risks and assessments of cyanotoxins in drinking water
TRANSCRIPT
Risks and Assessments of Cyanotoxins in Drinking
Water
Ruben Diaz Vazquez
CED 595.S30 Project Seminar
Stony Brook University
Risks and Assessments of Cyanotoxins in Drinking Water 2
Abstract
Cyanotoxins are bacteria that are harmful and can cause
potential death to living beings if contacted or ingestion of
contaminated water is taken. Some of the risks include
gastrointestinal symptoms, nausea, liver damage, neurological
symptoms and skin irritation. The issue involving these toxins
is that they have been found in drinking water and it has
prompted attention for scientists and environmentalists around
the world to take action. Drinking water treatment plants have
started to apply assessments methods like
coagulation/flocculation, oxidizing agents, activated carbon,
nanofiltration and ultrafiltration to remove cyanotoxins. Some
of these methods have not been efficient so enhancing them has
been alternative along with the development new assessment
techniques like fluorescence immunoassay and implemented
laboratory instrumentation like High Performance Liquid
Chromatography. The goal of many environmentalists and
scientists is to develop an efficient method for treatment
plants and provide the necessary information for the public
about cyanotoxins.
Keywords: cyanotoxins, drinking water, cyanobacteria, risks,
assessments
Risks and Assessments of Cyanotoxins in Drinking Water 3
1. Introduction
In this century, the ongoing debate on environmental
awareness has become an issue. Topics such as climates change,
air pollution, renewable energy and others are discussed daily.
The search for better options is presented to improve the
situation and help younger generations embrace a better future.
Water contamination is a topic we might be familiar with due to
its importance as a resource for living beings.
Our drinking water before it reaches us for consumption
goes through a series of treatment steps that are provided from
the local water treatment plants. These steps one by one try to
remove any minerals, bacteria and natural toxins that can be
harmful to living beings if consumed. The situation with these
treatment facilities is that as efficient the steps may be,
studies have shown that they are not efficient in removing
certain bacteria and toxins. Toxins like cyanotoxins, which come
from cyanobacteria, have proven to be a problem that needs
attention and awareness to the general public.
There are different types of cyanotoxins, and each one
presents different risks depending on the type of bacteria. Some
of the risks that studies have shown include neurological,
digestive and skin rashes after consumption of drinking water.
Scientists are teaming up with water treatment facilities to
Risks and Assessments of Cyanotoxins in Drinking Water 4
assess this growing situation and to provide solutions to
eliminate the threat of these natural toxins. Different methods
are being tested to diagnose and control this issue. The goal is
to incorporate these methods into the treatment steps of the
water treatment facilities. Some of these steps include
coagulation/flocculation, the use of fluorescence, oxidizing
agents and learning the maximum tolerable values of water.
The goal of this paper is to provide the public with the
information needed for awareness and knowledge on this
environmental issue. Removing cyanotoxins in drinking water is
the first step of many towards a future of clean water. To fully
understand the term cyanotoxins, the definition and the source
of origin must be addressed and explained in detail. After
understanding the term, we can address the risks and solutions
to this issue and spread the word to those who may not know
about it.
2. Literature Review
Westwick, Szlag, Southwell and Sinclair (2010) in their
review of cyanobacteria and cyanotoxins removal/inactivation in
drinking water focuses on how efficient the process of removing
cyanotoxins are with four different types of toxins. They
consider several factors for their argument, including the
intake and the structure of the cell. Other arguments follow on
Risks and Assessments of Cyanotoxins in Drinking Water 5
how effective coagulation, oxidation, activated carbon, and
other known methods are in removal/inactivation of cyanotoxin in
water treatment plants. Further conclusion states the auxiliary
treatment barriers are important measures that should be
implemented for efficient removal/inactivation.
Ghernaout, Ghernaout and Saiba (2010) review on algae and
cyanotoxins focuses more directly on the treatment methods of
coagulation/flocculation. The review goes in depth of how
coagulation works and how efficient has been throughout the
years. Advance methods of coagulation are mentioned as an
improvement to the efficiency percentage in removing the
cyanotoxins. The review is an important source for information
on a treatment method that is well known and will be mostly used
throughout the years, as it has been the primary method for
water treatment plants to remove cyanotoxins.
