Abstract
An important number of major infectious diseases are related to water. The greatest consequences for the human population are the faecal-oral water-borne infectious diseases, which are transmitted by ingestion of the causal agents that are released into water through faeces. The occurrence of outbreaks of water-borne infectious diseases could be affected by water scarcity at different degrees depending on the level of water scarcity, density of population, degree of economical development, presence in the area of wild and farmed animals, etc. Still, at least in developed countries the laws and regulatory programmes regarding water quality cope with most of the problems and generally protect the population, even when scarcity obliges use of non-conventional water resources. Weather conditions influence the fate of pathogens in the water environment. Indeed rainfall favours their dissemination, and natural stressors – such as temperature and solar irradiation among others – determine their persistence. At present, heavy rain events rather than water scarcity are the main cause of failure of protective measures in developed countries. This situation is likely due to an increased dissemination of the pathogens that have survived the deleterious effects of natural stressors. Higher frequency of drought followed by heavy rains, as forecasted in Mediterranean climate areas, will likely increase deficiencies in watershed protection, infrastructure and storm drainage. Consequently, the risk of contamination events of the water resources will be greater than before. This combination of factors might also increase the failures in the drinking water treatments, and subsequently the occurrence of water-borne infectious disease outbreaks. A better knowledge about the origin, survival and transport of water-borne pathogens in the water environment is a key factor for predicting risks and taking measures to minimize them. Unfortunately in many developing countries, the quality of water for consumption is still very poor independently of whether there is scarcity or abundance of water. Measures to improve the present situation are urgently needed. These measures could be optimized by considering the influence of weather conditions on survival and transport of the microorganisms of faecal origin.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Curriero FC, Patz JA, Rose JB, Lele S (2001) The association between extreme precipitation and waterborne disease outbreaks in the United States, 1948–1994. Am J Public Health 91:1194–1999
Hunter PR (2003) Climate change and waterborne and vector-borne diseases. J Appl Microbiol 94:37S–46S
Nichols G, Lane C, Asgari N et al (2009) Rainfall and outbreaks of drinking water related disease in England and Wales. J Water Health 7:1–8
Thomas KM, Charron DF, Waltner-Toews D et al (2006) A role of high impact weather events in waterborne disease outbreaks in Canada, 1975–2001. Int J Environ Health Res 16:168–180
Huttly SR, Blum D, Kirkwood BR et al (1987) The epidemiology of acute diarrhoea in a rural community in Imo State, Nigeria. Trans R Soc Trop Med Hyg 81:865–870
Pokhrel D, Viraraghavan T (2004) Diarrhoeal diseases in Nepal vis-à-vis water supply and sanitation status. J Water Health 2:71–81
World Health Organization (2006) Report on the Regional Consultation on health and environment linkages initiative (HELI) and children’s environmental health indicators. Report WHO-EM/CEH/131/E, World Health Organization, Geneva. www.who.int/entity/ceh/cehi_heliconsult.pdf
World Health Organization (2008) The global burden of disease: 2004 update, Geneva. www.who.int/healthinfo/global_burden_disease/2004_report_update/en/index.html
Bellisar A (1994) Public health and the water crisis in the occupied Palestinian territories. J Palest Stud 23:52–63
Ceylan A, Ertem M, Ilcin E, Ozekinci T (2003) A special risk group for hepatitis E infection: Turkish agricultural workers who use untreated waste water for irrigation. Epidemiol Infect 131:753–756
Mellou AA, Hassani L (1999) Antibiotic resistance of Salmonella strains isolated from children living in the wastewater-spreading field of Marrakesh city (Morocco). World J Microbiol Biotechnol 15:81–85
