Abstract
The efficiency of six Tunisian sewage treatment plants (STP) for the removal of hepatitis A virus (HAV) from wastewater was analysed in order to evaluate the potential risk for human health linked to reuse or discharge of treated wastewater into the environment. The STP utilize different biological wastewater treatments including primary treatment, which involves the physical removal of organic and inorganic solids, and secondary treatment that involves different processes, such as activated sludge or lagoon. Quantitative real-time reverse transcription polymerase chain reaction (RT-PCR) and conventional RT-PCR were used for the analysis of the 325 wastewater samples (163 raw and 162 treated) obtained. Results revealed highest contamination in west-central of Tunisia in raw wastewater with 62.96 % of samples positive for HAV and predominance during winter and autumn, whereas east-central region showed 50.62 % of positive samples with high prevalence from winter through summer. The quantitative analysis revealed a range between 4.29 × 101 and 1.24 × 105 RNA copies/mL in treated wastewater, showing clearly the inefficiency for total removal of HAV regardless of the treatment method used. The vast majority of HAV sequences belonged to the sub-genotype IA, except one that was assigned to sub-genotype IB.
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References
Abad FX, Pinto RM, Bosch A (1994) Survival of enteric viruses on environmental fomites. Appl Environ Microbiol 60(10):3704–3710
Ademoroti CMA (1996) Standard method for water and effluents analysis. Foludex press Ltd. Ibadan, 22–23, 44–54, 111–112
Ali MA, Al-Herrawy AZ, El-Hawaary SE (2004) Detection of enteric viruses, Giardia and Cryptosporidium in two different types of drinking water treatment facilities. Water Res 38(18):3931–3939
APHA (2005) Standards methods for the examination of water and wastewater. American Public Health Association, 21st edn. Washington, D.C
Brooks HA, Gersberg RM, Dhar AK (2005) Detection and quantification of hepatitis A virus in seawater via real-time RT-PCR. J Virol Methods 127(2):109–118
Byun KS, Kim JH, Song KJ, Baek LJ, Song JW, Park SH, Kwon OS, Yeon JE, Kim JS, Bak YT, Lee CH (2001) Molecular epidemiology of hepatitis A in Korea. J Gastroenterol Hepatol 16(5):519–524
Costafreda MI, Bosch A, Pintó RM (2006) Development, evaluation, and standardization of a real-time TaqMan reverse transcription-PCR assay for quantification of hepatitis A virus in clinical and shellfish samples. Appl Environ Microbiol 72(6):3846–3855
Costafreda MI, Ribes E, Franch A, Bosch A, Pintó RM (2012) A single mutation in the glycophorin A binding site of hepatitis A virus enhances virus clearance from the blood and results in a lower fitness variant. J Virol 86(15):7887–7895
Costa-Mattioli M, Domingo E, Cristina J (2006) Analysis of sequential hepatitis A virus strains reveals coexistence of distinct viral subpopulations. J Gen Virol 87(Pt 1):115–118
Da Silva AK, Le Saux JC, Parnaudeau S, Pommepuy M, Eimelech M, Le Guyader FS (2007) Evaluation of removal of norovirus during wastewater treatment, using real-time reverse transcription-PCR: different behaviors of genogroups I and II. Appl Environ Microbiol 73(24):7891–7897
El Ayni F, Manoli E, Cherif S, Jrad A, Assimacopoulos D, Trabelsi-Ayadi M (2013) Deterioration of a Tunisian coastal aquifer due to agricultural activities and possible approaches for better water management. Water Environ J 27(3):348–361
Environmental Protection Agency (1992) Standards for the disposal of sewage sludge. In: Federal register part 503. Washington, DC, pp 9387–9404
Formiga-Cruz M, Tofiño-Quesada G, Bofill-Mas S, Lees DN, Henshilwood K, Allard AK, Conden-Hansson AC, Hernroth BE, Vantarakis A, Tsibouxi A, Papapetropoulou M, Furones MD, Girones R (2002) Distribution of human virus contamination in shellfish from different growing areas in Greece, Spain, Sweden, and the United Kingdom. Appl Environ Microbiol 68(12):5990–5998
Gharbi-Khelifi H, Sdiri K, Ferre V, Harrath R, Berthome M, Billaudel S, Aouni M (2007) A 1-year study of the epidemiology of hepatitis A virus in Tunisia. Clin Microbiol Infect 13(1):25–32
Gharbi-Khelifi H, Abid NB, Beji A, Bhiri L, Harrath R, Sdiri K, Billaudel S, Ferre V, Aouni M (2012) Seroprevalence and molecular characterisation of human hepatitis A virus in serum samples of Tunisian patients with clinical symptoms of viral hepatitis. Indian J Virol 23(1):29–35
Grabow WOK (1996) Waterborne diseases: update on water quality assessment and control. Water SA 22(2):193–202
Griffin DW, Donaldson KA, Paul JH, Rose JB (2003) Pathogenic human viruses in coastal waters. Clin Microbiol Rev 16(1):129–143
Hollinger FB, Emerson SU (2001) Hepatitis A virus. In: Knipe DM, Howley PM (eds) Fields virology, 4th edn. Lippincott Williams & Wilkins, New York, pp. 799–840
