2. Introduction
• Water is essential for life.
• It is the medium in which
all living processes occur.
• About 70% of man’s
body – weight is water.
• In order to maintain this
level, a healthy man will
require an average of 2
liters per day.
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3. • Man can survive for
weeks without food, but
only a few days without
water.
• It is impossible to have a
clean and sanitary
environment without
water.
• The provision of safe
and adequate water
supply in a community
is therefore of the
greatest importance in
public health service.
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4. 7/6/2023 4
In addition to the daily
maintenance of our bodies, water
also plays a key role in the
prevention of disease.
Drinking eight glasses of water
daily can decrease the risk of
colon cancer by 45%,
bladder cancer by 50% and
it can potentially even
reduce the risk of breast
cancer.
5. Factors influencing the amount of water used
are
• Cultural habits
• Socioeconomic status and standard of living
• Hygiene awareness
• Productive uses
• The charges for water
• The quality of the water as experienced by users
• Climate
• Availability
• Method of distribution
6. Definitions
Safe/potable water
It is water that does not contain harmful
chemical substances, or microorganisms in
concentration that could cause illness in any
form (WHO)
Palatable
Water which is pleasant to drink but may be
contaminated
Adequate water
Sufficient for drinking, domestic & other
household purposes.
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7. Occurrence of water con’t
75% of the earth’s surface is covered by
water
96.5% is in the ocean
• Salty, unfit for consumption & irrigation
2.53% fresh water
• Neither evenly distributed nor properly
used
0.97% other
0.8% usable portion of the total
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9. Principal features of hydrologic cycle
Evaporation from vegetation, from exposed moist
surfaces, the land surface, and from water bodies.
Precipitation: The moisture forms clouds, which
return the water to the land surface or lakes &
streams in the form of precipitation
Runoff: When the rate of precipitation exceeds the
rate of infiltration, runoff occurs.
Infiltration: the rain wets vegetation and other
surfaces and then begins to infiltrate into the ground.
Lake/ocean: Water reaching streams, both by
runoff and from ground water discharge, moves to
the lake or ocean where it is again evaporated to
perpetuate the cycle.
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10. Properties of pure water
Colorless
Odorless
Tasteless
Density of one (at 40c).
Boils at 1000c
Freezes at 00c
Universal solvent
Any deviation from these characteristics should be
considered as an indication of impurity of the water.
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11. Uses of water
Domestic
Agricultural ( irrigation)
Manufacturing
Fish & wild life maintenance
Navigation
Power generation
Construction
Recreational
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12. Sources of water
i. Ground water : Wells, Springs and Borehole
ii. Surface water: Rivers, Streams, Lakes, Ponds
iii. Rain water: the purest source, if it is collected
using clean surface
iv. Sea/ocean water: Salty; unfit for consumption &
irrigation
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13. A. Ground water
Advantages
Safer than surface water
Reliable year rounds
Cheaper
Proximity to users
Disadvantages
Excessive dissolved minerals
Pumping
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15. • During development of ground water factors
contributing to the contamination of ground
water should be considered.
• These factors are:
– Nature of the aquifer
– The hydraulic gradient
– Depth of the water table
– Distance from the source of contamination
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16. How far the intestinal parasites travel in the soil?
• The travel of intestinal, bacteria in dry soil is practically nil.
• Accompanied by leaching water the distance traveled varies with the
porosity of the soil
– Under normal condition the vertical down ward travel in reasonably
porous soil will not exceed 40cm and the horizontal travel is about
30cm
– In dense, reasonably compact soil, the vertical down ward travel is
about 30cm, and horizontally almost nil.
– Exceptional: water dissolves limestone appreciably, and contaminants
may travel unlimited distances in underground channels and caves in
lime stone formation.
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17. Prevention of contamination of a well:
Sitting of the well
The well should be sited on a higher level than
the sources of contaminants-privies, cesspools, etc
In normal soil formation, the minimum distance
between the well and the source of contaminant
should not be less than 15m (50 ft).
• This rule does not apply to a limestone
formation
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18. Protection of the well
• Casing: should be made water proof material
• a minimum depth of 3m from to top to down.
