Evidence-based chlorination targets for household water safety in humanitarian settings: Recommendations from a multi-site study in refugee camps in South Sudan, Jordan, and Rwanda.

The current Sphere guideline for water chlorination in humanitarian emergencies fails to reliably ensure household water safety in refugee camps. We investigated post-distribution chlorine decay and household water safety in refugee camps in South Sudan, Jordan, and Rwanda between 2013-2015 with the goal of demonstrating an approach for generating site-specific and evidence-based chlorination targets that better ensure household water safety than the status quo Sphere guideline. In each of four field studies we conducted, we observed how water quality changed between distribution and point of consumption. We implemented a nonlinear optimization approach for the novel technical challenge of modelling post-distribution chlorine decay in order to generate estimates on what free residual chlorine (FRC) levels must be at water distribution points, in order to provide adequate FRC protection up to the point of consumption in households many hours later at each site. The site-specific FRC targets developed through this modelling approach improved the proportion of households having sufficient chlorine residual (i.e., ≥0.2 mg/L FRC) at the point of consumption in three out of four field studies (South Sudan 2013, Jordan 2014, and Rwanda 2015). These sites tended to be hotter (i.e., average mid-afternoon air temperatures >30°C) and/or had poorer water, sanitation, and hygiene (WASH) conditions, contributing to considerable chlorine decay between distribution and consumption. Our modelling approach did not work as well where chlorine decay was small in absolute terms (Jordan 2015). In such settings, which were cooler (20 to 30°C) and had better WASH conditions, we found that the upper range of the current Sphere chlorination guideline (i.e., 0.5 mg/L FRC) provided sufficient residual chlorine for ensuring household water safety up to 24 hours post-distribution. Site-specific and evidence-based chlorination targets generated from post-distribution chlorine decay modelling could help improve household water safety and public health outcomes in refugee camp settings where the current Sphere chlorination guideline does not provide adequate residual protection. Water quality monitoring in refugee/IDP camps should shift focus from distribution points to household points of consumption in order to monitor if the intended public health goal of safe water at the point of consumption is being achieved.

Wide diversity of fungal species found in wellwater for human consumption: an analytical cross-sectional study

ABSTRACT BACKGROUND: Fungi are ubiquitous in the environment. They are able to grow in water and many of them may be opportunistic pathogens. OBJECTIVE: The aims were to identify fungi in registered wells (RWs) and nonregistered wells (NRWs) that tap into groundwater; and to correlate the results from physicochemical assays on this water (free residual chlorine and pH) with the presence of fungi. DATA AND SETTING: Analytical cross-sectional quantitative study on groundwater wells in São José do Rio Preto, São Paulo, Brazil. METHODS: 52 samples of 500 ml of water were collected from RWs and 107 from NRWs. These were sent to a microbiology laboratory to identify any fungi that were present. In addition, free residual chlorine and pH were measured immediately after sample collection. Several statistical analysis tests were used. RESULTS: Fungal contamination was present in 78.8% of the samples from RWs and 81.3% from NRWs. Filamentous fungi were more prevalent than yeast in both types of wells. There was no significant difference in presence of fungi according to whether chloride and pH were within recommended levels in RWs; or according to whether pH was within recommended levels in NRWs. Furthermore, there was no statistical difference in the levels of fungal contamination between RWs and NRWs. CONCLUSION: Both RWs and NRWs are potential reservoirs for many types of fungi. Many of these may become opportunistic pathogens if they infect immunosuppressed individuals. Furthermore, this study confirms that fungi are able to grow even when chlorine and pH parameters are within the standards recommended.

Unregulated disinfection By-products in drinking water in Quebec: A meta analysis.

Disinfection by-products (DBPs) are formed primarily by the reaction of natural organic matter and disinfectants. DBPs that are not regulated are referred to as unregulated DBPs (U-DBPs) and they are in majority in total DBPs. U-DBPs can be more toxic than regulated DBPs. U-DBPs such as haloacetonitriles (HANs), haloacetonitriles (HKs) and halonitromethanes (HNMs) are widely present in drinking water supplies in different regions of the world. This study investigated the occurrence of U-DBPs and their variability in drinking water in the Province of Quebec (Canada), using the water quality database of 40 municipal water systems generated by our research group. The concentrations of HANs, HKs, and their compounds, including chloropicrin (CPK), were highly variable in different water systems in Quebec. The concentration range of these U-DBPs is in line with drinking water concentration ranges in different regions of the world. Factors such as system size, water source, season, pH, total organic carbon content, free residual chlorine and disinfectant types cause significant variations in the concentrations of HANs, HKs and their constituent compounds, including CPK, in drinking water in Quebec. This information is valuable for decision making concerning source water selection, water distribution planning, water treatment plant design including disinfection, and overall drinking water quality management related to U-DBPs. Moreover, U-DBPs and regulated DBPs are strongly correlated, although the degree of correlation can vary with water source, system size and season, indicating that regulated DBPs can be used as surrogates of U-DBPs.

