It is a well-known fact that  clean water is absolutely essential for healthy living. Adequate supply of fresh  and clean drinking water is a basic need for all human beings on the earth, yet  it has been observed that millions of people worldwide are deprived of this.  
Freshwater resources all  over the world are threatened not only by over exploitation and poor management  but also by ecological degradation. The main source of freshwater pollution can  be attributed to discharge of untreated waste, dumping of industrial effluent,  and run-off from agricultural fields. Industrial growth, urbanization and the  increasing use of synthetic organic substances have serious and adverse impacts  on freshwater bodies. It is a generally accepted fact that the developed  countries suffer from problems of chemical discharge into the water sources  mainly groundwater, while developing countries face  problems of agricultural run-off in water sources. Polluted water like chemicals in drinking water causes problem to health and leads  to water-borne diseases which can be prevented by taking measures can be taken even at the household level.
 
Many areas of groundwater and surface water are now contaminated with  heavy metals, POPs (persistent organic pollutants), and nutrients that have an  adverse affect on health. Water-borne diseases and water-caused health problems  are mostly due to inadequate and incompetent management of water resources. Safe  water for all can only be assured when access, sustainability, and equity can be  guaranteed. Access can be defined as the number of people who are guaranteed  safe drinking water and sufficient quantities of it. There has to be an effort  to sustain it, and there has to be a fair and equal distribution of water to all  segments of the society. Urban areas generally have a higher coverage of safe  water than the rural areas. Even within an area there is variation: areas that  can pay for the services have access to safe water whereas areas that cannot pay  for the services have to make do with water from hand pumps and other sources.  In the urban areas water  gets contaminated in many different ways, some of the most common reasons being  leaky water pipe joints in areas where the water pipe and sewage line pass close  together. Sometimes the water gets polluted at source due to various reasons and  mainly due to inflow of sewage into the source. 
 Ground water can be  contaminated through various sources and some of these are mentioned below.  
Pesticides. Run-off  from farms, backyards, and golf courses contain pesticides such as DDT that in  turn contaminate the water. Leechate from landfill sites is another major  contaminating source. Its effects on the ecosystems and health are endocrine and  reproductive damage in wildlife. Groundwater is susceptible to contamination, as  pesticides are mobile in the soil. It is a matter of concern as these chemicals  are persistent in the soil and water. 
 Sewage. Untreated  or inadequately treated municipal sewage is a major source of groundwater and  surface water pollution in the developing countries. The organic material that  is discharged with municipal waste into the watercourses uses substantial oxygen  for biological degradation thereby upsetting the ecological balance of rivers  and lakes. Sewage also carries microbial pathogens that are the cause of the  spread of disease.
 Nutrients. Domestic  waste water, agricultural run-off, and industrial effluents contain phosphorus  and nitrogen, fertilizer run-off, manure from livestock operations, which  increase the level of nutrients in water bodies and can cause eutrophication in  the lakes and rivers and continue on to the coastal areas. The nitrates come  mainly from the fertilizer that is added to the fields. Excessive use of  fertilizers cause nitrate contamination of groundwater, with the result that  nitrate levels in drinking water is far above the safety levels recommended.  Good agricultural practices can help in reducing the amount of nitrates in the  soil and thereby lower its content in the water. 
 Synthetic organics.  Many of the 100 000 synthetic compounds in use today are found in the aquatic  environment and accumulate in the food chain. POPs or Persistent organic  pollutants, represent the most harmful element for the ecosystem and for human  health, for example, industrial chemicals and agricultural pesticides. These  chemicals can accumulate in fish and cause serious damage to human health. Where  pesticides are used on a large-scale, groundwater gets contaminated and this  leads to the chemical contamination of drinking water. 
 Acidification.  Acidification of surface water, mainly lakes and reservoirs, is one of the major  environmental impacts of transport over long distance of air pollutants such as  sulphur dioxide from power plants, other heavy industry such as steel plants,  and motor vehicles. This problem is more severe in the US and in parts of  Europe. 
 Chemicals in water can be  both naturally occurring or introduced by human interference and can have  serious health effects. 
 Fluoride.  Fluoride in the water is essential for protection against dental caries and  weakening of the bones, but higher levels can have an adverse effect on health.  In India, high fluoride content is found naturally in the waters in  Rajasthan.
 Arsenic. Arsenic  occurs naturally or is possibly aggrevated by over powering aquifers and by  phosphorus from fertilizers. High concentrations of arsenic in water can have an  adverse effect on health.A few years back, high concentrations of this element  was found in drinking water in six districts in West Bengal. A majority of  people in the area was found suffering from arsenic skin lesions. It was felt  that arsenic contamination in the groundwater was due to natural causes. The  government is trying to provide an alternative drinking water source and a  method through which the arsenic content from water can be removed. 
Lead. Pipes,  fittings, solder, and the service connections of some household plumbing systems  contain lead that contaminates the drinking water source. 
 Recreational use of  water. Untreated sewage, industrial effluents, and agricultural waste are  often discharged into the water bodies such as the lakes, coastal areas and  rivers endangering their use for recreational purposes such as swimming and  canoeing. 
 Petrochemicals.  Petrochemicals contaminate the groundwater from underground petroleum storage  tanks. 
 Other heavy metals.  These contaminants come from mining waste and tailings, landfills, or hazardous  waste dumps. 
