) wastewater samples were evaluated for NoV GI and GII. NoV GI and GII were detected in 29.7% and 43.8% of influent samples and 33.9% and 57.6% of effluent samples, respectively (
56).
The rates of EV and indicator virus detection in our study are within the ranges assessed previously and reported above. The variation in results across studies is expected, due to the wide array of recovery and detection methods employed, water quality parameters, and atmospheric conditions. Methods for recovery may include centrifugal ultrafiltration as performed in this study, polyethylene glycol (PEG) precipitation, or direct extraction without a concentration step for small sample volumes. Detection methods may include infectivity assays such as plaque or 50% tissue culture infective dose assays and molecular assays such as PCR and gel electrophoresis, quantitative PCR (qPCR), and digital droplet PCR. Results from these methods can be reported according to the total volume processed or viral copies detected as presence or absence or quantifiable levels, as well as infectious virus or viral genomic copies. All of these variables contribute to the lack of uniformity throughout the literature.
The correlation between EV and PMMoV in reclaimed water samples but not surface water samples is likely due in part to the higher concentrations of viruses in reclaimed water than in surface water. The limited number of positive virus detections in surface water also could have contributed to the lack of correlation between EV and PMMoV in surface water. Selection of sites characterized in this study, where both EV and indicator viruses were detected, for a future study could allow repeated sampling of a source for the viruses without the need for the suite of parameters analyzed here.
Atmospheric and physicochemical parameter analyses.
Dissolved oxygen levels were significantly lower in reclaimed water samples than in surface water samples. In contrast, the turbidity of reclaimed water samples was significantly higher than that of surface water samples. pH was not significantly different between surface and reclaimed water samples. An 11-month study was performed in Chile in which surface water samples were collected from 18 sites along the Chillán river. Decreases in dissolved oxygen levels were observed at sites downstream of a wastewater discharge, and no significant difference in pH was observed (
57). The inconsistencies observed in dissolved oxygen, pH, and turbidity measurements provide valuable information regarding the quality of the water; however, these parameters had no significant impact on detection of EVs or indicator virus, and thus these parameters are not likely to be suitably indicative of EV presence.
Salinity was the most likely parameter to affect the detection of both EVs and indicator virus, with coefficients of 0.51 ± 0.22 and 0.53 ± 0.24, respectively, as well as statistically significant LR chi-square results. Salinity levels were significantly lower in surface water samples than in reclaimed water samples (0.10 ± 0.07 PSU and 10.96 ± 11.60 PSU, respectively). Seasonal changes in salinity were also observed in surface water samples, with higher levels in the autumn than in the spring and winter. Interestingly, salinity was not correlated with any other parameter in surface water samples but was correlated with dissolved oxygen, pH, and turbidity in the reclaimed water samples. A Nigerian river was evaluated monthly by Abowei (
58) at four separate locations over a 1-year period. Nigeria has a wet season from April to October and a dry season from November to March. Water temperatures ranged from 27°C to 31°C, increasing significantly in the dry season. Higher salinity values were observed in the dry season than in the wet season. Salinity levels ranged from 17 ppt in February and March to 5 ppt in September, averaging 13 ppt annually (
58). Salinity initially showed promise as a suitable indicator, due to its impact on virus detection; however, the seasonally and source variability observed in this study and previous studies suggests that salinity is not a universally appropriate indicator of EV contamination. Studies have shown that some viruses are protected against heat inactivation by the presence of certain cations (
59).
Atmospheric effects on virus detection varied between EV and indicator virus models. Air (−1.06 ± 0.66) and water (1.28 ± 0.66) temperatures had the largest standardized coefficients for the EV detection model, while coefficients for precipitation 7 days (0.80 ± 0.44) and 14 days (−0.82 ± 0.40) prior to sample collection were largest for the PMMoV model. The chi-square analyses aligned with the standardized coefficients and returned significant results for water temperature in EV detection and for precipitation 14 days prior to sample collection in PMMoV detection. Temperature is known to affect the persistence of viruses, including HAV, enteroviruses, and AdVs (
59). EVs, such as AdV41, can be detected in surface water after temperatures of up to 37°C for more than 70 days and are minimally affected by UV exposure of up to 400 mJ/cm
2 (
46). Increased precipitation can subsequently increase the turbidity of a water source, which negatively affects the recovery and detection of those viruses. However, the concentrations of EVs have still been shown to increase in surface water sources following elevated precipitation (
29). The relationship between extreme precipitation events and waterborne outbreaks in the United States between 1948 and 1994 was reviewed by Curriero et al. (
60). The majority (68%) of waterborne outbreaks attributed to contaminated surface water occurred after precipitation above the 80th percentile in the month prior to the outbreak (
60), suggesting that not only recent but also prolonged rainfall can be consequential. In this study, the rainfall over an extended period was of particular importance because reclaimed waters were held in a lagoon after treatment, prior to irrigation. Temperature and precipitation combined are promising for use as possible indicators of EV contamination and should be investigated further to determine potential thresholds at which the risks increase.
Conclusions.
The disparity in correlations between EV detection and PMMoV detection, as well as variations in relationships between parameters, is likely due to a combination of factors. Salinity, pH, and turbidity levels have been shown to affect the sediment adsorption and elution of viruses and to impact viruses differently (
61). Precipitation events can cause the resuspension of sediment in the water and increase turbidity prior to sample collection (
62), which has been shown to adversely affect the adsorption of some EVs to positively charged filters, likely due to suspended particles inhibiting binding of the negatively charged virus capsids to the positively charged membrane (
63). The rod-shaped structure of PMMoV, as opposed to the icosahedral shape of EVs, could exacerbate the effects of physicochemical parameters on the variation in efficacy of recovery and detection methods, resulting in missed opportunities for detection and subsequent correlation if PMMoV is used as an indicator. Thresholds for each parameter, at which PMMoV and EV recovery and detection are analogous and PMMoV or other indicators, depending on further research, can be reliably used as an indicator, need to be established.
The wide variability of physicochemical parameters in both reclaimed and surface water samples, differences between the water types, and seasonal variations increase the complexity of determining indicators that can be used universally. Combined with the fluctuations in atmospheric conditions, particularly in the Mid-Atlantic region of the United States, there may not be a single indicator suitable for all water types throughout all seasons. These data suggest that detection of PMMoV and elevated precipitation and salinity levels may signify EV presence; however, wide variations in measured parameters and climate anomalies will continue to hinder the reliability of indicators for water contamination by EVs.