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An increase in the incidence of water-borne human diseases, such as diarrhea and emesis, has occurred due to drinking polluted water. These water-borne diseases can lead to death, if correct treatment is not provided. Assuring that drinking water quality is safe has been a crucial challenge for public health. Water contamination with pathogenic microorganisms represents a seriously increased threat to human health. Currently, different microorganisms are being used as the primary indicator to assess water quality total coliform and Escherichia coli (E. coli) being the most common. However, increasing the occurrence of water-borne illness from sources deemed safe by the microbial standard criteria has raised the question—are these microbial indicators reliable and sensitive enough to ensure water quality? Currently, other microorganisms including bacteria, enteric virus, and protozoa are being tested and used in different countries as alternative indicators to monitor water quality. It is necessary to study the diverse water quality indicator systems used throughout the world and their efficacy with the present water quality. Although water quality standards suggest adding pathogenic microorganisms such as enteric virus as an indicator, China only uses pathogenic E. coli, protozoa. Pin-pointing the shortage of the current water quality indicator system in China is crucial in order to propose changes in future water quality indicator systems.
Wen et al. (Fri,) studied this question.