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Drinking water

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Tap water
Mineral Water

Drinking water or potable water is water of sufficiently high quality that it can be consumed or used without risk of immediate or long term harm. In most developed countries, the water supplied to households, commerce and industry is all of drinking water standard, even though only a very small proportion (often 5% or less) is actually consumed or used in food preparation.[citation needed]

Over large parts of the world, humans have inadequate access to potable water and use sources contaminated with disease vectors, pathogens or unacceptable levels of dissolved chemicals or suspended solids. Such water is not potable and drinking or using such water in food preparation leads to widespread acute and chronic illness and is a major cause of death in many countries.

Typically, water supply networks deliver potable water, whether it is to be used for drinking, washing or landscape irrigation. One counterexample is urban China, where drinking water can optionally be delivered by a separate tap.

General

Essential to the survival of all organisms,[1] water has historically been an important and life-sustaining drink to humans. Excluding fat, water composes approximately 70% of the human body by mass. It is a crucial component of metabolic processes and serves as a solvent for many bodily solutes. Health authorities have historically suggested at least eight glasses, eight fluid ounces each, of water per day (64 fluid ounces, or 1.89 litres),[2][3] and the British Dietetic Association recommends 1.8 litres.[1] The United States Environmental Protection Agency has determined that the average adult actually ingests 2.0 litres per day.[3]

Spring water, a natural resource from which much bottled water comes, is generally imbued with minerals.[4] Tap water, delivered by domestic water systems in developed nations, refers to water piped to homes through a tap. All of these forms of water are commonly drunk, often purified through filtration.[5]

Water quality and contaminants

Further information: Water quality and Water pollution
Further information: Appropriate technology § Drinking water
Further information: Drinking water quality in the United States

Throughout most of the world, the most common contamination of raw water sources is from human sewage and in particular human faecal pathogens and parasites. In 2006, waterborne diseases were estimated to cause 1.8 million deaths each year while about 1.1 billion people lacked proper drinking water.[6]. It is clear that people in the developing world need to have access to good quality water in sufficient quantity, water purification technology and availability and distribution systems for water. In many parts of the world the only sources of water are from small streams often directly contaminated by sewage.

Most water requires some type of treatment before use, even water from deep wells or springs. The extent of treatment depends on the source of the water. Appropriate technology options in water treatment include both community-scale and household-scale point-of-use (POU) designs.[7]

The most reliable way to kill microbial pathogenic agents is to heat water to a rolling boil[8] but this requires abundant sources of fuel and is very onerous on the households, especially where it is difficult to store boiled water in sterile conditions. Other techniques, such filtration, chemical disinfection, and exposure to ultraviolet radiation (including solar UV) have been demonstrated in an array of randomized control trials to significantly reduce levels of water-borne disease among users in low-income countries[9], but these suffer from the same problems as boiling methods.

Over the past decade, an increasing number of field-based studies have been undertaken to determine the success of POU measures in reducing waterborne disease. The ability of POU options to reduce disease is a function of both their ability to remove microbial pathogens if properly applied and such social factors as ease of use and cultural appropriateness. Technologies may generate more (or less) health benefit than their lab-based microbial removal performance would suggest.

The current priority of the proponents of POU treatment is to reach large numbers of low-income households on a sustainable basis. Few POU measures have reached significant scale thus far, but efforts to promote and commercially distribute these products to the world's poor have only been under way for a few years.

Parameters for drinking water quality typically fall under two categories: chemical/physical and microbiological. Chemical/physical parameters include heavy metals, trace organic compounds, total suspended solids (TSS), and turbidity. Microbiological parameters include Coliform bacteria, E. coli, and specific pathogenic species of bacteria (such as cholera-causing Vibrio cholerae), viruses, and protozoan parasites.

Chemical parameters tend to pose more of a chronic health risk through buildup of heavy metals although some components like nitrates/nitrites and arsenic may have a more immediate impact. Physical parameters affect the aesthetics and taste of the drinking water and may complicate the removal of microbial pathogens.

