Partnership Webcast

Pepper Mild Mottle : A plant pathogen with a greater purpose in microbial water quality analyses!

Thursday, May 30, 2019 3pm - 4pm ET (1pm MT/2pm CT)

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4 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Agenda

3:00 – 3:05pm: Welcome, Purpose and Overview of WRF Partnership Webcast

3:05 – 3:10pm: Live Polling

3:10 – 3:40pm: Pepper Mild Mottle Virus: A plant pathogen with a greater purpose in microbial water quality analyses! Dr. Erin M. Symonds, University of South

3:40 – 3:45pm: Progress and Activities on Viral Water Quality

Dr. Kyle Bibby, University of Notre Dame

3:45 – 4:00pm: Q & A

4:00 pm: Adjorn

5 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. What does WRF do?

Accelerate the adoption of Identify, prioritize and fund new technologies in the water research for the water sector. sector.

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6 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. 7 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Research Research Program Priority

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8 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Pepper Mild Mottle Virus: A plant pathogen with a greater purpose in microbial water quality analyses Dr. Erin M. Symonds Postdoctoral Researcher University of South Florida May 30, 2019

© 2019 The Water Research Foundation. ALL RIGHTS RESERVED. No part of this presentation may be copied, reproduced, or otherwise utilized without permission. Fecal pollution is a global burden

• Disease burden > 3 million ‘disability-adjusted life years’

• Economic burden > $USD 12 billion

Ralston et al. 2011, Shuval 2003 10 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Many different parasites, bacteria, and are found in wastewater

Campylobacter Ascaris Giardia lamblia E.coli 0157:H7 Hepatitis A jejuni

Vibrio Cryptosporidium Norovirus Salmonella Rotavirus cholerae

Image: Canadian Food Inspection Agency2 11 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Many different parasites, bacteria, and viruses are found in wastewater

Campylobacter Ascaris Giardia lamblia E.coli 0157:H7 Hepatitis A jejuni

Vibrio Cryptosporidium Norovirus Salmonella Rotavirus cholerae

Image: Canadian Food Inspection Agency2 12 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Many different parasites, bacteria, and viruses are found in wastewater

Image: Getty Images/3DClinic Campylobacter Ascaris Giardia lamblia E.coli 0157:H7 Hepatitis A jejuni

Vibrio Cryptosporidium Norovirus Salmonella Rotavirus cholerae

Image: Canadian Food Inspection Agency2 13 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Enteric viruses are responsible for a significant fraction of disease worldwide

Image: Getty Images/3DClinic Campylobacter Ascaris Giardia lamblia E.coli 0157:H7 Hepatitis A jejuni

Vibrio Cryptosporidium Norovirus Salmonella Rotavirus cholerae

Summarized in Lin & Ganesh 2013 Image: Canadian Food Inspection Agency2 14 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Indicators are used to study the fate of enteric pathogens in environmental waters & systems

Images: (left) US EPA1 ; (right) EM Symonds 15 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. An ideal indicator should…

• Have simple and affordable detection methods

• Have a decay and removal rate comparable to that of the pathogen of concern

• For use as a fecal pollution indicator, – not be present in environmental waters naturally – be present in polluted waters in concentrations correlated with the amount of fecal pollution

16 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Fecal indicator bacteria are the most commonly used indicators

• Affordable & easy methods • Decay & removal rates similar to bacterial pathogens • As fecal pollution Fecal indicator bacteria (FIB) indicator, enterococci • Fecal coliforms correlated to illness at • Escherichia coli polluted beaches in temperate latitudes • Enterococci

Image: http://resizeandsave.online/dappy-May_2_2.html 17 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Fecal indicator bacteria frequently do not reflect the presence of enteric pathogens

• Can give results that are • false-negative because FIB are more susceptible to treatment • false-positive, in presence of secondary sources in the environment

Image: http://resizeandsave.online/dappy-May_2_2.html 18 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Fecal indicator bacteria frequently do not reflect the presence of enteric pathogens

• Cannot be used to identify the source of fecal pollution in the environment because FIB are excreted by all warm and some cold- blooded animals

