Quarterly water quality data from 1998 to 2003 for eight single-family domestic systems serving 2-7 people in Ohio, USA, were studied to determine the cell-to-cell and system wide pathogen reduction efficiency and effectiveness of these systems in meeting compliance standards. Two-cell domestic wastewater treatment systems displayed significant variability in their cell-to-cell performance that directly impacted the overall ability of systems to meet effluent compliance standards. Fecal coliform was effectively reduced (similar to99%) in these systems while two-thirds of the input biochemical oxygen demand was mitigated in each of the cells of these systems. Fecal coliform and biochemical oxygen demand were typically reduced below 2000 counts per 100 ml and 15 mg/l (respectively) before discharge to surface waters. Total suspended solids were reduced by similar to80% overall with cell one retaining the majority of the solids (similar to70%). These systems discharged more than 18 mg/l of suspended solids in less than 5%, of the samples thus displaying a very high compliance rate. Ammonia and total phosphorus were less effectively treated (similar to30-40% reductions in each cell) and exceeded standards (1.5 mg/l) more frequently. Analyses based on the number of occupants indicated that the two-cell design used here was most effective for smaller occupancy systems. More study is required to determine the value of this design for large occupancy systems. In the future, wetlands should be evaluated based on the total loads delivered to the watershed rather than by effluent concentrations. (C) 2004 Elsevier Ltd. All rights reserved.