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NAVMED P-5010, Manual of the Naval Preventive Medicine, Chapter 6

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This Power Point is part of an Enlisted Advancement Program training series for US Navy Corpsman rating provided by Naval Medical Center Portsmouth Virginia …

This Power Point is part of an Enlisted Advancement Program training series for US Navy Corpsman rating provided by Naval Medical Center Portsmouth Virginia

Naval Medical Center Portsmouth is a military treatment facility serving active duty service members, their dependents and retirees in the Hampton Roads community of southeastern Virginia and northeastern North Carolina.

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  • 1. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine NAVMED P-5010 Chapter 6NAVMED P-5010 Chapter 6 Water Supply AfloatWater Supply Afloat A presentation by:A presentation by:
  • 2. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ScopeScope Provides information for safe and proper potableProvides information for safe and proper potable water handling procedures aboard vessels.water handling procedures aboard vessels. All personnel concerned with loading, treatment,All personnel concerned with loading, treatment, storage, distribution, and medical surveillance ofstorage, distribution, and medical surveillance of potable water should be familiar with currentpotable water should be familiar with current OPNAV, Fleet, Type, Area, Force, andOPNAV, Fleet, Type, Area, Force, and Command Instructions and Notices.Command Instructions and Notices.
  • 3. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ResponsibilitiesResponsibilities Naval Sea Systems Command (NAVSEASYSCOM)-Naval Sea Systems Command (NAVSEASYSCOM)- responsibleresponsible for the design, construction, and maintenance of the shipboardfor the design, construction, and maintenance of the shipboard potable water supply, distribution systems, treatment facilities andpotable water supply, distribution systems, treatment facilities and processes to assure that safe drinking water is available at all times.processes to assure that safe drinking water is available at all times. Naval Facilities Engineering Command (NAVFACENGCOM)-Naval Facilities Engineering Command (NAVFACENGCOM)- responsible for promulgating instructions for ship-to-shore potableresponsible for promulgating instructions for ship-to-shore potable water connections and for providing potable water from an approvedwater connections and for providing potable water from an approved source when the ship is berthed at a naval facility.source when the ship is berthed at a naval facility. Chief, Bureau of Medicine and Surgery (BUMED)-Chief, Bureau of Medicine and Surgery (BUMED)-establish andestablish and promulgate standards for water quality ashore and afloat,promulgate standards for water quality ashore and afloat, appropriate instructions, notices, or other publications to reflectappropriate instructions, notices, or other publications to reflect water quality requirements and will insure medical surveillance ofwater quality requirements and will insure medical surveillance of potable water distribution systems aboard ship and overseaspotable water distribution systems aboard ship and overseas activities.activities.
  • 4. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ResponsibilitiesResponsibilities Area, fleet, and subordinate commanders-Area, fleet, and subordinate commanders- issue the necessaryissue the necessary implementing directives to insure that adequate water sanitationimplementing directives to insure that adequate water sanitation standards are provided and enforced in each ship within thestandards are provided and enforced in each ship within the command.command. Commanding Officer-Commanding Officer-promulgate a water sanitation bill to insurepromulgate a water sanitation bill to insure that procedures for receipt, transfer, treatment, storage, distribution,that procedures for receipt, transfer, treatment, storage, distribution, and surveillance are provided and followed.and surveillance are provided and followed. Engineering Department-Engineering Department-responsible to the Commanding Officerresponsible to the Commanding Officer for implementing the requirements of the Naval Sea Systemsfor implementing the requirements of the Naval Sea Systems Command, including the operation and maintenance of theCommand, including the operation and maintenance of the shipboard water supply system, production of an adequate amountshipboard water supply system, production of an adequate amount of water, and insuring bacteriological purity through disinfection.of water, and insuring bacteriological purity through disinfection.
  • 5. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ResponsibilitiesResponsibilities Medical Department-Medical Department-conducts a comprehensiveconducts a comprehensive medical surveillance program of the potable watermedical surveillance program of the potable water system including adequacy of disinfecting procedures,system including adequacy of disinfecting procedures, collection of samples for bacteriological analysis, andcollection of samples for bacteriological analysis, and daily halogen residuals from the distribution system.daily halogen residuals from the distribution system. The Medical Department shall notify the CommandingThe Medical Department shall notify the Commanding Officer of any discrepancies observed in the waterOfficer of any discrepancies observed in the water distribution system.distribution system.
  • 6. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Shipboard Potable WaterShipboard Potable Water Obtained by the following means:Obtained by the following means: Distillation or other approved methodDistillation or other approved method Shore-to-ship delivery from an approvedShore-to-ship delivery from an approved sourcesource Shore-to-ship delivery from an unapprovedShore-to-ship delivery from an unapproved sourcesource Ship-to-shipShip-to-ship
  • 7. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Sea WaterSea Water Prohibited in all food services spaces unless approved by BUMED.Prohibited in all food services spaces unless approved by BUMED. Cross connections between potable and sea water of other systemsCross connections between potable and sea water of other systems are not permitted.are not permitted. Specific garbage grinders have been approved by BUMED for useSpecific garbage grinders have been approved by BUMED for use in designated sculleries.in designated sculleries. Permitted on ice cream machines and ice machines for coolingPermitted on ice cream machines and ice machines for cooling purposes.purposes. Used in the fire mains and under certain controlled circumstances,Used in the fire mains and under certain controlled circumstances, such as: flushing weather decks, water closets, urinals, garbagesuch as: flushing weather decks, water closets, urinals, garbage chutes, decontamination showers and laundering.chutes, decontamination showers and laundering. If it is necessary in an emergency situation to produce water fromIf it is necessary in an emergency situation to produce water from contaminated sources, the Medical Department must insure thatcontaminated sources, the Medical Department must insure that increased surveillance of the system is instituted.increased surveillance of the system is instituted.
  • 8. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Potable Water UsagePotable Water Usage Type of useType of use Gallon per person perGallon per person per dayday Drinking waterDrinking water 0.5-1.00.5-1.0 Galley and SculleryGalley and Scullery 1.5-4.01.5-4.0 Personal and HygienePersonal and Hygiene 5.0-20.05.0-20.0 LaundryLaundry 5.0-20.05.0-20.0 TotalTotal 12.0-35.012.0-35.0
  • 9. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Approved SourcesApproved Sources Facilities owned and/or operated by the U.S. military.Facilities owned and/or operated by the U.S. military. Water points listed in U.S. Public Health Service, Food and DrugWater points listed in U.S. Public Health Service, Food and Drug Administration, publication, "Acceptable Vessel Watering PointsAdministration, publication, "Acceptable Vessel Watering Points Interstate Conveyance Official Classification List." Contact the areaInterstate Conveyance Official Classification List." Contact the area Navy Environmental and Preventive Medicine UnitNavy Environmental and Preventive Medicine Unit (NAVENPVNTMEDU).(NAVENPVNTMEDU). Establishments under the cognizance of the British Royal Navy,Establishments under the cognizance of the British Royal Navy, Canadian Forces, and the Royal Australian Navy. These sourcesCanadian Forces, and the Royal Australian Navy. These sources are subject to termination or modification.are subject to termination or modification. See the current American-British-Canadian-Australian NavalSee the current American-British-Canadian-Australian Naval Quadripartite Standardization Agreement Program, ABCAQuadripartite Standardization Agreement Program, ABCA NAVSTAG 23, Quality Standards for Potable Water.NAVSTAG 23, Quality Standards for Potable Water.
  • 10. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Sources Doubtful QualitySources Doubtful Quality The Medical Officer, Medical DepartmentThe Medical Officer, Medical Department Representative (MDR), or a responsibleRepresentative (MDR), or a responsible officer must investigate the source andofficer must investigate the source and examine the water as thoroughly asexamine the water as thoroughly as possible with the means available; hepossible with the means available; he must then advise the Commandingmust then advise the Commanding Officer.Officer.