World Health Organization Regional Office for the Eastern Mediterranean (2008) Technical discussion on climate change and health security. EM/RC55/Tech. Disc.1, World Health Organization, Geneva. www.emro.who.int/RC55/media/pdf/EMRC55TECHDISC01en.pdf
Intergovernmental Panel on Climatic Change (2007) Climatic change 2007. The physical science basis: summary for policy–makers, United Nations. http://en.wikipedia.org/wiki/ IPCC_Fourth_Assessment_Report
Mara DD, Feachem RGA (1999) Water and excreta-related diseases: unitary environmental classification. J Environ Eng 125:334–339
Roy S, Scallan E, Beach M (2006) The rate of acute gastrointestinal illness in developed countries. J Water Health 4:31–71
Morris RD, Naumova EN, Levin R, Munasinghe RL (1996) Temporal variation in drinking water turbidity and diagnosed gastroenteritis in Milwaukee. Am J Public Health 86:237–239
Schwartz J, Levin R, Hodge K (1997) Drinking water turbidity and paediatric hospital use for gastrointestinal illness in Philadelphia. Epidemiology 8:615–620
Wellings FM, Lewis AL, Mountain CW, Pierce V (1975) Demonstration of virus in groundwater after effluent discharge onto soil. Appl Environ Microbiol 29:751–757
Mendez J, Audicana A, Cancer M et al (2004) Assessment of drinking water quality using indicator bacteria and bacteriophages. J Water Health 2:201–214
Stadler H, Skritek P, Sommer R et al (2008) Microbiological monitoring and automated event sampling at karst springs using LEO-satellites. Water Sci Technol 58:899–909
Atherbolt TB, LeChevalier MW, Norton WD, Rosen JS (1998) Effect of rainfall on Giardia and Cryptosporidium. J Am Water Works Assoc 90:66–80
Doran JW, Linn DM (1979) Bacteriological quality of runoff water from pastureland. Appl Environ Microbiol 37:985–991
Gaertner JP, Garres T, Becker JC et al (2009) Temporal analyses of Salmonellae in a headwater spring ecosystem reveals the effects of precipitation and runoff events. J Water Health 7:115–121
Haley BJ, Cole DJ, Lipp EK (2009) Distribution, diversity and seasonality of waterborne Salmonellae in a rural watershed. Appl Environ Microbiol 75:1248–1255
Kistemann T, Claβen T, Koch C et al (2002) Microbial load of drinking water reservoir tributaries during extreme rainfall and runoff. Appl Environ Microbiol 68:2188–2197
O’Shea ML, Field R (1992) Detection and disinfection of pathogens in storm-generated flows. Can J Microbiol 38:267–276
Crowther J, Kay D, Wyer MD (2001) Relationships between microbial water quality and environmental conditions in coastal recreational waters: the Fylde coast, UK. Water Res 17:4029–4038
Sercu B, Van De Werfhorst LC, Murray J, Holden PA (2009) Storm drains are sources of human fecal pollution during dry weather in three urban southern California watersheds. Environ Sci Technol 43:293–298
Vidal JR, Lucena F (1997) Effects of the rain on microbiological quality of bathing waters in the Mediterranean areas. In: Maier EA, Lightfoot NF, Ramaekers DA (eds) Technical feasibility of an a priori measurement approach for managing bathing water quality Report EUR 17801 EN. Office for Official Publications of the European Communities, Luxembourg
Moissec L, Le Guyader F, Haugareau L, Pommepuy M (2000) Magnitude of rainfall on viral contamination of the marine environment during gastroenteritis epidemics in human coastal population. Rev Epidemiol Sante Publique 48:62–71
LeChevalier MS, Norton WD (1995) Giardia and Cryptosporidium in raw and finished water. J Am Water Works Assoc 87:54–68
Blum D, Huttly SRA, Okoro JI et al (1987) The bacteriological quality of traditional water sources in north-eastern Imo State, Nigeria. Epidemiol Infect 99:429–437
Gasana J, Morin J, Ndikuyeze A, Kamoso P (2001) Impact of water supply and sanitation on diarrheal morbidity among young children in the socioeconomic and cultural context of Rwanda (Africa). Environ Res 90:76–88
McCarthy MC, He J, Hyams KC et al (1994) Acute hepatitis E infection during the 1988 floods in Khartoum, Sudan. Trans R Soc Trop Med Hyg 88:177
Shears P (1988) The Khartoum floods and diarrhoeal diseases. Lancet 2:517