• a minimum of 60cm above the surrounding ground level,
• Cover:
• to prevent dust insects small animals, etc, from falling in to
the well
• Diversion ditch: to divert the run-off
• Sanitary bucket and rope if pump is not installed
• Fencing:
– The immediate area of the well should preferably by
fenced to keep animals away
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19. Prevention of contamination of a spring:
• Sitting of a spring:
– Sanitary survey i.e. complete, extremely careful
and detailed investigation of water supply system
in order to detect potential source of contamination
must be conducted
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20. Protection of spring
• Construction of protection box
• Construction of collection box
• Intake and overflow pipe should be screened,
• A diversion ditch with a radius of 10 to 15 meters
should be made around the protection box
• If possible the area surrounding the spring should be
fenced to keep off domestic and wild animals
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21. Surface water
Surface water is liable for contamination
Source of water pollutants
i. Point source
ii. Non-point sources
i. Point source
Pollutants which enter a water way from a
specific point through a discrete pipe, ditch,
culvert etc.
E.g. industrial discharges
Relatively easy to collect and treat
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23. ii. Non-point sources
Pollutants which run off in to water ways from
broad areas of land rather than entering the
water through a discrete pipe
Result from a variety of human practices :-
Soil erosion
Animal feedlot runoff
Pesticides & fertilizers run off
Urban street runoff
Fallout of airborne pollutants
In any case surface water should never be used
as a source of water supply with out treatment.
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27. 7/6/2023 27
Protection of streams from gross pollution:
Avoiding or drastically reducing the dumping of
human and animal wastes, factory wastes etc.
Zoning stream:
Upper most section: drinking purpose
Middle section: for washing and
domestic animals
Lower section- for irrigation
28. Impurities of water
Water is not absolutely pure in nature.
It gathers impurities as it goes through
its natural cycle
Impurities may be divided in two
i. Suspended impurities
ii. Dissolved impurities
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29. i. Suspended impurities
a. Microorganisms
From air, soil
Waterborne diseases
b. Suspended solids
Minute particles of soil, clay, silt, soot , dead
leaves & other insoluble materials get into
water by erosion & drainage
Taste, color & turbidity
c. Algae
Minute plants that grow in stagnant water
Taste, color & turbidity
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30. ii. Dissolved impurities
1. Gases CO2, H2S, etc.
CO2 cause acidity
H2 S imparts bad odor & acidity
2. Minerals During percolation & dumping
Ca & Mg cause hardness
Na & K cause alkalinity
Pb, As, Cr toxicants
3. Plant dyes
Originate from plants which grow in or a round
water
Causes acidity & color
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31. Diseases associated with water
80% of all diseases &
1/3 of the deaths in developing countries are
associated with unsafe water
Diseases associated with water can be broadly
classified in to 5 epidemiological groups:-
i. Water borne disease
ii. Water washed disease
iii. Water related disease
iv. Water based /impounding disease
v. Excess/shortage of chemical constituents
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32. Water supply
1. Water borne disease:
• Caused by ingestion of contaminated water by human or
animal excrement, which contains pathogenic microorganisms.
Eg, cholera, typhoid, bacillary dysentery etc
• In addition it can be caused by the pollution of water by
chemicals, that have an adverse effect on health.
• Nitrates from fertilizers, DDT, Lead and other heavy metals
• Water treatment chemicals
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33. 2. Water washed disease
Due to lack of adequate supply of water &
poor sanitation (personal hygiene)
Eye infections : trachoma, conjunctivitis
Skin infections: scabies & ring worm,
Body louse : typhus, & RF
other flea, & tick-borne diseases.
Adequate supply of water
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34. 3. Water related disease
Water serves as development & breeding site of insects
Filariasis, malaria, onchocerciasis,
trypanosomiasis & yellow fever
Water management
4. Water based /impounding disease
Caused by infectious agent come in contact with
contaminated water
Diseases caused by parasites found in intermediate
organisms living in contaminated water
Schistosomiasis, dracunculasis
Water management
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35. 5. Excess or shortage of chemical constituents
E.g. Fluoride
Excess dental fluorosis (mottled teeth)
Shortage dental caries (tooth decaying)
E.g. Calcium and Magnesium- hardness to
water
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36. Class exercises
Can you categorize these diseases
• Trachoma, Schistosomiasis, typhus, & other
flea, lice & tick-borne diseases, Cholera,
typhoid fever, bacillary dysentery, infectious
hepatitis A, onchocerciasis, amoebiasis,
&other diarrheal diseases, Filariasis,
dracunculasis, malaria, scabies,
trypanosomiasis & yellow fever
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37. In planning a community water supply the
following parameters should be considered
to Prevent diseases associated with water
1. Quality
Safe & wholesome (M/Os & chemicals)
2. Quantity
Adequate & continuous
3. Convenience
Accessible & Affordable
4. Water management
Presence of WaSHCo’s
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41. What is the coverage of safe water supply?
