Global Water Pollution and Health Risks
Global Water Pollution and Health Risks
INTRODUCTION
Water is a fundamental natural resource essential for human survival, economic development,
and ecological sustainability. Rivers, lakes, and streams form the primary sources of
freshwater used for drinking, domestic consumption, agriculture, and industrial activities. In
addition to meeting human needs, freshwater ecosystems support biodiversity, fisheries, and
recreational activities, thereby contributing to both livelihoods and cultural life (UNEP,
2016). However, rapid urbanisation, industrialisation, population growth, and unsustainable
resource use have led to severe degradation of water quality worldwide, making water
pollution one of the most pressing environmental challenges of the present century.
Water pollution occurs when physical, chemical, or biological substances are introduced into
water bodies in quantities that degrade water quality and render it unsafe for intended uses
(WHO, 2017). Polluted water not only affects aquatic ecosystems but also poses serious risks
to human health. Rivers that once served as sources of clean water are increasingly used as
channels for the disposal of untreated sewage, industrial effluents, agricultural runoff, and
solid waste. According to the United Nations, more than 80% of the world’s wastewater is
released into the environment without adequate treatment, contaminating freshwater sources
(UNESCO, 2020).
Freshwater bodies play a crucial role in sustaining human life and economic activities. Water
from rivers and lakes is essential for drinking, sanitation, irrigation, industrial processes, and
energy production. These water bodies also support fish populations, forming the basis of
both commercial fisheries and recreational fishing. Clean water availability is therefor
directly linked to food security, public health, and economic stability (World Bank, 2019).
Despite this importance, freshwater resources are under increasing pressure due to pollution
and over-extraction.
Water is often described as a “universal solvent” because of its ability to dissolve a wide
range of substances. While this property makes water extremely useful, it also makes it
highly vulnerable to contamination. Once pollutants enter water bodies, they can easily
spread over large areas and persist for long periods. Domestic sewage, industrial waste,
leakage from storage tanks, marine dumping, radioactive waste, and atmospheric deposition
are among the major sources of water pollution (CPCB, 2022). The discharge of heavy metals
such as lead, mercury, and cadmium into rivers and lakes leads to bioaccumulation in aquatic
organisms, posing serious risks to human and animal health through the food chain.
The health impacts of water pollution are severe and widespread. The most immediate and
serious consequences arise from inadequate sanitation and lack of access to safe drinking
water. The World Health Organization estimates that unsafe water, poor sanitation, and
inadequate hygiene are responsible for nearly 80% of infectious diseases in developing
countries (WHO, 2019). Contaminated water provides a breeding ground for disease-causing
organisms such as Vibrio cholerae, responsible for cholera, and parasites that cause diseases
such as schistosomiasis and giardiasis. Globally, approximately 3.4 million people die each
year due to water-related diseases, with children being the most vulnerable group (UNICEF,
2021).
In recent decades, water pollution has emerged as a global environmental crisis requiring
continuous monitoring and evaluation of water resource management policies. Climate
change has further intensified the problem by altering rainfall patterns, reducing river flows
during dry seasons, and increasing the concentration of pollutants in water bodies (IPCC,
2021). As a result, ensuring water security has become a major challenge for governments
across the world.
In India, water pollution is a persistent environmental and public health issue. Rapid urban
growth, inadequate sewage treatment infrastructure, industrial discharge, and agricultural
runoff have severely degraded the quality of surface and groundwater resources. Despite
legal frameworks such as the Water (Prevention and Control of Pollution) Act, 1974, and
constitutional provisions under Article 48A and Article 51A, enforcement remains weak
(CPCB, 2022). Urban rivers are particularly vulnerable, as they receive large volumes of
untreated wastewater from densely populated cities.
The Yamuna River represents one of the most critical examples of urban river pollution in
India. Although it is a major tributary of the Ganga and holds immense cultural and economic
significance, the river has become severely polluted, especially in its Delhi stretch.
Government data and newspaper reports consistently indicate that a major portion of the
pollution load in the Yamuna originates from untreated domestic sewage discharged through
numerous drains in Delhi (CPCB, 2023; The Hindu, 2022). Despite significant government
investment and multiple river-cleaning programmes, the water quality of the Yamuna
continues to remain far below prescribed standards.
Thus, water pollution, as illustrated by the case of the Yamuna River, is not merely an
environmental issue but a complex socio-economic and governance challenge. Addressing
this problem requires an integrated approach involving effective policy implementation,
public participation, technological innovation, and strong institutional accountability.
