Consequences of Water Pollution on Health ppt

Consequences of Water Pollution on Health Samira Baba Hamed, Mansour Belhadri, Lila Benabdallah and Touria Gaouar Laboratory of rheology, transport and treatment of the complex fluids Hydraulics departement - University of Sciences and Technology – Mohamed Boudiaf - Oran - Algeria Abstract Water is the source of life, but when badly exploited , it becomes a source of problems ; polluted, it gives access to all diseases and opens doors to poverty, under development and becomes a cause of death . Water pollution has many sources. The most polluting of them are the city sewage and industrial waste discharged into the rivers or sea. They can cause many illnesses that range from typhoid , dysentery, cholera , hepatitis A and skin diseases. This study has been carried out in the town of Oran (west Algeria) , it gives an estimate of the evolution of hydrous transmitted diseases these last decades. We will establish an assessment of general situation and planning of the actions to be taken practical in front of epidemics diseases with hydrous transmission. We will propose a program which starts with the application of simple standards of hygiene and extends on control of water points, the treatment of tanks and control the drinking water network. The individual and the community can help minimize water pollution. By simple housekeeping and management practices along with the reduction of the amount of waste generated. Keys words : pollution – sewage – diseases - environment- prevention Introduction Water is the first spring and the determinant even of the life. Each part of water cycle would be an ecosystem connected itself to the other watery ecosystems. So when the water drops fall towards the ground, any substance dragged towards the ground becomes a water pollutant. Thus, pollution has many origins which are connected to the water cycle. It can come directly from the human activities like the discharge of waste or the chemical substances in water, or can be introduced anywhere into the natural water cycle , or during its transfer from the collecting place to the consumer. Water pollution is indissociable from the degradation of its vital qualities i.e. deterioration or suppression of water potential functions. The water intended for consumption can be contaminated following infiltrations or rejections. This contamination results in the presence of toxic and polluting elements in levels that are out of standards when it comes to drinking waters. The origins of these infiltrations are numerous, inter alia the badly controlled rejections, which come from certain industries and will end up joining a ground water, the infiltration of waste water network into the drinking water network (cross connexion )and also the septic tanks being in the ray of well pumping. These problems which at the beginning are easily resolved can with time touch to consumer health and the economy, because certain diseases with hydrous transmission generate epidemics with heavy consequences. This study is carried out in the town of Oran where drinking water pollution is one of the possible causes of epidemics. Water pollution Waters divide into two groups, terrestrial water and marine water. The pollution of these waters has several origins, which can be terrestrial or marine, will inevitably end up touching with human being health because of its consumption or its contact. Drinking water pollution can be superficial and/or underground, its effects on health are hydrous transmitted diseases. As for marine pollution, skin diseases and other bodies transmit following baths in polluted water. Pollution is caused by chemical or microbial agents coming from domestic, industrial and agricultural structures. The course of water. The assurance of a good sanitary quality of water remains the prime objective to reach, whatever is the course of water, from the collecting place to the consumer (Figure 1) This objective must prevail throughout the drinking water supply system which encompasses the following operations in general: - Collecting water: underground and superficial - Hydrant - Pumping station - Adduction - treatment station - storage means: tank - Drinking water network: consumer Figure 1 . Course of water Each of these operations compulsorily requires a particular care from the hygiene point of view. One can indeed note a massive contamination at any level of the above stated operations, whereas at the origin this water was a perfectly drinkable one. Water pollution origins The diseases with