created with  Netscape Communicator 4.01 by Jacky Foo
 
   
Inst.of Advanced  
Studies, UN University
Health and peri-urban natural resource production 
M H Birley and K Lock, International Health Impact Assessment Group, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA. E-mail: Mhb@liv.ac.uk.

Internet Conference on Integrated Bio-Systems (April-Dec 1998)
 
 
Paper Discussion
 
 
Pictures by Dr. Martin Birley. Copyright Tropix Photographic Library.
 
click here for larger picture 
1. Urban houses are frequently provided 
with water supplies before wastewater 
disposal systems. Here, in India, the 
wastewater has been allowed to form 
a pool in the street. The foul water 
provides a breeding site for mosquito 
vectors of elephantiasis (filariasis). 
This parasite puts about 1000 million 
people at risk and the major reason is
poor urban and peri-urban
wastewater disposal.
click here for larger picture 
2. Biomass fuels: exposure to smoky 
fuels in unventilated kitchens is a 
major cause of respiratory disease.
click here for larger picture 
3. Children bathing in sewage, Dhaka,
Bangladesh. In the sprawling peri-urban
slums there are few choices.
 

 
click here for larger picture
4. Drinking water is scarce in 
many poor urban and peri-
urban communities. People 
queue all day to get access 
to water from standpipes 
that only operate for 2-3 
hours during the middle 
of the night. This example 
is from Smokey Mountain 
Manila.
 click here for larger picture
5. Peri-urban production 
systems can have unexpected 
impacts. This child lives on a 
new market garden project in 
West Africa and is exposed 
to schistosomiasis, or 
bilharzia. The disease is 
caused by an aquatic 
parasite that burrows 
through the skin.
click here for larger picture 
6. In many communities people 
try to harvest rainwater. The 
tanks provide excellent breeding 
sites for mosquito vectors of 
dengue. This is a serious 
epidemic disease that is 
becoming more 
common each year. 
 
 
 
 
8. This wastewater stabilization pond system provides 
a low running, low maintenance cost solution for safe 
wastewater re-use in agriculture. It is inherently better 
than an activated sludge treatment plant providing that it 
is not overloaded. It requires a lot of land. Land is often 
expensive on the edges of cities.
   
9. Localised irrigation using drip 
systems can deliver treated 
wastewater more safely to 
food crops. Occupational risks 
to farm labourers are reduced but
contamination of plant surfaces 
can still occur. We need better 
methods of post harvest 
decontamination.