Image: http://resizeandsave.online/dappy-May_2_2.html 19 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Viral indicators are used to study the fate of enteric viruses in the environment and in systems

Summarized in Lin & Ganesh 2013

Image: (left) Naranson3; (right) Wazzzup7up4 20 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Viral indicators are used to study the fate of enteric viruses in the environment and in systems

Coliphages are affordable indicators • F-specific RNA • Somatic

Summarized in Lin & Ganesh 2013

Image: (left) Naranson3; (right) Wazzzup7up4 21 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Reference pathogens are also used as viral indicators

Adenovirus Norovirus

Polyomavirus Rotavirus

Summarized in Lin & Ganesh 2013 Images: RCSB PDB 6,5,8,7 22 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Sometimes reference pathogens are in lower concentrations, which make their detection difficult

• 102 – 104 per ml in domestic wastewater

Adenovirus • Consistently present in domestic wastewater

Polyomavirus

Lin & Ganesh 2013, Kitajima et al. 2014

Images: RCSB PDB 6,8 23 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Sometimes reference pathogens are in lower concentrations, which make their detection difficult

• ≤ 103 per ml in domestic wastewater Norovirus • Variable concentrations in domestic wastewater Rotavirus

Kitajima et al. 2014, Lin & Ganesh 2013, Symonds et al. 2018

Images: RCSB PDB 5,7 24 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. No ideal indicator for enteric viruses exists

Adenovirus Norovirus

Polyomavirus Rotavirus Summarized in Lin & Ganesh 2013

Images: RCSB PDB 6,5,8,7, Wazzzup7up4 25 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Image: Aimme Blodgett, University of South Florida 26 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. What is the most abundant virus in human feces? - Dr. Mya Breitbart

Image: Aimme Blodgett, University of South Florida 27 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Pepper Mild Mottle Virus: The most common RNA virus in human feces!

Zhang et al. 2006

Image: Anthony Greco, University of South Florida 28 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is widespread in agriculture

Images: (left) UF/IFAS9, Vecteezy10, Wolfmann11, US EPA1 29 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Up to 100 million PMMoV per ml of processed food products

Colson et al. 2010, Zhang et al. 2006

Images: (left) UF/IFAS9, Vecteezy10, Wolfmann11, US EPA1 30 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Up to 1 billion PMMoV per gram of feces I’m still infectious!!

Zhang et al. 2006, Summarized in Harwood et al. 2013

Images: (left) UF/IFAS9, Vecteezy10, Wolfmann11, US EPA1 31 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Up to 10 million PMMoV per ml of wastewater

❑ First proposed as fecal pollution indicator by Rosario et al. 2009 • > 106 PMMoV per ml wastewater • 104 – 107 PMMoV per ml effluent

Rosario, Symonds, et al. 2009

Images: (left) UF/IFAS9, Vecteezy10, Wolfmann11, US EPA1 32 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV detected in polluted waters and absent from waters far from pollution

❑ First proposed as fecal pollution indicator by Rosario et al. 2009 • > 106 PMMoV per ml wastewater • 104 – 107 PMMoV per ml effluent • Absent from surface waters without pollution • Detectable for 7 days post introduction to seawater

Rosario, Symonds, et al. 2009

Images: (left) UF/IFAS9, Vecteezy10, Wolfmann11, US EPA1 33 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising domestic wastewater indicator even though…

Rosario, Symonds et al. 2009

Images: UF/IFAS9, USDA12, Sanchezn13, Vecteezy10, Wolfmann11, US EPA1 34 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Is PMMoV a useful indicator to study the fate of enteric viruses in environmental waters & in systems?

