332 © IWA Publishing 2011 Water Quality Research Journal of Canada | 46.4 | 2011 Application of risk assessment tools to small drinking water systems in British Columbia Ian Michael Summerscales and Edward A. McBean ABSTRACT A number of risk assessment tools have been developed for drinking water systems, but there is a lack of published independent evaluation of how well the tools incorporate the multiple barrier approach to drinking water safety. Selected risk assessment tools were evaluated by applying the tools to five small drinking water systems serving residential developments in British Columbia. The selected risk assessment tools generally identified hazards and vulnerabilities in the source, Ian Michael Summerscales (corresponding author) Edward A. McBean University of Guelph, 50 Stone Road East, Guelph, ON N1G 2W1, Canada E-mail: [email protected] distribution, storage and monitoring barriers of the water systems. The risk assessment tools had varying levels of success identifying vulnerabilities in the treatment barrier. In some cases, the existing tools consider the presence or absence of a water system barrier, such as a disinfection process or a monitoring procedure, but do not consider how effective or appropriate that barrier is. A common shortcoming of the risk assessment tools is the failure to identify the need for multiple treatment processes capable of removing or inactivating pathogens, which is particularly important for surface water supplies. In addition to not incorporating the multiple barrier approach into the evaluation of the treatment barrier, none of the risk assessment tools successfully reflected the interconnected nature of the water system barriers. Key words | British Columbia, drinking water, multiple barrier approach, risk assessment ABBREVIATIONS INTRODUCTION B.C. Screening British Columbia drinking water source- Pathogen contamination of drinking water has been ident- Tool to-tap screening tool ified as the most significant human health risk on an BWA boil water advisory international scale (Ritter et al. ). To protect public DWO drinking water officer health, many jurisdictions have developed more strict drink- GLUMRB Great Lakes-Upper Mississippi River Board ing water legislation, such as the Total Coliform Rule in the of State and Provincial Public Health and United States, which established monitoring requirements Environmental anagers and legal limits for coliform bacteria in drinking water. groundwater under the direct influence of Nevertheless, legislation based on monitoring finished surface water water quality alone has not been sufficient to prevent water- T hydraulic residence time borne disease outbreaks in the United States and other MRA Tool microbial risk assessment ranking tool developed nations. These outbreaks have shown that coli- PWS Tool public water supplies form bacteria are not good indicators of the presence of WQA water quality advisory waterborne pathogens, including protozoa (Craun et al. ) GUDI doi: 10.2166/wqrjc.2011.102 333 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools Water Quality Research Journal of Canada | 46.4 | 2011 and enteric viruses (Borchardt et al. ). The failure of whether the tools could capture the risks and vulnerabilities monitoring programs based on total coliform bacteria is observed by an inspector, and how well the tools incorporate of even greater concern for small water systems, which the multiple barrier approach to drinking water safety. generally have reduced sampling frequencies, and hence are less likely to detect intermittent contamination events (Craun et al. ). For instance, private water supplies in METHODS England and Wales, which supply only 0.5% of consumers in those countries, were implicated in 36% of waterborne Case studies disease outbreaks over the period of 1970–2000 (Said et al. ). All five of the British Columbia water systems that were vis- The failure of compliance strategies based on monitor- ited were considered to be ‘small systems’ because they serve ing to prevent waterborne disease outbreaks in communities fewer than 500 persons (Ministry of Health Services ). served by public water systems has emphasized the need There are over 3,300 water systems in the Province of British for better methods of identifying vulnerable water systems Columbia (B.C.). The 96 municipally owned water systems (The Groundwater Foundation ). As a result, a in the province serve 90% of the population; small public number of jurisdictions have moved towards a risk-based and private water systems serve the remaining 10% of the drinking water management framework. The Australian population (Halliday ). A study of annual disease rates Drinking Water Guidelines 2004 and the Drinking-water in a BC community for the period 1996 to 2005 showed Standards for New Zealand 2008 and their respective that disease rates were significantly higher for individuals supporting documents include risk assessment components with private wells when compared with individuals living that make reference to the multiple barrier approach to in the same area that were served by a municipal water drinking water safety. In both cases, the water supplier is supply (Uhlmann et al. ). responsible for identifying the hazards and risks that are appli- The water systems were visited over the course of a four cable to their water system. However, owing to a lack of day period in July 2009. The site visit to each water system resources and expertise in risk assessment, it may not be lasted between 3 and 5 hours, and included the opportunity realistic for small water systems to perform risk assessments to interview the operator or other water system representa- and develop plans to manage those risks on an individual tive(s), review available design documents and monitoring basis (World Health Organization ). data, and complete an inspection of the water system Risk assessment tools have been developed specifically source, treatment, and storage and distribution infrastruc- for small water systems. Unfortunately, there is a lack of ture. These site visits allowed for the collection of data independent published data where existing risk assessment necessary to complete the risk assessment tools. tools are applied to small water systems in order to evaluate To maintain confidentiality, the small water systems how well these tools identify the hazards and vulnerabilities have been assigned generic names based on the type of that could result in microbial contamination of the water water supply. system, or how well they incorporate the multiple barrier approach to drinking water safety. Groundwater system A This paper builds on the results of previous research by Summerscales & McBean (), which used historic water- Groundwater system A was brought into service in 2005 to borne disease outbreaks