Water as consumed and its impact on the consumer--do we understand the variables?

Water is the most important natural resource in the world, without it life cannot exist. In 1854 a cholera outbreak in London caused 10, 000 deaths and positively linked enteric disease with bacterial contamination of drinking water by sewage pollution. Since then, adequate water hygiene standards and sewage purification have played the most significant role in disease eradication and public health improvements everywhere. Standards for drinking water have become an extensive range of microbiological and chemical parametric values. Which has not increased consumer, if the media is to be believed. Customers rightly expect that the water they drink is safe and wholesome. Standard setting is perceived as a precise science and meaningful to health. Is this justified and do scientists and regulators who derive and set the standards understand the uncertainties in the system? Water is the universal solvent, therefore it will never be pure; it will contain impurities prior to and after treatment. Knowledge of its potential to become contaminated is necessary to understand the epidemiology associated with waterborne contaminants and their effects. Water use patterns vary considerably and affect assumptions based on toxicology derived from laboratory studies under tightly controlled conditions. Consideration must be given to the model systems used to assess toxicity and translate results from the laboratory to the real world, if sensible scientifically-based water quality standards are to be set and achieved cost effectively.