The Incidence of Waterborne and Water-Associated Disease in Scotland from 1945 to 1987

Abstract

A review of the incidence of waterborne disease in Scotland from 1945 to 1987 has been undertaken in conjunction with the Communicable Diseases (Scotland) Unit and the Scottish Home and Health Department. Primarily, these relate to contamination of private and public supplies by microbiological and chemical agents, but incidents in which water such as river water was ingested deliberately or accidentally were included. Water-related infections such as legionellosis and leptospirosis which are acquired by non-alimentary routes have been excluded. During the period of the review there were 57 outbreaks of water-borne disease comprising of over 15,305 cases of illness. A total of 18 outbreaks occurred in public supplies and 21 in private supplies. Microbiological contamination gave rise to the greatest number of cases of water-borne disease which were caused by viral gastroenteritis and shigellosis followed by outbreaks of gastroenteritis of unknown aetiology. The highest number of outbreaks were due to chemical poisoning,caused mainly by lead and copper, followed by outbreaks of gastroenteritis of unknown aetiology. The type of deficiency giving rise to incidents of waterborne disease were described for private and public water supplies. In public supplies the need for hygenic storage of water in distribution and effective catchment control practices in conjunction with adequate water treatment facilities is emphasised. In private supplies the need to, at minimum, apply rudimentary disinfection to untreated source water is highlighted by the large numbers of people who have been affected by water-borne disease.