Global Issues In Water Sanitation And Health

As the human population grows-tripling in the past century while, simultaneously, quadrupling its demand for water-Earth's finite freshwater supplies are increasingly strained, and also increasingly contaminated by domestic, agricultural, and industrial wastes. Today, approximately one-third of the world's population lives in areas with scarce water resources. Nearly one billion people currently lack access to an adequate water supply, and more than twice as many lack access to basic sanitation services. It is projected that by 2025 water scarcity will affect nearly two-thirds of all people on the planet. Recognizing that water availability, water quality, and sanitation are fundamental issues underlying infectious disease emergence and spread, the Institute of Medicine held a two-day public workshop, summarized in this volume. Through invited presentations and discussions, participants explored global and local connections between water, sanitation, and health; the spectrum of water-related disease transmission processes as they inform intervention design; lessons learned from water-related disease outbreaks; vulnerabilities in water and sanitation infrastructure in both industrialized and developing countries; and opportunities to improve water and sanitation infrastructure so as to reduce the risk of water-related infectious disease.

The issues surrounding water services are some of the most critical challenges facing not only the United States, but also the global community today. The Roundtable on Environmental Health Sciences, Research, and Medicine of the Institute of Medicine convened a workshop in October 2007, summarized in this volume, to address objectives related to Sustainable Water, Sanitation, and Hygiene Services. One of the objectives of the workshop was to think about the interdependence of environmental health and human health as connected through water. Organizations cannot discuss water without considering the interrelationship of sanitation and hygiene. It is the convergence of these strategies that promotes healthy outcomes for both individuals and the environment. A second objective of the workshop was to consider how planning, management, and interdisciplinary approaches-including technology, social behavioral issues, gender, health, environment, economic, and political aspects-can be integrated to arrive at sustainable solutions. Many organizations and agencies are trying to forge a path toward sustainable practices in water, but the various sectors utilizing and governing water services are not interconnected. More integration and a greater understanding of holistic approaches are needed.

Legionnaires' disease, a pneumonia caused by the Legionella bacterium, is the leading cause of reported waterborne disease outbreaks in the United States. Legionella occur naturally in water from many different environmental sources, but grow rapidly in the warm, stagnant conditions that can be found in engineered water systems such as cooling towers, building plumbing, and hot tubs. Humans are primarily exposed to Legionella through inhalation of contaminated aerosols into the respiratory system. Legionnaires' disease can be fatal, with between 3 and 33 percent of Legionella infections leading to death, and studies show the incidence of Legionnaires' disease in the United States increased five-fold from 2000 to 2017. Management of Legionella in Water Systems reviews the state of science on Legionella contamination of water systems, specifically the ecology and diagnosis. This report explores the process of transmission via water systems, quantification, prevention and control, and policy and training issues that affect the incidence of Legionnaires' disease. It also analyzes existing knowledge gaps and recommends research priorities moving forward.

The approach of Water, Sanitation and Hygiene in Humanitarian Contexts is straightforward and practical, with little theory - the focus being on improving professional practice in the midst of humanitarian suffering; written for those whose everyday work involves humanitarian response to WASH needs in emergencies and disasters.

The revised and updated second edition of Water and Sanitation Related Diseases and the Changing Environment offers an interdisciplinary guide to the conditions responsible for water and sanitation related diseases. The authors discuss the pathogens, vectors, and their biology, morbidity and mortality that result from a lack of safe water and sanitation. The text also explores the distribution of these diseases and the conditions that must be met to reduce or eradicate them. The text includes contributions from authorities from the fields of climate change, epidemiology, environmental health, environmental engineering, global health, medicine, medical anthropology, nutrition, population, and public health. Covers the causes of individual diseases with basic information about the diseases and data on the distribution, prevalence, and incidence as well as interconnected factors such as environmental factors. The authors cover access to and maintenance of clean water, and guidelines for the safe use of wastewater, excreta, and grey water, plus examples of solutions. Written for students, and professionals in infectious disease, public health and medicine, chemical and environmental engineering, and international affairs, the second edition of Water and Sanitation Related Diseases and the Changing Environment isa comprehensive resource to the conditions responsible for water and sanitation related diseases.

In early 2013, WHO convened an expert group of scientists from 14 collaborating research institutions to update the assessment of the burden of diarrhoeal disease from inadequate water, sanitation and hygiene (WASH) and to reassess the effectiveness of WASH interventions. This group considered evolving and alternative methods for assessing the burden of disease and agreed on a rigorous new approach using meta-regression. In deriving the new figures, the experts incorporated the latest data on use of improved water and sanitation with minor adjustments, and drew upon the results from two new global reviews on microbial water quality and of handwashing practices specially prepared as part of this effort. This document outlines the latest research on the burden of diarrhoea related to inadequate water, sanitation and hygiene (WASH). It is based on a series of articles published in the scientific literature. In bringing together current evidence on exposure to unsafe drinking-water, inadequate sanitation and hygiene, alongside the most up-to-date analysis on the health impacts of interventions, this document contributes to informed policymaking and targeting of resources. It underscores how further progress can be achieved in this unfinished global water and sanitation and health agenda.

Access to adequate water, sanitation and hygiene (WASH) embodies a fun- damental human right recognized by the United Nations General Assembly. Technology often plays an important role by providing resource-efficient solutions to some of the challenges associated with WASH. This edition of the Global Challenges in Focus series explores the water supply aspect of WASH and highlights the role of technological innovation in relation to managing limited freshwater resources in situations of scarcity and/or threats to the quality of the water supply.

The World Water Development Report 2003 pointed out the extensive problem that: 'Sadly, the tragedy of the water crisis is not simply a result of lack of water but is, essentially, one of poor water governance.' Cross-sectional and historical intra-national and international comparisons have been recognized as a valuable method of study in different sectors of human life, including technologies and governance. Environmental History of Water fills this gap, with its main focus being on water and sanitation services and their evolution. Altogether 34 authors have written 30 chapters for this multidisciplinary book which divides into four chronological parts, from ancient cultures to the challenges of the 21st century, each with its introduction and conclusions written by the editors. The authors represent such disciplines as history of technology, history of public health, public policy, development studies, sociology, engineering and management sciences. This book emphasizes that the history of water and sanitation services is strongly linked to current water management and policy issues, as well as future implications. Geographically the book consists of local cases from all inhabited continents. The key penetrating themes of the book include especially population growth, health, water consumption, technological choices and governance. There is great need for general, long-term analysis at the global level. Lessons learned from earlier societies help us to understand the present crisis and challenges. This new book, Environmental History of Water, provides this analysis by studying these lessons.