Plant Archives Volume 20 No. 1, 2020 pp.
547-550 e-ISSN:2581-6063 (online), ISSN:0972-5210
WATER-ASSOCIATED DISEASES : A REVIEW
Sanaa Rahman Oleiwi
Department of Biology, College of Science, University of Baghdad, Iraq.
Abstract
Water, which is of critical signification for the life of the living, is the most likely resource found usually in the world. ‘Water-
associated disease’ is groups of diseases related to water in different forms, the risks or agents that are the direct explanation
of damage contain helminthes, viruses, protozoa, bacteria, chemicals and personal physical reasons. They are several groups
of water-linked illnesses, according to the part water shows in the transmission method of illness : these contain: water-borne
illnesses, water-washed diseases, water-based diseases, water related insect vector diseases and inhalation diseases. The
large cause of these diseases are human or animal waste matter, industrial activity or be parts of normal or disturbed systems.
Water-associated diseases have symptoms are divergent ranging of the acute (self-limiting diarrhea) to the chronic (cancers,
blindness and life-long infections) and recurring (malaria). Epidemiological examination identifies various underlying
associated factors like poverty, demography education, climate, housing and utilize of basic services. Water - borne and
water-related illnesses are subtle to eco-friendly conditions, some or wholly that possible to be effected via climate change.
Key words: Water associated diseases, Epidemiology, inhalation disease.
Introduction permafrost, that might contribute to further warming
Water is perhaps the most precious natural resource (Schuur et al., 2015) fig. 2. Variations in interactions
after air, water, which is of critical significance for the among the water cycle and the climate method will modify
life of the living, is the most likely resource found usually the risk of water - borne illnesses of the physical effects,
in the world. The total water in the world consists of as well as of the resulting risk of famine, shortages of
98% which is accessible. in the oceans, sedimentary rocks water, reduced quality of water, rising habitat of
and icebergs. Freshwater resources are even below 2% mosquitoes, alterations to seasonality of illnesses and
(Kocata, 1997; Ritabrata, 2019). The phrase water-linked polluted recreational waters. Though, health effects of
illnesses are referred to infections that are mostly water -borne illness over the longer period might be
transmitted through contact by or consumption of infected secondary to another health affects linked by another
water fig. 1. According to Bradley, they are 5 several water issues (e.g., shortage, famine, flooding, the
groups of water-linked illnesses, dependent of part water economy, sea level increase and war).
shows in the illness transmission method : these contain: Classification of water-linked illnesses
water-washed illnesses, water-borne illnesses, water- 1. Water-borne illnesses: are illnesses make happen
based illnesses, water related insect vector illnesses and via the ingestion of path ogens in water. It is fundamentally
inhalation illnesses. concerned by water quality and security and attributed
Water - borne and water-linked illnesses are suitable to water that have been polluted via animals, human or
to surrounding conditions, little or wholly that possible to chemical wastes (White et al., 1972; Bartram et al.,
be influenced via climate change. Of example, change 2015) meanwhile the Protocol on Water and Health
climate is probable to reason variations in the prevalence defines “water-related disease” to mean “any significant
of heavy rainfall events, storms and drought periods adverse effects on human health, such as death, disability,
(IPCC, 2012), melting of ice polar and glaciers, warming illness or disorders, caused directly or indirectly by the
and thermal expansion of the oceans happing sea level condition, or changes in the quantity or quality, of any
increase (Dangendorf et al., 2002) and melting of waters”. These infections are spread via water -borne
*Author for correspondence : E-mail:
[email protected] pathogens (e.g. E. coli O157:H7; Vibrio cholera O139).
548 Sanaa Rahman Oleiwi
Other pathogens have been recognized, counting avoidance of illness diffusion rather than as a vehicle of
several viruses, like rotavirus and norovirus (caliciviruses). transport of pathogens. Water-washed illnesses might be
Anther recognized factor contain the protozoans Giardia simply divided in to 2 kinds. The primary having faucal–
spp. and Cryptosporidium spp, together that has an oral illnesses, that might too be water and food-borne,
ecologically resilient cyst of, the latter that less and has because water play together as a vehicle of their transport
challenged less of the water handling procedures that and is vital for sufficient personal and food hygiene
are widespread in industrialized nations. Historically, whereby both adequate water and safe water are
cholera and typhoid are most important water-borne fundamental of affective avoidance. The second contains
diseases are causing of mortality (Bartram et al., 2015; illnesses similar skin sepsis (diverse bacterial
Forstinus et al., 2015). causes),trachoma (Chlamydia trachomatis) and yaws
Entry to safe water drinking, principal sanitation and (Treponema pertenue) where transportation is person
best hygiene education might not only avoid diarrheal to person and hygiene too shows a part in avoidance
illnesses via approximately 90% (UN, 2010) then lead to (Bartram et al., 2015).
improved health, poverty reduction and socioeconomic The water-washed illness lesson is fundamentally
development (Fewtrell, 2005). Generally, waterborne concerned by water access, that controlled at a household
illnesses are the second leading reason of death in children level via W.H.O and U.N.I.C.E.F, indicating that 56
under the age of 5 years, percent of the global populace live in households by water
A recent assessment of the load of diarrheal illness ‘on plot’ (commonly a piped supply) and a further 33
of exposure to inadequate water drinking sanitation and percent utilize an ‘developed source’ like a protected
hygiene in Low Medium income countries LMICs communal source. These 2 groups of access serve as
completed that 842 000 million diarrhoea deaths were indicators of comparative household water utilize (Evans
produced via this group of increase agent. It is hard to et al., 2013; Freeman et al., 2014).
detach the several components of faucal–oral illness 3. Water-based disease: The water-based illness
diffusion, Particularly waterborne and water-washed group is related to those pathogens of illness that pass an
illness (Prüss-Ustün et al., 2014; Bartram et al,, 2015; obligatory section of their life cycle in water. Infection
Willison et al., 2016). might be by ingestion – as is the case by dracunculiasis.
2. Water-washed disease: The water-washed illness Thus overlaps by the water-borne class; or could be
group is essentially concerned by approach to and utilized across the intact or damaged (wounded, abraded) skin
of water personal, domestic hygiene and food. In (percutaneous) – as is the happen by schistosomiasis and
opposition to waterborne illness, the part of water is in leptospirosis (Bartram et al., 2015; WHO, 2016), fig. 3.
Fig. 1: Transmission pathways, Source: WHO, 2004.
Water-associated Diseases : A Review 549
vectors and the larvae of many aquatic insects. The name
of that group is especially self-explanatory. The pathogen
it self may not have relationship link by water; an rather
its insect vector every breeds in or bites near water bodies.
The relationship to water is estimation via the insect vector,
by little favoring appear touching contaminated waters
and anthers clean favoring, fast touching waters.
Generally malaria is the utmost significant of this group,
that too includes onchocerciasis, Bancroft Ian filareasis,
dengue onchocerciasis,, yellow fever and other arboreal
infections wholly that transferred via insects by aquatic
larvae. Tsetse flies, that transfer Gambian sleeping
sickness, are find near rivers but don’t breed in water
(Bartram et al., 2015), fig. 4.
5. Inhalation disease (new proposed group): also called
engineered water system associated group. It has been
formerly proposed (Bradley, 2009) that an added group
Fig. 2: Links among Climate Alteration, Water Amount and to contain aerosol-transferred illness should be needed.
Quality and Human Exposure to Water-Related The principal hazard of concern is bacteria Legionella,
Disease. (source : Trtani et al., 2016) : Water-Related the causal pathogens of legionallosis, that proliferate in
Disease -Climate and Health. biofilms, particularly in engineered water methods,
White et al., (1972) divide the water-based category (plumbing, evaporative cooling) where temperature and
in to 2: the primary contain of the helminths (Schistosoma), nutrient conditions support their growth. They survive
that think through ‘water breeding’ because of and proliferate within a number of free-living protozoa in
reproduction in the middle snail host; and the second a system similar to the ‘complex life cycles’ of several
contain of guinea worm (Dracunculus medinensis), water-based illnesses.
whose larvae infect aquatic crustaceans but don’t Legionellae can be ingested via trophozoites of certain
proliferate in them. Like someone excreting Schistosoma amoebae similar Acanthamoeba, Hartmannella and
who pollutes their own water basis might (if there are Naegleria, that might show a part in their persistence in
appropriate snail hosts present) be further infected by water environments (WHO, 2017).
water contact and via that raise their own workload. Legionella are not revealed via HPC systems and
This is essential because the harshness of illness is linked E. coli (or, alternatively, thermos tolerant coliforms) is
to the potency of infection. not a suitable index for the presence/absence of this
4. Water-related insect vector: Diseases by a water- organism (WHO, 2017).
related insect vector White et al., (1972) found this group Legionnaires’ illness found its name from the media
as ‘those infections distribution via insects that propagate reference given to a mysterious pneumonia-like illness
in water or bite near it’ much tropical contagion by insect that distressed several visitors of an American Legion
convention at the Bellevue-Stratford Hotel in Philadelphia
during July, 1976. An onset of illnesses occurred,
presenting Pennsylvania Department of Public Health
officials with a reported 221 cases of a usual respiratory
illness contracted by convention (hotel) visitors and by
Fig. 3: Life cycle of guinea worm disease Source : health
department center- New Delhi municipal council, 2017. Fig. 4: Major water-related insect vector Source: WHO, 1988.
550 Sanaa Rahman Oleiwi
some pedestrians passing by the hotel. (AWT, 2019). Fewtrell, L., R.B. Kaufmann, D. Kay, W. Enanoria, L. Haller and
J.M. Colford Jr (2005). Water, sanitation and hygiene
There are several factors influence Legionella
interventions to reduce diarrhoea in less developed
amplification involved surviving of Legionella at water countries: a systematic review and meta-analysis. The
with temperatures to 50 (warm), the PH of bulk water is Lancet infectious diseases., 5(1): 42-52.
in the range of 5.0 to 8.5, the presence of microbiota, like Forstinus, N., N. Ikechukwu, M. Emenike and A. Christiana
bacteria and algae in biofilm that provide important (2015). “Water and Waterborne Diseases: A Review”,
nutrients for Legionella, the presence of corrosion, Intern. J. of TROPICAL DISEASE and Health., 12(4): 1-14.
decrease of water flow cause loss of chemical that result Freeman, M.C., M.E. Stocks, O. Cumming, A. Jeandron, J.P.
of aging of water” within the water system, the presences Higgins, J. Wolf, A. Prüss Ustün, S. Bonjour, P.R. Hunter,
of sediment, scale which provide formation of biofilm at L. Fewtrell and V. Curtis (2014). Systematic review: hygiene
surfaces and the presence of amoebae or other protozoan and health: systematic review of hand washing practices
worldwide and update of health effects. Tropical Medicine
that assist surviving of Legionella in harsh environmental
and International Health., 19(8): 906-916.
conditions, such as chemicals and disinfectants (AWT 2019).
IPCC (2012). Managing the Risks of Extreme Events and
There are many types of water system serve as Disasters to Advance Climate Change Adaptation. In A
source of Legionella multiplication and distributor include Special Report of Working Groups I and II of the
systems of potable/domestic hot water by tap faucets, Intergovernmental Panel on Climate Change; Field,
showerheads and aerators,cooling towers and evaporative C.B.B.V., Stocker, T.F., Qin, D., Dokken, D.J., Ebi, K.L.,
Mastrandrea, M.D., Mach, K.J., Plattner, G.K., Allen, S.K.,
condensers, decorative water and water fountains, misters
Tignor, M., Midgley, P.M., Eds.; Cambridge University
and Humidifiers, equipment of Respiratory therapy/CPAP, Press: Cambridge, UK; New York, NY, USA, 1-582.
dental hygiene equipment and machines of Ice (Bradley, 2009). Kocata, A. (1997). Ecology and Environmental Biology, Ege
Conclusion University Printing House, Bornova-zmir, 564.