  • 11. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Care Of PotableCare Of Potable Water HosesWater Hoses Must not be used for any other purpose.Must not be used for any other purpose. They must be properly labeled, stored, and protected from sourcesThey must be properly labeled, stored, and protected from sources of contamination at all times, must be examined routinely andof contamination at all times, must be examined routinely and removed from use when cracks develop in the lining or leaks occur.removed from use when cracks develop in the lining or leaks occur. The receiving connection of ship potable water risers shall be atThe receiving connection of ship potable water risers shall be at least 18 inches above the deck and turned down, except when theleast 18 inches above the deck and turned down, except when the risers are located within the ship, such as in submarines. Each hoserisers are located within the ship, such as in submarines. Each hose connection must be fitted with a cap and keeper chain. Ship risersconnection must be fitted with a cap and keeper chain. Ship risers must be properly labeled, color coded, and disinfected prior to eachmust be properly labeled, color coded, and disinfected prior to each use.use. Sounding tubes for potable water tanks will be equipped with screwSounding tubes for potable water tanks will be equipped with screw caps attached to keeper chains and must be secured with a lock.caps attached to keeper chains and must be secured with a lock. On those ships with sounding rods, when not in actual use, the rodOn those ships with sounding rods, when not in actual use, the rod should remain in the tube at all times. On those ships utilizing steelshould remain in the tube at all times. On those ships utilizing steel tapes, the tape must be sanitized prior to each use and must betapes, the tape must be sanitized prior to each use and must be used for potable water measurements only.used for potable water measurements only.
  • 12. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Shore-Ship ProceduresShore-Ship Procedures Remove cap and flush pier side potable water outlet for 15 to 30Remove cap and flush pier side potable water outlet for 15 to 30 seconds. Immerse outlet and rinse fitting in a solution containingseconds. Immerse outlet and rinse fitting in a solution containing 100 ppm chlorine for at least 2 minutes. Flush to waste for 15 to 30100 ppm chlorine for at least 2 minutes. Flush to waste for 15 to 30 seconds.seconds. Deliver a clean disinfected potable water hose to the outlet justDeliver a clean disinfected potable water hose to the outlet just before the connection is made (potable water hoses should bebefore the connection is made (potable water hoses should be provided by the shore facility). Remove hose caps or uncouple hoseprovided by the shore facility). Remove hose caps or uncouple hose ends and disinfect if necessary. Connect to pierside outlet and flush.ends and disinfect if necessary. Connect to pierside outlet and flush. Disinfect shipboard riser connections. Connect hose to the potableDisinfect shipboard riser connections. Connect hose to the potable water shipboard riser and deliver potable water.water shipboard riser and deliver potable water. When the transfer is completed, secure the shore water source,When the transfer is completed, secure the shore water source, remove the ship connection, then the shore connection. Thoroughlyremove the ship connection, then the shore connection. Thoroughly flush the potable water outlet and recap. Drain the potable waterflush the potable water outlet and recap. Drain the potable water hose thoroughly and store in the potable water hose storage locker.hose thoroughly and store in the potable water hose storage locker.
  • 13. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Ship to shipShip to ship Supplying ship will provide hoses.Supplying ship will provide hoses. The leading potable water hose should have the cap in place duringThe leading potable water hose should have the cap in place during the high-line procedure.the high-line procedure. When the potable water hose is secured by the receiving ship, theWhen the potable water hose is secured by the receiving ship, the cap is removed and the hose coupling is disinfected.cap is removed and the hose coupling is disinfected. Both ships disinfect their respective potable water riser connections.Both ships disinfect their respective potable water riser connections. The supplying ship connects its end and flushes the hose.The supplying ship connects its end and flushes the hose. When the transfer is completed, the receiving ship removes theWhen the transfer is completed, the receiving ship removes the potable water hose and replaces the caps on the receivingpotable water hose and replaces the caps on the receiving connection and the potable water hose.connection and the potable water hose. The supplying ship then retrieves, couples or caps, and properlyThe supplying ship then retrieves, couples or caps, and properly stores the potable water hose.stores the potable water hose.
  • 14. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Potable Water ProductionPotable Water Production Distilling plants installed on naval vessels are of three generalDistilling plants installed on naval vessels are of three general types:types: 1.1. Steam distilling plants are operated by steam supplied directly orSteam distilling plants are operated by steam supplied directly or indirectly from a power plant or auxiliary boiler.indirectly from a power plant or auxiliary boiler. 2.2. Waste heat distilling plants are submerged tube type and use heatWaste heat distilling plants are submerged tube type and use heat derived from diesel engine jacket water.derived from diesel engine jacket water. 3.3. Vapor compression type require primarily only electrical energy forVapor compression type require primarily only electrical energy for operations; however, additional heat exchangers that use wasteoperations; however, additional heat exchangers that use waste heat (exhaust gas or cooling water) may be installed.heat (exhaust gas or cooling water) may be installed. Reverse OsmosisReverse Osmosis Potable water production is an engineering responsibility, thePotable water production is an engineering responsibility, the Medical Department must be cognizant of the process in order toMedical Department must be cognizant of the process in order to adequately provide surveillance and recommendations associatedadequately provide surveillance and recommendations associated with potable water.with potable water.
  • 15. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Potable Water TanksPotable Water Tanks The construction and location of potable waterThe construction and location of potable water tanks should prevent contamination of thetanks should prevent contamination of the contents. For full utilization of space, potablecontents. For full utilization of space, potable water is stored on most ships in inner bottomwater is stored on most ships in inner bottom tanks, other skin tanks, and peak tanks.tanks, other skin tanks, and peak tanks. Potable water tanks should not be filled withPotable water tanks should not be filled with ballast water unless absolutely necessary for theballast water unless absolutely necessary for the survival of the ship.survival of the ship.
  • 16. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Vents and/or Overflow LinesVents and/or Overflow Lines The openings must be screened with 18-meshThe openings must be screened with 18-mesh or finer non-corrosive metal wire.or finer non-corrosive metal wire. They must not terminate in food service,They must not terminate in food service, medical, toilet or other spaces wheremedical, toilet or other spaces where contamination or odors may be transmitted tocontamination or odors may be transmitted to the water, nor in any space where electrical orthe water, nor in any space where electrical or electronic equipment is located.electronic equipment is located. In no instance will potable water tanks ventIn no instance will potable water tanks vent outside the ship.outside the ship.
  • 17. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ManholesManholes If a manhole is located on the side of the tank, flush-typeIf a manhole is located on the side of the tank, flush-type construction is acceptable.construction is acceptable. If located on the top (including the deck, if the deckIf located on the top (including the deck, if the deck forms the top of the tank), a coaming or curb rising atforms the top of the tank), a coaming or curb rising at least one-half inch above the top of the tank must beleast one-half inch above the top of the tank must be provided and the manhole cover must extend to theprovided and the manhole cover must extend to the outer edge of the curb or flange. The cover must have anouter edge of the curb or flange. The cover must have an intact gasket and a device for securing it in place.intact gasket and a device for securing it in place. Normally, manholes not exposed to the weather decksNormally, manholes not exposed to the weather decks are fitted with the flush-type manhole cover or the raised,are fitted with the flush-type manhole cover or the raised, bolted-plate cover. The latter is preferable for potablebolted-plate cover. The latter is preferable for potable water tanks.water tanks.
  • 18. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Measurement of Water LevelMeasurement of Water Level There are several methods for measurement of water in tanksThere are several methods for measurement of water in tanks including automatic level gauges, petcocks, and sounding tubes.including automatic level gauges, petcocks, and sounding tubes. Sounding rods, when not in use, the rod should remain in the tube atSounding rods, when not in use, the rod should remain in the tube at all times. On those ships using steel tapes, the tapes must beall times. On those ships using steel tapes, the tapes must be sanitized prior to each use, stored in a sanitary manner, and usedsanitized prior to each use, stored in a sanitary manner, and used only for potable water measurements.only for potable water measurements. Sounding tapes may be sanitized by soaking the entire tapeSounding tapes may be sanitized by soaking the entire tape apparatus in a solution of 100 ppm chlorine for two minutes.apparatus in a solution of 100 ppm chlorine for two minutes. Another method which can be used involves wiping the tape with aAnother method which can be used involves wiping the tape with a clean rag soaked in a disinfectant solution such as food serviceclean rag soaked in a disinfectant solution such as food service disinfectant, iodine disinfectant or alcohol sponges.disinfectant, iodine disinfectant or alcohol sponges.
  • 19. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Potable Water PipingPotable Water Piping Insure than an adequate air gap is providedInsure than an adequate air gap is provided between the potable water outlet and a non-between the potable water outlet and a non- potable water system, should be airtight and freepotable water system, should be airtight and free from cross-connectionsfrom cross-connections The hot water heaters serving habitabilityThe hot water heaters serving habitability spaces must limit the minimum and maximumspaces must limit the minimum and maximum temperature of the water at the plumbing fixturetemperature of the water at the plumbing fixture to 130°F and 140°F respectfullyto 130°F and 140°F respectfully Charcoal impregnated or other filter equipmentCharcoal impregnated or other filter equipment shall not be connected to potable water pipingshall not be connected to potable water piping outletsoutlets
  • 20. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine RepairsRepairs If any break, accidental or intentional, occurs inIf any break, accidental or intentional, occurs in the potable water system, or a potable waterthe potable water system, or a potable water tank is entered for any reason, all involvedtank is entered for any reason, all involved tanks, parts and lines must be disinfected priortanks, parts and lines must be disinfected prior to returning the system to use.to returning the system to use. The Medical Department must be notified of theThe Medical Department must be notified of the break or entry and the disinfection procedurebreak or entry and the disinfection procedure accomplished by the engineering department.accomplished by the engineering department.
