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Water Quality

Public Health and Nutrition · NLM MeSH · updated 2026-11-04 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 5 min read

A rating of a body of water based on measurable physical, chemical, and biological characteristics.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (996 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A rating of a body of water based on measurable physical, chemical, and biological characteristics.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Quality, Water.

Where it fits in the MeSH classification

Broader topics
Environmental Monitoring; Water Pollution
Narrower topics
Sanitary Surveys, Water Supply

Research landscape

PubMed indexes 12,257 records tagged with the MeSH heading “Water Quality” (counts retrieved 2026-10-31). 6,269 of them (51.1%) were published from 2020 onward, and the busiest period so far is 2020 onward with 6,269 records.

Reviews account for 664 records (5.4%) and meta-analyses for 49. Randomized controlled trials number 48 (0.4%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 8 records; 2010-2019: 6,097 records; 2020 onward: 6,269 records0through 199982000-20096,0972010-20196,2692020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-20098
2010-20196,097
2020 onward6,269
Share of records by publication typeReviews: 5.4 percent; Meta-analyses: 0.4 percent; Randomized controlled trials: 0.4 percentReviews5.4% (664)Meta-analyses0.4% (49)Randomized controlled trials0.4% (48)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 12,257 PubMed records
TypeRecordsShare
Reviews6645.4%
Meta-analyses490.4%
Randomized controlled trials480.4%

Method: PubMed query "Water Quality"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in public health and nutrition

Population and nutrition studies mostly observe what people eat, breathe or are exposed to and then look for links with health, which shows association and not proof of cause. Self-reported diet is imprecise, people who eat or live differently also differ in other ways, and effects measured across a population may not apply to one person. Check the study design, how exposure was measured, what else was accounted for and the size of the effect, not only whether it was statistically significant.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Biosensor Technologies for Water Quality: Detection of Emerging Contaminants and Pathogens
Fdez-Sanromán A, Bernárdez-Rodas N, Rosales E, Pazos M, González-Romero E, Sanromán MÁ
2025Review article
Design not recorded in structured metadata
27cc by
PMID 40136986 · DOI · PMC11940157
Comprehensive approach integrating water quality index and toxic element analysis for environmental and health risk assessment enhanced by simulation techniques
Eid MH, Awad M, Mohamed EA, Nassar T, Abukhadra MR, El-Sherbeeny AM, et al.
2024Research article
Design not recorded in structured metadata
15cc by
PMID 39215896 · DOI · PMC11365846
Assessment of drinking water quality using Water Quality Index and synthetic pollution index in urban areas of mega city Lahore: a GIS-based approach
Latif M, Nasir N, Nawaz R, Nasim I, Sultan K, Irshad MA, et al.
2024Research article
Design not recorded in structured metadata
14cc by
PMID 38862670 · DOI · PMC11166916
Surface water quality impacts from organic versus conventional agricultural systems
Bier R, Daniels M, Oviedo-Vargas D, Peipoch M, Kelsick E, Kan J
2026Review article
Design not recorded in structured metadata
1cc by
PMID 42374882 · DOI · PMC13316142

Biosensor Technologies for Water Quality: Detection of Emerging Contaminants and Pathogens [1]

Review article Fdez-Sanromán A, Bernárdez-Rodas N, Rosales E, Pazos M, González-Romero E, Sanromán MÁ · · 2025 · cited 27 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
This review explores the development, technological foundations, and applications of biosensor technologies across various fields, such as medicine for disease diagnosis and monitoring, and the food industry.
Closing excerpt
Through these advancements, this work emphasizes the fundamental role of biosensors as key tools for safeguarding public health and preserving environmental integrity.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (160 words)

This review explores the development, technological foundations, and applications of biosensor technologies across various fields, such as medicine for disease diagnosis and monitoring, and the food industry. However, the primary focus is on their use in detecting contaminants and pathogens, as well as in environmental monitoring for water quality assessment. The review classifies different types of biosensors based on their bioreceptor and transducer, highlighting how they are specifically designed for the detection of emerging contaminants (ECs) and pathogens in water. Key innovations in this technology are critically examined, including advanced techniques such as systematic evolution of ligands by exponential enrichment (SELEX), molecularly imprinted polymers (MIPs), and self-assembled monolayers (SAMs), which enable the fabrication of sensors with improved sensitivity and selectivity. Additionally, the integration of microfluidic systems into biosensors is analyzed, demonstrating significant enhancements in performance and detection speed. Through these advancements, this work emphasizes the fundamental role of biosensors as key tools for safeguarding public health and preserving environmental integrity.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40136986 · DOI · PMC11940157

Comprehensive approach integrating water quality index and toxic element analysis for environmental and health risk assessment enhanced by simulation techniques [2]

Research article Eid MH, Awad M, Mohamed EA, Nassar T, Abukhadra MR, El-Sherbeeny AM, et al. · · 2024 · cited 15 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Due to water shortages and the potential impact of Ethiopia's new dam on the Nile River, Egypt is seeking new water resources.
Closing excerpt
Monte Carlo simulations revealed significant risks from oral exposure to manganese (HQ oral > 1), particularly in El-Wasta and El-Fashn, necessitating further treatment and management.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (267 words)

