Tenets of a holistic approach to drinking water-associated pathogen research, management, and communication

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dc.contributor.authorProctor, Caitlinen
dc.contributor.authorGarner, Emilyen
dc.contributor.authorHamilton, Kerry A.en
dc.contributor.authorAshbolt, Nicholas J.en
dc.contributor.authorCaverly, Lindsay J.en
dc.contributor.authorFalkinham, Joseph O. IIIen
dc.contributor.authorHaas, Charles N.en
dc.contributor.authorPrevost, Micheleen
dc.contributor.authorPrevots, D. Rebeccaen
dc.contributor.authorPruden, Amyen
dc.contributor.authorRaskin, Lutgardeen
dc.contributor.authorStout, Janeten
dc.contributor.authorHaig, Sarah-Janeen
dc.date.accessioned2022-07-20T12:33:34Zen
dc.date.available2022-07-20T12:33:34Zen
dc.date.issued2022-03-01en
dc.description.abstractIn recent years, drinking water-associated pathogens that can cause infections in immunocompromised or otherwise susceptible individuals (henceforth referred to as DWPI), sometimes referred to as opportunistic pathogens or opportunistic premise plumbing pathogens, have received considerable attention. DWPI research has largely been conducted by experts focusing on specific microorganisms or within silos of expertise. The resulting mitigation approaches optimized for a single microorganism may have unintended consequences and trade-offs for other DWPI or other interests (e.g., energy costs and conservation). For example, the ecological and epidemiological issues characteristic of Legionella pneumophila diverge from those relevant for Mycobacterium avium and other nontuberculous mycobacteria. Recent advances in understanding DWPI as part of a complex microbial ecosystem inhabiting drinking water systems continues to reveal additional challenges: namely, how can all microorganisms of concern be managed simultaneously? In order to protect public health, we must take a more holistic approach in all aspects of the field, including basic research, monitoring methods, risk-based mitigation techniques, and policy. A holistic approach will (i) target multiple microorganisms simultaneously, (ii) involve experts across several disciplines, and (iii) communicate results across disciplines and more broadly, proactively addressing source water-to-customer system management.en
dc.description.notesThe work was supported in part by the Division of Intramural Research, National Institute of Allergy and Infectious Diseases (National Institutes of Health, Bethesda, MD, USA), the University of Pittsburgh's Central Development Research Fund and the Water Research Foundation (Award 5721). The sponsors had no role in the decision to submit this work for publication.en
dc.description.sponsorshipDivision of Intramural Research, National Institute of Allergy and Infectious Diseases (National Institutes of Health, Bethesda, MD, USA); University of Pittsburgh's Central Development Research Fund; Water Research Foundation [5721]en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1016/j.watres.2021.117997en
dc.identifier.eissn1879-2448en
dc.identifier.issn0043-1354en
dc.identifier.other117997en
dc.identifier.pmid34999316en
dc.identifier.urihttp://hdl.handle.net/10919/111300en
dc.identifier.volume211en
dc.language.isoenen
dc.publisherPergamon-Elsevier Scienceen
dc.rightsCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectPathogensen
dc.subjectDrinking wateren
dc.subjectBuilding plumbingen
dc.subjectLegionellaen
dc.subjectnontuberculous mycobacteriaen
dc.subjectOpportunistic premise plumbing pathogens (OPPs)en
dc.titleTenets of a holistic approach to drinking water-associated pathogen research, management, and communicationen
dc.title.serialWater Researchen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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