WHO GUIDELINES FOR THE
SAFE USE OF WASTEWATER ,
EXCRETA AND GREYWATER
VOLUME IV
EXCRETA AND GREYWATER USE IN AGRICULTURE
GUIDELINES FOR THE SAFE USE OF WASTEWATER, EXCRETA AND GREYWATER
Volume 4
Excreta and greywater use in agriculture
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WHO Library Cataloguing-in-Publication Data
WHO guidelines for the safe use of wastewater, excreta and greywater / World Health Organization.
v. 1. Policy and regulatory aspects — v. 2. Wastewater use in agriculture
— v. 3. Wastewater and excreta use in aquaculture — v. 4. Excreta and greywater use in agriculture.
1. Water supply. 2. Water supply - legislation. 3. Agriculture. 4. Aquaculture.
5. Sewage. 6. Wastewater treatment plants. 7. Guidelines. I. World Health Organization. II. Title: Safe use of wastewater, excreta and greywater. III.
Title: Policy and regulatory aspects. IV. Title: Wastewater use in agriculture.
V. Title: Wastewater and excreta use in aquaculture. VI. Title: Excreta and greywater use in agriculture.
ISBN 92 4 154686 7 (set) (NLM classification: WA 675)
ISBN 92 4 154682 4 (v. 1) ISBN 92 4 154683 2 (v. 2) ISBN 92 4 154684 0 (v. 3) ISBN 92 4 154685 9 (v. 4)
© World Health Organization 2006
All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476;
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All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either express or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.
Printed in France.
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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 ...2
1.2 Target audience and defi nitions ...3
1.3 International guidelines and national standards ...3
1.3.1 National standards ...3
1.3.2 Food exports ...4
1.4 Factors that affect sustainability in sanitation ...4
1.4.1 Health and hygiene ...4
1.4.2 Environment and resource use ...5
1.4.3 Economy ...5
1.4.4 Sociocultural aspects and use ...5
1.4.5 Technology function ...5
1.5 Driving forces ...6
1.5.1 Water scarcity, stress and degradation ...6
1.5.2 Population growth and food production ...7
1.5.3 Excreta and greywater as resources ...8
1.5.4 Millennium Development Goals ...15
2. The Stockholm Framework...19
2.1 A harmonized approach to risk assessment/management ...19
2.2 Elements of the Stockholm Framework ...20
2.3 Assessment of environmental exposure ...21
2.4 Assessment of health risk ...22
2.5 Tolerable risk and health-based targets ...24
2.5.1 Tolerable risk ...25
2.5.2 Health-based targets ...25
2.6 Risk management ...26
2.7 Public health status ...27
3. Assessment of health risk...29
3.1 Health benefi ts ...29
3.2 Excreta-related infections ...30
3.2.1 Pathogens in faeces. ...31
3.2.2 Pathogens in urine ...34
3.2.3 Pathogens in greywater ...36
3.3 Pathogen survival in faeces, urine and greywater ...37
3.3.1 Survival in faeces ...37
3.3.2 Survival in urine ...39
3.3.3 Faecal load and survival of faecal pathogens in greywater ...41
3.4 Survival in soils and on crops ...42
3.5 Epidemiological and risk-based evidence ...44
3.6 Quantitative microbial risk analysis ...49
3.6.1 Example of risk calculation for a greywater scenario ...49
3.6.2 Example of risk calculation for collection and use of diverted human urine ...51
3.6.3 Example of risk calculation for stored but otherwise untreated excreta ... 55
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4. Health-based targets ...59
4.1 Type of targets applied ...60
4.2 Tolerable burden of disease and health-based targets ...60
4.3 Microbial reduction targets...64
4.4 Verifi cation monitoring ...66
4.4.1 Treatment of excreta and greywater ...67
4.4.2 Other health protection measures ...67
4.4.3 Excreta in small systems ...68
4.4.4 Operational monitoring for urine in large- and small-scale systems ...70
5. Health protection measures ...73
5.1 Specifi c considerations for exposure control in the use of urine, faeces and greywater ...74
5.1.1 Exposure control: general principles ...75
5.1.2 Exposure control at agricultural sites or site of use. ...75
5.1.3 Post-harvest exposure control. ...78
5.2 Technical measures ...79
5.2.1 On-site sanitation systems ...79
5.2.2 Handling and transport of excreta and sludge ...88
5.2.3 Treatment of blackwater and septic tank/faecal sludge ...90
5.2.4 Greywater ...93
6. Monitoring and system assessment ...101
6.1 Monitoring functions ...101
6.2 System assessment ...102
6.3 Validation ...102
6.4 Operational monitoring ...104
6.5 Verifi cation ...106
6.6 Small systems ...107
6.7 Other types of monitoring ...107
