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DELTARES, SEPTEMBER 2015

LEARNING MORE ABOUT

WATER SYSTEMS AND HEALTH

BY WORKING TOGETHER

WATER AND HEALTH

THREE REASONS TO TAKE

A CLOSER INTEREST

Diseases often spread through water in ditches, rivers and lakes. Even so,

health factors often get overlooked in flood risk management. Three reasons

why managers should take a closer interest.

BY JOACHIM ROZEMEIJER

For more information:

gertjan.geerling@deltares.nl

and

bas.vanderzaan@deltares.nl

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One child dies every twenty

seconds in a developing country

because of infected water.

It is generally known that rivers are

used as open sewers and waste

dumps in developing countries:

currently, a child dies every twenty

seconds because of infected water.

Changes in the water regime can

make problems worse. For example

in Cameroon, where the numbers of

a species of snail with an infectious

parasite increased rapidly after large-

scale deforestation. Investigating the

interaction between health and the

water system can both cut costs and

prevent suffering.

Contamination through water is

also a risk inWestern countries.

In Toledo in the USA, half a million

people were unable to drink water

from the tap in the summer of 2014

because of the risk of disease. It didn’t

take long before supplies of bottled

water were exhausted and everyone

was forced to go outside the city to

find drinking water. The problem was

a toxic plague of algae caused by

excessive levels of fertiliser in the lake

that was also used as a reservoir for

drinking water. Another threat is the

resistance acquired by bacteria in

waste water and in treatment plants

to the cocktail of medicines in sewage

water. The resistant bacteria can then

spread through the water system.

Climate change, urbanisation,

deforestation and the rising

population are exacerbating

the risks.

More and more people are living and

working close to one another in flat

deltas. Global warming is not only

leading to more flooding, it also makes

water systems more susceptible to

toxic algal blooms. Tackling floods

by storing water means that more

water is retained in cities. That leads

in turn to an additional risk of infection

because it attracts more mosquitoes,

which spread disease. When there are

floods, the spread of disease through

dirty water is often the biggest problem

after the disaster itself.

The first steps to study the

relationship between changes in

water systems and health have

been taken only recently. Deltares

is contributing to this research

effort by supplying its knowledge

of water systems, water quality

and the spread of disease through

water. Important partners in the

Netherlands include the National

Institute of Public Health and

the Environment (RIVM), KWR

Watercycle Research Institute,

Wageningen University and

Radboud University. Outside the

Netherlands, Deltares is at work in

places including Indonesia, where we

are studying water-related health

risks with the Bandung Institute of

Technology and the University of

Bandung.

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