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Assessment of airborne enteric viruses emitted from wastewater treatment plant: Atmospheric dispersion model, quantitative microbial risk assessment, disease burden

机译:废水处理厂排放的空气传播的肠道病毒的评估:大气扩散模型,定量微生物风险评估,疾病负担

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From a health prospective, it is critical to provide a comprehensive model which integrates all the parameters involved in virus transmission and its consequences on human body. In order to estimate the health risks, for workers and residents, associated with an exposure airborne viruses emitted from a wastewater treatment (WWTP), the concentration levels of viruses in emitted bioaerosols over a twelvemonth period were measured by real-time polymerase chain reaction (RT-PCR). A combined Gaussian plum dispersion model and quantitative microbial risk assessment (QMRA) with Monte-Carlo simulation served as suitable explanatory tools to estimate the risk of acquiring gastrointestinal illness (GI) due to exposure to air containing Rotavirus (RoV) and Norovirus (NoV) bioaerosols. Additionally, DALY metric was applied to quantify the disability and mortality for workers and residents. RoV and NoV were detected above aeration tank with annual mean concentration 27 and 3099 (Viruses/m(3).h), respectively. The medium calculated DALY indicator based on viral loads in contaminant source (RoV:5.76 x 10(-2) and NoV:1.23 x 10(-1)) and estimated in different distances away (300-1000 m) (RoV:2.87 x 10(-2)- 2.75 x 10(-2) and NoV:1.14 x 10(-1)-1.13 x 10(-1)) were markedly higher than the threshold values recommended by US EPA (10(-4) DALY pppy) and WHO (10(-6) DALY pppy). The sensitivity analysis highlighted dose exposure and disease burden per case (DBPC) as two most influential factors for both workers and residents following exposure to two pathogens of concern. Due to high resistance and high concentration in the environment, the presence of RoV and NoV can intensify the consequences of diarrhea especially for children under five years of age; A comprehensible and transparent presentation of DALYs and QMRA can help decision makers and responsibilities to justify the priorities of exposure to wastewater in comparison with other risks of daily life. (C) 2019 Elsevier Ltd. All rights reserved.
机译:从健康的角度出发,至关重要的是要提供一个综合模型,该模型整合病毒传播及其对人体的影响所涉及的所有参数。为了估计对工人和居民的健康风险,与暴露于废水处理(WWTP)的空气传播病毒有关,通过实时聚合酶链反应(RT)测量了十二个月内排放的生物气溶胶中病毒的浓度水平( RT-PCR)。高斯李子扩散模型和定量微生物风险评估(QMRA)结合蒙特卡罗模拟的组合,是合适的解释工具,用于估计由于暴露于含有轮状病毒(RoV)和诺如病毒(NoV)的空气中而导致胃肠道疾病(GI)的风险生物气溶胶。此外,DALY度量标准用于量化工人和居民的残疾和死亡率。在曝气池上方检测到RoV和NoV,年平均浓度分别为27和3099(Viruses / m(3).h)。介质计算得出的DALY指标是基于污染物源中的病毒载量(RoV:5.76 x 10(-2)和NoV:1.23 x 10(-1))并在不同距离(300-1000 m)处估算的(RoV:2.87 x 10(-2)-2.75 x 10(-2)和NoV:1.14 x 10(-1)-1.13 x 10(-1))明显高于US EPA(10(-4)DALY)建议的阈值pppy)和WHO(10(-6)DALY pppy)。敏感性分析强调,暴露于两种令人关注的病原体后,剂量暴露和每例疾病负担(DBPC)对工人和居民都是两个最有影响力的因素。由于环境中的高抵抗力和高浓度,RoV和NoV的存在会加剧腹泻的后果,尤其是对五岁以下儿童而言;对DALYs和QMRA的全面而透明的介绍可以帮助决策者和责任者证明暴露于废水中的优先事项与日常生活中的其他风险相比是否合理。 (C)2019 Elsevier Ltd.保留所有权利。

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