This study was conducted with the financial support of the International Water Management Institute (IWMI), Colombo, Sri Lanka. The authors acknowledge the contribution and support of the staff of the Department of Fisheries and Aquatic Resources, Sri Lanka, other local officials around the country, fishermen, the army personnel during the field visits for the data collection, the reviewers who helped improve the report by providing constructive comments and Samanmalee Thanuja Fernando of Central Environmental Authority, Sri Lanka for painstakingly doing line drawings of maps and the calculations therein under the supervision of Prof. J. Katupotha.

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The publications in this series record the work and thinking of IWMI researchers, and knowledge that the Institute's scientific management feels is worthy of documenting. This series will ensure that scientific data and other information gathered or prepared as a part of the research work of the Institute are recorded and referenced. Working Papers could include project reports, case studies, conference or workshop proceedings, discussion papers or reports on progress of research, country-specific research reports, monographs, etc. Working Papers may be copublished, by IWMI and partner organizations.Although most of the reports are published by IWMI staff and their collaborators, we welcome contributions from others. Each report is reviewed internally by IWMI staff. The reports are published and distributed both in hard copy and electronically (www.iwmi.org) and where possible all data and analyses will be available as separate downloadable files. Reports may be copied freely and cited with due acknowledgment. About IWMIIWMI's mission is to improve the management of land and water resources for food, livelihoods and the environment. In serving this mission, IWMI concentrates on the integration of policies, technologies and management systems to achieve workable solutions to real problems-practical, relevant results in the field of irrigation and land and water resources.

“Water security” has come to infiltrate prominent discourse in the international water and development community, and achieving it is often viewed as a new water sector target. Despite the elevated status that the concept has increasingly acquired, understandings of the term are murky and quantification is rare. To promote a more tangible understanding of the concept, this paper develops an index for evaluating water security at a country level. The index is comprised of indicators in five components considered to be critical to the concept: (i) basic needs; (ii) agricultural production; (iii) the environment; (iv) risk management; and (v) independence. Achieving water security in these components can be considered necessary but insufficient criteria to measure the achievement of security in related areas such as health, livelihoods, and industry. After populating indicators with data from Asia‐Pacific countries, results are interpreted and the viability of methods is discussed. This effort comprises an important first step for quantifying and assessing water security across countries, which should spur more concrete understanding of the term and discussion of its added value.

Chronic kidney disease of unknown ("u") cause (CKDu) is a growing public health concern in Sri Lanka. Prior research has hypothesized a link with drinking water quality, but rigorous studies are lacking. This study assesses the relationship between nephrotoxic elements (namely arsenic (As), cadmium (Cd), lead (Pb), and uranium (U)) in drinking water, and urine samples collected from individuals with and/or without CKDu in endemic areas, and from individuals without CKDu in nonendemic areas. All water samples - from a variety of source types (i.e. shallow and deep wells, springs, piped and surface water) - contained extremely low concentrations of nephrotoxic elements, and all were well below drinking water guideline values. Concentrations in individual urine samples were higher than, and uncorrelated with, those measured in drinking water, suggesting potential exposure from other sources. Mean urinary concentrations of these elements for individuals with clinically diagnosed CKDu were consistently lower than individuals without CKDu both in endemic and nonendemic areas. This likely stems from the inability of the kidney to excrete these toxic elements via urine in CKDu patients. Urinary concentrations of individuals were also found to be within the range of reference values measured in urine of healthy unexposed individuals from international biomonitoring studies, though these reference levels may not be safe for the Sri Lankan population. The results suggest that CKDu cannot be clearly linked with the presence of these contaminants in drinking water. There remains a need to investigate potential interactions of low doses of these elements (particularly Cd and As) with other risk factors that appear linked to CKDu, prior to developing public health strategies to address this illness.