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7/6/2023 1
Unit 2:
Community water supply
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.
7/6/2023 2
• 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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 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.
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
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.
7/6/2023 6
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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Occurrence of water
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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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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Uses of water
 Domestic
 Agricultural ( irrigation)
 Manufacturing
 Fish & wild life maintenance
 Navigation
 Power generation
 Construction
 Recreational
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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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A. Ground water
Advantages
 Safer than surface water
 Reliable year rounds
 Cheaper
 Proximity to users
Disadvantages
 Excessive dissolved minerals
 Pumping
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Surface and underground water supplies
• 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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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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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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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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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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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
7/6/2023 20
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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Major causes of stream & river pollution
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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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
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
7/6/2023 28
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
7/6/2023 29
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
7/6/2023 30
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
7/6/2023 31
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
7/6/2023 32
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
7/6/2023 33
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
7/6/2023 34
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
7/6/2023 35
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
7/6/2023 36
 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
7/6/2023 37
Quality Critical Parameters
Parameter Recommended level
Faecal coliforms 0 per 100ml(Nil)
Turbidity <5NTU
Disinfectant
residual
0.2-0.5mg/l
pH 6.5-8.5
Indicators definitions
 Accessability: time/distance
 Adequateness: availability/quantity
 Coverage:
% with improved water supply (HH connection,
public standpipes, protected underground water
sources, rain water collection)
Quality of water:
 biological/physical/chemical
7/6/2023 39
Table. Service level and quantity of water collected:
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%
7/6/2023 41
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
7/6/2023 42
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
7/6/2023 43
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
7/6/2023 44
Flow of municipal water treatment method
Flow Diagram
7/6/2023 45
Raw water Course
screen Fine screen Pumping station
Filtration
Sedimentation
coagulation
Aeration/pre
chlorination
Distribution
system/Reservoir
Chlorination
7/6/2023 46
Surface Water Treatment
7/6/2023 47
Groundwater Treatment
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)
7/6/2023 48
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.
7/6/2023 49
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
7/6/2023 50
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
7/6/2023 51
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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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
7/6/2023 56
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Disk Candle Pot
Filter Media/Element
Filter System
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
7/6/2023 58
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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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 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)
7/6/2023 63
How to Use SODIS ?
7/6/2023 64
House hold water storage
 Water is stored for 72 hours or more
 Many organisms such as cercaria &
coliform bacteria can be reduced in
number
7/6/2023 65
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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
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.
7/6/2023 67
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.
7/6/2023 68
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.
7/6/2023 69
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.
7/6/2023 70
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.
7/6/2023 71
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
7/6/2023
72
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
7/6/2023 73
Some relevant water quality parameters con’t
Fluorides
Iron & manganese
Sulfates
Residual Chlorine
Total dissolved solids (TDS)
Dissolved oxygen (DO)
Biochemical oxygen demand (BOD)
Chemical oxygen demand (COD)
Coli forms
7/6/2023 74
Water quality parameter Measure as Highest
desirable level
Maximum
permissible level
TDS (total dissolved
solids)
mg/l 500 2000
Turbidity NTU 5 25
Colour mg pt/l 5 50
Iron mg Fe2+/l 0.1 1.0
Manganese mg Mn2+/l 0.05 0.5
Nitrite mg No-
3/l 50 100
Nitrate mg N/l 1 2
Sulphate mg SO42-/l 200 400
Fluoride mg F-/l 1.0 2.0
Sodium mg Nat/l 120 400
Lead mg Pb/l 0.05 0.1
Mercury mg Hg/l 0.001 0.005
Chromium(hexavalent) mg Cr 6+/l 0.05 0.1
The following table summarizes the National Secondary Drinking Water
Regulations, secondary standards. (EPA recommends secondary
standards to water systems)
Thank you

