The Science Behind BioShield Let’s consider the issue of microbiological contamination of groundwater wells, which impacts affordability, source sustainability and public health. According to the USGS, groundwater sources supply approximately 20% or 84.6 billion gallons per day of fresh water used in the United States. These precious groundwater resources must be managed and protected by implementing strategies to ensure groundwater quantity, such as well yields, and groundwater quality with respect to bacteriological impacts. Is groundwater a sustainable resource? The number one reason for loss of production and abandonment of ground water wells is Biofouling. The number one agent of biofouling is iron related bacteria. Biofouling or biological fouling is the undesirable accumulation of microorganisms on submerged structures. Individually small, accumulated biofoulers can form enormous masses. Biofouling can occur in groundwater wells where buildup can limit recovery flow rates and clog pumps and piping. A variety of bacteria are indigenous to soils and groundwater. These are mineral utilizing species of bacteria which exist in low numbers in groundwater as this is a low nutrient environment. Bacteria in nature are most frequently encountered not as free-swimming organisms but as surface-attached communities known as biofilms.7 Organisms residing within biofilm possess a number of advantages over their free-swimming or planktonic counterparts, including increased resistance to adverse environmental conditions and antibacterial agents. The ubiquity of biofilm development can cause significant problems in the areas of public health, 8, 9 medicine, 10, 11, 12 and industry. 13, 14 Accordingly, there has been a great deal of research to better understand biofilm development and to identify improved strategies for biofouling control. Earth’s Composition 5% Earth’s crust is Iron Almost every groundwater source contains measurable amounts of Iron “Surface waters contain an innumerable variety of organics from municipal or industrial wastewater effluents, storm water runoff, agricultural activities and natural vegetation, producing humic substances. Total organic concentrations range from 1 to 10 mg/L at the water supply intake with 7 mg/L on average.”1 “For aquatic systems the organic matter includes dissolved organic carbon (DOC) and particulate organic carbon. Groundwater systems are frequently among the most oligotrophic microbial environments that have ever been described (mean concentration from 0.1 to 0.7 mg/L).”2 However, where one measures high organic carbon in the subsurface water, this difference is attributable to microbial activities. Bacterial carbon production rates are extremely high in biofilm communities.3 However, when these bacteria enter groundwater wells, they become attached to surfaces within the well, particularly areas of high velocity, and they begin to dramatically increase in number. National Secondary Drinking Water Regulations Contaminant National Secondary Drinking Water Regulations (NSDWRs or secondary standards) are nonenforceable guidelines regulating contaminants that may cause cosmetic effects (such as skin or tooth discoloration) or aesthetic effects (such as taste, odor, or color) in drinking water. EPA recommends secondary standards to water systems but does not require systems to comply. However, states may choose to adopt them as enforceable standards. Aluminum Chloride Color Copper Corrosivity 0.05 to 0.2 mg/L 250 mg/L 15 (color units) 1.0 mg/L noncorrosive Fluoride 2.0 mg/L Foaming Agents 0.5 mg/L Iron 0.3 mg/L Manganese Odor pH 0.05 mg/L 3 threshold odor number 6.5-8.5 Silver 0.10 mg/L Sulfate 250 mg/L Total Dissolved Solids 500 mg/L Zinc http://www.epa.gov/safewater/mcl.html#sec Secondary Standard 5 mg/L Impact of Pumping Biofouling caused by iron related bacteria can occur at very low levels of iron due to the impact of pumping in the well proper. Small Municipal Well Casing diameter Pumping 0.1 ppm Iron 0.1 ppm Iron 92 12,265 6" Well overall depth 196' Static Water Level 30' Pump Gallons per Minute 45 24-hour pump cycle 12 Total milligrams Fe per day Standing This sessile, or attached, state is highly immune to biocides, enjoying from 150-3000 fold immunity. At the same time, this sessile form, which excretes a polymeric substance as well as insoluble forms of the minerals they utilize as hydroxides, begins to build up clogging structures within the well, pump and distribution piping. The water these wells produce also contains these polymeric substances (extracellular polysaccharides) and the ferric hydroxides as well as sulfate compounds which are very corrosive. In addition to the obvious problems associated with such bacteria, the slime they produce will entrain any minerals in the gravel pack as water moves into the