Due to water shortages and the potential impact of Ethiopia's new dam on the Nile River, Egypt is seeking new water resources. This study assesses the drinking water quality and associated risks from potentially toxic elements (PTEs) in the Quaternary aquifer (QA) in Beni-Suef, Egypt. Using a comprehensive approach, including PHREEQC geochemical modeling, ionic ratios, multivariate statistical analyses, and the integrated weight water quality index (WQI), the study evaluated the sources of ion contamination and the mixing of Nile water with QA. Various indices, such as the Heavy Metal Pollution Index (HPI), ecological Risk Index (RI), Hazard Quotient (HQ), and Hazard Index (HI), were used to assess ecological and health risks. Monte Carlo simulations provided probabilistic assessments of non-carcinogenic risks for adults and children. GIS tools were used to map risk indices, identifying the most deteriorated locations for sustainable management. The hydrochemical analysis revealed water facies including Na-Cl, Ca-Mg-HCO3, and mixed types, influenced by carbonate dissolution, ion exchange, and silicate weathering. Contamination sources, particularly in the north and south, were linked to agricultural activities, irrigation return flow, municipal waste, and evaporation. The WQI indicated that 10.14% of samples were extremely poor, 21.7% were poor, 26% were medium, and 42% were good to excellent. PTE contamination varied, with HPI values indicating good water quality in the central area in 53.6% of the collected samples (HPI 51). Ecological Risk Index values were below the threshold in 100% of samples (RI 1), posing non-carcinogenic risks. Monte Carlo simulations revealed significant risks from oral exposure to manganese (HQ oral > 1), particularly in El-Wasta and El-Fashn, necessitating further treatment and management.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 39215896 · DOI · PMC11365846

Assessment of drinking water quality using Water Quality Index and synthetic pollution index in urban areas of mega city Lahore: a GIS-based approach [3]

Research article Latif M, Nasir N, Nawaz R, Nasim I, Sultan K, Irshad MA, et al. · · 2024 · cited 14 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The aim of the present study was to assess the drinking water quality in the selected urban areas of Lahore and to comprehend the public health status by addressing the basic drinking water quality parameters.
Closing excerpt
There is a need to address the problem of poor water quality and also raise the public awareness about the quality of drinking water and its associated health impacts.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (322 words)

The aim of the present study was to assess the drinking water quality in the selected urban areas of Lahore and to comprehend the public health status by addressing the basic drinking water quality parameters. Total 50 tap water samples were collected from groundwater in the two selected areas of district Lahore i.e., Gulshan-e-Ravi (site 1) and Samanabad (site 2). Water samples were analyzed in the laboratory to elucidate physico-chemical parameters including pH, turbidity, temperature, total dissolved solids (TDS), electrical conductivity (EC), dissolved oxygen (DO), total hardness, magnesium hardness, and calcium hardness. These physico-chemical parameters were used to examine the Water Quality Index (WQI) and Synthetic Pollution Index (SPI) in order to characterize the water quality. Results of th selected physico-chemical parameters were compared with World Health Organization (WHO) guidelines to determine the quality of drinking water. A GIS-based approach was used for mapping water quality, WQI, and SPI. Results of the present study revealed that the average value of temperature, pH, and DO of both study sites were within the WHO guidelines of 23.5 °C, 7.7, and 6.9 mg/L, respectively. The TDS level of site 1 was 192.56 mg/L (within WHO guidelines) and whereas, in site 2 it was found 612.84 mg/L (higher than WHO guidelines), respectively. Calcium hardness of site 1 and site 2 was observed within the range from 25.04 to 65.732 mg/L but, magnesium hardness values were higher than WHO guidelines. The major reason for poor water quality is old, worn-out water supply pipelines and improper waste disposal in the selected areas. The average WQI was found as 59.66 for site 1 and 77.30 for site 2. Results showed that the quality of the water was classified as "poor" for site 1 and "very poor " for site 2. There is a need to address the problem of poor water quality and also raise the public awareness about the quality of drinking water and its associated health impacts.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38862670 · DOI · PMC11166916

Surface water quality impacts from organic versus conventional agricultural systems [4]

Review article Bier R, Daniels M, Oviedo-Vargas D, Peipoch M, Kelsick E, Kan J · · 2026 · cited 1 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Agriculture is integrally intertwined with water, yet we have little information about how the different approaches to growing food influence water quality.
Closing excerpt
As publications comparing conventional and organic soil quality increase rapidly, studies of water quality lag, leaving open the potential for a shift in agricultural approaches to have unintended consequences for this essential resource.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (247 words)

