Table 1. Environmental classification of water- and excreta-related infections.
Category | Examples | Control Strategies |
A. Feco-oral (Potentially water-borne or water-washed) | ViralHepatitis A, E, and FPoliomyelitisViral diarrhoeasBacterialCampylobacteriosisCholeraPathogenic E. coliSalmonellosisTyphoid, paratyphoidProtozoalAmoebiasisCryptosporidiosisGiardiasis | Improve water quality (to prevent water-borne transmission), improve water availability, hygiene promotion (to prevent water-washed transmission) |
B. Purely water-washed | Skin and eye infectionsScabiesConjunctivitisTrachomaLouse-borne infectionsRelapsing fever | Improve water availability, hygiene promotion |
C. Soil helminths | AscariasisTrichuriasisHookworm infection | Sanitation, hygiene promotion, treatment of excreta before re-use |
D. Tapeworms | Taenia solium infectionTaenia saginata infection | As C above, plus meat inspection and cooking |
E. Water-based diseases | BacterialCholeraLegionellosisLeptospirosisHelminthicSchistosomiasisClonorchiasisDracunculiasis | Reduce contact with/consumption of infected water, sanitation, treatment of excreta before re-use |
F. Insect vector diseases | Water-relatedDengueYellow feverMalariaWest African trypanosomiasisExcreta-relatedBancroftian filariasisTrachomaFly- and cockroach-borne excreted infectionsa | Reduce number of potential breeding sites and need to pass near them, improve surface water drainage, use repellent/insecticide where appropriate |
G. Rodent-borne diseases | Rodent-borne excreted infectionsLeptospirosisTularaemia | Rodent control, hygiene promotion, reduce contact with infected water |
Source: Adapted from [58].
Excreted infections comprise all those in Categories A, C, and D plus helminthic diseases in Category E.