BackgroundAs human populations become more and more urban, decision-makers at all levels face new challenges related to both the scale of service provision and the increasing complexity of cities and the networks that connect them. These challenges may take on unique aspects in cities with different cultures, political and institutional frameworks, and at different levels of development, but they frequently have in common an origin in the interaction of human and environmental systems and the feedback relationships that govern their dynamic evolution. Accordingly, systems approaches are becoming recognized as critical to understanding and addressing such complex problems, including those related to human health and wellbeing. Management of water resources in and for cities is one area where such approaches hold real promise.ResultsThis paper seeks to summarize links between water and health in cities and outline four main elements of systems approaches: analytic methods to deal with complexity, interdisciplinarity, transdisciplinarity, and multi-scale thinking. Using case studies from a range of urban socioeconomic and regional contexts (Maputo, Mozambique; Surat and Kolkata, India; and Vienna, Austria).ConclusionWe show how the inclusion of these elements can lead to better research design, more effective policy and better outcomes.Electronic supplementary materialThe online version of this article (doi:10.1186/s12940-016-0107-2) contains supplementary material, which is available to authorized users.

This review identifies the potentials and constraints of using (partially) treated or blended wastewater for irrigation in order to assess the potentials in the context of cities in sub-Saharan Africa, specifically Maputo, the capital of Mozambique. Less than 5% of the wastewater produced in the region is being treated. Nonetheless, untreated, partially treated, and/or blended wastewater is extensively being used for agricultural purposes. Despite the last updated WHO 2006 guidelines for 'wastewater use in agriculture', authorities only consider the different water quality parameters at the point of use. Other aspects such as irrigation type, crop management and post harvesting practices, which clearly influence the contaminant log reduction, are simply ignored. Those parameters, however, are considered alternatives to a classic contaminant log reduction, which may be very beneficial for developing countries. In a more holistic approach, trade-off is favoured between the required water quality for irrigation, use of affordable treatment technologies, and adequate post-harvest strategies to reduce the current health risks to acceptable levels. Such a trade-off makes use of multiple barrier approach, whereby wastewater treatment and critical point barriers throughout the supply chain are combined. Thus, there is a long way ahead to achieve proper water reclamation for productive use; the current paradigm has to change. Current restrictive guidelines are unrealistic given current practices, and approaches more appropriate to the location's situation still need to be developed. A multiple barrier approach in combination with master planning is recommended to consider wastewater treatment and critical point barriers throughout the supply chain.

This paper presents and discusses the significant role played by joints in the failures registered in drinking water distribution networks. The three most important failure mechanisms related are presented and a procedure to detect them through the visual measurement of the gap between pipes inside a joint is proposed. The procedure is proved to be a valuable source of information on joint condition after the assessment of a 600-m DN500 PVC pipe.

Abstract. The increasing world population and growth of industrial development lead to growing water scarcity that, combined with deficient sanitation services, represents serious challenges, particularly in regions like sub-Saharan Africa. Water reclamation is a promising approach to reduce water scarcity, serving as a driving force for better sanitation services and protecting the environment by treating sewage and redistributing for the benefit of other water-dependent applications (e.g., industries). This paper aims to give an overview of the global trends on water reclamation, with a focus on industrial use, and to derive lessons for implementation of water reclamation projects in sub-Saharan Africa. Findings show that extensive experience exists in technology and management practices that can allow successful implementation of water reclamation projects in the region. Under the conditions of deficient sanitation services and low levels of technical expertise, the main challenge is to develop a framework that can facilitate the integration of social and technological methodologies and help in introducing water reclamation in water allocation planning, including the development of specific legislation for industrial water use and disposal.