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Agricultural activities can result in the contamination of surface runoff with pathogens, pesticides, and nutrients. These pollutants can enter surface water bodies in two ways: by direct discharge into surface waters or by infiltration and recharge into groundwater, followed by release to surface waters. Lack of financial resources makes risk assessment through analysis of drinking water pollutants challenging for drinking water suppliers. Inability to identify agricultural lands with a high-risk level and implement action measures might lead to public health issues. As a result, it is essential to identify hazards and conduct risk assessments even with limited data. This study proposes a risk assessment model for agricultural activities based on available data and integrating various types of knowledge, including expert and literature knowledge, to estimate the levels of hazard and risk that different agricultural activities could pose to the quality of withdrawal waters. To accomplish this, we built a Bayesian network with continuous and discrete inputs capturing raw water quality and land use upstream of drinking water intakes (DWIs). This probabilistic model integrates the DWI vulnerability, threat exposure, and threats from agricultural activities, including animal and crop production inventoried in drainage basins. The probabilistic dependencies between model nodes are established through a novel adaptation of a mixed aggregation method. The mixed aggregation method, a traditional approach used in ecological assessments following a deterministic framework, involves using fixed assumptions and parameters to estimate ecological outcomes in a specific case without considering inherent randomness and uncertainty within the system. After validation, this probabilistic model was used for four water intakes in a heavily urbanized watershed with agricultural activities in the south of Quebec, Canada. The findings imply that this methodology can assist stakeholders direct their efforts and investments on at-risk locations by identifying agricultural areas that can potentially pose a risk to DWIs.
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ABSTRACT Wastewater-based epidemiology has emerged as a promising tool to monitor pathogens in a population, particularly when clinical diagnostic capacities become overwhelmed. During the ongoing COVID-19 pandemic caused by Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2), several jurisdictions have tracked viral concentrations in wastewater to inform public health authorities. While some studies have also sequenced SARS-CoV-2 genomes from wastewater, there have been relatively few direct comparisons between viral genetic diversity in wastewater and matched clinical samples from the same region and time period. Here we report sequencing and inference of SARS-CoV-2 mutations and variant lineages (including variants of concern) in 936 wastewater samples and thousands of matched clinical sequences collected between March 2020 and July 2021 in the cities of Montreal, Quebec City, and Laval, representing almost half the population of the Canadian province of Quebec. We benchmarked our sequencing and variant-calling methods on known viral genome sequences to establish thresholds for inferring variants in wastewater with confidence. We found that variant frequency estimates in wastewater and clinical samples are correlated over time in each city, with similar dates of first detection. Across all variant lineages, wastewater detection is more concordant with targeted outbreak sequencing than with semi-random clinical swab sampling. Most variants were first observed in clinical and outbreak data due to higher sequencing rate. However, wastewater sequencing is highly efficient, detecting more variants for a given sampling effort. This shows the potential for wastewater sequencing to provide useful public health data, especially at places or times when sufficient clinical sampling is infrequent or infeasible.