well. This mineral encrustation can render a well useless in very short order. Are you keeping pumping records? Have you noted a decline? Steps in Biofilm Development The instant a clean pipe is filled with water, a biofilm begins to form. http://www.edstrom.com/resources.cfm?doc_id=143 Step 1: Surface conditioning • The first substances associated with the surface are not bacteria but trace organics. • Almost immediately after the clean pipe surface comes into contact with water, an organic layer deposits on the water/solid interface (Mittelman 1985). These organics are said to form a "conditioning layer“ which often serve as a nutrient source for bacteria. Adsorption of organic molecules on a clean surface forms a conditioning film. (Characklis 1990) http://www.edstrom.com/resources.cfm?doc_id=143 Step 2: Adhesion of ‘pioneer’ bacteria • In a pipe of flowing water, some of the planktonic (free-floating) bacteria will approach the pipe wall and become entrained within the boundary layer, where flow velocity falls to zero. • Cells begin to form structures which may permanently adhere the cell to the surface. Transport of bacteria cells to the conditioned surface. (Characklis 1990) http://www.edstrom.com/resources.cfm?doc_id=143 Attachment = Resistance • The attachment of bacteria to surfaces increases resistance to biocides including chlorine from 150 to 3000 fold. • Other factors (from 2 to 10-fold) include biofilm age, encapsulation, and growth conditions. • Factors are mulitplicative. LeChevallier, Cawthon, Lee. Factors promoting survival of bacteria in chlorinated water supplies. AWW Service Co. Phenotypic plasticity The ability of bacteria to adapt to environmental changes is known as phenotypic plasticity. A good example of phenotypic plasticity is planktonic bacteria in groundwater utilizing a sessile lifestyle in groundwater wells. Step 3: Extracellular Polysaccharides ‘slime’ formation • Biofilm bacteria excrete extracellular polysaccharides, or sticky polymers, which hold the biofilm together and cement it to the pipe wall. • These polymer strands, much like the structure of a spider’s web, trap scarce nutrients and protect bacteria from biocides. • This extracellular slime acts as an ion-exchange system for trapping and concentrating trace nutrients from the overlying water. • The slime acts as a protective coating for the attached cells which mitigates the effects of biocides and other toxic substances. http://www.edstrom.com/resources.cfm?doc_id=143 Step 4: Secondary Colonizers • As well as trapping nutrient molecules, the slime net also snares other types of microbial cells. • These secondary colonizers metabolize wastes from the primary colonizers as well as produce their own waste which other cells then use. http://www.edstrom.com/resources.cfm?doc_id=143 Step 5: Fully Functioning Biofilm A cooperative "consortia" of species • The mature, fully functioning biofilm is like a living tissue on the pipe surface. It is a complex, metabolically cooperative community made up of different species each living in a customized microniche. • Biofilms are even considered to have primitive circulatory systems. • Different species live in concert helping each other exploit food supplies and resist antibiotics. Toxic waste produced by one species is utilized by another. Functioning symbiotically several species of bacteria, each armed with different enzymes, can break down food supplies that no single species could digest alone. • The biofilms are permeated at all levels by a network of channels through which water, bacterial garbage, nutrients, enzymes, metabolites and oxygen travel to and fro. Gradients of chemicals and ions between microzones provide the power to shunt the substances around the biofilm." (Coghlan 1996) http://www.edstrom.com/resources.cfm?doc_id=143 Biofilms grow and spread • A biofilm can spread at its own rate by ordinary cell division and it will also periodically release new ‘pioneer’ cells to colonize downstream sections of piping. • According to Mayette (1992), "These later pioneer cells have a somewhat easier time of it than their upstream predecessors since the parent film will release wastes into the stream which may serve as either the initial organic coating for uncolonized pipe sections down stream or as nutrient substances for other cell types." http://www.edstrom.com/resources.cfm?doc_id=143 Biofilm Cross Section Bacteria and other microorganisms develop cooperative colonies or "consortia" within the biofilm. An anaerobic biofilm may develop underneath the aerobic layer. (Borenstein 1994) Note: Coliforms are facultative; they can live in anaerobic or aerobic conditions. http://www.edstrom.com/resources.cfm?doc_id=143 How fast does biofilm develop? • According to Mittelman (1985), the development of a mature biofilm may take several hours