Contaminated water and poor sanitation are linked to transmission of diseases such as cholera, diarrhoea, dysentery, hepatitis A, typhoid and polio. Absent, inadequate, or inappropriately managed water and sanitation services expose individuals to preventable health risks. This is particularly the case in health care facilities where both patients and staff are placed at additional risk of infection and disease when water, sanitation and hygiene services are lacking. Globally, 15% of patients develop an infection during a hospital stay, with the proportion much greater in low-income countries.
According to WHO, Some 842 000 people are estimated to die each year from diarrhoea as a result of unsafe drinking-water, sanitation and hand hygiene. But diarrhoea is largely preventable, and the deaths of 361 000 children aged under 5 each year could be avoided each year if these risk factors were addressed. Where water is not readily available, people may decide handwashing is not a priority, thereby adding to the likelihood of diarrhoea and other diseases.
Diarrhoea is the most widely known disease linked to contaminated food and water but there are other hazards. Almost 240 million people are affected by schistosomiasis – an acute and chronic disease caused by parasitic worms contracted through exposure to infested water.
In many parts of the world, insects that live or breed in water carry and transmit diseases such as dengue fever.
Some of these insects, known as vectors, breed in clean, rather than dirty water, and household drinking-water containers can serve as breeding grounds. The simple intervention of covering water storage containers can reduce vector breeding and may also have a co-benefit of reducing faecal contamination of water at the household level.
As the international authority on public health and water quality, WHO leads global efforts to prevent transmission of waterborne disease, advising governments on the development of health-based targets and regulations.
Since 2014, WHO has been testing household water treatment products against WHO health-based performance criteria through the WHO International ‘Scheme’ to Evaluate Household Water Treatment Technologies. The aim of the Scheme is to ensure that products distributed protect users from the pathogens that cause diarrhoeal disease and to strengthen policy, regulatory, and monitoring mechanisms at the national level to support appropriate targeting and consistent and correct use of such products.
Key facts
- In 2015, 91% of the world’s population had access to an improved drinking-water source, compared with 76% in 1990.
- 2.6 billion people have gained access to an improved drinking-water source since 1990.
- 4.2 billion people now get water through a piped connection; 2.4 billion access water through other improved sources including public taps, protected wells and boreholes.
- 663 million people rely on unimproved sources, including 159 million dependent on surface water.
- Globally, at least 1.8 billion people use a drinking-water source contaminated with faeces.
- Contaminated water can transmit diseases such diarrhoea, cholera, dysentery, typhoid and polio. Contaminated drinking-water is estimated to cause 502 000 diarrhoeal deaths each year.
- By 2025, half of the world’s population will be living in water-stressed areas.
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