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Water–Health Nexus: Modeling the Pathways and Barriers to Water-Related Diseases

  • Neil S. Grigg
Article
  • 31 Downloads

Abstract

Under pressure from climate change and other drivers, the risks of water-related infectious and chronic diseases seem poised to increase. Addressing these risks requires shared work in the fields of public health and water resources management. To help in risk assessment, the paper presents a comprehensive conceptual model of water-related health effects and the potential barriers that can be established by water management actions. The model does not indicate unique solution strategies because multiple water management factors cause multiple types of water-related diseases. It uses the water-health nexus to conceptualize the pathways to diseases and help clarify health-related responsibilities for water management and public health officials. Experiences of the U.S. are presented as an exemplar of the links between water management and disease incidence. However, parts of the water management system are not regulated effectively and many countries lack organized utilities and effective water governance.

Keywords

Water management Public health Disease Water-health nexus Pathways to disease Regulation 

Notes

Compliance with Ethical Standards

Conflict of Interest

None.

References

  1. American Public Health Association (2017) What is Public Health? https://www.apha.org/what-is-public-health
  2. Bazilian M, Rogner H, Howells M, Hermann S, Arent D, Gielen D, Steduto P, Mueller A, Komor P, Tol R, Yumkella R (2011) Considering the energy, water and food nexus:towards an integrated modelling approach. Energy Policy 39(2011):7896–7906CrossRefGoogle Scholar
  3. Beer KD, Gargano JW, Roberts VA, Hill VR, Garrison LE, Kutty PK, Hilborn ED, Wade TJ, Fullerton KE, Yoder JS (2015) Surveillance for waterborne disease outbreaks associated with drinking water — United States, 2011–2012. MMWR Morb Mortal Wkly Rep 64(31):842–848 https://www.cdc.gov/healthywater/surveillance/drinking-surveillance-reports.html CrossRefGoogle Scholar
  4. Biswas A (2011). Evolution of global developments in urban water management: Part 1 of 2. http://www.globalwaterforum.org/2011/11/14/evolution-of-global-developments-in-water-management-part-1-of-2/
  5. Breslow L (2004) A life in public health: an Insider’s retrospective. Springer Publishing Company, New YorkGoogle Scholar
  6. California Department of Toxic Substances Control (2017) CalTOX. http://www.dtsc.ca.gov/AssessingRisk/caltox.cfm
  7. Campbell C, Greenberg R, Mankikar D, Ross RD (2016) A case study of environmental injustice: the failure in Flint. Int J Environ Res Public Health 13(10):951.  https://doi.org/10.3390/ijerph13100951 CrossRefGoogle Scholar
  8. Carlisle DM, Wolock DM, Meador MR (2011) Alteration of streamflow magnitudes and potential ecological consequences: a multiregional assessment. Front Ecol Environ 9:264–270.  https://doi.org/10.1890/100053 CrossRefGoogle Scholar
  9. Cesa M, Fongaro G, Baradi C (2016) Waterborne diseases classification and relationship with social-environmental factors in Florianópolis city – southern Brazil. J Water Health 14(2):340–348.  https://doi.org/10.2166/wh.2015.266 CrossRefGoogle Scholar
  10. Choi BCK, Morrison H, Wong T, Wu J, Yan Y (2007) Bringing chronic disease epidemiology and infectious disease epidemiology back together. J Epidemiol Community Health 61(9):802.  https://doi.org/10.1136/jech.2006.057752 CrossRefGoogle Scholar
  11. Clasen TF, Alexander KT, Sinclair D, Boisson S, Peletz R, Chang H, Majorin Fiona and Cairncross S (2015) Interventions to improve water quality for preventing Diarrhea. The Cochrane Database of Systematic Reviews, (10), 1–201. Advance online publication.  https://doi.org/10.1002/14651858.CD004794.pub3
