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© J PAK MED STUD. www.jpmsonline.com Volume 3, Issue 2.April-June, 2013 Page | 110

Key Words: Bottled Water; Total Coliform; Membrane Filter Technique; Microbiological Analysis;
Lahore
Microbiological Quality of Bottled Water
Available in Lahore City
Sadia Yousaf1
, Muhammad Ashraf Chaudhry2
1
Medical Student, CMH Lahore Medical College, Lahore, Pakistan
2
Professor, Head of Department of Community Medicine, CMH Lahore Medical College, Lahore, Pakistan
ABSTRACT
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BACKGROUND: A large number of
infectious diseases are transmitted primarily
through the water supplies contaminated
with human and animal excreta. This study
was undertaken for the microbiological
testing of bottled water used for drinking
purposes by the public in the Lahore city.
METHODS: This descriptive study was
undertaken for the microbiological testing of
bottled water used for drinking purposes by
the public in the Lahore city.
RESULTS: Twenty-four samples were
collected at investigator’s convenience.
Microbiological testing was performed using
the membrane filter technique. Of the 24
samples tested, two (8.3%) were found to be
contaminated with bacteria found in human
or animal excreta.
CONCLUSION: Although only 8.3%
samples were found to be unsafe
bacteriologically, this emphasizes that all
bottled waters should not be taken for
granted to be safe for consumption and may
need to undergo additional processing by the
consumers.
Conflict of Interest: None
declared
This article has been peer
reviewed.
Article Submitted on: 16th
August 2012
Article Accepted on: 7th
March 2013
Funding Sources: None
declared
Correspondence to: Sadia
Yousaf
Address: Department of
Community Medicine,
CMH Lahore Medical
College, Lahore, Pakistan
Email:
eruditezz@gmail.com
Cite this article: Yousaf S,
Chaudhry MA.
Microbiological quality of
bottled water available in
Lahore city. J Pak Med
Stud 2013; 3(2):110-112
in developing countries [6, 7, 8].
The human pathogens, that present serious risk of
diseases whenever present in the drinking water,
include Salmonella species, Shigella species,
Yersinia enterocolitica, Campylobacter species,
various viruses such as Hepatitis A virus,
Hepatitis E virus, Rota virus and parasites like
Entamoeba histolytica, Giardia lamblia and
others [9, 10, 11].
Safe and fresh water supplies are at risk in many
areas of Pakistan. Pakistan is in “high water
stress condition”, which occurs when the ratio of
use to availability exceeds 40 percent [12].
Due to the importance of safe drinking water,
drinking water is routinely examined to ensure
safety in developed countries. It is not practical
to monitor the drinking water for every possible
pathogen. Therefore, normal intestinal
organisms, such as coliform bacteria, are used as
indicator of fecal pollution [13, 14, 15, 16]
because they are easy to detect and count [17].
The term bottled water is defined as “portable
water obtained from approved underground water
source and preserved in a sealed container or
package and is offered for sale for human
consumption or other consumption uses” [18]. In
INTRODUCTION
Over one billion people out of seven do not have
access to safe drinking water. Reasonable access
to safe drinking water is defined as the
availability of at least 20 liters per person per day
from an improved source within 1 kilometer of
the user's dwelling. Approximately 40,000
humans die daily from diseases directly related to
consumption of contaminated water. Four
thousand childhood deaths every year worldwide
are caused by the use of contaminated water [1].
Safe and wholesome water has been defined as
“water that is free from pathogenic agents, free
from harmful chemical substances, pleasant to
taste and smell” [2]. In developing countries,
such as Pakistan, 60% of the population has no
access to pure drinking water [3]. Eighty-eight
percent of the functional water supply schemes in
Pakistan provide water that is unsafe for drinking
because of microbiological contamination [4].
A large number of infectious diseases are
transmitted primarily through water supplies,
contaminated with human and animal excreta
[5]. Outbreaks of water borne diseases occur
throughout the world but are especially common
© J PAK MED STUD. www.jpmsonline.com Volume 3, Issue 2.April-June, 2013 Page | 111
Pakistan, very few studies have been carried out
in different parts of Pakistan showing that the
bacterial contamination of bottled water is quite
high [19-24]. The present study was carried out
to determine the current status of bacteriological
quality of bottled water available in Lahore city
and whether it meets the required standard.
METHODS AND MATERIALS
Bottled water samples were collected in 500 ml
capacity bottles with intact seals. These water
samples were transported to the microbiology
laboratory of the Combined Military Hospital
(CMH), Lahore. In laboratory, all samples were
tagged and then tested for total coliforms count.