Agriculture is integrally intertwined with water, yet we have little information about how the different approaches to growing food influence water quality. Food production through different strategies is driven by economic and environmental concerns. Organic agriculture has increased for several decades and is projected to continue. Here, we conducted a literature synthesis of paired field studies documenting water quality differences from conventional and organic agriculture of terrestrial row-crops. Using the 37 papers that met our criteria, we compiled water quality parameters and calculated the percentage change between conventional and organic treatment paired comparisons. This synthesis revealed that 79% of the 14 nutrient, soil loss, and runoff parameters with at least five paired comparisons more often showed either improvement or no difference with organic. Specifically, nitrogen and overall soil losses were reduced in organic systems; however, soil loss outcomes were strongly influenced by tillage practices, and fertilizer type could change whether an organic field experienced greater or lesser nitrogen losses. Losses of phosphorus and carbon generally increased under organic agriculture, except for total phosphorus in runoff. Paired-field trial comparisons were rare in the literature and highlighted the need for additional studies, consistency in the parameters measured, and sufficient data collected to account for variation in fertilizers, tillage intensity, soil types, and topography, among other parameters. As publications comparing conventional and organic soil quality increase rapidly, studies of water quality lag, leaving open the potential for a shift in agricultural approaches to have unintended consequences for this essential resource.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 42374882 · DOI · PMC13316142

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Salinisation of rivers: an urgent ecological issue [5]
    Cañedo-Argüelles M, Kefford BJ, Piscart C, Prat N, Schäfer RB, Schulz CJ · Environ Pollut · 2013 · cited 335 times (Europe PMC)
  • Research article Review on fate and mechanism of removal of pharmaceutical pollutants from wastewater using biological approach [6]
    Tiwari B, Sellamuthu B, Ouarda Y, Drogui P, Tyagi RD, Buelna G · Bioresour Technol · 2017 · cited 296 times (Europe PMC)
  • Research article Effect-based tools for monitoring and predicting the ecotoxicological effects of chemicals in the aquatic environment [7]
    Connon RE, Geist J, Werner I · Sensors (Basel) · 2012 · cited 152 times (Europe PMC)
  • Research article Emerging desalination technologies for water treatment: a critical review [8]
    Subramani A, Jacangelo JG · Water Res · 2015 · cited 149 times (Europe PMC)
  • Research article Potential impacts of changing supply-water quality on drinking water distribution: A review [9]
    Liu G, Zhang Y, Knibbe WJ, Feng C, Liu W, Medema G, et al. · Water Res · 2017 · cited 127 times (Europe PMC)
  • Research article Microbial Indicators of Fecal Pollution: Recent Progress and Challenges in Assessing Water Quality [10]
    Holcomb DA, Stewart JR · Curr Environ Health Rep · 2020 · cited 115 times (Europe PMC)

References

  1. Fdez-Sanromán A, Bernárdez-Rodas N, Rosales E, Pazos M, González-Romero E, Sanromán MÁ. Biosensor Technologies for Water Quality: Detection of Emerging Contaminants and Pathogens. . 2025. PMID 40136986 · DOI · PMC11940157
  2. Eid MH, Awad M, Mohamed EA, Nassar T, Abukhadra MR, El-Sherbeeny AM, et al.. Comprehensive approach integrating water quality index and toxic element analysis for environmental and health risk assessment enhanced by simulation techniques. . 2024. PMID 39215896 · DOI · PMC11365846
  3. Latif M, Nasir N, Nawaz R, Nasim I, Sultan K, Irshad MA, et al.. Assessment of drinking water quality using Water Quality Index and synthetic pollution index in urban areas of mega city Lahore: a GIS-based approach. . 2024. PMID 38862670 · DOI · PMC11166916
  4. Bier R, Daniels M, Oviedo-Vargas D, Peipoch M, Kelsick E, Kan J. Surface water quality impacts from organic versus conventional agricultural systems. . 2026. PMID 42374882 · DOI · PMC13316142
  5. Cañedo-Argüelles M, Kefford BJ, Piscart C, Prat N, Schäfer RB, Schulz CJ. Salinisation of rivers: an urgent ecological issue. Environ Pollut. 2013. PMID 23202646 · DOI
  6. Tiwari B, Sellamuthu B, Ouarda Y, Drogui P, Tyagi RD, Buelna G. Review on fate and mechanism of removal of pharmaceutical pollutants from wastewater using biological approach. Bioresour Technol. 2017. PMID 27889353 · DOI
  7. Connon RE, Geist J, Werner I. Effect-based tools for monitoring and predicting the ecotoxicological effects of chemicals in the aquatic environment. Sensors (Basel). 2012. PMID 23112741 · DOI · PMC3478868
  8. Subramani A, Jacangelo JG. Emerging desalination technologies for water treatment: a critical review. Water Res. 2015. PMID 25770440 · DOI
  9. Liu G, Zhang Y, Knibbe WJ, Feng C, Liu W, Medema G, et al.. Potential impacts of changing supply-water quality on drinking water distribution: A review. Water Res. 2017. PMID 28329709 · DOI
  10. Holcomb DA, Stewart JR. Microbial Indicators of Fecal Pollution: Recent Progress and Challenges in Assessing Water Quality. Curr Environ Health Rep. 2020. PMID 32542574 · DOI · PMC7458903

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-11-04; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-11-04.

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At a glance

12,257
PubMed records on this heading
51%
published since 2020
664
review articles
48
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

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