as case studies to determine provide a new subdivision of 36 residential lots with water whether selected risk assessment tools were capable of iden- for potable use and firefighting purposes. At the time of tifying the hazards and vulnerabilities that led to the the inspection, approximately half of the lots had been outbreaks. In this paper, the selected risk assessment tools developed. were applied to five small water systems serving residential Groundwater system A is supplied by two wells: a pri- developments in British Columbia in order to determine mary water supply well and a back-up well. Raw water 334 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools from both wells enters the treatment building through the Water Quality Research Journal of Canada | 46.4 | 2011 Groundwater system C same PVC forcemain. A 12 wt% sodium hypochlorite solution is injected into the raw water before it enters a The development served by groundwater system C is along 456 m3 underground reservoir designed to provide contact the east shore of a lake. Groundwater system C has over time and storage for firefighting purposes. The reservoir is 100 service connections, including a large resort complex. designed such that chlorinated water can enter one of two The majority of the service connections, including the parallel reservoir cells through a baffled inlet. Both cells dis- resort, are seasonal. charge to the wet cell, which the distribution system lift Groundwater system C is supplied by a single ground- pumps and fire pump draw from. The submersible pumps water well. The well is constructed in a belowground in the supply wells are controlled by adjustable level chamber that is located in a wooded area, approximately switches in the reservoir. 25 m from a creek and 250 m from the lake. The submers- A Boil Water Advisory (BWA) was issued for ground- ible well pump is controlled by level switches in a 114 m3 water system A at one point, after a distribution sample underground reservoir that supplies the distribution system tested positive for Escherichia coli. The operator attributed with water by gravity flow. Raw water from the well enters this result to fecal contamination at the residential sample a ductile iron distribution water main, which carries water tap. For the period between the positive result and the to the reservoir and throughout the distribution system. inspection, all samples for microbiological analysis have Drinking water receives no treatment prior to entering the been collected from a sink in the treatment building. None distribution system. of those samples was positive for microbial parameters. A BWA was issued for groundwater system C approximately eight years before the inspection based on a water Groundwater system B sample that had been collected shortly after the reservoir was cleaned. There had been no adverse results in the two Groundwater system B serves approximately 75 properties, years prior to the inspection. including a community centre, a medical clinic and a restaurant. Most of the water system infrastructure was Surface water system D approximately 35 years old at the time of the inspection. Groundwater system B is supplied by two wells: a 300 Surface water system D is located along the west shore of a millimetre (mm) well that acts as the primary water supply lake. Surface water system D had been in operation for and a 150 mm diameter well that acts as the secondary approximately 20 years at the time of the inspection. The supply. Both wells are constructed in below ground well water system serves approximately 40 residential lots, chambers that are located approximately 40 m from the roughly half of which are developed. Approximately one- bank of a river. The submersible well pumps are controlled quarter of residences are occupied year-round. by the water level in a 98 m3 underground reservoir that Surface water system D is supplied with raw water by a supplies the distribution system with water by gravity flow. submersible pump located in the lake. Raw water enters the Raw water from both wells enters a 200 mm asbestos- pump house, which is located on the shore of the lake, where cement distribution water main, which carries water to the it is treated by ultraviolet (UV) irradiation in order to achieve reservoir and throughout the distribution system. Drinking primary disinfection. The submersible pump is controlled by water receives no treatment prior to entering the distribution level switches in a concrete reservoir with an operating system. capacity of 145 m3, which provides the village with treated Based on the available records, two distribution samples water for domestic and firefighting purposes by gravity flow. collected from groundwater system B had tested positive for Treated water is transported to the reservoir, and throughout total coliform bacteria in the 10 year period prior to the the distribution system, by a 150 mm PVC water main. inspection. There had been no adverse water quality results in the calendar year prior to the inspection. A Water Quality Advisory (WQA) was issued for surface water system D in 2008 after two distribution 335 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools samples collected for microbial analysis on the same day Water Quality Research Journal of Canada | 46.4 | 2011 Risk assessment tools were overgrown such that the total coliform count could not be determined accurately. These samples were col- For the purpose of this paper, the British Columbia Drinking lected shortly after the annual chlorination of the storage Water Source-to-Tap Screening Tool (B.C. Screening Tool), reservoir and flushing of the distribution system. The distri- the Montana Water Center Microbial Risk Assessment rank- bution samples collected five days later during the follow- ing tool (MRA Tool), and the risk assessment forms in the up sampling event were also positive for total coliform Scottish Private Water Supplies Technical Manual (PWS bacteria, but there had been no additional adverse results Tool) were applied to the aforementioned five small drinking between that time and the inspection. The WQA was water systems. These tools were selected because they lifted early in 2009, upon completion of a site inspection include risk assessment surveys with specific questions that by a public health inspector. address different aspects of the water system, and do not rely on the user to identify all of the risks and vulnerabilities Surface water system E applicable to the water system. As a result, they are more suitable tools for use at small water systems, where the system Surface water system E is located along the west shore of a owners or operators are less likely to have sufficient lake. The water system serves 26 residential lots, some of resources or expertise to identify all of the