Page 13: Canadian Guidelines for Domestic Reclaimed Water for Use in Toilet and Urinal Flushing


Alberta Environment (2000) Guidelines for municipal wastewater irrigation. Municipal Program Development, Environmental Sciences Division, Environmental Service, April (Publication No. T/528; ISBN 0-7785-1150-2). Available at:

Anderson, J., Adin, A., Crook, J., Hultquist, R., Jimenez-Cisneros, B., Kennedy, W., Sheikh, B. and van der Merwe, B. (2001) Climbing the ladder: a step by step approach to international guidelines for water recycling. Water Sci. Technol., 43(10): 1-8.

Asano, T. (ed.) (1998) Wastewater reclamation and reuse. Technomic Publishing Co. Inc., Lancaster, PA. 1528 pp. (Water Quality Management Library Vol. 10).

Asano, T. and Cotruvo, J.A. (2004) Groundwater recharge with reclaimed municipal wastewater: health and regulatory considerations. Water Res., 38: 1941-1951.

AWWA (1991) Guidance manual for compliance with the filtration and disinfection requirements for public works systems using surface water sources. American Water Works Association, Denver, CO.

Bahri, A. and Brissaud, F. (2003) Setting up microbiological water reuse guidelines for the Mediterranean. Mediterranean Network on Wastewater Reclamation and Reuse. Available at:

Bauman, L.C. and Stenstrom, M.K. (1990) Removal of organohalogen and organohalogen precursors in reclaimed wastewater. I. Water Res., 24: 949-955.

Bellar, T.A., Lichtenberg, J.J. and Kroner, R.C. (1974) The occurrence of organohalides in chlorinated drinking water. J. Am. Water Works Assoc., 66(12): 703-706.

Birks, R., Colbourne, J., Hills, S. and Hobson, R. (2004) Microbiological water quality in a large in-building water recycling facility. Water Sci. Technol., 50(2): 165-172.

Blumenthal, U.J., Strauss, M., Mara, D.D. and Cairncross, S. (1989) Generalised model of the effect of different control measures in reducing health risks from waste reuse. Water Sci. Technol., 21: 567-577.

Blumenthal, U.J., Mara, D.D., Peasey, A., Ruiz-Palacios, G. and Stott, R. (2000) Guidelines for the microbiological quality of treated wastewater used in agriculture: recommendations for revising WHO guidelines. Bull. World Health Organ., 78(9): 1104-1116.

Brandes, O. and Ferguson, K. (2004) The future in every drop: The benefits, barriers, and practice of urban water demand management in Canada. POLIS Project on Ecological Governance, University of Victoria, Victoria, B.C. 65 pp.

Cassin, M.H., Lammerding, A.L., Todd, E.C.D., Ross, W. and McColl, R.S. (1998) Quantitative risk assessment for Escherichia coli O157:H7 in ground beef hamburgers. Int. J. Food Microbiol., 41: 21-44.

Chang, A.C., Pan, G., Page, A.L. and Asano, T. (2002) Developing human health-related chemical guidelines for reclaimed wastewater and sewage sludge applications in agriculture. World Health Organization, Geneva, Switzerland.

Chappell, C.L., Okhuysen, P.C., Sterling, C.R. and Dupont, H.L. (1996) Cryptosporidium parvum: intensity of infection and oocyst excretion patterns in healthy volunteers. J. Infect. Dis., 173(1): 232-236.

Charles, K. (2004) Risk assessment: a catchment management tool to promote the safe location of domestic sewage treatment systems. Presented at River Symposium, August 31-September 3, 2004, Brisbane, Australia. Available at:

Chauret, C., Springthorpe, S. and Sattar, S. (1999) Fate of Cryptosporidium oocysts, Giardia cysts, and microbial indicators during wastewater treatment and anaerobic sludge digestion. Can. J. Microbiol., 45: 257-262.

Chu, W.H., Wang, J.Y. and Kao, C.M. (2003) A simplified risk-based approach for process screening in municipal wastewater reclamation and reuse. Water Sci. Technol., 47(1): 257-262.

Cloete, T.E., Rose, J., Nel, L.H. and Ford, T. (eds.) (2004) Microbial waterborne pathogens. IWA Publishing, London, U.K. 231 pp.