hydrous transmission continue to prevail in an endemic and epidemic state affecting the population’s health. They are propagated following the deterioration of the bacteriological quality of water. Waters can be polluted: a At the source : - which can be superficial: place of collecting - or underground: the rejects of a septic tank having joined the pumping ray of a well b In the hydraulic works: works of storages, tanks c In the adduction ducts: ducts in bad condition, cracking or dislocation of the joints d In the distribution network, it is the cross connection: infiltration of waste water in the drinking water network e Others: in the case of a defective, collective or individual, , undesirable substances contained in waste water can join a watertable (organic matters, detergent, solvents, antibiotics, micro- organisms…) The case occurs with the lost wells, when a badly designed or dimensioned individual purification system lead to infiltration in the soil, or in the case of overloaded urban purification stations.The irrigation of the cultures with sewage is also a possible cause of hydrous transmitted diseases Census of the epidemics related to the consumption of water in Oran town . The consequence of the contamination of drinking waters on health is the propagation of the diseases with hydrous transmission wich are mandatory notifiable diseases. They appear following the deterioration of the bacteriological quality of water due to its pollution. Certain diseases prevail in an epidemic state and others in an endemic state nevertheless, they are in clear regression as shown in several investigations carried out in Wilaya of Oran . The data transmitted by Health and Population Direction of Oran (D.S.P) are represented in the table 1 Table 1. Epidemiologic situation of the Oran Wilaya of 1983 to 2005 Water related diseases Years Cholera Typhoid Hepatitis A Dysentery Total 1983 0 49 0 0 49 1984 0 62 76 30 168 1985 0 0 0 0 0 1986 447 96 76 64 683 1987 220 46 102 71 439 1988 349 74 23 7 453 1989 70 26 100 28 224 1990 74 62 55 42 233 1991 3 68 86 60 217 1992 4 51 154 44 253 1993 0 34 96 40 170 1994 0 47 88 31 166 1995 0 68 174 52 294 1996 0 27 74 29 130 1997 0 60 119 18 197 1998 0 21 76 44 141 1999 0 64 107 37 208 2000 0 9 98 47 154 2001 0 17 50 79 146 2002 0 33 44 19 96 2003 0 23 29 6 58 2004 0 16 8 3 27 2005 0 16 8 3 27 -100 0 100 200 300 400 500 600 700 800 1980 1985 1990 1995 2000 2005 2010 Years Water related diseases Cholera Thypoid Hepatitis A Dysenteries Total Figure 2. Epidemiologic situation of water related diseases in Oran between 1983 and 2005 As figure 2 shows it, Water-related Diseases knew a fast recrudescence between the years 1986 and 1992, this is due to the deterioration of the bacteriological quality of water and to the significant hydrous restriction. Nevertheless, since 2000, these diseases decreased obviously and no case of cholera has been listed since then, thanks to the efforts made by the sectors of health and hydraulics. The typhoid fever reflects the endemic character of the disease and at a given time the concentration of the cases; as for the viral hepatitis it is only the declared cases that are represented, considering there always is cases under treatment. Indeed the improvement of the bacteriological quality of water, the rarity of the water supply cuts and the creation of new adductions improved the supply of water to the collectivity; adding to that the awakening of the citizens who understood that the improvement of the conditions of their life is based on a strict compliance with the rules of hygiene. Census of the Water-related Diseases in the five last years We took the last five years (2001, 2002, 2003, 2004 and 2005) and we considered the epidemiologic situation of water related diseases in Oran. This study takes into account the confirmed and suspect cases of the typhoid fever We added collective toxinfections. The data are regrouped in table 2 Table 2. Annual balance sheet of water related diseases of 2001 to 2005 Years Water related diseases Total Suspected case 28 Typhoid Confirmed case 17 Hepatitis A 50 Dysenterie 79 2001 T.I.A.C 369 Suspected case 43 Typhoid Confirmed case 33 Hepatitis A 44 Dysenterie 19 2002 C.F.T.I 572 Suspected case 40 Typhoid Confirmed case 23 Hepatitis A 29 Dysenterie 6 2003 C.F.T.I 314 Suspected case 16 Typhoid Confirmed case 19 Hepatitis A 8 Dysenterie 3 2004 C.F.T.I 588 Suspected case 16 Typhoid Confirmed case 10 Hepatitis A 8 Dysenterie 3 2005 C.F.T.I 261 Erreur ! C.F.T.I : Collective Food Toxico-Infection 0 100 200 300 400 500 600 700 2001 2002 2003 2004 2005 Years Number of cases Thypoid Hepatitis A Dysenteries C.F.T.I Figure 3.Epidemiologic situation of Oran between 2001 and 2005 As shown in figure 3, years 2001,2002, 2003, 2004 and 2005 knew a real setback of Water-related Diseases which proves the efficiency of the epidemiologic investigations, sensitizing of the population and a better supply of water. Work remains to be made for the C.F.T.I as soon as the hydrous track is being suspected, we must proceed to the withdrawal and the analysis of the necessary water for the preparation of food, ice etc.