The article “Cyanotoxin management and human health risk
mitigation in recreational waters” from Koreiviené, Anne,
Kasperoviciené and Burskyté (2014) gives out important
information on risks that cyanotoxins can cause on living
beings. Although it focuses on recreational waters, these risks
have been mentioned in other reviews if contaminated water is
ingested. The review provides a background on the types of risks
that cyanobacteria can cause such as neurotoxins, hepatotoxins,
cytotoxins, irritants and others.
Risks and Assessments of Cyanotoxins in Drinking Water 6
Pantelic, Svircev, Simeunovic, Vidovic and Trajkovic (2013)
address in their review a recent cyanobacteria bloom in Serbia.
The review introduces characteristics of frequent cyanotoxins
and known treatment methods for the removal of them. It provides
an insight of how this issue is affecting other parts of the
world and how differently some scientists are approaching the
issue. Enhancing known treatment methods for more satisfactory
removal is the main focus of the review.
Also Kouzminov, Ruck and Wood (2007) address a risk
management in another part of the world in their article: "New
Zealand risk management approach for toxic cyanobacteria in
drinking water". They mention the impact that cyanotoxins have
had in the country and how it has changed treatment facilities
to improve their methods.
Ratnayake, Manatunge and Hapuarachchi (2012) provide in
“Dealing with algal toxins and dissolved organics in drinking
water” background information useful for readers that are not
familiar with this topic. The authors used a water supply in the
Eastern Province of Sri Lanka as a case study. The review
provides a section on background studies that provides
information on treatment methods that have been used to address
the cyanotoxins issue. The focus of the review is to provide
results of efficiency by enhancing methods that have been
Risks and Assessments of Cyanotoxins in Drinking Water 7
implemented previously such as coagulation, oxidation and
activated carbon.
To add to their argument, Roegner, Brena, Gonzalez-Sapienza
and Puschner (2013) support the removal strategies and their
efficiency to remove cyanotoxins. Their review gives an insight
on the toxic effects and persistence that cyanotoxins have in
the water, especially microcystins, which background information
of them is provided in the following section. The review
supports strategies that others authors have mentioned and have
been already implemented in treatment plants. Their efficiencies
are discussed to provide the best option for maximum removal of
cyanotoxins in water.
Authors Triantis et al. 2010 implement laboratory systems
to monitor cyanotoxins in surface and drinking waters. Their
review examines and how effective using a High Performance
Liquid Chromatography (HPLC) can be to monitor and detect
cyanotoxins in water. The review can be categorized as
technical, but it provides information on alternative methods to
address the issue. Results show that laboratory methods can be
very efficient in monitoring and detecting cyanotoxins.
Kaushik and Balasubramanian (2013) provide methods and
approaches that are being used for detection of cyanotoxins.
They argue that current methods that used for routine are not
quite efficient in detecting all types of cyanotoxins. The
Risks and Assessments of Cyanotoxins in Drinking Water 8
review compares between biological methods with analytical
methods to give the information of which is more efficient. The
review adds more depth on how efficiently current implemented
methods are and the importance of adding laboratory methods to
improve monitoring and detection of cyanotoxins in water.
Cheung, Liang and Lee (2012) provide more information on
problems, impact and the importance of public health on this
issue. Zamyadi et al. (2012) provide and support many other
authors in addressing cyanotoxins contamination in drinking
water plants as an environmental challenge.
3. Cyanotoxins
Cyanotoxins are natural toxins that are produced by
cyanobacteria. They are photosynthetic prokaryotes that date
back 3.5 billion years in evolution and adapt well in extreme
environment conditions (Kaushik & Balasubramanian, 2013). The
release of cyanotoxins occurs during cell life but mostly on
cell death of the algae through a passive flow process (Pantelic
et al., 2013). Westwick et al. (2010), state that over forty
cyanotoxins are toxic. Cyanobacteria develop in algae especially
the blue-green algae (Fig.1) that can be found in fresh water
ecosystems. Cyanobacteria are considered a water quality problem
around the world causing domestic animals poisoning, human
injury and deaths.