  • 21. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Labeling and Color CodingLabeling and Color Coding Potable water sounding tubes will be clearly labeled withPotable water sounding tubes will be clearly labeled with an identification plate. The sounding tube cover will bean identification plate. The sounding tube cover will be color coded dark blue. On ships using steel tapes tocolor coded dark blue. On ships using steel tapes to sound potable water tanks, the tape handle must besound potable water tanks, the tape handle must be color coded dark blue, labeled, or otherwise identifiedcolor coded dark blue, labeled, or otherwise identified "POTABLE WATER USE ONLY"."POTABLE WATER USE ONLY". Valves for receiving or supplying potable water must beValves for receiving or supplying potable water must be conspicuously designated by a warning plate bearing theconspicuously designated by a warning plate bearing the inscription "POTABLE WATER ONLY" in 1 inch highinscription "POTABLE WATER ONLY" in 1 inch high lettersletters..
  • 22. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Labeling and Color CodingLabeling and Color Coding Hoses for receiving and discharging potableHoses for receiving and discharging potable water must be approved for that purpose bywater must be approved for that purpose by NAVSEASYSCOM or BUMED. Potable waterNAVSEASYSCOM or BUMED. Potable water hoses must be labeled "POTABLE WATERhoses must be labeled "POTABLE WATER ONLY" approximately every 10 feet with the endONLY" approximately every 10 feet with the end couplings painted dark blue.couplings painted dark blue. Potable water lines passing through any givenPotable water lines passing through any given space must be appropriately labeled to indicatespace must be appropriately labeled to indicate the type of service and with an arrow indicatingthe type of service and with an arrow indicating the direction of the flow.the direction of the flow.
  • 23. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Potable Water Hose LockersPotable Water Hose Lockers Potable water hose storage lockers must bePotable water hose storage lockers must be identified and labeled "POTABLE WATERidentified and labeled "POTABLE WATER ONLY."ONLY." The lockers must be vermin proof, locked, andThe lockers must be vermin proof, locked, and be elevated at least 18 inches off the deck whenbe elevated at least 18 inches off the deck when located on weather decks.located on weather decks. Printed instructions outlining step-by-stepPrinted instructions outlining step-by-step methods for disinfection of potable water hosesmethods for disinfection of potable water hoses and risers must be posted in a conspicuousand risers must be posted in a conspicuous location inside the hose storage locker.location inside the hose storage locker.
  • 24. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Disinfection of PotableDisinfection of Potable Water SuppliesWater Supplies Shipboard water is disinfected by the addition ofShipboard water is disinfected by the addition of sufficient chlorine or bromine compound to produce notsufficient chlorine or bromine compound to produce not less than 0.2 ppm Free Available Chlorine (FAC) or Totalless than 0.2 ppm Free Available Chlorine (FAC) or Total Bromine Residual (TBR) after thirty minutes contactBromine Residual (TBR) after thirty minutes contact time.time. The amount of chlorine or bromine required to produce aThe amount of chlorine or bromine required to produce a FAC or TBR of not less than 0.2 ppm after thirty minutesFAC or TBR of not less than 0.2 ppm after thirty minutes can vary widely because of halogen demand (thecan vary widely because of halogen demand (the amount of chlorine or bromine used through reactionamount of chlorine or bromine used through reaction with substances present in the water). All water haswith substances present in the water). All water has some halogen demand, even distilled water produced bysome halogen demand, even distilled water produced by the evaporators.the evaporators.
  • 25. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Disinfectants(halogens)Disinfectants(halogens) At present, two halogen compounds, chlorine andAt present, two halogen compounds, chlorine and bromine, are the only approved methods for disinfectingbromine, are the only approved methods for disinfecting shipboard potable watershipboard potable water Calcium hypochlorite (HTH) is most frequently usedCalcium hypochlorite (HTH) is most frequently used because of its relatively long shelf life and lesser spacebecause of its relatively long shelf life and lesser space requirements, must be stowed in a locked boxrequirements, must be stowed in a locked box Should be obtained in six-ounce containers and stored inShould be obtained in six-ounce containers and stored in a cool, dry, well-ventilated place where there is noa cool, dry, well-ventilated place where there is no danger of contact with oxidizable materials.danger of contact with oxidizable materials. Vent holes (such as three 1/4 inch holes) shall be drilledVent holes (such as three 1/4 inch holes) shall be drilled in the bottom of the box to allow release of any chlorinein the bottom of the box to allow release of any chlorine productsproducts
  • 26. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Disinfectants(halogens)Disinfectants(halogens) Must be located in an area where the maximumMust be located in an area where the maximum temperature will not exceed 100°Ftemperature will not exceed 100°F Must be labeled with red letters on a white background,Must be labeled with red letters on a white background, (HAZARDOUS MATERIAL, CALCIUM(HAZARDOUS MATERIAL, CALCIUM HYPOCHLORITE).HYPOCHLORITE). Bromine is provided by a bromine impregnated resinBromine is provided by a bromine impregnated resin cartridgecartridge must be stored in clean, dry, ventilatedmust be stored in clean, dry, ventilated storeroomstoreroom Shelf life of two years from the date of manufactureShelf life of two years from the date of manufacture
  • 27. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Mechanical MethodsMechanical Methods of Disinfectionof Disinfection Naval vessels use several types of chlorinator installations.Naval vessels use several types of chlorinator installations. Chlorinators may be installed in the distilling plant, distillate line, andChlorinators may be installed in the distilling plant, distillate line, and the shore fill line. The chlorinator may also serve both the distillatethe shore fill line. The chlorinator may also serve both the distillate line and the shore fill line.line and the shore fill line. Brominator treatment installations use two types of brominators.Brominator treatment installations use two types of brominators. One type is used on the distillate discharge line and the other isOne type is used on the distillate discharge line and the other is used to recirculate water in the potable water tanks duringused to recirculate water in the potable water tanks during treatment.treatment. The distilling plant is equipped with an office that gauges aThe distilling plant is equipped with an office that gauges a predetermined proportion of the flow through a bromine cartridge.predetermined proportion of the flow through a bromine cartridge. This device is preset to deliver 0.7 ppm bromine to the water.This device is preset to deliver 0.7 ppm bromine to the water. The recirculation brominator system is designed to treat water inThe recirculation brominator system is designed to treat water in potable water tanks. Treatment is accomplished by the recirculationpotable water tanks. Treatment is accomplished by the recirculation of potable water from a potable water tank through the brominatorof potable water from a potable water tank through the brominator and back to the same tank.and back to the same tank.
  • 28. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Batch ChlorinationBatch Chlorination Used if mechanical methods for treatment are not available.Used if mechanical methods for treatment are not available. However, this is considered the least desirable method ofHowever, this is considered the least desirable method of disinfecting potable water because it may result in over-chlorinationdisinfecting potable water because it may result in over-chlorination due to the inability to properly mix the water and hypochloritedue to the inability to properly mix the water and hypochlorite solution.solution. The proper dosage of chemical must be determined for the volumeThe proper dosage of chemical must be determined for the volume of water to be disinfected.of water to be disinfected. When 65 to 70% calcium hypochlorite is used, the calculatedWhen 65 to 70% calcium hypochlorite is used, the calculated amount is dissolved in a non-glass container of warm water and theamount is dissolved in a non-glass container of warm water and the suspended matter is allowed to settle out.suspended matter is allowed to settle out. The clear fluid (supernatant) is introduced into the sounding tubeThe clear fluid (supernatant) is introduced into the sounding tube when the tank is about one-quarter full, add one gallon of potablewhen the tank is about one-quarter full, add one gallon of potable water to flush the sounding tube.water to flush the sounding tube. The remaining sediment is discarded.The remaining sediment is discarded.