vulnerabilities or which are seasonal. risks that are relevant to the water system (World Health Surface water system E is supplied by two submersible Organization ). Although the tools have some pumps located in the lake in separate intake lines. Only common survey questions, they have different formats, use one pump is in use at a given time. Raw water is pumped different scoring systems to identify and rank risks, and uphill to the treatment building. Filtration is provided by require different levels of involvement from regulatory auth- two sets of filter housings that are installed in parallel, orities. Relevant features of the selected risk assessment tools which are typically outfitted with 10, 5, and 1-μm nominally are summarized in Table 1. Additional background infor- rated bag filters in series in order to remove sediment from mation regarding the selected risk assessment tools was the raw water prior to disinfection. Chlorination is provided previously published by Summerscales & McBean (). by two chemical metering pumps, which have separate This study focuses on the output from the tools with injection points so both pumps can be in operation at the respect to microbial risks and vulnerability to microbial same time, if necessary. A commercial bleach solution is contamination. The decision to focus on microbial contami- used for chlorination. Chlorinated water enters a 150 mm nation was made partly because the MRA Tool does not PVC distribution water main that carries water through address chemical hazards, but primarily because pathogenic the lower branch of the distribution system to a 133 m3 con- contamination represents the greatest risk to drinking water crete reservoir. Designated residents turn the raw water safety (Hrudey & Hrudey ). pumps and treatment system on and off manually based on the level in the reservoir. When the lake pumps are not in operation, a booster station pumps water from the reservoir to the upper branch of the distribution system, and RESULTS AND DISCUSSION the lower branch of the distribution system receives treated water from the reservoir by gravity flow. A distribution sample collected from surface water The discussion of the results of the site inspections and the completion of the risk assessment tools is organized in terms system E in 2008 tested positive for total coliform bacteria. of the barriers to drinking water contamination. The five bar- There were no positive results for microbial parameters riers were summarized as follows by Hrudey & Hrudey (): between that time and the inspection. There was a historical BWA for surface water system E, although that occurred before upgrades were made to the water treatment system. • Source protection measures to maintain raw water quality and reduce the risk of contamination entering the water supply 336 Table 1 I. M. Summerscales & E. A. McBean | | Evaluation of drinking water risk assessment tools Water Quality Research Journal of Canada | 46.4 | 2011 Summary of selected risk assessment tools Publication year B.C. Screening Tool MRA Tool 2004 2004 PWS Tool 2006 ® Format Paper checklist Microsoft Excel spreadsheet Paper checklist User Owner/operator Owner/operator Local health authority Regulatory role Drinking water officer (DWO) reviews the completed tool N/A Local authority completes the risk assessment Hazards assessed Chemical and microbial Microbial Chemical and microbial Scoring/ranking system N/A Semiquantitative microbial risk scores (scale of 0 to 1) are assigned to each survey question based on user input; scores are aggregated to assign a total score to each survey and the water system Qualitative risk characterization scores (i.e. low to high) are assigned to each survey question, survey and the water system based on user input. Semiquantitative hazard assessment scores (scale of 1 to 256) are calculated for survey questions based on user input Output DWO reviews the completed tool and identifies aspects of the water system that represent a risk. The DWO may order comprehensive assessment if necessary Microbial risk scores are summarized in tables and charts. The spreadsheet also generates comments regarding survey questions that received high risk scores Priorities for corrective action are selected based on hazard assessment scores References Ministry of Health Services and Ministry of Water, Land, and Air Protection (, ) Butterfield and Camper () Scottish Executive () • • • • Treatment processes to remove or inactivate pathogens procedures, if such procedures were in place, would be Distribution system security to prevent the contamination effective. Owing to the lack of relevant information avail- of treated water, and maintenance of a disinfection able for the inspected water systems, the selected risk residual to ensure delivery of safe water to consumers assessment tools were not evaluated with respect to how Monitoring activities to ensure that treatment processes well they incorporate the response barrier of drinking are reliable, and to detect contamination water safety. Response activities to address adverse conditions The selected risk assessment tools are more focused on Results for the source protection barrier the first four barriers, which address the physical infrastructure of the water system and its performance. With respect The three selected risk assessment tools generally identified to response procedures, the B.C. Tool and PWS Tool include hazards located near a groundwater well, such as the questions regarding the preparation of an emergency septic systems serving individual residences in each of the response or emergency action plan, but do not address the communities with a groundwater supply. Survey questions details of these documents in sufficient depth to determine regarding these potential sources of microbial contami- whether they would be effective in the event of an emer- nation received relatively high risk scores for both the gency. Although a BWA had been issued for three of the MRA and PWS tools. With respect to the two communities case study water systems in the past, none of the water sys- served by surface water supplies, the three risk assessment tems was under a BWA at the time of inspection. As a result, tools identified sources of contamination in the watershed it would be difficult to determine whether existing response including upstream discharges from municipal wastewater 337 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools Water Quality Research Journal of Canada | 46.4 | 2011 plants, septic systems serving the residents of the commu- GUDI based on the input to the PWS Tool. The B.C. Tool nity, and wildlife. The survey questions regarding upstream collects information regarding the construction and depth discharges in both the MRA and PWS tools also received of the well, the setback from surface