Indore has witnessed a deadly municipal water contamination tragedy which exposed serious gaps in public health and urban governance.
India stands at a juncture in its journey toward universal water security. While infrastructure programs like the Jal Jeevan Mission have expanded access to piped water supply, recent incidents of water contamination have exposed a gap between infrastructure expansion and actual delivery of safe drinking water.
The tragedy in Indore, Madhya Pradesh, where contaminated municipal tap water claimed lives and hospitalized hundreds, serves as a reminder that access without quality assurance can prove fatal.
Infrastructure Expansion: Progress and Its Limitations
The Jal Jeevan Mission, launched in August 2019, represents one of the world's largest water infrastructure programs. The mission shifted focus from community level water points to individual household connections, aiming to provide functional household tap connections to every rural home.
Coverage has expanded from 16.7% of rural households with tap water connections in 2019 to over 81% by late 2024. This rollout has altered rural water access across India.
Urban areas have witnessed transformation under the Atal Mission for Rejuvenation and Urban Transformation, which targets 500 cities. These programs have successfully addressed the access deficit, bringing piped water supply to millions who previously relied on handpumps, tankers, or unsafe surface water sources. The distinction between having a tap and receiving safe, reliable water represents the gap where India's water security story unfolds.
Contamination Crisis: Chemical and Biological Threats
Geogenic Chemical Contamination
Groundwater remains the backbone of India’s water supply, forming over 80% of rural drinking water sources. According to the Central Ground Water Board (CGWB) Annual Ground Water Quality Report, 2024, systematic monitoring from 15,259 stations reveals that nitrate contamination exceeds permissible limits in nearly 20% of samples nationwide, while fluoride and arsenic exceed limits in 9.04% and 3.35% of samples respectively. These contaminants are mostly geogenic in origin but have critical health implications such as fluorosis, methemoglobinemia, and cancer.
Despite its scale, geogenic contamination receives comparatively less public attention than acute outbreaks because its health impacts accumulate slowly over years rather than causing immediate, visible illness.
Intermittency Problem
A major source of biological contamination stems from intermittent piped water supplies in most Indian cities. Government-level audit and engineering assessments, including the Comptroller and Auditor General (CAG) Report on Urban Water Supply & Sanitation, have repeatedly shown that intermittent flow causes negative pressure in pipes.
This physical phenomenon draws contaminated soil water and sewage into water mains through cracks and joint failures during non-supply hours, undermining water safety even when treatment plants meet standards.
Household Storage as a Contamination Vector
Owing to intermittent and unreliable supply, households resort to storing water in overhead tanks and containers. Government field investigations and countrywide water quality surveys under the Ministry of Health & Family Welfare (MoHFW) and the Integrated Disease Surveillance Programme (IDSP) have repeatedly linked stored water to higher bacterial loads than water collected directly at the point of supply.
Reasons include infrequent cleaning of storage vessels, biofilm development on tank surfaces, and contamination through unwashed hands or contaminated ladles. These conditions create ideal breeding grounds for pathogens such as E. coli and other faecal coliforms, which are strongly associated with diarrhoeal disease outbreaks and other water-borne illnesses recorded under the IDSP reporting framework.
Surveillance and Quality Assurance Gap
Laboratory Infrastructure Weaknesses
Performance audits reveal that many district level water testing laboratories lack proper accreditation and essential equipment. Shortages of trained chemists and microbiologists further limit the ability to process required sample volumes. Without reliable laboratory testing, identifying contamination before it reaches consumers becomes difficult.
Field Test Kits: Empowerment with Limitations
The Jal Jeevan Mission has trained women to use Field Testing Kits for community level water quality testing. While this democratizes monitoring and places surveillance tools in users' hands, these kits have limitations. Studies indicate margins of error for chemical contaminants near permissible limits. For bacterial testing, presence absence tests cannot quantify risk levels.
Field Testing Kits serve as mechanisms to trigger further investigation, but cannot replace precision laboratory analysis for declaring water sources safe.
Health and Economic Burden
The failure to provide safe drinking water translates into disease burdens. India has recorded cases of acute diarrheal disease and typhoid over the years. Cholera outbreaks continue, particularly post-monsoon when sewage intrusion peaks.
The economic costs extend beyond medical treatment. Lost wages from illness, opportunity costs of fetching water, and the premium paid by slum residents for informal water supplies compound the burden on vulnerable populations.
Path Forward
Engineering evidence demonstrates that 24/7 water supply is the most robust defense against bacterial intrusion. Cities must prioritize this transition as a public health intervention. Continuous positive pressure prevents the suction mechanism that enables sewage contamination.
Water quality testing must be institutionalized at multiple levels. This includes strengthening laboratory infrastructure, ensuring regular maintenance of equipment, adequate staffing of trained personnel, and creating accountability mechanisms for prompt action when contamination is detected.
Real time monitoring through IoT sensors, where feasible, can provide continuous surveillance of water quality parameters. However, such technology must be complemented by ground level human capacity to interpret data and respond effectively.
Additionally, water safety requires financially viable utilities capable of maintaining infrastructure. Water tariffs should reflect operation and maintenance costs while providing subsidies for economically vulnerable populations. Without adequate revenue, utilities cannot invest in leak detection, pipe replacement, or regular maintenance necessary to prevent contamination.
Conclusion
India has achieved success in expanding water infrastructure, but the journey from access to safety remains incomplete. The incidents in Madhya Pradesh and water crises in cities like Bengaluru and Delhi demonstrate that piped water supply infrastructure without quality assurance, regular monitoring, and continuous service delivery cannot fulfill the promise of water security.
As the nation approaches universal coverage targets, the focus must shift toward ensuring that every tap delivers not just water, but safe drinking water. This requires sustained investment in water quality testing infrastructure, professional operation and maintenance systems, transition to continuous supply regimes, and institutional accountability for service delivery outcomes.

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FAQs: Water Contamination and Piped Water Supply in India
1. What is the Jal Jeevan Mission launch date?
Ans. August 2019.
2. Which states face arsenic contamination in groundwater?
Ans. West Bengal, Uttar Pradesh, Bihar, Assam, and Punjab.
3. What causes water contamination in intermittent supply systems?
Ans. Negative pressure sucks sewage through pipe cracks.
4. Why does stored household water become contaminated?
Ans. Unclean handling, infrequent cleaning, and biofilm formation.
5. What mission targets 500 Indian cities for water supply?
Ans. Atal Mission for Rejuvenation and Urban Transformation.