  • 29. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Batch ChlorinationBatch Chlorination Sufficient mixing usually will be obtained by stirring action of theSufficient mixing usually will be obtained by stirring action of the incoming water as the tank is being filled.incoming water as the tank is being filled. The motion of the ship will make a small contribution to mixing, andThe motion of the ship will make a small contribution to mixing, and additional mixing may be obtained by recirculation.additional mixing may be obtained by recirculation. If the chlorine solution must be introduced into a full tank,If the chlorine solution must be introduced into a full tank, recirculation through a pump is the only way to achieve adequaterecirculation through a pump is the only way to achieve adequate mixing. If pumps are used which are not an integral part of themixing. If pumps are used which are not an integral part of the potable water system, they must be disinfected.potable water system, they must be disinfected. Thirty minutes or more after the tank is filled or mixing is completed,Thirty minutes or more after the tank is filled or mixing is completed, the water should be sampled and tested for a FAC residual.the water should be sampled and tested for a FAC residual. If the FAC residual is less than required, additional chlorine must beIf the FAC residual is less than required, additional chlorine must be added and mixed into the water, after the required contact time, theadded and mixed into the water, after the required contact time, the FAC residual must be determined again.FAC residual must be determined again.
  • 30. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Batch ChlorinationBatch Chlorination A convenient figure to remember is that one ounce of full strengthA convenient figure to remember is that one ounce of full strength calcium hypochlorite added to five-thousand gallons of water is thecalcium hypochlorite added to five-thousand gallons of water is the approximate dose for 1.0 ppm initial chlorine concentration. (NOTE:approximate dose for 1.0 ppm initial chlorine concentration. (NOTE: The amount of active chlorine in 65 to 70% calcium hypochlorite isThe amount of active chlorine in 65 to 70% calcium hypochlorite is reduced rapidly by exposure to air, therefore, all the contents shouldreduced rapidly by exposure to air, therefore, all the contents should be used as soon as possible after opening the container.)be used as soon as possible after opening the container.) This rule of "thumb" (one ounce per five thousand gallons) becomesThis rule of "thumb" (one ounce per five thousand gallons) becomes a tool in calculating dosages for "batch chlorination" and isa tool in calculating dosages for "batch chlorination" and is suggested as a starling point only; the required amount will dependsuggested as a starling point only; the required amount will depend on temperature, pH, and the chlorine demand of the water.on temperature, pH, and the chlorine demand of the water.
  • 31. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Disinfection of Potable WaterDisinfection of Potable Water Tanks and SystemsTanks and Systems a. Mechanical cleaning and chemical disinfection.a. Mechanical cleaning and chemical disinfection. b. Chemical disinfection only.b. Chemical disinfection only. Mechanical cleaning of tanks includes all measuresMechanical cleaning of tanks includes all measures necessary to clean tanks of foreign materials, rust, andnecessary to clean tanks of foreign materials, rust, and other substances that are present within the tanks.other substances that are present within the tanks. Mechanical cleaning and chemical disinfection will beMechanical cleaning and chemical disinfection will be accomplished when the condition of the tanks hasaccomplished when the condition of the tanks has deteriorated to the point where the chlorine demand hasdeteriorated to the point where the chlorine demand has increased significantly and bacteriological evidenceincreased significantly and bacteriological evidence indicates that the tank has become grossly polluted.indicates that the tank has become grossly polluted.
  • 32. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine When to DisinfectWhen to Disinfect Tanks of new ships or tanks which have beenTanks of new ships or tanks which have been rehabilitated or repaired.rehabilitated or repaired. Where sludge or rust accumulation seriouslyWhere sludge or rust accumulation seriously impairs the quality of water delivered.impairs the quality of water delivered. Tanks which have been loaded with non-potableTanks which have been loaded with non-potable ballast water.ballast water. Voids or tanks converted from nonpotable waterVoids or tanks converted from nonpotable water to potable water tanks.to potable water tanks.
  • 33. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine When to DisinfectWhen to Disinfect Butterworthing or mechanical cleaning at sea with seaButterworthing or mechanical cleaning at sea with sea water is permissible, but must always be followed bywater is permissible, but must always be followed by chemical disinfectionchemical disinfection Chemical disinfection is required when the followingChemical disinfection is required when the following conditions exist:conditions exist: a. Tanks in which there is continued bacteriologicala. Tanks in which there is continued bacteriological evidence of contamination after normal disinfectingevidence of contamination after normal disinfecting procedures.procedures. b. Pipelines, valves, pumps, etc., that have beenb. Pipelines, valves, pumps, etc., that have been dismantled, repaired or replaced.dismantled, repaired or replaced. c. Tanks which have been entered.c. Tanks which have been entered. d. New or contaminated hoses.d. New or contaminated hoses.
  • 34. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ProcedureProcedure To chemically disinfect a system, the following steps are required:To chemically disinfect a system, the following steps are required: a. Introduce sufficient chemical into the tanks to provide at least 100a. Introduce sufficient chemical into the tanks to provide at least 100 ppm FAC (Use Chlorine Dosage Calculator).ppm FAC (Use Chlorine Dosage Calculator). b. Fill tanks with water.b. Fill tanks with water. c. All equipment including pumps, valves, lines, and hoses that havec. All equipment including pumps, valves, lines, and hoses that have been used to carry polluted water must be included in this processbeen used to carry polluted water must be included in this process in order to disinfect the entire system. Using the ship's pumps,in order to disinfect the entire system. Using the ship's pumps, chlorinated water must be drained from each outlet to ensure that allchlorinated water must be drained from each outlet to ensure that all the contaminated parts of the system are subjected to thisthe contaminated parts of the system are subjected to this treatment.treatment. d. The FAC residual after four hours contact time within the tanksd. The FAC residual after four hours contact time within the tanks and system must be not less than 50 ppm and must be tested atand system must be not less than 50 ppm and must be tested at hourly intervals to ensure maintenance of the proper FAC. If at anyhourly intervals to ensure maintenance of the proper FAC. If at any time during this period the FAC residual falls below 50 ppm, chlorinetime during this period the FAC residual falls below 50 ppm, chlorine must be added to bring the residual to 100 ppm and the four-hourmust be added to bring the residual to 100 ppm and the four-hour period started again.period started again.
  • 35. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ProcedureProcedure e. Water should be pumped out of the loweste. Water should be pumped out of the lowest opening in the tanks, through the contaminatedopening in the tanks, through the contaminated lines, pumps, and valves and returned to thelines, pumps, and valves and returned to the tank.tank. When more than one tank is to be chemicallyWhen more than one tank is to be chemically disinfected, the highly chlorinated water from thedisinfected, the highly chlorinated water from the first tank should be reused in disinfecting otherfirst tank should be reused in disinfecting other polluted tanks (additional chlorine must bepolluted tanks (additional chlorine must be added to maintain desired residual until all haveadded to maintain desired residual until all have been treated).been treated).
  • 36. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Alternate ProcedureAlternate Procedure a. Thoroughly clean and rinse the tank.a. Thoroughly clean and rinse the tank. b. Swab all surfaces of the tank with a solution of 100 ppm chlorine,b. Swab all surfaces of the tank with a solution of 100 ppm chlorine, or pump the solution through hoses, and apply to all surfaces of theor pump the solution through hoses, and apply to all surfaces of the tank. Adequate personal protective measures and respirators musttank. Adequate personal protective measures and respirators must be used.be used. Chlorine at 100 ppm may generate vapors that are dangerous toChlorine at 100 ppm may generate vapors that are dangerous to personnel working in these tanks. Entry into these tanks must bepersonnel working in these tanks. Entry into these tanks must be authorized by the gas free engineer.authorized by the gas free engineer. c. Strip all water used for super chlorination from the tank.c. Strip all water used for super chlorination from the tank. d. Allow eight hours to dry; forced ventilation may be necessary.d. Allow eight hours to dry; forced ventilation may be necessary. e. Rinse with potable water, and the tank is ready for use. FACe. Rinse with potable water, and the tank is ready for use. FAC residual of at least 2.0 ppm must be maintained in water transportedresidual of at least 2.0 ppm must be maintained in water transported and stored in these tanks.and stored in these tanks.
  • 37. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Disinfection of PotableDisinfection of Potable Water HosesWater Hoses Potable water hoses are disinfected by filling with a solutionPotable water hoses are disinfected by filling with a solution containing not less than 100 ppm FAC.containing not less than 100 ppm FAC. The solution must be in con-tact with the entire internalThe solution must be in con-tact with the entire internal surface of the hose for not less than two minutes.surface of the hose for not less than two minutes. Flush 30-60 seconds with potable water prior to use.Flush 30-60 seconds with potable water prior to use. Prior to connecting the potable water to either the ship riser orPrior to connecting the potable water to either the ship riser or the shore source the interior of the fittings must be disinfectedthe shore source the interior of the fittings must be disinfected by not less than 2 minutes contact with a solution of 100 ppmby not less than 2 minutes contact with a solution of 100 ppm FAC.FAC. The shore water source should be flushed to waste 15-30The shore water source should be flushed to waste 15-30 seconds prior to hookup of the water hose.seconds prior to hookup of the water hose.