Originally, fecal contamination was determined with the presence of coliform bacteria, a convenient marker for a class of harmful fecal pathogens. The presence of fecal coliforms (like E. Coli) serves as an indication of contamination by sewage. Additional contaminants include protozoan oocysts such as Cryptosporidium sp., Giardia lamblia, Legionella, and viruses (enteric).[10] Microbial pathogenic parameters are typically of greatest concern because of their immediate health risk.

Access

Further information: Water resources
Only forty-six percent of people in Africa have safe drinking water.
Drinking water vending machines in Thailand. One litre of purified water is sold (into the customer's own bottle) for 1 baht.
Shipot, a common source of drinking water in a Ukrainian village.

Earth's surface consists of 70% water. Water is available almost everywhere if proper methods are used to get it. Sources where water may be obtained include:

As a country’s economy becomes richer, a larger percentage of its people tend to have access to drinking water and sanitation. Access to drinking water is measured by the number of people who have a reasonable means of getting an adequate amount of water that is safe for drinking, washing, and essential household activities.

As of the year 2006 (and pre-existing for at least three decades), there is a substantial shortfall in availability of potable water in less developed countries, principally because of migration from the countryside to urban areas in countries with low average rainfall and limited infrastructure. As of the year 2000, 27 percent of the populations of lesser developed countries did not have access to safe drinking water,[11] but this proportion has declined steadily over the last decades. Implications for disease propagation are significant. Many nations have water quality regulations for water sold as drinking water, although these are often not strictly enforced outside of the developed world. The World Health Organization sets international standards for drinking water.

It reflects the health of a country’s people and the country’s capacity to collect, clean, and distribute water to consumers. According to the United Nations' World Health Organization (WHO) more than one billion people in low and middle-income countries lack access to safe water for drinking, personal hygiene and domestic use. These numbers represent more than 20 percent of the world’s people. In addition, close to 3 billion people did not have access to adequate sanitation facilities. (For details see data on the website of the Joint Monitoring Programme (JMP) on water and sanitation of WHO and UNICEF.)

While the occurrence of waterborne diseases in developed countries is generally low due to a generally good system of water treatment, distribution and monitoring, waterborne diseases are among the leading causes of morbidity and mortality in low- and middle-income countries, frequently called developing countries.

The main reason for poor access to safe water is the inability to finance and to adequately maintain the necessary infrastructure. Overpopulation and scarcity of water resources are contributing factors. With rising living standards in most parts of the world, more and more people get access to safe drinking water. The Millennium Development Goal of halving the proportion of people without access to safe drinking water between 1990 and 2015 will probably be reached. [12]

Many other countries also lack in the amount of safe drinking water that they need to survive. Some of the countries have less than 20% of the population that has access to safe drinking water.[citation needed] For example in Africa, with more than 700 million people, only forty-six percent of people have safe drinking water. [citation needed] The more populous Asia Pacific region with over three billion people, eighty percent of whom with access to drinking water, still leaves over 600 million people without access to safe drinking water.[citation needed]

The lack of water and the lack of hygiene is one of the biggest problems that many poor countries have encountered in progressing their way of living. The problem has reached such endemic proportions that 2.2 million deaths per annum occur from unsanitary water - ninety percent of these are children under the age of five.[citation needed] One program developed to help people gain access to safe drinking water is the Water Aid program. Working in 17 countries to help provide water, Water Aid is useful in helping the sanitation and hygiene education to some of the world's poorest people.[2] Solar water disinfection is a low-cost method of purifying water that can often be implemented with locally available materials.[13][14][15][16] Unlike methods that rely on firewood, it has low impact on the environment.

Table 2: Percentage of population with access to safe drinking water (2000) [17]
Country %   Country %   Country %   Country %   Country %
Albania 97   Algeria 89   Azerbaijan 78   Brazil 87   Chile 93
China 75   Cuba 91   Egypt 97   India 84   Indonesia 78
Iran 92   Iraq 85   Kenya 57   Mexico 88   Morocco 80
Peru 80   Philippines 86   South Africa 86   South Korea 92   Sudan 67
Syria 80   Turkey 82   Uganda 52   Venezuela 83   Zimbabwe 83
Note: All industrialized countries (as listed by UNICEF) with data available are at 100%.