Understanding the causes, impacts, and limitations of existing interventions is essential for
ensuring sustainable management of water resources.
At the global level, water pollution is closely linked to inadequate wastewater management.
According to the United Nations Educational, Scientific and Cultural Organization
(UNESCO), nearly 80% of the world’s wastewater is discharged into the environment
without sufficient treatment, particularly in low- and middle-income countries (UNESCO,
2020). This untreated wastewater contains pathogens, nutrients, toxic chemicals, and organic
matter that degrade water quality and endanger both human and ecological health. Even in
developed countries, emerging pollutants such as pharmaceuticals, microplastics, and
industrial chemicals pose growing challenges to water management systems.
One of the most severe impacts of water pollution is its effect on human health. Unsafe
drinking water, poor sanitation, and inadequate hygiene are among the leading causes of
preventable diseases worldwide. The World Health Organization (WHO) estimates that
contaminated drinking water contributes to the transmission of diseases such as cholera,
diarrhoea, dysentery, typhoid, and polio (WHO, 2019). These water-borne diseases
disproportionately affect children, the elderly, and populations living in poverty.
Globally, approximately 3.4 million people die each year due to water-related diseases,
with children under the age of five accounting for a significant proportion of these deaths
(UNICEF, 2021). Diarrhoeal diseases alone are responsible for hundreds of thousands of
child deaths annually, largely due to the consumption of polluted water. In many parts of
Africa, Asia, and Latin America, lack of access to safe drinking water remains a major
development challenge.
Water pollution also leads to long-term health effects through exposure to chemical
contaminants. Heavy metals such as arsenic, mercury, cadmium, and lead contaminate
groundwater and surface water in many regions. Chronic exposure to these metals can cause
cancer, neurological disorders, kidney damage, and developmental problems in children
(World Bank, 2019). In countries such as Bangladesh, arsenic contamination of groundwater
has been described as one of the largest mass poisonings in history.
The United Nations Environment Programme (UNEP) reports that industrial pollution has
significantly degraded freshwater ecosystems, particularly in rapidly industrialising regions
of Asia and Africa (UNEP, 2018). In developed countries, although treatment systems are
more advanced, industrial pollution still occurs due to accidental spills, illegal dumping, and
outdated infrastructure. Persistent organic pollutants (POPs), including polychlorinated
biphenyls (PCBs) and per- and polyfluoroalkyl substances (PFAS), have been detected in
rivers and groundwater across Europe and North America.
Eutrophication leads to oxygen depletion in water, resulting in fish kills and loss of aquatic
biodiversity. One of the most well-known examples is the hypoxic “dead zone” in the Gulf
of Mexico, caused largely by nutrient runoff from the Mississippi River Basin in the United
States (EPA, 2020). Similar dead zones have been reported in coastal areas around the world,
including the Baltic Sea and parts of East Asia.
The Food and Agriculture Organization (FAO) highlights that agricultural pollution is now
the leading cause of water quality impairment globally (FAO, 2017). Unlike point-source
pollution, agricultural runoff is difficult to control because it originates from diffuse sources
across large areas of land. This makes nutrient pollution one of the most complex challenges
in global water management.
In many megacities across Asia, Africa, and Latin America, rivers flowing through urban
areas have become severely polluted. Domestic sewage contains pathogens, organic matter,
detergents, and nutrients that degrade water quality and pose serious health risks. Informal
settlements and slums are particularly vulnerable, as they often lack access to sanitation
facilities and safe drinking water.
Newspaper reports and global studies indicate that urban rivers are among the most polluted
water bodies in the world. Rivers such as the Yamuna (India), Citarum (Indonesia), and Pasig
(Philippines) are frequently cited as examples of severe urban river pollution due to untreated
sewage discharge (UNEP, 2016).
These pollutants pose unknown long-term risks to ecosystems and human health. Scientific
evidence suggests that microplastics can absorb toxic chemicals and transport them through
aquatic environments. Although research on health impacts is still evolving, the widespread
presence of microplastics highlights the growing complexity of water pollution challenges.
Climate change also increases water temperature, which can reduce dissolved oxygen levels
and exacerbate eutrophication. As a result, managing water pollution in the context of climate
change requires adaptive and integrated approaches.