• In Ethiopia seems to be on track to reach the MDG target of having the population
access to clean water by 2015.
• Access to safe drinking water increased from 19% in 1990 to 68.5% in 2009/10
according to MOH report.
– in rural areas with access to clean water has significantly increased from 35%
in 2004/05 to 65.8% in 2009/10,
– compared to increases from 80% to 91.5% in urban areas for the same period
• Ethiopian condition access to improved drinking water sources:
53.7% coverage [EDHS 2011, CSA] 34.4%: piped water; 19.1%: protected ground
water source (wells, springs)
Urban: 94.5% Vs Rural 41.7%
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42. What is water treatment ?
Process of removing all those substances
whether biological, chemical or physical
which are potentially dangerous or
undesirable in water supplies for human &
domestic use.
it is generally easier to prevent water
getting dirty than it is to make it clean after
wards
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43. Objectives of water treatment
1. To remove pathogenic organisms &
consequently to prevent water-borne diseases
2. To remove substances which impart color, taste
or odor to the water
3. To remove excess/undesirable
chemicals/minerals
4. To regulate essential chemicals which may be in
excess or lacking in a certain water-supply
system,
E.g. fluoridation or defluoridation of water,
5. To remove excess/undesirable dissolved gases
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44. Treatment of water can be conducted
i. At small scale level (home made)
ii. Large scale level (municipal water
treatment).
i. Municipal water treatment process
Depending on the types of water sources,
The treatment plant procedures are different.
Surface water Vs Ground water
treatment methods
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45. Flow of municipal water treatment method
Flow Diagram
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Raw water Course
screen Fine screen Pumping station
Filtration
Sedimentation
coagulation
Aeration/pre
chlorination
Distribution
system/Reservoir
Chlorination
48. Aeration
Addition of air, to remove substances which cause
odor/taste E.g. Dissolved iron, manganese, H2S
Coagulation & flocculation
To remove turbidity, color, bacteria through the
aid of coagulant
Coagulants -Aluminum sulfate (alum), ferrous
sulfate, Ferric chloride, and some plant seed (e.g.
Moringa olifera)
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49. Sedimentation
water is made quiescent for a given period to
remove turbidity, substances which cause color ,
taste, odor, bacteria
Filtration
Trapping all suspended and colloidal matter and
collect clear water
Disinfection
use of disinfectants like cholrine, idoine, potassium
permanganate, etc to prevent microorganisms.
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50. ii. Treatment of water on small scale
A. Boiling
B. Home made sand filters
C. Candle filter
D. Use of direct sunlight radiation
E. Chemical disinfectants:-Chlorine
and Iodine
F. House hold water storage
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51. Boiling
Boiling for 15-20 minutes
But it can not destroy toxic chemicals
It doesn’t have residual effect
It needs additional resources/energy
/time
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52. Home made sand filters
Can be set up in individual homes, in
containers such as steel barrels, drums, etc.
Properly constructed home made sand filter
can remove most of the substances that
cause turbidity, taste, and odor, the cyst
and ova of parasites, & other relatively
larger organisms.
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56. Candle filter
Commercially made for filtering individual
water supplies
Efficiency of filtration depends on the pore
size of the candle
Pore size varies from 0.3µm-50 µm
Viruses & small sized bacteria may not be
removed
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58. Chemical disinfectants
a. Chlorination
Stock solution (1% chlorine)
• 3 drops of 1% chlorine / liters of water
• Minimum contact time is 30 minutes.
Tablets (Halazone, aquatab etc.)
