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    Ruthie Jane P. Locayon, M.D., DPCP

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    Is essential to support life No water, No Life

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    Clear Colorless

    Free from objectionable taste and odor

    Must not contain: Any organisms

    Chemicals

    Radioactive materials

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    Sewage Human or animal excreta

    Other wastes Agricultural run-off water with pesticides

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    Water is unsafe for human consumption whenit contains pathogenic and non-pathogenicorganism.

    - WHO, 1993

    Microbial contamination is still consideredthe most

    critical risk factor in drinking waterquality.

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    Food and waterborne diseases are amongthe most common causes of diarrhea.

    Seventy percent of diarrhea due to food andwaterborne diseases have resulted fromingestion of contaminated food or water.

    Diarrheal diseases for the past 20 years is thenumber one cause of morbidity and mortality,

    incidence rate is high as 1,997 per 100,000population while mortality rate is 6.7 per100,000 population.

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    Between 1988 and 1998, outbreak of FWBDsranks first (typhoid fever), second (cholera),fourth (food poisoning), sixth (hepatitis A),*and eight (diarrhea).

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    1. Barrier approach involving treatment of

    wastewater and raw water with disinfection,purification, etc.

    2. Establishing allowable limits of indicators ofwater quality.

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    Competence needed in the ability todemonstrate the presence and absence of aparticular organism/class of organism in agiven sample volume and provide an estimate

    of their number.

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    Outbreak investigation of waterborne disease Assessing safety, stability of water and water

    products for public consumption.

    Determining level of sanitation duringproduct preparation.

    Regulatory compliance.

    Incidence surveys

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    Source water must be free from fecalcontamination.

    Adequately treating fecal contaminated water.

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    Bacteria Viruses

    Protozoa

    Helminths

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    Salmonella Shigella

    Escherichia coli

    Vibrio cholera Campylobacter jejuni

    Poliovirus, echovirus, Hepatitis Type A,Rotavirus, Norwalk virus

    Giardia, Cryptosporidium, E. histolytica

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    The methods of isolation and enumeration todetect the presence of many pathogens arecomplex and time-consuming

    Detection of organisms normally present inthe feces of man and animals is used asindicator of excrement pollution in water.

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    Indicates the presence of fecal materials. Possible presence of all relevant pathogens

    Absence of fecal commensal organismsindicate that pathogens are probably alsoabsent.

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    Indication of excrement pollution

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    Always present when pathogenic organism ofconcern is present

    And absent in clean uncontaminated water

    Present in large numbers in the feces ofhumans and warm blooded animals

    Easily isolated, identified and enumerated.

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    Respond to environmental conditions andtreatment process similarly with othermicroorganisms

    Ratio of indicator/pathogens should be high

    Indicator and pathogens should come fromthe same source (gastrointestinal tract)

    No organism fulfill all the criteria for anindicator organism butcoliform bacteriafulfill most.

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    Easy to detect and enumerate in water Ability to ferment lactose in culture at 35C

    Should not be detected in treated watersupply

    Aerobic, facultative anaerobic

    gram,-negative, non-spore forming

    Rod-shaped

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    E. coli most numerous Enterobacter

    Klebsiella

    Citrobacter False-positive results: coliforms from natural

    aquatic flora and Aeromonas

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    Subgroup of total coliform Ability to ferment lactose at 44C

    Can be human or animal origin

    Comprise the genus E. coli

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    Normally found in human and animalintestines

    Most reliable indicator of fecal contaminationin water.

    Facultative anaerobe

    Lactose-fermenting

    Oxidase-negative

    Gram-negative bacilli, motile

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    Broad group which include: Pathogens and non-pathogens

    Opportunistic microorganisms

    Indicate general biological condition of

    drinking water Supporting data on the significance of

    coliform test results

    Efficiency of various treatment process

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    Multiple Tube Fermentation Technique Presumptive Test

    Lauryl Tryptose Broth

    Positive result gas formation within 24-48 hours

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    Multiple Tube Fermentation Technique Confirmed Test

    BGLB gas formation within 24-48 hours

    EC gas formation within 24 hours or less

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    Multiple Tube Fermentation Technique Completed Test

    Single strength Lauryl Tryptose Broth

    Completed result gas formation

    LES Endo/MacConkey agar Gram staining gram-negative bacteria

    (Lawrence Experimental Station )

    (LES) formula

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    The number of positive findings of coliformgroup organisms resulting from multiple-formation decimal dilution plantings

    Estimates the density of coliforms in the

    sample

    Index of the number of coliform bacteria.

