Studies have increasingly found significant relationships between respiratory illness risk and a bacterial indicator. This has been shown in recent studies in at least four different countries, but it may not be a new phenomenon:
The aetiological agent(s) for this are unclear, although it is generally recognised that a number of bacterial and viral pathogens that cause respiratory illness (e.g. members of the enterovirus and adenovirus group, and certain species of the genus Klebsiella) are shed in faecal matter. Infection is generally acquired by inhalation of aerosols containing these infectious particles (Horwitz 1990; Melnick 1990; Tyler & Fields 1990; Grimont et al 1992), and the potential for transmission of viral pathogens via wave-generated aerosols has been demonstrated (Baylor et al 1977).
Contact with contaminated recreational water has been shown to pose a number of possible health risks. These illnesses, symptoms and pathogens are listed in Table G1, along with the relevant references.
A number of New Zealand cases of campylobacteriosis from the ingestion of contaminated drinking water have been demonstrated (Briesman 1987; Stehr-Green et al 1991; Ikram et al 1994; Eberhart-Phillips et al 1997), as has also been shown for giardiasis (Fraser & Cooke 1991). With respect to respiratory symptoms, inhalation of aerosols has been indicated as a possible transmission route (Baylor et al 1977; Tyler & Fields 1990). See also Note G(i).
Environmental performance indicators are designed for use in state of the environment monitoring programmes. They help us to:
Over time, the information produced by State of the Environment reporting can:
This document serves as a monitoring protocol two state of the environment performance indicators developed by the Ministry under the Environmental Performance Indicators (EPI) Programme. Please note that beaches refer to both freshwater and marine recreational areas, so each of the following indicators would be reported for marine and freshwater beaches:
The Pressure-State-Response (PSR) model was used to measure environmental performance of management responses to develop environmental performance indicators. The PSR model asks three important questions:
Pressure indicators answer the first question by measuring the stresses from human activities (and natural variations) that cause environmental change. State indicators answer the second question by measuring actual changes or trends in the physical or biological state of the environment. Response indicators answer the third question by monitoring the effectiveness of policies or actions taken by people to reduce, prevent or mitigate undesirable change in the state of the environment.
The indicators on which these guidelines are based; percentage of monitored beaches in each beach grade, and percentage of the season beaches or coastal areas were suitable for contact recreation or shellfish gathering, are state indicators that provide general information on the public health risk presented by recreational waters. Pressure indicators would measure the surrounding land use and discharges to water to assist identification of potential causes of changes in water quality. Response indicators would identify management or policy changes at the regional or national level (for example infrastructural improvements, land use management policies, national environmental standards) to manage issues for recreational waters.
Implementation of integrated pressure, state and response monitoring provides a measure of the entire system in question and supports detection of policy gaps or opportunities for management improvements.
The purpose of the Microbiological Water Quality Guidelines for Marine and Freshwater Recreational Areas is to help control the public health risk from microbiological contamination in recreational waters, and to provide a framework for monitoring and reporting on the general health of beaches. Integrating the needs of both state of the environment and public health monitoring may present some challenges, but it is achievable.
Microbiological information is generated more intensively to keep stock of short-term variation that can affect the public health risk of water quality. This monitoring takes place on a weekly basis, although at times follow-up monitoring is required to identify the permanence of an identified guideline exceedance.
The purpose of state of the environment monitoring is to collect sufficient data to produce information on the general health of the environment. This information can then be used to measure how well our management practices, policies and laws are working, and whether environmental outcomes are being achieved. The beach grades generated through the combination of the catchment assessment and microbiological assessment provide state of the environment information to the public on the general condition of the recreational area with respect to public health risk. The microbiological information collected to assess the public health risk at the beach on a weekly basis is aggregated over five years to generate the Microbiological Assessment Category used in the beach grading process.
Councils may monitor microbiological water quality for objectives other than public health reporting (e.g. land-use pressure, trends). Merging monitoring programmes can result in significant cost savings, though there are some issues to be aware of.
The following considerations should be made when merging programmes other than for public health reporting:
See Box 4 for an example of merging programmes.
Council A’s existing microbiological monitoring programme has been specifically designed to monitor the effects of agricultural land-use. The sampling conditions (wet, dry) and the locations of those sites are important to determine trends over time and space. The monitoring requirements to meet these objectives are:
However, the public health programme as outlined in the Microbiological Water Quality Guidelines for Marine and Freshwater Recreational Areas has been designed for the protection and reporting of public health risk. This requires:
When the council attempted to satisfy the monitoring requirements of both programmes, it quickly became clear that there would be difficulties merging the two without the objective of one or both of the programmes being compromised.
Merging or adapting an existing state of the environment monitoring programme to report on public health risk requires careful design to ensure the objectives of both programmes are successfully achieved. The following solutions are suggested where monitoring objectives conflict.
As part of determining a sensible and pragmatic approach to recommending an assignment of roles and responsibilities, the Ministry for the Environment investigated a number of scenarios operating around the country.
The recommendations made by the Ministry for the Environment and the Ministry of Health are supported by legislation as follows.
Section 35 of the Resource Management Act, 1991 requires regional councils to undertake monitoring to carry out their functions under the RMA effectively. Section 35(2) requires regional councils to undertake “state of the environment” monitoring.
