Mycobacterium
avium subspecies paratuberculosis (Map) is the known
cause of Johne's disease of ruminants and has been implicated
as a cause of Crohn's disease in humans. Previous work has
shown that Map is present in untreated water entering water
treatment works (WTWs) in Northern Ireland. The work reported here
was directed at extending this study by developing both molecular
and culture methods for detecting Map and using them to conduct a
limited survey of two local WTWs. These have the same source water,
Lough Neagh, but have different water treatment systems viz. WTW1
is based primarily on slow sand filtration (SSF) while WTW2 is
based on dissolved air floatation (DAF). The SSF process
incorporates a schmutzdecke which is a biologically active
'dirty layer' responsible for most of the bactericidal
effects while DAF causes particulate matter, including
microorganisms, to flocculate and rise to the surface where they
are physically removed. This work not only allowed the efficiency
of the water treatment processes to kill or remove Map to be
determined but also compare the two respective water treatment
systems. The survey was carried out over a 9-month period to take
account of seasonal effects and husbandry practices. The molecular
method used was based on centrifugation, filtration and in-house
immunomagnetic separation (IMS) followed by conventional and
real-time PCR, the latter based principally on the IS900 insertion
element. The method was calculated to have a sensitivity of 10 Map
cells ml-1. Map was found throughout both WTW processes
from source water to final treated water. No definite concentration
of the organism was found at any particular stage. It is recognized
that the PCR method employed does not distinguish between viable
and non-viable cells. It is hoped that the culture methods that
have been performed in parallel with these PCR assays will shed
light on this question. It is also hoped that laboratory biofilm
studies will provide more fundamental information on the behaviour
of Map during both water treatment processes. Since water is one of
the possible routes of transmission, the outcome of this work
should contribute to a more meaningful risk assessment of the
public's exposure to Map and hence inform on possible
intervention strategies.