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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Water</journal-id>
<journal-title>Frontiers in Water</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Water</abbrev-journal-title>
<issn pub-type="epub">2624-9375</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/frwa.2024.1359196</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Water</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>The presence of ampicillin-resistant coliforms in urban floodwaters of a coastal city in the southeastern United States</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Squiggins</surname> <given-names>Kayla T.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
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<contrib contrib-type="author">
<name><surname>Fullerton</surname> <given-names>Heather</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
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<contrib contrib-type="author" corresp="yes">
<name><surname>Vulava</surname> <given-names>Vijay M.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
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<aff id="aff1"><sup>1</sup><institution>Environmental and Sustainability Studies Graduate Program, The University of Charleston, College of Charleston</institution>, <addr-line>Charleston, SC</addr-line>, <country>United States</country></aff>
<aff id="aff2"><sup>2</sup><institution>Department of Biology, College of Charleston</institution>, <addr-line>Charleston, SC</addr-line>, <country>United States</country></aff>
<aff id="aff3"><sup>3</sup><institution>Department of Geology and Environmental Geosciences, College of Charleston</institution>, <addr-line>Charleston, SC</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Prabhakar Sharma, Nagaland University, India</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Salom Gnana Thanga Vincent, University of Kerala, India</p>
<p>Sabu Thomas, Mahatma Gandhi University, India</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Vijay M. Vulava <email>vulavav&#x00040;cofc.edu</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>17</day>
<month>04</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>6</volume>
<elocation-id>1359196</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>12</month>
<year>2023</year>
</date>
<date date-type="accepted">
<day>01</day>
<month>04</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2024 Squiggins, Fullerton and Vulava.</copyright-statement>
<copyright-year>2024</copyright-year>
<copyright-holder>Squiggins, Fullerton and Vulava</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Rapid urbanization in coastal areas worldwide, combined with intense precipitation events and coastal flooding exacerbated by climate change, poses an existential challenge for many coastal communities. Floodwater in coastal urban areas contains non-point source pollutants, such as trace metals and fecal coliforms, but the presence of fecal coliforms resistant to antibiotics poses an additional threat to human health and has yet to be reported.</p>
</sec>
<sec>
<title>Methods</title>
<p>In this study, floodwater samples were collected from four locations in Charleston, SC, a medium-sized coastal city in the southeastern United States. All sites were impacted by flooding: two by tidal and rainfall flooding, one by tidal flooding, and one by stormwater runoff. Since ampicillin is a commonly-prescribed antibiotic for both humans and animals, this study aimed to analyze the patterns of ampicillin-resistant coliform (AmpRC) concentrations as correlated to flood-source and land-use patterns.</p>
</sec>
<sec>
<title>Results</title>
<p>Floodwater from all areas contained AmpRC and trace metals, with varying contaminant concentrations based on the flood source. No correlations were observed between coliform and trace metal concentrations. Analysis of land-use patterns demonstrated a positive correlation between percent coverage of impervious surfaces and coliform concentrations at all the sites.</p>
</sec>
<sec>
<title>Discussion</title>
<p>Overall, the results suggest that land-use patterns increase the prevalence of antibiotic-resistant coliforms and increase the likelihood of human exposure to these potential pathogens. Climate change is expected to exacerbate the presence of antibiotic-resistant bacteria in floodwater generated from rainfall and tidal flooding in coastal cities. Cities like Charleston, SC are experiencing rapid urbanization and increased coastal flooding, making this research particularly relevant.</p>
</sec></abstract>
<kwd-group>
<kwd>antibiotic resistance</kwd>
<kwd>flooding</kwd>
<kwd>urbanization</kwd>
<kwd>fecal coliforms</kwd>
<kwd>ampicillin</kwd>
</kwd-group>
<counts>
<fig-count count="3"/>
<table-count count="1"/>
<equation-count count="0"/>
<ref-count count="116"/>
<page-count count="13"/>
<word-count count="9596"/>
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<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Environmental Water Quality</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="s1">
<title>Introduction</title>
<p>A global increase in urbanization has led to a rise in population living in flood-prone areas. In 2015, 11.3% of the population lived in such areas (Neumann et al., <xref ref-type="bibr" rid="B70">2015</xref>; Rentschler et al., <xref ref-type="bibr" rid="B84">2023</xref>). Increased urbanization is of particular interest in the United States because of the increased migration of people from rural areas to cities, resulting in the redevelopment of more than 40 million hectares of land from 1978 to 2012 (Bounoua et al., <xref ref-type="bibr" rid="B18">2018</xref>; USDA, <xref ref-type="bibr" rid="B102">2019</xref>). This increase in urbanization accounts for 53% of the US population, particularly in coastal areas, with 40% of these individuals relocating to the coast (National Weather Service and NOAA, <xref ref-type="bibr" rid="B69">2024</xref>; Office for Coastal Management and NOAA, <xref ref-type="bibr" rid="B74">2024</xref>). This increase in urbanization can harm the environment and human health (Adams et al., <xref ref-type="bibr" rid="B1">2014</xref>; Kulp and Strauss, <xref ref-type="bibr" rid="B55">2019</xref>; Tellman et al., <xref ref-type="bibr" rid="B100">2021</xref>).</p>