7. Sociocultural aspects ...109
7.1 Perceptions of excreta and greywater use ...109
7.2 Food-related determinants ... 111
7.3 Behavioural change and cultural factors ... 111
7.4 Convenience factors and dignity issues ...113
7.5 Gender aspects on use of excreta and greywater ...114
8. Environmental aspects ... 117
8.1 Impacts on soil ...117
8.1.1 Metals ...118
8.1.2 Persistent organic compounds ...119
8.1.3 Salinization ...120
8.2 Impacts on water bodies ...121
9. Economic and fi nancial considerations ...123
9.1 Economic feasibility ...123
9.1.1 Cost–benefi t analysis ...123
9.1.2 Costs and benefi ts ...124
9.1.3 Multiple-objective decision-making processes ...125
9.1.4 Empirical examples of cost analyses for reuse systems ...125
9.2 Financial feasibility ...127
9.3 Market feasibility ...132
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10. Policy aspects ...133
10.1 Policy ...133
10.1.1 International policy ...134
10.1.2 National greywater and excreta use policies ...134
10.1.3 Greywater and excreta in integrated water resources management .135 10.2 Legislation ...135
10.2.1 Institutional roles and responsibilities ...136
10.2.2 Other roles and responsibilities ...139
10.2.3 Rights of access ...142
10.2.4 Land tenure ...142
10.2.5 Public health ...142
10.3 Regulation ...142
10.4 Development of a national policy framework ...143
10.4.1 Defi ning objectives ...144
10.4.2 Analysis of the existing policy framework ...144
10.4.3 Development of action plans ...146
10.4.4 Research ...148
11. Planning and implementation ...149
11.1 Adopting an appropriate planning approach ...149
11.2 Local project planning: specifi c considerations...151
11.2.1 Participatory approaches ...151
11.2.2 Treatment ...152
11.2.3 Crop restriction ...153
11.2.4 Application ...153
11.2.5 Human exposure control ...153
11.2.6 Costs ...154
11.2.7 Technical aspects...155
11.2.8 Support services ...156
11.2.9 Training ...156
References. ...157
Annex 1: Glossary of terms used in Guidelines...177
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LIST OF ACRONYMS AND
ABBREVIATIONS
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PREFACE
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ACKNOWLEDGEMENTS
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EXECUTIVE SUMMARY
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INTRODUCTION
10. Policy aspects 11. Planning and
implementation 4. Health-based
targets
5. Health protection measures 6. Monitoring
and system assessment 1. Introduction
Guidelines
7. Sociocultural aspects
8. Environmental aspects 9. Economic and financial considerations
Other information 2. Stockholm
Framework 3. Assessment of
health risk
Supporting evidence
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THE STOCKHOLM FRAMEWORK
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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
Public health status
Tolerable health risk
Define key risk points and audit procedures for overall system
effectiveness
Define analytical verifications (proc- ess, public health)
Health risk management
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Table 2.1 (continued)
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ASSESSMENT OF HEALTH RISK
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Table 3.11 (continued)
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HEALTH-BASED TARGETS
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HEALTH PROTECTION MEASURES
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Table 5.2 (continued)
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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
improvement, research and development, etc.)
Prepare management procedures (including corrective actions) for normal and incident conditions
Establish documentation and communication procedures
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SOCIOCULTURAL ASPECTS
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ENVIRONMENTAL ASPECTS
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ECONOMIC AND FINANCIAL
CONSIDERATIONS
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Box 9.1 (continued)
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POLICY ASPECTS
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PLANNING AND IMPLEMENTATION
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REFERENCES
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Annex 1
Glossary of terms used in Guidelines
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