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Water quality - Guidelines, standards and health: Assessment of risk and risk management for water-related infectious disease
Edited by Lorna Fewtrell and Jamie Bartram
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he quality of water, whether it is used for drinking, irrigation or recreational purposes, is significant for health in both developing and developed countries worldwide. In responding to the challenge of improving water quality, countries develop standards intended to protect public health. Recognising this, the World Health Organization (WHO) has developed a series of normative "guidelines" that present an authoritative assessment of the health risks associated with exposure to health hazards through water and of the effectiveness of approaches to their control. To date, the various WHO guidelines (Guidelines for drinking-water quality, Guidelines for the safe use of wastewater and excreta in agriculture and aquaculture and Guidelines for safe recreational water environments) have been developed in isolation from one another. However, their common primary quality concern is for health hazards derived from excreta. Addressing their specific areas of concern together will tend to support better health protection and highlight the value of interventions directed at sources of pollution, which may otherwise be undervalued.
The potential to increase consistency in approaches to assessment and management of water-related microbial hazards was discussed by an international group of experts between 1999 and 2001. These discussions led to the development of a harmonised framework, which was intended to inform the process of development of guidelines and standards. Subsequently, a series of reviews was progressively developed and refined, which addressed the principal issues of concern linking water and health to the establishment and implementation of effective, affordable and efficient guidelines and standards. This book is based on these reviews and the harmonised framework.
Water Quality: Guidelines, Standards and Health willl be useful to all those concerned with issues relating to microbial water quality and health, including environmental and public health scientists, water scientists, policy-makers and those responsible for developing standards and regulations.
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Foreword [pdf 346kb]
Acknowledgements [pdf 29kb]
List of Contributors [pdf 70kb]
Disclaimer [pdf 40kb]
Harmonised assessment of risk & risk management for water-related infectious disease [pdf 328kb]
Guidelines: the current position [pdf 332kb]
The Global Burden of Disease study and applications in water, sanitation and hygiene [pdf 270kb]
Endemic and epidemic infectious intestinal disease and its relationship to drinking water [pdf 273kb]
Excreta-related infections and the role of sanitation in the control of transmission [pdf 501kb]
Disease surveillance and waterborne outbreaks [pdf 199kb]
Epidemiology: a tool for the assessment of risk [pdf 260kb]
Risk assessment [pdf 293kb]
Quality audit and the assessment of waterborne risk [pdf 390kb]
Acceptable risk [pdf 207kb]
A public health perspective for establishing water-related guidelines and standards [pdf 242kb]
Management strategies [pdf 347kb]
Indicators of microbial water quality [pdf 279kb]
Risk communication [pdf 381kb]
Economic evaluation and priority setting in water and sanitation interventions [pdf 266kb]
Implementation of guidelines: some practical aspects [pdf 468kb]
Regulation of microbiological quality in the water cycle [pdf 212kb]
Framework for guidelines development in practice [pdf 220kb]
Index [pdf 142kb]
Publishing and ordering information
© 2001 WHO Published on behalf of the World Health Organization by IWA Publishing ISBN 92 4 154533 X (WHO) ISBN 1 900222 28 0 (IWA Publishing) Order No. 1150489 Order on line
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