Risks and Assessments of Cyanotoxins in Drinking Water 9
Fig. 1 Blue-green algae in the waters of Quingdao. Image taken from http://www.nysun.com/foreign/chinas-olympic-sailing-venue-beset-by-algae-bloom/80768/
Harmful algal blooms are formed mostly when an event of
large growth of algae occurs. This event occurs because of an
unstable environment. The accelerated eutrophication, which by
definition means the addition of phosphates and nitrogen of
freshwaters and human activity are the main causes for the
development of harmful algae blooms. Human activities such as
farming practices, usage of detergents and sewage runoff have
increased the nutrient levels in water reservoirs causing this
event to increase over the years (Pantelic et al., 2013). Over
50% of these algae blooms are considered toxins and they are
affecting lakes, reservoirs, rivers, streams, etc. It prompts
action in drinking water treatment plants to remove these toxins
from the water to avoid any related injuries.
To manage this ongoing situation treatment plants around
the world must know about the different species of cyanotoxins.
Risks and Assessments of Cyanotoxins in Drinking Water 10
There are four species that are the most dangerous for living
beings. These are microcystins, saxitoxins, anatoxin-a and
cylindrospermopsin. Identifying their physical, chemical
properties, their patterns, and nature of growth is the key to
effective treatment.
3.a. Microcystins
Microcystins are the most frequent and studied cyanotoxins.
They originate from several cyanobacteria: Microcystins,
Anabaena, Planktothrix, Nostoc and Anabaenopsis. Microcystins
can persist inadequate levels of phosphorus and nitrogen in the
water. According to the Environmental Protection Agency (EPA),
2007, they can persist on temperatures of 5 to 30 degrees
Celsius and a pH in the range 6 to 9 (water has a pH of 7, which
is neutral in the pH scale). Most of these blooms occur during
late summer and early fall because of the higher temperatures in
the water. These cyanotoxins are nonvolatile, stable in sunlight
and hydrophilic (attracted to water).
The US EPA has added microcystins to the US EPA Contaminant
List III (Westwick et. al, 2010). The World Health Organization
(WHO) has established a drinking water guideline of one
microgram per liter for this cyanotoxin.
3.b. Saxitoxins
Saxitoxins are cyanotoxins that are associated with "red
tides". These "red tides" are a group of dinoflagellates that
Risks and Assessments of Cyanotoxins in Drinking Water 11
can be found on algae blooms on the water. The name comes from
the red color these blooms have and gives out the illusion that
the water is completely red. These cyanotoxins release a strong
poison that is harmful mostly to shellfish. Humans that consume
these contaminated shellfish will be at risk of getting poisoned
as well. Countries around the world have established guidelines
for their drinking water to control this toxin, for example,
Australia has a guideline of three micrograms per liter for
their drinking water standard (Westwick et. al, 2010).
3.c. Anatoxin-a
Anatoxin-a is a common cyanotoxin and a very potent
neurotoxin. It poses a hazard to humans and animals if contacted
or ingestion of contaminated water is taken. The WHO does not
have a guideline in drinking waters for anatoxin-a but
scientists and environmentalists are recommending a guideline
concentration of one microgram per liter (Fawell et. al, 1999).
3.d. Cylindrospermopsin
The first discovery of cylindrospermopsin came from a case
of poisoning on a water reservoir in Australia. Considered one
of the most dangerous cyanotoxins, the EPA and WHO are currently
evaluating data that has been collected around the world to
determine a guideline for drinking water for this cyanotoxin. On
natural waters, this cyanotoxin is soluble. Human exposure
Risks and Assessments of Cyanotoxins in Drinking Water 12
occurs by drinking water, doing recreational sports and food
consumption due to its high bioaccumulation in water systems.
Microcystins, Anatoxin-a, Saxitoxins and Cylindrospermopsin
are the most common and dangerous of cyanotoxins. The EPA has
included these and other cyanotoxins in their Contaminant
Candidate List (CCL). Also cylindrospermopsin, microcystins and
anatoxin-a are identified in the target list of toxins that pose
a health risk to water sources for drinking utilities in the
United States (Ratnayake et. al, 2012). Knowing the background
of these cyanotoxins is only the beginning of a bigger issue.
The next step is addressing the risks that these cyanotoxins
have towards living beings.
