WHO GUIDELINES FOR THE
SAFE USE OF WASTEWATER ,
EXCRETA AND GREYWATER
WHOGUIDELINESFORTHESAFEUSEOFWASTEWATER, EXCRETAANDGREYWATER
VOLUME III
WASTEWATER AND EXCRETA USE IN AQUACULTURE
VOLUMEIII
The third edition of the WHO Guidelines for the safe use of wastewater, excreta and greywater has been extensively updated to take account of new scientific evidence and contemporary approaches to risk management.
The revised Guidelines reflect a strong focus on disease prevention and public health principles.
This new edition responds to a growing demand from WHO Member States for guidance on the safe use of wastewater, excreta and greywater in agriculture and aquaculture. Its target audience includes environmental and public health scientists, researchers, engineers, policy-makers and those responsible for developing standards and regulations.
The Guidelines are presented in four separate volumes: Volume 1: Policy and regulatory aspects; Volume 2:Wastewater use in agriculture; Volume 3:
Wastewater and excreta use in aquaculture; and Volume 4: Excreta and greywater use in agriculture.
Volume 3 of the Guidelines informs readers on the assessment of microbial hazards and toxic chemicals and the management of the associated risks when using wastewater and excreta in aquaculture. It explains requirements to promote safe use practices, including minimum procedures and specific health-based targets. It puts trade-offs between potential risks and nutritional benefits in a wider development context.
ISBN 92 4 154684 0
WASTEWATERANDEXCRETAUSEINAQUACULTURE
GUIDELINES FOR THE SAFE USE OF WASTEWATER, EXCRETA AND GREYWATER
Volume 3
Wastewater and excreta use in aquaculture
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CONTENTS
List of acronyms and abbreviations . . . .vi
Preface . . . .vii
Acknowledgements . . . .ix
Executive summary . . . .xiii
1. Introduction . . . .1
1.1 Objectives and general considerations . . . .1
1.2 Target audience, definitions and scope . . . .2
1.3 Organization of this Guidelines document . . . .3
1.4 Driving forces affecting wastewater and excreta use in aquaculture . . . .3
1.5 Historical overview of waste-fed aquaculture . . . .5
1.6 Current waste-fed aquacultural practice . . . .5
1.6.1 Bangladesh . . . .7
1.6.2 China . . . .8
1.6.3 India . . . .8
1.6.4 Indonesia . . . .9
1.6.5 Viet Nam . . . .9
1.6.6 Africa . . . .10
1.6.7 Europe . . . .10
1.6.8 The Americas . . . .10
1.6.9 Western Pacific . . . .11
2. The Stockholm Framework . . . .13
2.1 A harmonized approach to risk assessment/management . . . .13
2.2 Assessment of environmental exposure . . . .16
2.3 Assessment of health risk . . . .18
2.4 Tolerable risk . . . .19
2.5 Health-based targets . . . .20
2.6 Risk management . . . .21
2.7 Public health status . . . .22
2.7.1 Excreta-related diseases . . . .23
2.7.2 Foodborne trematodes and schistosomiasis . . . .25
2.7.3 Vector-borne diseases . . . .27
2.7.4 Measuring public health status . . . .28
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4. Health-based targets . . . .39
4.1 Protection of product consumers . . . .39
4.1.1 Trematodes . . . .39
4.1.2 Other pathogens . . . .40
4.1.3 Chemicals . . . .42
4.2 Protection of aquacultural workers and local communities . . . .43
4.2.1 Pathogens . . . .43
4.2.2 Skin irritants . . . .45
4.2.3 Vector-borne diseases . . . .45
4.3 International guidelines and national standards . . . .45
4.3.1 Food exports . . . .46
4.3.2 National standards . . . .46
5. Health protection measures . . . .47
5.1 Health protection measures for different exposed groups . . . .47
5.1.1 Product consumers . . . .48
5.1.2 Workers (and their families) . . . .48
5.1.3 Local communities . . . .49
5.2 Effectiveness of health protection measures . . . .49
5.2.1 Excreta treatment . . . .49
5.2.2 Wastewater treatment . . . .52
5.2.3 Produce restriction . . . .55
5.2.4 Waste application withholding period . . . .57
5.2.5 Depuration . . . .57
5.2.6 Food handling and preparation . . . .58
5.2.7 Produce washing/disinfection and cooking of food . . . .58
5.2.8 Health and hygiene promotion . . . .59
5.2.9 Immunization and chemotherapy . . . .60
5.2.10 Exposure control measures for workers, product handlers and local communities . . . .60
5.2.11 Control of vector-borne diseases . . . .62
5.3 Trematodes: Special considerations . . . .63
5.3.1 Reducing trematode contamination of ponds and interrupting trematode life cycles . . . .63
5.3.2 Control of intermediate hosts . . . .65
5.3.3 Post-harvest health protection measures . . . .65
5.3.4 Chemotherapy of humans and animals . . . .66
5.3.5 Schistosomiasis . . . .67
6. Monitoring and system assessment . . . .69
6.1 Monitoring . . . .69
