Introduction to water supply
By Woineshet B. (BSc, MPH in Environmental and
                   occupational health)
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                      Course objective
At the end of this class the student will be able to;
    Define some of terminology in water supply
    Explain the importance of water
    Differentiate types water-associated disease
    Important property of water
    List and describe the basic requirements for safe,
           adequate and accessible drinking water
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                   Introduction
• Water is essential for life
• An adequate, safe and accessible water supply
   must be available to all people
• Improving access to safe drinking water can result
   in tangible benefits to health
• Water is one of the factors which contribute to the
   transmission of many diseases
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        Public health importance of water
• Water is a basic necessity for life unfortunately, not all water helps
   human to survive
• Water from contaminated sources causes numerous diseases and
   untimely deaths
• A satisfactory water supply must be available to all humans
• public water supply must be potable, palatable and wholesome.
• Water must not have disagreeable physical change and must be
   hygienically safe.
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               Definition of terms
• Palatable water: water that is pleasant to drink because
   its taste is good but it may not be safe.
• Potable water: safe for drinking, free from pathogens
   which are introduced to the water through feces, dirty
   containers, etc
• Raw water: water that has not been purified
• Free water: groundwater which can move without
   hindrance in response to the force of gravity
• Turbidity: disturbed, muddy appearance of water.
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            Importance and use of water:
1. Physiological needs: 70% of our body by weigh , about 2.0-
    2.5 L/D needs for survival with out water very hard most
    food contains water: milk about 90%, fish about 80%;
    Dehydration is the adverse consequence of inadequate water
    intake
2. Domestic/ social use: cleaning, washing,
3. Recreational purposes: swimming, boating,
4. Economical: agriculture, transportation, power production,
    industrial use, etc.
5. Cultural / Spiritual values : Tebel , Timket and praying
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                   occurrence of water
• Water is the most widely occurring substance in the world
• Over 72% of the earth's surface is covered by water.
           • Salt water: 97.5%
           • Fresh water: 2.5%
• Of 2.5%:
      – 0.3%: Lakes and rivers
      – 30.8%: Ground water
      – 68.9%: Glaciers and
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      – permanent snows
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• Where do humans get water?
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                        Sources of water
Ground water
 It is comparatively likely to be free from disease causing micro-organism is
   by far the most practical and safe in nature
 It can be used without further treatment if properly protected
 The most important source of water supply for most rural communities
 It is not exposed for evaporation and is used as natural storage in
   underground.
 It is most practical and economical to obtain and distribute
 Classified in to well and spring water
                                  Disadvantages
 It needs pumping unless it comes from a spring
 It is poor in oxygen content
 It may contain excess amounts of dissolved minerals
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                Sources of water
• Ground water
      Wells and springs
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                     Surface water
 Is found non-uniformly distributed over the earth’s surface
 Rain reaches the surface of the earth, it becomes surface
  H2O
 Is less naturally dissolved minerals
 Quantity & quality depend upon the conditions catchment
  area
 Has to be polluted by industrial & municipal effluents
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           Sources of drinking water
Surface water
Lakes, reservoirs, rivers
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• Do you think that water from the river in
  Figure 13.4 would be safe to drink? Is this
  an example of a protected or unprotected
  source?
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              Physically accessible
• Water must be within safe physical reach, in or
   near the house, school or health facility.
Accessibility to safe water can be classified as
follows:
• No access
    – The distance to the water source is more than one
      kilometre or more than a 30-minute round trip.
    – The amount of water collected is very low (often below
      5 litres per capita per day).
• Basic access
    – The water source is within one kilometre/30-minute
      round trip.
    – The amount of water to be collected on average is
      unlikely to exceed 20 litres per capita per day.
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• Intermediate access
      – Water is provided onsite through at least one tap
        (at yard level).
      – Average volume of water collected is
        approximately 50 litres per capita per day.
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• Optimal access
      – Supply of water is through multiple taps within the
        house.
      – Approximately 100–200 litres per capita per day or
        more is available.
• daily minimum water requirement was
  between 2 and 4.5 litres per person per day
  according to climate conditions.