Prüss-Ustün, A., J. Bartram, T. Clasen, J. Colford , J.M., O.
Water-associated illnesses have symptoms are Cumming, V. Curtis, S. Bonjour, A.D. Dangour, J. De France,
divergent ranging of the acute (self-limiting diarrhea) to L. Fewtrell, M.C. Freeman, B. Gordon, P.R. Hunter, R.B.
the chronic (cancers, blindness and life-long infections) Johnston, C. Mathers, D. Mäusezahl, K. Medlicott, M.
and recurring (malaria). Epidemiological examination Neira, M. Stocks, J. Wolf and S. Cairncross (2014). Burden
identifies various underlying associated factors like of diarrhoeal disease from inadequate water, sanitation
poverty, demography education, climate, housing and and hygiene in low- and middle-income settings: a
retrospective analysis of data from 145 countries. Trop
utilize of basic services. Water - borne and water-related Med. Internat. Hyg., 19(8): 894-905.
illnesses are subtle to eco-friendly conditions, some or
Ritabrata, R.(2019). An Introduction to water quality analysis.
wholly that possible to be effected via climate change. Int. J. Env. Rehab. Conserv., IX(1): 94-100.
References Schuur, E.A., A.D. McGuire, C. Schädel, G. Grosse, J.W. Harden,
D.J. Hayes, G. Hugelius, C.D. Koven, P. Kuhry, D.M.
Association of Water Technologies (AWT) (2019). Legionella: Lawrence and S.M. Natali (2015). Climate change and the
A Position Statement and Guidance Document. permafrost carbon feedback. Nature., 520(7546): 71-179.
Bartram, J., R. Baum, P.A. Coclanis, D.M. Gute, D. Kay, S. Trtani, J.M., L. Jantarasami + 9 author and J. Thurston (2016).
McFadyen, K. Pond, W. Robertson and M.J. Rouse (2015). Water-Related Illness Climate and Health chapter 6.
Routledge. Handbook of Water and Health. 1 st edition
White, G., D. Bradley and A. White (1972). Drawers of Water.
Howick Place, London UK, Routledge (2015), chapter 3,
University of Chicago Press, Chicago, IL, USA.
Bartram, J., Hunter, P., Bradley classification of disease
transmission Routes for water related hazards : 20-37 Willison, H.J., B.C. Jacobs and P.A. Van Doorn (2016).Guillain-
barre syndrome. The Lancet., 388(10045): 717-727.
Bradley, D. (2009). The Spectrum of Water-Related Disease
Transmission Processes. Global Issues in Water, World Health Organization WHO (1988). Source Environmental
Sanitation and Health, pp.60-73. The National Academies Management for Vector Control : Training and
Press, Washington DC, USA. informational materials.
Dangendorf, F., S. Herbst, R. Reintjes and T. Kistemann (2002). World Health Organization WHO (2004). Guidelines for
Spatial patterns of diarrhoeal illnesses with regard to water drinking-water quality. Third edition. Volume 1
supply structures–a GIS analysis. International journal Recommendations. Geneva, World Health Organization.
of hygiene and environmental health., 205(3): 183-191. World Health Organization WHO (2016). The situation of water-
Evans, B., J. Bartram, P. Hunter, A. Rhoderick Williams, J. Geere, related infectious diseases in The pan-european region.
B. Majuru, L. Bates, M. Fisher, A. Overbo and W. Schmidt World Health Organization WHO (2017). Guidelines for
(2013). Public health and social benefits of at-house water Drinking-Water Quality: Fourth Edition Incorporating the
supplies. University of Leads: Leeds, UK, 1-61. First Addendum11 Microbial fact sheets. 221-295.