to several weeks, depending on the system. Pseudomonas aeruginosa is a common ‘pioneer’ bacteria and is often used in biofilm research. In one experiment (Vanhaecke 1990, see test summary pg 11), researchers found that Pseudomonas cells adhere to stainless steel, even to electropolished surfaces, within 30 seconds of exposure. Bacteria exploit every environmental niche on the planet • Bacteria exist at the top and bottom of every known food chain • They are found in: – Pack Ice – Undersea superheated vents – Low pH – High pH – Freshwater – Saltwater This attests to their adaptability and broad phenotypic plasticity. Think about it! Bacteria can easily gain entrance to the water well: Well head Soil Grout seal Rock Water Table Groundwater “aquifer” Many of man’s activities cause bacterial contamination of ground water ! Landfills, dumps Industry Residential Agriculture Gas - Oil Wells Mining Location of our water well is important Ground water in its natural state is not always free from problem causing bacteria Microphotographs of bacteria that precipitate iron and manganese • Gallionella ferruginea • Leptothrix cholodnii • Thiobacillus • Siderococcus Why be concerned about iron related bacteria in groundwater wells? • Biofouling caused by iron related bacteria destroys groundwater well and distributions assets. • Opportunistic and pathogenic bacteria colonize biofilm. Distribution Asset Destruction Pipe wall Biofouling - Example 4 inch pipe 3/16 inch thick = 12% reduced flow area 3/8 inch thick = 36% reduced flow area 9/16 inch thick = 51% reduced flow area 3/4 inch thick = 64% reduced flow area 1 inch thick = 75% reduced flow area Effects of IRB Clogged and corroded piping with rusty sludge (ferric hydroxides) Increased chances of sulfate reducing bacteria infestation – MIC (microbe-induced corrosion) Unpleasant odors and taste Increased organic content in water favoring the multiplication of other bacteria Severe damage to pumping equipment Seriously impacts water treatment Reduces distribution efficiency Severe blockages in gravel pack, well and screens Chronic bio-fouling caused by Iron bacteria Many wells have been abandoned because of biofouling. Water flow area virtually eliminated Emerging Microbiological Issues Iron Related Bacteria (Iron, Sulfate, Manganese Utilizing Species) Galionella Ferruginea Sphaerotilus Leptohrix Can encourage pathogen growth E-Coli Consortia bacteria in a biofilm • • • • IRB SRB Coliform Bacteria Opportunistic bacteria - Pseudomonas aeruginosa • Pathogenic Bacteria - H. pylori List of Contaminants & their MCLs MCLG1 Contaminant (mg/L)2 MCL or TT1 Potential Health Effects from Ingestion of Water Sources of Contaminant in Drinking Water (mg/L)2 Cryptosporidium (pdf file) zero TT 3 Gastrointestinal illness (e.g., diarrhea, vomiting, cramps) Human and fecal animal waste Giardia lamblia zero TT3 Gastrointestinal illness (e.g., diarrhea, vomiting, cramps) Human and animal fecal waste Heterotrophic plate count n/a TT3 HPC has no health effects; it is an analytic method used to measure the variety of bacteria that are common in water. The lower the concentration of bacteria in drinking water, the better maintained the water system is. HPC measures a range of bacteria that are naturally present in the environment Legionella zero TT3 Legionnaire's Disease, a type of pneumonia Found naturally in water; multiplies in heating systems Total Coliforms (including fecal coliform and E. Coli) zero 5.0%4 Not a health threat in itself; it is used to indicate whether 5 other potentially harmful bacteria may be present Coliforms are naturally present in the environment; as well as feces; fecal coliforms and E. coli only come from human and animal fecal waste. Turbidity n/a TT3 Turbidity is a measure of the cloudiness of water. It is used to indicate water quality and filtration effectiveness (e.g., whether disease-causing organisms are present). Higher turbidity levels are often associated with higher levels of disease-causing microorganisms such as viruses, parasites and some bacteria. These organisms can cause symptoms such as nausea, cramps, diarrhea, and associated headaches. Soil runoff Viruses (enteric) zero TT3 Gastrointestinal illness (e.g., diarrhea, vomiting, cramps) Human and animal fecal waste Drinking Water Contaminant Candidate List 2 On February 23, 2005, EPA announced the second Drinking Water Contaminant Candidate List (CCL) and our efforts to expand and strengthen the underlying CCL listing process to be used for future CCLs. Microbial Contaminant Candidates Adenoviruses Aeromonas hydrophila Caliciviruses Coxsackieviruses Cyanobacteria (blue-green algae), other freshwater algae, and their toxins Echoviruses Helicobacter pylori Microsporidia (Enterocytozoon & Septata) Mycobacterium avium intracellulare (MAC) Pathogenic Bacteria Colonize