Molecular surveillance of Cryptosporidium spp. in raw wastewater in Milwaukee: implications for understanding

Ling Zhou1, Ajaib Singh, Jianlin Jiang

  • 1Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30341, USA.

Insights

Milwaukee wastewater contained six Cryptosporidium species, with a specific subtype (allele Ib) matching that from a 1993 human outbreak. This finding highlights potential sources of Cryptosporidium infection in the community.

Area of Science:

  • Environmental microbiology
  • Parasitology
  • Public health

Background:

  • Cryptosporidium is a significant cause of waterborne illness.
  • Understanding Cryptosporidium transmission in urban environments is crucial for public health.
  • Previous outbreaks in Milwaukee underscore the need for ongoing surveillance.

Purpose of the Study:

  • To identify Cryptosporidium species and subtypes in Milwaukee wastewater.
  • To investigate the genetic relationship between wastewater Cryptosporidium and human isolates.
  • To assess the potential for wastewater as a reservoir for Cryptosporidium transmission.

Main Methods:

  • Weekly collection of 179 wastewater samples over one year.
  • Molecular detection and subtyping of Cryptosporidium species (hominis and parvum).
  • Sequence analysis of identified subtypes and comparison with historical outbreak data.

Main Results:

  • Six Cryptosporidium species were detected in 50 of 179 samples.
  • Eight subtypes of C. hominis and C. parvum were identified.
  • Allele Ib was prevalent, found in 14 of 16 samples, and genetically matched the 1993 outbreak subtype.

Conclusions:

  • Milwaukee wastewater harbors diverse Cryptosporidium species and subtypes.
  • The presence of the 1993 outbreak subtype in wastewater suggests ongoing transmission or a persistent environmental reservoir.
  • Wastewater surveillance is a valuable tool for monitoring Cryptosporidium and assessing public health risks.