 Chlorinated  solvents. Metal and plastic effluents, fabric cleaning, electronic and  aircraft manufacturing are often discharged and contaminate groundwater.  
 | Cause | <><><><> <>>Water-borne diseases | 
| Bacterial infections | <><><><> <>>  Typhoid Cholera Paratyphoid fever Bacillary dysentery  | 
| Viral infections | <><><><> <>>  Infectious Hepatitis  (jaundice) Poliomyelitis  | 
| Protozoal infections | <><><><> <>>Amoebic dysentery | 
Water-borne diseases are  infectious diseases spread primarily through contaminated water. Though these  diseases are spread either directly or through flies or filth, water is the  chief medium for spread of these diseases and hence they are termed as  water-borne diseases.
 Most intestinal (enteric)  diseases are infectious and are transmitted through faecal waste. Pathogens –  which include virus, bacteria, protozoa, and parasitic worms – are  disease-producing agents found in the faeces of infected persons. These diseases  are more prevalent in areas with poor sanitary conditions. These pathogens  travel through water sources and interfuses directly through persons handling  food and water. Since these diseases are highly infectious, extreme care and  hygiene should be maintained by people looking after an infected patient.  Hepatitis, cholera, dysentery, and typhoid are the more common water-borne  diseases that affect large populations in the tropical regions.
 A large number of chemicals  that either exist naturally in the land or are added due to human activity  dissolve in the water, thereby contaminating it and leading to various diseases.  
 Pesticides. The  organophosphates and the carbonates present in pesticides affect and damage the  nervous system and can cause cancer. Some of the pesticides contain carcinogens  that exceed recommended levels. They contain chlorides that cause reproductive  and endocrinal damage. 
 Lead. Lead is  hazardous to health as it accumulates in the body and affects the central  nervous system. Children and pregnant women are most at risk. 
 Fluoride. Excess  fluorides can cause yellowing of the teeth and damage to the spinal cord and  other crippling diseases.
 Nitrates. Drinking  water that gets contaminated with nitrates can prove fatal especially to infants  that drink formula milk as it restricts the amount of oxygen that reaches the  brain causing the ‘blue baby’ syndrome. It is also linked to digestive tract  cancers. It causes algae to bloom resulting in eutrophication in surface water.  
 Petrochemicals.  Benzene and other petrochemicals can cause cancer even at low exposure  levels.
 Chlorinated  solvents. These are linked to reproduction disorders and to some  cancers.
 Arsenic. Arsenic  poisoning through water can cause liver and nervous system damage, vascular  diseases and also skin cancer.
 Other heavy metals.  –Heavy metals cause damage to the nervous system and the kidney, and other  metabolic disruptions.
 Salts. It makes the  fresh water unusable for drinking and irrigation purposes. 
 Exposure to polluted water  can cause diarrhoea, skin irritation, respiratory problems, and other diseases,  depending on the pollutant that is in the water body. Stagnant water and other  untreated water provide a habitat for the mosquito and a host of other parasites  and insects that cause a large number of diseases especially in the tropical  regions. Among these, malaria is undoubtedly the most widely distributed and  causes most damage to human health. 
 Water-borne epidemics and  health hazards in the aquatic environment are mainly due to improper management  of water resources. Proper management of water resources has become the need of  the hour as this would ultimately lead to a cleaner and healthier  environment.
 In order to prevent the  spread of water-borne infectious diseases, people should take adequate  precautions. The city water supply should be properly checked and necessary  steps taken to disinfect it. Water pipes should be regularly checked for leaks  and cracks. At home, the water should be boiled, filtered, or other methods and  necessary steps taken to ensure that it is free from infection.
 Minamata: environmental contamination with methyl mercury
In Minamata, Japan,  inorganic mercury was used in the industrial production of acetaldehyde. It was  discharged into the nearby bay as waste water and was ingested by organisms in  the bottom sediments. Fish and other creatures in the sea were soon contaminated  and eventually residents of this area who consumed the fish suffered from MeHg  (methyl mercury) intoxication, later known as the Minamata disease. The disease  was first detected in 1956 but the mercury emissions continued until 1968. But  even after the emission of mercury stopped, the bottom sediment of the polluted  water contained high levels of this mercury.
 Various measures were taken  to deal with this disease. Environmental pollution control, which included  cessation of the mercury process; industrial effluent control, environmental  restoration of the bay; and restrictions on the intake of fish from the bay.  This apart research and investigative activities were promoted assiduously, and  compensation and help was offered by the Japanese Government to all those  affected by the disease.
 The Minamata disease proved  a turning point, towards progress in environment protection measures. This  experience clearly showed that health and environment considerations must be  integrated into the process of economic and industrial development from an early  stage. 
Generally speaking, modern municipal supplies are relatively free  from harmful organisms because of routine disinfection with chlorine or  chloramines and frequent sampling. This does not mean municipal water is free of  all bacteria. Those of us with private wells and small rural water systems have  reason to be more concerned about the possibility of microorganism contamination  from septic tanks, animal wastes, and other problems. There is a little  community in California, where 4,000,000 gallons of urine hits the ground daily  from dairy cows! Authorities say that at least 4000 cases of waterborne diseases  are reported every year in the U.S. They also estimate that much of the  temporary ills and everyday gastrointestinal disorders that go routinely  unreported can be attributed to organisms found in our water supplies. 
Activated carbon surface properties are both hydrophobic and  oleophilic; that is, they “hate” water but “love” oil. When flow conditions are  suitable, dissolved chemicals in water flowing over the carbon surface “stick”  to the carbon in a thin film while the water passes on.