Biofilms In Western countries rates of Helicobacter pylori infection are as high as 60% by age 65. Infection with H. pylori is now recognized as a causative agent in chronic gastritis, as well as peptic and duodenal ulcer disease. In addition, infection with this organism is associated with mucosa-associated lymphoid tissue lymphoma and adenocarcinoma. Epidemiological data support transmission through a common source such as water. Recently the USEPA Office of Groundwater and Drinking Water included H. pylori in its contaminant candidate list reflecting concerns over possible waterborne transmission. Studies have shown H. pylori to be significantly more resistant to chlorine than E. coli. In the natural environment, H. pylori form a biofilm in 1 to 15 days. Biofilm bacteria were found to be 150 to 3,000 times more resistant to hypochlorous acid than similarly treated unattached microbes. Several researchers have examined the possible role of biofilms in the proposed waterborne transmission of H. pylori and have demonstrated that H. pylori are capable of forming biofilms and of persisting in mixed-species drinking water biofilms. 18 Changes in human demographics There is an increasing number of “vulnerable subpopulations” in the United States such as infants, children, pregnant women, the elderly, and the immunecompromised who are particularly susceptible to infections resulting from exposure to waterborne pathogens compared to the general populace. Immune-compromised: Cancer, Crohn’s disease, Lupus, HIV, AIDS Transplant – organ, bone marrow, stem cell Rheumatoid Arthritis, diabetes Steroid use, long term anti-acid users >2 weeks Smokers Chlorine is not effective • Studies have shown that despite the application of continuous disinfection using chlorine biofilm rapidly develops. Biofilm can rapidly form in the presence of a 1 to 2 mg/L free chlorine residual.6 • Given that chlorine is ineffective, what can be done to remediate or eliminate biofilm and the associated health risks in groundwater? Stressing bacteria is not the total solution Stressing bacteria with certain biocides and/or physical treatments such as heat or mechanical removal is not the total solution. 1.) Bacteria have short life cycles (20 minutes) which promote a high level of adaptability to environmental changes. 2.) Microbiological structures within a biofilm protect bacteria from environmental fluctuation. 3.) According to Characklis (1990), biofilm recovers from stressing. According to Characklis (1990), biofilm recovery may be due to one or all of the following: • The remaining biofilm contains enough viable organisms that there is no lag phase in regrowth. Thus, biofilm recovery after shock chlorination is faster than initial accumulation on a clean pipe. • The residual biofilm on the surface makes it rougher than clean pipe. The roughness of the deposit may provide a stickier surface which adsorbs more microbial cells and other compounds from the water. • The chlorine preferentially removes extracellular polymers and not biofilm cells, thus leaving biofilm cells more exposed to the nutrients when chlorination ceases. • Surviving organisms rapidly create more slime (extracellular polymers) as a protective response to irritation by chlorine. • There is selection for organisms less susceptible to the sanitizing chemical. This is usually the organisms that produce excessive amounts of slime like Pseudomonas. Shock chlorination is not the solution Shock chlorination is not the solution. Chlorine is a common disinfectant used in water systems, and is highly toxic to coliform and similar types of bacteria. IRB and SRB are more resistant to chlorine’s effects because they occur in thick layers and are protected by the slime they secrete. A standard chlorine treatment may kill the bacterial cells in the surface layer but leave the rest untouched. In the case of iron bacteria, iron dissolved in the water may absorb disinfectant before it reaches the bacteria. For all these reasons, iron and sulfate related bacteria may be able to survive a chlorine treatment that would kill other types of bacteria. Treatment levels of 800-1,000 ppm chlorine are commonly recommended for treatment of iron and sulfate related bacteria; however, these levels promote the growth of coliforms. At best, shock chlorination is minimally effective for a limited period of time. The solution to biofouling and all of the problems that are caused by these nuisance bacteria is twofold: 1. Rehabilitate the well 2. Maintain the well microbiologically by continuously controlling the biofilm forming bacteria Well Rehabilitation 1. 