<p>Increased urbanization increases impervious land surface, leading to increased flooding (Khan, <xref ref-type="bibr" rid="B52">2005</xref>; O&#x00027;Driscoll et al., <xref ref-type="bibr" rid="B73">2010</xref>; Zhang et al., <xref ref-type="bibr" rid="B115">2018</xref>). Flooding from either heavy rainfall or high tides can occur, and in some instances, compound flooding may occur when both co-occur (Hendry et al., <xref ref-type="bibr" rid="B44">2019</xref>; Salarieh et al., <xref ref-type="bibr" rid="B89">2023</xref>). During heavy rainfall or high tide, gutters become overwhelmed and block water from leaving the streets through stormwater drains, which usually discharge water into nearby waterbodies (Despotovic et al., <xref ref-type="bibr" rid="B31">2005</xref>; Qin, <xref ref-type="bibr" rid="B83">2020</xref>). Floodwaters contain different nonpoint source pollutants, particularly coliforms and trace metals of concern (Petrucci et al., <xref ref-type="bibr" rid="B78">2014</xref>; Chithra et al., <xref ref-type="bibr" rid="B23">2015</xref>). These coliforms in natural waters can be resistant to antibiotics, such as ampicillin, typically due to wastewater discharge into streams (Niemi et al., <xref ref-type="bibr" rid="B71">1983</xref>; Akiyama and Savin, <xref ref-type="bibr" rid="B3">2010</xref>; Allen et al., <xref ref-type="bibr" rid="B4">2010</xref>; Rizzo et al., <xref ref-type="bibr" rid="B86">2013</xref>). These nonpoint source pollutants have a deleterious impact and are entering the waterbodies, negatively impacting marine and aquatic ecosystems (McCoy et al., <xref ref-type="bibr" rid="B65">2015</xref>). The transfer of pollutants from runoff into coastal streams is exacerbated by increased flooding caused by rising sea levels and coastal inundation (Blair et al., <xref ref-type="bibr" rid="B17">2014b</xref>; Spanger-Siegfried et al., <xref ref-type="bibr" rid="B98">2014</xref>). In addition to rising sea levels, increasing frequency of storm surges and off-shore storms can create frequent higher-than-normal tides (Jongman et al., <xref ref-type="bibr" rid="B48">2012</xref>; Sweet and Park, <xref ref-type="bibr" rid="B99">2014</xref>). According to the National Oceanic and Atmospheric Administration (NOAA), by 2050, there will be an average of 45&#x02013;85 days of high-tide flooding events across the US (Silverstein and NOAA, <xref ref-type="bibr" rid="B95">2023</xref>). Runoff-related pollution is expected to be exacerbated by the increased frequency of compound flooding in coastal areas (Bevacqua et al., <xref ref-type="bibr" rid="B11">2020</xref>; Ghanbari et al., <xref ref-type="bibr" rid="B39">2021</xref>; Yang et al., <xref ref-type="bibr" rid="B114">2021</xref>).</p>
<p>Flooding is also caused by intense rainfall associated with climate change, and rain across the United States has increased by an average of 13% since 1970 (Climate Central, <xref ref-type="bibr" rid="B24">2023</xref>). In the southeastern United States, there is an annual precipitation of 1,260&#x02013;1,530 mm, consisting mostly of liquid precipitation, with higher intensity in warmer seasons (Qian et al., <xref ref-type="bibr" rid="B82">2021</xref>). Short-duration high-intensity rainfall has become more frequent in the United States and globally since 1950 (Degaetano, <xref ref-type="bibr" rid="B28">2009</xref>; Skeeter et al., <xref ref-type="bibr" rid="B97">2019</xref>) and the resulting coastal flooding is exacerbated by sea level rise (Ekmekcioglu et al., <xref ref-type="bibr" rid="B36">2022</xref>). Compound flooding occurs when tidal and rainfall flooding co-occur, exacerbating flooding and causing impassable streets (Coz et al., <xref ref-type="bibr" rid="B27">2021</xref>). There are typically two routes for transferring nonpoint source pollution from the urban environment to the waterways: stormwater discharge and tidal flooding.</p>
<p>Coliforms and other bacteria are commonly found in the natural environment and floodwaters. <italic>Escherichia coli</italic> is widely used as an indicator organism for identifying the presence of possible fecal contamination in water (Edberg et al., <xref ref-type="bibr" rid="B35">2000</xref>; Odonkor and Ampofo, <xref ref-type="bibr" rid="B72">2013</xref>). Antibiotics, such as ampicillin, as prescribed to humans, livestock, and pets to treat bacterial infections, are used for inhibiting the growth of bacteria and can either quickly degrade or persist for long periods in the environment (Bhattacharjee, <xref ref-type="bibr" rid="B14">2016</xref>; Scott et al., <xref ref-type="bibr" rid="B93">2016</xref>). Antibiotic resistance, or the decrease in the effectiveness of a specific antibiotic against bacteria, has become an urgent issue in public health and environmental biology (Manaia et al., <xref ref-type="bibr" rid="B63">2012</xref>; Murray et al., <xref ref-type="bibr" rid="B67">2022</xref>; Velazquez-Meza et al., <xref ref-type="bibr" rid="B109">2022</xref>). Approximately 15 million deaths were attributed to antimicrobial resistance in 2019 (Murray et al., <xref ref-type="bibr" rid="B67">2022</xref>), making antimicrobial resistance a leading cause of death globally. Furthermore, antibiotic-resistant infections can lead to limited pharmaceutical treatment, extended hospital stays, and increased financial burdens (Cosgrove, <xref ref-type="bibr" rid="B25">2006</xref>).</p>
<p>Trace metals are also found in floodwater environments in trace amounts and can be toxic to aquatic organisms depending on the concentration and uptake rates (Bezerra et al., <xref ref-type="bibr" rid="B12">2019</xref>). At high concentrations, these metals are toxic to environmental bacteria, but at lower doses, the bacteria can adapt and become resistant to those metals during chronic exposure (Biswas et al., <xref ref-type="bibr" rid="B15">2021</xref>). Along with developing resistance to metals, the bacteria can become antibiotic-resistant simultaneously due to continuous stress tolerance by efflux pumping through the bacterial cell membrane (Wright et al., <xref ref-type="bibr" rid="B113">2006</xref>; Biswas et al., <xref ref-type="bibr" rid="B15">2021</xref>).</p>
<p>During urban flooding events, people often wade through the waters, unaware of the potential risk of bacterial infection (Ashley and Ashley, <xref ref-type="bibr" rid="B9">2008</xref>). Exposure to coliforms by ingestion of contaminated water can cause many types of infections and diseases (Rock and Rivera, <xref ref-type="bibr" rid="B87">2014</xref>; Perkins and Trimmier, <xref ref-type="bibr" rid="B77">2017</xref>; Holcomb and Stewart, <xref ref-type="bibr" rid="B45">2020</xref>). In 2019, there were at least 2.8 million microbial-resistant infections in the United States, with more than 35,000 mortalities, and these numbers will continue to increase if preventative measures are not utilized (CDC, <xref ref-type="bibr" rid="B20">2019</xref>). When chronically exposed to antibiotics, coliforms can become antibiotic-resistant (Harwood et al., <xref ref-type="bibr" rid="B43">2000</xref>). Antibiotic-resistant coliforms (ARC) will continually evolve and develop resistance to multiple antibiotics (Hamad et al., <xref ref-type="bibr" rid="B41">2019</xref>), making this a long-term health issue (Domingues et al., <xref ref-type="bibr" rid="B34">2021</xref>).</p>
