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An editorial published in the Bulletin of the World Health Organization in 2008 argued for stronger engagement between the health and water sectors, commenting “a public health perspective in water management provides opportunities to both improve population health and reduce costs.” 1 When viewed from a public health perspective, water is typically considered in terms of drinking, bathing and waste disposal but other activities, particularly food production, inshore fisheries and recreation, form important points of human contact. The water sector is diverse, comprising environmental sciences, engineering, the water supply industry, regulatory authorities and government policy-makers. A new level of engagement to involve the water sector in public health objectives is therefore dependent upon establishing a basis for dialogue and collaboration between these stakeholders, who bring widely differing conceptual approaches and practical concerns. In support of this aim, we present here a perspective on waterborne pathogens and diseases from a multidisciplinary expert group from the environmental science, microbiology, water industry, regulatory and health protection communities in the United Kingdom of Great Britain and Northern Ireland. Details of the group participants, funding and activities are available from the corresponding author.