Wastewater Resources

For Public Health

Key points

Malfunctioning septic systems can contaminate groundwater and surface water, potentially affecting individuals as well as the environment. Explore these tools and resources on wastewater.

Image of a septic system in front of a home.

Tools and guidance

Papers by the Decentralized Wastewater Management MOU Partnership (U.S. Environmental Protection Agency, EPA) – Read about the economic, environmental, and public health aspects of decentralized wastewater treatment (produced in collaboration with CDC).

SepticSmart educational materials (EPA) – Find materials, case studies, and resources to help promote homeowner education on the importance of septic system maintenance.

Training

Environmental Public Health Online Courses (EPHOC) – Access comprehensive online courses for environmental public health practitioners, including a module on wastewater.

Reference manual

Healthy housing reference manual – Find information on the impact of housing on health and safety including a chapter on onsite wastewater treatment.

Publication citations

Curtiss E, Hils J, Rokisky J. Keep your water safe with CDC's resources. [commentary] J Environ Health. 2022;84(10):42-3.

Humphrey CP, O'Driscoll MA, Deal NE, Lindbo DL, Thieme SC, Zarate-Bermudez MA. Onsite wastewater system nitrogen contributions to groundwater in coastal North Carolina. J Environ Health. 2013;76(5):16-22.

Humphrey CP, O'Driscoll MA, Zarate MA. Evaluation of on-site wastewater system Escherichia coli contributions to shallow groundwater in coastal North Carolina. Water Sci Technol. 2011;63(4):789-95.

Humphrey CP, O'Driscoll MA, Zarate MA. Controls on groundwater nitrogen contributions from on-site wastewater systems in coastal North Carolina. Water Sci Technol. 2010;62(6):1448-55.

O'Driscoll MA, Humphrey CP, Deal NE, Lindbo DL, Zarate-Bermudez MA. Meteorological influences on nitrogen dynamics of a coastal onsite wastewater treatment system. J Environ Qual. 2014;43:1873-85.

Schneeberger CL, O'Driscoll MA, Humphrey CP Jr, Henry KA, Deal NE, Seiber KL, et al. Fate and transport of enteric microbes from septic systems in a coastal watershed. J Environ Health. 2015;77(9):22-30. (Zarate-Bermudez M)

Content Source
National Center for Environmental Health
About This Page
Published: May 15, 2024
Updated: April 9, 2024

This page was last updated on this date. Updates may include minor edits, image changes, or other modifications to page content.

Reviewed: August 25, 2026

The information on this page was last reviewed by subject matter experts to ensure accuracy.