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WHO GUIDELINES FOR THE

SAFE USE OF WASTEWATER ,

EXCRETA AND GREYWATER

VOLUME IV

EXCRETA AND GREYWATER USE IN AGRICULTURE

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GUIDELINES FOR THE SAFE USE OF WASTEWATER, EXCRETA AND GREYWATER

Volume 4

Excreta and greywater use in agriculture

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ii

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;

fax: +41 22 791 4857; email: [email protected]). Requests for permission to reproduce or trans- late WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; email: [email protected]).

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.

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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HEALTH-BASED TARGETS

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HEALTH PROTECTION MEASURES

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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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Glossary of terms used in Guidelines

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Références

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The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health

The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health