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              Sources of water
Rain water
• can be used for domestic purposes in areas
  where there are no alternative sources of water
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                        Ocean water
 Is unfit for human consumption even though it comprises the
  largest portion of water on the earth's surface (75%)
 Is also too salty for irrigation and for domestic purposes
 To make the ocean water fit for different purposes
            It must pass through desalination
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                    Water impurities
Two types:
• Dissolved impurities (gases and dissolved
    chemicals )
      – Adverse effect Acidity, Hardness, Alkalinity ,Toxicity
           , Methaemoglobnamia ,dental caries or mottling
• Suspended impurities :Microbes; solids Bacteria,
    algae, eggs, cysts, protozoa, soil, silt, soot,
      – Adverse effect Infection turbidity, taste, color, odor
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                 Hardness of water
 Capacity of water for reducing and destroying the lather of
    soap
Temporary hardness:
Is caused by the presence of salts dissolved in water,
    primarily calcium and magnesium (Ca (HCO3)2, Mg
    (HCO3)2)
Permanent hardness:
• Caused by the presence of Sulphates, chlorides and nitrates of
    calcium and magnesium(Cl, SO4-2, CO3- of Ca, Mg, Fe,Mn)
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               Adverse effects
 Loss of soap & detergents
 Effects to kidney
 Scale formation on boiling
 Cardio vascular prevalence
 Decreases life fabrics
 Disturbance of GI tract (mgso4,)
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            Methods of softening
Temporary hardness:
• Boiling
• Use of hydrated lime, Ca (OH)2 in large scale.
 Permanent:
• use of soda ash (Na2CO3) and
• Ion exchange method
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                Water, Health and Disease
• The saying “water is life” is found in many cultures around the world
• It under scores the fact that clean water is an absolute prerequisite for
     healthy living
• A wide range of natural and human influences affects water quality
There are two main types of water pollution
1.    Chemical pollution of water and diseases
include detergents, solvents, nitrogenous substances, dyes, ammonia, etc
2. Biological pollution of water and diseases
            numerous pathogenic organisms
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           Diseases associated with water
• water-borne Diseases
• Water-washed Diseases
• Water-based Diseases
• Water-related Diseases
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           Water- borne Diseases
• Disease caused by drinking of water that is
  contaminated by human or animal excrement
  and contains pathogenic microorganisms
• E.g. cholera, typhoid fever, amoebic and
  bacillary dysentery
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                Water- washed Diseases
• Diseases transmitted by in adequate water for
    personal hygiene conditions and practices
• Examples of water -washed diseases are
      – Dermatological disease such as scabies
      – Ophthalmic disease such as trachoma and
           conjunctivitis
      – Louse-borne diseases such as louse borne typhus and
      – relapsing fever.
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               Water-based diseases
• These are diseases caused by infectious agents that are
  spread by contact with water
• The essential part of the lifecycle of the infecting agent
  takes place from an aquatic animal
• Many of the diseases in this class are caused by worms
E.g. Schistosomiasis and Dracunculiasis(guinea worm)
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           Water-related diseases
• Water-related diseases are transmitted by
    insect vectors that breed in or near water
• Infections are spread by mosquitoes, flies and
    other insects that breed in water or near it.
 e.g. Malaria, sleeping sickness, yellow fever,
  onchocerciasis, etc.
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The four mechanisms of water-associated diseases and preventive
                         strategies
Water-associated          Example               Agent         Preventive strategies
Diseases
1. Waterborne                                                 -Improve water quality
(faecal –oral)                                                -Prevent usual use of other
a) Low infectious dose    Typhoid, cholera      Bacteria      contaminated source
b) High infectious dose   Bacillary dysentery   Bacteria      - Health education
2. Water-washed
a) Skin and eye           Scabies, trachoma     Spirochetes   - Improve water quantity
b) Other                  Louse-borne fever     Other         -Improve water access.
                                                agents        - Health education
3. Water-based                                                -Decrease need for untreated water
a) Penetrating skin       Schistosomiasis       Helminthes    contact
b) b) Ingested            Guinea worms          Helminthes    -Control snail population
                                                              -Improve quality of water
                                                              - Health education
4. Water-related                                              -Proper site selection of house
a) Biting near water      Sleeping sickness,    Protozoa      -Using personal protection materials
b) Breeding in water      Malaria               Protozoa      -Destroy breeding sites of insects
                                                              -Decrease need to visit breeding site
                                                              - Health education
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      Objective of drinking water supply
To supply safe and wholesome water:
1. Microbiological safety
2. Removal of excessive and undesired chemicals
3. Addition of essential chemicals
4. removal of impurities that interfere with water
    color, taste, transparency, and odor;
• Adequate supply for all purposes: cooking, washing,
  personal hygiene,
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                 Water treatment
• Drinking water should be essentially free of disease-
    causing microbes, but often this is not the case.
• Using the best possible source of water for potable
    water supply and protecting it from microbial and
    chemical contamination is the goal
• The burden of providing microbial safe drinking water
    supplies from contaminated natural waters rests upon
    water treatment processes
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    Small-scale water treatment systems
Household- and community-level treatment and most likely to
  be used in rural areas
It is appropriate when:
• A relatively small amount of water is obtained from a well or
  spring and is collected and transported by hand.
