Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013:2013:138521.
doi: 10.1155/2013/138521. Epub 2013 Jan 29.

An alternative approach to water regulations for public health protection at bathing beaches

Affiliations

An alternative approach to water regulations for public health protection at bathing beaches

Amir M Abdelzaher et al. J Environ Public Health. 2013.

Abstract

New approaches should be considered as the US Environmental Protection Agency (EPA) moves rapidly to develop new beach monitoring guidelines by the end of 2012, as these guidelines serve as the basis by which states and territories with coasts along the oceans and Great Lakes can then develop and implement monitoring programs for recreational waters. We describe and illustrate one possible approach to beach regulation termed as the "Comprehensive Toolbox within an Approval Process (CTBAP)." The CTBAP consists of three components. The first is a "toolbox" consisting of an inventory of guidelines on monitoring targets, a series of measurement techniques, and guidance to improve water quality through source identification and prevention methods. The second two components are principles of implementation. These include first, "flexibility" to encourage and develop an individualized beach management plan tailored to local conditions and second, "consistency" of this management plan to ensure a consistent national level of public health protection. The results of this approach are illustrated through a case study at a well-studied South Florida recreational marine beach. This case study explores different monitoring targets based on two different health endpoints (skin versus gastrointestinal illness) and recommends a beach regulation program for the study beach that focuses predominately on source prevention.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Number of beaches monitored and days of closures and advisories in the US [11, 14].
Figure 2
Figure 2
Comprehensive Toolbox within an Approval Process (CTBAP) Approach. This approach is based upon three steps which include: an inventory through the comprehensive toolbox (CTB) and two implementation principles to ensure “flexibility” and “consistency”. The inventory (a.k.a. comprehensive toolbox, CTB) consists of the methods and tools to address recreational water quality and include guidance for source identification and prevention along with guidance for monitoring targets and techniques. The principles of implementation are “flexibility” which is to be incorporated into the local beach regulation plan and “consistency” through a national review panel charged with assuring a consistent level of public health protection.”

Similar articles

Cited by

References

    1. Shuval H. Estimating the global burden of thalassogenic diseases: human infectious diseases caused by wastewater pollution of the marine environment. Journal of Water and Health. 2003;1(2):53–64. - PubMed
    1. Wade TJ, Pai N, Eisenberg JNS, Colford JM., Jr. Do U.S. Environmental Protection Agency water quality guidelines for recreational waters prevent gastrointestinal illness? A systematic review and meta-analysis. Environmental Health Perspectives. 2003;111(8):1102–1109. - PMC - PubMed
    1. Prüss A. Review of epidemiological studies on health effects from exposure to recreational water. International Journal of Epidemiology. 1998;27(1):1–9. - PubMed
    1. Lee SH, Levy DA, Craun GF, Beach MJ, Calderon RL. Surveillance for waterborne-disease outbreaks—United States. 1999–2000. Morbidity and Mortality Weekly Report. 2002;51(8):1–47. - PubMed
    1. Dwight RH, Fernandez LM, Baker DB, Semenza JC, Olson BH. Estimating the economic burden from illnesses associated with recreational coastal water pollution—a case study in Orange County, California. Journal of Environmental Management. 2005;76(2):95–103. - PubMed

Publication types

LinkOut - more resources