A nose for trouble--the role of off-flavours in assuring safe drinking water.

A detailed review of drinking water disease outbreaks over the past 30 years in 15 affluent countries produced over 70 case studies, some involving fatalities, which revealed a number of common factors in these disasters. Some of these outbreaks involved off-flavours, either as a driver for reducing disinfection and making the system vulnerable to pathogenic contamination or as an early warning of contamination that was not responded to with sufficient urgency or efficiency to avoid a disease outbreak. The characteristics of these outbreaks are recounted and the important link they reveal between aesthetically pleasing drinking water and safety is documented. Our analysis of common features in drinking water outbreaks also supports an argument that the failure of a water utility to be concerned about aesthetic factors makes such water supplies an inherently greater health risk for their consumers.

A fatal waterborne disease epidemic in Walkerton, Ontario: comparison with other waterborne outbreaks in the developed world.

An estimated 2,300 people became seriously ill and seven died from exposure to microbially contaminated drinking water in the town of Walkerton, Ontario, Canada in May 2000. The severity of this drinking water disaster resulted in the Government of Ontario calling a public inquiry by Mr. Justice Dennis O'Connor to address the cause of the outbreak, the role (if any) of government policies in contributing to this outbreak and, ultimately, the implications of this experience on the safety of drinking water across the Province of Ontario. The circumstances surrounding the Walkerton tragedy are an important reference source for those concerned with providing safe drinking water. Although some circumstances are obviously specific to this epidemic, others are uncomfortably reminiscent of waterborne outbreaks that have occurred elsewhere. These recurring themes suggested the need for attention to broad issues of drinking water security and they present the challenge for how drinking water safety can be managed to prevent such tragedies in the future.