  12. Cox WE (1997) Evolution of the Safe Drinking Water Act: A Search for Effective Quality Assurance Strategies and Workable Concepts of Federalism. 21 Wm. & Mary Envtl. L. & P ol’y Rev. 69 (1997), http://scholarship.law.wm.edu/wmelpr/v ol21/i ss1/3
  13. Craun GF, Calderon R, Craun MF (2003) Waterborne outbreaks in the United States, 1971-2000. In: Pontius FW (ed) Drinking water regulation and health. John Wiley & Sons, New YorkGoogle Scholar
  14. Eisenberg JNS, McKone TE (1998) Decision tree method for the classification of chemical pollutants: incorporation across chemical variability and within chemical uncertainty. Environ Sci Technol 32:3396–3404CrossRefGoogle Scholar
  15. Eisenberg, Joseph N.S., Bartram, Jamie and Hunter, Paul R. (2001) A public health perspective for establishing water-related guidelines and standards. Chapter 11 of Water quality: Guidelines, standards and health: Assessment of risk and risk management for water-related infectious disease. WHO 2001. Edited by Lorna Fewtrell and Jamie Bartram. Published on behalf of WHO by IWA Publishing. http://www.who.int/water_sanitation_health/dwq/iwachap11.pdf
  16. European Environment Agency (2017) Diffuse sources. https://www.eea.europa.eu/themes/water/water-pollution/diffuse-sources
  17. Fuller GW (1922) The influence of sanitary engineering on public health. American Journal of Public Health (New York, NY) 12(1):16–23CrossRefGoogle Scholar
  18. Getches DH (1989) Groundwater Quality Protection: Setting a National Goal for State and Federal Programs, 65 Chi.-Kent. L. Rev. 387(1989). http://scholarship.kentlaw.iit.edu/cklawreview/vol65/iss2/5
  19. Global Water Partnership (2017a) GWP in Action: 2016 Annual Report. http://www.gwp.org/globalassets/global/about-gwp/publications/annual-reports/gwp-in-action-2016.pdf
  20. Global Water Partnership (2017b) The Water Challenge. http://www.gwp.org/en/About/why/the-water-challenge/
  21. Global Water Partnership (2017c) The Need for an Integrated Approach. http://www.gwp.org/en/About/why/the-need-for-an-integrated-approach/
  22. Global Water Partnership (2017d) Management Instruments. http://www.gwp.org/en/learn/iwrm-toolbox/Management-Instruments/
  23. Golladay SW, Battle J (2002) Effects of flooding and drought on water quality in gulf coastal plain streams in Georgia. J Environ Qual 31:1266–1272.  https://doi.org/10.2134/jeq2002.1266 CrossRefGoogle Scholar
  24. Greenberg P (2012) The Clean Water Act at 40: There’s Still Much Left to Do. Yale Environment 360. http://e360.yale.edu/features/the_clean_water_act_at_40_theres_still_much_left_to_do
  25. Grigg N (2016) Integrated water resource management: an interdisciplinary approach. Palgrave Macmillan, LondonCrossRefGoogle Scholar
  26. Halpern RA (2000) 1491 and All That. American Outlook, November/December 2000, Hudson Institute. http://www.ncpa.org/sub/dpd/index.php?Article_ID=8406
  27. Homer JB, Hirsch GB (2006) System dynamics modeling for public health: background and opportunities. Am J Public Health 96(3):452–458.  https://doi.org/10.2105/AJPH.2005.062059 CrossRefGoogle Scholar
  28. Hung LS (2003) The SARS epidemic in Hong Kong: what lessons have we learned? J R Soc Med 96(8):374–378CrossRefGoogle Scholar
  29. Keiser, David A. and Shapiro, Joseph S. (2017) Consequences of the Clean Water Act and the Demand for Water Quality. Cowles Foundation Discussion Paper 2070. http://cowles.yale.edu/sites/default/files/files/pub/d20/d2070.pdf
  30. LaFrance D (2013) Total water solutions: caring about every drop, everywhere. J AWWA 105(8):6CrossRefGoogle Scholar
  31. Landrigan, Philip J., Fuller, Richard, Acosta, Nereus J. and Zhong, Ma (2017) The Lancet Commission on pollution and health. http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(17)32345-0.pdf
