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Rapid Assessment of Drinking Water Quality
Introduction
The provision of water was one of the eight components of primary health care identified by the World Health Assembly in Alma Ata in 1978. The Alma Ata Declaration on Primary Health Care expanded the concept of health care to include broader concepts of affordability, accessibility, self-reliance, inter-sectoral collaboration, community participation, sustainability and social justice. The importance of water supply continues to be emphasised as critical to reducing poverty and improving the health and well-being of the World's children and adults. The global community has committed itself to halving the proportion of the world's population who are unable to reach or to afford safe drinking water by 2015. Although great strides have been made in meeting this challenge in terms of provision of services, the safety of many water supplies remains unknown and uncertain. The recent Global Water Supply and Sanitation Assessment 2000 Report provided statistics regarding access to technologies that were either 'improved' or 'unimproved'. This was done on the assumption that some technologies were likely to be better for health, although it was recognised that would not always be the case. However, there was no information provided on water quality within the assessment. The inclusion of information regarding water quality in future assessments of the degree of access to water supplies is desirable. This handbook is designed to help in the implementation of rapid assessments of water quality to improve the knowledge and understanding of the level of safety of water supplies. There is significant value in reporting of independently verifiable water quality data to support national Governments and the international community in measuring progress in achieving the international development targets. Such data provides useful information regarding current conditions, deriving the likely public health burden relate to inadequate water supply and to gain an understanding of the extent of major water quality problems in developing countries. These data would, therefore, provide an indication of future investment priorities and needs on a country, regional and global basis.
Rapid Assessment of Drinking Water Quality
Introduction
The provision of water was one of the eight components of primary health care identified by the World Health Assembly in Alma Ata in 1978. The Alma Ata Declaration on Primary Health Care expanded the concept of health care to include broader concepts of affordability, accessibility, self-reliance, inter-sectoral collaboration, community participation, sustainability and social justice. The importance of water supply continues to be emphasised as critical to reducing poverty and improving the health and well-being of the World's children and adults. The global community has committed itself to halving the proportion of the world's population who are unable to reach or to afford safe drinking water by 2015. Although great strides have been made in meeting this challenge in terms of provision of services, the safety of many water supplies remains unknown and uncertain. The recent Global Water Supply and Sanitation Assessment 2000 Report provided statistics regarding access to technologies that were either 'improved' or 'unimproved'. This was done on the assumption that some technologies were likely to be better for health, although it was recognised that would not always be the case. However, there was no information provided on water quality within the assessment. The inclusion of information regarding water quality in future assessments of the degree of access to water supplies is desirable. This handbook is designed to help in the implementation of rapid assessments of water quality to improve the knowledge and understanding of the level of safety of water supplies. There is significant value in reporting of independently verifiable water quality data to support national Governments and the international community in measuring progress in achieving the international development targets. Such data provides useful information regarding current conditions, deriving the likely public health burden relate to inadequate water supply and to gain an understanding of the extent of major water quality problems in developing countries. These data would, therefore, provide an indication of future investment priorities and needs on a country, regional and global basis.
Effect of the Quality of Water Used for Dialysis on the Efficacy of Hemodialysis
Abstract
The quality of the water used for dialysis has been suggested as a factor causing inflammation in patients on hemodialysis (HD). We therefore conducted this study to identify the effect of quality of the water on nutritional state, inflammation and need for human recombinant erythropoietin (EPO) in patients undergoing HD at Agadir, Morocco. This prospective study included patients on HD for at least one year. The water treatment was done according to the standard protocol, which was followed by additional enhancement of ultrafiltration using an additional polysulfone filter (diasafe, Fresenius, Bad Homburg, Germany) before the dialyser. Water was monitored regularly during the study period to ensure acceptable levels of bacterial count as well as endotoxin levels. Various parameters including dry weight, systolic and diastolic blood pressure (PA) before and after an HD session, need for human recombinant EPO, levels of hemoglobin (Hb), albumin, ferritin, C-reactive protein (CRP), and the dose of dialysis delivered (Kt/V) were measured first at the beginning of the study and thereafter, in the third, sixth and 12 th months of the study. The study involved 47 patients, and after 12 months of the study, an improvement in median dry weight (1.2 kg, P = 0017) and a simultaneous median reduction of 20.7 IU/kg/week of EPO, with an in-crease of the median level of Hb, was noted. The results of our study suggest that by improving the biocompatibility of HD with the use of good quality water, patients acquire a better nutritional, inflammatory and hematologic status.