– 1 tablet (4mg)/ L clear water
b. Iodine
• 2 drops of 2% iodine /liter
• 1 tablet per liter
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61. Use of direct sunlight radiation
(SODIS)
A 5-6 Hrs sunlight radiation exposure
for water Rx
Half blackened container & half
transparent plastic/glass bottle
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62. 7/6/2023 62
Sunlight kills M/Os & could be
used for water disinfection
Plastic bottles are often available as a
waste product & could be used for a
new water Rt method
Solar Disinfection (SODIS)
65. House hold water storage
Water is stored for 72 hours or more
Many organisms such as cercaria &
coliform bacteria can be reduced in
number
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66. 7/6/2023 66
However, chlorine and its compounds are the
disinfectant of choice, because:
Easy to handle, transport, and available
Comparatively cheap
Effective and long lasting
Simple to apply and
Relatively easy to detect in water
67. Factors that influence the disinfecting power of chlorine &
its compounds
• The pH of the water
• Acidic high disinfecting power (need less Cl2)
• Alkaline less disinfecting power ( need more Cl2 )
• The quality of the water: More pollutants more Cl2 is required
to disinfect
• Contact time: 20-30 min- for effective & reliable disinfection
• Water Temperature: High T0 high disinfecting power
• Presence of ammonia: When Cl2 is added to water containing
NH3 or organic nitrogenous compounds chloramines is formed
which has similar disinfecting power as Cl2 except that it is weak
& needs more contact time.
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68. Methods of calculation of chlorine dose
• Too much chlorine is poisonous and
• Too little is unreliable in disinfecting water.
• An exact dose must therefore be determined for
chlorinating a given water supply.
• Generally chlorine is applied at the rate of from
2 to 3 ppm, depending on quality of the raw
water.
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69. Supplementary water treatment
Hardness Removal (softening)
• There are two categories of hardness:
• Carbonate hardness, which is due to bicarbonates of Ca and
Mg, and
• Noncarbonate hardness, which is due to Ca and Mg
chlorides.
• Hardness is responsible for increased soap consumption and
scale formation in pipes.
• Water softening is the removal of Ca and Mg hardness by
– by boiling, adding lime, adding Na2CO3, Ion exchange
resins
• Fluoridation: adding fluoride eg CaF
• De-fluoridation: removing Fluoride. Eg bone char.
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70. Water quality
–A water quality must be determined in terms
of:
• Bacteriological
• Chemical and
• Physical examination supported by a
thorough sanitary survey of the watershed
areas.
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71. Types of water quality examination
1. Physical examination: to determine aesthetic quality
2. Chemical examination: To test for chemicals which affect
the water quality and/or which are indicative of pollution
3. Bacteriological examination: To test for the presence
of bacterial indicators of pollution and hence safety for
consumption
4. Biological examination: To determine the causes of
objectionable odors, clogging of filters, etc.
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72. Water quality control
Characteristics of water, Safe or bad, that related to
acceptability for drinking .“WHO”
Water should be:-
1. Free from pathogenic microorganisms
2. No chemicals that have an adverse effect on
Human health
3. Fairly clear: low turbidity
4. Not saline
5. No chemicals that cause an offensive taste /smell
6. Not causing corrosion on water supply system, nor
staining clothes washed in it
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73. Some relevant water quality parameters
Temperature
Turbidity
Odors & tastes
Color
pH
Alkalinity & acidity
Chlorides
Nitrogen compounds (organic N, ammonia N,
nitrite N, nitrate N)
Hardness
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76. The following table summarizes the National Secondary Drinking Water
Regulations, secondary standards. (EPA recommends secondary
standards to water systems)
MDGs at the National Development Framework
Goal 1: Eradicate Extreme Poverty and Hunger
Goal 2: Achieve Universal Primary Education
Goal 3: Promote Gender Equality and Empower Women
Goal 4: Reduce Child Mortality
Goal 5: Improve Maternal Health
Goal 6: Combat HIV/AIDS Pandemic, Malaria and Other Diseases
Goal 7: Ensure Environmental Sustainability
Goal 8: Develop a Global Partnership for Development
Highest desirable level is a requirement whose fulfillment is desirable but whose non-fulfillment will not be sufficient cause for disqualification of the water for drinking and domestic use.
Maximum permissible level is a requirement level whose non fulfillment would disqualify the water for drinking and domestic use because of its probable hazard to health. This is the level that can be tolerated with out significant health risks.