Under the RMA, regional councils have functions in relation to the coastal marine area, including coastal waters, which are linked to the purpose of the RMA. The aspects of the purpose of the RMA (Part II) that are relevant to coastal waters/marine bathing and, in particular, the public health aspects of beach water quality are:
Section 30 of the RMA ascribes functions to regional councils for the purpose of giving effect to the RMA, including:
Policy 5.1.1 of the New Zealand Coastal Policy Statement directs regional councils that:
Rules should be made as soon as possible with the object of enhancing water quality in the coastal environment where that is desirable to assist in achieving the purpose of the Act, and in particular where there is a high public interest in, or use of the water.
In summary, it is consistent with the RMA to require regional councils to undertake surveillance monitoring and alert-level monitoring of marine bathing waters. Arguably, the RMA requires regional councils to go further than this and undertake stepped-up nuisance monitoring, where necessary.
There is no provision in the Health Act for the Medical Officer of Health to audit the monitoring carried out by regional councils. However, the recommendation that the Medical Officer of Health be satisfied with the manner in which the monitoring is carried out is to protect public health and safety. It also helps to ensure that the guidelines will be consistently applied around the country.
Section 35(2) of the RMA requires regional councils to “take appropriate action (having regard to the methods available to it under the RMA) where this is shown to be necessary”. This is linked to state of the environment monitoring requirements. Appropriate action may include informing the Medical Officer of Health and territorial authority.
Once the Medical Officer of Health is aware that alert or action levels have been exceeded, it is consistent with the Health Act that he or she ensure that the territorial authority is informed. Under the Health Act, the Director-General of Health (and his or her officers) has an overriding duty to improve, promote and protect public health. The Medical Officers of Health and Health Protection Officers under the Director-General of Health have supervisory/ auditing roles in relation to public nuisances. While there is specific legislative authority for the Medical Officer of Health to direct territorial authorities, there is currently no such authority for him or her to direct regional councils.
Territorial authorities have a duty to improve, promote and protect public health within their districts under section 23 of the Health Act. This extends to specific powers and duties:
If satisfied that any nuisance, or any condition likely to be injurious to health or offensive, exists in the district, the territorial authority is to cause all proper steps to be taken to secure the abatement of the nuisance or the removal of the condition.
“All proper steps” arguably includes informing the public. Also, as outlined above, the Medical Officer of Health has an auditing role under the Health Act, and it is consistent with this that he or she ensures that the public is informed.
Section 57 of the RMA provides for a New Zealand Coastal Policy Statement (NZCPS), which is mandatory. By virtue of sections 55 and 57, local authorities must take such action as is necessary to implement the NZCPS. Policy 5.1.7 of the NZCPS states:
Provision should be made to ensure that the public is adequately warned when the degradation of water in the coastal environment has rendered the water unsafe for swimming, shellfish gathering or other activities.
Consequently, the NZCPS directs local authorities to make provision to warn the public.
Regional councils have functions to ensure that integrated management of the natural and physical resources of a region is achieved, and provision could be achieved by ensuring that territorial authorities will carry out this function.
The Health Act requires territorial authorities to undertake nuisance monitoring in relation to their districts pursuant to section 23:
To cause inspection of its district to be regularly made for the purpose of ascertaining if any nuisances, or any conditions likely to be injurious to health or offensive, exist in the district.
‘District’ is not defined in the Health Act, and arguably the coastal marine area is not within a territorial authority’s district because of the definition of ‘district’ in the RMA. However, this definition does not expressly apply to the Health Act. Further, the source of the nuisance is likely to be within the territorial authority’s district (i.e. the land, as defined in the RMA), and it is appropriate that the territorial authority locate the source of the nuisance.
The RMA requirements for regional councils to monitor may extend to nuisance monitoring. For example, where the cause of the nuisance is found to be a consented activity or an activity controlled by the regional council rather than the territorial local authority, then responsibility for continued monitoring and abatement rests with the regional council. Other situations where it may be more appropriate for the regional council to carry out nuisance monitoring include when it has been agreed by all agencies involved before the beginning of the bathing season, and where the territorial local authority is too small to cope with increased monitoring. The Medical Officer of Health may need to assist the territorial local authorities and regional councils in determining the most appropriate agency to investigate and monitor the nuisance.
A legal opinion sought by the Ministry for the Environment found that the two major pieces of legislation concerned (the RMA and Health Act) did not explicitly define responsibilities for beach water-quality monitoring and reporting. However, the proposed framework is consistent with current legislation.
The Annapolis Protocol combines a monitoring scheme of microbiological testing with broader data collection on sources and transmission of pollution. It involves both an environmental hazard assessment and a microbiological water-quality assessment.
Councils and health authorities have been consulted on the concept and implementation of a risk-based approach and guideline values for recreational waters. The Annapolis Protocol framework as detailed in the guidelines has been adapted to suit New Zealand conditions after trial at 30 New Zealand recreational beaches and consideration by a Marine Bathing Working Group established for the purpose. The same approach has been applied to the guidelines for freshwater recreational use, following consideration and trial by the Freshwater Guidelines Advisory Group.