  32. Lankoski J, and Ollikainen M (2013) Innovations in Nonpoint Source Pollution Policy-European Perspectives. Choices. Quarter 3. http://choicesmagazine.org/choices-magazine/theme-articles/innovations-in-nonpoint-source-pollution-policy/innovations-in-nonpoint-source-pollution-policyeuropean-perspectives
  33. Lyon GS, Stein ED (2009) How effective has the clean water act been at reducing pollutant mass emissions to the Southern California bight over the past 35 years? Environ Monit Assess 154(1–4):413–426CrossRefGoogle Scholar
  34. Mascie-Taylor C, Karim E (2003) The burden of chronic disease. Science 302(5652):1921–1922CrossRefGoogle Scholar
  35. Nickson A, Vargas C (2002) The limitations of water regulation: the failure of the Cochabamba concession in Bolivia. Bull Lat Am Res 21(1):99–120CrossRefGoogle Scholar
  36. Okun DA (2003) Drinking water and public health protection. In: Pontius FW (ed) Drinking water regulation and health. John Wiley & Sons, New YorkGoogle Scholar
  37. Parkes M, Morrison K, Bunch M, Hallstrom L, Neudoerffer C, Venema H, Waltner-Toews D (2010) Towards integrated governance for water, health and social-ecological systems: the watershed governance prism. Glob Environ Chang 20:693–704.  https://doi.org/10.1016/j.gloenvcha.2010.06.001 CrossRefGoogle Scholar
  38. Patz JA (2016) Solving the global climate crisis: the greatest health opportunity of our times? Public Health Reviews,  https://doi.org/10.1186/s40985-016-0047-y 40985_2016_47
  39. Points of Light (2017) What we do. http://www.pointsoflight.org/facts
  40. Prüss-Üstün A and Fewtrell L (2017) Burden of Disease: Current Situation and Trends. in Volume 1: Water and Health. in Encyclopedia of Life Support Systems (EOLSS), Developed under the Auspices of the UNESCO, Eolss Publishers, Paris, France, [http://www.eolss.net]
  41. Rouse M (2013) Institutional governance and regulation of water services: the essential elements. Second Edition. IWA Publishing. LondonGoogle Scholar
  42. Sapienza S, Sawyer J, and Sawyer K (2017) Dhaka’s Challenge: A Megacity Struggles with Water, Sanitation and Hygiene. http://pulitzercenter.org/projects/asia/dhaka%E2%80%99s-challenge-megacity-struggles-water-sanitation-and-hygiene
  43. Schaefer-Preuss U (2015) The water-energy-food-health nexus. http://www.makingitmagazine.net/?p=9373
  44. Slootweg I (1991) Water resources management and health: general remarks and a case study from Cameroon. Landsc Urban Plan 20(1–3):111–114CrossRefGoogle Scholar
  45. Southeast Aquatic Resources Partnership (2017) Instream Flow Protection Policy Overview. http://southeastaquatics.net/sarps-programs/sifn/southeastern-state-instream-flow-programs/instream-flow-protection-policy-document
  46. Stanwell-Smith R (2009) Classification of Water-Related Disease. In Biological, Physiological and Health Sciences, edited by W.O.K. Grabow, in Encyclopedia of Life Support Systems (EOLSS), Developed under the Auspices of the UNESCO, Eolss Publishers, Paris, France, [http://www.eolss.net]
  47. Tiemann M (2017) Safe Drinking Water Act (SDWA): A Summary of the Act and Its Major Requirements. Congressional Research Service. 7–5700. Washington D.CGoogle Scholar
  48. U. S. Government Accountability Office (2012) Nonpoint Source Water Pollution: Greater Oversight and Additional Data Needed for Key EPA Water Program. GAO-12-335: Published: May 31, 2012. Publicly Released: Jul 2, 2012. http://www.gao.gov/products/GAO-12-335
  49. U.S. Department of Energy (2017) The Water-Energy Nexus: Challenges and Opportunities. https://www.energy.gov/under-secretary-science-and-energy/downloads/water-energy-nexus-challenges-and-opportunities
  50. U.S. Environmental Protection Agency (2006) Wadeable Streams Assessment: A Collaborative Survey of the Nation's Streams. EPA 841-B-06-002. www.epa.gov/owow/streamsurvey
  51. U.S. Environmental Protection Agency (2009) National Rivers and Streams Assessment. https://www.epa.gov/national-aquatic-resource-surveys/nrsa
