Understanding and managing the risk posed by helminth eggs (HE) is a key concern for wastewater engineers and public health regulators. The treatment processes that produce recycled water from sewage at wastewater treatment plants (WWTPs) rely on achieving a defined log10 reduction value (LRV) in HE concentration during the production of recycled water from sewage to achieve the guideline concentration of ≤1.0 HE/L. The total concentration of HE in sewage reaches thousands of HE/L in developing countries and therefore, an LRV of 4.0 is generally accepted to achieve a safe concentration in recycled water, as this will meet the guideline value. However, in many developed countries with good sanitation and public health standards, the HE concentration in sewage is generally <10 HE/L. Therefore, validation of the sewage treatment process relied on to achieve an LRV of 4.0 can be difficult. Because of these limitations, design equations to predict LRVs from hydraulic retention times (HRT), which are geographically non-specific, are commonly relied on to ensure the production of safe quality recycled water with respect to HE. However, these design equations could be further refined by defining the design and management of the treatment process in greater detail and thus be used more effectively for determining the LRV required. This paper discusses the limitations and possible improvements that could be applied to LRV design equations for predicting HE removal at WWTPs and identifies the data requirements to support these improvements. Several options for LRV design equations are proposed that could be validated experimentally or via the ongoing operation of WWTPs. These improvements have the potential to assist the rationalization of the HE removal requirements for specific treatment options, exposure scenarios and use of recycled water in agriculture.