  • 38. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Emergency Drinking WaterEmergency Drinking Water If potable water is not available during an emergency, it mayIf potable water is not available during an emergency, it may be necessary to treat poor quality water for drinking andbe necessary to treat poor quality water for drinking and cooking purposes.cooking purposes. Before this water can be used, it must be chlorinatedBefore this water can be used, it must be chlorinated initially to at least 5.0 ppm FAC with a final residual of atinitially to at least 5.0 ppm FAC with a final residual of at least 2.0 ppm FAC after a 30 minute contact time.least 2.0 ppm FAC after a 30 minute contact time. Water can also be made safe by holding at a rolling boilWater can also be made safe by holding at a rolling boil for two minutes; however, it would be inconvenient tofor two minutes; however, it would be inconvenient to boil adequate quantities of water. If the water isboil adequate quantities of water. If the water is excessively contaminated or turbid (muddy),excessively contaminated or turbid (muddy), consideration should be given to the use of canned orconsideration should be given to the use of canned or other emergency drinking water sources.other emergency drinking water sources.
  • 39. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Chlorine Dosage CalculatorChlorine Dosage Calculator The figures on the following chart give the "dosage rate" forThe figures on the following chart give the "dosage rate" for chlorination. The quality of water, e.g., the organic andchlorination. The quality of water, e.g., the organic and inorganic materials present, will affect the final chlorineinorganic materials present, will affect the final chlorine residual.residual. The amount of chlorine required to react with and beThe amount of chlorine required to react with and be absorbed by these materials is called the "chlorine demand."absorbed by these materials is called the "chlorine demand." The chlorine absorbed or neutralized has no disinfectantThe chlorine absorbed or neutralized has no disinfectant value, so it is necessary to add enough chlorine (adequatevalue, so it is necessary to add enough chlorine (adequate dosage rate) to satisfy the "chlorine demand" and still providedosage rate) to satisfy the "chlorine demand" and still provide FAC.FAC. The FAC is the active disinfecting agent and is the chlorineThe FAC is the active disinfecting agent and is the chlorine reading determined with the colorimetric test kit.reading determined with the colorimetric test kit.
  • 40. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ProcedureProcedure Select desired parts per million. Determine strength ofSelect desired parts per million. Determine strength of material to be used. Compute number of gallons to bematerial to be used. Compute number of gallons to be chlorinated. Read across to obtain quantity of material to bechlorinated. Read across to obtain quantity of material to be used.used. The 5% and 10% listings are liquid sodium hypochlorite; thus,The 5% and 10% listings are liquid sodium hypochlorite; thus, the measurements are expressed as volume.the measurements are expressed as volume. The 65 to 70% listings are granular calcium hypochlorite;The 65 to 70% listings are granular calcium hypochlorite; thus, the measurements are expressed as weight.thus, the measurements are expressed as weight. The standard 2 1/2" water hose has a volume of 0.25 gallonsThe standard 2 1/2" water hose has a volume of 0.25 gallons per foot of hose. This figure may be used in determining theper foot of hose. This figure may be used in determining the volume of a hose for disinfecting purposes.volume of a hose for disinfecting purposes.
  • 41. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ProcedureProcedure As a rough calculation, a dosage rate of 1As a rough calculation, a dosage rate of 1 ounce of calcium hypochlorite (65 to 70%) perounce of calcium hypochlorite (65 to 70%) per 5,000 gallons yields 1.0 ppm.5,000 gallons yields 1.0 ppm. Because of chlorine demand, this dosage rateBecause of chlorine demand, this dosage rate will probably produce a FAC residual of aboutwill probably produce a FAC residual of about 0.2 ppm after a 30-minute contact period.0.2 ppm after a 30-minute contact period.
  • 42. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine 5% Liquid Sodium Hypochlorite5% Liquid Sodium Hypochlorite PPMPPM 11 55 2525 5050 100100 200200 QuantityQuantity GalGal .. 50,00050,000 1 Gal.1 Gal. 5 Gal.5 Gal. 25 Gal.25 Gal. 50 Gal50 Gal 100 Gal.100 Gal. 200 Gal.200 Gal. 25,00025,000 2 Qt2 Qt 10 Qt10 Qt 50 Qt50 Qt 25 Gal25 Gal 50 Gal50 Gal 100 Gal100 Gal 10,00010,000 26 Oz.26 Oz. 1 Gal.1 Gal. 5 Gal.5 Gal. 10 Gal.10 Gal. 10 Gal.10 Gal. 10 Gal.10 Gal. 5,0005,000 13 Oz.13 Oz. 2 Qt2 Qt 10 Qt10 Qt 20 Gal.20 Gal. 20 Gal.20 Gal. 20 Gal.20 Gal. 2,0002,000 6 Oz6 Oz 26 Oz.26 Oz. 1 Gal.1 Gal. 40 Gal.40 Gal. 40 Gal.40 Gal. 40 Gal.40 Gal. 1,0001,000 3 Oz.3 Oz. 13 Oz.13 Oz. 2 Qt2 Qt 5 Gal.5 Gal. 5 Gal.5 Gal. 5 Gal.5 Gal. 500500 2 Oz.2 Oz. 7 Oz.7 Oz. 1 Qt1 Qt 10 Gal.10 Gal. 10 Gal.10 Gal. 10 Gal.10 Gal. 200200 1 Tbsp1 Tbsp 3 Oz.3 Oz. 13 Oz.13 Oz. 20 Gal.20 Gal. 20 Gal.20 Gal. 20 Gal.20 Gal. 100100 2 Tsp2 Tsp 2 Oz.2 Oz. 7 Oz.7 Oz. 2 Gal.2 Gal. 2 Gal.2 Gal. 2 Gal.2 Gal. 5050 1 Tsp1 Tsp 1 Oz.1 Oz. 4 Oz.4 Oz. 4 Gal.4 Gal. 4 Gal.4 Gal. 4 Gal.4 Gal. 2525 1 Tbsp1 Tbsp 2 Oz.2 Oz. 8 Gal.8 Gal. 8 Gal.8 Gal. 8 Gal.8 Gal. 1010 1 Oz.1 Oz. 1 Gal.1 Gal. 1 Gal.1 Gal. 1 Gal.1 Gal. 55 1 Tsp1 Tsp 2 Gal.2 Gal. 2 Gal.2 Gal. 2 Gal.2 Gal.
  • 43. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine 10% Liquid Sodium Hypochlorite10% Liquid Sodium Hypochlorite PPMPPM 11 55 2525 5050 100100 200200 QuantityQuantity (Gal)(Gal) 50,00050,000 2 Qt.2 Qt. 10 Qt.10 Qt. 50 Qt.50 Qt. 25 Gal.25 Gal. 50 Gal.50 Gal. 100 Gal.100 Gal. 25,00025,000 1 Qt.1 Qt. 5 Qt.5 Qt. 25 Qt.25 Qt. 50 Qt.50 Qt. 25 Gal.25 Gal. 50 Gal.50 Gal. 10,00010,000 13 Oz.13 Oz. 2 Qt.2 Qt. 10 Qt.10 Qt. 5 Gal.5 Gal. 10 Gal.10 Gal. 20 Gal.20 Gal. 5,0005,000 7 Oz.7 Oz. 1 Qt.1 Qt. 5 Qt.5 Qt. 10 Qt.10 Qt. 5 Gal.5 Gal. 10 Gal.10 Gal. 2,0002,000 3 Oz.3 Oz. 1313 2 Qt.2 Qt. 1 Gal.1 Gal. 2 Gal.2 Gal. 4 Gal.4 Gal. 1,0001,000 1.5 Oz.1.5 Oz. 7 Oz.7 Oz. 1 Qt.1 Qt. 2 Qt.2 Qt. 1 Gal.1 Gal. 2 Gal.2 Gal. 500500 1 Oz.1 Oz. 4 Oz.4 Oz. 1 pt.1 pt. 1 Qt.1 Qt. 2 Qt.2 Qt. 1 Gal.1 Gal. 200200 2 tsp.2 tsp. 2 Oz.2 Oz. 7 Oz.7 Oz. 13 Oz.13 Oz. 26 Oz.26 Oz. 55 Oz.55 Oz. 100100 1 tsp.1 tsp. 1 Oz.1 Oz. 4 Oz.4 Oz. 7 Oz.7 Oz. 13 Oz.13 Oz. 26 Oz.26 Oz. 5050 .5 Oz..5 Oz. 2 Oz.2 Oz. 4 Oz.4 Oz. 7 Oz.7 Oz. 13 Oz.13 Oz. 2525 2 tsp.2 tsp. 1 Oz.1 Oz. 2 Oz.2 Oz. 4 Oz.4 Oz. 7 Oz.7 Oz. 1010 1 tsp.1 tsp. 2 Oz.2 Oz. 3 Oz.3 Oz. 55 1 Oz.1 Oz. 2 Oz.2 Oz.
