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Water, a natural
resource, has become a much sought-after good, which is likely to
become a major global problem. Increasingly, there is an imbalance
between the geographical and seasonal demand for and availability
of water. This imbalance leads to over-use and exhaustion of
reserves as the total amount of water on the earth is finite,
while man’s requirement is accelerating fast with the growth of
population, agriculture and industry across the globe. In the
course of usage, water is also getting polluted resulting in water
becoming a source of death and disease rather than life.
Today, at least one-fifth of all people worldwide lack access to
safe drinking water. In developing countries, most cities
discharge 80-90% of the untreated sewage directly into rivers and
streams, the water of which are used for drinking, bathing and
washing. This lack of sewage treatment has allowed dangerous
microorganisms to spread water borne diseases; particularly
diseases transmitted by vectors, which live in the water
environment, accounting for about a third of all deaths in the
world
The growing pollution of our rivers constitutes the biggest threat
to public health. Polluted waters lead to various
gastrointestinal problems, liver infections, cancer, etc.
Children are often the worst affect, dying in large numbers
because of diarrhea. Even in the 1990s more than 1 million
children died due to diarrhea and other gastrointestinal
disorders. Since independence, our neglect of water sources has
killed more than 50 million children.
Transmission of water- related diseases:
The water related infections of man are extremely numerous and
diverse. In general the following are the ways in which diseases
may be carried by water.
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Pathogenic organisms are transmitted from one person to another
through the domestic water supply system. e.g. cholera, typhoid
and hepatitis.
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Inadequate water supply, lack of personal cleaniness e.g. trachoma
and skin infection
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Infection transmitted by organisms which live in water, like
helminths (parasitic flukes) that spend part of their life cycle
in water e.g. bilharzia
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Insect
vectors which are related in some way to water, transmit infection
e.g yellow fever, malaria etc.
Source of Water
Pollutants:
Direct additions
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Discharge of domestic, industrial or agricultural effluents
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Direct application of herbicides to control water plants that
interfere with man’s use of freshwaters.
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Direct
application of insecticide to fresh waters to destroy larvae of
mosquitoes, the vector of malaria.
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Molluscicides widely used in the tropics to control the snail
vectors of schistosomiasis.
Indirect additions
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Run-off of insecticides and herbicides applied to the land.
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Carelessly dumped waste pesticide and their empty containers in
polls or streams.
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Land fill sites and toxic waste dumps contaminate ground water
Types of pollutants
found in water
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Organic pollutants
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Inorganic pollutants
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Thermal pollutants
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Radioactive pollutants
Origin
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Domestic sewage (major source)
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Urban run-off (from houses, factories and roads)
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Industrial effluents
Effects
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Depletion of dissolved oxygen (the recommended DO level for
natural water is 4 to 6 ppm)
Pthogens
Orig in
Faecal contamination of water can introduce a variety of pathogens
into waterways, including
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Bacteria
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Virus
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Protozoans
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Parasitic worms
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Vectors
Some water-related
diseases and their causative organisms
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Disease
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Causative organisms
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Mode of spread
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Symptoms
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BACTERIA
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Typhoid
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Salmonella typhi
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Ingestion of
contaminated food, water, milk, unwashed raw vegetables and
files
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Continuous fever which
progressively increases day by day, the temperature being
higher in the evening than in the morning accompanied by body
aches, headache and constipation, Haemorrhage from an
ulceration in the small intestine
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Cholera
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Vibrio cholerae
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Ingestion water or food
contaiminated by the bacteria from the stool of a cholera
patient
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Painless diarrhoea
followed by vomitting; patient may pass 30 to 40 stools per
day which soon becomes typically “rice water” in appearance
i.e. waterly and colourless with flackes of mucous floating in
them
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Bacterial dysentery
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Shigella spp.
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Through contaminated
food, water and by direct personal contact
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Diarrhoea, with the
presence of blood and mucous in the stools accompained by
severe griping pain the abdomen. Stools are not frequent
(4-10 per day) and the faecal matter is scanty. Patient looks
ill.
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Leptospirosis
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Leptospira
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Primary hosts are
rodents, which carry the organisms in their kidneys and the
patient may become infected by wading or swimming in water
contaminated with the rodent’s urine
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Fever, pain in legs,
nausea, vomiting are common, congestion of the conjunctival
blood vessels around the corneas of the eyes.
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Viruses
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Infective hepatitis
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Hepatitis virus
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Stools that contain
virus contaminating the water and food
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Loss of appetite,
nausea, vomiting and diarrhoea accompanied by fever. The
urine is dark coloured. Eye and skin have yellow colouration
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Protozoa
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Amoebic dysentery
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Entamoeba histolytica
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Ingestion of cysts in
food and water
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Abdominal discomfort to
diarrhoea, with or without the presence of blood or mucous in
the stools, accompanied by fever, chills and gripping pain in
the abdomen
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Diarrhoea
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Giardia (=Lamblia)
intestinalis
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Cysts which are voided
with the faeces and enter the new hosts in food o water
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Intestinal disorders
leading to epigastric pain, abdominal discomfort, loss of
appetite, headache and loose bowels
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Helminths
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Bilharzia
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Schistosoma spp.
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Eggs of the flukes pass
out with human faeces or urine and if they reach fresh water,
develop into miracidia larvae which infect snails. The
cercaria stage develops in the snails and on leaving the host,
cercaria penetrate the skin of humans wading in the water
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Allergy-like itch, rash,
aches, fever, eosinophillia, etc. When infection is heavy,
the eggfs may be deposited in the arterioles of the lungs
causing cardiopulmonary schistosomiasis or corpulmonale or
ayerza disease, which may lead to congestive heart failure
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Guinea worm
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Dracunculus medinensis
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Unfiltered water
containing the infected copepods
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Blister near the ankle,
burns around the blister, allergy and aches
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Protection against water-borne diseases
It is necessary to be careful about the water you drink and the
water you bathe in, since water is a carrier for a number of
diseases.
Drinking water
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Filter water with a cloth or mud pot or candle filter
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Boil the
water for 10 minutes
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All fruits and vegetables that will not be cooked must be peeled
after soaking in treated water
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Do not eat
ice-creams, drinks, etc. sold by street vendors
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Clean your teeth preferably with treated water
Bathing Water
Bathing can expose
the body to several diseases, notably bilharzia, leptospirosis and
diarrheic
diseases.
Mud and sand can contain parasite larvae.
Avoid
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Walking with bare feet
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Bathing in untreated water
Safe water supply
This is very essential. In rural areas this can be achieved by
chlorination of water and replacement of shallow wells by sanitary
wells.
Sanitation
barrier
This implies the proper disposal of excreta so that infection does
not reach water, soil, milk, food or files.
Health education
It is essential to educate people for improvement in sanitation
and personal hygiene.
Source: Water –The Elixir of Life ,C.P.R.
Environmental Education Centre,Chennai. |
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