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    Inoculate 20 ml water sample to 5 LTB

    35C for 24-48 H

    Presumptive testRecord no. of (+) tubes

    44C water bath also for 24 hours

    35C water bath also for 24-48H

    Confirmatory test

    Record no. of (+) tubes

    EC(+) and BGLB(+) =(+) completed test

    Completed test

    Gram stain

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    No. of positivetubes MPNindex/100ml Lower limit Upper limit0 8.0

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    Total Coliform

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    Sample container Made of glass or plastic (pre-sterilized)

    Wide-mouthed

    Use 120 ml clear bottle

    Add 0.1 ml 3% sodium thiosulfate for chlorinatedwater sample

    Volume of sample: Required volume should not be less than 100 ml

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    Clean the tap Open the tap/pump outlet

    Wipe using clean cloth or cotton swab

    After cleaning the tap, flush for 1-2 minutes

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    Sterilize the tap Close the tap or pump outlet and sterilize by

    flaming with ignited cotton swab.

    NOTE: For plastic tap, sterilize with cotton soaked

    with cotton swab soaked in chlorox or 100 mg/Lsodium hypochlorite solution

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    Flush the tap Open the tap and allow water to flow for 1-2

    minutes.

    Maintain normal pumping of water when sampling

    hand pumps.

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    Open the sterilized sampling bottle Untie the string of the protective paper cover and

    unscrew cap.

    Hold the cap with the protective paper cover facing

    downward to avoid contamination.

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    Fill the bottle Fill the bottle, avoid touching the mouth of the

    bottle to the tap during filling.

    Fill the bottle up the shoulder or leave at least 2.5

    cm air space to facilitate mixing by shaking prior toanalysis.

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    Cap the bottle Tightly screw the cap together with the protective

    paper cover on the bottle.

    Secure cover with string.

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    Label the bottle Write the data and time of sampling, name of

    collector, water sampling point code on a maskingtape.

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    Store the bottle Place the sampling bottle in a cooler with ice or ice

    gel pack.

    Do not submerge the bottle in ice water during

    storage and transport.

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    Transport the water sample to the examiningwater laboratory immediately within 6 hoursafter collection or within 24 hours aftercollection under proper storage condition

    (stored in an ice chest/box with sufficient iceor ice gel pack.)

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    Heterotrophic plate count Formerly Standard Plate count

    Procedure for estimating the number of liveheterotrophic bacteria in water.

    Measures changes during water treatment anddistribution or in swimming pools

    Employed as indicators of the proper functioning ofprocess and thereby as indirect indicators of watersafety.

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    Heterotrophic plate count As a measure of numbers of re-growth (growth

    following drinking water treatment)that may or maynot have sanitary significance.

    Measure of possible interference with coliformmeasurements in lactose-based culture methods.

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    Heterotrophic plate count Pour Plate Method

    Simple to perform

    Can accommodate volumes of sample or diluted

    sample ranging from 0.1 to 2.0 ml. Colonies produced are relatively small and compact.

    Media used R2A and NWRI agar.

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    Heterotrophic plate count Quebec ColonyCounter used Spread Plate Method

    Limited by the small volume of sample or diluted

    sample that can be absorbed by the agar. To use this procedure, maintain a supply of suitable

    pre-dried absorbent agar plates.

    Media used R2A and NWRI agar.

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    Membrane filter technique added expense ofthe membrane filter Benefits:

    Concentration of larger samples on a membrane filter

    is a key benefit over the MPN and Pour Plate andSpread Plate Technique.

    Highly reproducible

    Usually yields numerical results more rapidly thanMTFT.

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    Membrane filter technique Uses:

    Used by water treatment plants to monitor drinking,waste and surface water for the presence of coliformbacteria and E.coli

    Used for microbial monitoring to the followingindustries.

    Pharmaceutical

    Cosmetics

    Electronics

    Food and beverage

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    Membrane filter technique Advantages:

    Permits testing of large sample volumes (of low turbiditywater)

    Reduces preparation time as compared to many traditional

    methods. Allows isolation and enumeration of discreet colonies of

    bacteria.