water bodies, the relatively high scores. water supply aquifer and the presence of a confining layer, It is important for the risk assessment tools to identify assuming that information is available. It would then be vulnerabilities in the construction or current condition of the responsibility of the drinking water officer (DWO) to the wells, given the strong correlation between well con- interpret the input to the B.C. Tool to determine whether struction and the likelihood of contamination (Ritter et al. the available information suggests that the supply well is vul- ). Both the MRA and PWS tools identified unscreened nerable and requires further assessment. Only the MRA Tool vents on the water supply wells at groundwater system A addresses the GUDI concept directly, and includes a survey as potential points of entry for vermin. The water supply question regarding the results of the GUDI assessment, if wells for groundwater systems B and C were constructed one has been performed. The maximum risk score for that in below-ground well chambers that were not watertight. survey question would be assigned if the well has been ident- All three risk assessment tools recognized the well chamber ified as GUDI, or if there is no information available construction as being vulnerable, as surface water could regarding the supply aquifer. enter the chamber and pool in the area around the wells If the user changes the input to the MRA Tool source during snowmelt or severe storm events, potentially submer- survey question regarding aquifer type such that the water ging the well casing. supply is an unconfined GUDI well instead of a confined The risk assessment tools had varying levels of success non-GUDI well, there is a noticeable increase in the risk when determining whether a groundwater supply was score calculated for the source survey as a result. However, ‘groundwater under the direct influence of surface water’ the change in the supply aquifer type does not have an (GUDI). This information is particularly important to the impact on the treatment survey questions or their relative risk assessment process, as GUDI supplies are generally importance, despite the fact that chlorination, which can considered to be more vulnerable to contamination by typically provide the required log inactivation of viruses pathogens that are associated with surface contamination, given a relatively short contact time, does not effectively such as Cryptosporidium oocysts and Giardia cysts. As a inactivate Cryptosporidium oocysts (Ministry of the Environ- result, GUDI supplies have far more stringent treatment ment ). In order to account for the interdependent standards than groundwater supplies in some jurisdictions, nature of the water system barriers, such as the effect that in order to ensure that these pathogens are effectively variations in raw water quality due to surface contamination removed or inactivated (Ministry of the Environment can have on the performance of the treatment barrier, the ). A review of waterborne disease outbreaks in the US input to the source survey regarding the vulnerability of for the period of 1991 to 1998 identified a number of cryp- the source should be taken into account when assessing tosporidiosis and giardiasis outbreaks that occurred in the downstream barriers. At this time, none of the selected communities with groundwater supplies (Craun et al. risk assessment tools incorporates rules that automatically ), which emphasizes the importance of assessing increase the relative importance of the treatment barrier or whether a groundwater supply is vulnerable to surface survey questions regarding the performance of the treatment water and sewage contamination. barrier in the event that the source is classified as GUDI. The PWS risk assessment form for boreholes does not collect any information regarding the local geology, the Results for the treatment barrier water supply aquifer, or the presence of nearby surface water bodies with the exception of a survey question that With the exception of two survey questions regarding the addresses evidence of ‘poor drainage causing stagnant/ operation and maintenance of point of entry or point of standing water’ (Scottish Executive ). As a result, it is use water treatment systems, the PWS risk assessment difficult to determine whether a given water supply is forms do not address treatment. As a result, the PWS tool 338 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools will not be discussed further with respect to the treatment barrier. The treatment survey of the B.C. Tool identifies the disinfection process used to treat a water supply, but does not collect any information regarding the design or performance of the disinfection process. Of the selected risk assessment Table 2 Water Quality Research Journal of Canada | Design parameter 416 Based on the capacity of the duty lift pump, assumes one of two pumps in operation Water use Peak flow rate (L/min) Storage tank volume (m3) 98 a water system is calculated by multiplying the effective contact time provided by a chemical disinfection process, Contact volume (m3) 69 T (min) 165 Baffling factor Average T10/T 0.5 hydraulic residence time, T. The T10/T ratio for a water treat- T10 (min) 382 ment process can be estimated based on the design and Water quality construction of the reservoir providing contact time. pH measured in minutes, by the concentration of the disinfec- ‘the length of time during which not more than 10 [percent] of influent water’ will pass through that treatment process 10 Based on a groundwater source with a partially buried reservoir CT requirement for virus inactivation 6 4 log removal/inactivation at pH ¼ 6–9, T ¼ 10 C (Ministry of the Environment ) Calculated free chlorine residual (mg/L) 0.08 Temperature ( C) whether the existing chemical dosing equipment has suffiflow rate. However, only the surface water treatment surveys consider the frequency with which the treatment system CT calculations W meets CT requirements. The MRA Tool treatment survey questions for groundwater systems do not consider the main performance indicator for chemical disinfection systems, Based on a reservoir with baffled inlets, and a three cell layout that provides internal baffling Based on a historical result for the primary well W cient capacity to meet CT requirements at the system design Based on the water level at the well no. 3 ‘on’ switch 7.4 The MRA Tool surveys for both groundwater and surface water treatment systems include a question to determine 2011 Assumptions Disinfection process (Ministry of the Environment ), is used instead of the | Value cept when assessing the treatment system. The CT value for milligrams per litre (mg/L). The T10 value, which represents 46.4 CT calculations for groundwater system A tools, the MRA Tool is the only