CMHC (1997) Regulatory barriers to on-site water reuse: research report. Prepared by Canadian Water and Wastewater Association for Canada Mortgage and Housing Corporation. 17 pp.

Cooper, W.J., Villate, J.T., Ott, E.M., Slifker, R. and Parsons, F.Z. (1983) Formation of organohalogen compounds in chlorinated secondary wastewater effluent. In: Water chlorination: Environmental impact and health effects. Vol. 4. R.L. Jolley, W.A. Brungs, J.A. Cotruvo, R.B. Cumming, J.S. Mattice and V.A. Jacobs (eds.). Ann Arbor Science, Ann Arbor, MI. pp. 483-497.

CRCWQT (2003) Review of endocrine disruptors in the context of Australian drinking water. Cooperative Research Centre for Water Quality and Treatment, Adelaide, Australia. 40 pp. (Occasional Paper 7).

Crook, J. (1998) Findings of NRC report on the viability of augmenting drinking water supplies with reclaimed water. In: Water Reuse '98 Conference Proceedings. American Water Works Association, Denver, CO. pp. 291-305.

CSA (2006) CSA Standard B128.1-06/B128.2-06: Design and installation of non-potable water systems/Maintenance and field testing of non-potable water systems. Canadian Standards Association, Mississauga, Ontario, May. 28 pp.

Damstra, T., Barlow, S., Bergman, A., Kavlock, R. and Van Der Kraak, G. (eds.) (2002) Global assessment of the state of the science of endocrine disruptors. International Programme on Chemical Safety, World Health Organization, Geneva, Switzerland.

Devaux, I., Gerbaud, L., Planchon, C., Bontoux, J. and Glanddier, P.Y. (2001) Infectious risk associated with wastewater reuse: an epidemiological approach applied to the case of Clermont-Ferrand, France. Water Sci. Technol., 43(12): 53-60.

Diaper, C. (2004) Innovation in on-site domestic water management systems in Australia: a review of rainwater, greywater, stormwater and wastewater utilisation techniques. Australian Water Conservation and Reuse Research Program, Commonwealth Scientific and Industrial Research Organization (CSIRO MIT Technical Report 2004-073).

Diaper, C., Toifl, M. and Storey, M. (2008) Greywater technology testing protocol. Water for a Healthy Country National Research Flagship, Commonwealth Scientific and Industrial Research Organization. Available at:

Dufour, A., Snozzi, M., Köster, W., Bartram, J., Ronchi, E. and Fewtrell, R. (eds.) (2003) Assessing microbial safety of drinking water. Improving approaches and methods. IWA Publishing, London, U.K., for the Organisation for Economic Co-operation and Development and World Health Organization (WHO Drinking-water Quality Series).

Environment Canada (2006) Atlantic Canada wastewater guidelines manual for collection, treatment, and disposal. Prepared by ABL Environmental Consultants Ltd. Available at:

Eriksson, E., Auffarth, K., Henze, M. and Ledin, A. (2002) Characteristics of grey wastewater. Urban Water, 4: 85-104.

FAO/WHO (2003) Hazard characterization for pathogens in food and water-Guidelines. Food and Agriculture Organization of the United Nations, Rome, Italy, and World Health Organization, Geneva, Switzerland (Microbiological Risk Assessment Series No. 3).

FBR (2005) Greywater recycling planning fundamentals and operational information. 1st edition. Fachvereinigung Betriebs- und Regenwassernutzung e.V., Darmstadt, Germany (Information Sheet H 201).

FPTCDW/CCME (2004) From source to tap: The multi-barrier approach to safe drinking water. Federal-Provincial-Territorial Committee on Drinking Water and Canadian Council of Ministers of the Environment, Health Canada, Ottawa, Ontario. Available at:

Fujita, Y., Ding, W.-H. and Reinhard, M. (1996) Identification of wastewater dissolved organic carbon characteristics in reclaimed wastewater and recharged groundwater. Water Environ. Res., 68(5): 867-876.

Gale, P. (2001) A review: Developments in microbiological risk assessment for drinking water. J. Appl. Microbiol., 91: 191-205.