    Provides presence or absence information within 24 hours

    Effective and acceptable technique. Used to monitor drinking

    water in government laboratories. Useful for bacterial monitoring in the pharmaceutical,

    cosmetics, electronics and food beverage industries.

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    Membrane filter technique Procedure:

    Collect the sample and make any necessary dilutions.

    Flame the forceps and remove the membrane filter intothe funnel assembly.

    Flame the pouring lip of the sample container and pourthe sample into the tunnel.

    Turn on the vacuum and allow the sample to drawcompletely through the filter.

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    Membrane filter technique Procedure:

    Rinse funnel with sterile buffered water. Turn onvacuum and allow the liquid to draw completelythrough the filter.

    Flame the forceps and remove the membrane filterfrom the funnel.

    Place the membrane filter into the prepared Petri dish.

    Incubate the proper temperature and for the

    appropriate time period. Count the colonies under 10-15x magnification.

    Confirm the colonies. (ID)

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    Enzyme substrate coliform test (Chromogenicsubstrate test)

    Principle: Total coliform bacteria

    Chromogenic substrate Ortho-nitrophenyl--D-galactopyranoside (ONPG) or chlorophenol-red -D-galactopyrasonide (CPRG) detects enyme -D-galactosidaseproduced by coliforms

    Fecal coliform (E. coli)

    Fluorogenic substrate 4 methylumbelliferyl--D-

    glucoronide (MUG) detects enyme -glucoronidase producedby fecal coliforms

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    Enzyme substrate coliform test (Chromogenicsubstrate test)

    Principle: Colorless: negative

    Yellow: Total Coliforms Yellow Fluorescence: E. coli

    May be quantified in Quanti Tray.

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    A. MULTIPLE TUBE FERMENTATION TECHNIQUEInoculate 5 tubes of 10ml LSB triplestrength, 10 ml with 20 ml water sample

    Incubate at 35C for 24 hours

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    B. AQUA HETEROTROPHIC COUNT PLATE

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    A. MULTIPLE TUBE FERMENTATION TECHNIQUE1. Look for gas production in LSB

    if + inoculate BGLB incubate at 35C for 24hrs

    inoculate EC incubate at 44C for 24hrs

    if - re-incubate for another 24hrs

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    B. AQUA HETEROTROPHIC COUNT PLATE1. Count number of coloniesinterpret

    2. End of exercise

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    A. MULTIPLE TUBE FERMENTATION TECHNIQUE1. Read LSB that were negative after 24 hrs and is + after

    48hrs

    if + inoculate BGLB and EC

    if - discard end of procedure

    2. Read BGLB ( from + LSB on Day 2 after 24 hrs incubation)

    if + inoculate Mac Conkey incubate at 35C for 24hrs

    if - reincubate

    3. Read EC (from + LSB on Day 2 after 24 hrs incubation)

    if + positive for fecal coliformsif - absence of fecal coliforms

    Discard EC after reading

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    1. Read MacConkey for colored colonies ( from BGLB after24hrs)

    if + inoculate LSB single strength and incubate for

    24-48hrs

    inoculate TSA slant and incubate

    if - discard

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    2. Those inoculated from LSB after 48hrsRead BGLB ( after 48 hrs incubation)

    if + inoculate Mac Conkey incubate at 35C for 24 hrs

    if - discard

    Read EC

    if + positive for fecal coliforms

    if - absence of fecal coliforms

    if BGLB and EC are negative END OF PROCEDURE

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    1. From MacConkey (from BGLB after 24hrs)Read LSB single strength and incubate for another 24hrsif negative

    if + positive for coliforms

    if - no coliforms

    From TSA SlantDo gram stain and look for gram negative bacilli2. Read MacConkey for colored colonies ( from BGLB after48hrs)

    if + inoculate LSB single strength and incubate for

    24-48hrs

    inoculate TSA slant and incubate

    if - discard

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    1. From MacConkey (from BGLB after 48hrs)Read LSB single strength and incubate for another 24hrsif negative

    if + positive for coliforms

    if - no coliforms

    From TSA SlantDo gram stain and look for gram negative bacilli

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    Group WaterSource Presumptivetestof+tubes

    Confirmatorytest of+ tubesMPN Completed Test Remarks

    BGLB

    EC BGLB EC MC LTB

    1 1 5 5 0 >8.0 + + Unsafe