Water Sanitation Health

Pathogenic mycobacteria in water

A guide to public health consequences, monitoring and management


World Health Organization
published by IWA

Publication details

Editors: S. Pedley, J. Bartram, G. Rees, A. Dufour, J.A. Cotruvo
Number of pages: 237
Publication date: 2004
Languages: English
ISBN: 92 4 156259 5

Mycobacteria are a large group of microorganisms that inhabit a diverse range of natural environments: some species are capable of infecting humans and animals. Environmental mycobacteria are a frequent cause of infection, and there is a growing body of evidence to show that water is a significant vehicle for the transmission of these organisms.

The importance of the Pathogenic Environmental Mycobacteria (PEM), and especially the Mycobacterium avium Complex (MAC), was recognised with the discovery of disseminated infection in immunocompromised people, particularly people with HIV and AIDS. Yet there are many other forms of disease, both minor and serious, that are caused by PEM.

This book provides a comprehensive review of PEM, the different types of disease that they are known to cause, and their distribution in water and other parts of the natural environment. It explores the role of water as a vehicle for the transmission of these pathogens and concludes with a discussion of the issues surrounding the control of PEM in drinking-water and the assessment and management of risks.

The book is a valuable resource for sanitary and clinical microbiologists, public health professionals, water resource managers, water engineers, piped public water suppliers, regulators of water quality and facilities managers in medical and commercial buildings.

Download Executive Summary

Download separate chapters

No electronic version is available yet. Digitisation requests can be sent to repository@who.in - See more at: http://apps.who.int/iris/handle/10665/42854?locale=en#sthash.SePX5qkl.dpuf