Qualidade da água de abastecimento público do município de Jaboticabal, SP / Quality of public-supply water in Jaboticabal city, Brazil

RESUMO A água de abastecimento público pode ser um veículo de doenças e agravos à saúde humana, portanto, é necessário um tratamento eficiente e constantes avaliações da sua qualidade. O presente estudo objetivou avaliar a dinâmica populacional de indicadores microbiológicos e parâmetros físico-químicos da qualidade da água em diferentes pontos de uma estação de tratamento de água do tipo convencional, do sistema de distribuição e dos mananciais de abastecimento do município de Jaboticabal, São Paulo, nas estações chuvosa e de seca. Os resultados demonstraram que, apesar do manancial superficial apresentar qualidade microbiológica inferior (comparado aos demais mananciais estudados), após tratamento convencional foi obtida a potabilidade do mesmo. A estação chuvosa foi crítica para amostras coletadas nas etapas logo após adição de cloro, principalmente no sistema de distribuição do manancial subsuperficial. Dentre os pontos avaliados na rede de distribuição, os reservatórios domiciliares apresentaram o maior número de amostras fora do padrão de potabilidade, principalmente na rede abastecida pelo manancial subsuperficial. São necessárias estratégias para a melhoria do processo de tratamento da água do dreno - voltado para a redução da turbidez - principalmente na estação chuvosa; assim como programas de educação em saúde para a população, a fim de melhorar a qualidade da água no ponto de consumo, a partir da limpeza periódica dos reservatórios domiciliares.

ABSTRACT The public-supply water can be a vehicle of disease and harm to human health, therefore, efficient treatment and constant evaluation of its quality is required. The present study aimed to evaluate the population dynamics of microbiological and physico-chemical indicators of water quality parameters at different points of a water treatment plant of the conventional type, in the distribution system and sources of supply in Jaboticabal city, São Paulo state, Brazil, in the rainy and dry seasons. The results showed that although the present fountain surface presents worse microbiological quality (compared to other sources studied) after the conventional treatment, it became potable. The rainy season was critical for samples collected in steps after adding chlorine, especially in the distribution of sub-surface source system. Among the evaluated points in the distribution network, domestic containers had the highest number of samples outside the potability standards, mainly those fueled by the sub-surface source network. Strategies to improve the treatment process of the drain water (turbidity reduction) are needed, especially during the rainy season; as well as health education programs in order to improve water quality at the point of consumption by periodic cleaning of domestic containers.

Ocorrência de um surto de hepatite A em três bairros do município de Vitória (ES) e sua relação com a qualidade da água de consumo humano / Occurrence of a hepatitis A outbreak in three neighborhoods of the city of Vitória, Espírito Santo State, and its relation with the quality of the water for human consumption

Este trabalho teve como finalidade analisar os possíveis fatores relacionados com as ocorrências de hepatite A nos bairros Grande Vitória, Estrelinha e Inhanguetá, localizados no município de Vitória, Estado do Espírito Santo, de abril a junho do ano de 2006, e a qualidade da água consumida pela população. Foram usados como indicadores de qualidade da água as concentrações de cloro residual livre (CRL) e a presença de coliformes termotolerantes. As análises microbiológicas realizadas na água consumida pelas comunidades estudadas não apresentaram resultados indicadores de contaminação por coliformes termotolerantes e os teores de CRL determinados nos meses de janeiro a junho estiveram sempre acima do limite mínimo exigido pela legislação (Portaria nº 518/2004). Os resultados mostraram que a ocorrência do surto de hepatite A pode estar relacionada com a ausência de barreiras físicas que impeçam o contato das pessoas com água contaminada e às deficiências nas práticas higiênicas adotadas, individualmente, pela população local.

This work had as purpose to analyze the possible factors related with the occurrences of Hepatitis in the neighborhoods of Grande Vitória, Estrelinha and Inhanguetá located in the city of Vitória, State of the Espírito Santo, from April the June, 2006, and the quality of the water consumed by the population. The indicators for the water quality used were the Free Residual Chlorine concentrations (FRC) and the presence of thermotolerant coliforms. The microbiological analyses performed in the water consumed for the studied communities did not presented results indicating contamination by thermotolerants coliforms and the percentage of FRC determined between January and June were always above of the minimum limit demanded by the legislation (Act 518/2004). The results showed that the occurrence of a Hepatitis A outbreak can be related with the absence of physical barriers that impede the contact of people with the contaminated water and the practical deficiencies in the hygienic practices adopted, individually, by the local population.