4. Risks of Cyanotoxins
Many risks have been linked to cyanotoxins in the past
years. There are different ways a living being can be exposed to
cyanotoxins. That is through consumption of fish or aquatic
organisms that could have been exposed to cyanotoxins, ingestion
of contaminated water and through recreational water sports
where the skin can be exposed to contaminated water. Exposure to
these toxins can trigger chronic toxicity on organisms that can
cause illness or death. The cyanotoxins are categorized in three
toxic groups, which are hepatotoxins, neurotoxins and
dermatoxins. It is important to have knowledge of all the
Risks and Assessments of Cyanotoxins in Drinking Water 13
possible risks that these toxins can cause to be able to create
awareness and safety measures. Each one of the toxins can cause
a series risks that can have a hazardous effect on living
beings.
Microcystins are categorized under the toxic group of
hepatotoxins1. This cyanotoxin has been associated to cause liver
damage and in some cases it has caused liver cancer in
laboratory studies on animals. Reports on toxin effects
involving liver damage on humans have been minimal so far
(Ghernaout, Ghernaout & Saiba, 2010). Other risks that
microcystins can cause are gastrointestinal illness, severe
headache, pneumonia and myalgia (muscle pain). These symptoms
have been reported to occur after 4 to 24 hours of contact with
water.
Cylindrospermopsin is also a toxin that is categorized as
hepatotoxins. Symptoms that can occur after several days of
exposure are anorexia, nausea, headache, constipation, abdominal
pain, liver inflammation, fever and asthma. Continuous low-level
exposure can cause liver cancer (Koreiviené et al., 2014).
The risks associated with saxitoxins are categorized under
neurotoxins2. Symptoms can start to occur between 2 to 12 hours
1 Toxics that can cause damage or destruction to the liver. The American Heritage® Medical Dictionary Copyright © 2007, 2004 by Houghton Mifflin Company. Published by Houghton Mifflin Company. 2 Poisonous complex that acts on the nervous system. ("Neurotoxin." Merriam-‐Webster.com. Merriam-‐Webster, n.d. Web. 18 Sept. 2014. http://www.merriam-‐webster.com/dictionary/neurotoxin)
Risks and Assessments of Cyanotoxins in Drinking Water 14
and can cause death. According to Cheung, Liang and Lee (2012),
effects on toxicity include tingling, numbness, drowsiness,
burning, difficulty to speak, paralysis, which can all lead to
death. Saxitoxins are considered to be one of the most dangerous
cyanotoxins to date. A long-term effect is unknown to this day.
Anatoxin-a is also a neurotoxin where symptoms can occur
faster than saxitoxins. The time of occurrence for symptoms to
appear is 15 to 20 minutes after exposure. Anatoxin-a shows
symptoms that are similar to saxitoxins; only that anatoxin-a
can cause a long-term affect, such as cardiac arrhythmia that
could eventually lead to death.
Human exposure due to these risks has been well documented
throughout the years. In 1960, Buffalo Pound Lake had a case of
microcystins blooms that led to numerous deaths of cows and dogs
(Roegner et al., 2013). The year 1989, two army recruits fell
into the lake and swallowed water that contained cyanobacterial
blooms that led to them developing acute pneumonia and
gastrointestinal symptoms (Roegner et al., 2013). One documented
case that caused attention toward awareness of cyanotoxins in
drinking water was in 1996, when over a 100 patients developed
liver failure when they received water from a reservoir that was
contaminated. This happened in Caruaru, Brazil in a hemodialysis
center (Carmichael et al., 2001).
Risks and Assessments of Cyanotoxins in Drinking Water 15
Many more cases have been documented throughout the history
of science and health. These cases are the ones that have helped
raised the necessary precautions and awareness to study these
risks and to find proper ways to assess them. The efficiency of
these assessments is the daily goal of every scientist and
environmentalist. Also, great skills of management techniques
must be implemented to make these assessments efficient at
removing these harmful toxins. Water treatment plants have
developed numerous assessment techniques and procedures to
remove cyanotoxins and provide cleaner drinking water for
humans.
