title: Escherichia coli: the best biological drinking water indicator for public health protection.
abstract: Public health protection requires an indicator of fecal pollution. It is not necessary to analyse drinking water for all pathogens. Escherichia coli is found in all mammal faeces at concentrations of 10 log 9(-1), but it does not multiply appreciably in the environment. In the 1890s, it was chosen as the biological indicator of water treatment safety. Because of method deficiencies, E. coli surrogates such as the 'fecal coliform' and total coliforms tests were developed and became part of drinking water regulations. With the advent of the Defined Substrate Technology in the late 1980s, it became possible to analyse drinking water directly for E. coli (and, simultaneously, total coliforms) inexpensively and simply. Accordingly, E. coli was re-inserted in the drinking water regulations. E. coli survives in drinking water for between 4 and 12 weeks, depending on environmental conditions (temperature, microflora, etc.). Bacteria and viruses are approximately equally oxidant-sensitive, but parasites are less so. Under the conditions in distribution systems, E. coli will be much more long-lived. Therefore, under most circumstances it is possible to design a monitoring program that permits public health protection at a modest cost. Drinking water regulations currently require infrequent monitoring which may not adequately detect intermittent contamination events; however, it is cost-effective to markedly increase testing with E. coli to better protect the public's health. Comparison with other practical candidate fecal indicators shows that E. coli is far superior overall.
authors.affiliation: Department of Laboratory Medicine, Yale University School of Medicine, New Haven, CT, USA.
authors.forename: S C
authors.initials: SC
authors.lastname: Edberg
authors.forename: E W
authors.initials: EW
authors.lastname: Rice
authors.forename: R J
authors.initials: RJ
authors.lastname: Karlin
authors.forename: M J
authors.initials: MJ
authors.lastname: Allen
mesh_terms: D004926:Escherichia coli / Q000254:growth & development / Q000302:isolation & purification*; D008828:Microbiological Techniques; D011786:Quality Control; D013696:Temperature; D013997:Time Factors; D014871:Water Microbiology / Q000592:standards*; D014881:Water Supply / Q000592:standards*