➢ Global Policy Responses and Challenges :-
International efforts to address water pollution include agreements such as the Sustainable
Development Goals (SDG 6), which aims to ensure availability and sustainable management
of water and sanitation for all. Despite progress, achieving global water quality targets
remains challenging due to financial constraints, governance gaps, and lack of coordination
among institutions (UN, 2022).
While developed countries have made significant investments in wastewater treatment and
pollution control, developing countries continue to face resource and capacity limitations.
This global inequality in water management reflects broader development disparities.
Water pollution in India is the result of a complex interaction between rapid socio-economic
development, population growth, urbanisation, industrialisation, agricultural intensification,
and institutional weaknesses. Although India possesses one of the largest networks of rivers
and freshwater resources in the world, the quality of these resources has deteriorated
significantly over the past few decades. The increasing discharge of untreated wastewater
into rivers, lakes, wetlands, and groundwater has exceeded the natural assimilative capacity
of water bodies, resulting in widespread pollution (UNEP, 2018).
Water pollution in India is not caused by a single factor but by multiple interlinked sources
operating simultaneously. Domestic sewage, industrial effluents, agricultural runoff, solid
waste disposal, religious and cultural practices, mining activities, groundwater contamination,
and governance failures together contribute to the degradation of water quality. These sources
vary in intensity across regions, but their cumulative impact is severe and long-lasting.
Understanding these causes and sources is essential for designing effective pollution control
strategies and ensuring sustainable water resource management.
In Delhi, over 3,296 million litres per day (MLD) of sewage is generated, but only 1,800
MLD is treated at sewage treatment [Link] untreated portion flows directly into the
Yamuna River via majordrainsmajor
drains like Najafgarh, Barapullah, and Shahdara, resulting in
significant organic and microbial pollution (DPCC, 2022).
Domestic sewage consists of human excreta, organic matter, nutrients, detergents, oils,
pathogens, and suspended solids. When discharged untreated into water bodies, it
significantly increases Biochemical Oxygen Demand (BOD) and Chemical Oxygen
Demand (COD), leading to depletion of dissolved oxygen. This creates hypoxic conditions
that are harmful to aquatic organisms and disrupt aquatic ecosystems (WHO, 2019).
Urban rivers are the most severely affected. Rivers such as the Yamuna in Delhi, the Ganga
in Kanpur and Varanasi, the Musi in Hyderabad, and the Cooum in Chennai receive
wastewater from hundreds of drains carrying untreated domestic sewage. In many cities,
sewage treatment plants (STPs) operate below capacity due to poor maintenance, power
shortages, and technical inefficiencies. Consequently, even treated effluent often fails to meet
prescribed discharge standards (MoEFCC, 2021).
Rural areas also contribute to domestic water pollution. Inadequate sanitation facilities,
poorly designed septic tanks, and open defecation in some regions lead to faecal
contamination of surface and groundwater. Leaching of pollutants from pit latrines and septic
systems contaminates drinking water sources, particularly shallow aquifers (UNICEF, 2021).
➢ Industrial Effluents :-
Industrial effluents constitute a major source of water pollution in India. Rapid industrial
growth, especially in sectors such as textiles, tanneries, chemicals, pharmaceuticals, pulp and
paper, sugar mills, distilleries, and thermal power plants, has significantly increased industrial
wastewater generation. These effluents often contain toxic substances that are harmful to both
ecosystems and human health (World Bank, 2019).
Industrial wastewater may contain heavy metals (mercury, lead, cadmium, chromium,
arsenic), acids, alkalis, dyes, solvents, phenols, oils, and organic chemicals. Many of these
substances are non-biodegradable and persist in the environment for long periods. Heavy
metals accumulate in sediments and aquatic organisms, entering the food chain and causing
bioaccumulation and biomagnification (UNEP, 2018).
Industrial pollution has severely degraded several river stretches across India. Tannery
effluents have polluted rivers in Tamil Nadu, chemical industries have contaminated rivers in
Gujarat, and industrial clusters along rivers in Uttar Pradesh, Maharashtra, and West Bengal
have adversely affected both surface water and groundwater quality (MoEFCC, 2021).
Agricultural Runoff :-
Agriculture is a major non-point source of water pollution in India. The Green Revolution
significantly increased agricultural productivity through the use of chemical fertilisers,
pesticides, and herbicides. However, excessive and indiscriminate application of these inputs
has led to widespread contamination of water resources (FAO, 2017).