5. Assessments of Cyanotoxins in Drinking Water
The assessment of cyanotoxins has become an important
environmental issue that if not attended may cause many problems
regarding public health and safety. Drinking Water Treatment
Plants (DWTP) have developed certain steps or techniques to
manage this ongoing issue. Among the steps that have been
currently applied include coagulation/flocculation, oxidation,
the use of activated carbon filters, nanofiltration,
ultrafiltration and other assessments that are being created to
improve efficiency. Besides these steps, DWTP must have a team
of well-trained managers to recognize these issues and help with
the efficient removal of cyanotoxins before it reaches human or
Risks and Assessments of Cyanotoxins in Drinking Water 16
animal consumption. Recent studies have shown that current steps
in DWTP are not as efficient, and alternatives are being
implemented like, for example, enhancing coagulation and using
stronger oxidizing agents. A brief explanation of each step will
be provided ahead with an analysis of which is more efficient
and economically viable for treatment plants.
5.a. Coagulation/flocculation
The treatment method of coagulation/flocculation is the
most common and frequent assessment that has been used for the
removal of cyanotoxins in drinking water. Its use has been
effective to eliminate the turbidity and organic matter that can
be found in water. Drinking water treatment plants use this
method as their primary step. Coagulation/flocculation has not
been an efficient method at removing cyanotoxins due to the
increasing number algae blooms in past years. Scientists and
treatment managers seek alternatives to improve this method.
Enhancing the process and coagulation/flocculation has
shown significant improvement for treatment plants. An
enhancement technique that has proven to be efficient is
powdered activated carbon 3 (PAC) (Ghernaout, Ghernaout & Saiba,
2010). Using this technique along with coagulation/flocculation
has a positive removal effect on cyanotoxins in drinking water.
3 PAC is used by water treatment plants on either a full-‐time basis or as needed for taste and odor control or removal of organic chemicals. Source: http://iaspub.epa.gov
Risks and Assessments of Cyanotoxins in Drinking Water 17
The only problem with PAC as an enhancing coagulation technique
is that physical perturbations can cause cells to break and
increase the amount of cyanotoxins in the water.
In fact, other studies have shown that PAC does not remove
cyanotoxins entirely (Zamyadi et al., 2012). The alternative to
PAC is Dissolved Air Flotation (DAF); this technique has proven
to remove consistently cyanotoxins. It is a cheap enhancing
method and treatment plants are using it more frequently in
recent years.
5.b. Oxidation
The use of oxidants helps to reduce taste and odor in
water. It is added at the intake to stimulate coagulation and
any disinfection by-products that could have been formed during
previous steps. The most common oxidants used in treatment
plants are ozonation, ultraviolet light, chlorination and
permanganate. The use of ozonation and ultraviolet among the
most common are the least used due to their high cost. Both have
proven to be very efficient at removing cyanotoxins except for
saxitoxins, which to this day insufficient data cannot validate
their effectiveness (Cheung, Liang & Lee, 2013). Another issue
regarding ozonation is that it can cause cell lysis, which
results in the release more of toxins into the water.
Chlorination as an oxidizing agent has played an important
role throughout years for treatment plants. It is the primary
Risks and Assessments of Cyanotoxins in Drinking Water 18
oxidizing agent used in the treatment of drinking water. The
negative side to chlorination is that the high dosage of this
oxidizing agent can cause disinfection by-products and odor to
the water. This can cause problems if water is consumed, and it
can increase toxins release due to cell lysis. Scientists have
concluded that if chlorination is kept in low dosage (a pH <8.0)
it can be useful for the removal of cyanotoxins (Westwick et
al., 2010).
The use of permanganate as an oxidizing agent works as an
alternative for chlorination. Permanganate does not depend on
the pH and does not leave residuals of taste like chlorination
does. This oxidizing agent works well with
coagulation/flocculation steps because it controls biological
growth. Permanganate is efficient at removing cyanotoxins like
microcystins and anatoxin-a, but it is not efficient removing
saxitoxins and cylindrospermopsin, which both are neurotoxins
and can cause serious risks if contaminated drinking water is
consumed.
There is an oxidizing agent that is gaining a reputation
for being effective against three out of the four most common
cyanotoxins known as the hydroxyl radical. The hydroxyl radical
is the neutral from of a hydroxide ion, and it has proved in
recent studies that it can help in the removal of cyanotoxins
like microcystins, anatoxin-a and saxitoxins. The only
Risks and Assessments of Cyanotoxins in Drinking Water 19
disadvantage of this oxidizing agent is that its effectiveness
works at pH 3, which is not good for drinking water treatment
because the acidity of water is too high for an effective
removal (Westwick et al., 2010). This oxidizing agent needs more
time to expand research for other cyanotoxins like
cylindrospermopsin.
