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This study assessed the occurrence of endotoxins, cyanobacteria and enterobacteria in untreated drinking water stored in domestic water containers by rural households in South Africa. Endotoxins, cyanobacteria, total coliforms and Escherichia coli were measured in the following numbers and ranges in container-water samples: 4-54 microg l(-1), 69-64,505 cells ml(-1), 9,000-280,000 CFU/100 ml and 90-1,100 CFU/100 ml, respectively, in source water and 0.23-24.7 microg l(-1), 1-501,187 cells ml(-1), 25-1,584,893 CFU/100 ml and 1-25,118 CFU/100 ml, respectively, in water from containers. The concentrations of these contaminants in water often exceeded guidelines. Container type, especially those that permit light into the vessel, played a significant role in the occurrence of these contaminants. Limited guidelines, as well as the absence of health evidence, make it uncertain whether the high levels of endotoxins in the containerised drinking water could cause a health effect in healthy persons. Most importantly, in the context of exposure to endotoxins potentially derived from high levels of cyanobacteria and enterobacteria such as coliforms in the water, a case is made for possible health effects in immune-compromised individuals exposed to water containing endotoxins and the bacteria that potentially produce it.

The implication of invertebrates found in drinking water distribution networks to public health is of concern to water utilities. Previous studies have shown that the bacteria associated with the invertebrates could be potentially pathogenic to humans. This study investigated the level and identity of bacteria commonly associated with invertebrates collected from the drinking water treatment systems as well as from the main pipelines leaving the treatment works. On all sampling occasions bacteria were isolated from the invertebrate samples collected. The highest bacterial counts were observed for the samples taken before filtration as was expected. There were, however, indications that optimal removal of invertebrates from water did not always occur. During the investigation, 116 colonies were sampled for further identification. The isolates represent several bacterial genera and species that are pathogenic or opportunistic pathogens of humans. Diarrhoea, meningitis, septicaemia and skin infections are among the diseases associated with these organisms. The estimated number of bacteria that could be associated with a single invertebrate (as based on average invertebrate numbers) could range from 10 to 4000 bacteria per organism. It can, therefore, be concluded that bacteria associated with invertebrates might under the worst case scenario pose a potential health risk to water users. In the light of the above findings it is clear that invertebrates in drinking water should be controlled at levels as low as technically and economically feasible.

Water quality is of prime importance to Rand Water's core business of ensuring a reliable supply of good quality drinking water to more than 10 million people. Rand Water has, therefore, implemented a water quality monitoring programme of the source water as well as the drinking water produced. The establishment of the Lesotho Highlands Water Transfer scheme necessitated the expansion of the monitoring programme. In 1996, Rand Water and Lesotho Highlands Development Authority (LHDA) signed an agreement to jointly develop an extensive water quality monitoring programme for the Lesotho Highlands Water Project (LHWP). Prior to this agreement, monitoring was mainly undertaken by consultants on behalf of LHDA in the main feeder rivers within the Katse Dam catchment (donor system). On the recipient system (Ash/Liebenbergsvlei), extensive physical and chemical monitoring was undertaken by Rand Water and Department of Water Affairs and Forestry (DWAF). Biological monitoring was however only carried out superficially prior to the release of water. Information gained from carrying out biological and chemical assessments clearly indicates that the water from LHWP has negatively impacted on the biological communities in the recipient system. The importance of detailed before and after biological and physiochemical monitoring of both donor and recipient systems is emphasised.

Despite the health risks associated with exposure to Cryptosporidium and Giardia, there is no uniform approach to monitoring these protozoan parasites across the world. In the present study, a strategy for monitoring Cryptosporidium and Giardia in drinking water was developed in an effort to ensure that the risk of exposure to these organisms and the risks of non-compliance to guidelines are reduced. The methodology developed will be applicable to all water supply systems irrespective of size and complexity of the purification works. It is based on monitoring procedures proposed by the US Environmental Protection Agency, the Drinking Water Inspectorate, Australia and New Zealand, as well as the risk-based procedure followed by Northern Ireland. The monitoring strategy developed represents a preventative approach for proactively monitoring Cryptosporidium and Giardia species in drinking water. The strategy consists of 10 steps: (i) assessment of the monitoring requirements, (ii) description and characterisation of the source water types, (iii) abstraction of source water, (iv) assessment of the water purification plant, (v) water quality monitoring, (vi) cryptosporidiosis and giardiasis outbreak, (vii) risk assessment, (viii) sample collection and laboratory processing, (ix) data evaluation, interpretation and storage, (x) process evaluation and review. Proper implementation of this protocol can contribute to the protection of drinking water consumers by identifying high-risk source water, identifying areas of improvement within the water treatment system, and also preventing further faecal pollution in the catchments. The protocol can also be integrated into the Water Safety Plans to optimise compliance. Furthermore, this methodology has a potential to contribute to Blue Drop certification as it should form part of the incident management protocols which are a requirement of Water Safety Plan implementation. [ABSTRACT FROM AUTHOR]