Nutrients such as nitrogen and phosphorus from fertilisers are washed off agricultural fields
into nearby rivers, lakes, and ponds during rainfall and irrigation. This nutrient enrichment
leads to eutrophication, characterised by excessive algal growth, oxygen depletion, and fish
mortality. Eutrophication degrades water quality, reduces biodiversity, and affects fisheries
and recreational uses of water bodies (UNEP, 2018).
Pesticides and insecticides used in agriculture contain toxic compounds that persist in the
environment. These chemicals contaminate surface water and groundwater, posing risks to
aquatic life and human health. Nitrate contamination of groundwater is particularly
widespread in agricultural states such as Punjab, Haryana, Rajasthan, and Uttar Pradesh. High
nitrate levels in drinking water are associated with health problems such as
methemoglobinemia in infants (WHO, 2017).
Agricultural runoff is difficult to regulate because it is diffuse and originates from large areas
rather than identifiable discharge points. This makes traditional regulatory approaches less
effective and highlights the need for sustainable agricultural practices and integrated
watershed management.
Plastic pollution has emerged as a particularly serious concern. Plastic bags, bottles,
packaging materials, and single-use plastics accumulate in rivers, lakes, and wetlands.
Plastics block drains, reduce water flow, and harm aquatic organisms through ingestion and
entanglement. Over time, plastics break down into microplastics, which contaminate water
and enter the food chain (UNEP, 2021).
Indian rivers act as major transport pathways for plastic waste, carrying it from inland areas
to the oceans. This contributes not only to freshwater pollution but also to global marine
pollution, affecting coastal ecosystems and fisheries.
Idol immersion releases heavy metals and toxic substances from paints into water, while
organic waste increases BOD levels. Large religious gatherings place additional pressure on
sanitation facilities, resulting in increased sewage discharge into rivers. Although awareness
campaigns and guidelines promoting eco-friendly practices have been introduced, their
implementation remains limited.
Funeral pyres burn at Manikarnika Ghat, one of the oldest and most sacred places for Hindus to be cremated, on
the banks of the river Ganges in Varanasi, India, in 2019
➢ Groundwater Pollution :-
Groundwater is a critical source of drinking water in India, especially in rural and semi-urban
areas. However, groundwater pollution is increasingly becoming a major concern.
Contaminants from surface activities, such as industrial waste disposal, agricultural runoff,
sewage infiltration, and landfill leachate, infiltrate aquifers and contaminate
groundwatersupplies (WHO, 2017). In addition to anthropogenic pollution, natural
contamination with arsenic and fluoride affects millions of people across several states.
Human activities such as over-extraction of groundwater exacerbate these problems by
altering hydrogeological conditions and concentrating pollutants. Once contaminated,
groundwater is extremely difficult and expensive to clean, making prevention essential.
Many sewage treatment plants operate inefficiently or fail to meet discharge standards due to
poor maintenance and energy shortages. Inadequate funding, corruption, and political
pressures further undermine pollution control efforts. Public participation and awareness
remain limited, reducing accountability and compliance.
Climate change further intensifies water pollution by altering rainfall patterns, increasing the
frequency of extreme weather events, and reducing river flows during dry seasons. Lower
water flows reduce dilution capacity, increasing pollutant concentrations in rivers and lakes
(IPCC, 2021).
Types of Water Pollution
Water pollution is one of the most serious environmental challenges faced by the modern
world. It refers to the contamination of water bodies such as rivers, lakes, groundwater, seas,
and oceans by physical, chemical, and biological substances that degrade water quality and
make it harmful for human use and aquatic life. Water pollution affects drinking water
supplies, food production, ecosystems, public health, and economic activities. Based on
the nature of pollutants, sources, and impacts, water pollution can be classified into several
major types. Understanding these types is essential for effective prevention, control, and
management of water resources.
Sources
Characteristics
The most common indicator of physical pollution is turbidity, which refers to the cloudiness
of water caused by suspended particles such as silt, clay, and organic matter. Thermal
discharges from industries and power plants also cause physical pollution by increasing water
temperature.
Impacts
Sources
Chemical pollution originates from industrial effluents, agricultural runoff, oil spills,
household detergents, mining activities, and improper disposal of chemical waste. Industries
such as textiles, tanneries, chemicals, pharmaceuticals, and paper mills are major
contributors.
