A unitary environmental classification of water- and excreta-related commun
icable diseases is presented, which comprises seven categories: Feco-oral w
aterborne and water-washed diseases; non-feco-oral water-washed (skin and e
ye) diseases; geohelminthiases; taeniases; water-based diseases (bacterial
and fungal, as well as helminthic); insect-vector diseases; and rodent-vect
or diseases. The global, burden of some of these diseases in 1990 is review
ed. Water- and excreta-related diseases were responsible for 2,700,000 deat
hs in that year (5.3% of all deaths) and for the loss of 93,200,000 disabil
ity-adjusted life years (6.8% of all DALYs). Almost all these deaths and lo
ss of DALYs occurred in developing countries (99.9 and 99.8%, respectively)
.