Garcia, A., Yanko, G. and Widmer, G. (2002) Giardia cysts in tertiary-treated wastewater effluents: are they infective? Water Environ. Res., 74: 541-544.

Gardner, E.A. (2003) Some examples of water recycling in Australian urban environments: a step towards environmental sustainability. Water Sci. Technol. Water Supply, 3(4): 21-31.

Gennaccaro, A., McLaughlin, M.R., Quintero-Betancourt, W., Huffman, D. and Rose, J.B. (2003) Infectious Cryptosporidium parvum oocysts in final reclaimed effluent. Appl. Environ. Microbiol., 69(8): 4983-4984.

Gerba, C.P. and Rose, J.B. (2003) International guidelines for water recycling: microbiological considerations. Water Sci. Technol. Water Supply 3(4): 311-316.

Gerba, C.P., Wallis, C. and Melnick, J.L. (1975) Microbiological hazards of household toilets: droplet production and fate of residual organisms. Appl. Microbiol., 30(2): 229-237.

Gerba, C.P., Gramos, D.M. and Nwachuku, N. (2002) Comparative inactivation of enteroviruses and adenovirus 2 by UV light. Appl. Environ. Microbiol., 68(10): 5167-5169.

Government of Alberta (1993) Alberta Regulation 119/93. Environmental Protection and Enhancement Act, Wastewater and Storm Drainage Regulation. Queen's Printer. Available at:

Government of British Columbia (1999) B.C. Regulation 129/99, deposited April 23, 1999, effective July 15, 1999, O.C. 507/99. Environmental Management Act, Municipal Sewage Regulation (includes amendments up to B.C. Regulation 321/2004).

Haas, C.N. (2000) Epidemiology, microbiology, and risk assessment of waterborne pathogens including Cryptosporidium. J. Food Prot., 63(6): 827-831.

Haas, C.N., Rose, J.B. and Gerba, C.P. (1999) Quantitative microbial risk assessment. John Wiley and Sons Inc., New York, NY. 449 pp.

Havelaar, A. and Melse, J.M. (2003) Quantifying public health risk in the WHO Guidelines for Drinking-water Quality: a burden of disease approach. Rijkinstituut voor Volskgezondheid en Milieu, Bilthoven, Netherlands (RIVM Report 734301022).

Health Canada (2004a) Guidelines for Canadian drinking water quality: Supporting documentation-Enteric viruses. Water Quality and Health Bureau, Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ontario. Available at:

Health Canada (2004b) Guidelines for Canadian drinking water quality: Supporting documentation-Protozoa: Giardia and Cryptosporidium. Water Quality and Health Bureau, Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ontario. Available at:

Health Canada (2006) Guidelines for Canadian drinking water quality: Guideline technical document-Trihalomethanes. Water Quality and Health Bureau, Healthy Environments and Consumer Safety Branch, Health Canada, Ottawa, Ontario. Available at:

Ho, G., Dallas, S., Anda, M. and Mathew, K. (2001) On-site wastewater technologies in Australia. Water Sci. Technol., 44(6): 81-88.

Hovi, T., Stenvik, M. and Rosenlew, M. (1996) Relative abundance of enterovirus serotypes in sewage differs from that in patients: clinical and epidemiological implications. Epidemiol. Infect., 116: 91-97.

Howard, G., Pedley, S. and Tibatemwa, S. (2006) Quantitative microbial risk assessment to estimate health risks attributable to water supply: Can the technique be applied in developing countries with limited data? J. Water Health, 4(1): 49-65.

Hunter, P.R. (2003) Drinking water and diarrhoeal disease due to Escherichia coli. J. Water Health, 1(2): 65-71.

IOM (2002) Escherichia coli O157:H7 in ground beef: review of a draft risk assessment. Institute of Medicine, National Academies of Science, Washington, DC.

Koivunen, J., Siitonen, A. and Heinonen-Tanski, H. (2003) Elimination of enteric bacteria in biological/chemical wastewater treatment and tertiary filtration units. Water Res., 37(3): 690-698.

