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ENVIRONMENT AND HEALTH
DR MARIYA AMIN QURIESHI
LECTURER
Community Medicine, GMC Srinagar
 ENVIRONMENT
External factors- living and non-living,
material and non-material- which surrounds
man.
COMPONENTS
 PHYSICAL-
 BIOLOGIC-
 SOCIAL-
The key to mans health lies largely in his
environment
 WATER
 AIR
 NOISE
 RADIATION
 HOUSING
 METEOROLOGICAL ENVIRONMENT
 DISPOSAL OF SOLID WASTE
 MEDICAL ENTOMOLOGY
WATER
 SAFE AND WHOLESOME WATER
 WATER REQUIREMENTS
150 TO 200 LITRES PER CAPITA
 USES
SOURCES OF WATER SUPPLY
 RAIN
 SURFACE WATER
 Impounding reservoirs
 Rivers and streams
 Tanks, ponds and lakes
 GROUND WATER
 Shallow wells
 Deep wells
 Springs
RAIN WATER
 PUREST FORM
 SOFT
 IMPURITIES-
SURFACE WATER
IMPOUNDING RESERVOIRS
 Artificial lake
 Good quality
 Soft water
 IMPURITIES-
 Impurities from catchment area
 Algal growth
RIVERS
 Turbid in rainy season
 Impurities- bacterial count is very high
 SELF- PURIFICATION- Dilution, sedimentation,
oxidation, sunlight, plant life.
River water needs purification before it can be
used for drinking purposes.
TANKS
 Most often contaminated.
 Needs purification
 Highly dangerous source of drinking water
even at the best of times.
SEA WATER
 HIGH SALT CONTENT (3.5%)
 Demineralization and desalting
GROUND WATER
 Cheapest and most practical means of providing
water.
 Superior- pathogen free, continuous supply, need
no treatment, least possibility of contamination.
 Disadvantages- high mineral content, lifting
arrangement.
 Shallow well and Deep well
 Dug well and tube well
 Step Well
WELLS
Shallow and deep well
Shallow well
Deep well
Porous strata
Impervious strata
Porous strata
Impervious strata
SANITARY WELL
 Location- higher level, 15m away from source of
contamination, user distance within 100 m.
 Lining- brick, 6m deep, 60-90cm above ground level.
 Parapet- 70-75 cm
 Platform- cement, 1m
 Drain
 Coverings
 Hand pump
 Consumer responsibility
 Quality
6m deep
parapet
platform
handpump
(60-90 cm)
1m
WATER POLLUTION
Sources
Sewage
Industrial and trade waste
Agricultural pollutants
Physical pollutants
1. Water borne diseases
 Viral- Hepatitis A &E, polio, rotavirus diarrhea
 Bacterial- typhoid and paratyphoid fever,
bacillary dysentry, E.coli diarrhea, cholera.
 Protozoal- Amoebiasis, giardiasis.
 Helminthic- roundworm,threadworm, hydatid
disease.
2. Water-associated diseases
Behaviour- associated diseases
 Snail- Shistosomiasis
 Cyclops- Guineaworm, fish tapeworm
 Leptospirosis
Mineral- associated diseases
 Dental caries, Dental and skeletal fluorosis
Effluent-associated diseases
 Cyanosis(methhemoglobinemia)
 Methyl mercury (Minamata Disease)
3.Water washed diseases
 Scabies, trachoma,conjuctivitis.
4. Water based diseases
 Malaria ,filaria, onchocerciasis.
