<?xml version='1.0' encoding='utf-8'?>
<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:contributor>Elizabeth P. Sauer</dc:contributor>
  <dc:contributor>Steven R. Corsi</dc:contributor>
  <dc:contributor>Melinda J. Bootsma</dc:contributor>
  <dc:contributor>Alexandria B. Boehm</dc:contributor>
  <dc:contributor>Susan K. Spencer</dc:contributor>
  <dc:contributor>Mark A. Borchardt</dc:contributor>
  <dc:creator>Sandra L. McLellan</dc:creator>
  <dc:date>2018</dc:date>
  <dc:description>&lt;p&gt;&lt;span&gt;Despite modern sewer system infrastructure, the release of sewage from deteriorating pipes and sewer overflows is a major water pollution problem in US cities, particularly in coastal watersheds that are highly developed with large human populations. We quantified fecal pollution sources and loads entering Lake Michigan from a large watershed of mixed land use using host-associated indicators. Wastewater treatment plant influent had stable concentrations of human&amp;nbsp;&lt;/span&gt;&lt;i&gt;Bacteroides&lt;/i&gt;&lt;span&gt;&amp;nbsp;and human&amp;nbsp;&lt;/span&gt;&lt;i&gt;Lachnospiraceae&lt;/i&gt;&lt;span&gt;&amp;nbsp;with geometric mean concentrations of 2.77 × 10&lt;/span&gt;&lt;sup&gt;7&lt;span&gt;&amp;nbsp;&lt;/span&gt;&lt;/sup&gt;&lt;span&gt;and 5.94 × 10&lt;/span&gt;&lt;sup&gt;7&lt;span&gt;&amp;nbsp;&lt;/span&gt;&lt;/sup&gt;&lt;span&gt;copy number (by quantitative PCR) per 100 ml, respectively. Human-associated indicator levels were four orders of magnitude higher than norovirus concentrations, suggesting that these human-associated bacteria could be sensitive indicators of pathogen risk. Norovirus concentrations in these same samples were used in calculations for quantitative microbial risk assessment. Assuming a typical recreational exposure to untreated sewage in water, concentrations of 7,800 copy number of human&amp;nbsp;&lt;/span&gt;&lt;i&gt;Bacteroides&lt;/i&gt;&lt;span&gt;&amp;nbsp;per 100 mL or 14,000 copy number of human&amp;nbsp;&lt;/span&gt;&lt;i&gt;Lachnospiraceae&lt;/i&gt;&lt;span&gt;&amp;nbsp;per 100 mL corresponded to an illness risk of 0.03. These levels were exceeded in estuarine waters during storm events with greater than 5 cm of rainfall. Following overflows from combined sewer systems (which must accommodate both sewage and stormwater), concentrations were 10-fold higher than under rainfall conditions. Automated high frequency sampling allowed for loads of human-associated markers to be determined, which could then be related back to equivalent volumes of untreated sewage that were released. Evidence of sewage contamination decreased as ruminant-associated indicators increased approximately one day post-storm, demonstrating the delayed impact of upstream agricultural sources on the estuary. These results demonstrate that urban areas are a diffuse source of sewage contamination to urban waters and that storm-driven release of sewage, particularly when sewage overflows occur, creates a serious though transient human health risk.&lt;/span&gt;&lt;/p&gt;</dc:description>
  <dc:format>application/pdf</dc:format>
  <dc:identifier>10.1525/elementa.301</dc:identifier>
  <dc:language>en</dc:language>
  <dc:publisher>University of California Press</dc:publisher>
  <dc:title>Sewage loading and microbial risk in urban waters of the Great Lakes</dc:title>
  <dc:type>article</dc:type>
</oai_dc:dc>