Rapid and specific tests for the identification of protozoan parasites in Scottish drinking water
Project Lead
Challenges
Water utility companies have a legal regulatory requirement to test their drinking water for the presence of Cryptosporidium oocysts and only test their water supply for the presence of Giardia cysts when there is a potential outbreak or contamination. Cryptosporidiosis and Giardiasis are the most diagnosed parasitic diseases in humans in Scotland and drinking water has been implicated in their transmission. However, they do not test for Toxoplasma oocysts within their water supply. Previous research has detected Toxoplasma gondii DNA in some Scottish public water supplies. Humans can become infected with Toxoplasma by ingesting oocysts in water contaminated with infected cat faeces. Unlike Cryptosporidium and Giardia, Toxoplasma was not previously considered to be a significant waterborne pathogen; however, following the occurrence of large human outbreaks, linked to Toxoplasma oocyst contamination of water supplies, it has emerged as an important transmission route.
The screening protocols used by the water utility companies are:
- Labour intensive
- Time-consuming
- Involve microscopy, which requires high levels of expertise
- Prone to operator error due to subjectivity of oocyst identification during microscopy, especially in dirty water samples
- Time-limited as microscopy operators are limited by a maximum of 4 hrs per day due to Health and Safety guidance
- There are currently no commercial and validated tests for the detection of Toxoplasma oocysts in water samples
- Microscopy cannot distinguish between human infectious/non-infectious species/assemblages of parasite
- Standard fluorescent microscopy cannot distinguish between live and dead parasite oocysts/cysts
Questions
Solutions
This project aims to develop new methods that can be used by the water industry and its regulators to remove/limit these constraints.
Developing rapid and specific diagnostics for the detection and genotyping of Cryptosporidium species and Giardia assemblages in drinking water
Current Cryptosporidium and Giardia detection methodologies in raw/drinking water used by water utility companies rely on the detection of oocysts/cysts microscopically, which is very subjective, labour-intensive and time-consuming. Identification of oocysts by microscopy requires high levels of expertise but operators can only work microscopically for 4 hours per day for health and safety reasons. An additional drawback is that oocyst/cyst identification is only to the genus level, while there are many Cryptosporidium and Giardia species and assemblages that are not infectious to humans.
We are developing and validating quantitative DNA detection methods (qPCR technologies) for the detection and enumeration of Cryptosporidium oocysts or Giardia cysts that could replace the need for microscopy. These are “catch-all” qPCRs that detect and enumerate all Cryptosporidium and Giardia species and provide equivalent results to microscopy but will be less labour-intensive and allow for multiple samples to be processed at the same time. This technology can distinguish between human-infectious and non-infectious Cryptosporidium and Giardia species/genotypes, which would give a direct indication of risk to human health faster than the current approach. A further advantage of the qPCRs is that they only amplify DNA from oocysts that have not been inactivated (killed) by UV, as UV treatment will degrade the parasite’s DNA. Therefore, the qPCRs could also provide evidence when UV treatment has failed, which cannot be achieved by microscopy. The proposed qPCRs not only provide time savings, but they will also provide additional information on human infectivity and viability of parasites compared to the current methodologies currently used.
Developing a technique to extract Toxoplasma gondii oocysts from drinking water
Detection methods for Toxoplasma in water are underdeveloped compared to other protozoan parasites and rely on a combination of molecular assays, microscopy, and bioassays. Currently, Scottish Water tests all its water supplies for Cryptosporidium spp. but there is no requirement to test for Toxoplasma. Previous work demonstrated that 9% of water samples (including finished water) from different public water supply plants in Scotland were positive for Toxoplasma DNA, highlighting the potential importance of this transmission route.
In a follow-up study, one Toxoplasma oocyst was detected by microscopy in a final water sample; however, this was likely an underestimate of positive samples due to the difficulty in detecting oocysts in turbid water samples. The Drinking Water Quality Regulator have highlighted their requirement for a specific and sensitive technique for detecting Toxoplasma in water samples. Therefore, we aim to develop an immunomagnetic separation (IMS) technique using a suitable monoclonal antibody specific to the outer wall of Toxoplasma oocysts. Initially, a panel of antibodies is being tested for their ability and efficiency to capture Toxoplasma oocysts and their ability to dissociate from the antibody/capture bead complex so that samples can be used for downstream microscopy or DNA extraction (qPCR, genotyping and assessing viability). Secondly, the IMS is being tested using spiked water samples ranging in turbidity to assess oocyst recovery rates and thus the suitability of the technique for detecting oocysts in drinking water as well as catchments. The development of a sensitive and specific technique for detecting Toxoplasma oocysts in water allows water industries, not only in Scotland but worldwide, to assess the risk of toxoplasmosis from water.
Developing digital image analysis methods for the detection and quantitation of protozoal oocysts/cysts
Currently, water utility companies use fluorescent microscopy to detect Cryptosporidium oocysts and Giardia cysts in raw and drinking water. This methodology is subjective, labour-intensive and time-consuming. In addition, the identification of oocysts by microscopy requires high levels of expertise but operators can only work for 4 hours per day due to health and safety guidance. Image processing algorithms have been developed that can automatically identify and quantify eggs from parasitic worms affecting humans in wastewater samples. We are using a similar approach to develop an algorithm that can identify oocysts/cysts from Cryptosporidium, Toxoplasma and Giardia in water samples. If successful, this automated image analysis algorithm has the potential to reduce the time required for the identification of parasite oocysts/cysts. In addition, the number of oocysts/cysts can be accurately counted, which would allow the infectious load to be accurately estimated. This algorithm for automated detection and quantitation of protozoal oocysts can inform the assessment of the risk of protozoan parasites within catchments and drinking water for the water industry and regulators.
Progress
2025 / 2026
For the first research area, we developed a quantitative Polymerase Chain Reaction (PCR) technology that detects the presence of Cryptosporidium parasites in DNA extracted from water samples. This method can distinguish between the main Cryptosporidium species that can infect people from other Cryptosporidium species that are not usually found in people. During the last year we have shown that the PCR can detect a single oocyst and can distinguish the 3 main Cryptosporidium species’ infecting people from 20 other Cryptosporidium species not usually seen in humans. We also have shown that none of the numerous common parasite and animal species tested gave false positive results.
Following amendments to the second research area last year, we focused on the identification of parasite egg proteins that could be used to generate new antibodies that specifically bind to the parasite eggs. This year we evaluated six parasite proteins for their potential to produce suitable antibodies. Four of these proteins were found to be suitable and the DNA, of the genes encoding these proteins, was amplified and cloned. The DNA products of the four genes were sequenced to confirm that they were correct and that they did not contain errors. The DNA products of the four genes were then inserted into circular pieces of bacterial DNA constructs (called expression vectors), which will allow us to make proteins from these genes in bacteria. These proteins can then be purified, which is scheduled for next year. These purified proteins can then be used to make antibodies for isolating and detecting T. gondii oocysts from water.
The third research area established and optimised methods that allowed the specific detection and enumeration of Cryptosporidium and Giardia parasite eggs in water, confirming that this technology has potential. The limit of detection was determined for both parasite species, but currently the sensitivity may not be sufficient to allow replacement of current methodologies used by the drinking water industries.
The project involved the following Knowledge Exchange activities:
A meeting with stakeholders from Scottish Water, DWQR and RESAS was held to discuss the progress of the project in June, and the project was presented to Scottish Government policy advisors, with an interest in water, at an in-person event in July. An article featuring the project was included in the SEFARI Spark Newsletter in January (2026).
Impact
Policy:
During the last year we met with members of the DWQR to discuss our project and they reiterated the importance of looking at technological developments that can be used by the water industries to make their drinking water safer for consumers. The DWQR also stressed the importance to develop a specific concentration method for Toxoplasma parasite eggs from water as currently there is no method available for the water industries to monitor Toxoplasma contamination in drinking water. The project was also presented to policy advisors, who have a water remit, at an in-person meeting within the Scottish Government where the policy advisors commented that the wider impact and costs associated with Cryptosporidium drinking water outbreaks, like the one in Devon in 2024, clearly demonstrate the need for better monitoring tools and the importance of this project.
Industry:
The technologies that are being developed in this project have been discussed with Scottish Water, who expressed their interest in these technologies particularly the quantitative PCR for the detection and enumeration of Cryptosporidium, as this methodology is closer to full evaluation. However, the PCR would require further validations against industry standards before it could be adopted by the water utility companies. Another water utility company, Welsh Water, also expressed an interest in the quantitative PCR. Three water utility companies have provided a letter of support for a BBSRC grant application (value £1.2 million), in which the quantitative PCR will be used to monitor two catchments. The companies also offered in-kind contributions of their time to be part of the steering committee and Scottish Water has offered to provide access to catchments that are known to have Cryptosporidium present in their untreated water.
Academia:
The results from the quantitative PCR have been discussed with colleagues from the Scottish Microbiology Reference Laboratories (Glasgow) and the Cryptosporidium Reference Unit (Swansea), who expressed an interest in the technology and the possible application in Public Health settings.
The Toxoplasma detection technology and the specific need for a tool to detect T. gondii in water, was discussed at a symposium (“One Health Approach to Tackling Toxoplasmosis”) held at the Moredun Research Institute in November. The symposium involved researchers and key stakeholders involved in public and veterinary health, food and water safety, and policy development to discuss the current situation surrounding toxoplasmosis in Scotland and to identify knowledge gaps. The lack of a Toxoplasma concentration method from food, water and environmental samples was identified as such a limitation.
The Toxoplasma work conducted in this project has resulted in a NERC grant application (value £828K), which was submitted in January 2026.
2024 / 2025
Objective1: Quantification and characterisation methods for Cryptosporidium and Giardia.
DNA segments, which contain both variable and conserved sequence regions within the Cryptosporidium and Giardia genomes, were used as targets for the development of specific DNA detection assays. In order to achieve this, small DNA sequences (primers) were identified (O1-4-D9) that could bind to specific DNA sequences in the genomes of target parasite species. The specificity of these primers was evaluated in molecular detection assays (O1-5-D10, M5).
