Spatial dynamic assessment of health risks for urban river cruises.

River cruising ships move along river courses, and thus health risks to passengers may vary spatially due to the accidental exposure of river fecal pollution. This study performed a spatial dynamic assessment of health risks for river cruises in the highly urbanized Tamsui River Basin. First, the spatial distributions of river Escherichia coli (E. coli) were probabilistically characterized using indicator kriging (IK). Moreover, the current river cruise information was surveyed to obtain cruise routes and transit times. Then, to explore the parametric uncertainty of quantitative microbial risk assessment (QMRA), the ingestion rate (IR) for boating was determined using Monte Carlo simulation (MCS). Moreover, river E. coli distributions were estimated using nonparametric MCS according to multi-threshold IK estimates. Eventually, after combining the distribution of the joint probability of the IR and E. coli in QMRA, the β-Poisson dose-response function was adopted to analyze risks to river cruise passengers at discretized segments of cruise routes. Health risks to river cruise passengers were integrated at the discretized segments to explore suitable recreational strategies for river cruises. The research results indicate that all health risks do not exceed a daily target level of 8 illnesses per 1000 exposures for single-trip cruise routes. However, health risks to passengers can exceed this level for round-trip cruise routes along highly polluted urban river courses.