• The source is contaminated and simple protective measures
  can neither improve water quality nor stop the contamination.
• Community resources are inadequate to meet the cost of a
  simple community treatment system and make it difficult to
  develop a centralized treatment system
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   Small-scale water treatment systems
• Boiling
• Filtering
• Chlorine addition/ Chlorine Tablets/Halazone
    Tablets. one tablet/litre, Wuha Agar
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                        Boiling
 Is one of the most reliable methods of disinfecting water
 Water is brought to the boiling point, and is kept boiling
    for 15 to 20 minutes, all forms of micro-organisms
 Is effective for all kinds of raw water, except toxic
 Is its flat taste, due to the loss of dissolved gases (CO2 &
    O2) and minerals
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                           Filtration
• Is a process of passing water through porous
    materials
• Carried out by simple filtration systems, such as:
           Homemade sand filters
           Home candle filters
           Stone filters
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                 Chemical Disinfection
                          A) chlorine or its compounds
 Can be applied to disinfect water on a small scale
 3 drops of 1% chlorine stock solution applied to every liter
 Tablet forms of chlorine (dose:1 tablet per liter of clear water)
                          B) iodine and its compounds
 Have also been effectively used for individual water
 Iodine is believed to be a better disinfectant than chlorine
 Relatively expensive for ordinary use, and imparts to the waters
 Tincture of iodine (2%) applied at the rate of 2 drops per liter gives
   satisfactory results
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            Large scale/ Municipal Water
                 treatment process
• May find it in larger towns and cities where there is a
  network of pipes and pumps to distribute water from the
  treatment works
• The main steps are Preliminary water treatment (The
  source and intake of the raw water ,Screening ), Aeration
  and pre-chlorination , Coagulation and flocculation,
  Sedimentation Filtration , Post-chlorination and
  Supplementary treatment
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           Large scale/ Municipal Water
                treatment process
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     Main objective of water treatment
 To remove pathogenic organisms
 To remove substance which impart color, taste or odor
 To remove excess or undesirable chemicals or minerals
 To regulate essential elements or chemicals (e.g.
Fluoridation or defluoridation of water)
 To remove excess or undesirable dissolved gasses
Defluoridation is process of removing the undesirable
amount of fluoride
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           Water Quality Parameters
• Physical parameters
• Chemical
• Bacteriological
• Disinfectants Byproducts
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                       Color
• May be due to the Presence of organic matter,
    metals(iron, manganese) or highly colored
    industrial waste
• Aesthetically displeasing
• Desirable that drinking water be colorless
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                        Turbidity
• Caused by suspended matter
• High level turbidity shield and protect bacteria from the
    action of disinfecting agents
• Desirable limit-5NTU
• Should be below 1 NTU when disinfection is practiced
• Permissible limit-10NTU
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                        PH
• Is the measure of hydrogen ion concentration
• water pH-7
• Acidic water has pH below 7
• Basic water has pH above 7
• Desirable limit 6.5-8.5 Beyond this limit the
    water will affect the mucous membrane and water
    supply system
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             STANDARDS
Parameters       Desirable   Permissible limit
Nitrate mg/l     45          45
Chloride mg/l    250         1000
Flouride mg/l    1           1.5
Arsenic mg/l     0.05        0.05
Aluminium mg/l   0.03        0.2
TDS              500         2000
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           Fluorosis causes mottling of
                 children’s teeth
 Tooth decay is a very widely distributed chronic disease
 Mottled or spotted teeth, dental fluorosis, staining of the
    enamel
 Optimum concentration is 0.8-1.2mg/l      (WHO=1.5 mg/l)
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    Essential bacteriological Standards
• Ideally, drinking-water should not contain any
    microorganisms known to be pathogenic or
    any bacteria indicative of fecal pollution
   Characteristics        Number / 100 ml
   Treated water in       Feacal coli form
   distribution system    zero
                          Total coli form not
                          more than 10
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           RESIDUAL CHLORINE
• Chlorine added to water forms hypochlorite ions and
    hypochlorite acids
• Chlorine demand: Quantity required for killing micro
    organisms and reacting with ammonia, organic
    compounds etc.
• Free residual chlorine: To take care of post
    contamination
• Desirable – 0.2 mg / liter
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           Why worry about water supply?
• Water is a basic necessity for life
• Major pathway into the body for contaminants
• Easy to contaminate, difficult (costly) to
    remediate
• Expensive to transport, necessitating local
    supplies for most communities
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           Any Questions?
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