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Unit II Water supply.pptx

  • 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. 7/6/2023 2
  • 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. 7/6/2023 3
  • 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. 7/6/2023 6
  • 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 7/6/2023 7
  • 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. 7/6/2023 9
  • 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. 7/6/2023 10
  • 11. Uses of water  Domestic  Agricultural ( irrigation)  Manufacturing  Fish & wild life maintenance  Navigation  Power generation  Construction  Recreational 7/6/2023 11
  • 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 7/6/2023 12
  • 13. A. Ground water Advantages  Safer than surface water  Reliable year rounds  Cheaper  Proximity to users Disadvantages  Excessive dissolved minerals  Pumping 7/6/2023 13
  • 14. Surface and underground water supplies
  • 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 7/6/2023 15
  • 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. 7/6/2023 16
  • 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 7/6/2023 17
  • 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 7/6/2023 18
  • 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 7/6/2023 19
  • 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 7/6/2023 20
  • 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 7/6/2023 21
  • 22. 7/6/2023 22 Major causes of stream & river pollution
  • 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. 7/6/2023 23
  • 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 7/6/2023 28
  • 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 7/6/2023 29
  • 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 7/6/2023 30
  • 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 7/6/2023 31
  • 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 7/6/2023 32
  • 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 7/6/2023 33
  • 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 7/6/2023 34
  • 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 7/6/2023 35
  • 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 7/6/2023 36
  • 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 7/6/2023 37
  • 38. Quality Critical Parameters Parameter Recommended level Faecal coliforms 0 per 100ml(Nil) Turbidity <5NTU Disinfectant residual 0.2-0.5mg/l pH 6.5-8.5
  • 39. Indicators definitions  Accessability: time/distance  Adequateness: availability/quantity  Coverage: % with improved water supply (HH connection, public standpipes, protected underground water sources, rain water collection) Quality of water:  biological/physical/chemical 7/6/2023 39
  • 40. Table. Service level and quantity of water collected:
  • 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% 7/6/2023 41
  • 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 7/6/2023 42
  • 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 7/6/2023 43
  • 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 7/6/2023 44
  • 45. Flow of municipal water treatment method Flow Diagram 7/6/2023 45 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) 7/6/2023 48
  • 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. 7/6/2023 49
  • 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 7/6/2023 50
  • 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 7/6/2023 51
  • 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. 7/6/2023 52
  • 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 7/6/2023 56
  • 57. 7/6/2023 57 Disk Candle Pot Filter Media/Element Filter System
  • 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 7/6/2023 58
  • 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 7/6/2023 61
  • 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)
  • 63. 7/6/2023 63 How to Use 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 7/6/2023 65
  • 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. 7/6/2023 67
  • 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. 7/6/2023 68
  • 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. 7/6/2023 69
  • 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. 7/6/2023 70
  • 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. 7/6/2023 71
  • 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 7/6/2023 72
  • 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 7/6/2023 73
  • 74. Some relevant water quality parameters con’t Fluorides Iron & manganese Sulfates Residual Chlorine Total dissolved solids (TDS) Dissolved oxygen (DO) Biochemical oxygen demand (BOD) Chemical oxygen demand (COD) Coli forms 7/6/2023 74
  • 75. Water quality parameter Measure as Highest desirable level Maximum permissible level TDS (total dissolved solids) mg/l 500 2000 Turbidity NTU 5 25 Colour mg pt/l 5 50 Iron mg Fe2+/l 0.1 1.0 Manganese mg Mn2+/l 0.05 0.5 Nitrite mg No- 3/l 50 100 Nitrate mg N/l 1 2 Sulphate mg SO42-/l 200 400 Fluoride mg F-/l 1.0 2.0 Sodium mg Nat/l 120 400 Lead mg Pb/l 0.05 0.1 Mercury mg Hg/l 0.001 0.005 Chromium(hexavalent) mg Cr 6+/l 0.05 0.1
  • 76. The following table summarizes the National Secondary Drinking Water Regulations, secondary standards. (EPA recommends secondary standards to water systems)

Editor's Notes

  1. Nephelolometric Turbidity Units (NTU)
  2. 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
  3. 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.