Routledge Handbook of Water and Health: 1st Edition (Hardback) book cover

Routledge Handbook of Water and Health

1st Edition

Edited by Jamie Bartram


732 pages | 152 B/W Illus.

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This comprehensive handbook provides an authoritative source of information on global water and health, suitable for interdisciplinary teaching for advanced undergraduate and postgraduate students. It covers both developing and developed country concerns.

It is organized into sections covering: hazards (including disease, chemicals and other contaminants); exposure; interventions; intervention implementation; distal influences; policies and their implementation; investigative tools; and historic cases. It offers 71 analytical and engaging chapters, each representing a session of teaching or graduate seminar.

Written by a team of expert authors from around the world, many of whom are actively teaching the subject, the book provides a thorough and balanced overview of current knowledge, issues and relevant debates, integrating information from the environmental, health and social sciences.


The knowledge that water makes up approximately 60 percent of a human body indicates that life truly cannot exist without water. Writings of Hippocrates, as early as 400 BCE, detailed a connection between water and health. The first chapter of this book includes a chronological account of advances in water treatment that predate the germ theory and awareness of aesthetic and environmental hazards associated with water. Contributions to this volume are divided into eight major themes, which are then augmented, detailed, and embellished by a series of generally short paragraphs. These themes include water hazards, exposure pathways, interventions, tools used for investigation, and lessons learned from history. Water-based diseases are presented in multiple-page charts in chapter 5. Summary treatment charts include water toxins, hazards, and technologies. A historical retrospective on the 1854 investigation of the London cholera epidemic by Dr. John Snow is included, as Dr. Snow’s revelation connecting the Broad Street pump and the cholera outbreak is considered one of the greatest medical achievements. A map and a picture of the historic Broad Street pump are prominently included. Overall, the book’s chapters range from trivial to profound, but the references are replete for most submissions.

--R. M. Ferguson, Eastern Connecticut State University, March 2017 issue of CHOICE

Table of Contents

1. Introduction

Jamie Bartram and Rachel Baum

Part 1: Water-related Hazards

2. Introduction: Water-related Hazards

Stéphanie McFadyen and William Robertson

3. Bradley Classification of Disease Transmission Routes for Water-related Hazards

Jamie Bartram and Paul Hunter

4. Waterborne and Water-washed Disease

Mark D. Sobsey

5. Water-based Disease and Microbial Growth

Charles P. Gerba and Gordon Nichols

6. Water Related Insect Vectors of Disease

Arne Bomblies

7. Health Impacts of Water Carriage

Jo-Anne Geere

8. Hazards from Legionella

Richard Bentham

9. Toxic Cyanobacteria

Ron W. Zurawell

10. Chemical Hazards

Lisa Smeester, Andrew E. Yosim and Rebecca C. Fry

11. Radionuclides in Water

R. William Field

Part 2: Sources of Exposure

12. Introduction to Exposure Pathways

Katherine Pond

13. Drinking Water Contamination

Christine Stauber and Lisa Casanova

14. Recreational Water Contamination

Marc Verhougstraete, Jonathan Sexton and Kelly Reynolds

15. Water and Foodborne Contamination

Timothy R. Julian and Kellogg J. Schwab

16. Waterborne Zoonoses

Victor Gannon and Chad R. Laing

Part 3: Interventions (What do we do to Reduce Exposure)

17. Introduction: Interventions to Reduce Water-related Disease

Katherine Pond, Susan Murcott and David M. Gute

18. Drinking Water Supply

Jamie Bartram and Samuel Godfrey

19. Drinking Water Treatment

Donald Reid

20. Wastewater Treatment

Laura Sima

21. Household Water Treatment and Safe Storage

Maria Elena Figueroa and D. Lawrence Kincaid

22. Water for Hygiene

Aidan A. Cronin and Therese Dooley

23. Water Safety Plans

Katrina Charles

24. System Maintenance and Sustainability

Neil S. Grigg

25. Managing Chemical Hazards

Jacqueline MacDonald Gibson and Nicholas DeFelice

Part 4: Implementing Interventions

26. Introduction: Settings-based Approaches

Laura Linnan and Anna Grummon

27. Household-focused Interventions

Daniele Lantagne and David M. Gute

28. Water in Schools

Matthew C. Freeman

29. Water and Hydration in the Workplace

Bonnie Rogers and Susan Randolph

30. Healthcare Settings

Martin Exner

31. Water Supply in Rural Settings

Sara J. Marks and Kellogg J. Schwab

32. Integrated Urban Water Management

Kalanithy Vairavamoorthy, Jochen Eckart, Kebreab Ghebremichael and Seneshaw Tsegaye

