

@article {14453,
	title = {Microbial {Contamination} of {Drinking} {Water} and {Human} {Health} from {Community} {Water} {Systems}},
	journal = {Curr Environ Health Rep},
	volume = {2},
	year = {2015},
	pages = {95{\textendash}106},
	abstract = {A relatively short list of reference viral, bacterial and protozoan pathogens appears adequate to assess microbial risks and inform a system-based management of drinking waters. Nonetheless, there are data gaps, e.g. human enteric viruses resulting in endemic infection levels if poorly performing disinfection and/or distribution systems are used, and the risks from fungi. Where disinfection is the only treatment and/or filtration is poor, cryptosporidiosis is the most likely enteric disease to be identified during waterborne outbreaks, but generally non-human-infectious genotypes are present in the absence of human or calf fecal contamination. Enteric bacteria may dominate risks during major fecal contamination events that are ineffectively managed. Reliance on culture-based methods exaggerates treatment efficacy and reduces our ability to identify pathogens/indicators; however, next-generation sequencing and polymerase chain reaction approaches are on the cusp of changing that. Overall, water-based Legionella and non-tuberculous mycobacteria probably dominate health burden at exposure points following the various societal uses of drinking water.},
	keywords = {antimicrobial resistance, bacteria, Enteric pathogen, Fungi, HACCP, Indicator, Opportunistic pathogen, Parasitic protozoa, QMRA, Risk Management, Surrogate, Viruses, Water safety plans, Water-based, Waterborne},
	issn = {2196-5412 (Electronic)},
	doi = {10.1007/s40572-014-0037-5},
	author = {Ashbolt, N. J.}
}
