The large shallow eutrophic Lake Taihu in China has long suffered from eutrophication and toxic cyanobacterial blooms. Despite considerable efforts to divert effluents from the watershed, the cyanobacterial blooms still reoccur and persist throughout summer. To mitigate cyanobacterial bloom pollution risk, a large scale integrated monitoring and forecasting system was developed, and a series of emergency response measures were instigated based on early warning. This system has been in place for 2009-2012. With this integrated monitoring system, it was found that the detectable maximum and average cyanobacterial bloom area were similar to that-before drinking water crisis, indicating that poor eutrophic status and cyanobacterial bloom had persisted without significant alleviation. It also revealed that cyanobacterial bloom would occur after the intense storm, which may be associated with the increase in buoyance of cyanobacterial colonies. Although the cyanobacterial blooms had persisted during the monitoring period, there had been a reduction in frequency and intensity of the cyanobacterial bloom induced black water agglomerates (a phenomenon of algal bloom death decay to release a large amount black dissolved organic matter), and there have been no further drinking water crises. This monitoring and response strategy can reduce the cyanobacterial bloom pollution risk, but cannot reduce eutrophication and cyanobacterial blooms, problems which will take decades to resolve. (C) 2015 Elsevier B.V. All rights reserved.