Over large parts of the world, humans drink water that contains disease vectors or pathogens or contain unacceptable levels of dissolved contaminants or solids in suspension. Such waters are not potable water and drinking such waters or using them in cooking leads to widespread acute and chronic illness and is a major cause of death in many countries.

Typically, water supply networks deliver potable water, whether it is to be used for drinking, washing or landscape irrigation. One counterexample is urban China, where drinking water can optionally be delivered by a separate tap.

Water quality and contaminants

See: Water quality

See: Appropriate technology#Drinking water See: Drinking water quality in the United States Throughout most of the world the most common contamination of raw water sources is from human sewage and in particular human faecal pathogens and parasites. In 2006, waterborne diseases were estimated to cause 1.8 million deaths each year while about 1.1 billion people lacked proper drinking water.. It is clear that people in the developing world need to have access to good quality water in sufficient quantity, water purification technology and availability and distribution systems for water. In many parts of the world the only sources of water are from small streams often directly contaminated by sewage. Even wells do not eliminate the risk of contamination.

Most water requires some type of treatment before use, even water from deep wells or springs. The extent of treatment depends on the source of the water. Appropriate technology options in water treatment include both community-scale and household-scale point-of-use (POU) designs.Centre for Affordable Water and Sanitation Technology, "Household Water Treatment Guide," March 2008.

The most reliable way to kill microbial pathogenic agents is to heat water to a rolling boil but this requires abundant sources of fuel and is very onerous on the households especially where it is difficult to store boiled water in sterile conditions. Other techniques, such as varying forms of filtration, chemical disinfection, and exposure to ultraviolet radiation (including solar UV) have been demonstrated in an array of randomized control trials to significantly reduce levels of water-borne disease among users in low-income countries.

Over the past decade, an increasing number of field-based studies have been undertaken to determine the success of POU measures in reducing waterborne disease. The ability of POU options to reduce disease is a function of both their ability to remove microbial pathogens if properly applied and such social factors as ease of use and cultural appropriateness. Technologies may generate more (or less) health benefit than their lab-based microbial removal performance would suggest.