6.2 Monitoring functions . . . .69
6.3 System assessment . . . .70
6.4 Validation . . . .72
6.5 Operational monitoring . . . .73
6.6 Verification monitoring . . . .76
6.7 Small systems . . . .77
6.8 Other types of monitoring . . . .77
6.8.1 Food inspection . . . .77
6.8.2 Public health surveillance . . . .78
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7. Sociocultural, environmental and economic aspects . . . .79
7.1 Sociocultural aspects . . . .79
7.1.1 Public perception . . . .79
7.1.2 Excreta use . . . .80
7.1.3 Wastewater use . . . .81
7.1.4 Food-related determinants . . . .82
7.2 Environmental concerns . . . .83
7.3 Economic and financial feasibility . . . .84
7.3.1 Economic appraisal . . . .84
7.3.2 Financial feasibility . . . .86
8. Policy aspects . . . .89
8.1 Policy . . . .89
8.1.1 International policy . . . .90
8.1.2 National wastewater and excreta use policies . . . .90
8.1.3 Wastewater and excreta in integrated water resources management . . .91
8.2 Legislation . . . .91
8.2.1 Institutional roles and responsibilities . . . .91
8.2.2 Rights of access . . . .94
8.2.3 Land tenure . . . .94
8.2.4 Public health . . . .94
8.3 Regulations . . . .95
8.4 Developing a national policy framework . . . .95
8.4.1 Defining objectives . . . .96
8.4.2 Assessment of the policy environment . . . .96
8.4.3 Developing national approaches based on the WHO Guidelines . . .97
8.4.4 Research . . . .97
9. Planning and implementation . . . .101
9.1 Reporting and communication . . . .103
9.2 Interaction with community and consumers . . . .103
9.3 Use of data and information . . . .103
9.4 Project planning criteria . . . .105
9.4.1 Support services . . . .107
9.4.2 Training . . . .107
References . . . .109
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LIST OF ACRONYMS AND
ABBREVIATIONS
PREFACE
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ACKNOWLEDGEMENTS
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EXECUTIVE SUMMARY
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1
INTRODUCTION
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8. Policy aspects 9. Planning and
implementation 4. Health-based
targets
5. Health protection measures 6. Monitoring
and system assessment 1. Introduction
Guidelines
7. Sociocultural, environmental and economic aspects
Other information 2. Stockholm
Framework 3. Assessment of
health risk
Supporting evidence
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Wastewater/excreta
Feed
Aquatic plants Fish
Fingerlings
Livestock Fish
Human consumption
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THE STOCKHOLM FRAMEWORK
Health-based targets Basic control
approaches
Water/waste quality objectives
Other management objectives
Define measures and interventions (requirements, specifications) based
on objectives
Assessment of health risk Assess
environmental exposure
Tolerable health risk
Define key risk points and audit
ement
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Table 2.1 (continued)
(continued)
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Table 2.2 (continued)
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Treatment
Application of wastes - allowing die-off periods
Produce restriction Control of trematode intermediate hosts Prevention of cross- contamination Post-harvest processing Food hygiene Cooking food
Consumer Hazard
Treatment Personal protective equipment Access to safe drinking-water and sanitation near facilities
Control of vectors and intermediate hosts
Personal hygiene
Workers and families Hazard
Treatment Access to safe drinking-water and sanitation for local communities Restrict public access to ponds Control of vectors and intermediate hosts
Vector barriers, repellents, prophylactics
Local communities
Barrier Hazard
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Table 2.5 (continued)
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Table 2.7 (continued)
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3
ASSESSMENT OF HEALTH RISK
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4
HEALTH-BASED TARGETS
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5
HEALTH PROTECTION MEASURES
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Vectors
Wastewater, excreta, animal wastes
Infection/
disease Workers,
local communities
Consumers Water body
plants, fish, intermediate hosts
A = Wastewater/excreta treatment
B = Crop restriction, waste application/timing, depuration, food handling/preparation, produce washing/disinfection, food processing, cooking
C = Personal protective equipment, access control, access to safe drinking-water and adequate sanitation, personal hygiene D = Vector control (physical, biological and