Impacts
Chemical pollutants are toxic to aquatic organisms and often accumulate in sediments and
living tissues. Through bioaccumulation and biomagnification, these toxins move up the
food chain, affecting fish, animals, and humans. Long-term exposure can lead to cancer,
neurological disorders, kidney damage, and reproductive problems (WHO, 2017). In India,
rivers near industrial belts often show high levels of heavy metal contamination.
Sources
The primary sources include untreated domestic sewage, open defecation, animal waste,
hospital effluents, and leaking septic tanks.
Types of Pathogens
Impacts
Biological pollution makes water unsafe for drinking and domestic use. It causes waterborne
diseases such as cholera, typhoid, dysentery, hepatitis, and diarrhoea. According to the World
Health Organization, unsafe water and poor sanitation are responsible for millions of
preventable deaths annually, especially among children in developing countries (WHO,
2019).
Sources
• Agricultural fertilisers
• Domestic sewage
• Livestock waste
• Food processing industries
Process: Eutrophication
Excess nutrients stimulate rapid growth of algae and aquatic plants. When these organisms
die and decompose, oxygen levels drop sharply, creating hypoxic or anoxic conditions.
Impacts
Eutrophication leads to fish kills, loss of biodiversity, unpleasant odours, and degradation of
water quality. Lakes and slow-flowing rivers are particularly vulnerable. Nutrient pollution
also increases water treatment costs and reduces recreational value (UNEP, 2018).
Sources
Higher water temperatures reduce dissolved oxygen levels and increase metabolic rates of
aquatic organisms. Sudden temperature changes can cause thermal shock, leading to fish
mortality. Thermal pollution also alters species composition by favouring heat-tolerant
species over sensitive ones (World Bank, 2019).
Sources
Impacts
Radioactive substances cause genetic mutations, cancer, and long-term ecological damage.
Though rare, radioactive water pollution has severe and long-lasting consequences due to the
persistence of radioactive isotopes (UNEP, 2018).
Sources
• Oil spills
• Offshore drilling
• Shipping accidents
• Urban runoff
Impacts
Oil forms a layer on water that blocks oxygen exchange, smothers aquatic organisms, and
damages habitats. It affects fish, birds, and coastal ecosystems and has long-term
environmental and economic impacts (UNEP, 2021).
8. Groundwater Pollution
Groundwater pollution occurs when contaminants seep into underground aquifers.
Sources
• Agricultural chemicals
• Industrial waste disposal
• Landfills
• Septic tank leakage
Common Contaminants
• Arsenic
• Fluoride
• Nitrates
• Heavy metals
Impacts
Contaminated groundwater poses serious health risks, including fluorosis, arsenicosis, and
nitrate poisoning. Since groundwater moves slowly and is difficult to clean, pollution often
persists for decades (WHO, 2017).
Sources
• Single-use plastics
• Improper waste management
• Urban stormwater runoff
Impacts
Pollution originating from identifiable sources such as factory discharge pipes, sewage
outlets, and treatment plants.
Diffuse pollution from large areas, including agricultural runoff, urban stormwater, and
rainfall washing pollutants into water bodies.
Non-point source pollution is particularly challenging to control due to its widespread and
scattered nature.
Case Study: Yamuna River, Delhi
The Yamuna River :- Location and tributaries
River Yamuna is the largest tributary of the Ganga River in North India. Its
total length is around 1370 kilometers. Yamuna originates from the
Yamunotri Glacier of Uttar Kashi in Uttar Pradesh. River Tons and Giri are
the important tributaries of Yamuna and principle source of water in
mountainous ranges. Yamuna flows through the states of Delhi, Haryana
and Uttar Pradesh, before merging with the Ganges at Allahabad. World
famous cities like Delhi, Mathura and Agra lie on its banks.
The Yamuna River is one of the primary rivers of India with social, economic,
religious and cultural [Link] to Hindu traditions, it is worshiped
as a sacred river and a number of pilgrimage centres like the Yamunotri,
Poanta-Sahab, Mathura, and Allahabad are situated along its banks
(Upadhyay et al, 2010). Yamunotri glacier in the lower Himalayas (38° 59° 78°
27 ° E) at 6320 meters above sea level in the Uttarakhand state of India is the
source of the Yamuna River (Khaiwal [Link]. 1999).
Owing to its diverse hydrological, geological and ecological character, the Yamuna
River-has been classified into five distinct segments (CPCB 2009). These segments are
tabulated below in Table 2 and the same is being diagrammatically depicted in figure 1.
Some well-designated uses of the water of the Yamuna River are as follows: