The current river shows little signs of these great bends, since it has been the subject of numerous normalisation projects carried out between the 18th and 20th centuries to improve the river as an economically important shipping route. Some of the cut-off bends are still visible near the main river and are sometimes reconnected to it in times of high water levels.
In theMiddle Ages, the name "Waal" continued after the confluence with theMeuse. The delta parts now known as Boven Merwede,Beneden Merwede and the upper section of theNoord were also called Waal. NearHendrik-Ido-Ambacht, the mainstream continued west until it flowed intoOude Maas nearHeerjansdam. This last stretch past Hendrik-Ido-Ambacht, which separated theriver islands ofIJsselmonde andZwijndrechtse Waard, is still called Waal,[1] but is more commonly known asWaaltje (Dutch forLittle Waal). It has been dammed off at both ends, making the Zwijndrechtse Waard part of IJsselmonde.
The Waal has significant adverse water quality due to discharge of rawsewage byFrance andGermany. A number of pathogens have been monitored to occur in the river waters from such sewage.[9]