Objective2: A technique to extract Toxoplasma eggs from drinking water.
This year has focused on evaluating the sensitivity of the proposed assay (O2-4-D11) but it became apparent that this technique was not sensitive enough and the available antibodies were not binding to the parasite eggs well enough for the assay to work. In discussions with RESAS and the Drinking Water Quality Regulators (DWQR) it was decided to change the approach to enable the generation of new antibodies for this test. Since this meeting, we identified six potential parasite egg proteins (new O2-4-D11) that can be taken forward for expression in bacteria. Subsequently, these proteins could be used to generate new antibodies.
Objective3: Digital analysis methods for detection and quantitation of protozoan eggs.
We assessed digital microscopy and computer-based screening methods to identify parasite eggs within water samples; however, the equipment available to us was not sensitive enough to allow reliable/sensitive identification of parasite eggs (O3-3-D12). Following engagement with RESAS, DWQR and Scottish Water it was decided to use a different digital technology called Flow Cytometry, which uses a laser to determine the size/density of cells or particles. Preliminary findings indicate that Flow Cytometry can be used to detect and count Cryptosporidium eggs in water (new O3-3).
Knowledge Exchange:
A meeting with stakeholders from Scottish Water and DWQR (KE3) was held to discuss the progress of the project in July. In addition, we had a follow up meeting with RESAS and DWQR to discuss changes to the project also in July. Finally, we had a further stakeholder meeting in December with Scottish Water, DWQR, RESAS for us to provide an update of progress with the changed objectives and to update the new RESAS lead of the project (KE7). All deliverables and KE activities were completed on time and the overall objectives are on track for completion.
Impact
Policy: During this financial year, we had six meetings, which involved representatives from Drinking Water Quality Regulator (DWQR); two were scheduled meetings (KE2 & KE7), one meeting on Teams, visits to the labs at Moredun, a water treatment plant and the microbiology labs at Scottish Water. During all meetings, the progress of MRI-D2-1 was discussed. Colleagues from the DWQR were very complimentary about the work conducted at Moredun, including the agreed changes to the project objectives. They stated that the “presentations [by Moredun scientist] were fascinating as ever”, that they were very happy with our progress and that there was a real need to investigate new/better technologies to keep Scottish drinking water safe.
Industry: During this financial year, we had four meetings, which involved representatives from Scottish Water; two were scheduled meetings (KE2 & KE7), the third was the visit to a water treatment plant and fourth the visit to the microbiology labs at Scottish Water. During all meetings, the progress of MRI-D2-1 was discussed as well as how the project aligns to the needs of the Water Industries.
Public and Professional: Research outputs, related to MRI-D2-1, were discussed in six presentations at meetings that included academics, health professionals and representatives from water utility companies. These presentations focused mostly on alerting the audience to the risk of Cryptosporidium in water for livestock and humans and included detection methodologies. The presentations were well received and resulted in invitations to future events.
2023 / 2024
Year 2 progress:
DNA detection methods: Variable regions of the Cryptosporidium and Giardia genomes have been identified as excellent targets for developing sensitive DNA-based assays. Sequence data has been generated and will be used to design new detection tests in Year 3.
Extracting Toxoplasma eggs: Work is underway to create a magnetic separation technique that can isolate Toxoplasma eggs from water samples. Optimisation trials revealed challenges with antibody performance, but a new antibody has been sourced from collaborators and will be tested next.
Digital image analysis: Digital microscopy tools are being developed to automatically screen water samples for parasite eggs. Positive and negative slides have been successfully scanned using two different slide scanners, with a third test planned. This will allow the team to select the best system for producing high-quality images quickly and efficiently.
Engagement:
Stakeholder meetings with Scottish Water and the Drinking Water Quality Regulator (DWQR) have ensured the research stays closely aligned with industry needs.
All deliverables and milestones were achieved on time, and the project remains on track.
2022 / 2023
The project is developing new tools to help water providers, including Scottish Water, detect harmful parasites more quickly and effectively in drinking water. Current testing methods are slow, costly, and limited – focusing mainly on Cryptosporidium and occasionally Giardia. However, research has already shown that Toxoplasma can also be present in Scottish water supplies, and there is currently no method available for water companies to test for it. This project is addressing these gaps.
Year 1 progress:
Faster parasite detection: Work is underway to develop a sensitive, specific, and fast DNA-based test (qPCR) for Cryptosporidium and Giardia. Promising genetic targets have been identified, and a reference bank of parasite DNA has been created to support test development.
Detecting Toxoplasma in water: Efforts have started to create a new immunomagnetic separation (IMS) technique – similar to the one already used for Cryptosporidium. Early trials have highlighted challenges, but the method is being refined with international collaborators.
Digital screening: A new image analysis system is being designed to automatically detect parasite cysts and oocysts in water samples, reducing the need for manual microscopy and speeding up results. Algorithms have been identified, and image capture methods are being optimised.
Engagement:
The team has met regularly with Scottish Water, the Drinking Water Quality Regulator (DWQR), and scientific collaborators to share progress and gather feedback.
All project milestones and knowledge exchange activities were delivered on time, keeping the research firmly on track.
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