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This volume describes the methods used in the surveillance of drinking water quality in the light of the special problems of small-community supplies, particularly in developing countries, and outlines the strategies necessary to ensure that surveillance is effective.
Having safe drinking water is important to all Americans. The Environmental Protection Agency's decision in the summer of 2001 to delay implementing a new, more stringent standard for the maximum allowable level for arsenic in drinking water generated a great deal of criticism and controversy. Ultimately at issue were newer data on arsenic beyond those that had been examined in a 1999 National Research Council report. EPA asked the National Research Council for an evaluation of the new data available. The committee's analyses and conclusions are presented in Arsenic in Drinking Water: 2001 Update. New epidemiological studies are critically evaluated, as are new experimental data that provide information on how and at what level arsenic in drinking water can lead to cancer. The report's findings are consistent with those of the 1999 report that found high risks of cancer at the previous federal standard of 50 parts per billion. In fact, the new report concludes that men and women who consume water containing 3 parts per billion of arsenic daily have about a 1 in 1,000 increased risk of developing bladder or lung cancer during their lifetime.
In the early 1980s, two water-supply systems on the Marine Corps Base Camp Lejeune in North Carolina were found to be contaminated with the industrial solvents trichloroethylene (TCE) and perchloroethylene (PCE). The water systems were supplied by the Tarawa Terrace and Hadnot Point watertreatment plants, which served enlisted-family housing, barracks for unmarried service personnel, base administrative offices, schools, and recreational areas. The Hadnot Point water system also served the base hospital and an industrial area and supplied water to housing on the Holcomb Boulevard water system (full-time until 1972 and periodically thereafter). This book examines what is known about the contamination of the water supplies at Camp Lejeune and whether the contamination can be linked to any adverse health outcomes in former residents and workers at the base.
Contamination of drinking-water is a significant concern for public health throughout the world. Microbial hazards make the largest contribution to waterborne disease in developed and developing countries. Nevertheless, chemicals in water supplies can cause serious health problems--whether the chemicals are naturally occurring or derive from sources of pollution. At a global scale, fluoride and arsenic are the most significant chemicals, each affecting perhaps millions of people. However, many other chemicals can be important contaminants of drinking-water under specific local conditions. Often, identification and assessment of risks to health from drinking-water relies excessively on analysis of water samples. The limitations of this approach are well recognized, and contributed to the delay in recognizing arsenic in drinking-water as a significant health concern in Bangladesh and elsewhere. To overcome such limitations, the latest edition of the World Health Organization (WHO) Guidelines for Drinking-water Quality (WHO, 2004; WHO,2006) emphasizes effective preventive management through a 'framework for drinking-water safety' that incorporates 'water safety plans.' Effective preventive management of chemicals in drinking-water requires simple tools for distinguishing the few chemicals of potential local or national concern from the unmanageably long list of chemicals of possible significance. The aim is to identify and prioritize the chemicals of concern, to overcome the limitations of direct analysis of water quality, and ensure that limited resources are allocated towards the monitoring, assessment and control of the chemicals that pose the greatest health risks. Identifying and prioritizing chemical risks presents a challenge, especially in developing countries, because information on the presence of chemicals in water supplies is often lacking. This document provides guidance to help readers to meet that challenge. It shows how information on aspects such as geology and industrial and agricultural development, which is often readily available, can be used to identify potential chemical contaminants (and potential sources of chemicals), from catchment to consumer, and thus prioritize risks. As a supporting document to the Guidelines for Drinking-water Quality (WHO, 2004; WHO, 2006), this publication is aimed at policy-makers, regulators, managers and public health practitioners at national and local level. It is divided into three parts: Part A provides general guidance on using limited information in prioritizing chemicals in drinking-water for risk management. The need for such guidance is outlined in Chapter 1,which also describes the administrative and policy context. Chapter 2 describes the principles applied in prioritizing chemicals, provides information on some factors that affect chemical concentrations along pathways, and highlights several specific chemicals that are frequently considered priorities because of their widespread occurrence or significant health effects. Chapter 3 discusses the role of drinking-water standards and guidelines, and provides an overview of contemporary water quality management procedures. Part B provides practical guidance on identifying specific chemicals that are likely to be of concern in individual water supply systems. It groups chemical contaminants into five categories on the basis of their potential sources: naturally occurring, from agriculture activities, from human settlements, from industrial activities, and from water treatment and distribution processes themselves. Part C comprises the appendices. It includes guidance on the most likely sources of potential contaminants and on identifying chemicals that could be of concern in particular circumstances. The appendices address potential sources of chemicals considered in the WHO drinking-water guidelines (WHO, 2004; WHO, 2006), chemicals potentially discharged in effluents from industrial sources, and the association of pesticides with crops and crop types. This information is presented in an accessible format that will help users to determine the chemical hazards that can arise in the catchment, in treatment and in distribution, in large, medium and small water supplies. Many experts worldwide contributed to this work over a period of several years, beginning with the 1st Meeting of Experts on Monitoring Chemicals in Drinking Water, held in Bangkok, Thailand, in January 2001. This was followed by the 2nd Meeting of Experts on Monitoring Chemicals in Drinking Water, also held in Bangkok, in December 2001. Both meetings were sponsored by WHO and hosted by the Department of Health, Ministry of Public Health, Thailand. The draft guidance document was subsequently tested in a series of field trials in 2002-2003 in Indonesia, Fiji, Nepal, Mongolia, the Philippines and Thailand. Lessons learnt through the field trials provided feedback that was valuable in revising and finalizing the document. Readers should note that while this publication has been developed as a supporting document for, and with reference to, the Guidelines for Drinking-water Quality, the guidelines themselves are frequently updated and the latest information should always be sought by reference to relevant World Health Organization publications and web site. (http://www.who.int/water_sanitation_health/dwq/guidelines/en/index.html).
This publication provides a structured approach to analyzing hazards to groundwater quality, assessing the risk they may cause for a specific supply, setting priorities in addressing these, and developing management strategies for their control. This book summarizes which pathogens and chemicals are relevant to human health, how they are transported, reduced, removed or retarded; provides practical guidance on characterizing the drinking-water catchment area and assessing potential health hazards; provides guidance on prioritising both hazards and management responses; presents key information on potential management actions and explains their integration into a comprehensive Water Safety Plan from catchment to consumer; and describes policy, land-use planning and implementation of pollution prevention, groundwater, with overviews of specific management approaches applicable to agriculture, sanitation, industry, mining, military sites, waste disposal and traffic.--Publisher's description.
With an increasing population, use of new and diverse chemicals that can enter the water supply, and emergence of new microbial pathogens, the U.S. federal government is faced with a regulatory dilemma: Where should it focus its attention and limited resources to ensure safe drinking water supplies for the future? Identifying Future Drinking Water Contaminants is based on a 1998 workshop on emerging drinking water contaminants. It includes a dozen papers that were presented on new and emerging microbiological and chemical drinking water contaminants, associated analytical and water treatment methods for their detection and removal, and existing and proposed environmental databases to assist in their proactive identification and regulation. The papers are preceded by a conceptual approach and related recommendations to EPA for the periodic creation of future Drinking Water Contaminant Candidate Lists (CCLsâ€"produced every five yearsâ€"include currently unregulated chemical and microbiological substances that are known or anticipated to occur in public water systems and that may pose health risks).
Cyanobacterial toxins are among the hazardous substances most widely found in water. They occur naturally, but concentrations hazardous to human health are usually due to human activity. Therefore, to protect human health, managing lakes, reservoirs and rivers to prevent cyanobacterial blooms is critical. This second edition of Toxic Cyanobacteria in Water presents the current state of knowledge on the occurrence of cyanobacteria and cyanotoxins as well as their impacts on health through water-related exposure pathways, chiefly drinking-water and recreational activity. It provides scientific and technical background information to support hazard identification, assessment and prioritisation of the risks posed by cyanotoxins, and it outlines approaches for their management at each step of the water-use system. It sets out key practical considerations for developing management strategies, implementing efficient measures and designing monitoring programmes. This enables stakeholders to evaluate whether there is a health risk from toxic cyanobacteria and to mitigate it with appropriate measures. This book is intended for those working on toxic cyanobacteria with a specific focus on public health protection. It intends to empower professionals from different disciplines to communicate and cooperate for sustainable management of toxic cyanobacteria, including public health workers, ecologists, academics, and catchment and waterbody managers. Ingrid Chorus headed the department for Drinking-Water and Swimming-Pool Hygiene at the German Environment Agency. Martin Welker is a limnologist and microbiologist, currently with bioMérieux in Lyon, France.