Kolpin, D.W., Furlong, E.T., Meyer, M.T., Thurman, E.M., Zaugg, S.D., Barber, L.B. and Buxton, H.B. (2002) Pharmaceuticals, hormones, and other organic wastewater contaminants in U.S. streams, 1999-2000: a national reconnaissance. Environ. Sci. Technol., 36(6): 1202-1211.

Krewski, D., Balbus, J., Butler-Jones, D., Haas, C.N., Isaac-Renton, J., Roberts, K.J. and Sinclair, M. (2004) Managing the microbiological risks of drinking water. J. Toxicol. Environ. Health A, 67: 1591-1617. Krikelis, V., Spyrou, N., Makoulatos, P. and Serie, C. (1984) Seasonal distribution of enteroviruses and adenoviruses in domestic sewage. Can. J. Microbiol., 31: 24-25.

Law, I.B. (1996) Rouse Hill-Australia's first full scale domestic non-potable reuse application. Water Sci. Technol., 33(10-11): 71-78.

Lazarova, V., Hills, S. and Birks, R. (2003) Using recycled water for non-potable, urban uses: a review with particular reference to toilet flushing. Water Sci. Technol. Water Supply, 3(4): 69-77.

Lopman, B.A., Reacher, M.H., van Duijnhoven, Y., Hanon, F.-X., Brown, D. and Koopmans, M. (2003) Viral gastroenteritis outbreaks in Europe, 1995-2000. Emerg. Infect. Dis. (serial online) 9(1): 90-96. Available at:

Loret, J.-F., Robert, S., Castel, N., Charles, P., Deveuguele, S. and Dumoutier, N. (2005) Application of quantitative microbiological risk assessment to drinking water production and distribution. The European Project "Microrisk." In: Water Quality and Technology Conference Proceedings, November 6-10, 2005, Quebec City, Quebec. American Water Works Association, Denver, CO.

Marsalek, J., Schaefer, K., Exall, K., Brannen, L. and Aidun, B. (2002) Water reuse and recycling. Canadian Council of Ministers of the Environment, Winnipeg, Manitoba. 39 pp. (CCME Linking Water Science to Policy Workshop Series Report No. 3).

Maunula, L., Miettinen, I. and von Bonsdorff, C.-H. (2005) Norovirus outbreaks from drinking water. Emerg. Infect. Dis. (serial online) 11(11): 1715-1721. Available at:

Messner, M.J., Chappell, C.L. and Okhuysen, P.C. (2001) Risk assessment for Cryptosporidium: a hierarchical Bayesian analysis of human dose response data. Water Res., 35:3934-3940.

Mons, M.N., van der Wielen, J.M.L., Sinclair, M.I., Hulshof, K.F.A.M., Dangendorf, F., Hunter, P.R. and Medema, G.J. (2005) Estimation of the consumption of cold tap water for microbiological risk assessment: an overview of studies and statistical analysis of data. Kiwa NV, Water Research, Nieuwegein, Netherlands (BTO 2005-032).

Murray, C.J.L. and Lopez, A.D. (eds.) (1996) The global burden of disease: a comprehensive assessment of mortality and disability from disease, injury and risk factors in 1990 and projected to 2020. World Health Organization/Harvard University Press (Global Burden of Disease and Injury Series, Vol. 1).

NHMRC/NRMMC (2004) Australian drinking water guidelines. National Health and Medical Research Council and Natural Resource Management Ministerial Council, Australian Government.

Ni, C.H., Chen, J.N., Tsai, Y.C., Chen, T.K., Chen, W.B. and Chen, C.H. (2003) Recycling and reuse of wastewater from a new-developed community using sand filtration, ultrafiltration, and ozonation. J. Environ. Sci. Health A Toxicol. Hazard. Subst. Environ. Eng., 38(10): 2339-2348.

NOWRA (2004) NOWRA Model Performance Code Committee-Code language draft 8 with appendices. National Onsite Wastewater Recycling Association, Inc., Santa Cruz, CA. Available at:

NRMMC-EPHC (2006) Australian guidelines for water recycling: Managing health and environmental risks (Phase 1). Natural Resource Management Ministerial Council, Environment Protection and Heritage Council, Australian Health Ministers Conference, Adelaide, Australia. Available at:

NSW (2005) Domestic greywater treatment systems accreditation guidelines. NSW Health Department, New South Wales Government, Sydney, Australia. Available at:

NSW (2008) Interim NSW guidelines for management of private recycled water schemes. Department of Water and Energy, New South Wales Government, Sydney, Australia.