The tests were performed according to the
standard procedure using the membrane filter
technique [25].
Briefly, under aseptic conditions, 100 ml of water
from each sample was poured into autoclaved
containers, brought to the room temperature, and
then subjected to complete vacuum suction of
water into the flask through the porcelain filter
paper having pores of 0.45 µm each.
Then the filter paper was transferred with the
help of sterilized flamed forceps to the Petri dish
containing McConkey’s agar. These agar
containing Petri dishes were then covered and
placed in the incubator for 12 hours. Growth was
detected as visible colonies.
RESULTS
Of the 24 brands of mineral/bottled/pure water
samples available in the market, two brands were
found positive for bacterial contamination, and
therefore were found unfit for human
consumption by the microbiology laboratory at
CMH Lahore.
The two brands declared unfit for human
consumption were found to be highly
contaminated with total coliform count of
180+/100 ml of water sample subjected to
testing.
Remaining 22 brands showed no bacterial
contamination and were found fit for the human
consumption.
DISCUSSION
Lahore is the second largest city of Pakistan, with
estimated population of over 10 million. In the
present study, we assessed the bacteriological
quality of drinking bottled water available in
Lahore. According to WHO, there should be no
coliform bacteria/100 ml of water meant for
consumption by human. In the present study, two
water samples were positive for bacterial
contamination and unfit for human consumption.
It is essential to test the drinking water
regularly and frequently throughout the year to
ensure the safe supply of water to the public
as contamination may be intermittent. An
appropriate routine monitoring system should be
adopted to prevent or diminish the chances of
water contamination.
The samples included in the research were of the
following brands: Masafi, Wimbleoon, Sufi,
Springley, Blu, Aqua Safe, Natural, Aqua Pure,
Aqua Fina, Pharmagen, Nation, Pure Life,
Splash, Kinley, Gourmet, Klinz, Himalaya, IWT,
Volvic, Aqua One, Classic, MUM, Premeik, and
Aqua.
Membrane filter method was chosen as it
demands less preparation time compared to other
traditional methods while at the same time it is
highly reliable. The water quality can be tested
by observing the presence of bacteria, counting
the colonies as an optional step for more accurate
result descriptions. Membrane filter technique
helps to culture different types of bacteria present
in the same. It is widely accepted and effective
technique used in government and private sector
for quality control.
A study that examined the bacteriological quality
and mineral content of the drinking water
collected from different local sources in two
different seasons consumed at Lahore found that
approximately 21% of the samples tested were
positive for water contamination [24].
Although these studies were conducted on
drinking water from sources other than bottled
water in Pakistan, our study concludes that even
bottled water is not absolutely safe and its quality
needs to be monitored closely.
Another study found that the bacterial
contamination of water varied through different
parts of the Punjab province. The contamination
was noted in 96% samples from domestic pumps,
91% samples from rural tap water, and 43% from
tap water within Lahore [26].
The problem of contaminated water is not unique
to Pakistan but is prevalent in developing
countries. For example, in Trinidad, microbial
quality of domestic and imported brands of
bottled water was assessed in a study [27]. Of the
344 water samples tested, 262 (76.2%) were
domestic and 82 (23.8%) were imported brands.
Eighteen (5.2%) of the 344 samples contained
coliforms with a mean count of 0.88+/-6.38
coliforms per 100 ml, while 5 (1.5%) samples
© J PAK MED STUD. www.jpmsonline.com Volume 3, Issue 2.April-June, 2013 Page | 112
contained E. coli. The prevalence of total
coliforms in domestic brands of bottled water
was 6.9% (18 of 262) as compared to 0.0% (0 of
82) detected in imported brands [27].
Similarly, in Fiji, bacteriological quality and risk
assessment of the imported and domestic bottled
mineral water sold was examined in a study.
Seventy-five samples of bottled mineral water
belonging to three domestic brands and 25
samples of one imported brand were analyzed for
heterotrophic plate count (HPC) bacteria and
fecal coliforms. Between 28% and 68% of the
samples of the various domestic brands failed to
meet the WHO standard of having less than 100
colony-forming units (CFU) per 100 ml at 22
degrees Celsius and 7% of these also tested
positive for fecal coliforms [28].
CONCLUSION
Of the 24 brands of bottled water available in the
Lahore market for public consumption, two
brands were found to be contaminated and thus
unsafe for drinking. The sale of the bottled water
should be closely monitored so that a safe and
reliable water supply is available for public
consumption and for maintenance of public
health.
