WATER DISINFECTION

Published on 14/03/2015 by admin

Filed under Emergency Medicine

Last modified 14/03/2015

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WATER DISINFECTION

Water purification is the removal of chemical pollutants by filtration through activated charcoal or active resin compounds. This usually improves the taste, but does not decrease the incidence of infectious disease, because microorganisms are not removed. Water disinfection is the treatment of water with chemicals, boiling, or filtration to remove agents of infectious disease, such as bacteria and cysts. Sterilization is the removal of all life forms.

If at all possible, carry disinfected water with you. If you must drink water from a stream or lake that you cannot disinfect, try to use small tributaries that descend at right angles to the main direction of valley drainage. Clean melted snow is of less risk than ice taken from the surface of a lake or stream. Most bacteria that cause diarrhea can survive for months in ice.

The principal offending agents in contaminated water or on unwashed food that cause illness and diarrhea are the bacteria Salmonella, Shigella, E. coli, and Campylobacter, and the flagellate protozoan Giardia lamblia (see page 207). Drinking nondisinfected water in parts of Africa, India, and Pakistan can cause dracunculiasis (guinea worm disease). In countries where water is improperly disinfected, stick to bottled or canned carbonated beverages, beer, and wine. However, be advised that even bottled water in developing countries can be contaminated with bacteria that cause diarrhea, so even bottled water should probably be boiled or disinfected with chemicals or ultraviolet (UV) light before drinking. All containers should be wiped clean to remove external moisture and dirt. All ice should be considered contaminated. For purposes of preserving the environment, it is preferable to carry a reusable water container that is filled with disinfected water than to discard multiple plastic or glass containers.

Do not urinate or defecate (inadvertently) into or near your water supply. Build a latrine 8 to 10 in (20 to 25 cm) deep into the ground at least 100 ft (31 m) and downhill from the water supply. Try to keep the latrine away from a gully or other formation that might become a runoff stream during a thaw or after heavy rainfall.

“Raw” drinking water should be allowed to rest for several hours in order for large particles to settle to the bottom. The top portion can be poured off, if possible, through a filter or fine cloth. Coagulation and flocculation techniques remove smaller suspended particles. Add a pinch of alum (an aluminum salt) to a gallon (3.8 liters) of water and mix well, then stir occasionally for 60 minutes. Allow the water to rest while the aggregated particles settle, and then pour off the upper (hopefully clearer) part through a paper filter (such as a laboratory-grade filter with a pore size of 20 to 30 microns).

Water may be disinfected by any of the following methods:

1. The usual advice—to boil water for 5 to 10 minutes plus 1 minute for each 1,000 ft (305 m) of altitude above sea level—is probably overkill. Giardia cysts are instantly killed in water heated to 158°F (70°C). To play it safe, bacteria and most viruses require a few minutes at this temperature. Hepatitis A virus requires a full minute of boiling to ensure inactivation.

2. Add one tablet of fresh tetraglycine hydroperiodide (Potable Aqua, Globaline, Coughlan’s, EDWGT) to 1 quart (liter) of water and allow the water to stand for 15 minutes. If the water is cloudy, use two tablets. If the water is cold, allow 1 hour after adding the tablets before drinking. Each tablet releases approximately 8 mg/liter of iodine. Do not leave an open bottle exposed to high heat and/or humidity. Potable Aqua Plus includes oxidizing tablets to remove the iodine taste after disinfection.

ADD TO 1 QUART (LITER) OF WATER

water clear cloudy
warm (>15°C, 59°F) 1 tab for 15 minutes 2 tabs for 30 minutes
cold 1 tab for 60 minutes 2 tabs for 60 minutes
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