Water Sanitation Health

Guidelines for the safe use of wastewater and excreta in agriculture and aquaculture

Measures for public health protection

Prepared by D. Mara, University of Leeds, UK and
S. Cairncross, London School of Hygiene and Tropical Medicine, UK
ISBN 92 4 152248 9
© 1989 World Health Organization
To order a copy, please contact: bookorders@who.int

The overall objective of these Guidelines is to encourage the safe use of wastewater and excreta in agriculture and aquaculture in a manner that protects the health of the workers involved and of the public at large. In this context “wastewater” refers to domestic sewage and municipal wastewaters that do not contain substantial quantities of industrial effluent; “excreta” refers to nightsoil and to excretaderived products such as sludge and septage. Health protection considerations will generally require that some treatment be applied to these wastes to remove pathogenic organisms. Other health protection measures are also considered, including crop restriction, waste application techniques and human exposure control.

The Guidelines are addressed primarily to senior professionals in the various sectors relevant to wastes reuse, and aim to prevent transmission of communicable diseases while optimizing resource conservation and waste recycling. Emphasis is therefore on control of microbiological contamination rather than on avoidance of the health hazards of chemical pollution, which is of only minor importance in the reuse of domestic wastes and is adequately covered in other publications. Purely agricultural aspects are considered only in so far as they are relevant to health protection.

Hygiene standards applied to wastes reuse in the past, based solely on potential pathogen survival, have been stricter than necessary. A meeting of sanitary engineers, epidemiologists and social scientists, convened by the World Health Organization, the World Bank and the International Reference Centre for Waste Disposal and held in Engelberg, Switzerland, in 1985, proposed a more realistic approach to the use of treated wastewater and excreta, based on the best and most recent epidemiological evidence. The recommendations of the resulting Engelberg Report have formed the basis for these Guidelines.

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