one that refers to the CT con- tant in water as it exits that process, measured in | and as a result, place more importance on the presence of a treatment barrier than in the performance and operation of that barrier. The chlorine dosing rate selected by the water system operators can have a significant impact on the quality the storage reservoir effluent is necessary to achieve 4 log of treated water, as illustrated by the waterborne disease out- inactivation of viruses, which is the level of disinfection break in Walkerton, Ontario. Walkerton Public Utilities that a DWO should consider when issuing a construction Commission operators consistently ‘added significantly less or operating permit for a new water system in British Columbia chlorine than was required’ (O’Connor ). If a free (Drinking Water Leadership Council ). Based on infor- chlorine residual of 0.5 mg/L after 30 min of residence time mation collected during the site inspection, the treatment had been maintained in treated water throughout the contami- equipment installed at groundwater system A was capable nation incident that led to the waterborne disease outbreak, of providing the CT necessary to achieve primary disinfection bacteria present in the raw water would have been inactivated for the full range of flow rates for domestic use. However, prior to entering the distribution system (O’Connor ), the free chlorine residual in treated water samples collected which would have limited the scope of the outbreak. from the treatment building sink was often below the 0.5 mg/L CT calculations for groundwater system A in Table 2 detection limit of the chlorine test swabs used for monitoring indicate that a free chlorine concentration of 0.08 mg/L in purposes. If the operator cannot accurately measure the 339 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools Water Quality Research Journal of Canada | 46.4 | 2011 free chlorine residual, then the CT value for the water per square centimetre (mJ/cm2) at the design flow rate system cannot be calculated, and there is no guarantee that (GLUMRB ). The MRA Tool was the only risk assess- primary disinfection has been achieved. Also, if the free ment tool that identified a number of design flaws in the chlorine residual is below the detection limit under UV system that would likely prevent it from consistently normal operating conditions, the water system operator achieving the 40 mJ/cm2 UV dose. Despite the fact that it would not be able to detect changes in treated water identified design flaws in the only barrier capable of inacti- quality in the event that the storage reservoir became vating pathogens present in the water supply of surface contaminated. water system D, the MRA Tool did not make any recommen- If the water system does not provide treatment prior to dations regarding the installation of a filtration system distribution, as was the case for groundwater systems B capable of removing surface water pathogens prior to the and C at the time of the inspection, the MRA Tool assigns UV treatment. When issuing a construction or operating a risk score of zero to the treatment survey for that system. permit for a small system treating a surface water or GUDI This appears to understate the level of risk associated with supply in British Columbia, guidance documents suggest distributing untreated groundwater. A German study that the DWO consider including a requirement for two showed that areas where the majority of residents were sup- treatment processes that, in combination, are capable of plied with treated surface water had significantly lower meeting the recommended log inactivation or removal incidence rates of gastroenteritis compared with areas requirements (Drinking Water Leadership Council ). where most residents were supplied with groundwater, Another issue with the MRA Tool is that it does not which was attributed to the low proportion of groundwater address the full range of treatment technologies used by supplies that were disinfected (Dangendorf et al. ). Dis- small water systems, such as the bag filters that provide sedi- infection is typically the last barrier that is capable of ment removal prior to chlorination for surface water system removing or inactivating pathogens before the water enters E. The B.C. Screening Tool is somewhat more flexible with the distribution system, and in the case of most groundwater respect to treatment processes. To complete the B.C. Tool supplies, may be the only barrier capable of removing or treatment survey, the water supplier only needs to indicate inactivating pathogens. In summary, a risk assessment tool whether the raw water is filtered, and whether the treatment that assigns a risk score of zero to the treatment survey system includes filtration or other processes capable of when there is no treatment present, does not accurately rep- removing pathogens and their ‘carriers’, such as turbidity resent the risk associated with distributing untreated water. (Ministry of Health Services and Ministry of Water, Land The treatment systems installed at surface water systems and Air Protection ). Turbidity is widely used as a surro- D and E and the output from the selected risk assessment gate parameter for pathogen removal in filtration and tools for these treatment systems demonstrate some of the removal processes. However, filtration equipment, such as problems with the incorporation of the multiple barrier the bag filters installed at surface water system E, may be approach for these tools. For surface water system D, the capable of reducing turbidity without effectively removing only treatment that surface water received prior to entering pathogens. As a result, the user input for this survey question the distribution system was UV irradiation. The B.C. Tool may be somewhat misleading, and may result in the DWO treatment survey recognizes that surface water system D is having false confidence in the robustness of the filtration treated by UV disinfection alone, but does not collect any barrier in place for the small water system. information regarding the design or performance of the The need for an effective filtration barrier that is capable UV system. The Recommended Standards for Water of removing surface water pathogens is especially important Works, prepared by the Great Lakes – Upper Mississippi for surface water system E, as chlorination cannot effec- River Board of State and Provincial Public Health and tively inactivate Cryptosporidium oocysts (Ministry of the Environmental Managers (GLUMRB), states that UV sys- Environment ). Historical waterborne outbreaks of tems must undergo validation testing to demonstrate that cryptosporidiosis have occurred in a number of commu- they are capable of providing a UV dose of 40 millijoules nities served by water treatment plants that used 340 