  • 44. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine 65 to 70% Granular Calcium Hypochlorite65 to 70% Granular Calcium Hypochlorite PPMPPM 11 55 2525 5050 100100 200200 QuantityQuantity (Gal)(Gal) 50,00050,000 10 Oz.10 Oz. 3 lb.3 lb. 15 lb.15 lb. 30 lb.30 lb. 59 lb. 9 Oz.59 lb. 9 Oz. 119 lb.119 lb. 44 Oz.Oz. 25,00025,000 5 Oz.5 Oz. 24 Oz.24 Oz. 7.5 lb.7.5 lb. 15 lb.15 lb. 29 lb.1229 lb.12 Oz.Oz. 59.5 lb.59.5 lb. 10,00010,000 2 Oz.2 Oz. 10 Oz.10 Oz. 3 lb.3 lb. 6 lb.6 lb. 12 lb.12 lb. 23 lb. 1323 lb. 13 Oz.Oz. 5,0005,000 1 Oz.1 Oz. 5 Oz.5 Oz. 1.5 lb.1.5 lb. 3 lb.3 lb. 6 lb.6 lb. 11 lb. 1511 lb. 15 Oz.Oz. 2,0002,000 2 Oz.2 Oz. 10 Oz.10 Oz. 19 Oz.19 Oz. 3 lb.3 lb. 4 lb.13 Oz.4 lb.13 Oz. 1,0001,000 1 Oz.1 Oz. 5 Oz.5 Oz. 10 Oz.10 Oz. 20 Oz.20 Oz. 2 lb. 7 Oz.2 lb. 7 Oz. 500500 3 Oz.3 Oz. 5 Oz.5 Oz. 10 Oz.10 Oz. 19 Oz.19 Oz. 200200 1 Oz.1 Oz. 2 Oz.2 Oz. 4 Oz.4 Oz. 8 Oz.8 Oz. 100100 1 Oz.1 Oz. 2 Oz.2 Oz. 4 Oz.4 Oz. 5050 1 Oz.1 Oz. 2 Oz.2 Oz. 2525 1 Oz.1 Oz.
  • 45. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Required Halogen ResidualsRequired Halogen ResidualsTX RequiredTX Required Chlorination Dosage and TimeChlorination Dosage and Time Requirements (FAC)Requirements (FAC) Bromination Dosage and TimeBromination Dosage and Time Requirements (TBR)Requirements (TBR) 1. Minimum residual required for1. Minimum residual required for potable water produced onboard orpotable water produced onboard or obtained from an approved sourceobtained from an approved source 0.2 ppm after 30 minutes in tanks0.2 ppm after 30 minutes in tanks 0.2 ppm after 30 minutes in tanks0.2 ppm after 30 minutes in tanks 2. Water from area where amebiasis2. Water from area where amebiasis or hepatitis is endemic or unapprovedor hepatitis is endemic or unapproved source is usedsource is used 2.0 ppm after 30 minutes in tanks2.0 ppm after 30 minutes in tanks 2.0 ppm after 30 minutes in tanks2.0 ppm after 30 minutes in tanks 3. Water in potable water distribution3. Water in potable water distribution systemsystem *Trace readings throughout*Trace readings throughout * Trace readings throughout* Trace readings throughout 4. Disinfecting tanks and system4. Disinfecting tanks and system 100 ppm initially; 50 ppm after 4 hr100 ppm initially; 50 ppm after 4 hr Not applicableNot applicable 5. Disinfecting hoses, couplings, and5. Disinfecting hoses, couplings, and water connections prior to connectionwater connections prior to connection to potable water system.to potable water system. 100 ppm for 2 min.100 ppm for 2 min. Not applicableNot applicable 6. Scrubbing interior of contaminated6. Scrubbing interior of contaminated tanks when potable water is scarcetanks when potable water is scarce 100 ppm100 ppm Not applicableNot applicable 7. Emergency water supply for7. Emergency water supply for drinking and cooking.drinking and cooking. 5.0 ppm after 30 minutes5.0 ppm after 30 minutes Not applicableNot applicable 8. Fuel cargo tanks converted to carry8. Fuel cargo tanks converted to carry cargo water.cargo water. 2.0 ppm at destination2.0 ppm at destination Not applicableNot applicable
  • 46. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine SubmarinesSubmarines Are exempted from routinely halogenating potable water suppliesAre exempted from routinely halogenating potable water supplies while at sea.while at sea. If there is evidence of contamination of the potable water supply, itIf there is evidence of contamination of the potable water supply, it must be chlorinated using calcium hypochlorite (HTH) 65 to 70%must be chlorinated using calcium hypochlorite (HTH) 65 to 70% until a residual of 0.2 ppm FAC is obtained after a 30-minute contactuntil a residual of 0.2 ppm FAC is obtained after a 30-minute contact time.time. The calcium hypochlorite must be sealed in plastic bags and storedThe calcium hypochlorite must be sealed in plastic bags and stored only in a medical instrument box, plastic rigid, size 9 1/2x 9 x 7only in a medical instrument box, plastic rigid, size 9 1/2x 9 x 7 inches, NSN 6545-00131-6992. The case must be painted whiteinches, NSN 6545-00131-6992. The case must be painted white and labeled "HAZARDOUS MATERIAL, CALCIUMand labeled "HAZARDOUS MATERIAL, CALCIUM HYPOCHLORITE"HYPOCHLORITE" in red letters. The case must be vented at thein red letters. The case must be vented at the bottom and be stored in any area away from engineering spaces.bottom and be stored in any area away from engineering spaces. Each bottle of calcium hypochlorite must be inspected prior toEach bottle of calcium hypochlorite must be inspected prior to deployment or at least every three months. Bottles with deteriorateddeployment or at least every three months. Bottles with deteriorated seals must be discarded and replaced.seals must be discarded and replaced.
  • 47. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine SubmarinesSubmarines Bacteriological examination must be performed weeklyBacteriological examination must be performed weekly on a mini-on a mini- mum of four samples representative of the distribution system.mum of four samples representative of the distribution system. The current method of analysis is theThe current method of analysis is the test for total coliform, using thetest for total coliform, using the membrane filter technique (MF); however, the multiple tubemembrane filter technique (MF); however, the multiple tube fermentation technique (MTF), the Presence-Absence Coliform Testfermentation technique (MTF), the Presence-Absence Coliform Test (PA) and the Minimal Media ONPG-MUG Test may be used if(PA) and the Minimal Media ONPG-MUG Test may be used if desired.desired. The results of all testing will be reported as "presence" or "absence."The results of all testing will be reported as "presence" or "absence." Daily halogen residuals will be performed and recorded while in port usingDaily halogen residuals will be performed and recorded while in port using a shore water supply.a shore water supply. The Medical Department Representative will maintain a water logThe Medical Department Representative will maintain a water log and enter water source, date, bacteriological testing and anyand enter water source, date, bacteriological testing and any disinfection procedure used, and halogen readings if accomplished.disinfection procedure used, and halogen readings if accomplished.
  • 48. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Temporary Water ShipsTemporary Water Ships To convert tanks commonly used for other liquids forTo convert tanks commonly used for other liquids for transporting potable water in emergency situations.transporting potable water in emergency situations. Select and disinfect tanks.Select and disinfect tanks. Must be inspected by engineering personnelMust be inspected by engineering personnel After inspection of all tanks, the appropriate TypeAfter inspection of all tanks, the appropriate Type Commander should decide on the approval orCommander should decide on the approval or disapproval of these tanks for transporting anddisapproval of these tanks for transporting and storage of potable water.storage of potable water.
