Water quality can affect human health in various ways: through breeding of vectors, presence of pathogenic protozoa, helminths, bacteria and viruses, or through inorganic and organic chemicals. While traditional concern has been with pathogens and gastro-intestinal diseases, chemical pollutants in drinking-water supplies have in many instances reached proportions which affect human health, especially in cases of chronic exposure. Treatment of drinking-water, often grossly inadequate in developing countries, is the last barrier of health protection, but control at source is more effective for pollution control. Several WHO programmes of the International Drinking-Water Supply and Sanitation Decade have stimulated awareness of the importance of water quality in public water supplies. Three main streams have been followed during the eighties: guidelines for drinking-water quality, guidelines for wastewater reuse and the monitoring of freshwater quality. Following massive investments in the community water supply sector to provide people with adequate quantities of drinking-water, it becomes more and more important to also guarantee minimum quality standards. This has been recognized by many water and health authorities in developing countries and, as a result, WHO cooperates with many of them in establishing water quality laboratories and pollution control programmes.