Part 5: Distal Influences

33. Introduction: Distal Influences

David M. Gute

34. Water Scarcity

Sarah Bell

35. Climate Change

Katrina Charles

36. Poverty

Leo Heller and Sandy Cairncross

37. Emergencies and Disasters

Andy Bastable and Ben Harvey

38. Population and Demographics

Carl Haub

39. Water Re-use

Choon Nam Ong

40. War and Conflict

Barry S. Levy and Victor W. Sidel

Part 6: Policies and their Implementation

41. Introduction: Policies and Regulations on Water and Health

Michael J. Rouse

42. Integrated Water Resources Management

Kebreab Ghebremichael, Jochen Eckart, Krishna Khatri and Kalanithy Vairavamoorthy

43. International Policy

Jamie Bartram, Georgia Kayser, Bruce Gordon and Felix Dodds

44. Drinking Water Quality Regulations

Katrina Charles and Katherine Pond

45. Recreational Outdoor Water Regulations

Julie Kinzelman

46. Swimming Pool Regulations

Katherine Pond and Lowell Lewis

47. Wastewater Regulations

Laura Sima

48. Water Charges and Subsidies

Richard Franceys

49. Water Exchange Systems

Srinivas Sridharan, Dani J. Barrington and Stephen Saunders

50. Information in Water and Health

Pamela Furniss

51. The Human Rights Framework for Water Services

Inga T. Winkler and Virginia Roaf

52. Menstrual Hygiene Management and WASH

Marni Sommer and Bethany A. Caruso

53. Health Impact Assessment

Lorna Fewtrell

Part 7: Investigative Tools

54. Section Introduction: Investigative Tools

David Kay

55. Epidemiology

Karin Yeatts

56. Quantitative Microbial Risk Assessment

Gertjan Medema

57. Burden of Disease Assessment

Jacqueline MacDonald Gibson

58. Water Monitoring and Testing

Huw Taylor

59. Indicators of Microbial Quality

Joe Brown and Phillip Grammer

60. Pollutant Transport Modelling

David Kay

61. GIS and Spatial Analysis

Jim Wright

62. Demand Assessment and Valuation

Marc Jeuland

63. Cost-benefit Analysis and Cost-effectiveness Analysis

Marc Jeuland

Part 8: Learning from History

64. Section Introduction: Learning from History

Peter A. Coclanis

65. Cholera Epidemic in Hamburg, Germany 1892

Martin Exner

66. The Discovery of the Aetiology of Cholera, Robert Koch, 1883

Martin Exner

67. Dr. John Snow and the Broad Street Pump

Rosalind Stanwell-Smith

68. The Arsenic Crisis in Bangladesh

Christine Marie George

69. Walkerton – Systemic Flaws Allow a Fatal Outbreak

Steve Hrudey and Elizabeth J. Hrudey

70. Milwaukee and the Cryptosporidium Outbreak of 1993

M. Stephen Gradus

71. Edwin Chadwick and the Public Health Act 1848 – Principal Architect of Sanitary Reform

Martin Exner

About the Editors


Jamie Bartram

Chapel Hill, North Carolina , United States

Learn more about Jamie Bartram >>

Jamie Bartram is Director of The Water Institute and Don and Jennifer Holzworth Distinguished Professor in the Department of Environmental Sciences and Engineering at the Gillings School of Global Public Health, University of North Carolina at Chapel Hill, USA.

Associate Editors: Rachel Baum (University of North Carolina at Chapel Hill, USA), Peter A. Coclanis (University of North Carolina at Chapel Hill, USA), David M. Gute (Tufts University, USA), David Kay (University of Wales, Aberystwyth, UK), Stéphanie McFadyen (Health Canada, Canada), Katherine Pond (University of Surrey, UK), William Robertson (Water Microbiology Consultant, Canada), and Michael J. Rouse (Independent International Consultant on Water Industry, UK).

Subject Categories

BISAC Subject Codes/Headings:
MEDICAL / Public Health
SCIENCE / Environmental Science
SOCIAL SCIENCE / Disease & Health Issues