In the U.S, the typical nonconserving single family home uses 69.3 gallons of water per capita per day. In some parts of the country there are water supplies that are dangerously low due to drought, particularly in the West and the South East region of the U.S.[18].

Requirements

Main article: Fluid balance

Water is necessary for most life on Earth. Humans can survive for several weeks without food, but for only a few days without water. The exact amount of water a human needs is highly individual, as it depends on the condition of the subject, the amount of physical exercise, and on the environmental temperature and humidity.[19] In the US, the reference daily intake (RDI) for water is 3.7 litres per day for human males older than 18, and 2.7 litres for human females older than 18[20] including water contained in food, beverages, and drinking water. It is a common misconception that everyone should drink two litres (68 ounces, or about eight 8-oz glasses) of water per day and is not supported by scientific research. Various reviews of all the scientific literature on the topic performed in 2002 and 2008 could not find any solid scientific evidence that recommended drinking eight glasses of water per day.[21] [22] [23] For example, people in hotter climates will require greater water intake than those in cooler climates. An individual's thirst provides a better guide for how much water they require rather than a specific, fixed number. A more flexible guideline is that a normal person should urinate 4 times per day, and the urine should be a light yellow color.

A constant supply is needed to replenish the fluids lost through normal physiological activities, such as respiration, perspiration and urination. Food contributes 0.5 to 1 litre, and the metabolism of protein, fat, and carbohydrates produces another 0.25 to 0.4 litres[24], which means that 2 to 3 litres of water for men and 1 to 2 litres of water for women should be taken in as fluid in order to meet the RDI. In terms of mineral nutrients intake, it is unclear what the drinking water contribution is. However, inorganic minerals generally enter surface water and ground water via storm water runoff or through the Earth's crust. Treatment processes also lead to the presence of some mineral nutrients. Examples include fluoride, calcium, zinc, manganese, phosphate, and sodium compounds.[25] Water generated from the biochemical metabolism of nutrients provides a significant proportion of the daily water requirements for some arthropods and desert animals, but provides only a small fraction of a human's necessary intake. There are a variety of trace elements present in virtually all potable water, some of which play a role in metabolism. For example sodium, potassium and chloride are common chemicals found in small quantities in most waters, and these elements play a role (not necessarily major) in body metabolism. Other elements such as fluoride, while beneficial in low concentrations, can cause dental problems and other issues when present at high levels. Water is essential for the growth and maintenance of our bodies, as it is involved in a number of biological processes.

Because in general, RDI values incorporate a safety margin to account for individual variations, it does not mean that this amount is necessary for every person. [citation needed] Profuse sweating can increase the need for electrolyte (salt) replacement. Water intoxication (which results in hyponatremia), the process of consuming too much water too quickly, can be fatal.

The human kidneys will normally adjust to varying levels of water intake. If a person suddenly increases water intake, the kidneys will produce more diluted urine, even if the person did not happen to consume water excessively.[citation needed] The kidneys will require time to adjust to the new water intake level. This can cause someone who drinks a lot of water to become dehydrated more easily than someone who routinely drinks less. Survival classes recommend that someone who expects to be in an environment with little water (such as a desert), not to drink water excessively, but rather to drink gradually decreasing amounts for several days before their trip to accustom the kidneys to making concentrated urine. Not using this method can, and has been known to be fatal.[26]

Indicators of safe drinking water

Access to safe drinking water is indicated by the number of people using proper sanitary sources. These improved drinking water sources include household connection, public standpipe, borehole condition, protected dug well, protected spring, and rain water collection. Sources that don't encourage improved drinking water to the same extent as previously mentioned include: unprotected well, unprotected spring, rivers or ponds, vender-provided water, bottled water (consequential of limitations in quantity, not quality of water), and tanker truck water. Access to sanitary water comes hand in hand with access to improved sanitation facilities for excreta. These facilities include connection to public sewer, connection to septic system, pour-flush latrine, and ventilated improved pit latrine. Unimproved sanitation facilities are: public or shared latrine, open pit latrine, or bucket latrine[27].

