Aquatic ecosystem indices, linking ecosystem health to human health risks

Abstract The good functioning of aquatic ecosystems is essential for providing diverse ecosystem services that benefit humans. The degradation of ecosystem health due to continuous stressors, such as climate change or water pollution, is leading to an increase in human health risks and well-being. Indicators have been developed to determine human health risks from recreational and drinking water. Still, a general application to aquatic ecosystems linking ecosystem health and human health risks has not been done. We here reviewed indicators and indices applied to assess the health of aquatic ecosystems and their links with human health risk and well-being. We evaluated the extent to which indicators can witness a risk to human health and well-being. A total of 245 articles were reviewed, consisting of 185 on the assessment of aquatic ecosystem health and 60 linking ecosystem health and human health or well-being. Out of the 65 indices described, we evaluated the use of several parameters and their relevance to evaluate human health risks, including physico-chemical parameters, bioindicators, contaminants, and pathogens, therefore covering the various sources of ecosystem disturbance. Based on our assessment, we propose a set of indicators that would allow for the inclusion of risks for human health and well-being in the assessment of ecosystem health (e.g. coliforms, algae, pH, nutrients, chemical compounds, and ecosystem services). Measuring these parameters should be incorporated into future studies to allow an understanding of the linkage of ecosystem and human health.