Health-based targets for greywater reuse in residential schools in Madhya Pradesh,India

In line with developments in the water reuse sector, this paper applied quantitative microbial risk assessment (QMRA) techniques to seven greywater reuse systems used for recycling shower water for toilet flushing. The objective of the study was to establish a scientific basis for health-based greywater targets for India. It involved qualitative risk assessments and quantitative microbiological analysis using Enterococci, thermotolerant coliforms (TTC) and coliphage indicator organisms. Four conclusions are drawn from this study. Firstly, the systems indicated a low risk and high quality, and secondly that low levels of risk were present in systems, resulting in the recommendation of guideline of 5000 cfu/100 mL rather than 10 000 cfu/100 mL for greywater utilised for direct toilet flushing. Thirdly, disability adjusted life years (DALYs) are a useful indicator of risk for evaluating the performance of a greywater reuse system in addition to chemical/microbiological indicators DALYs, and finally that TTC are a useful surrogate microbial indicator for analysis of greywater in developing countries with limited analytical facilities.