Abstract
Providing access to safe drinking water has been one of the significant challenges for progress on the United Nations Millennium Development Goals (MDGs). Recent estimates show that about three billion people may be accessing unsafe water. There is good evidence that Household Water Treatment Systems (HWTS) that control microbial pathogens have the potential to reduce infectious disease burden, including those from water sources delivered via a piped network or other improved sources. While very simple interventions have shown reduction of disease burden, from the consumer point of view there is a need to develop science-based standards so that consumers access propositions that offer comprehensive health protection. Ideally, these standards should be based on locally relevant performance specifications, using local data in relation to the main classes of waterborne pathogens. The chapter examines issues around microbiological water contamination, including those derived from improved sources, and approaches used to control waterborne pathogens and discusses developments in the area of risk-based standards for HWTS. Further recommendations for ensuring safety of households adopting microbiological HWTS are made.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Onda K, LoBuglio J, Bartram J (2012) Global access to safe water: accounting for water quality and the resulting impact on MDG progress. Int J Environ Res Public Health 9:880–894
WHO/UNICEF Joint Monitoring Programme for Water Supply and Sanitation. Progress on Sanitation and Drinking-Water (2010) Update. World Health Organization, Geneva, Switzerland, 2010
Hunter PR, Payment P, Ashbolt N, Bartram J (2003) Assessment of risk. In: Assessing microbial safety of drinking water: improving approaches and methods. OECD, WHO, Geneva, pp 79–109
Mahbub KR, Nahar A, Ahmed MM, Chakraborty A (2011) Quality analysis of Dhaka WASA drinking water: detection and biochemical characterization of the isolates. J Environ Sci Nat Resour 4(2):41–49
Pitkänen T, Miettinen IT, Nakari UM, Takkinen J, Nieminen K, Siitonen A et al (2008) Faecal contamination of a municipal drinking water distribution system in association with Campylobacter jejuni infections. J Water Health 6(3):365–376
WHO, Cunliffe D, Bartram J, Briand E, Chartier Y, Colbourne J, Drury D, Lee J, Schaefer B, Surman-Lee S (eds) (2012) Water safety in buildings. World Health Organization, Geneva
Taulo S, Wetlesen A, Abrahamsen R, Mkakosya R, Kululanga G (2008) Microbiological quality of water, associated management practices and risks at source, transport and storage points in a rural community of Lungwena. Malawi Afr J Microbiol Res 2:131–137
Wright J, Gundry S, Conroy R (2004) Household drinking water in developing countries: a systematic review of microbiological contamination between source and point-of-use. Tropical Med Int Health 9(1):106–117
WHO (2011) Guidelines for drinking water quality, 4th edn. Geneva, World Health Organization
Fewtrell L, Kaufmann RB, Kay D, Enanoria W, Haller L, Colford JM Jr (2005) Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: a systematic review and meta-analysis. Lancet Infect Dis 5:42–52
Clasen T, Roberts I, Rabie T, Schmidt W, Cairncross S (2006) Interventions to improve water quality for preventing diarrhea. Cochrane Database Syst Rev 19(3)
Waddington H, Snilstveit B, White H, Fewtrell L (2009) Water, sanitation and hygiene interventions to combat childhood diarrhea in developing countries. International initiative for impact evaluation. Synthetic Review 001
WHO (2011) Evaluating household water treatment options: health-based targets and microbiological performance specifications. World Health Organization, Geneva
Arnold BF, Colford JM (2007) Treating water with chlorine at point-of-use to improve water quality and reduce childhood diarrhea in developing countries: a systematic review and meta-analysis. Am J Trop Med Hyg 76:354–364
USEPA (1987) Guide standard and protocol for testing microbiological water purifiers. United States Environmental Protection Agency, Office of Drinking Water, Washington, DC
Rose JB, Gerba CP (1991) Use of risk assessment for development of microbial standards. Water Sci Technol 24:29–34
Enger KS, Nelson KL, Clasen T, Rose JB, Eisenberg JNS (2012) Linking quantitative microbial risk assessment and epidemiological data: informing safe drinking water trials in developing countries. Environ Sci Technol 46:5160–5167
Acknowledgements
Contributions from SEAC colleagues, particularly Moira Johnston, Denis Kan-King-Yu and Niteen Sawant, towards development of risk-based opinion for HWTS formed the basis of this chapter and are greatly acknowledged.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer (India) Pvt. Ltd.
About this chapter
Cite this chapter
Ronnie, N., McClure, P., Shah, N. (2017). Household Water Treatment: Health Significance and Risk-Based Approaches for Consumer Safety. In: Nath, K., Sharma, V. (eds) Water and Sanitation in the New Millennium. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3745-7_6
Download citation
DOI: https://doi.org/10.1007/978-81-322-3745-7_6
Published:
Publisher Name: Springer, New Delhi
Print ISBN: 978-81-322-3743-3
Online ISBN: 978-81-322-3745-7
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)