Images: (left) US EPA1 ; (right) EM Symonds 35 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Explore the use of PMMoV as a fecal indicator and process indicator

Verbyla, Symonds, et al. ES&T 2016 36 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Images: ME Verbyla 37 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Pathogen and indicator concentrations in Rocha River and riverbank filtration well

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well Well Well

Well

Well

Well

Well

Well

Well

River River River

River

River

River

River

River River

38 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Pathogen and indicator concentrations in Rocha River and riverbank filtration well

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well Well Well

Well

Well

Well

Well

Well

Well

River River River

River

River

River

River

River River

39 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Pathogen and indicator concentrations in Rocha River and riverbank filtration well

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well Well Well

Well

Well

Well

Well

Well

Well

River River River

River

River

River

River

River River

40 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Rocha River is highly contaminated with fecal pathogens and indicators

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well Well Well

Well

Well

Well

Well

Well

Well

River River River

River

River

River

River

River River

41 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. The well water had lower concentrations of fecal pathogens and indicators

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well Well Well

Well

Well

Well

Well

Well

Well

River River River

River

River

River

River

River River

42 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Viruses and viral indicators were

2.0- to >3.5-log10 less abundant in the well water

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well

Well

Well

Well

Well

Well

Well Well

Well

River

River

River

River

River

River

River River River

43 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV reductions were similar to those of enteric viruses after riverbank filtration

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well

Well

Well

Well

Well

Well

Well Well

Well

River

River

River

River

River

River

River River River

44 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV was detected in greater concentrations than other enteric viruses after riverbank filtration

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Below method

quantification limit

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well

Well

Well

Well

Well

Well

Well Well

Well

River

River

River

River

River

River

River River River

45 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV was a useful indicator to study the fate of enteric viruses in river water and through riverbank filtration

E.coli Coliphage Giardia Crypto Rotavirus Adenovirus Norovirus PMMoV HF183

Concentration liter per Concentration

Concentration liter per Concentration

10 10

10 10

Log

Log

Well

Well

Well

Well

Well

Well

Well Well

Well

River

River

River

River

River

River

River River River

46 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV may be a promising indicator of enteric viruses on crops

Image: ME Verbyla 47 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising fecal pollution indicator in environmental waters

48 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Up to 10 million PMMoV per ml of wastewater throughout the world

❑ Consistently detected in high concentrations ❑ Geographic range • Americas • • Asia • Africa •

Summarized Symonds et al. 2018, Symonds et al. 2019, and Kitajima et al. 2018

Images: (left) UF/IFAS9, Vecteezy10, Wolfmann11, US EPA1 49 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a reliable marker of domestic wastewater even though…

it can be found in avian, dog, and cow feces.

Summarized Symonds et al. 2018, Symonds et al. 2019, and Kitajima et al. 2018

Images: UF/IFAS9, USDA12, Sanchezn13, Vecteezy10, Wolfmann11, US EPA1 50 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising fecal pollution indicator in environmental waters Water Extent of Pooled Pooled Min Max type wastewater PMMoV pathogen PMMoV PMMoV pollution detection co-occurrence per liter per liter

groundwater point, 72% 23% 101 106 treated non-point 35% 5% 10-1 107 coastal point, 72% 61% 102 107 treated non-point 53% 12% 102 103 unknown 11% 0% 104 104 fresh point, 94% 72% 101 108 untreated point, 86% 68% 102 106 treated unknown 68% n/a 102 103

Summarized Symonds et al. 2018 51 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising fecal pollution indicator in environmental waters Water Extent of Pooled Pooled Min Max type wastewater PMMoV pathogen PMMoV PMMoV pollution detection co-occurrence per liter per liter

groundwater point, 72% 23% 101 106 treated non-point 35% 5% 10-1 107 coastal point, 72% 61% 102 107 treated non-point 53% 12% 102 103 unknown 11% 0% 104 104 fresh point, 94% 72% 101 108 untreated point, 86% 68% 102 106 treated unknown 68% n/a 102 103

Summarized Symonds et al. 2018 52 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising fecal pollution indicator in environmental waters Water Extent of Pooled Pooled Min Max type wastewater PMMoV pathogen PMMoV PMMoV pollution detection co-occurrence per liter per liter

groundwater point, 72% 23% 101 106 treated non-point 35% 5% 10-1 107 coastal point, 72% 61% 102 107 treated non-point 53% 12% 102 103 unknown 11% 0% 104 104 fresh point, 94% 72% 101 108 untreated point, 86% 68% 102 106 treated unknown 68% n/a 102 103

Summarized Symonds et al. 2018 53 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising fecal pollution indicator in environmental waters

• Consistently higher concentrations make detection easier and overcomes methods limitations • Absent from unpolluted environmental waters • Presence in water reflects extent of wastewater pollution • Detection associated with illness above the US EPA health benchmark in recreational waters polluted with untreated wastewater

Summarized Symonds et al. 2018 and Kitajima et al. 2018 Image: US EPA1 54 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Is PMMoV a useful indicator to study the fate of enteric viruses in environmental waters & in systems?