<p>The purpose of this study was to evaluate urban floodwater quality in a rapidly growing coastal city in the southeastern US. Specifically, our objective was to quantify the prevalence of ampicillin-resistant coliforms (AmpRC) and to identify any relationships with other water quality parameters. We had three hypotheses: (i) the coliforms present in the floodwaters are resistant to ampicillin, (ii) there is a positive correlation between AmpRC and trace metal concentrations in the floodwater samples, and (iii) the growth of AmpRC is affected by water quality parameters such as pH and water temperature. To evaluate these hypotheses, floodwater samples were collected at sites that experience localized flooding due to heavy rainfall, tides, or compound flooding. Factors such as automobile and pedestrian traffic patterns were also considered for our choice of sampling sites. For this study, the term &#x0201C;floodwaters&#x0201D; encompasses tidal, rainfall, or compound flooding events.</p>
</sec>
<sec sec-type="materials and methods" id="s2">
<title>Materials and methods</title>
<sec>
<title>Study area</title>
<p>Charleston is located on the South Carolina coast and sits on a peninsula with the adjacent Ashley River to the west and Cooper River to the east (<xref ref-type="fig" rid="F1">Figure 1</xref>). Charleston Harbor is south of the peninsula and acts as an estuarine buffer between the rivers and the Atlantic Ocean (Purcell et al., <xref ref-type="bibr" rid="B81">2020</xref>). The Charleston peninsula had undergone extensive urban development, which involved filling or draining marshes and other natural areas (Butler, <xref ref-type="bibr" rid="B19">2020</xref>), increasing the volume of stormwater runoff draining into the coastal waterways (Blair et al., <xref ref-type="bibr" rid="B16">2014a</xref>).</p>
<fig id="F1" position="float">
<label>Figure 1</label>
<caption><p>The floodwater sampling sites on the Charleston Peninsula are shown. The HF site is at the intersection of Hagood Ave. and Fishburne St.; the CC site is at the intersection of Calhoun St. and Coming St.; the EB 17 site is near the junction of East Bay St. and HWY 17; and the MC site is in Magnolia Cemetery.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frwa-06-1359196-g0001.tif"/>
</fig>
<p>Floodwater was sampled within the Charleston peninsula at four sites: (i) Hagood Ave. at Fishburne St. (HF) (32&#x000B0;47&#x02032;30.0&#x02032;&#x02032;N 79&#x000B0;57&#x02032;22.9&#x02032;&#x02032; W), (ii) Coming St. at Calhoun St. (CC) (32&#x000B0;47&#x02032;6.0&#x02032;&#x02032;N 79&#x000B0;56&#x02032;22.6&#x02032;&#x02032; W), (iii) East Bay St. at HWY 17 (EB17) (32&#x000B0;48&#x02032;01.9&#x02032;&#x02032;N 79&#x000B0;56&#x02032;10.9&#x02032;&#x02032; W), and (iv) Magnolia Cemetery (MC) (32&#x000B0;49&#x02032;3.3&#x02032;&#x02032;N, 79&#x000B0;56&#x02032;37.0&#x02032;&#x02032; W). The MC site is a tidal creek next to a historic cemetery and was designated as the control site as this site did not receive stormwater runoff and was only impacted by tidal flow from the Cooper River (<xref ref-type="fig" rid="F1">Figure 1</xref>). These sites were chosen based on the updated flood hazard data from the US Federal Emergency Management Agency (FEMA) Flood Hazard and Risk Data Viewer (FEMA, <xref ref-type="bibr" rid="B38">2020</xref>). The viewer provided a flood zone map of where potential areas in Charleston would be inundated by a flood event (FEMA, <xref ref-type="bibr" rid="B38">2020</xref>). The MC, HF, and EB-17 sites experience sunny-day tidal flooding where the flood tide height is at least 2.1 m MLLW (Coz et al., <xref ref-type="bibr" rid="B27">2021</xref>). Our observations during sampling confirmed commonly flooded sites during stormwater and tidal flooding.</p>
</sec>
<sec>
<title>Floodwater sampling methodology</title>
<p>Floodwater sampling was conducted from December 2021 to December 2022 as outlined: (i) the MC site from March 2022 to September 2022, (ii) the HF site from December 2021 to July 2022, (iii) the EB17 site during June 2022, July 2022, and December 2022, and (iv) the CC site from June 2022 and December 2022. At all sites, floodwater samples were collected near stormwater drains or culverts. The CC site was only sampled during rainfall events due to the site being farther inland and not impacted by tidal flooding. The HF and EB17 sites were sampled during both rainfall and high tide flooding events due to the proximity of the Ashley River and Cooper River, respectively.</p>
<p>When at least 1 cm depth of water was flowing into the drain, a floodwater sample was collected with either water flowing into the mouth of a sampling container or completely submerging the container while tightening the cap. Water samples for trace metal and coliform analyses were collected using 50 mL sterile centrifuge tubes and stored in a cooler for transport. Bright vests were worn during sample collection for visibility and personal protection and sample contamination was minimized. Measures were taken to prevent bed sediment collection and minimize turbid conditions by gently sampling water from the stormwater drain. This method is based on the United States Environmental Protection Agency (USEPA) standard method for industrial stormwater sampling (USEPA, <xref ref-type="bibr" rid="B104">2021</xref>).</p>
<p>Tidal height and precipitation data were obtained from the NOAA online portals (Center for Operational Oceanographic Products and Services and NOAA, <xref ref-type="bibr" rid="B21">2023</xref>; National Weather Service and NOAA, <xref ref-type="bibr" rid="B69">2024</xref>). Tide data from the tide gauge station closest to the sampling site was used to record the most representative tide height.</p>
</sec>
<sec>
<title>Watershed delineations and impervious surface coverage</title>
