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