…. Outline on the marine water pollution. The Algerian coastline extends on approximately 1200 km, they present marvellous landscapes, sources of rest and relaxation. But often behind these paradisiac sights hide the meeting point of all pollution and this in the form of a rejection: immense and unaesthetic channel which pours blackish and sickening waters in this initially pure stretch of blue water, affecting the marine fauna and flora. The marine reservoir has for characteristic to purify itself very slowly. As the Mediterranean sea lacks strong marine streams and tides, this phenomenon is increased. But if nature made things well, the rejection from boats, chemicals plants, and from industrial and domestic facilities, were not envisaged in the self-purification process of the sea; adding to that a superabundant seasonal tourist surge. The body and skin diseases are transmitted following the bathes in polluted water.Table 3 gives an outline on the diseases caused by this water. Table 3: principal diseases caused by reactive water - Bendahmane, 2002 [ 2 ] Categories Diseases Germs Site of attack Origin Gastro-intestinal affection Gastro-enteritises Water and shell Affection cutano- mucous membranes Otic infection (external otitis) sinusitis conjunctivitis streptocoque Skin of the conduit Frontal sinus The conjunctive one (mucous membrane of the eye) Water during bathing Polymorphic feverish demonstration Herpes The mouth Water Génito-urinary affection Banal urethritis Chlamyde The urethra Water Even if many germs are tolerated in marine environment, it should not exceed some limit as table 4 shows it Table 4 .Standard of the quality of water of bathes J.O N° 46 of the 14/07/1993 – Bendahmane, 2002 [ 2 ] Parameters Units Guide values Limit values Coliformes totals / 100 ml 500 10 000 Coliformes fecal / 100 ml 100 2000 Streptocoques fecal / 100 ml 100 - Salmonellas / 1 L - 0 Choleraic vibrio / 450 ml - 0 Entérovirus PFU/10 L - 0 Waters of good quality are represented by the guide values Waters of acceptable quality lie between the guides values and limiting values, they must be subject to a continuous monitoring. The protection of marine water passes by the implementation of more purification stations in the coastal cities and the tourist villages. To prevent the diseases due to this water, it is important to avoid the bathe in polluted water. Program of water pollution abatement. If we consider the lightning speed of the development of a microbe, we will easily understand that it is better for all the sectors to work on the prevention. Indeed, starting from a microbe at an initial time, one can obtain in five hours more than three million; as table 5 shows it Table 5. Evolution of the microbial population according to time (UNICEF, 1999 [ 4 ] Times (hours) number of microbe 0 1 0.33 2 1 8 2 64 3 512 4 4096 5 32768 6 262144 7 2097152 8 16777216 9 134217728 10 1073741824 11 8589834592 1 10 100 1000 10000 100000 1000000 10000000 100000000 1000000000 10000000000 12345678910111213 Times (hours) number of microbe Times Number of microbe Figure 4 . Evolution of the microbial population according to time Adding to that the economic and social impact, the epidemics cost is expensive. In 1999, a case of typhoid fever roughly required a 120 000 DA expense to the government per case. Indeed, a case of disease requires, in general, a treatment, a hospitalization possibility, a work or schooling stoppage, water analyzes, epidemiologic surveys, patients follow-up, etc The social impact is also deep with the cases of psychosis within the population and death. Contribution of health sectors Water related diseases are mandatory notifiable diseases, their list must be brought up to date regularly and must take into account even isolated cases, and it is necessary to take care of the diffusion of statistics in conformity with the field reality. a-Preventive measures. The preventive measures that the health sectors will have to take are the following: - permanent monitoring and epidemiologic investigation - sensitization of the population and sanitary education - ensure coordination between the various medical sectors - provide information to the media (radio, newspapers…) b- Curative measures Curative measurements depend on the seriousness of the disease. In general, the following stages are followed: - diagnosis, confirmation of the disease and treatment of the patient - realization of an epidemiologic investigation in the direct surrounding of the patient to detect the healthy carriers Contribution of hydraulics sectors The sector of hydraulics contributes in the following way: a -Monitoring of the water quality: protection of the underground and superficial reserves - Protection of the superficial reserves by controlling the rejections - Protection of the underground reserves: the watertable will join a well, if this well is envisaged like a source of supply of drinking water, it will be necessary to take care of a scrupulous respect of hygiene rules. A dug well cannot be considered any more as a source of drinking water, without treatment, as soon as two consecutive bacteriological analyses reveal the presence of more than 10 coliformes per 100 ml. The preliminary checks to make are: that the well is, at least, 15m distant from any source of possible pollution and located within no more than 100 m of the dwellings (maximum 150 m). b Maintenance of the water points - To carry out the automatic chlorination of all the points where water is stored, chlorine by its property of remanence is the best treatment for water. - Liming of the wells using porous brick - To prepare a state of need for necessary products: porous brick, lime chloride, chlorine gas… - Monitoring of the quality of water - To take care of the bacteriological quality of the water used for irrigation c Maintenance of drinking water network - Establishment of a periodic report on the state of the network and of an annual balance sheet - Maintenance and management of the drinking water network with regular control for the detection of leaks, because all water exits are an entry for the polluting matters. - Perenniality of the works, a material which is degraded or oxidized will develop air pockets which will support the development of the bacteria - Fight furring: the injection of polyphosphate constitutes a preventive and an inhibitive treatment against scaling. - fight corrosion: by coating of the drains or by cathodic protection. - Restoration of the leaking joints and drains where necessary. Conclusion. In the prevention against water related diseases, protection of the water resource and the environment occupy a place of first choice, primarily controllable by the hygiene of the medium. The fight against water pollution requires permanent efforts on behalf of the various institutions such as health and hydraulics. The studies carried out show that it is possible to reduce these diseases, by the settlement of a wide and continuous campaign against water related diseases throughout the year, and to increase alertness during the periods of higher risk generally related to the drought. The problem must be dealt with at the source, while preserving and taking care of the quality of water throughout its course. The settlement of simple measures at the beginning can lead to a noticeable reduction of epidemics and morbidity by water related diseases. Acknowledgements The present was supported by epidemiologist of Health and Population Direction of Oran Bibliographical references. [1] Etude du problème de la cross connexion de la ville d’Oran. Bared bouheni et Cherchab Djillali - Thèse ingéniorat – encadré par Baba Hamed Samira USTO 2002 [2] Les eaux de baignades et leurs rapports avec les maladies à transmission hydriques. Kaddour Bendahmane - mai 2002 [3] Guide pratique pour l’eau potable et l’assainissement rural et suburbain – organisation mondial de la santé – Copenhague 1984 [4] L’hygiène alimentaire en milieu scolaire – guide du gestionnaire des cantines scolaires Unicef 1999 [5] David Krantz and Brad Kifferstein - Water Pollution And Society [6] World Health Organisation, Fact sheet N°112 – Water and sanitation [7] Water Sanitation and Health (WSH) www.who.int/water_sanitation_health/diseases/en/ . degradation of its vital qualities i.e. deterioration or suppression of water potential functions. The water intended for consumption can be contaminated. out in the town of Oran where drinking water pollution is one of the possible causes of epidemics. Water pollution Waters divide into