These generally fall into two broad categories: those which produce adverse health effects through infection and those which produce adverse effects in non-infective (allergic) ways.
As regards microbiological hazards in water, substantial improvements in the health of the population have resulted historically from the supply of drinking water free from disease causing organisms such as cholera. Similar improvements can be expected in the health of the inhabitants of developing countries if microbiologically safe water is provided by avoidance of contamination, and appropriate purification including disinfection (usually by chlorination). Occasional outbreaks of waterborne infection still arise from contamination of drinking water by soiled water (usually coliforms).
There can be other opportunities for further bacteriological contamination. Thus Legionella can grow in sumps or dead legs in the plumbing system and may then be dispersed as aerosols from showers.
Recreational water which is heavily contaminated with pathogens, notably coliform bacteria has been shown to be associated with an increased risk of gastrointestinal and other infectious illness, usually self-limiting.
So-called "clinical" waste is not merely an occupational hazard of health care workers but is becoming an increasingly more important risk, for example for children finding blood stained needles.
Many allergens such as grass pollen grains, or faecal material from house dust mites may cause attacks of asthma or "hay fever" (allergic rhinitis). There is evidence that high exposure to these allergens early in life, increases the risk of suffering from asthma later on. An increasing number of studies suggest that airborne chemical pollution can act synergistically with naturally occurring allergens and result in effects on lung function at concentrations lower than those at which either the allergen or the chemical irritant on its own would have produced an adverse effect.
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