UNUnited Nations Economic Commission for Europe

Press Releases 1999

[Index]      

Geneva, 17 March 1999

WATER AND HEALTH IN EUROPE:
"MEDIEVAL" DISEASES LURKING IN THE WATER SUPPLIES

As the United Nations World Water Day (22 March) approaches, 1 European in 7 does not have access to safe water. The United Nations Economic Commission for Europe (UN/ECE) and the World Health Organization (WHO) are tackling the crisis in water and health, and months of negotiation with European governments have produced a legally binding protocol to combat water-related disease. It will be put before environment and health ministers in London in June.

Cholera, typhoid fever and hepatitis A are water-related diseases often associated with developing countries or perhaps medieval Europe. Yet at the dawn of the third millennium, these diseases are making a comeback in some European countries. In Albania, for example, 25 people died of cholera in 1994 after drinking contaminated water. In Latvia, several hundred cases of hepatitis A and bacterial dysentery are attributed to contaminated drinking water each year. In Tajikistan, some 4 000 cases of typhoid fever were reported in 1996 following heavy rainfall. In the past decade there have been some 190 outbreaks of bacterial dysentery, 70 outbreaks of hepatitis A and 45 outbreaks of typhoid fever associated with drinking water and recreational water in Europe and central Asia.

These are only the best known water-related diseases. Others, which are even more widespread, are hitting even countries otherwise known for their high level of sanitation. In Sweden in the past decade, for example, there have been six outbreaks of waterborne campylobacteriosis, which causes gastroenteritis. In fact, a total of 27 000 people suffered from waterborne disease in Sweden in those ten years. During the same period, the United Kingdom reported 13 outbreaks of cryptosporidiosis, which also causes gastroenteritis and can usually be traced back to agricultural pollution. "Yet this is only the tip of the proverbial iceberg, as data related to waterborne diseases are often not reported as such," stresses Kaj Bärlund, Director of the Environment and Human Settlements Division of UN/ECE. "Access to safe drinking water cannot be taken for granted, especially not in eastern Europe."

Most public water supplies are routinely monitored, but private supplies may not be subject to the same quality standards. In the Russian Federation, half the population uses water that fails to meet quality standards. In Latvia, 55% of water samples from shallow wells fail to meet microbiological standards. Yet half the rural population relies on these wells as a source of drinking water. Some 50% of Armenian supplies also fail to meet quality standards. Even in countries where most residents are connected to a water supply network, there may be frequent interruptions in supply. In southern Russia, water may be available for only a few hours a day. In Romania, some supply systems do not function for more than 12 hours a day. Around 30% of Italy's islanders also suffer interruptions in their water supply. Apart from contamination with microbes and viruses, water may also be polluted with lead, arsenic, fluorides or nitrates. Agriculture also affects water quality through run-off containing pesticides and fertilizers.

"If we persist with intensive agriculture, industrialization and overexploitation of our water resources, it will become increasingly difficult to ensure a supply of safe water in many parts of Europe, including a number of big cities," warns Günter Klein, Director, Environment and Health at WHO's Regional Office for Europe. "It is high time countries committed themselves to protecting the health of their inhabitants by working together with all the sectors. Safe water is one of the vital sources of good health, and intersectoral collaboration and partnership is essential, both within and among European Member States. This will be a prerequisite for sustainable development and harmonization in the European Region and this protocol will be a helpful tool for achieving health for all in the 21st century."

The Protocol on Water and Health to the UN/ECE Convention on the Protection and Use of Transboundary Watercourses and International Lakes should help countries to reduce such outbreaks by providing safe drinking water and recreational water to people throughout Europe. The Protocol has been drawn up under the auspices of UN/ECE and the WHO Regional Office for Europe. Its ultimate aim is to reduce, control and prevent water-related disease. It is expected to be signed at the Third Ministerial Conference for Environment and Health, in London on 16-18 June.

This press release is issued jointly with the WHO Regional Office for Europe. The full draft text of the Protocol, together with the background documents and details of the Third Ministerial Conference, can be found on www.who.dk/London99.

For further information, please contact:

Mr Kaj Bärlund, Director
UN/ECE Environment and Human Settlements Division
Palais des Nations, office 334
CH - 1211 Geneva 10, Switzerland

Tel: (+41 22) 917 23 70
Fax: (+41 22) 907 01 07
E-mail: [email protected]

Dr Günter Klein, Director
Environment and Health
WHO Regional Office for Europe
8, Scherfigsvej
DK - 2100 Copenhagen, Denmark

Tel: (+45) 39171346
Fax: (+45) 39171878
E-mail: [email protected]