Inadequate management of urban, industrial and agricultural wastewater means the drinking-water of hundreds of millions of people is dangerously contaminated or chemically polluted. Natural presence of chemicals, particularly in groundwater, can also be of health significance, including arsenic and fluoride, while other chemicals, such as lead, may be elevated in drinking-water as a result of leaching from water supply components in contact with drinking-water.

Some 1 million people are estimated to die each year from diarrhoea as a result of unsafe drinking-water, sanitation and hand hygiene. Yet diarrhoea is largely preventable, and the deaths of 395 000 children aged under 5 years could be avoided each year if these risk factors were addressed. Where water is not readily available, people may decide handwashing is not a priority, thereby adding to the likelihood of diarrhoea and other diseases.


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Historical rates of progress would need to double for the world to achieve universal coverage with basic drinking water services by 2030. To achieve universal safely managed services will require a 6-fold increase. Climate change, increasing water scarcity, population growth, demographic changes and urbanization already pose challenges for water supply systems. Over 2 billion people live in water-stressed countries, which is expected to be exacerbated in some regions as result of climate change and population growth. Re-use of wastewater to recover water, nutrients or energy is becoming an important strategy. Use of wastewater and sludge is widespread globally; however, much is used informally and/or without sufficient treatment and other controls to ensure that human and environmental health is protected. If done appropriately safe use of wastewater and sludge can yield multiple benefits, including increased food production, increased resilience to water and nutrient scarcity and greater circularity in the economy.

Options for water sources used for drinking-water and irrigation will continue to evolve, with an increasing reliance on groundwater and alternative sources, including wastewater. Climate change will lead to greater fluctuations in harvested rainwater. Management of all water resources will need to be improved to ensure provision and quality.

WHO produces a series of water quality guidelines, including on drinking-water, safe use of wastewater, and recreational water quality. The water quality guidelines are based on managing risks, and since 2004 the Guidelines for drinking-water quality promote the Framework for safe drinking-water. The Framework recommends establishment of health-based targets, the development and implementation of water safety plans by water suppliers to most effectively identify and manage risks from catchment to consumer, and independent surveillance to ensure that water safety plans are effective and health-based targets are being met.


The drinking-water guidelines are supported by background publications that provide the technical basis for the Guidelines recommendations. WHO also supports countries to implement the drinking-water quality guidelines through the development of practical guidance materials and provision of direct country support. This includes the development of locally relevant drinking-water quality regulations aligned to the principles in the Guidelines, the development, implementation and auditing of water safety plans and strengthening of surveillance practices.

WHO produces a series of water quality guidelines, including on drinking-water, safe use of wastewater, and recreational water quality. The water quality guidelines are based on managing risks, and since 2004 the Guidelines for drinking-water quality promote the Framework for safe drinking-water. The Framework recommends establishment of health-based targets, the development and implementation of water safety plans by water suppliers to most effectively identify and manage risks from catchment to consumer, and independent surveillance to ensure that water safety plans are effective and health-based targets are being met.


The drinking-water guidelines are supported by background publications that provide the technical basis for the Guidelines recommendations. WHO also supports countries to implement the drinking-water quality guidelines through the development of practical guidance materials and provision of direct country support. This includes the development of locally relevant drinking-water quality regulations aligned to the principles in the Guidelines, the development, implementation and auditing of water safety plans and strengthening of surveillance practices.

The Dietary Guidelines for Americans recommends that adults of legal drinking age can choose not to drink, or to drink in moderation by limiting intake to 2 drinks or less in a day for men or 1 drink or less in a day for women, on days when alcohol is consumed.4 The Guidelines also do not recommend that individuals who do not drink alcohol start drinking for any reason and that if adults of legal drinking age choose to drink alcoholic beverages, drinking less is better for health than drinking more.4

On Aug. 1, 2022, the state's safe drinking water code ch. NR 809 Wis. Adm. Code was revised to include standards for two new compounds in the perfluoroalkyl and polyfluoroalkyl substances (PFAS) group. The new Maximum Contaminant Level (MCL) standards are for perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS). The new Maximum Contaminant Level (MCL) standards are for perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS). The new MCLs are set at 70 parts per trillion (ppt) for each contaminant individually or combined. Adding these new MCLs followed a 30-month process that included public input, economic impact analysis and legislative approval.

The EPA and numerous states, including Wisconsin, have identified PFAS as a persistent contaminant threatening the environment, including surface water and groundwater. PFAS in surface water and groundwater sources are a threat to public health, welfare and safety in obtaining drinking water. Establishing drinking water standards for certain PFAS contaminants in this rule will protect public health. If MCLs are exceeded, a corrective action plan must be implemented to maintain protection of public health, welfare and safety in drinking water.

The Wisconsin Department of Health Services (DHS) has recommended health-based groundwater standards for 18 PFAS compounds as well as issued guidance for assessing risk of mixtures of PFAS compounds in drinking water using a hazard index tool. PFAS in drinking water above these levels pose potential serious adverse effects on human health. In situations where PFAS compounds exceed DHS recommendations but are below the MCL of 70 ppt, DNR will require public water systems to issue a Tier 2 public notice per Wis. Admin. Code  NR 809.950(3)(c)5. and NR 809.950(4).

Drinking is the act of ingesting water or other liquids into the body through the mouth, proboscis, or elsewhere. Humans drink by swallowing, completed by peristalsis in the esophagus. The physiological processes of drinking vary widely among other animals.

When a liquid enters a human mouth, the swallowing process is completed by peristalsis which delivers the liquid through the esophagus to the stomach; much of the activity is abetted by gravity. The liquid may be poured from the hands or drinkware may be used as vessels. Drinking can also be performed by acts of inhalation, typically when imbibing hot liquids or drinking from a spoon. Infants employ a method of suction wherein the lips are pressed tight around a source, as in breastfeeding: a combination of breath and tongue movement creates a vacuum which draws in liquid.[1] e24fc04721

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