Global Issues in Water, Sanitation, and Health

Global Issues in Water, Sanitation, and Health

Author: Institute of Medicine

Publisher: National Academies Press

Published: 2009-10-25

Total Pages: 328

ISBN-13: 0309138728

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As the human population grows-tripling in the past century while, simultaneously, quadrupling its demand for water-Earth's finite freshwater supplies are increasingly strained, and also increasingly contaminated by domestic, agricultural, and industrial wastes. Today, approximately one-third of the world's population lives in areas with scarce water resources. Nearly one billion people currently lack access to an adequate water supply, and more than twice as many lack access to basic sanitation services. It is projected that by 2025 water scarcity will affect nearly two-thirds of all people on the planet. Recognizing that water availability, water quality, and sanitation are fundamental issues underlying infectious disease emergence and spread, the Institute of Medicine held a two-day public workshop, summarized in this volume. Through invited presentations and discussions, participants explored global and local connections between water, sanitation, and health; the spectrum of water-related disease transmission processes as they inform intervention design; lessons learned from water-related disease outbreaks; vulnerabilities in water and sanitation infrastructure in both industrialized and developing countries; and opportunities to improve water and sanitation infrastructure so as to reduce the risk of water-related infectious disease.


Safe Drinking Water

Safe Drinking Water

Author: Steve E. Hrudey

Publisher: IWA Publishing

Published: 2004-05-31

Total Pages: 501

ISBN-13: 1843390426

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Drinking water provides an efficient source for the spread of gastrointestinal microbial pathogens capable of causing serious human disease. The massive death toll and burden of disease worldwide caused by unsafe drinking water is a compelling reason to value the privilege of having safe drinking water delivered to individual homes. On rare occasions, that privilege has been undermined in affluent nations by waterborne disease outbreaks traced to the water supply. Using the rich and detailed perspectives offered by the evidence and reports from the Canadian public inquiries into the Walkerton (2000) and North Battleford (2001) outbreaks to develop templates for understanding their key dimensions, over 60 waterborne outbreaks from 15 affluent countries over the past 30 years are explored as individual case studies. Recurring themes and patterns are revealed and the critical human dimensions are highlighted suggesting insights for more effective and more individualized preventive strategies, personnel training, management, and regulatory control. Safe Drinking Water aims to raise understanding and awareness of those factors that have most commonly contributed to or caused drinking-water-transmitted disease outbreaks - essentially a case-history analysis within the multi-barrier framework. It contains detailed analysis of the failures underlying drinking-water-transmitted disease epidemics that have been documented in the open literature, by public inquiry, in investigation reports, in surveillance databases and other reliable information sources. The book adopts a theme of 'converting hindsight into foresight', to inform drinking-water and health professionals including operators, managers, engineers, chemists and microbiologists, regulators, as well as undergraduates and graduates at specialty level. Key Features: Contains details and perspectives of major outbreaks not widely known or understood beyond those directly involved in the investigations. Technical and scientific background associated with case studies is offered in an accessible summary form. Does not require specialist training or experience to comprehend the details of the numerous outbreaks reviewed. By providing a broad-spectrum review using a consistent approach, several key recurring themes are revealed that offer insights for developing localized, tailor-made prevention strategies.


Waterborne Diseases in the US

Waterborne Diseases in the US

Author: Gunther F. Craun

Publisher: CRC Press

Published: 2018-01-10

Total Pages: 303

ISBN-13: 1351086111

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This book examines, in both a current and historical context, water-related illness in the U.S. Emphasis is placed upon the transmission of infectious diseases through contaminated drinking water supplies and those deficiencies in water supply systems which allow waterborne outbreaks to occur. Chapters have been included on the important etiologic agents responsible for waterborne outbreaks in the U.S., surveillance activities, regulations, water treatment to prevent the occurrence of waterborne outbreaks and procedures for investigating waterborne outbreaks. For completeness, discussion have been included on illnesses contracted by ingestion of contact with waters for bathing , swimming, or wading and chronic ingestion of low levels of chemical contaminants in drinking water; however, because of space limitations there are necessarily brief, and the reader is directed toward the provided references, which discuss these subjects in more depth.


Management of Legionella in Water Systems

Management of Legionella in Water Systems

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2020-02-20

Total Pages: 291

ISBN-13: 030949382X

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Legionnaires' disease, a pneumonia caused by the Legionella bacterium, is the leading cause of reported waterborne disease outbreaks in the United States. Legionella occur naturally in water from many different environmental sources, but grow rapidly in the warm, stagnant conditions that can be found in engineered water systems such as cooling towers, building plumbing, and hot tubs. Humans are primarily exposed to Legionella through inhalation of contaminated aerosols into the respiratory system. Legionnaires' disease can be fatal, with between 3 and 33 percent of Legionella infections leading to death, and studies show the incidence of Legionnaires' disease in the United States increased five-fold from 2000 to 2017. Management of Legionella in Water Systems reviews the state of science on Legionella contamination of water systems, specifically the ecology and diagnosis. This report explores the process of transmission via water systems, quantification, prevention and control, and policy and training issues that affect the incidence of Legionnaires' disease. It also analyzes existing knowledge gaps and recommends research priorities moving forward.


Surveillance for Waterborne Disease and Outbreaks Associated with Recreational Water Use and Other Aquatic Facility - Associated Health Events -- United States, 2005-2006

Surveillance for Waterborne Disease and Outbreaks Associated with Recreational Water Use and Other Aquatic Facility - Associated Health Events -- United States, 2005-2006

Author:

Publisher:

Published: 2008

Total Pages: 56

ISBN-13:

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Surveillance for waterborne disease and outbreaks associated with drinking water and water not intended for drinking-- United States, 2005-2006: "Problem/Condition: Since 1971, CDC, the U.S. Environmental Protection Agency (EPA), and the Council of State and Territorial Epidemiologists have maintained a collaborative Waterborne Disease and Outbreak Surveillance System (WBDOSS) for collecting and reporting data related to occurrences and causes of waterborne-disease outbreaks (WBDOs) and cases of waterborne disease. This surveillance system is the primary source of data concerning the scope and effects of waterborne disease in the United States. Reporting Period: Data presented summarize 28 WBDOs that occurred during January 2005-December 2006 and four previously unreported WBDOs that occurred during 1979-2002. Description of System: The surveillance system includes data on WBDOs associated with recreational water, drinking water, water not intended for drinking (WNID) (excluding recreational water), and water use of unknown intent. Public health departments in the states, territories, localities, and Freely Associated States (FAS) (i.e., the Republic of the Marshall Islands, the Federated States of Micronesia, and the Republic of Palau, formerly parts of the U.S.-administered Trust Territory of the Pacific Islands) are primarily responsible for detecting and investigating WBDOs and voluntarily reporting them to CDC by a standard form. Only cases and outbreaks associated with drinking water, WNID (excluding recreational water), and water of unknown intent (WUI) are summarized in this report. Cases and outbreaks associated with recreational water are reported in a separate Surveillance Summary."--Page 39