Recent and forecasted advances in microbiology, molecular biology, and analytical chemistry have made it timely to reassess the current paradigm of relying predominantly or exclusively on traditional bacterial indicators for all types of waterborne pathogens. Nonetheless, indicator approaches will still be required for the foreseeable future because it is not practical or feasible to monitor for the complete spectrum of microorganisms that may occur in water, and many known pathogens are difficult to detect directly and reliably in water samples. This comprehensive report recommends the development and use of a "tool box" approach by the U.S Environmental Protection Agency and others for assessing microbial water quality in which available indicator organisms (and/or pathogens in some cases) and detection method(s) are matched to the requirements of a particular application. The report further recommends the use of a phased, three-level monitoring framework to support the selection of indicators and indicator approaches.Â

Use of coastal, estuarine and freshwater recreational environments has significant benefits for health and well-being, including rest, relaxation, exercise, cultural and religious practices, and aesthetic pleasure, while also providing substantial local, regional and national economic benefits. These guidelines focus on water quality management for coastal and freshwater environments to protect public health. The guidelines: 1. describe the current state of knowledge about the possible adverse health impacts of various forms of water pollution; and2. set out recommendations for setting national health-based targets, conducting surveillance and risk assessments, putting in place systems to monitor and control risks, and providing timely advice to users on water safety.These guidelines are aimed at national and local authorities, and other entities with an obligation to exercise due diligence relating to the safety of recreational water sites. They may be implemented in conjunction with other measures for water safety (such as drowning prevention and sun exposure) and measures for environmental protection of recreational water use sites.