1004 PLANNING WATER SUPPLY AND SANITATION PROJECTS IN DEVELOPING NATIONS
remains constant over the next fifteen to twenty years, eco-
nomic growth will allow investment to double in real terms,
to 30–40 billion a year.^13 Therefore, selection of appropriate
technology and service levels must be established in bring-
ing down the capital costs of water supply and sanitation
projects. It was also demonstrated in the first half of the
Decade that the biggest priority is correcting the inadequate
training of the operating personnel.^14
Selection of appropriate technology for use by the devel-
oping countries requires (1) understanding of the cultural
background, regional environmental conditions, and local
needs; (2) selection of appropriate systems that will be within
TABLE 1
Common disease associated with contaminated water and poor sanitation
Disease Common Vehicle
Water-borne diseases
Amoebic dysentery
Bacillary dysentery
Cholera
Criptospridiosis
Gastroenteritis
Giardiasis
Hepatitis
Leptospirosis
Paratyphoid fever
Salmonellosis
Typhoid
Diseases transmitted by ingesting contaminated water and food
Water-washed diseases
Conjunctivitis
Hookworm (Ankylostoma)
Leprosy
Scabies
Skin sepsis and ulcers
Trihcuriasis
Whipworm (Enterobius)
Ya w s
Lack of adequate quantity of uncontaminated water, and poor personal hygiene
create conditions favorable for their spread
Water-based diseases
Bilharziosis
Dracunculosis
Oncholersosis
Philariosis
Schistosomiasis
Treadworm
Diseases caused by infecting agents by contact with or without ingestion of
water. An essential part of the life cycle of the infection agent takes place in
an aquatic animal
Fecal-disposal diseases
Clonorchiasis
Diphyllobothriasis
Fasciolopsiasis
Paragonimiasis
Diseases caused by infecting agent mostly contracted by eating uncooked fish
and other food
Water-related vectors
Arbovirus
Bancroftian
Dengue fever
Encephalitis
Filariasis
Hemorrhagic fever
Malaria
Diseases transmitted by insects which live and breed close to water. Infections
are spread by mosquitoes, flies, and insect bite
Adapted in part from Ref. 11.
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