Quantitative microbial risk assessment with nasal/oral breathing pattern for S. aureus bioaerosol emission from aeration tanks and residual sludge storage yard in a wastewater treatment plant

Environ Sci Pollut Res Int. 2023 Feb;30(8):21252-21262. doi: 10.1007/s11356-022-23621-5. Epub 2022 Oct 21.

Abstract

A large number of pathogenic bioaerosols are generated during the treatment process of wastewater treatment plants (WWTPs), and they can pose potential risks to human health. Therefore, this study systematically analyzed the emission characteristics of Staphylococcus aureus bioaerosols released from an inverted umbrella aeration tank, a microporous aeration tank, and a residual sludge storage yard in a WWTP, and quantitatively evaluated the health risks of four kinds of exposed populations with nasal/oral breathing patterns under optimistic and conservative estimations. The results displayed that the bioaerosol concentration in inverted umbrella aeration tank was higher than that in microporous aeration tank and residual sludge storage yard. Aerosolization ratio in residual sludge storage yard was an order of magnitude lower than that in aeration tanks. Sludge workers were at higher health risks than the other three exposed populations. The health risks of nasal breathers (infection risk: 1.62 × 10-5-2.56 × 10-3 pppy; disease burden: 4.24 × 10-8-6.72 × 10-6 DALYs pppy) were 0.61-0.63 times higher than those of oral breathers (infection risk: 9.95 × 10-6-1.59 × 10-3 pppy; disease burden: 2.61 × 10-8-4.18 × 10-6 DALYs pppy). For female field engineers using oral breathing, laboratory technicians, and researchers without personal protective equipment (PPE), infection risk and disease burden had the opposite results, which indicated that satisfying one certain benchmark did not mean absolute safety. In addition, health risks of exposed populations were reduced by an order of magnitude after wearing PPE. This study can provide a reliable theoretical basis for the risk prevention of bioaerosols and supply data support for the strategies of health risk control perspectives for local sewage utilities.

Keywords: Conservative estimation; Emission characteristics; Nasal breathing; Optimistic estimation; Oral breathing; Quantitative microbial risk assessment.

MeSH terms

  • Humans
  • Methicillin-Resistant Staphylococcus aureus*
  • Risk Assessment
  • Sewage
  • Staphylococcus aureus
  • Wastewater
  • Water Purification* / methods

Substances

  • Sewage
  • Wastewater