Sewage - Sewage Services - Disease Potential

Disease Potential

All categories of sewage are likely to carry pathogenic organisms that can transmit disease to humans and other animals; contain organic matter that can cause odor and nuisance problems; hold nutrients that may cause eutrophication of receiving water bodies; and can lead to ecotoxicity. Proper collection and safe, nuisance-free disposal of the liquid wastes of a community are legally recognized as a necessity in an urbanized, industrialized society. The reality is, however, that around 90% of wastewater produced globally remains untreated causing widespread water pollution, especially in low-income countries.

Increasingly, agriculture is using untreated wastewater for irrigation. Cities provide lucrative markets for fresh produce, so are attractive to farmers. However, because agriculture has to compete for increasingly scarce water resources with industry and municipal users, there is often no alternative for farmers but to use water polluted with urban waste, including sewage, directly to water their crops. There can be significant health hazards related to using water loaded with pathogens in this way, especially if people eat raw vegetables that have been irrigated with the polluted water.

The International Water Management Institute has worked in India, Pakistan, Vietnam, Ghana, Ethiopia, Mexico and other countries on various projects aimed at assessing and reducing risks of wastewater irrigation. They advocate a ‘multiple-barrier’ approach to wastewater use, where farmers are encouraged to adopt various risk-reducing behaviours. These include ceasing irrigation a few days before harvesting to allow pathogens to die off in the sunlight, applying water carefully so it does not contaminate leaves likely to be eaten raw, cleaning vegetables with disinfectant or allowing fecal sludge used in farming to dry before being used as a human manure. The World Health Organization has developed guidelines for safe water use.

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