Effect of the Quality of Water Used for Dialysis on the Efficacy of Hemodialysis
Abstract
The quality of the water used for dialysis has been suggested as a factor causing inflammation in patients on hemodialysis (HD). We therefore conducted this study to identify the effect of quality of the water on nutritional state, inflammation and need for human recombinant erythropoietin (EPO) in patients undergoing HD at Agadir, Morocco. This prospective study included patients on HD for at least one year. The water treatment was done according to the standard protocol, which was followed by additional enhancement of ultrafiltration using an additional polysulfone filter (diasafe, Fresenius, Bad Homburg, Germany) before the dialyser. Water was monitored regularly during the study period to ensure acceptable levels of bacterial count as well as endotoxin levels. Various parameters including dry weight, systolic and diastolic blood pressure (PA) before and after an HD session, need for human recombinant EPO, levels of hemoglobin (Hb), albumin, ferritin, C-reactive protein (CRP), and the dose of dialysis delivered (Kt/V) were measured first at the beginning of the study and thereafter, in the third, sixth and 12 th months of the study. The study involved 47 patients, and after 12 months of the study, an improvement in median dry weight (1.2 kg, P = 0017) and a simultaneous median reduction of 20.7 IU/kg/week of EPO, with an in-crease of the median level of Hb, was noted. The results of our study suggest that by improving the biocompatibility of HD with the use of good quality water, patients acquire a better nutritional, inflammatory and hematologic status.
Effects of Heavy Metals on Cell Density, Size, Specific Growth Rate and Chlorophyll a of Tetraselmis Tetrathele Under Controlled Laboratory Conditions
Abstract
The effects of the varying levels of mercury (Hg) and cadmium (Cd) (0, 0.1, 0.3, 0.5, 1.0, 2.0, 3.0, 4.0 and 5.0 mg L⁻¹) to the cellular density of the green microalgae Tetraselmis tetrathele were evaluated every 24 h for 120 h. Specific growth rate, cell sizes and chlorophyll a were also monitored in the 5.0 mg L⁻¹ Hg and Cd and were compared to the unexposed at 0, 12, 24, 36, 48 and 120h. Results showed that the algal density of T. tetrathele exposed to various levels of Hg were similar with the control up to 48 h. Variations on different concentrations at different times were observed but the results suggest that T. tetrathele was not affected by Hg even at concentrations up to 5.0 mg L⁻¹ for 48 h but started to show toxicity from 3.0 to 5.0 mg L⁻¹ after 72 h and longer. Cd on the other hand also showed toxicity at 3.0, 4.0 and 5.0 mg L⁻¹ beyond 24 h exposure. The specific growth rate of T. tetrathele exposed to both 5.0 mg L⁻¹ Hg and Cd was statistically similar with those of the unexposed from 0 to 12 h and negative growth rates then followed up to 36 h. The chlorophyll a was significantly lower in the metal -exposed algae than did those unexposed. Chlorophyll a also decreased in T. tetrathele exposed to both heavy metals but algal cell sizes were not affected with the presence of Hg or Cd in the culture system.
Effects of Heavy Metals on Cell Density, Size, Specific Growth Rate and Chlorophyll a of Tetraselmis Tetrathele Under Controlled Laboratory Conditions
Abstract
The effects of the varying levels of mercury (Hg) and cadmium (Cd) (0, 0.1, 0.3, 0.5, 1.0, 2.0, 3.0, 4.0 and 5.0 mg L⁻¹) to the cellular density of the green microalgae Tetraselmis tetrathele were evaluated every 24 h for 120 h. Specific growth rate, cell sizes and chlorophyll a were also monitored in the 5.0 mg L⁻¹ Hg and Cd and were compared to the unexposed at 0, 12, 24, 36, 48 and 120h. Results showed that the algal density of T. tetrathele exposed to various levels of Hg were similar with the control up to 48 h. Variations on different concentrations at different times were observed but the results suggest that T. tetrathele was not affected by Hg even at concentrations up to 5.0 mg L⁻¹ for 48 h but started to show toxicity from 3.0 to 5.0 mg L⁻¹ after 72 h and longer. Cd on the other hand also showed toxicity at 3.0, 4.0 and 5.0 mg L⁻¹ beyond 24 h exposure. The specific growth rate of T. tetrathele exposed to both 5.0 mg L⁻¹ Hg and Cd was statistically similar with those of the unexposed from 0 to 12 h and negative growth rates then followed up to 36 h. The chlorophyll a was significantly lower in the metal -exposed algae than did those unexposed. Chlorophyll a also decreased in T. tetrathele exposed to both heavy metals but algal cell sizes were not affected with the presence of Hg or Cd in the culture system.
