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We describe the use of risk assessment/risk management decision analytic approaches to frame and focus the goal of water security by focussing on identification of how health data can be used to inform complex risk decisions for water security with three case studies. The first case study is on arsenic in water and soil in South America and associated health risks. The second is on pesticide use in sensitive areas in Brazil’s Amazonian agricultural frontier and risk of loss of biodiversity. The third case study is on nitrate use in agriculture featuring integrated management approaches used in Germany. The case studies were chosen to illustrate global issues of water security. Each case study is described using the risk assessment framework from the Word Health Organization to describe risk and risk management in terms of human and ecological health. These examples illustrate the critical international challenges in water security that impact food production, human health, biodiversity and ecosystem wellbeing.
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