“…Long-term impacts: health Public health threats due to pollutants Jasim et al (2016), Ouda (2016), Miller (2015), Duong and Saphores (2015) Availability of appropriate treatment technologies and multiple treatment barriers to IDR and DPR Cotruvo (2016) Safety, reliability and the minimization of health impacts of production failures through standards, monitoring and international guidelines Ong (2016), Binz et al (2016), Miller (2015) Microbial risk to the environment and public health by the presence of antibiotics in reclaimed water Hong et al (2013) Long-term impacts: soil Increase in soil salinity because of reused wastewater and agricultural drainage water Al-Hamaiedeh and Bino (2010), Carr et al (2011), Barnes (2014) Improvement in soil nutrient and microorganism levels with longer reclaimed water irrigation Chen et al (2015b) Effects of wastewater reuse on soil productivity, soil fertility, human health and environmental health Becerra-Castro et al (2015) Treatment technology in relation to soil functions and planned crops Abegunrin et al (2016) Regulations and standards Cross-sectoral regulations and guidelines Fawell et al (2016), Bahri (2009), European Commission (2015), Scruggs and Thomson (2017) Safety culture and regulations incorporating low and high probability risks as well as low and high consequences of safety failures The need for systems thinking, linkages with other sectors, and a holistic water security approach; Overcoming regulatory fragmentation Voulvoulis (2015), Bichai et al (2018) The need for political will, legal frameworks, public policies and public utilities as role models Tortajada and Nam Ong (2016), Aleisa and Al-Zubari (2017), Lee and Jepson (2020) Adequate governance; Coordination across different administrative levels Keremane (2017), Aldaco-Manner et al (2019), Meehan et al (2013) factor for the reuse of treated wastewater for recharging of aquifers and irrigation (Hong et al, 2013;Jasim et al, 2016;Ouda 2016). There is, nonetheless, agreement on the beneficial potential of water reuse for the GCC region and the technical feasibility of expanding this important option …”