Clearing the Waters A focus on water quality solutions
Reproduction
This publication may be reproduced in whole or in part and in any form for educational or nonprofit purposes without special permission from the copyright holders, provided acknowledgement of the source is made. UNEP would appreciate receiving a copy of any publication that uses this publication as a source. No use of this publication may be made for resale or for any other commercial purpose whatsoever without prior permission in writing from the United Nations Environment Programme.
Clearing the Waters A focus on water quality solutions
Reproduction
This publication may be reproduced in whole or in part and in any form for educational or nonprofit purposes without special permission from the copyright holders, provided acknowledgement of the source is made. UNEP would appreciate receiving a copy of any publication that uses this publication as a source. No use of this publication may be made for resale or for any other commercial purpose whatsoever without prior permission in writing from the United Nations Environment Programme.
A Manual On Water Quality Treatment Methods At Community And Household Level
About this book :
This book is a compilation work of various techniques adopted at different parts of the world for removal of a range of chemical parameters which are present beyond the permissible limit in drinking water. The different technologies those are described in this book are mainly limited to household level and for community level. The stepwise pictorial presentation for treatment of contaminated water to remove different chemical parameters and biological treatment will possibly be appreciated by the readers of this book. The authors of this book have tried their best, put their utmost thought and taken maximum care while compiling the available information so that this piece of work will be accepted by every individual. This book in general comprises three sections and eight chapters are within these sections. Section-I comprises only one chapter which describes different water quality problems in India with specific interest to Odisha and for whom this book is designed. Similarly, the section-II encompasses four chapters. Water quality standards, water quality occurrence in different parts of the state and its presentation in shape of a map are reflected in these chapters. Section –III, which is the most important section of this book, illustrates identification of problems and their mitigation measures at household level as well as at community level. Material quantification and maintenance procedures are also depicted in this section.
A Manual On Water Quality Treatment Methods At Community And Household Level
About this book :
This book is a compilation work of various techniques adopted at different parts of the world for removal of a range of chemical parameters which are present beyond the permissible limit in drinking water. The different technologies those are described in this book are mainly limited to household level and for community level. The stepwise pictorial presentation for treatment of contaminated water to remove different chemical parameters and biological treatment will possibly be appreciated by the readers of this book. The authors of this book have tried their best, put their utmost thought and taken maximum care while compiling the available information so that this piece of work will be accepted by every individual. This book in general comprises three sections and eight chapters are within these sections. Section-I comprises only one chapter which describes different water quality problems in India with specific interest to Odisha and for whom this book is designed. Similarly, the section-II encompasses four chapters. Water quality standards, water quality occurrence in different parts of the state and its presentation in shape of a map are reflected in these chapters. Section –III, which is the most important section of this book, illustrates identification of problems and their mitigation measures at household level as well as at community level. Material quantification and maintenance procedures are also depicted in this section.
Water Treatment and Pathogen Control
This document is part of a series of expert reviews on different aspects of microbial water quality and health, developed by the World Health Organization (WHO) to inform development of guidelines for drinking-water quality, and to help countries and suppliers to develop and implement effective water safety plans. Contamination of drinking-water by microbial pathogens can cause disease outbreaks and contribute to background rates of disease. There are many treatment options for eliminating pathogens from drinking-water. Finding the right solution for a particular supply involves choosing from a range of processes. This document is a critical review of some of the literature on removal and inactivation of pathogenic microbes in water. The aim is to provide water quality specialists and design engineers with guidance on selecting appropriate treatment processes, to ensure the production of high quality drinking-water. Specifically, the document provides information on choosing appropriate treatment in relation to raw water quality, estimating pathogen concentrations in drinking-water, assessing the ability of treatment processes to achieve health-based water safety targets and identifying control measures in process operation.
Water Treatment and Pathogen Control
This document is part of a series of expert reviews on different aspects of microbial water quality and health, developed by the World Health Organization (WHO) to inform development of guidelines for drinking-water quality, and to help countries and suppliers to develop and implement effective water safety plans. Contamination of drinking-water by microbial pathogens can cause disease outbreaks and contribute to background rates of disease. There are many treatment options for eliminating pathogens from drinking-water. Finding the right solution for a particular supply involves choosing from a range of processes. This document is a critical review of some of the literature on removal and inactivation of pathogenic microbes in water. The aim is to provide water quality specialists and design engineers with guidance on selecting appropriate treatment processes, to ensure the production of high quality drinking-water. Specifically, the document provides information on choosing appropriate treatment in relation to raw water quality, estimating pathogen concentrations in drinking-water, assessing the ability of treatment processes to achieve health-based water safety targets and identifying control measures in process operation.
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