Images: (left) US EPA1 ; (right) EM Symonds 55 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV as a wastewater treatment process indicator

Symonds, Verbyla, et al., Water Res 2014 Image: EM Symonds 56 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Two wastewater treatment pond systems

3 Pond System

Alto Beni, Bolivia 3 Pond System

UASB Pond System UASB Pond System

Images: ME Verbyla 57 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. 3 Pond System UASB Pond System • Served 780 people • Served 1310 people • Theoretical hydraulic • Theoretical hydraulic retention retention time 26 days time 26-57 days

• 2-log10 – 6-log10 fecal • 2-log10 – 4-log10 fecal coliform coliform removal removal

Images: ME Verbyla 58 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. 3 Pond System UASB Pond System • Served 780 people • Served 1310 people • Theoretical hydraulic • Theoretical hydraulic retention retention time 26 days time 26-57 days

• 2-log – 6-log10 fecal coliform • 2-log – 4-log10 fecal coliform removal removal

Images: ME Verbyla 59 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Images: ME Verbyla 60 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Limited virus removal in the wastewater pond systems based on molecular methods

3 Pond System UASB Pond System

PMMoV concentrations were three orders of magnitude greater than those of norovirus and rotavirus throughout both treatment systems

Images: ME Verbyla 61 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. … but removal of culturable enteroviruses observed in both systems

3 Pond System UASB Pond System

• 3.1-log10 removal of • 0.8-log10 removal of culturable culturable viruses viruses

Images: ME Verbyla 62 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. What drove the differences in the removal of culturable enterovirus between the systems?

Virus-particle attachment may explain the difference… Large Mid

180 0.45 40 ml μm μm WW filter filter

Likely to Likely to Settle Shield

Images: ME Verbyla 63 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Sedimentation is not the primary virus removal mechanism

3 Pond System UASB Pond System

PMMoV, norovirus, & rotavirus were found in very low concentrations associated with particles likely to settle in both systems.

Images: ME Verbyla 64 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Exposure to UV radiation is likely an important removal mechanism

3 Pond3 Pond SystemSystem System UASB PondPond System System

• 3.1-log10 removal of • 0.8-log10 removal of culturable culturable viruses viruses • Less than 25% viruses • As many as 75% viruses associated with UV- associated with UV-shielding shielding particles in particles in UASB effluent facultative pond effluent

Image: ME Verbyla 65 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV was a useful process indicator in our study on enteric virus removal in WTPs • PMMoV removal was similar to reference pathogens • PMMoV concentrations >>> than the reference pathogens; facilitating log-reduction calculations not possible the reference pathogens • High PMMoV concentrations facilitated identification of particle-associations and removal mechanisms

Image: Anthony Greco, University of South Florida 66 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising process indicator of (waste)water treatment • Found in higher concentrations; thus, facilitates thorough (waste)water treatment efficiency assessments at all scales • PMMoV reduction is less than or equal to human enteric viruses of concern when measured by molecular methods

Summarized Symonds et al. 2018 Image: US EPA1 67 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising indicator of enteric viruses An ideal indicator should… • Have simple and affordable detection methods

• Have a decay and removal rate comparable to that of the pathogen of concern

• For use as a fecal pollution indicator, – not be present in environmental waters naturally – be present in polluted waters in concentrations correlated with the amount of fecal pollution

68 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. PMMoV is a promising indicator of enteric viruses… An ideal indicator should… • Have simple and affordable detection methods

• Have a decay and removal rate comparable to that of the pathogen of concern

• For use as a fecal pollution indicator, – not be present in environmental waters naturally – be present in polluted waters in concentrations correlated with the amount of fecal pollution

69 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Future research is still needed … • Expanding PMMoV geographic range • Investigating correlation to health risk and enteric viruses under different contexts • Overall method improvements – Distinguish infectious viruses – Simple, affordable, rapid, lab-free

Symonds & Breitbart CLEAN 2015

Image: Anthony Greco, University of South Florida 70 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Learn more here about PMMoV & virus indicators here…

Bibby K, Crank K, Greaves J, Li X, Wu Z, Hamza IA, et al. Metagenomics and the development of viral water quality tools. NPJ Clean Water. 2019;2(1):9.