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2. Maxcy-Rosenau-Last. Public Health & Preventive
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3. Khan M, Ihsanullah TS, Fazal M, Abdus S. Occurrence
of pathogenic micro-organisms in food and water
supplies in different areas of Peshawar, Nowshera and
Charsada. Pak J Food Sci 2000; 10:37-40.
4. PCRWR: Bottled Water Quality Report 2012: Pakistan
Council of Research in Water Resources, Islamabad.
5. Ilyas M. Ansari M.A, Malik GQ, et al. Community
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6. WHO. Guidelines for drinking water quality. Geneva:
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Dougall L, Fyfe M, et al. Drinking water consumption
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for water quality protection in distribution. Proceedings
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Technology Conference, 1992: pp. 1-18.
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and Lange, 1992, pp. 393-400.
12. Economic survey of Pakistan 2002-2003: pp. 231.
13. WHO. Guidelines for drinking water quality. Geneva:
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14. Lee RJ. The microbiology of drinking water. Med Lab
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15. Cartwright RY, Dadswell JV, Lewis MJ, Lightfoot N.
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DL. Evaluation of the autoanalysis colilert test tube
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17. Park JE, Park K. Text Book of Preventive and Social
Medicine. 13th Ed. Jabalpur: Banarsidas Bhanot 1991:
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18. WHO. Guidelines for drinking water quality. Geneva:
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19. Zai S, Akhtar T. Bacteriological analysis of drinking
water in Swat. Pak J Med Res 1982; 21:93-7.
20. Akhtar T, Zai S, Zahoorullah Z. Quality of drinking
water in NWFP. Pak J Med Res 1986; 25:74-84.
21. Sami Z, Rehman G. Detection and enumeration of fecal
coliforms and other microorganisms in drink-in water:
A comparison of two techniques. J Pak Med Assoc
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22. Sheikh MR, Azhar S, Sheikh D. Potability of water
obtained through boring in Karachi. J Pak Med Assoc
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23. Waheed T, Kausar T. Quality of drinking water in
Lahore. J Pak Med Res 1987; 26:162-65.
24. Anwar MS, Chaudrhy NA, Tayyib M. Qualitative
assessment of bacteriological quality and chlorination
status of drinking water in Lahore. J Coll Physicians
Surg Pak 2004; 14:157-160.
25. Zai S, Akhtar T. Bacteriological analysis of drinking
water in Swat. Pak J Med Res 1982; 21:93-7.
26. Anwar MS, Chaudhry NA, Tayyib M. Bacteriological
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strip test. J Pak Med Assoc 1999; 49:237-241.
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quality of domestic and imported brands of bottled
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28. Zeenat A, Hatha AA, Viola L, Vipra K. Bacteriological
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Microbiological Testing Reveals Bottled Water Contamination in Lahore City

  • 1. © J PAK MED STUD. www.jpmsonline.com Volume 3, Issue 2.April-June, 2013 Page | 110 Key Words: Bottled Water; Total Coliform; Membrane Filter Technique; Microbiological Analysis; Lahore Microbiological Quality of Bottled Water Available in Lahore City Sadia Yousaf1 , Muhammad Ashraf Chaudhry2 1 Medical Student, CMH Lahore Medical College, Lahore, Pakistan 2 Professor, Head of Department of Community Medicine, CMH Lahore Medical College, Lahore, Pakistan ABSTRACT Error! Not a valid link. BACKGROUND: A large number of infectious diseases are transmitted primarily through the water supplies contaminated with human and animal excreta. This study was undertaken for the microbiological testing of bottled water used for drinking purposes by the public in the Lahore city. METHODS: This descriptive study was undertaken for the microbiological testing of bottled water used for drinking purposes by the public in the Lahore city. RESULTS: Twenty-four samples were collected at investigator’s convenience. Microbiological testing was performed using the membrane filter technique. Of the 24 samples tested, two (8.3%) were found to be contaminated with bacteria found in human or animal excreta. CONCLUSION: Although only 8.3% samples were found to be unsafe bacteriologically, this emphasizes that all bottled waters should not be taken for granted to be safe for consumption and may need to undergo additional processing by the consumers. Conflict of Interest: None declared This article has been peer reviewed. Article Submitted on: 16th August 2012 Article Accepted on: 7th March 2013 Funding Sources: None declared Correspondence to: Sadia Yousaf Address: Department of Community Medicine, CMH Lahore Medical College, Lahore, Pakistan Email: eruditezz@gmail.com Cite