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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 Institute of Medicine's Roundtable on Environmental Health Sciences, Research, and Medicine was established in 1988 as a mechanism for bringing the various stakeholders together to discuss environmental health issues in a neutral setting. The members of the Roundtable on Environmental Health Sciences, Research, and Medicine come from academia, industry, and government. Their perspectives range widely and represent the diverse viewpoints of researchers, federal officials, and consumers. They meet, discuss environmental health issues that are of mutual interest, and bring others together to discuss these issues as well. For example, they regularly convene workshops to help facilitate discussion of a particular topic. The Rountable's fifth national workshop entitled From Source Water to Drinking Water: Ongoing and Emerging Challenges for Public Health continued the theme established by previous Roundtable workshops, looking at rebuilding the unity of health and the environment. This workshop summary captures the discussions and presentations by the speakers and participants, who identified the areas in which additional research was needed, the processes by which changes could occur, and the gaps in our knowledge.
Small communities violate federal requirements for safe drinking water as much as three times more often than cities. Yet these communities often cannot afford to improve their water service. Safe Water From Every Tap reviews the risks of violating drinking water standards and discusses options for improving water service in small communities. Included are detailed reviews of a wide range of technologies appropriate for treating drinking water in small communities. The book also presents a variety of institutional options for improving the management efficiency and financial stability of water systems.
The brand new manual provides step-by-step guidance to determine revenue requirements, analyze rates, develop a financial plan, and design a better rate structure -- even with limited resources and data. Written for small water systems (defined as serving a population of up to 10,000) it focuses on the unique attributes of small systems as related to financial planning and rate design, with the understanding that most data is contained in the current customer billing system, and merely needs to be massaged. With details plus a sample case study, it helps develop a rate structure that emphasizes simplicity and ease of billing, while at the same time recognizes cost recovery and equitability. Also covered are communications with the public, which is integral to a successful rate restructuring, regulatory approval, system development funding, and rate phase-in.
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.
An in-depth look at the changing approaches that environmentalists, governments, and the open market have taken to water through the lens of world history. When we turn on the tap or twist open a tall plastic bottle, we probably don’t give a second thought about where our drinking water comes from. But how it gets from the ground to the glass is far more convoluted than we might think. In this revised edition of Drinking Water, Duke University professor and environmental policy expert James Salzman shows how drinking water highlights the most pressing issues of our time. He adds eye-opening, contemporary examples about our relationship to and consumption of water, and a new chapter about the atrocities that occurred in Flint, Michigan. Provocative, insightful, and engaging, Drinking Water shows just how complex a simple glass of water can be. “A surprising, delightful, fact-filled book.” —Jared Diamond, Pulitzer Prize–winning author of Guns, Germs, and Steel “Instead of buying your next twelve-pack of bottled water, buy this fascinating account of all the people who spent their lives making sure you’d have clean, safe drinking water every time you turned on the tap.” —Bill McKibben, author of Earth: Making a Life on a Tough New Planet “Drinking Water effortlessly guides us through a fascinating world we never consider. Even for people who think they know water, there is a surprise on almost every page.” —Charles Fishman, bestselling author of The Big Thirst and The Wal-Mart Effect “Salzman puts a needed spotlight on an often overlooked but critical social, economic, and political resource.” —Publishers Weekly
Expanding water reuse-the use of treated wastewater for beneficial purposes including irrigation, industrial uses, and drinking water augmentation-could significantly increase the nation's total available water resources. Water Reuse presents a portfolio of treatment options available to mitigate water quality issues in reclaimed water along with new analysis suggesting that the risk of exposure to certain microbial and chemical contaminants from drinking reclaimed water does not appear to be any higher than the risk experienced in at least some current drinking water treatment systems, and may be orders of magnitude lower. This report recommends adjustments to the federal regulatory framework that could enhance public health protection for both planned and unplanned (or de facto) reuse and increase public confidence in water reuse.
The continued lack of access to adequate amounts of safe drinking water is one of the primary causes of infant morbidity and mortality worldwide and a serious situation which governments, international agencies and private organizations are striving to alleviate. Barriers to providing safe drinking water for rural areas and small communities that must be overcome include the financing and stability of small systems, their operation, and appropriate, cost-effective technologies to treat and deliver water to consumers. While we know how to technically produce safe drinking water, we are not always able to achieve sustainable safe water supplies for small systems in developed and developing countries. Everyone wants to move rapidly to reach the goal of universal safe drinking water, because safe water is the most fundamental essential element for personal and social health and welfare. Without safe water and a safe environment, sustained personal economic and cultural development is impossible. Often small rural systems are the last in the opportunity line. Safe Drinking Water in Small Systems describes feasible technologies, operating procedures, management, and financing opportunities to alleviate problems faced by small water systems in both developed and developing countries. In addition to widely used traditional technologies this reference presents emerging technologies and non-traditional approaches to water treatment, management, sources of energy, and the delivery of safe water.