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools Water Quality Research Journal of Canada | 46.4 | 2011 chlorination to achieve primary disinfection, but did not control program in place. The distribution survey questions have a filtration process capable of removing Cryptospori- regarding dium oocysts (Hrudey & Hrudey ). The chlorination received relatively high risk scores for the remainder of system installed at surface water system E was also unlikely the water systems. cross-connections and backflow prevention to meet the CT requirements for 3-log inactivation of Giar- The risk assessment tools also identified a number of vul- dia cysts, which is the level of disinfection that a DWO nerabilities in the construction or current condition of the should consider when issuing a construction or operating water storage infrastructure. The storage facilities serving permit for a new water system (Drinking Water Leadership the five water systems were either completely or partially Council ). The reservoir that stores treated water at sur- buried tanks constructed from concrete or metal. All three face water system E was not designed to enhance contact risk assessment tools identified issues with unscreened sto- time; a single pipe was both the inlet to and outlet from rage tank overflow lines or vents at groundwater system B the reservoir, and there were no baffles or recirculation and surface water systems D and E. The MRA and PWS equipment inside the reservoir to promote mixing. As a tools also identified issues with access hatch construction at result, the effective contact time provided by the reservoir groundwater systems A and B and surface water system E, was minimal. Even if the reservoir was designed to enhance such as hatches that were not vermin- or waterproof, or did mixing, the reservoir was located such that the lower branch not have sufficient clearance above either the top of the of the distribution system conveyed water to the reservoir as tank or ground level to prevent the hatch from being buried well as supplying a number of residences with potable water. or submerged. If vulnerabilities were present in the storage If these residents consumed water while the lake pump was tank construction, the relevant survey questions in both the on and the reservoir was being filled, they would consume MRA and PWS tools received relatively high scores. water directly from the water treatment plant, which has The B.C. Tool and MRA Tool identified low free chlor- received minimal contact time after chlorination. The ine residual levels in the distribution system as a weakness output from the MRA Tool for surface water system E in the distribution system barrier for all five water systems. reflects the high risk associated with distributing water Groundwater system A and surface water system E were that rarely meets CT requirements by assigning the highest the only systems that used chlorination to provide disinfec- risk score for the treatment survey to the survey question tion, but at the time of the inspection, both had recent regarding disinfected water quality. distribution system monitoring results where the free chlorine concentration was below either the target concentration Results for the distribution and storage barrier (listed as 0.2 mg/L in the MRA distribution survey) or the detection limit of the chlorine monitoring equipment being The distribution system is the barrier that is capable of pre- used. As a result, the MRA Tool distribution survey question serving the quality of treated water from the time it leaves regarding residual disinfection received a relatively high the treatment plant until it is delivered to the user score for both groundwater system A and surface water (Geldreich & Singley ). As a result, it is critical that system E, although not as high as for the water systems drinking water risk assessment tools identify vulnerabilities that did not provide residual disinfection. The free chlorine and risks that could allow microbial contamination of the residual does not necessarily provide effective disinfection water within the distribution system. capacity in the event that microbial contamination enters The selected risk assessment tools were generally suc- the distribution system (Hrudey & Hrudey ), but a sig- cessful in identifying physical vulnerabilities in the nificant decrease in the free chlorine residual does provide distribution system infrastructure. All of the selected risk an indication of a major contamination event. The combi- assessment tools included survey questions regarding the nation of chlorination to maintain a free chlorine residual presence of either backflow prevention devices or an and a thorough free chlorine monitoring program in the dis- enforced cross-connection program. Of the five water sys- tribution system could have reduced the scope and duration tems, only groundwater system C had a cross-connection of a number of documented waterborne disease outbreaks, 341 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools including the previously mentioned Walkerton outbreak (Hrudey & Hrudey ). Water Quality Research Journal of Canada | 46.4 | 2011 The B.C. Screening Tool storage survey includes a question regarding design features that encourage water The storage survey of the MRA Tool includes a question circulation and prevent chlorine decay. This is the only regarding excessive drawdown or stagnation in the storage one of the selected risk assessment tools that includes reservoir. The hydraulic residence time (T) for the storage a survey question that addresses the internal design of reservoirs was calculated based on the operating volume the water storage infrastructure directly. None of the risk of the individual reservoirs and the calculated average day assessment tools considers the design of water storage water demand for each system based on the number of resi- infrastructure in terms of providing or maximizing contact dences occupied during high and low use periods, assuming time. This is likely because reservoirs that provide contact water use of 1,000 litres per day per dwelling. As seen in time, often referred to as clear wells, are generally con- Table 3, all of the reservoirs with the exception of the reser- sidered to be part of the treatment plant and not part of voir for groundwater system B had a T of greater than 2 days the distribution system (Kirmeyer ). Regardless, the for at least part of the year, and, as a result, were identified design of these facilities remains important, as it can have as having excessive storage capacity by the MRA Tool sto- a significant impact on CT calculations. rage survey. Water systems that use potable water for firefighting Results for the monitoring barrier purposes generally require greater storage volumes and a larger distribution