Around 30–40 years ago, principles and methods were developed to conceptualise, assess and manage risk. These principles and methods are still, to a large extent, the foundation of the field. Over the past decade, many tools have been developed for risk analysis of water systems. Many advances have been made, both in the theoretical platform and in practical models and procedures. Various risk analysis approaches have been used to identify potential hazards, calculate the probability of accidents and assess the severity of consequences. The objective of this paper is to review these developments, focusing on the fundamental ideas and thinking behind them, considering their application at strategic, programmatic and operational levels of decision-making, in order to improve the understanding of stakeholders (researchers, regulators, etc.). To achieve this objective, scientific papers on risk analysis associated with water treatment systems were identified and reviewed, with particular focus on risk assessment methods (qualitative, semi-qualitative or quantitative, deterministic or probabilistic, etc.), tools (ETA, FTA, FMEA/FMECA, QMRA, HRA, Markov, etc.), applicability of these tools and results of case studies. A total of 141 references were selected on the basis of title sorting from databases as ScienceDirect, PubMed, Scopus, ISI Web of Science or SpringerLink, and a total of 68 articles were selected for full-text analysis. Main conclusions of this review and analysis efforts are as follows: (1) the scientific foundation of risk assessment and risk management is still an open issue; (2) principles, theories and base methods applicable to water supply systems are in continuous development, existing tools are suitable, and a growing number of applications are available and of great interest; and (3) risk analysis methodologies are in their journey to gain the necessary broad technical, community and political acceptance in the water treatment sector, and some gaps and opportunities have been included in the discussion.

Water-related diseases, particularly waterborne diseases, remain significant sources of morbidity and mortality worldwide but especially in developing countries. Emerging waterborne pathogens represent a major health risk. Cryptosporidium is one such pathogen which is globally recognized as a major cause of diarrhea in children and adults. The objective of this paper is not only to review published studies on the impact of these emerging waterborne pathogens but also to identify the various risk factors that favor their transmission. A number of envisaged and needed actions to tackle the challenge of these pathogens in Africa have also been discussed. We have searched the web of ScienceDirect, PubMed, Scopus. ISI Web of Science, SpringerLink, and Google Scholar. The first database search yielded 3099 articles. As a result, 141 studies were submitted for abstract review. A total of 68 articles were selected for full text analysis. After evaluating a considerable number of articles on this topic, the following results were obtained. A number of pathogens are likely to present public health risks, including Cryptosporidium. The contaminating potential of these pathogens is associated with a multitude of factors, such as the effects of climate change, social and behavioral aspects of local populations, water issues, geographical locations that may cause isolation, and inequalities due to lack of transparency of governments in the distribution of financial resources. We stress the need to maintain and strengthen real-time surveillance and rapid epidemiological responses to outbreaks and the emergence of new waterborne pathogens in all countries. African governments, for their part, should be aware of future risks of waterborne protozoan diseases. They must provide immediate and effective responses by establishing technical and financial mechanisms to ensure sufficient quantities of safe drinking water, sewage disposal, and hygiene for all.