5.c. Activated Carbon
Activated carbon is by far the most effective assessment
for removal of cyanotoxins that can exist; it has a 99% removal
of cyanotoxins in drinking water. One can find activated carbon
in home purification filters due to their high percentage of
removal. For activated carbon, there are two types that are used
in treatment plants: (1) Powdered Active Carbon (PAC), which was
discussed as an enhancing agent for the coagulation/flocculation
process and (2) Granular Activated Carbon (GAC) (Westwick et al,
2010). GAC is mostly used to reduce organic matter, taste and
odor from the source water.
The effectiveness of activated carbon filters mostly
depends on the size of the pore within the filters. Those with
large pores have more capacity to absorb cyanotoxins. The best-
activated carbons that are steam activated; coconut based and
coal based. GAC has shown to have an efficient removal rate for
saxitoxins and microcystins but have shown low removal for
cylindrospermopsin.
Risks and Assessments of Cyanotoxins in Drinking Water 20
Although activated carbon may be the best at assessing
cyanotoxins it also has its disadvantages. These are that
filters saturate over time and the cost can make it a challenge
for communities that are resource-limited (Roegner et al.,
2013). An alternative would be to utilize both types of
activated carbon, PAC and GAC for an effective removal of all
types of cyanotoxins that could be found in drinking water. When
compared with other assessment methods, activated carbon is
still the most efficient at removing cyanotoxins from drinking
water.
5.d. Ultrafiltration & Nanofiltration
Nano and ultrafiltration are emerging assessment methods
that drinking water treatment plants (DWTP) are trying to
implement as a cost-effective alternative. This filtration
process works by utilizing pressure filtration through small
pores to eliminate any bacteria that a typical assessment or
step cannot remove (Roegner et al., 2013). Many DWTP are trying
to make this assessment as their top step because with the
correct pressure and flow, the step does not provoke any type of
break on cyanotoxins. Breaks can cause an increase of toxins and
bloom.
When it comes to a comparison of both filtration methods,
research has shown that nanofiltration is more effective at
capturing or removing organic material and bacteria. According
Risks and Assessments of Cyanotoxins in Drinking Water 21
to Costa & Norberta de Pinho (2006), nanofiltration has a better
quality treatment for water. This was determined by a series of
experiments that were based for comparison between the two
filtration methods, using a series of pressures and fluxes in
the system helped determine which filtration method is more
effective.
5.e. Other assessments for removal of cyanotoxins
The topic of efficient removal of cyanotoxins has been in
the past years growing due to many environmental factors.
Environmentalists and scientists have been developing other
assessments techniques to support or even replace those that
already exist. Besides these recent assessments, scientists are
suggesting that water treatment managers must have certain
skills to help monitor the bloom of cyanotoxins in drinking
water. Many of these skills use an alternate supply source of
water and adjust the intake of water in the treatment facility.
One recent technique that water treatment managers in
Europe are using is monitoring water using maximum tolerable
values of the toxin in raw water (untreated water). This method
has proven to be effective because it has helped to recognize
any critical phase of the cyanotoxin bloom in water and to
enhance any existing removal step that may exist in the facility
(Schmidt et al, 2008). The knowledge of maximum tolerable values
Risks and Assessments of Cyanotoxins in Drinking Water 22
has helped treatment facilities in Europe reduce cyanotoxin
contamination in their drinking water.
Another method that has been developed involves using a
fluorescence immunoassay 4 . This technique helps to detect and
diagnose any potential risk of cyanotoxins in drinking water.
When fluorescence immunoassay is compared to other conventional
methods, it shows improvements in removing cyanotoxins from
drinking water. According to Yu, Jang, Hee Kim, Kim and S. Kim
(2011), “This technique fills the strong need for a rapid
analytical tool and it can be a critical component in
environmental management” (p.7810).
Other analytical tools have been implemented in recent
years that include the use of laboratory systems. This involves
using instrumentation such as High Performance Liquid
Chromatography (HPLC), protein-based assays and enzyme assays.
These tools have been tested and have shown effective removal of
cyanotoxins in drinking water. The authors state that these
systems can be useful for large scale monitoring of cyanotoxins
in drinking water treatment plants (Triantis, Tsimeli, Kaloudis,
Thanassoulias, Lytras & Hiskia, 2010).