water main in order to meet fire flow The frequency with which distribution samples were col- requirements. The increased residence time in storage lected and submitted to the local health authority for facilities and the distribution system increases the time microbial analysis ranged from two samples per week to between drinking water treatment and consumption. Resi- one sample per quarter, depending on the water system. dence time can be further increased if there are extended More frequent sampling was generally required for water periods of reduced water demand, either because a rela- systems using surface water sources. tively large number of the serviced lots are occupied on a All of the selected risk assessment tools include ques- seasonal basis, as seen at groundwater system C, or tions regarding recent monitoring results. The MRA Tool because a relatively large number of lots are undeveloped, includes the most specific questions regarding sampling as was the case for groundwater system A. The resulting locations and practices, including a question in the distri- increase in residence time in storage facilities and the dis- bution survey regarding the collection of water samples for tribution system further increases the potential for chlorine microbial and free chlorine analyses near dead ends and low flow areas of the distribution system. A relatively high decay. risk score was assigned if no samples had been collected in these areas, which applied to groundwater systems A Table 3 | and C, or if a recent sample collected in these areas had Estimated T in drinking water storage reservoirs tested positive for total coliform bacteria, which applied to T Operating 3 surface water systems D and E. A risk score of zero was Water system volume (m ) Operating scenario (d) Groundwater system A 388 All connections Developed properties 10.8 18.5 Groundwater system B 90 All connections 1.2 near the six distribution system dead ends on a rotating Groundwater system C 103 All connections Year-round users 1.0 9.3 basis, and none of these samples tested positive for total coli- 3.6 7.3 14.5 However, as groundwater system B collects one sample for Surface water system D Surface water system E 145 116 All connections Developed properties Year-round users All connections 4.5 assigned to this survey question for groundwater system B, as samples for microbial analysis are collected at locations form bacteria in the three years prior to the inspection. microbial analysis per quarter, current sampling practices are unlikely to accurately reflect variations in water quality throughout the distribution system, as a water sample will 342 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools Water Quality Research Journal of Canada | 46.4 | 2011 be collected near each dead end approximately once every vulnerabilities in the design or current condition of the 18 months. This illustrates a common problem with risk source, distribution, storage and monitoring infrastructure. assessment tools and other surveys, where risk scores are Of the selected tools, the MRA Tool requires the greatest assigned to survey questions based on the presence or amount of input regarding the design and performance of absence of a piece of equipment, an operating procedure, the existing treatment infrastructure. As a result, the MRA or an aspect of the water system, but the survey question Tool identified some vulnerabilities in the treatment barrier does not account for whether that aspect of the water that were not identified by the other two risk assessment tools. system is suitable or effective. One shortcoming that all of the selected risk assessment The B.C. Screening Tool includes a survey question tools share is the failure to reflect the interconnected nature regarding the use of alarms to notify operators in the event of the water system barriers. With respect to the source that monitoring equipment detects a low free chlorine barrier, it is important for a risk assessment tool to deter- residual, or other conditions that could arise at the treat- mine whether the source is vulnerable to surface water ment plant and have a negative impact on water quality contamination. If surface water pathogens can enter the (Ministry of Health Services and Ministry of Water, Land raw water supply, then the downstream treatment barrier and Air Protection ). The MRA Tool treatment surveys must be capable of removing or inactivating those patho- also include questions that address the need for continuous gens. monitoring equipment for both disinfection processes and emphasized the need for additional treatment barriers in turbidity to be connected to alarms. The risk scores assigned the event that a groundwater source was identified as to these questions take the type of alarm into account, being GUDI based on user input regarding the source aqui- whether it is an audible or visual alarm located at the treat- fer or well construction. None of the selected risk assessment tools ment plant, or an alarm message sent to an on-call operator. The multiple barrier approach should also be incorpor- If the alarm message can be sent to an on-call operator at a ated within the treatment barrier, such that there are remote location, the MRA Tool assigns a risk score of zero multiple processes capable of removing or inactivating the to the survey question. The ability to immediately notify an pathogens of concern. Both surface water systems D and E on-call operator of a critical water system failure is particu- had a single treatment barrier that was not capable of consist- larly important for small water systems, which are unlikely ently achieving the recommended log removal levels for to staff the treatment plant 24 h per day. pathogens. However, none of the risk assessment tools Of the five small water systems, only groundwater emphasized the need for a filtration process capable of system A has continuous monitoring equipment installed. removing pathogens to be installed prior to the disinfection A continuous chlorine analyser is installed in the treatment process in order to improve treated water quality and protect building such that it can monitor the free chlorine residual the health of water system users. As a result, the development of water leaving the reservoir; however the monitoring of new risk assessment tools should focus on incorporating equipment was not in use at the time of the inspection. As the multiple barrier approach, such that the need for robust a result, the MRA Tool treatment survey question regarding downstream treatment barriers is emphasized in the event monitoring and alarms for disinfection equipment received that the source barrier is vulnerable to contamination. a relatively high risk score, similar to the results for surface water systems D and E. This study identified flaws