Campanella N (1999) Infectious diseases and natural disasters: the effects of Hurricane Mitch over Villanueva municipal area, Nicaragua. Public Health Rev 27:311–319
World Health Organization (2007) Flooding and communicable diseases. Fact sheet, World Health Organisation, Geneva. www.who.int/hac/techguidance/ems/flood_cds/en/
Greenough G, McGeehin M, Bernard SM et al (2001) The potential impacts of climate variability and change on health impacts of extreme weather events in the United States. Environ Health Perspect 109:191–198
Arias C, Sala MR, Dominguez A et al (2006) Waterborne epidemic outbreak of Shigella sonnei gastroenteritis in Santa Maria de Palautordera, Catalonia, Spain. Epidemiol Infect 134:598–604
McKenzie WR, Hoxie NJ, Proctor ME et al (1994) Massive waterborne outbreak of Cryptosporidium infection associated with a filtered public water supply. N Eng J Med 331:161–167
Miettinen IT, Zacheus O, von Bonsdorff CH, Vartiainen T (2001) Waterborne epidemics in Finland in 1998–1999. Water Sci Technol 43:67–71
Weniger BG, Blaser MJ, Gedrose J et al (1983) An outbreak of waterborne giardiasis associated with heavy water runoff due to warm weather and volcanic ashfall. Am J Public Health 73:862–872
Anonymous (2000) Waterborne outbreak of gastroenteritis associated with a contaminated municipal water supply. Canada Communicable Disease Report, vol 26. Walkerton, ON, pp 170–173, May–June 2000
Bridgman S, Robertson RMP, Syed Q et al (1995) Outbreak of cryptosporidiosis associated with a disinfected groundwater supply. Epidemiol Infect 115:555–566
Joseph C, Hamilton G, O’Connor M et al (1991) Cryptosporidiosis in the Isle of Thanet: an outbreak associated with local drinking water. Epidemiol Infect 107:509–519
Laursen E, Mygind O, Rasmussen B, Ronne T (1994) Gastroenteritis: a waterborne outbreak affecting 1600 people in a small Danish town. J Epidemiol Community Health 49:453–458
Papadopoulos VP, Vlachos O, Efterpi I et al (2006) A gastroenteritis outbreak due to norovirus infection in Xanthi, Northern Greece: management and public health consequences. J Gastrointestin Liver Dis 15:27–30
Willocks L, Crampin A, Milne L et al (1998) A large outbreak of cryptosporidiosis associated with a public water supply from a deep chalk borehole. Commun Dis Public Health 1:239–243
Center for Disease Control and Prevention (1999) Outbreak of Escherichia coli O157:H7 and Camylobacter among attendees of the Washington County Fair – New York. Morb Mortal Wkly Rep 48:803–805
Kramer MH, Sorhage FE, Goldstein ST et al (1998) First reported outbreak in the United States of cryptosporidiosis associated with a recreational lake. Clin Infect Dis 26:27–33
Le Guyader FS, Bon F, deMedici D et al (2006) Detection of a multiple noroviruses associated with an international gastroenteritis outbreak linked to oyster consumption. J Clin Microbiol 44:3878–3882
Auld H, Maclver D, Klaassen J (2004) Heavy rainfall and waterborne disease outbreaks: the Walkerton example. J Toxicol Environ Health A 67:1879–1887
United Nations (2000) The millennium goals. United Nations Millennium Declaration. United Nations. Available at http://www.un.org/millennium/declaration/ares552e.htm
Gleick PH (2002) Dirty water: estimated deaths from water-related diseases 2000–2020. Pacific Institute for Studies in Development, Environment and Security. www.pacinst.org/reports/ water_related_deaths /water_related_deaths_report.pdf
United Nations (2000). The Millenium Goals. United Nations Millenium Declaration A/RES/55/2.8. United Nations. Available at http://www.un.org/millennium/declaration/ares552e.htm
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Jofre, J., Blanch, A.R., Lucena, F. (2009). Water-Borne Infectious Disease Outbreaks Associated with Water Scarcity and Rainfall Events. In: Sabater, S., Barceló, D. (eds) Water Scarcity in the Mediterranean. The Handbook of Environmental Chemistry(), vol 8. Springer, Berlin, Heidelberg. https://doi.org/10.1007/698_2009_22
Download citation
DOI: https://doi.org/10.1007/698_2009_22
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-03970-6
Online ISBN: 978-3-642-03971-3
eBook Packages: Earth and Environmental ScienceEarth and Environmental Science (R0)