Disease burden due to gastrointestinal infections among people living along the major wastewater system in Hanoi, Vietnam

Urban farmers using wastewater from To Lich River have a high gastrointestinal disease burden, which is about 100 times larger than the health-based targets for wastewater use set by the World Health Organization. These findings are of direct public health relevance and call for upgrading Hanoi's wastewater system to reduce microbial contamination. Finally, this study presents a first example on how to link QMRA to a sanitation safety planning (SSP) approach in an Asian context and its findings are interesting in the frame of Sustainable Development Goal (SDGs) #6.