WHO/Nida Besbelli
© Credits

Implementing water safety plans in the European Region

The “WHO Guidelines for drinking-water quality” recommend water safety plans (WSPs) as the most effective means of consistently ensuring the safety and acceptability of a drinking-water supply. The WSP approach represents WHO’s health response to Sustainable Development Goal (SDG) 6, which aims to achieve safe drinking-water for all.

Across the WHO European Region, the WSP approach is increasingly being adopted by water suppliers and included in national drinking-water regulations as a benchmark for the delivery of safe drinking-water. The Protocol on Water and Health promotes the WSP approach, and several countries in the Region have set targets under the Protocol aiming towards WSP uptake and scaling-up.

WHO/Europe is supporting Member States across the Region in implementing WSPs. Activities range from supporting the development of policies and regulatory frameworks to building capacities of drinking-water suppliers and public health institutions on WSP introduction and surveillance.

Key steps for effective water safety planning

WSPs are based upon a comprehensive risk-assessment and risk-management approach, which addresses all steps in water supply – from catchment to consumer. WSPs guide day-to-day system operation and thus ensure the continued reliability and safety of the water supply. The principles underpinning a WSP are adaptable to all types and sizes of water supply. A WSP comprises the following steps:

  • Assemble a multidisciplinary team of local water supply stakeholders to develop and implement the WSP.
  • Gather detailed and up-to-date system information, which is verified in the field.
  • Systematically identify hazardous events that could affect water safety in the whole supply chain through introducing chemical, physical and microbiological hazards, including consideration of extreme weather events, accidents or malpractice (e.g. in agriculture) in the vicinity of the supply.
  • Evaluate the health risks associated with each hazardous event, taking into account the effectiveness of existing control measures.
  • Plan actions and develop an improvement plan to address priority risks that are not controlled appropriately, including revised control measures, upgrades to infrastructure and improved management procedures. Incremental change is stipulated as each improvement is prioritized by its public health relevance and validated upon completion.
  • Prepare management procedures for normal operating conditions and incident situations.
  • Establish operational monitoring of control measures to assess their continued effectiveness and to allow for timely corrective action to prevent problems occurring.
  • Verify the effectiveness of the WSP through compliance monitoring and auditing.
  • Carry out periodic review of the WSP in order to keep it up to date, and revise the WSP where necessary, reflecting on lessons learned from near misses and unforeseen incidents.

News

All →

Publications

All →
Workshop on wastewater and environmental surveillance for public health in central Asia: meeting report, Astana, 5 June 2025

The Workshop on wastewater and environmental surveillance (WES) for public health in central Asia, held on 5 June 2025 in Astana, convened national and...

Workshop on safe sanitation for public health protection in central Asia: meeting report, Astana, 3–4 June 2025.

The Workshop on safe sanitation for public health protection in central Asia, held on 3–4 June 2025 in Astana, convened national and regional stakeholders...

Multimedia

All →

Related activities

All →
Strengthening drinking-water, wastewater and water-related disease surveillance

Strengthening drinking-water, wastewater and water-related disease surveillance

WHO Charles Ndwiga
© Credits

Overview

Surveillance is the ongoing systematic collection, analysis and interpretation of health-related data for planning, implementing and evaluating public health policies and practices. In accordance with the International Health Regulations (IHR), all WHO Member States are required to strengthen and maintain core public health capacities for surveillance and response.

WHO/Europe supports Member States in strengthening their capacity to:

• implement risk-based approaches in surveillance of drinking-water;
• monitor water-related disease incidents and manage outbreaks effectively;
• conduct environmental surveillance of disease agents in wastewater.

WHO/Europe produces technical guidance, tools and training materials on these topics and conducts country-specific sub-regional capacity building. The Protocol on Water and Health, a legally binding instrument for the WHO European Region supported by WHO/Europe and UNECE, provides a key implementation mechanism for these activities. They also strategically align with and support the implementation of IHR requirements, as well as the goals and targets of the 2030 Agenda for Sustainable Development related to water, sanitation and health.

Drinking-water surveillance

Drinking-water surveillance is a core public health function and an integral component of the framework for safe drinking-water recommended by the WHO Guidelines for drinking-water quality. It is fundamental for the delivery of safe drinking-water and protection of public health by promoting the improvement of quality, quantity, accessibility, reliability, affordability and continuity of drinking-water supplies. Risk-based drinking-water surveillance is considered best practice as it supports the development of appropriate and efficient monitoring programmes for individual supplies. It also aids prediction and identification of long-term changes and associated risks for drinking-water supply.

Surveillance and outbreak management of water-related diseases

The Protocol on Water and Health requires its parties to establish, improve or maintain comprehensive surveillance and early warning systems for water-related diseases and prepare comprehensive contingency plans for responses to outbreaks. Building blocks in strengthening such systems include a sound legal and regulatory framework that defines clear responsibilities and procedures for surveillance and outbreak management, adequate resources and infrastructure, and ongoing professional development programmes at all levels.

Environmental surveillance of disease agents in wastewater

Environmental surveillance of pathogens and contaminants in wastewater has proven effective in providing important information on the risks to health at the population level. Wastewater surveillance is not a standalone surveillance approach, but can be employed as a complementary and integral part of public health surveillance. Given its multiple benefits and successful applications in different contexts (e.g. poliovirus, COVID-19 virus, antimicrobial resistance), the development of such monitoring programmes can be of added value in detecting and tracking disease in communities and thus providing important information that facilitates public health decision-making and measures.

Related health topics