Kitajima M, Sassi HP, Torrey JR. Pepper mild mottle virus as a water quality indicator. NPJ Clean Water. 2018;1(1):19.

Symonds EM, Rosario K, Breitbart M. Pepper mild mottle virus: Agricultural menace turned effective tool for microbial water quality monitoring and assessing (waste)water treatment technologies. PLoS Pathog. 2019;15(4):e1007639.

Symonds EM, Nguyen KH, Harwood VJ, Breitbart M. Pepper mild mottle virus: A plant pathogen with a greater purpose in (waste)water treatment development and public health management. Water Res. 2018;144:1-12.

71 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Discovered in 2014, CrAssphage may be a promising viral indicator

72 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Acknowledgements

E.M. Symonds is supported by the US National Science Foundation under Grant OCE-1566562. Any opinions, findings, and conclusions or recommendations expressed in this material are those of the author(s) and do not necessarily reflect the views of the US NSF.

Special thanks to all co-authors, in particular Dr. Mya Breitbart, Dr. Karyna Rosario, and Dr. Matthew Verbyla.

Thank you for joining us today

73 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. References

Colson P, Richet H, Desnues C, Balique F, Moal V, Grob J-J, et al. Pepper mild mottle virus, a associated with specific immune responses, fever, abdominal pains, and pruritus in humans. PLoS ONE. 2010;5(4):e10041. Harwood VJ, Staley C, Badgley BD, Borges K, Korajkic A. Microbial source tracking markers for detection of fecal contamination in environmental waters: Relationships to pathogens and human health outcomes. FEMS Microbiol Rev. 2013;38(1):1-40. Kitajima M, Sassi HP, Torrey JR. Pepper mild mottle virus as a water quality indicator. NPJ Clean Water. 2018;1(1):19. Kitajima M, Iker BC, Pepper IL, Gerba CP. Relative abundance and treatment reduction of viruses during wastewater treatment processes — Identification of potential viral indicators. Sci Total Environ. 2014;488–489:290-6. Lin J, Ganesh A. Water quality indicators: bacteria, coliphages, enteric viruses. Int J Environ Health Res. 2013;23(6):484-506. Ralston EP, Kite-Powell H, Beet A. An estimate of the cost of acute health effects from food-and water-borne marine pathogens and toxins in the USA. J Water Health. 2011;9(4):680-94. Rosario K, Symonds EM, Sinigalliano C, Stewart J, Breitbart M. Pepper mild mottle virus as an indicator of fecal pollution. Appl Environ Microbiol. 2009;75(22):7261-7. Shuval H. Estimating the global burden of thalassogenic diseases: Human infectious diseases caused by wastewater pollution of the marine environment. J Water Health. 2003;1:53-64. Symonds EM, Rosario K, Breitbart M. Pepper mild mottle virus: Agricultural menace turned effective tool for microbial water quality monitoring and assessing (waste)water treatment technologies. PLoS Pathog. 2019;15(4):e1007639. Symonds EM, Nguyen KH, Harwood VJ, Breitbart M. Pepper mild mottle virus: A plant pathogen with a greater purpose in (waste)water treatment development and public health management. Water Res. 2018;144:1-12. Symonds EM, Breitbart M. Affordable enteric virus detection techniques are needed to support changing paradigms in water quality management. CLEAN–Soil, Air, Water. 2015;43(1):8-12. Symonds EM, Verbyla ME, Lukasik JO, Kafle RC, Breitbart M, Mihelcic JR. A case study of enteric virus removal and insights into the associated risk of water reuse for two wastewater treatment pond systems in Bolivia. Water Res. 2014;65:257-70. Verbyla ME, Symonds EM, Kafle RC, Cairns MR, Iriarte M, Mercado A, et al. Managing microbial risks from indirect wastewater reuse for irrigation in urbanizing watersheds. Environ Sci Technol. 2016;50(13):6803-13. Zhang T, Breitbart M, Lee WH, Run JQ, Wei CL, Soh SWL, et al. RNA viral community in human feces: Prevalence of plant pathogenic viruses. PLoS Biol. 2006;4(1:108-18.

