WHO GUIDELINES FOR THE
SAFE USE OF WASTEWATER
,
EXCRETA AND GREYWATER
WHO GUIDELINES FOR THE SAFE USE OF W ASTEW A TER , EXCRET A AND GREYW A TER VOLUME III
WASTEWATER AND EXCRETA USE IN AQUACULTURE
VOLUME
III
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
GUIDELINES FOR THE SAFE USE OF
WASTEWATER, EXCRETA AND GREYWATER
Volume 3
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
iv
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
Volume 3: Wastewater and excreta use in aquaculture
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
vi
PREFACE
ACKNOWLEDGEMENTS
Volume 3: Wastewater and excreta use in aquaculture
EXECUTIVE SUMMARY
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
1
INTRODUCTION
Volume 3: Wastewater and excreta use in aquaculture
4
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
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
2
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
Volume 3: Wastewater and excreta use in aquaculture
Table 2.1 (continued)
(continued)
Volume 3: Wastewater and excreta use in aquaculture
Table 2.2 (continued)
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
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
Volume 3: Wastewater and excreta use in aquaculture
24
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Table 2.7 (continued)
3
ASSESSMENT OF HEALTH RISK
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
4
HEALTH-BASED TARGETS
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
5
HEALTH PROTECTION MEASURES
48 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,
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
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
Human
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
6
MONITORING AND SYSTEM
ASSESSMENT
Volume 3: Wastewater and excreta use in aquaculture
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.)
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Table 6.3 (continued)
Volume 3: Wastewater and excreta use in aquaculture
7
SOCIOCULTURAL, ENVIRONMENTAL
AND ECONOMIC ASPECTS
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
8
POLICY ASPECTS
Policy
International National Local
Legislation Institutional framework
Regulation application
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
9
PLANNING AND IMPLEMENTATION
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture Sustainable project planning Health Environmental impact Social impact and public perception Institutional feasibility Technical feasibility Economic feasibility Market feasibility Financial feasibility
Volume 3: Wastewater and excreta use in aquaculture
REFERENCES
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
Annex 1
Wastewater-fed fish pond design
O
2CO
2New cells
Light
Algae
Volume 3: Wastewater and excreta use in aquaculture
Box A1.1 (continued)
124
Volume 3: Wastewater and excreta use in aquaculture
Annex 2
FAO Code of Conduct for
Responsible Fisheries: aquaculture
and environmental impact
Volume 3: Wastewater and excreta use in aquaculture
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
Volume 3: Wastewater and excreta use in aquaculture
Annex 4
Glossary of terms used in
Guidelines
1Volume 3: Wastewater and excreta use in aquaculture
Volume 3: Wastewater and excreta use in aquaculture
WHO GUIDELINES FOR THE
SAFE USE OF WASTEWATER
,
EXCRETA AND GREYWATER
WHO GUIDELINES FOR THE SAFE USE OF VOLUME III
WASTEWATER AND EXCRETA USE IN AQUACULTURE
VOLUME
III
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 W ASTEW A TER AND EXCRET A USE IN AQUACUL TURE