  52. U.S. Environmental Protection Agency (2012) 2012 Edition of the Drinking Water Standards and Health Advisories. EPA 822-S-12-001. https://nepis.epa.gov/Exe/ZyPDF.cgi/P100N01H.PDF?Dockey=P100N01H.PDF
  53. U.S. Environmental Protection Agency (2017a) Drinking Water Contaminants – Standards and Regulations. https://www.epa.gov/dwstandardsregulations
  54. U.S. Environmental Protection Agency (2017b) Protect Sources of Drinking Water. https://www.epa.gov/sourcewaterprotection
  55. U.S. Environmental Protection Agency (2017c) National Benefits Analysis for Drinking Water Regulations. https://www.epa.gov/dwregdev/national-benefits-analysis-drinking-water-regulations
  56. U.S. Environmental Protection Agency (2017d) National Pretreatment Program. https://www.epa.gov/npdes/national-pretreatment-program
  57. U.S. Environmental Protection Agency (2017e) Drinking Water Contaminant Human Health Effects Information. https://www.epa.gov/dwstandardsregulations/drinking-water-contaminant-human-health-effects-information
  58. U.S. Environmental Protection Agency (2017f) National Water Quality Inventory Report to Congress. https://www.epa.gov/waterdata/national-water-quality-inventory-report-congress
  59. U.S. Environmental Protection Agency (2017g) Protecting Drinking Water Quality through Promotion of Water Safety Plans. https://www.epa.gov/international-cooperation/protecting-drinking-water-quality-through-promotion-water-safety-plans
  60. U.S. Water Alliance. (2018). One Water Roadmap: The Sustainable Management of Life's Most Essential Resource. http://uswateralliance.org/one-water/one-water-roadmap-sustainable-management-lifes-most-essential-resource
  61. UN Water (2017) The United Nations World Water Development Report 2017. Facts and Figures. http://unesdoc.unesco.org/images/0024/002475/247553e.pdf
  62. UNESCO (2006) Water: A Shared Responsibility. World Water Assessment Program. http://www.unesco.org/new/en/natural-sciences/environment/water/wwap/wwdr/wwdr2-2006/
  63. Water, Engineering and Development Centre (2017) The “F” Diagram. http://wedc.lboro.ac.uk/resources/posters/P004_The_F_Diagram.pdf
  64. West D, Villasenor J and Schneider J (2017) Health governance capacity: Enhancing private sector investment in global health. Brookings Institution. https://www.brookings.edu/research/health-governance-capacity/
  65. White GF, Bradley DJ, White AU (1972) Drawers of water: domestic water use in East Africa. University of Chicago Press, Chicago, p 306Google Scholar
  66. Wiant C (2014) The Safe Drinking Water Act: A Blueprint for Protecting the Nation’s Drinking Water. Water Quality and Health Council. http://www.waterandhealth.org/safe-drinking-water-act-blueprint-protecting-nations-drinking-water/
  67. World Health Organization (2017a) Mortality and burden of disease from water and sanitation. http://www.who.int/gho/phe/water_sanitation/burden/en/
  68. World Health Organization (2017b) 2.1 billion people lack safe drinking water at home, more than twice as many lack safe sanitation. http://www.who.int/mediacentre/news/releases/2017/water-sanitation-hygiene/en/
  69. World Health Organization (2017c) Classifications. http://www.who.int/classifications/icd/revision/en/
  70. World Health Organization (2017d) Guidelines for drinking-water quality. Fourth Edition. http://apps.who.int/iris/bitstream/10665/44584/1/9789241548151_eng.pdf
  71. World Health Organization and World Plumbing Council (2006) Health Aspects of Plumbing. http://www.who.int/water_sanitation_health/hygiene/plumbingtoc.pdf
  72. World Water Council (2017) Water Crisis. http://www.worldwatercouncil.org/library/archives/water-crisis/

Copyright information

© Springer Nature B.V. 2018

Authors and Affiliations

  1. 1.Department of Civil and Environmental EngineeringColorado State UniversityFort CollinsUSA

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