BACKGROUND: Infection by Legionella bacteria is a risk to elderly individuals in health care facilities and should be managed by preventing bacterial proliferation in internal water systems. Norwegian legislation calls for a mandatory Legionella-specific risk assessment with the subsequent introduction of an adapted water management programme. The present study investigates adherence to legislation and guidelines on Legionella control and prevention in Norwegian nursing homes.
METHODS: A cross-sectional survey was distributed to Norwegian municipalities to investigate the status of Legionella specific risk assessments of internal water distribution systems and the introduction of water management programmes in nursing homes.
RESULTS: A total of 55.1% (n = 228) of the participating nursing homes had performed Legionella-specific risk assessments, of which 55.3% (n = 126) stated that they had updated the risk assessment within the last year. 96.5% introduced a water management programme following a risk assessment, whereas 59.6% of the ones without a risk assessment did the same. Nursing homes with risk assessments were more likely to monitor Legionella levels than those without (61.2% vs 38.8%), to remove dead legs (44.7% vs 16.5%), and to select biocidal preventive treatment over hot water flushing (35.5% vs 4.6%).
CONCLUSIONS: This study presents novel insight into Legionella control in Norway, suggesting that adherence to mandatory risk assessment in nursing homes is moderate-low. Once performed, the risk assessment seems to be advantageous as an introduction to future Legionella prevention in terms of the scope and contents of the water management programme.

The World Health Organization (WHO) has published criteria for determining the quality of drinking water since 1958. Since 1984, these criteria were termed \"guidelines\" to emphasize that they are not national standards, but rather guidelines for nations to develop their own national standards, which may take into account local environmental, social, economic, and cultural conditions. When calculating guideline values (GVs), the WHO reviews the toxicological literature, calculates a health-based value (HBV), and determines whether the HBV should be adopted as a GV. The WHO also considers aesthetic aspects of drinking water quality, such as taste and the staining of plumbing fixtures, and additionally supplies aesthetic values (AVs) for certain drinking water contaminants. There is no central registry for national drinking water standards, so the degree of variation of national drinking water standards is not known.
We examined standards, guidelines, and background documents for all inorganic contaminants published by the WHO from 1958-2022. We also searched for national drinking water standards for all independent countries.
We found the WHO currently has 16 GVs, six HBVs without GVs, and six AVs without HBVs or GVs for inorganic drinking water contaminants, excluding disinfection agents and their byproducts. More than half of the point of departure studies used to support these values were published in 2005 or earlier. Ninety-eight percent of the world\'s population lives in jurisdictions with drinking water standards, and 14 countries directly link their national standards to the current WHO\'s drinking water guidelines. Lack of transparency (standards available only through purchase) and typographical errors are common problems, especially for resource-limited countries.
The WHO drinking water guidelines are crucially important for drinking water safety; they are used for guidance or as official standards throughout the world. It is crucial that they be based on the best available science.

Indicators from life cycle assessment methodologies (i.e., footprints) have emerged as useful tools for identifying and communicating the environmental impacts of a system thanks to they are accessible and intuitive and easy to understand to non-expert public. However, the focus on a single environmental problem is one of their main drawbacks. From this idea arises the concept of Water-Energy-Food (WEF) nexus, with the aim of raising awareness of the connections between the universal rights to water supply, energy security and food provision. Regarding the latter, the fisheries sector stands out as a fundamental pillar in the fight against malnutrition. In this sense, the European project \"blue growth\" aims to ensure that the development of the marine sector is not linked to the degradation of its ecosystems. However, although producers and authorities are willing to communicate the sustainability of products, there is still no standard methodology for reporting it. With the purpose of remedying this current situation, this paper aims to provide technical guidance to calculate a single WEF nexus index for ecolabelling seafood products in the European framework (Atlantic area). Therefore, through this, it is expected to create a useful communication channel between producers and consumers through an easy-to-read ecolabel. Nonetheless, certain aspects, such as the footprints selected or the calculation procedures selected have to be reconsidered to refine the methodology proposed, apart from broadening the approach to other food sectors with the aim that the proposed eco-certification can be present in major supply and retail chains.

Perfluorooctanoic acid (PFOA) is a synthetic, perfluorinated organic acid previously used in fluoropolymer production in the United States. PFOA has been a recent focal point for regulation because of its ubiquitous presence in drinking water throughout the United States. In 2016, the United States Environmental Protection Agency (US EPA) issued a lifetime drinking water Health Advisory (HA) for PFOA of 0.07 μg/L; several states have also implemented their own drinking water guidelines for PFOA. The current study aimed to evaluate the basis and derivation of state and federal guidelines for PFOA in drinking water, with particular emphasis on the exposure parameters utilized. Twelve distinct PFOA drinking water standards were identified ranging from 0.0051 to 2 μg/L. The US EPA HA assumptions were evaluated using a Monte Carlo analysis that included distributions for drinking water intake (DWI) rate and the relative source contribution (RSC). We determined that US EPA\'s HA of 0.07 μg/L is protective of 99% of the population of lactating women. We also demonstrated that the health-based guidelines were highly variable across states and that the actual RSC of PFOA from drinking water is likely greater than 20%, based on studies of actual PFOA exposures from dust, water, and food. A sensitivity analysis was performed using the same equations as the US EPA, while substituting the RSC and DWI variables; resulting in HAs ranging from 0.074 to 0.346 μg/L. We also evaluated the contribution of PFOA in drinking water to the systemic PFOA body burden of the general population using an available biokinetic model. We conclude that more rigorous efforts are warranted to establish consistent health-based drinking water guidelines for PFOA, given that drinking water is a primary source of human exposure to PFOA in the United States.