in the B.C. Tool and MRA Tool, which collected information regarding the presence of a treatment process (i.e. the chlorination equipment at groundwater system A) or a monitoring procedure (i.e. col- CONCLUSIONS lection of samples near the distribution system dead ends at groundwater system B), but did not consider the how Based on the five small water systems presented as case well the barrier had performed or how appropriate the pro- studies in this paper, the selected risk assessment tools had cedure was for the water system. Poor operation and varying levels of success in identifying hazards and performance of treatment barriers that were capable of 343 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools achieving pathogen removal has contributed to a number of historical drinking water outbreaks, including the Walkerton outbreak (Hrudey & Hrudey ). To accurately reflect the current level of risk associated with a water system, a risk assessment tool must consider the performance of the water system barriers, not just the design of the barriers that are in place. ACKNOWLEDGEMENTS This research was financially supported by a research grant from the Canadian Water Network and the NSERC strategic research program. The time and information provided by the representatives of the small water systems that were visited as part of this study was greatly appreciated. Denny RossSmith of the Small Water Users Association of British Columbia was also incredibly helpful in selecting and providing contact information for the small water systems that were included in this study. REFERENCES Borchardt, M. A., Bertz, P. D., Spencer, S. K. & Battigelli, D. A. Incidence of enteric viruses in groundwater from household wells in Wisconsin. Appl. Environ. Microbiol. 69, 1172–1180. Butterfield, P. W. & Camper, A. K. Development of a toolbox to assess microbial contamination risks in small water systems. J. Water Health 2, 217–232. Craun, G. F., Calderon, R. L. & Nwachuku, N. Causes of waterborne outbreaks reported in the United States, 1991– 1998. In: Drinking Water and Infectious Disease: Establishing the Links (P. R. Hunter, M. Waite & E. Ronchi, eds). IWA Publishing, London, pp. 105–117. Dangendorf, F., Herbst, S., Reintjes, R. & Kistemann, T. Spatial patterns of diarrhoeal illnesses with regard to water supply structures – a GIS analysis. Int. J. Hyg. Environ. Health 205, 183–191. Drinking Water Leadership Council Drinking Water Officers’ Guide. Ministry of Health Services, British Columbia, Canada. Available from: http://www.health.gov.bc.ca/ protect/dwoguide_updated_approved%202007.pdf [accessed 27 December 2010]. Geldreich, E. E. & Singley, J. E. Ontario Water Suppliers: Two Experts’ Assessments – Walkerton Inquiry Commissioned Paper 24. Ontario Ministry of the Attorney General, Toronto. Water Quality Research Journal of Canada | 46.4 | 2011 Great Lakes – Upper Mississippi River Board of State and Provincial Public Health and Environmental Managers Recommended Standards for Water Works, 2007th edition. Health Research Inc., Albany. Halliday, R. A. Water, Critical Infrastructure Protection and Emergency Management. Public Safety and Emergency Preparedness Canada, Ontario. Available from: http://dsppsd.pwgsc.gc.ca/collection_2008/ps-sp/PS4-7-2004E.pdf [accessed 11 November 2009]. Hrudey, S. E. & Hrudey, E. J. Walkerton and North Battleford – key lessons for public health professionals. Can. J. Public Health 93, 332–333. Hrudey, S. E. & Hrudey, E. J. Safe Drinking Water: Lessons from Recent Outbreaks in Affluent Nations. IWA Publishing, London. Kirmeyer, G. J. Maintaining Water Quality in Finished Water Storage Facilities. American Water Works Association, Denver, CO. Ministry of the Environment Procedure for Disinfection of Drinking Water in Ontario. Ministry of the Environment, Ontario. Available from: http://www.ene.gov.on.ca/ stdprodconsume/groups/lr/@ene/@resources/documents/ resource/std01_079706.pdf [accessed 11 August 2009]. Ministry of Health Services Drinking Water Protection Regulation. Ministry of Health Services, British Columbia, Canada. Available from: http://www.bclaws.ca/EPLibraries/ bclaws_new/document/ID/freeside/10_200_2003 [accessed 27 December 2010]. Ministry of Health Services and Ministry of Water, Land and Air Protection Drinking Water Source-to-Tap Screening Tool. Ministry of Health Services and Ministry of Water, Land and Air Protection, British Columbia, Canada. Available from: http://www.health.gov.bc.ca/protect/pdf/ BC_Drinking_ Water_Screening_Tool.pdf [accessed 20 January 2008]. Ministry of Health Services and Ministry of Water, Land and Air Protection Comprehensive Drinking Water Source to Tap Assessment Guideline: Draft for Pilot Assessments. Ministry of Health Services and Ministry of Water, Land and Air Protection, British Columbia, Canada. Available from: http://www.interiorhealth.ca/uploadedFiles/ Health_and_Safety/Drinking_Water/Source%20to%20Tap% 20Assessment%20Guide.pdf [accessed 20 January 2008]. O’Connor, D. Report of the Walkerton Inquiry: The Events of May 2000 and Related Issues. Ontario Ministry of the Attorney General, Toronto. Ritter, L., Solomon, K., Sibley, P. & Hall, K. J. Sources, Pathways, and Relative Risks of Contaminants in Water: Walkerton Inquiry Commissioned Paper 10. Ontario Ministry of the Attorney General, Toronto. Said, B., Wright, F., Nichols, G. L., Reacher, M. & Rutter, M. Outbreaks of infectious disease associated with private drinking water supplies in England and Wales 1970–2000. Epidemiol. Infect. 130, 469–479. Scottish Executive Private Water Supplies: Technical Manual. Scottish Executive, Edinburgh. Available from: 344 I. M. Summerscales & E. A. McBean | Evaluation of drinking water risk assessment tools http://www.privatewatersupplies.gov.uk/private_water/files/ Full%20Doc.pdf [accessed 20 January 2008]. Summerscales, I. M. & McBean, E. A. Evaluation of risk assessment tools to predict Canadian waterborne disease outbreaks. Water Quality Res. J. Canada 45, 1–11. The Groundwater Foundation Protecting Our Water: A Primer for Preventing Pathogenic Contamination of Drinking Water Sources. Nebraska. Available from: http://www. groundwater.org/gi/pathogen_primer.html [accessed 20 August 2008]. Water Quality Research Journal of Canada | 46.4 | 2011 Uhlmann, S., Galanis, E., Takaro, T., Mak, S., Gustafson, L., Embree, G., Bellack, N., Corbett, K. & Isaac-Renton, J. Where’s the pump? Associating sporadic enteric disease with drinking water using a geographic information system, in British Columbia, Canada, 1996–2005. J. Water Health 7, 692–698. World Health Organization Guidelines for Drinking-Water Quality: Incorporating First Addendum. Volume 1, Recommendations, 3rd edn. World Health Organization, Geneva. First received 6 January 2011; accepted in revised form 25 November 2011
© Copyright 2026 Paperzz