Countries around the world are also implementing their risk
management assessment based on how gravely their situation might
4 Sensitive technique that can be used in the measurement of many compounds, including drugs, hormones, and proteins; in the identification of antibodies; and in the quantification of antigens such as viral particles and, potentially, bacteria. (http://www.ncbi.nlm.nih.gov/pubmed/6365732)
Risks and Assessments of Cyanotoxins in Drinking Water 23
be, as for the case of a New Zealand river in 2002 and 2003. The
Waikato River in 2002/03 suffered a massive cyanobacteria bloom
causing a large release of cyanotoxins in their drinking water.
The New Zealand Ministry of Health implemented strong regulatory
guidelines to control the situation. The guidelines included a
multi-barrier and process-control management that was
complemented by monitoring program (Kouzminov, Ruck & Wood,
2007). A multi-barrier and process-control is an integrated
system of procedures that prevent or reduce the contamination of
drinking water from source to reduce risks to public health.
This risk management proved efficient, and it is an approach
that other countries that experience cyanotoxins issues in
drinking water should consider implementing.
Many more assessment methods are being developed each day
to address these cyanotoxins in drinking water. A new filtration
method has been studied recently that uses a hollow fiber
microfiltration process, which has shown removal rates higher
than 98% for a large number of cyanotoxins (Sorlini, Gialdini &
Collivignarelli, 2012).
Another assessment method involves using pigmentation of
cyanotoxins to function as an indicator on cyanotoxins in
drinking water. This particular method can help reduce time and
eliminate expensive measurements but more research has to be
done because studies show that if treatment plants use oxidizing
Risks and Assessments of Cyanotoxins in Drinking Water 24
agents the pigment detection would not be effective (Schmidt,
Petzoldt, Bornman, Imhof & Moldaenke, 2009).
6. Conclusion
Cyanotoxins can be controlled at an early stage if
environmental factors such as eutrophication and water
contamination can be reduced. Many types of cyanotoxins exist;
the four most common are to be assessed as soon as they show up
in monitoring systems. Water ecosystems that are contaminated
with cyanotoxins must be avoided at all cost to avoid any
potential and fatal risks.
Ingesting water that contains cyanotoxins can cause
numerous risks to living organisms. These risks include
gastrointestinal symptoms, liver damage that can lead to liver
cancer, neurological symptoms and skin irritation. Due to these
risks, drinking water treatment plants have developed different
assessments to their system to remove cyanotoxins from drinking
water. These include the most common like
coagulation/flocculation, utilizing oxidizing agents, activated
carbon filters, nanofiltration and ultrafiltration. Other
assessments are being developed to improve efficiency or replace
other methods that eliminate cyanotoxins from drinking water.
Coagulation/flocculation is one of the most common
assessments because it has an effective rate of removal of
Risks and Assessments of Cyanotoxins in Drinking Water 25
cyanotoxins. The increasing of algae blooms has brought problems
for this method and enhancing it has proven to be effective. The
only disadvantage to this is that high perturbations can cause
cyanobacteria to break and release toxins to the water. Others
assessments that exist have shown an efficiency in removing
cyanotoxins from drinking water. Oxidizing agents like chlorine,
permanganate and ultraviolet light help at removing cyanotoxins
but they are too expensive to use, and high dosage can cause
cell lysis.
The assessment that should be recommended to use most is
activated carbon. Applying both Powdered Activated Carbon (PAC)
and Granular Activated Carbon (GAC) with an intensive monitoring
of their filters to avoid saturation over time can be very
effective at removing cyanotoxins from drinking water. If a pre-
chlorination and nanofiltration step is added in low dosage, the
rate removal could improve.
Drinking water treatment plants must develop better
monitoring systems and improve their assessments methods for an
effective removal of cyanotoxins. Treatment managers must
develop skills to address this issue before it gets worse, and
scientists must continue research to develop a more effective
method that could remove all four of the most common cyanotoxin
at once. It is a matter of public awareness; decreasing
contamination in water systems and drinking water treatment
Risks and Assessments of Cyanotoxins in Drinking Water 26
plants applying assessments can help reduce the risks that
cyanotoxins can cause to all living organisms.
Risks and Assessments of Cyanotoxins in Drinking Water 27
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