<p>Watershed delineations were created to identify the boundaries surrounding the floodwater sites where stormwater runoff would flow toward lower elevations. ArcGIS Pro (version 3.1, ESRI, Redlands, CA) and the built-in Hydrology Tools were used to perform watershed delineations. A 1-m resolution digital elevation model (DEM) created using the available Light Detection and Ranging (LiDAR) data was used to determine the elevation contours of the peninsula. The errors in the DEM were corrected by using the Fill tool in the Hydrology Toolset to allow for a better representation of the flow direction (Arifjanov et al., <xref ref-type="bibr" rid="B8">2022</xref>). Streamlines were generated after the filling of the sinks to determine where the stormwater runoff would flow and if the water would flow toward the floodwater sites by using the Flow Direction tool. Finally, a watershed boundary for all the streamlines was created for each sampling site by converting the raster to a polygon (Villines et al., <xref ref-type="bibr" rid="B110">2015</xref>; Goji Tumba and Amusuk, <xref ref-type="bibr" rid="B40">2017</xref>). The polygons at each site were all spatially joined to make all the watersheds into one layer. The impervious surface layer was obtained from the United States Geological Survey (USGS) National Land Cover Database (NLCD) (USGS, <xref ref-type="bibr" rid="B106">2021</xref>) which provides impervious surface percentages for the Charleston peninsula in 2019. This layer was joined with the watershed boundaries layer.</p>
</sec>
<sec>
<title>Bulk water quality measurements</title>
<p>The Manta&#x0002B;20 Eureka&#x02122; Water Probe (Eureka&#x02122; Water Probes, Austin, TX) was used to collect water quality parameters, including water temperature (&#x000B0;C), pH, conductivity (&#x003BC;S/cm), and dissolved oxygen (mg/L). After all the readings for each parameter remained stable, measurements were recorded, and the probe was rinsed with deionized water (18 M&#x003A9;.cm) before and after measurements to prevent cross-contamination. Conductivity measurements obtained from the Water Quality Data Portal for Ashley River and Cooper River were averaged from 1981 to 2021 (National Water Quality Monitoring Council, <xref ref-type="bibr" rid="B68">2023</xref>). The mean conductivity values for the Ashley River and Cooper River are 31,745 &#x003BC;S/cm and 30,867 &#x003BC;S/cm, respectively. The conductivities from the sampling sites that had tidal influences were compared to the corresponding river conductivity value to identify if the floodwater was brackish.</p>
</sec>
<sec>
<title>Bacterial enumeration</title>
<p>Bacterial analysis began within 4 h of collection to enumerate coliforms and ampicillin-resistant coliforms. All bacteria culture plates were filled with 1 mL sample volume. This was either achieved with sterile water, ampicillin solution, or a mix of site water with sterile water or ampicillin solution depending on the site. For the MC site, the Compact Dry EC plates (Hardy Diagnostics, Santa Maria, CA) were rehydrated with either ampicillin (32 mg/L) or sterile water for the membrane filtration using a sterile 0.45 &#x003BC;m filter of floodwaters since this site had lower bacterial concentrations (APHA et al., <xref ref-type="bibr" rid="B7">2018</xref>). The Compact Dry EC plates contain chromogenic enzyme substrates, so <italic>E. coli</italic> will form blue colonies whereas other coliforms will turn pink-purple (Kodaka et al., <xref ref-type="bibr" rid="B54">2006</xref>). For the other three sampling sites (HF, EB17, and CC), floodwater samples were diluted with either sterilized water or a solution of ampicillin directly applied to the plate. Plates were incubated at 35&#x000B0;C &#x000B1; 2&#x000B0;C, and after 18&#x02013;24 h, the colony-forming units (CFUs) were enumerated. One CFU equals one bacterium, therefore, a high number of bacteria in the floodwaters would result in high CFUs. <italic>E. coli</italic> and coliforms were enumerated to yield total coliform (TC) count and reported in CFU/100 mL. If the CFUs counted on the plates prepared with a sample were &#x0003E;150 CFUs, that sample was coded as <italic>Too Numerous To Count</italic> or TNTC (SC DHEC, <xref ref-type="bibr" rid="B91">2019</xref>). If a 150-CFU threshold was reached for a sample, a value of 150 CFU/100 mL was reported as a conservative estimate of TC coliform concentration.</p>
</sec>
<sec>
<title>Trace metals analysis</title>
<p>Total concentrations of dissolved trace metals (Al, Sb, As, Ba, Be, Cd, Cr, Co, Cu, Pb, Mn, Mo, Ni, Se, Ag, Tl, Th, U, V, and Zn) in the water samples were determined using an inductively coupled plasma mass spectrometer (ICP-MS) (iCAP RQ ICP-MS, Thermo Fisher Scientific, Waltham, MA) based on the revised USEPA Method 200.2 Revision 2.8 (Martin et al., <xref ref-type="bibr" rid="B64">1994</xref>). The water samples were filtered using 0.45 &#x003BC;m polyethersulfone (PES) syringe filters and acidified to 2% v/v using nitric acid. A multi-element standard mix (High Purity Standards, North Charleston, SC) was diluted to calibrate the inductively coupled plasma mass spectrometer (ICP-MS) consisting of serial dilutions from 10<sup>&#x02212;4</sup> to 10 mg/L. Check standards and blanks were incorporated for each set of water samples.</p>
</sec>
<sec>
<title>Statistical analyses</title>
<p>The raw data were organized, and outliers were removed for the average colony concentrations for <italic>E. coli</italic>, coliforms, and TC by using the interquartile range and calculating the inner and outer fences to identify the boundaries of the data (Schwertman and de Silva, <xref ref-type="bibr" rid="B92">2007</xref>). After removing the outliers (63% of total samples removed), principal component analysis (PCA) was performed on the data using R software. The normalized data from all the experimental variables were transformed into principal components (PCs), which are linear projections that are arranged by the size of the eigenvalue. This analysis reduced the dimensionality and identified any relationships between multiple variables (Dem&#x00161;ar et al., <xref ref-type="bibr" rid="B30">2013</xref>). Additional R packages, including <italic>factoextra</italic>, were used to generate biplots (Kassambara and Mundt, <xref ref-type="bibr" rid="B50">2020</xref>), <italic>ggplot2</italic> was used to make plots aesthetically appealing (Wickham, <xref ref-type="bibr" rid="B112">2016</xref>), and <italic>psych</italic> was used to calculate the cumulative variance (Revelle, <xref ref-type="bibr" rid="B85">2023</xref>).</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec>
<title>Watershed delineation of sampling sites</title>
<p>The four sampling sites were located on different parts of an urban peninsula, which had varying percentages of impervious surfaces. The MC site had the least impervious coverage on the peninsula, ranging between 1% and 19%. The CC site had the highest impervious coverage, ranging from 80% to 100%. The HF and EB17 sites had similar impervious coverages, between 50% and 79%.</p>