  • 49. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Emergency Water SuppliesEmergency Water Supplies Battle Dressing StationsBattle Dressing Stations.. Built-in potable water storage tanks of sufficient size in battleBuilt-in potable water storage tanks of sufficient size in battle dressing stations to provide an alternate source of water indressing stations to provide an alternate source of water in emergency situations.emergency situations. The tanks are designed are isolated from the main potableThe tanks are designed are isolated from the main potable water system.water system. Once each quarter must be drained and refilled with potableOnce each quarter must be drained and refilled with potable water containing a trace halogen residual.water containing a trace halogen residual. At least every three years, must be opened and inspected forAt least every three years, must be opened and inspected for evidence of sludge or foreign material.evidence of sludge or foreign material.
  • 50. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Emergency Water SuppliesEmergency Water Supplies Based on the results of this visual inspection, it maybeBased on the results of this visual inspection, it maybe necessary to thoroughly clean the interior of the tank.necessary to thoroughly clean the interior of the tank. A new gasket may be required each time the tank is opened forA new gasket may be required each time the tank is opened for inspection.inspection. These tanks must be disinfected each time they are opened.These tanks must be disinfected each time they are opened. Bacteriological analysis must be performed after filling andBacteriological analysis must be performed after filling and monthly thereafter.monthly thereafter. If this analysis indicates a tank is contaminated, the tank mustIf this analysis indicates a tank is contaminated, the tank must be opened, inspected, cleaned, if necessary, and disinfected.be opened, inspected, cleaned, if necessary, and disinfected.
  • 51. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine 5 Gallon Containers5 Gallon Containers Used in small ships.Used in small ships. There are two types 5-gallon containers; one is of a heavyThere are two types 5-gallon containers; one is of a heavy gauge plastic type material and the other is metal.gauge plastic type material and the other is metal. Under no circumstances will 5-gallon containers previouslyUnder no circumstances will 5-gallon containers previously used for gasoline or other petroleum products be used.used for gasoline or other petroleum products be used. Carefully examine the containers to insure the containers haveCarefully examine the containers to insure the containers have not been used for any purpose other than the storage of potablenot been used for any purpose other than the storage of potable water.water. Each container shall have the word “WATER” eitherEach container shall have the word “WATER” either embossed or painted on the exterior surfaceembossed or painted on the exterior surface in letters at leastin letters at least 0.25 inches high.0.25 inches high.
  • 52. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine 5 Gallon Containers5 Gallon Containers Manual washing is accomplished with warm waterManual washing is accomplished with warm water (110-125°F) F), the recommended amount of(110-125°F) F), the recommended amount of approved hand dishwashing detergent, and a suitableapproved hand dishwashing detergent, and a suitable long-handled, slender brush.long-handled, slender brush. Disinfect by exposure to a chemical disinfectantDisinfect by exposure to a chemical disinfectant solution for at least two minutes.solution for at least two minutes. Approved chemical disinfectants for these containersApproved chemical disinfectants for these containers include: calcium/sodium hypochlorite, chlorine-include: calcium/sodium hypochlorite, chlorine- iodine type disinfectant (food service), or liquidiodine type disinfectant (food service), or liquid iodine (25 ppm).iodine (25 ppm).
  • 53. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine 5 Gallon Containers5 Gallon Containers Must contain a trace FAC or TBR.Must contain a trace FAC or TBR. Each can must be labeled with date of filling andEach can must be labeled with date of filling and source of the potable water.source of the potable water. Store in a clean dry place in the immediate vicinity ofStore in a clean dry place in the immediate vicinity of anticipated use (battle dressing station withoutanticipated use (battle dressing station without emergency potable water tanks).emergency potable water tanks). Must be emptied, flushed and refilled with potableMust be emptied, flushed and refilled with potable water containing a trace FAC or TBR every 3water containing a trace FAC or TBR every 3 months.months.
  • 54. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Canned WaterCanned Water The exterior inspection of canned drinking water is conductedThe exterior inspection of canned drinking water is conducted by Medical Department at least quarterly.by Medical Department at least quarterly. Examine general appearance, dents and rust.Examine general appearance, dents and rust. Cans having dents which cross the ends or side seams, orCans having dents which cross the ends or side seams, or which crinkle the metal to a point should not be used.which crinkle the metal to a point should not be used. Rusted cans may be used provided the rust does not penetrateRusted cans may be used provided the rust does not penetrate the can; rust that can be wiped off is not penetrating.the can; rust that can be wiped off is not penetrating. Any containers that exhibit evidence of leakage or are severelyAny containers that exhibit evidence of leakage or are severely distorted must be re-placed.distorted must be re-placed. The interior inspection is a Supply Department responsibilityThe interior inspection is a Supply Department responsibility which should be performedwhich should be performed approximately every two years.approximately every two years.
  • 55. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Evaluation Of TasteEvaluation Of Taste or Odor Problemsor Odor Problems Caused by:Caused by: Cross-connections with non-potable systems.Cross-connections with non-potable systems. Leaks in common bulkheads between potable water tanks andLeaks in common bulkheads between potable water tanks and fuel tanks, ballast tanks, bilges, and wastewater tanks.fuel tanks, ballast tanks, bilges, and wastewater tanks. Leaks in non-potable piping through water tanks.Leaks in non-potable piping through water tanks. Improper disposal of chemicals or liquids through potableImproper disposal of chemicals or liquids through potable water-sounding tubes.water-sounding tubes. Utilization of potable water hoses for non-potable liquids.Utilization of potable water hoses for non-potable liquids. Excessive storage time of water in tanks.Excessive storage time of water in tanks.
  • 56. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Evaluation Of TasteEvaluation Of Taste or Odor Problemsor Odor Problems Improper distillation processes in harbors which areImproper distillation processes in harbors which are contaminated with industrial or biological wastes.contaminated with industrial or biological wastes. Inadequate disinfection proceduresInadequate disinfection procedures Transfer of water from shore facilities or barges which haveTransfer of water from shore facilities or barges which have taste and odor problems.taste and odor problems. Potable water tanks used for ballast or other liquids, and notPotable water tanks used for ballast or other liquids, and not cleaned or disinfected properly.cleaned or disinfected properly. Deteriorated or improperly applied tank coatings.Deteriorated or improperly applied tank coatings. Distilling plants producing potable water while stripping JP-5Distilling plants producing potable water while stripping JP-5 tanks, pumping oily bilges overboard forward of the distillingtanks, pumping oily bilges overboard forward of the distilling plant feed pumps suction or when in close proximity to otherplant feed pumps suction or when in close proximity to other ships.ships.
  • 57. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine InvestigationInvestigation Date and timeDate and time Water sourceWater source CharacteristicCharacteristic Taste/odorTaste/odor LocationLocation Continuous orContinuous or particular tank on-lineparticular tank on-line Halogen ResidualsHalogen Residuals HistoryHistory Water LogWater Log Tanks and pipingTanks and piping DisinfectionDisinfection Repairs/MaintenanceRepairs/Maintenance In PortIn Port Testing before fillingTesting before filling
  • 58. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ResultsResults If not able to identify a source of the taste and odorIf not able to identify a source of the taste and odor should add sufficient chlorine to provide a dosage ofshould add sufficient chlorine to provide a dosage of 5 ppm in the potable water tanks, with the intent of5 ppm in the potable water tanks, with the intent of providing 2.0 ppm free residual chlorine in the waterproviding 2.0 ppm free residual chlorine in the water distribution system. (temporary)distribution system. (temporary) Contact the NAVENPVNTMEDU via the commandContact the NAVENPVNTMEDU via the command medical officer for technical assistance.medical officer for technical assistance.
  • 59. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Cross-connectionCross-connection Any connection between two separate pipingAny connection between two separate piping systems, one of which contains potable water, and thesystems, one of which contains potable water, and the other water of unknown or questionable quality orother water of unknown or questionable quality or some other substance.some other substance. This condition may result in the flow of liquid fromThis condition may result in the flow of liquid from one system to the other, resulting in contamination.one system to the other, resulting in contamination. Medical Department Representatives should routinelyMedical Department Representatives should routinely observe for cross-connectionsobserve for cross-connections
  • 60. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Cross-connectionCross-connection Contact the Engineering Department, review theContact the Engineering Department, review the suspected site and ship diagrams.suspected site and ship diagrams. The primary responsibility of the MedicalThe primary responsibility of the Medical Department is to prevent a disease outbreak fromDepartment is to prevent a disease outbreak from occurring.occurring. Therefore, recommendations to secure the affectedTherefore, recommendations to secure the affected part of the potable water system would be appropriatepart of the potable water system would be appropriate until such time the cross-connection is eliminated anduntil such time the cross-connection is eliminated and the potable water system disinfected, if necessary.the potable water system disinfected, if necessary.