Diarrhea as a major health effect among children

Diarrhoeal diseases cause ninety percent of all deaths of children under five years old in developing countries. Malnutrition, especially protein-energy malnutrition, can decrease the children's resistance to infections, including water-related diarrhoeal diseases. In 2000-2003, 769,000 children under five years old in sub-Saharan Africa died each year from diarrhoeal diseases. As a result of only thirty-six percent of the population in the sub-Saharan region having access to proper means of sanitation, more than 2000 children's lives are lost every day. In south Asia, 683,000 children under five years old died each year from diarrhoeal disease from 2000-2003. During the same time period, in developed countries, 700 children under five years old died from diarrhoeal disease. Improved water supply reduces diarrhea morbidity by twenty-five percent and improvements in drinking water through proper storage in the home and chlorination reduces diarrhea episodes by thirty-nine percent[28].

Plans to improve availability of drinking water

One of the Millennium Development Goals (MDGs) set by the UN includes environmental sustainability. In 2004, only forty-two percent of people in rural areas had access to clean water. Sixty-three percent of the population in sub-Saharan Africa lacked access to basic sanitation facilities (hardly down from pie of the sixty-eight percent in 1990). The effects of climate change add more distress to sub-Saharan Africa. The Intergovernmental Panel on Climate Change estimates that 75-250 million people will have to cope with additional limitations to water access. The results could be terrible for the livelihoods of the disadvantaged and rural economies. Currently the UN is not on schedule with their plans and estimates that their intended goal will not be reached by 2015[29].

In education

In Britain, many schools have poor provision of drinking water to pupils through the day. Studies have made upon the effect of increasing the provision of water and significant improvements in test scores have been observed. Areas such as Brighton have introduced a Schools Water Policy to ensure an adequate intake of 1.5 to 1.75 litres for 5-10 year olds.[30]

Drinking water regulation

European Union

The EU sets legislation on drinking water quality in addition to factors such as how, where and when water can be extracted from the environment. Directive 2000/60/EC of the European Parliament and of the Council of 23 October 2000 establishing a framework for Community action in the field of water policy, known as the water framework directive, is the primary piece of legislation governing drinking water.[31]

Each member state is responsible for establishing the required policing measures to ensure that the legislation is implemented. For example, in the UK the Drinking Water Inspectorate polices the water companies.

United States of America

In the United States, the Environmental Protection Agency (EPA) sets standards for tap and public water systems under the Safe Drinking Water Act (SDWA).[32] The Food and Drug Administration (FDA) regulates bottled water as a food product under the Federal Food, Drug, and Cosmetic Act (FFDCA).[33] Bottled water is not necessarily more pure, or more tested, than public tap water.[34]

Bottled water

Main article: Bottled water

Drinking water of a variety of qualities is bottled and sold for public consumption throughout the world. Trends in sales and consumption of bottled water have risen significantly in the last two decades in both developed and developing countries.

