Occurrence of Cryptosporidium and Giardia in potable
water sources in Chandigarh, Northern India
Kjersti Selstad Utaaker, Himanshu Joshi, Anil Kumar, Suman Chaudhary
and Lucy J. Robertson
ABSTRACT
Contamination with Cryptosporidium and Giardia from drinking water sources in a city in Northern
India was assessed. A protocol modified from a standard ISO protocol, which includes filtration,
concentration, separation and detection steps, was tested and showed comparable recovery
efficiencies (Giardia mean ¼ 77.4%, Cryptosporidium mean ¼ 61.8% from the modified protocol,
compared with Giardia mean ¼ 61.6%, Cryptosporidium mean ¼ 69% from the ISO protocol) at a
substantial cost reduction. This protocol was used for analysing 71 samples of potable water from
different areas of Chandigarh, where sampling locations were divided into groups according to the
population density, which also partially equates with the level of infrastructure. Samples were
collected during (n ¼ 29) and outside the monsoon season (n ¼ 42). Of all samples analysed, 16
(22.5%) were Cryptosporidium- and/or Giardia-positive. Parasites per sample were low (1–10 (oo)
cysts per 10 L), although one sample contained large numbers of Giardia cysts (>1,000). Polymerase
chain reaction analyses on the small subunit ribosomal ribonucleic acid (SSU rRNA), triose-phosphate
isomerase (tpi), glutamate dehydrogenase (gdh) and beta-giardin (bg) gene sequences on Giardia-
positive samples and SSU rRNA on Cryptosporidium-positive samples tended to be unsuccessful,
although Giardia cysts of Assemblages B and C were identified. No association with the season was
detected, but an association with the location of water supply was identified. Samples from areas
with the lowest infrastructure were not associated with higher levels of contamination, but samples
from the middle level were significantly more likely to be contaminated than those from the highest
level of infrastructure. Results indicate that even in a city with a well-developed infrastructure, the
contamination of potable water with protozoan parasites remains a public health risk.
Kjersti Selstad Utaaker (corresponding author)
Lucy J. Robertson
Parasitology Laboratory, Department for Food
Safety and Infection Biology, Faculty of
Veterinary Medicine,
Norwegian University of Life Sciences,
Adamstuen Campus, P.O. Box 8146 Dep. 0033,
Oslo,
Norway
E-mail: kjersti.utaaker@nina.no
Himanshu Joshi
Anil Kumar
Suman Chaudhary
Department of Medical Parasitology,
Postgraduate Institute of Medical Education and
Research,
Chandigarh 16002,
India
Suman Chaudhary
Nanomedicine Laboratory of Immunology and
Molecular Biomedical Research (NLIMBR),
School of Medicine (SoM), Centre for Molecular
and Medical Research (C-MMR) Strategic
Research Centre, Faculty of Health,
Deakin University,
Waurn Ponds, Victoria 3216,
Australia
Key words | Cryptosporidium, detection, drinking water, Giardia, public health
INTRODUCTION
The World Health Organization (WHO) estimates that
about 1.1 billion people globally drink unsafe water (Kind-
hauser & WHO ), and the vast majority of diarrhoeal
diseases in the world (88%) is attributable to unsafe water,
poor sanitation, and general lack of hygiene interventions.
Waterborne parasitic protozoan diseases result in 842,000
deaths per year and 1.7 billion cases of diarrhoea (WHO
; Checkley et al. ), and the morbidity and mortality
caused by the waterborne diarrhoeal disease make them one
of the planet’s largest environmental health threats to many
populations (Gadgil ).
Cryptosporidium and Giardia are two of the most
common aetiological agents of childhood diarrhoea in
developing countries, causing morbidity as well as mor-
tality (Kotloff et al. ; Platts-Mills et al. ), and an
expert elicitation found that waterborne transmission
483 © IWA Publishing 2019 Journal of Water Supply: Research and Technology—AQUA | 68.6 | 2019
doi: 10.2166/aqua.2019.157
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