<p>The HF site had the smallest watershed boundary, which was only 3.23 hectares. The EB17 site, on the other hand, had the largest watershed boundary of 55.04 hectares. Both these sites were affected by compound flooding. The MC site had the second-largest watershed boundary of 19.02 hectares and was mainly affected by tidal flooding. Finally, the CC site watershed boundary was 10.52 hectares and experienced only rainfall flooding (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<fig id="F2" position="float">
<label>Figure 2</label>
<caption><p>Watershed delineation was conducted using the USGS National Land Cover Database (NLCD) layer. The impervious surface coverage is shown as a percentage of total land coverage. The stormwater runoff watershed boundaries for each sampling site are overlain on top of the impervious surface layer.</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frwa-06-1359196-g0002.tif"/>
</fig>
</sec>
<sec>
<title>Contaminants in floodwater</title>
<p>Chemical characterization was performed independently for each site due to their unique geography and flooding influences. The medians, first and third quartiles, were used because these water quality data are not normally distributed. The conductivity data indicated that the MC site had brackish water in the floodwater with a median conductivity of 27,130 &#x003BC;S/cm. The median tide height at this site was 1.32 m MLLW, and no rainfall was recorded at this site during the sampling events. The median TC and AmpRC colony concentrations were 4,259 CFU/100 mL and 764 CFU/100 mL, respectively, or AmpRC counts were 17.93% of TC counts for this site. Of trace metals, only As was detected at this site with a median value of 4 &#x003BC;g/L (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption><p>Summary data from all analyzed water samples.</p></caption>
<table frame="box" rules="all">
<thead>
<tr style="background-color:#919498;color:#ffffff">
<th valign="top" align="left"><bold>Sampling location</bold></th>
<th valign="top" align="center"><bold>Rainfall (cm)</bold></th>
<th valign="top" align="center"><bold>Tide height (m)</bold></th>
<th valign="top" align="center"><bold>TC (CFU/100 mL)</bold></th>
<th valign="top" align="center"><bold>AmpRC (CFU/100 mL)</bold></th>
<th valign="top" align="center"><bold>AmpRC: TC</bold></th>
<th valign="top" align="center"><bold>Conductivity (&#x003BC;S/cm)</bold></th>
<th valign="top" align="center"><bold>As (&#x003BC;g/L)</bold></th>
<th valign="top" align="center"><bold>Cr (&#x003BC;g/L)</bold></th>
<th valign="top" align="center"><bold>Zn (&#x003BC;g/L)</bold></th>
<th valign="top" align="center"><bold>Flooding type</bold></th>
<th valign="top" align="center"><bold>Impervious surface %</bold></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">MC</td>
<td valign="top" align="center">n/a</td>
<td valign="top" align="center">1.32 &#x000B1; 1:2</td>
<td valign="top" align="center">4,259 &#x000B1; 2,791:6,072</td>
<td valign="top" align="center">764 &#x000B1; 509:2,880</td>
<td valign="top" align="center">17.93%</td>
<td valign="top" align="center">27,130 &#x000B1; 25,920:30,390</td>
<td valign="top" align="center">4 &#x000B1; 3:4</td>
<td valign="top" align="center">0 &#x000B1; 0:5</td>
<td valign="top" align="center">0 &#x000B1; 0:0</td>
<td valign="top" align="center">Tidal-only</td>
<td valign="top" align="center">1&#x02013;19%</td>
</tr> <tr>
<td valign="top" align="left">HF</td>
<td valign="top" align="center">1.75 &#x000B1; 1:3</td>
<td valign="top" align="center">1.32 &#x000B1; 1:2</td>
<td valign="top" align="center">12,300 &#x000B1; 10,326:37,584</td>
<td valign="top" align="center">6,334 &#x000B1; 2,286:12,436</td>
<td valign="top" align="center">51.49%</td>
<td valign="top" align="center">6,340 &#x000B1; 1,964:43,305</td>
<td valign="top" align="center">3 &#x000B1; 0:4</td>
<td valign="top" align="center">0 &#x000B1; 0:0</td>
<td valign="top" align="center">0 &#x000B1; 0:0</td>
<td valign="top" align="center">Compound</td>
<td valign="top" align="center">50&#x02013;79%</td>
</tr> <tr>
<td valign="top" align="left">EB17</td>
<td valign="top" align="center">0.97 &#x000B1; 0:1</td>
<td valign="top" align="center">1.32 &#x000B1; 1:1</td>
<td valign="top" align="center">49,500 &#x000B1; 43,084:54,917</td>
<td valign="top" align="center">9,334 &#x000B1; 7,367:20,501</td>
<td valign="top" align="center">18.86%</td>
<td valign="top" align="center">976 &#x000B1; 855:1,589</td>
<td valign="top" align="center">4 &#x000B1; 2:5</td>
<td valign="top" align="center">8 &#x000B1; 4:18</td>
<td valign="top" align="center">0 &#x000B1; 0:8</td>
<td valign="top" align="center">Compound</td>
<td valign="top" align="center">50&#x02013;79%</td>
</tr> <tr>
<td valign="top" align="left">CC</td>
<td valign="top" align="center">1.82 &#x000B1; 1:2</td>
<td valign="top" align="center">n/a</td>
<td valign="top" align="center">33,850 &#x000B1; 29,442:38,259</td>
<td valign="top" align="center">259 &#x000B1; 222:297</td>
<td valign="top" align="center">0.76%</td>
<td valign="top" align="center">100 &#x000B1; 95:104</td>
<td valign="top" align="center">3 &#x000B1; 3:3</td>
<td valign="top" align="center">5 &#x000B1; 3:8</td>
<td valign="top" align="center">0 &#x000B1; 0:0</td>
<td valign="top" align="center">Stormwater-only</td>
<td valign="top" align="center">80&#x02013;100%</td>
</tr></tbody>
</table>
<table-wrap-foot>
<p>Most values are shown as Median values &#x000B1; the <italic>First Quartile (Q1)</italic>: the <italic>Third Quartile (Q3)</italic> values (Median &#x000B1; Q1:Q3). The flooding type is based on conductivity data. The Impervious Surface % was obtained from the watershed delineation analyses.</p>
</table-wrap-foot>
</table-wrap>
<p>The CC site was only influenced by stormwater runoff, and the stormwater had a median conductivity of 100 &#x003BC;S/cm and a median rainfall of 1.82 cm during the sampling events at this site. The median TC and AmpRC colony concentrations were 33,850 CFU/100 mL and 259 CFU/100 mL, respectively, or the AmpRC counts were 0.76% of TC counts at this site. Both As and Cr were detected in the floodwater at this site with median concentrations of 3 &#x003BC;g/L and 5 &#x003BC;g/L, respectively (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<p>The median conductivity of 6,340 &#x003BC;S/cm confirmed that HF site was impacted by compound flooding (typical conductivity maximum values for freshwater and saltwater are 700 &#x003BC;S/cm and 25,000 &#x003BC;S/cm, respectively). The median rainfall amount and tide height at this site during sampling events were 1.75 cm and 1.32 m MLLW, respectively. The median TC and AmpRC colony concentrations were 12,300 CFU/100 mL and 6,334 CFU/100 mL, respectively or the AmpRC counts were 51.49% of TC counts at this site. Only As was detected at this site with a median concentration of 3 &#x003BC;g/L (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
