Waterborne diseases are diseases caused by pathogenic micro-organisms, such as bacteria, viruses, protozoa, and parasitic worms, that are transmitted through contaminated water. Many of these micro-organisms are intestinal parasites, invading the tissues or circulatory system through walls of the digestive tract. Various other waterborne diseases are caused by viruses. Other important classes of waterborne diseases are caused by metazoan parasites. Typical examples are certain Nematoda, or "roundworms", which may result in diseases such as Dracunculiasis or even guinea worm disease. Another class of waterborne metazoan pathogens is Schistosomatidae, a family of blood flukes. In addition to pathogens, water contamination may also be driven by chemical pollutants such as volatile organic compounds (VOCs). These include benzene, toluene, ethylbenzene, and xylenes, which can enter water lines through industrial dumping, pipeline leaks, jet fuel spills, or heat-damaged plastic pipes. These diseases can spread through bathing, washing, drinking contaminated water, or eating food that has been exposed to contaminated water. While diarrhea and vomiting are the most commonly reported symptoms of waterborne illnesses, other symptoms may include nausea, stomach cramps, fever, and skin, ear, respiratory, or eye problems. Exposure to water contaminated with VOCs has been associated with headaches, nausea, tumor formation, and an increased risk of cancer, including leukemia. Waterborne diseases contribute significantly to mortality and disability worldwide, particularly in developing regions. The most effective mechanism for preventing waterborne disease is reliable access to clean water, sanitation, and hygiene (WASH). This includes improving sanitation systems, chlorination, vaccination, and desalination. Infrastructure improvements, such as replacing damaged plastic pipes with metal ones in wildfire-prone areas, may also reduce the risk of contamination. Climate change increases the risk of waterborne diseases via the increased likelihood of droughts and floods, which can spread contaminants and disproportionately affect vulnerable populations. Surveillance can help monitor and prevent outbreaks. Historically, advances in sanitation, filtration, chlorination, and microbiology have helped scientists understand and control of waterborne diseases.
Terminology
The term "waterborne disease" is reserved largely for infections that are predominantly transmitted through contact with or consumption of microbially polluted water. Many infections may be transmitted by microbes or parasites that have entered the water accidentally, perhaps due to exceptional circumstances. However it may not be useful to categorize a disease as "waterborne" just because it may occasionally be transmitted by water. Diseases such as malaria are commonly mistaken as "waterborne" because mosquitos, acting as vectors, have aquatic stages in their life cycle. Controlling or treating still water can reduce mosquito populations, suggesting the idea that the disease is transmitted through water and not mosquito bites. A related term is "water-related disease" which is defined as "any significant or widespread adverse effects on human health, such as death, disability, illness or disorders, caused directly or indirectly by the condition, or changes in the quantity or quality of any water". Water-related diseases are grouped according to their transmission mechanism: water borne, water hygiene, water based, water related. The main transmission mode for waterborne diseases is ingestion of contaminated water.
Causes
Lack of clean water supply, sanitation and hygiene (WASH) are major causes of the spread of waterborne diseases. The fecal–oral route is a transmission pathway for waterborne diseases. Poverty also increases the risk of communities being affected by waterborne diseases. For example, the economic level of a community may affect its access to clean water. Less developed countries might be more at risk of waterborne disease outbreaks than more developed regions. Additionally, 1 in 4 people, or 2.1 billion people globally, currently do not have access to safe drinking water.
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