In many parts of the world, drinking water storage takes place in near-house or in-house tanks. This can impact drinking water quality considerably. International and numerous national standards and guidelines addressing the construction, installation and operation of domestic drinking water storage tanks are reviewed on their consideration of water quality aspects and the minimisation of health risks associated with drinking water storage. Several national and international standards and guidelines are reviewed in terms of drinking water quality requirements. Factors that have an impact on water quality in relation to the use of domestic drinking water storage tanks are summarised comprehensively. The impact of the domestic storage of drinking water on water quality, the points and locations of use, their positioning, the materials they are made of, their design and operation, as well as aspects of how they are operated and maintained is outlined and discussed in detail. Finally, the incorporation of aspects regarding water quality in drinking water storage tanks in standards and guidelines is presented and assessed. To make the use of domestic drinking water storage tanks safer and more efficient, recommendations for modifications, improvements and extensions of respective standards are made.

Please see related article: https://doi.org/10.1186/s12916-019-1410-x.

The use of Low Impact Development (LID) alternatives requires the establishment of appropriate regulations and guidelines on acceptable practices and developing consensus among stakeholders, thus assuring the rights of all water-users and for conflict resolution. This content analysis aims to examine whether stormwater regulations and guidelines have addressed the use of LID alternatives in urban settings and compares the current state of regulations in the context of Canadian provinces and territories., A list of eight core criteria relevant to the implementation of LID has been identified and an ordinal scale ranging from 1 to 6 is proposed to track the progress towards LID-friendly regulations in each province. Furthermore, based on comparative assessment, Canadian provinces are categorized into three groups: \'highly, moderately, and slightly LID-friendly\' to project a broad view of the current state of regulations required to promote LID alternatives. . Results show that LID has become the mainstream technology for stormwater management in Alberta, British Columbia, Ontario, and Quebec, which are categorized as \'highly LID-friendly\' provinces. The provinces where LID alternatives have gained considerable acceptance are categorized as \'moderately LID-friendly\', which include Manitoba, Newfoundland and Labrador, Nova Scotia, Prince Edward Island, and Saskatchewan. Lastly, the province of New Brunswick is categorized as \'slightly LID-friendly\', because of very limited use of LID alternatives in the stormwater management regulations. These findings of this content analysis can be of significant value to strengthen provincial/territorial regulations and extend the benefits of LID in stormwater quality management and sustainable water management.

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Flushing tap water is promoted as a low cost approach to reducing water lead exposures. This study evaluated lead reduction when prevailing flush guidelines (30 s⁻2 min) are implemented in a city compliant with lead-associated water regulations (New Orleans, LA, USA). Water samples (n = 1497) collected from a convenience sample of 376 residential sites (2015⁻2017) were analyzed for lead. Samples were collected at (1) first draw (n = 375) and after incremental flushes of (2) 30⁻45 s (n = 375); (3) 2.5⁻3 min (n = 373), and (4) 5.5⁻6 min (n = 218). There was a small but significant increase in water lead after the 30 s flush (vs. first draw lead). There was no significant lead reduction until the 6 min flush (p < 0.05); but of these samples, 52% still had detectable lead (≥1 ppb). Older homes (pre-1950) and low occupancy sites had significantly higher water lead (p < 0.05). Each sample type had health-based standard exceedances in over 50% of sites sampled (max: 58 ppb). While flushing may be an effective short-term approach to remediate high lead, prevailing flush recommendations are an inconsistently effective exposure prevention measure that may inadvertently increase exposures. Public health messages should be modified to ensure appropriate application of flushing, while acknowledging its short-comings and practical limitations.

Manganese is a natural contaminant of water sources. It is an essential oligo-element, which may exert toxicity at high doses, particularly via inhalation. Its toxicity by the oral route is less known, but epidemiological and experimental studies tend to support its neurodevelopmental toxicity in infants and children. This paper describes the method used by a middle-size public health institution to derive a Drinking Water Guideline (DWG) for manganese. After reviewing the work done by major public health institutions, authors confirmed the use of experimental data to derive a point-of-departure (POD) of 25 mg of manganese/kg/day, based on neurodevelopmental effects on pup rats. Then, a total uncertainty factor of 450 was applied to calculate a Toxicological Reference Value (TRV) of 55 µg/kg/day. The final DWG proposed for manganese is 60 µg/L and is based on a relative source contribution (RSC) of water of 20% and an infant drinking scenario of 182 mL/kg of body weight (BW) of water (95th percentile of the ingestion rate distribution for 0⁻6 months). Despite its limitations, e.g., starting with the work done by other agencies, such an approach demonstrates in a transparent way the rationale and challenging choices made by regulators when deriving a DWG.