<p>The EB17 site was also impacted by compound flooding like the HF site, and the floodwater had a median conductivity of 976 &#x003BC;S/cm, which is above the threshold of freshwater conductivity of 700 &#x003BC;S/cm. The median rainfall amount and tide height at this site during sampling events were 0.97 cm and 1.32 m MLLW, respectively. The median TC and AmpRC colony concentrations were 49,500 CFU/100 mL and 9,334 CFU/100 mL, respectively or the AmpRC counts were 18.86% of TC counts at this site. Trace metals, As and Cr, were detected in the floodwater with median concentrations of 4 &#x003BC;g/L and 8 &#x003BC;g/L, respectively (<xref ref-type="table" rid="T1">Table 1</xref>).</p>
</sec>
<sec>
<title>Statistical analysis</title>
<p>Principal component analysis (PCA) was used to correlate the physical, chemical, and microbial contaminant data from all the sites. Eight principal components (PCs) comprising eight variables (contaminant data), including TC, AmpRC, tide height, rainfall, conductivity, As, Cr, and Zn, were calculated. The proportion of variances for each PC were 33%, 21%, 14%, 11%, 9%, 7%, 3%, and 2%, respectively. The first two PCs (PC1 and PC2) were used for the biplots as they accounted for the two highest variances (33.1% and 20.6%, respectively). Rainfall, TC, and AmpRC were strongly and positively correlated with each other. The tide height and conductivity are strongly correlated to each other and negatively correlated with rainfall and TC, and less strongly correlated with AmpRC counts. The trace metals all were strongly correlated with each other and less correlated with TC and AmpRC concentrations (<xref ref-type="fig" rid="F3">Figure 3</xref>).</p>
<fig id="F3" position="float">
<label>Figure 3</label>
<caption><p>The principal component analysis biplot. The biplot has individual observations (dots) and variables (arrows) for PC1 and PC2. The variables include AmpRC, TC, tide height, rainfall amount, conductivity, and three trace metals (As, Cr, and Zn).</p></caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="frwa-06-1359196-g0003.tif"/>
</fig>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>This study showed that AmpRC was present in floodwaters from rainfall and tidal events in Charleston under all rainfall or tidal conditions and in all locations. The impervious surfaces and compound flooding impacted both the TC and AmpRC concentrations. Trace metals were also present in the floodwaters, but no co-resistance with AmpRC was established from data analysis.</p>
<sec>
<title>Impact of precipitation and high tide events</title>
<p>The coliforms (TC) and AmpRC observed in the floodwaters in this study can originate from many sources, as observed in similar coastal areas (Selvakumar and Borst, <xref ref-type="bibr" rid="B94">2006</xref>). The detection of AmpRC in the nearby tidal creeks, Shem Creek and Kushiwah Creek (DeLorenzo et al., <xref ref-type="bibr" rid="B29">2012</xref>; Emery et al., <xref ref-type="bibr" rid="B37">2022</xref>), also confirms that one of the main sources of AmpRC in coastal waterways is the floodwater generated within the urban watersheds. Other cities in the United States have found coliforms and antibiotic-resistant bacteria (ARB) in different urban waterbodies from stormwater discharge (Singh et al., <xref ref-type="bibr" rid="B96">2019</xref>) and antibiotic-resistant microbes, an emerging public health threat (Scott et al., <xref ref-type="bibr" rid="B93">2016</xref>). These bacteria are discharged directly into the waterbodies via stormwater drains, negatively affecting the marine ecosystem and human health (Parker et al., <xref ref-type="bibr" rid="B76">2010</xref>). In addition, there is the potential for antibiotic-resistant genes, such as ampicillin-resistant genes, to be shared among different microbes (Uyaguari et al., <xref ref-type="bibr" rid="B107">2011</xref>, <xref ref-type="bibr" rid="B108">2013</xref>; Horton, <xref ref-type="bibr" rid="B46">2022</xref>) such as <italic>Vibrio</italic> spp. which are highly prevalent and known human health threats to seafood safety and contact recreation. The mechanism for resistance to ampicillin is typically due to &#x003B2;-lactamase activity. Genes for this enzyme are typically encoded on mobile genetic elements allowing for ease of horizontal gene transfer to other environmental bacteria, which can impact human health (Uyaguari et al., <xref ref-type="bibr" rid="B107">2011</xref>, <xref ref-type="bibr" rid="B108">2013</xref>). Increased surveillance of AmpRC as well as these genetic elements would allow for targeted interventions to prevent environmentally acquired antibiotic resistance infection (Djordjevic et al., <xref ref-type="bibr" rid="B33">2023</xref>).</p>
<p>Recent studies of urban floodwaters in the aftermath of tropical cyclones have shown an increased presence of contaminants, including coliforms and antibiotic genes, which exacerbates potential AmpRC presence in floodwaters (Presley et al., <xref ref-type="bibr" rid="B80">2005</xref>; Yang et al., <xref ref-type="bibr" rid="B114">2021</xref>). The possible sources for the transfer of coliforms during storms and sunny-day flooding include potential septage leaks from aging sewer lines, dog waste, and wildlife (Whitlock et al., <xref ref-type="bibr" rid="B111">2002</xref>; DeLorenzo et al., <xref ref-type="bibr" rid="B29">2012</xref>; Almakki et al., <xref ref-type="bibr" rid="B6">2019</xref>; Powers et al., <xref ref-type="bibr" rid="B79">2020</xref>). The AmpRC analytical method used in this study may be used to identify pollution sources from pets, as ampicillin is often prescribed for skin disorders in dogs and cats. Elevated levels of ampicillin-resistant <italic>E. coli</italic> were found at sites with high concentrations of pets, such as urban dog parks (Kelsey et al., <xref ref-type="bibr" rid="B51">2003</xref>). In this study, the HF site had nearly 51.5% of the TC in the form of AmpRC bacteria (or, AmpRC/TC ratio was 51.5%) and is near a city park frequented by pets. The AmpRC/TC ratio was much lower at the other sites in this study, ranging from 7.6%&#x02212;18.9%.</p>