2. Use a contractor who routinely provides this service, and get referrals from their customers. Use a down well camera to determine the condition of the well prior to and following rehabilitation. (consider third party verification) 3. Be certain the contractor uses products which are NSF certified (Standard 60) for this purpose. Certification can be verified online at www.nsf.org . Identifying the Problem Down the Well Camera The Problem: Iron Bacteria Fouled well screens reduce flow Screen blocked by Iron Related Bacteria Abandoned: Iron Bacteria Well Rehabilitation Under Way! Well Rehabilitation Under Way! Well Rehabilitation Under Way! Well Rehabilitation Under Way! Well Rehabilitation Under Way! An Asset Has Value! Well Rehabilitation An excellent book on well rehabilitation is Chemical Cleaning, Disinfection & Decontamination of Water Wells by Dr. John H. Schnieders, the principal chemist at Water Systems Engineering (Ottawa Kansas), a laboratory which specializes in the microbiology and chemistry of water. ISBN 0-9726750-0-0 Continuous disinfection of the well Quorum sensing is essentially how bacteria communicate with one another and act as groups. Bacteria “communicate” on the molecular level utilizing various chemicals. Bacteria release a small amount of chemicals as they live and grow. As they multiply, the concentrations of these various chemicals increases in proportion to the number of bacteria. Continuous disinfection of the well At a critical point, the bacteria sense that there are significant numbers of them whereby it would be most advantageous to act as a group as opposed to acting individually. At this point, the bacteria “turn off” the planktonic or unattached portion of their genetic material and “turn on” the sessile or attached portion of their genetic code. (phenotypic plasticity) Continuous disinfection of the well Quorum sensing allows a single celled organism to act as a multi-cellular organism. Bacteria recognize and communicate within their own species as well as with other species. The manner in which they communicate within their own species is different from the manner in which they communicate with other species. Continuous disinfection of the well •Recent biofilm research has focused on the role of cell-to-cell signaling within biofilm populations. • Bacteria are able to produce and respond to various hormone-like signal molecules.15 •A particular subset of these molecules, the acylated homoserine lactones (acyl HSLs), have been shown to be involved in biofilm formation and dispersal with Pseudomonas aeruginosa.16 •This finding suggests that interference with acyl HSL-based signaling may provide a novel mechanism for biofilm control. Continuous disinfection of the well Studies conducted aver the past 10-15 years demonstrate that acyl-HSL based signaling systems are widespread in gram negative bacteria. Iron related bacteria species, sulfate reducing bacteria, Escherichia coli, Salmonella, Pseudomonas, Helicobacter, Legionella and the cyanobacteria are all gram negative bacteria. Furthermore, acyl HSLs have been detected in naturally occurring biofilms. Continuous disinfection of the well Three-oxo-acyl HSL is responsible for biofilm formation in Pseudomonas aeruginosa, a copious biofilm forming gram negative bacteria species. Also, butyryl HSL (which lacks the 3-oxo functionally) is important in biofilm dispersal. Continuous disinfection of the well Studies have shown that HOBr (hypobormous acid) rapidly reacts with 3-oxo-acyl HSLs at dilute concentrations. Two molecules of HOBr are consumed for every 3oxo-acyl HSL molecule which is deactivated by this process. This reaction eliminates the ability of this signal molecule to function properly as a cell-to-cell signal. Continuous disinfection of the well By selectively inactivating 3-oxo acyl HSL molecules, an excess of the butyryl HSL is created which encourages biofilm dispersal. This deactivation of acyl HSL signaling molecules by hypobromous acid is a natural method for biofilm control. Continuous disinfection of the well Also, hypobromous acid is a strong antimicrobial that inhibits biofilm formation through a cidal mechanism. Furthermore, the reaction between the 3-oxo acyl HSLs occurs even under conditions in which biofilm components are present at much higher concentrations than the acyl HSL levels. Continuous disinfection of the well Now you know the total solution to the number one challenge to groundwater well performance: eliminate biofilm forming bacteria in the well in an ongoing manner to keep the well functioning at peak performance and have the best water quality possible coming into your treatment process. Are there further benefits to keeping our wells clean? An applied area of microbiology that is significantly affected by the presence of utilizable carbon is drinking water. Excess organic material in drinking water is associated with growth of bacteria in the distribution system, increased chlorine demand in finished waters, and the formation of disinfection