chemical methods)
E = Prevent vector contact (mosquito nets, window screens, chemical repellents) F = Immunization (typhoid, hepatitis A virus,
Japanese encephalitis) G = Chemoprophylaxis (malaria) A
B D
C
F
G G
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Pond Market
Human/animal excreta
Post-harvest risk reduction Infected
fingerlings
Contaminated feed 10,11
9 1, 2, 3, 4
12, 13, 14
15, 16, 17
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6
MONITORING AND SYSTEM ASSESSMENT
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Assemble the team to prepare the risk management plan
Document and describe the system
Undertake a hazard assessment and risk characterization to identify and understand how risks
can be managed in the system
Assess the existing or proposed system (including a description of the system and a flow diagram)
Identify control measures — the means by which risks can be controlled
Define monitoring of control measures — what limits define acceptable performance and how
these are monitored
Establish procedures to verify that the risk management plan is working effectively and will meet
the health-based targets
Develop supporting programmes (e.g. training, hygienic practices, standard operating procedures, upgrade and
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Table 6.3 (continued)
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7
SOCIOCULTURAL, ENVIRONMENTAL AND ECONOMIC ASPECTS
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POLICY ASPECTS
Policy
International National Local
Legislation Institutional framework
Regulation application Doc. 2 OMS guidelines Vol3 1/03/06 10:51 Page 107
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PLANNING AND IMPLEMENTATION
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Sustainable project planning
Health
Environmental impact
Social impact and public perception Institutional
feasibility Technical feasibility
Economic feasibility
Market feasibility
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REFERENCES
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Annex 1
Wastewater-fed fish pond design
O
2CO
2New cells
Light
Algae
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Box A1.1 (continued)
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Box A1.1 (continued)
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Annex 2
FAO Code of Conduct for
Responsible Fisheries: aquaculture and environmental impact
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Procedures
Apply screening criteria to select project or policy
Establish steering group
Agree scope and terms of reference for assessment
Select assessor
Conduct assessment
Appraise the assessment
Methods
Profiling of communities
Interview stakeholders and key informants
Identify health determinants affected
Assess evidence
Establish priority impacts
Recommend and justify options for action
Collect evidence from previous
reports
Annex 3
Health impact assessment
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Annex 4
Glossary of terms used in Guidelines
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WHO GUIDELINES FOR THE
SAFE USE OF WASTEWATER ,
EXCRETA AND GREYWATER
WHOGUIDELINESFORTHESAFEUSEOF
VOLUME III
WASTEWATER AND EXCRETA USE IN AQUACULTURE
VOLUMEIII
The third edition of the WHO Guidelines for the safe use of wastewater, excreta and greywater has been extensively updated to take account of new scientific evidence and contemporary approaches to risk management.
The revised Guidelines reflect a strong focus on disease prevention and public health principles.
This new edition responds to a growing demand from WHO Member States for guidance on the safe use of wastewater, excreta and greywater in agriculture and aquaculture. Its target audience includes environmental and public health scientists, researchers, engineers, policy-makers and those responsible for developing standards and regulations.
The Guidelines are presented in four separate volumes: Volume 1: Policy and regulatory aspects; Volume 2:Wastewater use in agriculture; Volume 3:
Wastewater and excreta use in aquaculture; and Volume 4: Excreta and greywater use in agriculture.
Volume 3 of the Guidelines informs readers on the assessment of microbial hazards and toxic chemicals and the management of the associated risks when using wastewater and excreta in aquaculture. It explains requirements to promote safe use practices, including minimum procedures and specific health-based targets. It puts trade-offs between potential risks and nutritional benefits in a wider development context.
WHO
WASTEWATERANDEXCRETAUSEINAQUACULTURE
Guidelines 18/04/06 16:37 Page 1