Nwachuku, N., Gerba, C.P., Oswald, A. and Mashadi, F.D. (2005) Comparative inactivation of adenovirus serotypes by UV light disinfection. Appl. Environ. Microbiol., 71(9): 5633-5636.

O'Connor, D.R. (2002) The report of the Walkerton inquiry, Part One: The events of May 2000 and related issues. Ontario Ministry of the Attorney General.

Olivieri, A.W., Eisenberg, D.M., Soller, J.A., Suffet, I.H., Froines, J., Cooper, R.C. and Gagliardo, P.F. (1998) Comparative chemical risk assessment of repurified water from an advanced water treatment facility and a raw drinking water supply. In: Water Reuse '98 Conference Proceedings. American Water Works Association, Denver, CO. pp. 135-147.

Ottosson, J. (2002) Faecal contamination of greywater-assessing the treatment required for hygienically safe reuse or discharge. Paper presented at the 2nd International Symposium on Ecological Sanitation, April 7-11, Lübeck, Germany. Available at:

Ottosson, J. and Stenstrom, T.A. (2003) Faecal contamination of greywater and associated microbial risks. Water Res., 37: 645-655.

Payment, P., Plante, R. and Cejka, P. (2001) Removal of indicator bacteria, human enteric viruses, Giardia cysts, and Cryptosporidium oocysts at a large wastewater primary treatment facility. Can. J. Microbiol., 47: 188-193.

PHAC (2005) Notifiable diseases on-line. Public Health Agency of Canada. Available at:

Radcliffe, J.C. (2004) Water recycling in Australia-May 2004. Australian Academy of Technological Sciences and Engineering, Parkville, Victoria, Australia. Available at:

Rebhun, M., Heller-Grossman, L. and Manka, J. (1997) Formation of disinfection byproducts during chlorination of secondary effluent and renovated water. Water Environ., 69: 1154-1162.

Rook, J.J. (1974) Formation of haloforms during chlorination of natural waters. Proc. Soc. Water Treatment Exam., 23: 234-243.

Rose, J.B., Haas, C.N. and Regli, S. (1991) Risk assessment and control of waterborne giardiasis. Am. J. Public Health, 81(6): 709-713.

Rose, J.B., Dickson, L.J., Farrah, S.R. and Carnahan, R.P. (1996) Removal of pathogenic and indicator microorganisms by a full-scale water reclamation facility. Water Res., 30(11): 2785-2797.

Rose, J.B., Farrah, S., Harwood, V.J., Levine, A.D., Lukasik, J., Menendez, J. and Scott, T.M. (2004) Reduction of pathogens, indicator bacteria and alternative indicators by wastewater treatment and reclamation processes. Water Environment Research Foundation/International Water Association (Final Report 00-PUM-2T).

Schaub, S.A. and Oshiro, R.K. (2000) Public health concerns about caliciviruses as waterborne contaminants. J. Infect. Dis., 181(Suppl. 2): S374-S380.

Scott, T.T., McLaughlin, M.R., Harwood, V.J., Chicukula, V., Levine, A., Gennaccaro, A., Lucasik, J., Farrah, S.R. and Rose, J.B. (2003) Reduction of pathogens, indicator bacteria and alternative indicators by wastewater treatment and reclamation processes. Water Sci. Technol. Water Supply, 3(4): 247-252.

Snyder, S.A., Wert, E.C., Lei, H., Westernhoff, P. and Yoon, Y. (2007) Removal of EDCs and pharmaceuticals in drinking and reuse treatment processes. Awwa Research Foundation, Denver, CO.

Storey, M.V. and Ashbolt, N.J. (2003) A risk model for enteric virus accumulation and release from recycled water distribution pipe biofilms. Water Supply, 3(3): 93-100.

Strachan, N.J.C., Doyle, M.P., Kasuga, F., Rotariu, O. and Ogden, I.D. (2005) Dose response modelling of Escherichia coli O157 incorporating data from foodborne and environmental outbreaks. Int. J. Food Microbiol., 103: 35-47.