<p>The rise in coastal sea level is exacerbating the flooding for many communities along the coasts across the world, including the United States. The global average sea level in 2022 was 101.2 mm higher than the 1993 level, with high tide flooding across the United States being over 300&#x02013;900% more frequent than it was 50 years ago (Lindsey, <xref ref-type="bibr" rid="B59">2022</xref>). The increased impervious surfaces in coastal cities, coastal erosion, groundwater pumping, and subsidence exacerbate flooding and, thus, increase pollution of floodwater and coastal waterways (Chithra et al., <xref ref-type="bibr" rid="B23">2015</xref>; Lindsey, <xref ref-type="bibr" rid="B59">2022</xref>; Ohenhen et al., <xref ref-type="bibr" rid="B75">2023</xref>). Climate change has been increasing the number of storms, including short-duration storms and major storms like hurricanes (Lau et al., <xref ref-type="bibr" rid="B56">2022</xref>), which can also coincide with high tides as more intense compound flooding (Bevacqua et al., <xref ref-type="bibr" rid="B11">2020</xref>).</p>
<p>The conductivity was used as an indicator to identify if the floodwaters originated from freshwater sources (rainfall) or brackish (tidal) sources. For freshwater, the conductivity that was &#x0003C;700 &#x003BC;S/cm was typically associated with rainfall. Brackish water typically has a range between 700&#x02013;25,000 &#x003BC;S/cm, which would come from tidal flooding and not directly from the ocean (saltwater) (Rusydi, <xref ref-type="bibr" rid="B88">2018</xref>).</p>
</sec>
<sec>
<title>Impact of impervious surfaces</title>
<p>The USGS&#x00027;s land coverage (NLCD raster) data from 2019 was used to represent the changing landscape of Charleston (USGS, <xref ref-type="bibr" rid="B106">2021</xref>). Combining these land cover data with high-resolution (1-m) ground elevation (LiDAR), data allowed us to closely examine the impact of impervious surfaces on the contamination of floodwater. The percentage of impervious surfaces showed urbanization surrounding the study sites correlated inversely with the coliform data. On average, the MC site had fewer coliforms than the other three study sites which had more impervious surfaces. This high-resolution LiDAR watershed delineation identified where stormwater can accumulate and flow toward each of our sampling sites but did not directly address tidal flooding. Tidal conditions impacted how quickly the storm drains were emptied or if they backed up&#x02014;these aspects were not addressed in our watershed delineation analysis and would need to be addressed in the future.</p>
<p>The region continues to experience population growth, according to the 2020 Decennial Census (US Census Bureau, <xref ref-type="bibr" rid="B101">2023</xref>). This urbanization within the greater Charleston region is expected to increase between 2% and 30% by 2030, with urban sprawl continuing to impact the region (Dickes et al., <xref ref-type="bibr" rid="B32">2016</xref>). Rising sea levels in the coastal areas, increasingly intense precipitation, and the associated rise of the water table increase concerns about the loss of floodwater&#x00027;s ability to seep into the ground (Sweet and Park, <xref ref-type="bibr" rid="B99">2014</xref>; Neumann et al., <xref ref-type="bibr" rid="B70">2015</xref>; Kulp and Strauss, <xref ref-type="bibr" rid="B55">2019</xref>). Loss of permeable ground surfaces increases local flooding and the transport of floodwater-associated contaminants into coastal waterbodies. The HF and MC sites have higher vegetation buffers and less impervious surfaces than the other two sites, which allowed increased seeping of floodwater into the ground instead of localized flooding to some extent. A more systematic study would be required to confirm this observation. The HF and MC sites also had lower TC and AmpRC colony concentrations than the CC and EB17 sites. Studies reported increased fecal coliform and trace metal concentrations in stormwater after an increase in impervious surfaces in urban areas (Bhandari et al., <xref ref-type="bibr" rid="B13">2017</xref>; Zhang et al., <xref ref-type="bibr" rid="B116">2021</xref>). These studies confirm a positive correlation between the increased presence of <italic>E. coli</italic> in stormwater and increasing urbanization.</p>
</sec>
<sec>
<title>Trace metals in floodwater</title>
<p>Trace metals are commonly associated with urban runoff under a variety of conditions&#x02014;during normal or extreme precipitation events (Joshi and Balasubramanian, <xref ref-type="bibr" rid="B49">2010</xref>; Barber et al., <xref ref-type="bibr" rid="B10">2017</xref>; Bhandari et al., <xref ref-type="bibr" rid="B13">2017</xref>; Kirker and Vulava, <xref ref-type="bibr" rid="B53">2022</xref>). There are no guidelines or regulations that inform safe levels of trace metals in urban floodwater. Still, there are the USEPA&#x00027;s published guidelines, such as the &#x0201C;National Recommended Water Quality Criteria-Aquatic Life Criteria Table&#x0201D; for acceptable concentrations of water contaminants (USEPA, <xref ref-type="bibr" rid="B105">2023</xref>). Typically, floodwater and urban runoff can be more concentrated compared to the final receiving waterbodies, where contaminants are diluted (Joshi and Balasubramanian, <xref ref-type="bibr" rid="B49">2010</xref>). Three trace metals (As, Cr, and Zn) were detected in the floodwater during this study and none of these trace metals approached levels that would be deemed concerning from aquatic life criteria (USEPA, <xref ref-type="bibr" rid="B105">2023</xref>). We note that all floodwater samples in our study were filtered and analyzed&#x02014;however, there was a significant suspended sediment load in most floodwater samples. Analysis of composited water samples would most likely have shown a significantly higher concentration of trace metals in the runoff (Jeong et al., <xref ref-type="bibr" rid="B47">2020</xref>). Charleston region has abundant marine-derived phosphate rock deposits (Malde, <xref ref-type="bibr" rid="B62">1959</xref>) and a history of phosphate mining, resulting in elevated arsenic in regional waterbodies of this area and the floodwater in our study. Arsenic pollution in urban watersheds and the estuaries of the southeastern US and many parts of the world is primarily from the leaching of As from phosphate rocks and industrial activities (Chirenje et al., <xref ref-type="bibr" rid="B22">2003</xref>; Cotti-Rausch et al., <xref ref-type="bibr" rid="B26">2018</xref>). Similarly, Cr and Zn in urban floodwaters can be associated with a combination of rock weathering, industrial activities, automobile wear and tear, etc. (Joshi and Balasubramanian, <xref ref-type="bibr" rid="B49">2010</xref>; Cotti-Rausch et al., <xref ref-type="bibr" rid="B26">2018</xref>).</p>
</sec>