this article: Yousaf S, Chaudhry MA. Microbiological quality of bottled water available in Lahore city. J Pak Med Stud 2013; 3(2):110-112 in developing countries [6, 7, 8]. The human pathogens, that present serious risk of diseases whenever present in the drinking water, include Salmonella species, Shigella species, Yersinia enterocolitica, Campylobacter species, various viruses such as Hepatitis A virus, Hepatitis E virus, Rota virus and parasites like Entamoeba histolytica, Giardia lamblia and others [9, 10, 11]. Safe and fresh water supplies are at risk in many areas of Pakistan. Pakistan is in “high water stress condition”, which occurs when the ratio of use to availability exceeds 40 percent [12]. Due to the importance of safe drinking water, drinking water is routinely examined to ensure safety in developed countries. It is not practical to monitor the drinking water for every possible pathogen. Therefore, normal intestinal organisms, such as coliform bacteria, are used as indicator of fecal pollution [13, 14, 15, 16] because they are easy to detect and count [17]. The term bottled water is defined as “portable water obtained from approved underground water source and preserved in a sealed container or package and is offered for sale for human consumption or other consumption uses” [18]. In INTRODUCTION Over one billion people out of seven do not have access to safe drinking water. Reasonable access to safe drinking water is defined as the availability of at least 20 liters per person per day from an improved source within 1 kilometer of the user's dwelling. Approximately 40,000 humans die daily from diseases directly related to consumption of contaminated water. Four thousand childhood deaths every year worldwide are caused by the use of contaminated water [1]. Safe and wholesome water has been defined as “water that is free from pathogenic agents, free from harmful chemical substances, pleasant to taste and smell” [2]. In developing countries, such as Pakistan, 60% of the population has no access to pure drinking water [3]. Eighty-eight percent of the functional water supply schemes in Pakistan provide water that is unsafe for drinking because of microbiological contamination [4]. A large number of infectious diseases are transmitted primarily through water supplies, contaminated with human and animal excreta [5]. Outbreaks of water borne diseases occur throughout the world but are especially common
  • 2. © J PAK MED STUD. www.jpmsonline.com Volume 3, Issue 2.April-June, 2013 Page | 111 Pakistan, very few studies have been carried out in different parts of Pakistan showing that the bacterial contamination of bottled water is quite high [19-24]. The present study was carried out to determine the current status of bacteriological quality of bottled water available in Lahore city and whether it meets the required standard. METHODS AND MATERIALS Bottled water samples were collected in 500 ml capacity bottles with intact seals. These water samples were transported to the microbiology laboratory of the Combined Military Hospital (CMH), Lahore. In laboratory, all samples were tagged and then tested for total coliforms count. The tests were performed according to the standard procedure using the membrane filter technique [25]. Briefly, under aseptic conditions, 100 ml of water from each sample was poured into autoclaved containers, brought to the room temperature, and then subjected to complete vacuum suction of water into the flask through the porcelain filter paper having pores of 0.45 µm each. Then the filter paper was transferred with the help of sterilized flamed forceps to the Petri dish containing McConkey’s agar. These agar containing Petri dishes were then covered and placed in the incubator for 12 hours. Growth was detected as visible colonies. RESULTS Of the 24 brands of mineral/bottled/pure water samples available in the market, two brands were found positive for bacterial contamination, and therefore were found unfit for human consumption by the microbiology laboratory at CMH Lahore. The two brands declared unfit for human consumption were found to be highly contaminated with total coliform count of 180+/100 ml of water sample subjected to testing. Remaining 22 brands showed no bacterial contamination and were found fit for the human consumption. DISCUSSION Lahore is the second largest city of Pakistan, with estimated population of over 10 million. In the present study, we assessed the bacteriological quality of drinking bottled water available in Lahore. According to WHO, there should be no coliform bacteria/100 ml of water meant for consumption by human. In the present study, two water samples were positive for bacterial contamination and unfit for human consumption. It is essential to test the drinking water regularly and frequently throughout the year to ensure the safe supply of water to the public as contamination may be intermittent. An appropriate routine monitoring system should