Teunis, P., Chappell, C.P. and Okhuysen, P.C. (2002) Cryptosporidium dose studies: variation between isolates. Risk Anal., 22(1): 175-183.

Teunis, P., Takumi, K. and Shinagawa, K. (2004) Dose-response for infection by Escherichia coli O157:H7 from outbreak data. Risk Anal., 24(2): 401-407.

Toze, S. (2004) Literature review on the fate of viruses and other pathogens and health risks in non-potable reuse of stormwater and reclaimed water. Australian Water Conservation and Reuse Research Program, Commonwealth Scientific and Industrial Research Organisation.

Trevett, A.F., Carter, R.C. and Tyrrel, S.F. (2005) The importance of domestic water quality management in the context of faecal-oral disease transmission. J. Water Health, 3: 259-270.

U.S. EPA (1999) Alternative disinfectants and oxidants guidance manual. Office of Water, U.S. Environmental Protection Agency, Washington, DC (EPA 815-R-99-014).

U.S. EPA (2004) Guidelines for water reuse. U.S. Environmental Protection Agency, Washington, DC. Available at:

U.S. EPA (2005) Handbook for managing onsite and clustered (decentralized) wastewater treatment systems. Office of Water, U.S. Environmental Protection Agency, December (EPA No. 832-B-05-001). Available at:

U.S. EPA (2006a) National primary drinking water regulations: Long term 2 enhanced surface water treatment; final rule. Fed. Regist., 71(3): 707.

U.S. EPA (2006b) Ultraviolet disinfection guidance manual for the final Long Term 2 Enhanced Surface Water Treatment Rule. Office of Water, U.S. Environmental Protection Agency, Washington, DC (EPA 815-R-06-007). Available at:

WC/DHWA/DEWA (2005) Code of practice for the reuse of greywater in Western Australia-January 2005. Water Corporation, Department of Health of Western Australia, Department of Environment of Western Australia. 52 pp.

Wells, M.J.M., Keith, L.H., Jones-Lepp, T. and Daughton, C. (2004) Environmental aspects of pharmaceuticals and personal care products. Symposia papers, American Chemical Society, August 22-26, 2004, Philadelphia, PA.

Westrell, T., Bergstedt, O., Stenstrom, T.A. and Ashbolt, N.J. (2003) A theoretical approach to assess microbial risks due to failures in drinking water systems. Int. J. Environ. Health Res., 13(2): 181-197.

Westrell, T., Schonning, C., Stenstrom, T.A. and Ashbolt, N.J. (2004a) QMRA (quantitative microbial risk assessment) and HACCP (hazard analysis and critical control points) for management of pathogens in wastewater and sewage sludge treatment and reuse. Water Sci. Technol., 50(2): 23-30.

Westrell, T., Andersson, Y. and Stenström, T.A. (2004b) Drinking water consumption patterns in Sweden. Swedish Institute for Infectious Disease Control.

WHO (2004) Guidelines for drinking-water quality. 3rd edition, incorporating 1st addendum. World Health Organization, Geneva, Switzerland.

Wyman, J.B., Heaton, K.W., Manning, A.P. and Wicks, A.C.B. (1978) Variability of colonic function in health subjects. Gut, 19: 146-150.

Yates, M. and Gerba, C. (1998) Microbial considerations in wastewater reclamation and reuse. In: Wastewater reclamation and reuse. T. Asano (ed.). Technomic Publishing Co., Lancaster, PA. pp. 437-487 (Water Quality Management Library Vol. 10).

Ying, G., Kookanai, R. and Waite, T.D. (2003) Endocrine disrupting chemicals and pharmaceutical and personal care products in reclaimed water in Australia. Australian Water Conservation and Reuse Research Program. 35 pp.

York, D.W. and Walker-Coleman, L. (2000) Pathogen standards for reclaimed water. Water Environ. Technol., 12(1): 58-61.

York, D.W., Walker-Coleman, L., Williams, L. and Menendez, P. (2003) Monitoring for protozoan pathogens in reclaimed water: Florida's requirements and experience. Report for "Use it again Florida!" Available at:

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