<sec>
<title>Contaminant interrelationships</title>
<p>Identifying relationships between different water quality data has given insight into the interaction between the variables. Trace metals as stressors on ARB or the possibility of co-resistance between the two have been frequently studied (Hamilton et al., <xref ref-type="bibr" rid="B42">2020</xref>; Biswas et al., <xref ref-type="bibr" rid="B15">2021</xref>; Horton, <xref ref-type="bibr" rid="B46">2022</xref>), however, further studies are needed in the Charleston region. The relationships between rainfall amounts and tide height with coliforms (TC and AmpRC) are well-known, especially in the urban environment (Liu and Huang, <xref ref-type="bibr" rid="B60">2012</xref>; Kirker and Vulava, <xref ref-type="bibr" rid="B53">2022</xref>). High trace metal concentrations may be toxic to <italic>Vibrio</italic> and <italic>Enterococcus</italic>, while low chronic doses stimulate growth and possibly induce antibiotic resistance (Horton, <xref ref-type="bibr" rid="B46">2022</xref>).</p>
<p>The bacteria concentrations at all study sites affirmed the presence of AmpRC in the urban floodwaters of Charleston. Additional studies would be required to identify these bacteria source(s). Coliforms resistant to other common antibiotics may be present in these floodwaters&#x02014;an analytical method designed to identify the resistance to multiple antibiotics would provide more insights. Multidrug-resistant coliforms have been isolated from a surrounding waterway (Emery et al., <xref ref-type="bibr" rid="B37">2022</xref>). Future assessments of urban floodwaters should assess the prevalence of coliforms resistant to multiple commonly human and animal-prescribed antibiotics.</p>
<p>The trace metals measured in this study did not positively correlate with TC or AmpRC concentrations, but other trace metals that are likely to be associated with suspended sediment may correlate with both types of bacteria. An extended sampling period and additional sampling sites would allow more comprehensive data. Comparisons between trace metal concentrations in tidal creeks and stormwater ponds within the tidal creek watersheds in coastal South Carolina confirmed the presence of Cd, Cu, Cr, and Zn (Sanger et al., <xref ref-type="bibr" rid="B90">1999</xref>; Allen et al., <xref ref-type="bibr" rid="B5">2019</xref>; Horton, <xref ref-type="bibr" rid="B46">2022</xref>).</p>
<p>The PCA method allowed for the simplification of complex variables while still retaining trends (Lever et al., <xref ref-type="bibr" rid="B57">2017</xref>), but using other statistical methods would provide more insight into the relationships with other variables from this study.</p>
<p>While flooding on the Charleston peninsula continues in a changing climate, the utilization of best management practices (BMPs) for the stormwater infrastructure would mitigate contamination of water bodies. For example, bioretention landscapes or rain gardens that include vegetation, filtration media, and drains can retain and filter stormwater (Li et al., <xref ref-type="bibr" rid="B58">2019</xref>). Many people in Charleston are frequently exposed to these contaminated floodwaters. Installing BMPs may alleviate the exposure to contamination and help lower the microbial load in the floodwaters (Ahmed et al., <xref ref-type="bibr" rid="B2">2019</xref>).</p>
<p>To decrease human exposure to these antibiotic-resistant potential pathogens, members of communities with high levels of flooding should be informed. Active public educational outreach about contaminants present in the floodwaters will contribute significantly to positive health outcomes (Meinhardt, <xref ref-type="bibr" rid="B66">2006</xref>; MacDonald and Tippett, <xref ref-type="bibr" rid="B61">2020</xref>). For example, the development of a short one-page fact sheet warning the public of the bacterial and other pollution hazards posed by floodwater would alert the public of exposure. The USEPA uses such infographics to warn the public about pollutants, such as Pb found in drinking water (USEPA, <xref ref-type="bibr" rid="B103">2017</xref>).</p>
</sec>
</sec>
<sec sec-type="conclusions" id="s5">
<title>Conclusion</title>
<p>TC and AmpRC were present in the floodwaters of peninsular Charleston during tidal, rainfall, and compound flooding events. Impervious surfaces exacerbated flooding on the Charleston peninsula and increased TC and AmpRC concentrations, which were positively correlated with each other and with rainfall. However, no correlation was observed with trace metals in the floodwaters, and there was a negative correlation with the conductivity of the floodwaters. The population of Charleston is continuing to grow with more infrastructure and impervious surfaces, likely leading to more pollution. High concentrations of bacteria (TC and AmpRC), trace metals, and other contaminants (e.g., organic compounds) in floodwaters pose a public health risk for the many residents and visitors to the city. Flooding is an increasingly common occurrence in coastal areas due to climate change, and many people are unaware of the potential health risks associated with exposure to floodwater. BMPs should be utilized to improve the stormwater infrastructure to alleviate flooding, and the public should be made aware of the health risks associated with exposure to these floodwaters.</p>
</sec>
<sec sec-type="data-availability" id="s6">
<title>Data availability statement</title>
<p>The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.</p>
</sec>
<sec sec-type="author-contributions" id="s7">
<title>Author contributions</title>
<p>KS: Data curation, Formal analysis, Investigation, Methodology, Project administration, Software, Validation, Visualization, Writing&#x02014;original draft, Writing&#x02014;review &#x00026; editing. HF: Conceptualization, Data curation, Formal analysis, Funding acquisition, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing&#x02014;review &#x00026; editing. VV: Conceptualization, Data curation, Formal analysis, Funding acquisition, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing&#x02014;review &#x00026; editing.</p>
</sec>
</body>
<back>
<sec sec-type="funding-information" id="s8">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. The project was funded internally by the School of Sciences and Mathematics, the Graduate School, the M.S. in Environmental and Sustainability Student Association (MESSA), and the Undergraduate Research Program.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s9">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
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