See also

References

  1. ^ a b Greenhalgh, Alison (2001). "Healthy living - Water". BBC Health. Retrieved 2007-02-19. {{cite web}}: Unknown parameter |month= ignored (help)
  2. ^ "The Benefits of Water". Cleveland Clinic. Retrieved 2007-02-19.
  3. ^ a b "Chapter 3, Exposure Scenario Selection" (PDF). EPA. 2000. pp. p. 8. Retrieved 2007-02-19. {{cite web}}: Unknown parameter |month= ignored (help)
  4. ^ "Water Links". Center for Science in the Public Interest. Retrieved 2007-02-19.
  5. ^ "Brief History of Drinking Water". American Water Works Association. 2007. Retrieved 2007-02-19.
  6. ^ U.S. Centers for Disease Control and Prevention. Atlanta, GA. "Safe Water System: A Low-Cost Technology for Safe Drinking Water." Fact Sheet, World Water Forum 4 Update. March 2006.
  7. ^ Centre for Affordable Water and Sanitation Technology, "Household Water Treatment Guide," March 2008.
  8. ^ [1] WHO’s Guidelines for Drinking Water Quality
  9. ^ Clasen, T., Schmidt, W., Rabie, T., Roberts, I., Cairncross, S. Interventions to improve water quality for preventing diarrhea: a systematic review and meta-analysis. British Medical Journal, doi:10.1136/bmj.39118.489931.BE (published 12 March 2007)
  10. ^ U.S. EPA. "Drinking Water Contaminants: Microorganisms."
  11. ^ I.A. Shiklomanov, Appraisal and Assessment of World Water Resources, Water International 25(1): 11-32 (2000)
  12. ^ The Millennium Development Goals Report
  13. ^ Conroy R.M., Meegan M.E., Joyce T., McGuigan K., Barnes J. (1999), Solar disinfection of water reduces diarrhoeal disease, an update, Arch Dis Child, Vol. 81.
  14. ^ Conroy R.M., Meegan M.E., Joyce T.M., McGuigan K.G., Barnes J. (2001) Use of solar disinfection protects children under 6 years from cholera. Arch Dis Child; 85:293-295
  15. ^ Rose A. at al. (2006). Solar disinfection of water for diarrhoeal prevention in Southern India. Arch Dis Child, 91(2): 139-141
  16. ^ Hobbins M. (2003). The SODIS Health Impact Study, Ph.D. Thesis, Swiss Tropical Institute Basel
  17. ^ United Nations Childrens Fund (UNICEF). New York, NY. "Safe Drinking Water." Excerpt from "Progress since the World Summit for Children: A Statistical Review." September 2001.
  18. ^ March 2008, Cashing in on Climate Change, IBISWorld
  19. ^ Maton, Anthea bj (1993). Human Biology and Health. Englewood Cliffs, New Jersey, USA: Prentice Hall. ISBN 0-13-981176-1. {{cite book}}: Unknown parameter |coauthors= ignored (|author= suggested) (help)
  20. ^ US daily reference intake values
  21. ^ Research debunks health value of guzzling water. Reuters, April 2008.
  22. ^ H. Valtin, Drink at least eight glasses of water a day." Really? Is there scientific evidence for "8 × 8"? Am J Physiol Regul Integr Comp Physiol 283: R993-R1004, 2002.
  23. ^ Dan Negoianu and Stanley Goldfarb. Just add water. J. Am. Soc. Nephrol. 19: 1041-1043, 2008.
  24. ^ Swedish DFA (in Swedish)
  25. ^ World Health Organization (WHO). Geneva, Switzerland. Joyce Morrissey Donohue, Charles O. Abernathy, Peter Lassovszky, George Hallberg. "The contribution of drinking-water to total dietary intakes of selected trace mineral nutrients in the United States." Draft, August 2004.
  26. ^ Man Dies of Thirst During Survival Test, San Francisco Chronicle, May 2, 2007
  27. ^ Meeting the MDG Drinking Water and Sanitation Target: A Mid-Term Assessment of Progress [www.who.int/water_sanitation_health/monitoring/jmp04.pdf]
  28. ^ WHO/UNICEF, Water for life: making it happen
  29. ^ Africa and the Millennium Development Goals [www.un.org/millenniumgoals/docs/MDGafrica07.pdf]
  30. ^ Sean Coughlan (8 October 2002), Too thirsty for knowledge, BBC
  31. ^ Maria, Kaika (April 2003). "The Water Framework Directive: A New Directive for a Changing Social, Political and Economic European Framework". European Planning Studies,. 11 (3). Taylor and Francis Group: 299–316. Retrieved 2009-02-10.{{cite journal}}: CS1 maint: extra punctuation (link)
  32. ^ Pub.L. 93-523; 42 U.S.C. § 300f et seq. December 16, 1974.
  33. ^ June 25, 1938, ch. 675, 52 Stat. 1040; 21 U.S.C. § 301 et seq.
  34. ^ U.S. EPA. Washington, DC. "Ground water and drinking water - Frequently asked questions." September 20, 2007.
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