74 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Media content sources 1. US EPA. https://www.epa.gov/eg/national-study-nutrient-removal-and-secondary-technologies 2. Canadian Food Inspection Agency (2011). Reproduced or adapted with the permission of the Canadian Food Inspection Agency, [2011]. 3. Naranson (2011). https://en.wikipedia.org/wiki/File:Ms2capsid_surface.png 4. Wazzzup7up (2009). https://commons.wikimedia.org/wiki/File:M._smegmatis_plaque.jpg 5. Image from the RCSB PDB (rcsb.org) of PDB ID:1HM; Prasad, B.V., Hardy, M.E., Dokland, T., Bella, J., Rossmann, M.G., Estes, M.K. Crystal structure analysis of Norwalk Virus capsid. DOI: 10.2210/pdb1IHM/pdb; H.M. Berman, J. Westbrook, Z. Feng, G. Gilliland, T.N. Bhat, H. Weissig, I.N. Shindyalov, P.E. Bourne. (2000) The Protein Data Bank Nucleic Acids Research, 28: 235-242. 6. Image from the RCSB PDB (rcsb.org) of PDB ID:6CGV; Natchiar, S.K., Venkataraman, S., Nemerow, G.R., Reddy, V.S. National Institutes of Health/National Institute Of Allergy and Infectious Diseases. Revised crystal structure of human adenovirus. DOI: 10.2210/pdb6CGV/pdb; H.M. Berman, J. Westbrook, Z. Feng, G. Gilliland, T.N. Bhat, H. Weissig, I.N. Shindyalov, P.E. Bourne. (2000) The Protein Data Bank Nucleic Acids Research, 28: 235-242. 7. Image from the RCSB PDB (rcsb.org) of PDB ID:3GZT; Chen, J.Z., Settembre, E.C., Harrison, S.C., Grigorieff, N.. VP7 recoated rotavirus DLP. DOI: 10.2210/pdb3GZT/pdb; H.M. Berman, J. Westbrook, Z. Feng, G. Gilliland, T.N. Bhat, H. Weissig, I.N. Shindyalov, P.E. Bourne. (2000) The Protein Data Bank Nucleic Acids Research, 28: 235-242. 8. Image from the RCSB PDB (rcsb.org) of PDB ID:5FUA; Hurdiss, D.L., Morgan, E.L., Thompson, R.F., Prescott, E.L., Panou, M.M., Macdonald, A., Ranson, N.A.. Cryo-EM of BK polyomavirus. DOI: 10.2210/pdb5FUA/pdb; H.M. Berman, J. Westbrook, Z. Feng, G. Gilliland, T.N. Bhat, H. Weissig, I.N. Shindyalov, P.E. Bourne. (2000) The Protein Data Bank Nucleic Acids Research, 28: 235-242. 9. UF/IFAS Pest Alert Web site/Pamela Roberts - Thriving Community of Pathogenic Plant Viruses Found in the Human Gut. PLoS Biology Vol. 4/1/2006, e15 https://dx.doi.org/10.1371/journal.pbio.0040015 10. Vecteezy. Attribution: Vector Design by Vecteezy! 11. Wolfmann (2018). https://commons.wikimedia.org/wiki/File:Toilet,_toilet_paper,_toilet_brush,_etc._in_a_bathroom_ in_small_hotel_in_Tysnes,_Hordaland,_Norway_2018-03-18_C._Also_wall_and_floor_tiles.jpg 12. USDA. https://www.usda.gov/media/blog/2011/11/17/poultry-classifications-get-21st-century-upgrade 13. Sanchezn (2008). https://commons.wikimedia.org/wiki/File:DefecatingSeagull2.jpg 14. Hph (2004). https://commons.wikimedia.org/wiki/File:Yungas04.jpg

75 © 2019 The Water Research Foundation. ALL RIGHTS RESERVED. Overview

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