  • 61. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine IceIce ManufactureManufacture Accomplished with ice cubeAccomplished with ice cube machines or ice makers inmachines or ice makers in most instances.most instances. Must be prepared fromMust be prepared from potable water in order topotable water in order to reduce bacterial growth.reduce bacterial growth. Use the scoop, wash, rinse,Use the scoop, wash, rinse, and sanitize at least daily.and sanitize at least daily. TestingTesting Samples of ice must beSamples of ice must be collected from ¼ of the icecollected from ¼ of the ice machines weekly formachines weekly for bacteriological examination.bacteriological examination. If samples are positive forIf samples are positive for coliform organisms, thecoliform organisms, the storage bin should bestorage bin should be emptied, cleaned andemptied, cleaned and disinfected.disinfected. Enter results on the potableEnter results on the potable water log.water log.
  • 62. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Water TestingWater Testing Engineer DepartmentEngineer Department PH-PH- High pH levels (8.5 or above) will adversely affectHigh pH levels (8.5 or above) will adversely affect the disinfectant properties of chlorine or bromine.the disinfectant properties of chlorine or bromine. Temperature- affects the amount of bromine that isTemperature- affects the amount of bromine that is released from the cartridge and high temperatures mayreleased from the cartridge and high temperatures may rapidly affect with cartridge use.rapidly affect with cartridge use. Salinity- When operating in sea water, the chlorideSalinity- When operating in sea water, the chloride content of water from a distilling plant shall be at orcontent of water from a distilling plant shall be at or below 0.065 equivalent per million(epm), 0.25 grains ofbelow 0.065 equivalent per million(epm), 0.25 grains of sea-salt per gallon or less than 2.3 ppm.sea-salt per gallon or less than 2.3 ppm.
  • 63. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Halogen ResidualsHalogen Residuals Medical DepartmentMedical Department Prior to receiving potable water onboard.Prior to receiving potable water onboard. In conjunction with each potable water sample collected forIn conjunction with each potable water sample collected for bacteriological analysis.bacteriological analysis. Daily, from sampling points that are varied and areDaily, from sampling points that are varied and are representative of the ship’s distribution system (i.e., forward,representative of the ship’s distribution system (i.e., forward, midships, aft, below deck, and in the superstructure).midships, aft, below deck, and in the superstructure). The number of samples required will be determined by theThe number of samples required will be determined by the size of the ship; no less than four samples will be collected.size of the ship; no less than four samples will be collected.
  • 64. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Halogen ResidualsHalogen Residuals On DD, DDG, FFG, LST, MSO, and other ships withOn DD, DDG, FFG, LST, MSO, and other ships with complements below 500-complements below 500- 4 samples are required4 samples are required On LPH, LHA, LSD, and other ships withOn LPH, LHA, LSD, and other ships with complements over 500 and below 4,000-complements over 500 and below 4,000- 8 samples are required8 samples are required On CV, CVN, and other ships with complementsOn CV, CVN, and other ships with complements above 4,000-above 4,000- 12 samples are required12 samples are required
  • 65. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine DPD TestDPD Test (diethyl-p-phenylene diamine)(diethyl-p-phenylene diamine) Open tap and let flow not less than 2 or 3 minutes.Open tap and let flow not less than 2 or 3 minutes. Rinse the test tube with the water to be tested.Rinse the test tube with the water to be tested. Fill test tube with sample water to the marked line (10 ml).Fill test tube with sample water to the marked line (10 ml). Add one DPD No. 1 tablet, cap the test tube, and shake toAdd one DPD No. 1 tablet, cap the test tube, and shake to dissolve.dissolve. REMOVE THE CAP FROM THE TEST TUBE andREMOVE THE CAP FROM THE TEST TUBE and immediately compare the test sample color with the colorimmediately compare the test sample color with the color standards in the comparator. Color matching should bestandards in the comparator. Color matching should be completed within sixty seconds after addition of the DPD No.completed within sixty seconds after addition of the DPD No. 1 tablet.1 tablet.
  • 66. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine DPD TestDPD Test (diethyl-p-phenylene diamine)(diethyl-p-phenylene diamine) Record the value of the matching color standard. IfRecord the value of the matching color standard. If the color falls between consecutive color standards,the color falls between consecutive color standards, take an intermediate value.take an intermediate value. If the color is deeper than 5.0 ppm chlorine or 11.0If the color is deeper than 5.0 ppm chlorine or 11.0 ppm bromine color standard, add an additional DPDppm bromine color standard, add an additional DPD No. 1 tablet to obtain a full color response. NoNo. 1 tablet to obtain a full color response. No formulation is required with the extra tablet; take aformulation is required with the extra tablet; take a direct reading and record.direct reading and record.
  • 67. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Coliform TestColiform Test Microorganisms of the coliform group areMicroorganisms of the coliform group are indicators of fecal contamination.indicators of fecal contamination. Membrane Filter TestMembrane Filter Test Most ships will be equipped with a membraneMost ships will be equipped with a membrane filter bacteriological testing kit.filter bacteriological testing kit.
  • 68. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ProcedureProcedure Place about 2 ml M-Endo broth absorbent pad placed onPlace about 2 ml M-Endo broth absorbent pad placed on bottom half of petri dish.bottom half of petri dish. Place sterile membrane filter on top of filter support.Place sterile membrane filter on top of filter support. Clamp the funnel on top of filter support.Clamp the funnel on top of filter support. Pour 100 ml of water sample into funnel. Apply suction to unitPour 100 ml of water sample into funnel. Apply suction to unit until water filters through.until water filters through. Pour about 50 ml buffered water to rinse inside walls ofPour about 50 ml buffered water to rinse inside walls of funnel. Apply suction to flush buffered water throughfunnel. Apply suction to flush buffered water through membrane filter.membrane filter. Dismantle funnel from filter support by removing clamp.Dismantle funnel from filter support by removing clamp. Remove membrane filter.Remove membrane filter.
  • 69. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine ProcedureProcedure Place membrane filter on top of broth saturatedPlace membrane filter on top of broth saturated absorbent pad. Avoid trapping air bubblesabsorbent pad. Avoid trapping air bubbles between filter and pan. Close the petri dish withbetween filter and pan. Close the petri dish with its top.its top. Invert the petri dish and place in incubator at 35°Invert the petri dish and place in incubator at 35° C for 22 to 24 hours.C for 22 to 24 hours. Observe for presence or absence of colonies withObserve for presence or absence of colonies with greenish gold metallic sheen may be present only ongreenish gold metallic sheen may be present only on the center of the colony, only on the edge, or over thethe center of the colony, only on the edge, or over the entire colony.entire colony.
  • 70. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Potable Water LogPotable Water Log The Medical Department will maintain a two yearThe Medical Department will maintain a two year chronological record of potable water surveillance.chronological record of potable water surveillance. On larger ships, the preventive medicine technicianOn larger ships, the preventive medicine technician should be responsible for entries.should be responsible for entries. Use chronological order and must include:Use chronological order and must include: Time and date each water sample was taken.Time and date each water sample was taken.
  • 71. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Potable Water LogPotable Water Log Location of the ship: at sea, in harbor, atLocation of the ship: at sea, in harbor, at anchorage, or in port; include the name of theanchorage, or in port; include the name of the port.port. Sampling site; include location of outlet, iceSampling site; include location of outlet, ice machine, emergency potable water tank ormachine, emergency potable water tank or supply, and identification number of potablesupply, and identification number of potable water tank, etc.water tank, etc. Source of waterSource of water
  • 72. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Potable Water LogPotable Water Log Halogen and bacteriological testsHalogen and bacteriological tests Any problems concerning taste and odor andAny problems concerning taste and odor and their resolution.their resolution. Inspection and surveys, include results,Inspection and surveys, include results, discrepancies and action taken.discrepancies and action taken.
  • 73. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Water Sanitation BillWater Sanitation Bill Each ship should have a Water Sanitation BillEach ship should have a Water Sanitation Bill developed to meet the individual and unique aspectsdeveloped to meet the individual and unique aspects of the individual ship’s conditions.of the individual ship’s conditions. It is recommended that the Commanding OfficerIt is recommended that the Commanding Officer promulgate the Water Sanitation Bill and that the billpromulgate the Water Sanitation Bill and that the bill be posted conspicuously in areas where potable waterbe posted conspicuously in areas where potable water and associated materials are processed, treated orand associated materials are processed, treated or stored.stored.
  • 74. NAVMED P-5010 Manual of Preventive MedicineNAVMED P-5010 Manual of Preventive Medicine Any questions?Any questions?