Hollinger FB, Emerson SU (2007) Hepatitis A virus. Ch 27 In: Knipe DM, Howley PM (Eds) Fields virology, 5th edn. Lippincott Williams and Wilkins, Philadelphia, pp 911–947
Kamal SM, Mahmoud S, Hafez T, El-Fouly R (2010) Viral hepatitis A to E in South Mediterranean countries. Mediterr J Hematol Infect Dis 2(1): e2010001
Letaief A, Kaabia N, Gaha R, Bousaadia A, Lazrag F, Trabelsi H, Ghannem H, Letaief J (2005) Age-specific seroprevalence of hepatitis A among school children in central Tunisia. Am J Trop Med Hyg 73(1):40–43
Lewis GD, Metcalf TG (1988) Polyethylene glycol precipitation for recovery of pathogenic viruses including hepatitis A and human rotavirus from oyster, water, and sediments. Appl Environ Microbiol 54(8):1983–1988
Manso CF, Polo D, Vilariño ML, Romalde JL (2010) Genotyping of hepatitis A virus detected in bivalve shellfish in Galicia (NW Spain). Water Sci Technol 61(1):15–24
Okoh AI, Sibanda T, Gusha SS (2010) Inadequately treated wastewater as a source of human enteric viruses in the environment. Int J Environ Res Public Health 7(6):2620–2637
Pintó RM, Alegre D, Domínguez A, El-Senousy WM, Sánchez G, Villena C, Costafreda MI, Aragonés L, Bosch A (2007) Hepatitis A virus in urban sewage from two Mediterranean countries. Epidemiol Infect 135(2):270–273
Pintó RM, D'Andrea L, Pérez-Rodriguez FJ, Costafreda MI, Ribes E, Guix S, Bosch A (2012) Hepatitis A virus evolution and the potential emergence of new variants escaping the presently available vaccines. Future Microbiol 7(3):331–346
Rao VC, Metcalf TG, Melnick JL (1986) Development of a method for concentration of rotavirus and its application to recovery of rotaviruses from estuarine waters. Appl Environ Microbiol 52(3):484–488
Rezig D, Ouneissa R, Mhiri L, Mejri S, Haddad-Boubaker S, Ben Alaya N, Triki H (2008) Seroprevalences of hepatitis A and E infections in Tunisia. Pathol Biol 56(3):148–153
Romalde JL, Area E, Sánchez G, Ribao C, Torrado I, Abad X, Pintó RM, Barja JL, Bosch A (2002) Prevalence of enterovirus and hepatitis A virus in bivalve molluscs from Galicia (NW Spain): inadequacy of the EU standards of microbiological quality. Int J Food Microbiol 74(1–2):119–130
Salem IB, Ouardani I, Hassine M, Aouni M (2011) Bacteriological and physico-chemical assessment of wastewater in different region of Tunisia: impact on human health. BMC Res Notes 4:144
Sano D, Fukushi K, Yoshida Y, Omura T (2003) Detection of enteric viruses in municipal sewage sludge by a combination of the enzymatic virus elution method and RT-PCR. Water Res 37(14):3490–3498
Tamura K, Stecher G, Peterson D, Filipski A, Kumar S (2013) MEGA6: molecular evolutionary genetics analysis version 6.0. Mol Biol Evol 30(12):2725–2729
Taylor MB, Cox N, Vrey MA, Grabow WO (2001) The occurrence of hepatitis A and astroviruses in selected river and dam waters in South Africa. Water Res 35(11):2653–2660
Tree JA, Adams MR, Lees DN (2003) Chlorination of indicator bacteria and viruses in primary sewage effluent. Appl Environ Microbiol 69(4):2038–2043
Tsai YL, Tran B, Sangermano LR, Palmer CJ (1994) Detection of poliovirus, hepatitis A virus, and rotavirus from sewage and ocean water by triplex reverse transcriptase PCR. Appl Environ Microbiol 60(7):2400–2407
Van den Berg H, Lodder W, van der Poel W, Vennema H, de Roda Husman AM (2005) Genetic diversity of noroviruses in raw and treated sewage water. Res Microbiol 156(4):532–540
Vaughan G, Goncalves Rossi LM, Forbi JC, de Paula VS, Purdy MA, Xia G, Khudyakov YE (2014) Hepatitis A virus: host interactions, molecular epidemiology and evolution. Infect Genet Evol 21:227–243
World Health Organization (2000) Hepatitis A. World Health Organization. WHO/CDS/CSR/EDC, Geneva, pp. 2000–2007
Yun H, Kim S, Soon Byun K, Kwon SY, Yim HJ, Lim Y, Jeong S, Jee Y (2008) Genetic analysis of HAV strains isolated from patients with acute hepatitis in Korea, 2005–2006. J Med Virol 80(5):777–784
Acknowledgments
This work was supported in part by Grant 10MMA200010PR and GRC 2014/007 from the Xunta de Galicia (Spain).The authors thank the workers of the National Office of Sanitation (ONAS) of Tunisia for their help to get the wastewater samples and to provide the environmental data. Author IO thanks the ERASMUS Mundus (EMMAG) programme for a research fellowship.
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The authors declare that accepted principles of ethical and professional conduct have been followed.
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The authors declare that they have no competing interests.
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Ouardani, I., Manso, C.F., Aouni, M. et al. Efficiency of hepatitis A virus removal in six sewage treatment plants from central Tunisia. Appl Microbiol Biotechnol 99, 10759–10769 (2015). https://doi.org/10.1007/s00253-015-6902-9
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DOI: https://doi.org/10.1007/s00253-015-6902-9