by-products.4 Continuous disinfection of water supply wells will benefit the entire treatment regime and the distribution system by drastically reducing the amount of utilizable carbon available to bacteria. Opportunistic Pathogens • Specifically, Mycobacterium species, some of which are opportunistic pathogens that may pose special risks to immune-compromised individuals, are very resistant to chlorine disinfection, could be controlled by limiting the level of biodegradable organic carbon. • Lowering the levels of biodegradable organic carbon could be an important mechanism for reducing the public health risk from opportunistic pathogens.5 • This same study showed that despite the application of continuous disinfection using chlorine biofilm rapidly developed. They concluded biofilm can rapidly form in the presence of a 1 to 2 mg/L free chlorine residual.6 Identifying the Problem Laboratory Testing Well Camera Identifying the Problem • • • • IRB-BART and SRB-BART Tests Down the Well Camera Total plate count Visual identification of the bacteria species under a microscope Identifying the Problem IRB-Bart Test Q: Why are suspended bacteria counts unreliable? A: The monitoring of bacteria is tricky. Bacteria form biofilm in natural environments. Most “nuisance” bacteria, such as iron bacteria, are sessile, or attached to a surface. Suspended bacteria counts provide false security because the ratio of sessile bacteria to suspended bacteria is 1,000,000 to 1. http://www.edstrom.com/update.cfm?doc_id=333 Benefits of Continuous Control of Bacteria: Prevents biofouling Controls bacteria in wells Eliminates clogging and blockages caused by iron bacteria in pipes, pumps and distribution Prevents odors caused by iron and sulfate reducing bacteria in wells. Provides well disinfection with a minimum of chemical intervention Further Recommended Reading: Microbiology of Well Biofouling by Dr. Roy Cullimore, Ph.D., Registered Microbiologist. ISBN 1-56670-400-6 AWWA studies on biofilm Sources • • • • • • • • • • • • • • • • • • • • 1 2003 World Health Organization (WHO). Heterotrophic Plate Counts and Drinking-water Safety, page 95. Edited by J. Bartram, J. Cotnuvo, M. Exner, A. Glasmacher. Published by IWA Publishing, London, UK. ISBN: 1 84339 025 6. 2 Ibid, page 85. J. Bartram. 3 Microbial Ecology (2000) 38:330-347. Effects of Carbon Source, Carbon Concentration, and Chlorination on Growth Related Parameters of Heterotrophic Biofilm Bacteria, page 330. B. D. Ellis, P. Butterfield, W. L. Jones, G. A. McFeters, A.K. Camper. Published by Springer-Verlag New York, US. DOI: 10.1007/s002489901003. 4 Ibid, page 331. B. D. Elis. 5 Applied and Environmental Microbiology, January 2000, p. 268-276. A Pilot Study of Bacterial Population changes through Potable Water Treatment and Distribution. Cheryl D. Norton, Mark W. Le Chevallier. Published by American Society for Mircobiology. 0099-2240/00. 6 Ibid, page 273. C. Norton. 7 Costerton W J, Lewandowski Z. Microbial biofilms. Annu Rev Biochem. 1995; 49: 711–745. 8 Sjöberg A M, Wirtanen G, Mattila-Sandholm T. Biofilm and residue investigations of detergents on surfaces of food processing equipment. Food Bioprod Proc. 95; 73: 17–21. 9 van der Wende E, Characklis W G, Smith D B. Biofilms and bacterial drinking water quality. Wat Res. 1989;23: 1313–1322. 10 Gill J F, Chakrabarty A M. Alginate production by the mucoid Pseudomonas aeruginosa associated with cystic fibrosis. Microbiol Sci. 1987; 4: 296–299. 11 Khoury A E, Lam K, Ellis B, Costerton J W. Prevention and control of bacterial infections associated with medical devices. ASAIO J. 1991; 38: M174–M178. 12 Marsh P D, Bradshaw D J. Dental plaque as a biofilm. J Ind Microbiol. 1995; 15: 169–175. 13 Chaudhary A, Gupta L K, Gupta J K, Banerjee U C. Studies on slime-forming organisms of a paper mill: slime production and its control. J Ind Microbiol Biotechnol. 14 Mattila-Sandholm T, Wirtanen G. Biofilm formation in the industry: a review. Food Rev Int. 1992; 8: 573–603. 15 Dunny G M, Winans S C., editors. Cell-cell signaling in bacteria. Washington, D.C.: ASM Press; 1999. 16 Davies D G, Parsek M R, Pearson J P, Iglewski B H, Costerton J W, Greenberg E P. The involvement of cell-tocell signals in the development of a bacterial biofilm. Science. 1998;280: 295–298. 17 http://www.edstrom.com/resources.cfm?doc_id=143 18 Baker, K H, Hegarty, J P, Redmond, B, Reed, N A, Herson, D S. Effect of Oxidizing Disinfectants on Helicobacter pylori. Applied and Environmental Microbiology, Feb. 2002, p. 981-984. 19 Reavis, C. (2005) Journal of the American Academy of Nurse Practitioners, 17 (7); 283-9. 20 Borchardt et al, Reaction of Acylated Homoserine Lactone Bacterial Signaling Molecules with Oxidized HaloGen Antimicrobials, Applied and Environmental Microbiology, July 2001, p. 3174-3179. Everyone Deserves Clean Water