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Wastewater recycling and reuse

1986, American Journal of Public Health

Abstract
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The paper discusses the long-standing practice of reclaiming wastewater for agricultural use and the emerging health concerns associated with its direct and indirect consumption. It highlights historical examples, such as the case in Chanute, Kansas, where municipal wastewater was treated and reused during a water crisis, noting the challenges in public acceptance despite meeting safety standards. The paper emphasizes the need for careful consideration of the potential health impacts of using treated wastewater, particularly in areas facing water scarcity, while also underscoring the importance of proper treatment processes.

Key takeaways

  • California has been a leader in developing standards for reclaimed wastewaters used in agriculture and for the recharge of groundwaters.4 0"9'26 In lieu of standards for assessing the quality of reclaimed wastewater, Work, et al,27 proposed that treatment at Denver be capable of removing the increment added to the waste through use, thus returning the water to the quality initially present in the water supply source.
  • If the reclaimed water was to be of the same or better quality than the current supply, results of a Denver survey showed that 84.1 per cent of the public agreed to some degree.27'32 Some 63 per cent of Denver residents favored eventual potable water reuse.27 Bruvold33 characterized the members of the public and the individuals having the most favorable attitude toward reusing reclaimed wastewater for drinking as well as those that did not have a favorable attitude.
  • In conclusion, the direct reuse of reclaimed wastewaters for potable purposes should be deferred until enough scientific evidence is available to adequately assess the potentially adverse health effects, both acute and chronic.
  • Cesarean section usage in the United States has increased dramatically in the past few decades from around 3 per cent to 20 per cent of all births.
  • Obviously, if cesarean section is reserved for the babies with a better survival chance, it will make for a higher relative risk for vaginal delivery.