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By Sonam Choden

Despite continuous monitoring and years of public health investment, urban water systems are showing troubling signs of contamination. The Royal Centre for Disease Controlโ€™s (RCDC) Third Quarterly Bulletin 2025 reveals that nearly three-quarters of urban drinking water samples tested were unsafe for consumption, indicating widespread microbial pollution across towns and cities.

According to the report, 531 drinking water samples were collected and tested for Escherichia coli (E. coli) from 583 urban sampling stations across all 20 dzongkhags. Of these, only 134 samples, or 25.2 percent, met national drinking water standards, while 397 samples, or 74.8 percent, failed. The findings reflect a persistent pattern of contamination despite routine chlorination and testing.

The RCDC observed that the microbial safety of water in urban areas has remained low for the past ten quarters, with compliance rarely exceeding 30 percent. Although the number of samples tested this quarter was slightly lower than the previous one, the proportion of unsafe samples remained largely unchanged.

At the same time, the physical parameters of water quality, such as pH and turbidity, were mostly within safe limits. The mean compliance for pH ranged between 6.5 and 8.5, recording 92.88 percent, while turbidity, measured by clarity, stood at 90.20 percent within the acceptable limit of 5 NTU. This indicates that while water may appear clear, it does not necessarily mean it is safe to drink.

The bulletin also records 6,016 diarrheal cases during the same quarter, of which 90 percent were classified as Acute Watery Diarrhea (AWD) and 10 percent as Acute Bloody Diarrhea (ABD), both commonly linked to water contamination. Although the numbers were slightly below the three-year median, diarrhea remained among the most reported notifiable diseases nationwide.

Children under five were most affected, with Thimphu, Chhukha, and Trashigang reporting the highest case numbers. The RCDC notes that poor sanitation, unprotected water sources, and seasonal rainfall patterns continue to fuel the spread of waterborne diseases.

In rural areas, out of 907 water samples tested, 68.69 percent were found to be safe. This represents a small decline from the previous dry season, when compliance stood at 74.6 percent. The report highlights that rural water quality fluctuates less by season, but bacterial contamination remains an ongoing challenge.

In the capital, Thimphu, residents say the findings reflect what many have long suspected. โ€œWe boil water every day because we donโ€™t trust the tap,โ€ said Pema Choden, a mother of two. โ€œSometimes it smells different, other times it turns cloudy after the rain. Itโ€™s worrying to hear that so many samples failed safety tests.โ€

In Phuentsholing, where industries and dense settlements rely on limited sources, residents expressed similar worries. โ€œThe water supply looks fine, but no one can say if itโ€™s really safe,โ€ said Karma Dorji. โ€œWe end up spending extra on bottled water, which not everyone can afford.โ€

Smaller towns face different but equally pressing challenges. โ€œWe clean our storage tanks regularly, but contamination can happen at the source, not just at home,โ€ said Tshering Wangmo.

Across these communities, many residents believe water quality reports should be shared more frequently. โ€œPeople deserve to know when contamination levels rise,โ€ said a civil servant in Paro. โ€œIt should not take a quarterly report for us to find out that our water is unsafe.โ€

โ€œWe tell students to wash their hands and drink safe water, but how can we be sure the tap water is safe?โ€ said a teacher in Thimphu. โ€œEvery year, people fall sick with diarrhea, and we just keep boiling and filtering without knowing if itโ€™s enough.โ€

Routine surveillance remains critical to ensure early detection and control of water contamination. The Centre, in collaboration with local governments and public health offices, tests water from both community and piped sources. Efforts are also underway to improve chlorination systems, maintain storage tanks, and train water caretakers on proper disinfection practices.

Coordination between health, infrastructure, and municipal agencies is being strengthened under the Water Flagship Programme to standardize water quality monitoring across dzongkhags.

The RCDCโ€™s findings reveal that only one in four urban water samples met microbiological safety standards in the third quarter of 2025, with the widespread presence of E. coli exposing deep-rooted gaps in urban water management. Although authorities are working to strengthen surveillance and treatment systems, the results have reignited public demand for greater transparency and accountability. Ultimately, the challenge extends beyond infrastructure- it is about restoring public trust in the safety of the water that flows from taps across Bhutan.

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