be adopted to prevent or diminish the chances of water contamination. The samples included in the research were of the following brands: Masafi, Wimbleoon, Sufi, Springley, Blu, Aqua Safe, Natural, Aqua Pure, Aqua Fina, Pharmagen, Nation, Pure Life, Splash, Kinley, Gourmet, Klinz, Himalaya, IWT, Volvic, Aqua One, Classic, MUM, Premeik, and Aqua. Membrane filter method was chosen as it demands less preparation time compared to other traditional methods while at the same time it is highly reliable. The water quality can be tested by observing the presence of bacteria, counting the colonies as an optional step for more accurate result descriptions. Membrane filter technique helps to culture different types of bacteria present in the same. It is widely accepted and effective technique used in government and private sector for quality control. A study that examined the bacteriological quality and mineral content of the drinking water collected from different local sources in two different seasons consumed at Lahore found that approximately 21% of the samples tested were positive for water contamination [24]. Although these studies were conducted on drinking water from sources other than bottled water in Pakistan, our study concludes that even bottled water is not absolutely safe and its quality needs to be monitored closely. Another study found that the bacterial contamination of water varied through different parts of the Punjab province. The contamination was noted in 96% samples from domestic pumps, 91% samples from rural tap water, and 43% from tap water within Lahore [26]. The problem of contaminated water is not unique to Pakistan but is prevalent in developing countries. For example, in Trinidad, microbial quality of domestic and imported brands of bottled water was assessed in a study [27]. Of the 344 water samples tested, 262 (76.2%) were domestic and 82 (23.8%) were imported brands. Eighteen (5.2%) of the 344 samples contained coliforms with a mean count of 0.88+/-6.38 coliforms per 100 ml, while 5 (1.5%) samples
  • 3. © J PAK MED STUD. www.jpmsonline.com Volume 3, Issue 2.April-June, 2013 Page | 112 contained E. coli. The prevalence of total coliforms in domestic brands of bottled water was 6.9% (18 of 262) as compared to 0.0% (0 of 82) detected in imported brands [27]. Similarly, in Fiji, bacteriological quality and risk assessment of the imported and domestic bottled mineral water sold was examined in a study. Seventy-five samples of bottled mineral water belonging to three domestic brands and 25 samples of one imported brand were analyzed for heterotrophic plate count (HPC) bacteria and fecal coliforms. Between 28% and 68% of the samples of the various domestic brands failed to meet the WHO standard of having less than 100 colony-forming units (CFU) per 100 ml at 22 degrees Celsius and 7% of these also tested positive for fecal coliforms [28]. CONCLUSION Of the 24 brands of bottled water available in the Lahore market for public consumption, two brands were found to be contaminated and thus unsafe for drinking. The sale of the bottled water should be closely monitored so that a safe and reliable water supply is available for public consumption and for maintenance of public health. REFERENCES 1. WHO: Waterborne Disease is World’s Leading Killer [cited 2013 Mar 3]. Available from URL: www.voanews.com/content/a-13-2005-03-17-voa34- 67381152/274768.html. 2. Maxcy-Rosenau-Last. Public Health & Preventive Medicine, 14th edition: Appleton & Lange, Simon & Scuster Company, 1998: pp. 619. 3. Khan M, Ihsanullah TS, Fazal M, Abdus S. Occurrence of pathogenic micro-organisms in food and water supplies in different areas of Peshawar, Nowshera and Charsada. Pak J Food Sci 2000; 10:37-40. 4. PCRWR: Bottled Water Quality Report 2012: Pakistan Council of Research in Water Resources, Islamabad. 5. Ilyas M. Ansari M.A, Malik GQ, et al. 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Joklik WK, Willett HP, Amos DB, Wifert CM, eds. Zinsser microbiology. 20th ed. Norwalk, CT: Appleton and Lange, 1992, pp. 393-400. 12. Economic survey of Pakistan 2002-2003: pp. 231. 13. WHO. Guidelines for drinking water quality. Geneva: World Health Organization 1984; Vol. 2: pp. 3-60. 14. Lee RJ. The microbiology of drinking water. Med Lab Sci 1991; 48:303-13. 15. Cartwright RY, Dadswell JV, Lewis MJ, Lightfoot N. Laboratory investigations: The number game. In: Dawson A, West P (eds). Drinking Water Supplies. England: Crown 1993: pp 22-36. 16. Covert TC, Shadix LC, Rice EW, Clark RM, Swedlow DL. Evaluation of the autoanalysis colilert test tube detection and enumeration of total coliforms. App Environ Microbiol 1989; 55:2443-47. 17. Park JE, Park K. Text Book of Preventive and Social Medicine. 13th Ed. Jabalpur: Banarsidas Bhanot 1991: pp. 377-82. 18. WHO. Guidelines for drinking water quality. Geneva: World Health Organization 1993; Vol. 1: pp. 1-4. 19. Zai S, Akhtar T. 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