Waterborne diseases in the context of "WASH"

The fecal–oral route (also called the oral–fecal route or orofecal route) describes a particular route of transmission of a disease wherein pathogens in fecal particles pass from one person to the mouth of another person. Main causes of fecal–oral disease transmission include lack of adequate sanitation (leading to open defecation), and poor hygiene practices. If soil or water bodies are polluted with fecal material, humans can be infected with waterborne diseases or soil-transmitted diseases. Fecal contamination of food is another form of fecal-oral transmission. Washing hands properly after changing a baby's diaper or after performing anal hygiene can prevent foodborne illness from spreading..Toilet flushing & subsequent inhaled aerosols is another potential route.

The common factors in the fecal-oral route can be summarized as five Fs: fingers, flies, fields, fluids, and food. Diseases caused by fecal-oral transmission include typhoid, cholera, polio, hepatitis and many other infections, especially ones that cause diarrhea.

Cholera (/ˈkɒlərə/) is an infection of the small intestine by some strains of the bacterium Vibrio cholerae. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea lasting a few days. Vomiting and muscle cramps may also occur. Diarrhea can be so severe that it leads within hours to severe dehydration and electrolyte imbalance. This can in turn result in sunken eyes, cold or cyanotic skin, decreased skin elasticity, wrinkling of the hands and feet, and, in severe cases, death. Symptoms start two hours to five days after exposure.

Cholera is caused by a number of types of Vibrio cholerae, with some types producing more severe disease than others. It is spread mostly by unsafe water and unsafe food that has been contaminated with human feces containing the bacteria. Undercooked shellfish is a common source. Humans are the only known host for the bacteria. Risk factors for the disease include poor sanitation, insufficient clean drinking water, and poverty. Cholera can be diagnosed by a stool test, or a rapid dipstick test, although the dipstick test is less accurate.

Water pollution (or aquatic pollution) is the contamination of water bodies, with a negative impact on their uses. It is usually a result of human activities. Water bodies include lakes, rivers, oceans, aquifers, reservoirs and groundwater. Water pollution results when contaminants mix with these water bodies. Contaminants can come from one of four main sources. These are sewage discharges, industrial activities, agricultural activities, and urban runoff including stormwater. Water pollution may affect either surface water or groundwater. This form of pollution can lead to many problems. One is the degradation of aquatic ecosystems. Another is spreading water-borne diseases when people use polluted water for drinking or irrigation. Water pollution also reduces the ecosystem services such as drinking water provided by the water resource.

Sources of water pollution are either point sources or non-point sources. Point sources have one identifiable cause, such as a storm drain, a wastewater treatment plant, or an oil spill. Non-point sources are more diffuse. An example is agricultural runoff. Pollution is the result of the cumulative effect over time. Pollution may take many forms. One would is toxic substances such as oil, metals, plastics, pesticides, persistent organic pollutants, and industrial waste products. Another is stressful conditions such as changes of pH, hypoxia or anoxia, increased temperatures, excessive turbidity, or changes of salinity). The introduction of pathogenic organisms is another. Contaminants may include organic and inorganic substances. A common cause of thermal pollution is the use of water as a coolant by power plants and industrial manufacturers.

Groundwater pollution (also called groundwater contamination) occurs when pollutants are released to the ground and make their way into groundwater. This type of water pollution can also occur naturally due to the presence of a minor and unwanted constituent, contaminant, or impurity in the groundwater, in which case it is more likely referred to as contamination rather than pollution. Groundwater pollution can occur from on-site sanitation systems, landfill leachate, effluent from wastewater treatment plants, leaking sewers, petrol filling stations, hydraulic fracturing (fracking), or from over application of fertilizers in agriculture. Pollution (or contamination) can also occur from naturally occurring contaminants, such as arsenic or fluoride. Using polluted groundwater causes hazards to public health through poisoning or the spread of disease (water-borne diseases).

The pollutant often produces a contaminant plume within an aquifer. Movement of water and dispersion within the aquifer spreads the pollutant over a wider area. Its advancing boundary, often called a plume edge, can intersect with groundwater wells and surface water, such as seeps and springs, making the water supplies unsafe for humans and wildlife. The movement of the plume, called a plume front, may be analyzed through a hydrological transport model or groundwater model. Analysis of groundwater pollution may focus on soil characteristics and site geology, hydrogeology, hydrology, and the nature of the contaminants. Different mechanisms have influence on the transport of pollutants, e.g. diffusion, adsorption, precipitation, decay, in the groundwater.

Sanitary sewer overflow (SSO) is a condition in which untreated sewage is discharged from a sanitary sewer into the environment prior to reaching sewage treatment facilities. When caused by rainfall it is also known as wet weather overflow. Causes of sanitary sewer overflows include: Blockage of sewer lines, infiltration/Inflow of excessive stormwater into sewer lines during heavy rainfall, malfunction of pumping station lifts or electrical power failure, broken sewer lines. Prevention of such overflow events involves regular maintenance and timely upgrades of infrastructure.

SSOs can cause gastrointestinal illnesses (waterborne diseases), beach closures and restrictions on fish and shellfish consumption.

Environmental engineering is a professional engineering discipline related to environmental science. It encompasses broad scientific topics like chemistry, biology, ecology, geology, hydraulics, hydrology, microbiology, and mathematics to create solutions that will protect and also improve the health of living organisms and improve the quality of the environment. Environmental engineering is a sub-discipline of civil engineering and chemical engineering. While on the part of civil engineering, the Environmental Engineering is focused mainly on Sanitary Engineering.

Environmental engineering applies scientific and engineering principles to improve and maintain the environment to protect human health, protect nature's beneficial ecosystems, and improve environmental-related enhancement of the quality of human life.Environmental engineers devise solutions for wastewater management, water and air pollution control, recycling, waste disposal, and public health. They design municipal water supply and industrial wastewater treatment systems, and design plans to prevent waterborne diseases and improve sanitation in urban, rural and recreational areas. They evaluate hazardous-waste management systems to evaluate the severity of such hazards, advise on treatment and containment, and develop regulations to prevent mishaps. They implement environmental engineering law, as in assessing the environmental impact of proposed construction projects.

Water chlorination is the process of adding chlorine or chlorine compounds such as sodium hypochlorite to water. This method is used to kill bacteria, viruses and other microbes in water. In particular, chlorination is used to prevent the spread of waterborne diseases such as cholera, dysentery, and typhoid.

Broadwick Street (formerly Broad Street) is a street in Soho, City of Westminster, London. It runs for 0.18 miles (0.29 km) approximately west–east between Marshall Street and Wardour Street, crossing Berwick Street. The street extends across four separate estates, Colman Hedge Close, Little Gelding's, Pawlett's Garden and Pesthouse.

Broad Street was notorious as the centre of an 1854 outbreak of cholera. This outbreak killed a total of 700 people and only twelve escaped. Physician John Snow traced the outbreak to a public water pump on the street, and disabled the pump. Before this time, the disease was widely thought to be caused by air-borne 'miasma'; Snow's findings showed it to be water-borne.