2.2 <strong>Water</strong> <strong>an</strong>d Health <strong>Security</strong> G<strong>an</strong>esh P<strong>an</strong>gare Head, <strong>Water</strong> Programme (Asia), IUCN Asia Regional Office, Thail<strong>an</strong>d Lisa Idris Programme Officer, <strong>Water</strong> Programme (Asia), IUCN Asia Regional Office, Thail<strong>an</strong>d
Introduction Cle<strong>an</strong> <strong>an</strong>d safe water is <strong>an</strong> import<strong>an</strong>t resource in building healthy <strong>an</strong>d progressive communities. By widening <strong>an</strong>d enh<strong>an</strong>cing access to cle<strong>an</strong> <strong>an</strong>d safe water, nine percent of the global burden of disease c<strong>an</strong> be alleviated <strong>an</strong>d 3.5 million deaths c<strong>an</strong> be prevented <strong>an</strong>nually (Prüss-Üstün et al., 2008). <strong>The</strong> socio-economic impacts from the prevention of water-related deaths <strong>an</strong>d diseases are tremendous; for each US $1 invested in improving access to water, communities reap benefits in productive time <strong>an</strong>d avoid<strong>an</strong>ce of treatment costs worth between US $2-$12 (Edwards, 2011). Today, safe water supply evades some 780 million people, or approximately 11% of the world’s population (UNICEF <strong>an</strong>d World Health Org<strong>an</strong>ization, 2012). From <strong>an</strong> overall perspective, this is a marked improvement from 1990, where almost one-quarter of the global population did not have access to cle<strong>an</strong> <strong>an</strong>d safe water. However, these improvements were mostly made in East <strong>an</strong>d South Asia; countries in the sub-Sahar<strong>an</strong> Africa <strong>an</strong>d Pacific regions still lack adequate access, with each region registering water supply coverage of 61% <strong>an</strong>d 54% respectively (UNICEF <strong>an</strong>d WHO, 2012). It is no coincidence that cholera, a disease that thrives where there are deficits in water <strong>an</strong>d s<strong>an</strong>itation, is prevalent in both these regions 1 . As efforts continue to connect the growing global population to safe water supply, considerations need to be afforded to demographic, economic <strong>an</strong>d social pressures. <strong>The</strong>se pressures not only affect access, but also the qu<strong>an</strong>tity <strong>an</strong>d quality of water supplies. Mounting pressures could cause increases in a country’s virtual water need, that is, the water used to produce goods <strong>an</strong>d services. Higher consumption of virtual water not only affects the sustainability of access of communities already linked to water supplies, but also the availability of water to communities that have not gained access to water as resources are diverted to meet other existing dem<strong>an</strong>ds (see Box 1 on <strong>Water</strong> Shortages in China). This paper examines the linkages between water security (in terms of qu<strong>an</strong>tity <strong>an</strong>d quality) <strong>an</strong>d hum<strong>an</strong> health, summarizes potential health impacts from water deficits, <strong>an</strong>d examines the implications for socio-economic development. Box 1. <strong>Water</strong> Shortages in China China faces water shortages from the singular <strong>an</strong>d interactive effects of high water losses through supply infrastructure, effluent contamination, <strong>an</strong>d rising water dem<strong>an</strong>d from the agricultural sector. <strong>The</strong>se shortages greatly affect food production, the largest water user in China (constituting 71% of China’s total freshwater dem<strong>an</strong>d) (Amarasinghe et al., 2005). As a workaround solution to fulfill domestic dem<strong>an</strong>d for food, China has begun to establish farms in Argentina, Australia, Brazil, Kenya, Russia <strong>an</strong>d Zimbabwe (Economy, 2011). China’s virtual water consumption has clearly grown, but the burden of meeting this dem<strong>an</strong>d has been shifted to other countries. 1. <strong>Water</strong> Quality <strong>an</strong>d Health Rivers, lakes, <strong>an</strong>d aquifers are vulnerable to pollut<strong>an</strong>ts, which intensify the occurrence of water-related diseases by impairing water use, <strong>an</strong>d introduce new health risks associated with the presence of pollut<strong>an</strong>ts in the hum<strong>an</strong> body. Pollut<strong>an</strong>ts c<strong>an</strong> be broadly categorized as hum<strong>an</strong>-induced, or naturally occurring. Hum<strong>an</strong>-induced pollut<strong>an</strong>ts enter waterways through unmitigated discharge of untreated or insufficiently treated domestic <strong>an</strong>d industrial wastewater (point sources), <strong>an</strong>d agricultural run-off (non-point source). Pollut<strong>an</strong>ts that occur naturally, also termed geogenic pollut<strong>an</strong>ts, are usually found in groundwater. <strong>The</strong> concentration of geogenic pollut<strong>an</strong>ts in groundwater resources may be aggravated by hum<strong>an</strong> activities that infiltrate or fracture the surrounding rock or substrata. 1 In 2009, of the 206,183 cases of cholera reported worldwide, 98.7% cases occurred in sub-Sahar<strong>an</strong> Africa, with the remainder occurring in the Pacific (World Health Org<strong>an</strong>ization, 2011b). <strong>Water</strong> <strong>an</strong>d Health <strong>Security</strong> Part 2 77
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The Global Water Crisis: Addressing
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About the InterAction Council Estab
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Acknowledgements
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Foreword
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The undeniable seriousness of the g
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Foreword xiii
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The Global Water Crisis: Framing th
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Ethical considerations also need to
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3. Support Ratification of the UN W
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1 Water and Global Security
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Introduction Since the serious stat
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Jury and Vaux project that the numb
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5. The Potential for Conflict and t
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References Cullen, H., 2010. The We
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Introduction Water is an integral p
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shortage Statewide Regional Local N
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summer months. To alleviate the con
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References Barlow, Maude, 2007. Blu
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Introduction It is widely recognize
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Later in 2010, the UN Human Rights
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3.2. Legislative Recognition Dozens
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Mandela, M., 2002. No Water, No Fut
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Introduction South Africans have a
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water per person per day. The appli
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References Bluemel, E. B., 2004.
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Introduction Water conflicts are nu
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4. Water Policies and Their Impact
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y its interconnection to encompass
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Access to Water and Conflict: An In
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Response from the InterAction Counc
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As former U.S. President Mr. Bill C
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The InterAction Council Québec Dec
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List of Participants
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List of Participants: 29 th Annual