WATER POLLUTION LAW
 Water (prevention and control of pollution)
Act 1974
PURIFICATION OF WATER
Large scale
Small scale
LARGE SCALE PURIFICATION
STORAGE
Physical
Chemical
Biological
FILTRATION
Slow sand filters
Rapid sand filters
DISINFECTION
SLOW SAND FILTERS
Elements
1. Supernatant water
2. Graded sand
3. Under-drainage system
4. Filter control valve
Schmutzdecke
Filtration rate=
0.1-0.4m3 /m 2 /hr
sa
Underdrainage system
Venturi meter
Raw water
1-1.5m
outlet
Vital layer 2-3cm
inlet
Sand bed 1m
RAPID SAND FILTERS
II Rapid mixing III Flocculation IV Sedimentation V Filtration
River
I Coagulation
(Alum)
Mixing
Chamber
(5min)
Flocculation
chamber
(30min)
Sedimentation
tank
(2-6hrs)
Clear water storage
Water
Under-drains
Sand bed
5-15m 3/m2 /hr
Consumption
c
h
l
o
r
i
n
e
Rapid sand filter Slow sand filter
 Little space
 5-15m 3/m2 /hr
 0.4-0.7 mm
 Chemical coagulation and
sedimentation
 Backwashing
 Highly skilled
 Removal of color and
turbidity is good
 Removal of bacteria 98-
99%
 Large area
 0.1-0.4m3 /m 2 /hr
 0.2-0.3mm
 Plain sedimentation
 Sand scraping
 Less skilled
 Removal of color and
turbidity is fair
 Removal of bacteria
99.9-99.99%
DISINFECTION
CHLORINE SATISFIES ALL THE ATTRIBUTES OF AN IDEAL DISINFECTANT
IDEAL
DISINFECTANT
KILLING
POWER
CHEAP,HARMLESS
TIMELY ACTION
APPLICABILITY
MONITORING
ACCEPTABILITY
DETECTABILITY
SUSTAINIBILITY
AGENTS
 Chlorination
 Ozonation
 Ultraviolet irradiation
CHLORINATION
CHLORINE
COAGULATES
ORGANIC MATTER
BY OXIDATION
POWERFUL
GERMICIDAL ACTION
OXIDISES IRON AND
MANGANESE
ALGAECIDE
ACTS WITHIN
NORMAL pH OF
WATER
ELIMINATES
OBJECTIONABLE
COLOUR, TASTE
AND ODOUR OF
WATERRESIDUAL
ACTION
Chlorine has no effect on bacterial spores, protozoal cysts and helminthic ova
except in high doses.
Viral agents like Hepatitis and Poliomyelitis are also resistant to chlorine in
normal doses.
ACTION OF CHLORINE
H2O + Cl2 HCl + HOCl
HOCl  H+ + OCl-
Neutralized
Disinfecting
property
Minor action
PRINCIPLES OF CHLORINATION
 Observe the quality of water
 Satisfy chlorine demand.
 Ensure adequate contact period-
A free residual chlorine-0.5ppm (mg/L) appears
after contact period of 30 min
METHODS OF CHLORINATION
 Chlorine gas
 Chloramines
 Perchloron(HTH)
Patersons Chloronome is used for measuring,
regulating and administering gaseous
chlorine to water supplies.
TYPES OF CHLORINATION
 PLAIN CHLORINATION
 PRECHLORINATION-0.1-0.5ppm
 POST CHLORINATION
 DOUBLE CHLORINATION
 SUPERCHLORINATION-0.5-0.7ppm
 DECHLORINATION-
Sod.bisulphate,sod.thiosulphate,Sod.sulphite
 BREAKPOINT CHLORINATION
BREAKPOINT CHLORINATION
Formation of Chloro-
organic and chloramines
Destruction
of chlorine Formation of free chlorine
by reducing C D
compounds
B Destruction
A of chloro-organic
and chloramines
0 0.1 0.5 0.7 1.0
 de
R
S
I
D
U
A
L
C
H
L
O
R
I
N
E
Combined
residual
Free residual
Combined residual
Chlorine Added (ppm)
TEST FOR CHLORINATION
 ORTHOTOLIDINE TEST- Color change
( yellow)
Free chlorine- 10sec
Residual chlorine+ free chlorine -15 min
 ORTHOTOLODINE- ARSENITE (OTA) TEST
PURIFICATION OF WATER ON SMALL
SCALE
 HOUSEHOLD PURIFICATION
 DSINFECTION OF WEL
Horrocks apparatus
Double pot method
HOUSEHOLD PURIFICATION
 BOILING
 CHEMICAL DISINFECTANTS-
 Bleaching powder
 Chlorine solution
 High test hypochlorite
 Chlorine tablets
 Iodine
 Pot. Permanganate
 FILTERATION-
損 Chamberland filter
損 Berkefeld filter
損 Katadyn filter
Water
Water

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  • 1. ENVIRONMENT AND HEALTH DR MARIYA AMIN QURIESHI LECTURER Community Medicine, GMC Srinagar
  • 2. ENVIRONMENT External factors- living and non-living, material and non-material- which surrounds man.
  • 3. COMPONENTS PHYSICAL- BIOLOGIC- SOCIAL- The key to mans health lies largely in his environment
  • 4. WATER AIR NOISE RADIATION HOUSING METEOROLOGICAL ENVIRONMENT DISPOSAL OF SOLID WASTE MEDICAL ENTOMOLOGY
  • 6. SAFE AND WHOLESOME WATER WATER REQUIREMENTS 150 TO 200 LITRES PER CAPITA USES
  • 7. SOURCES OF WATER SUPPLY RAIN SURFACE WATER Impounding reservoirs Rivers and streams Tanks, ponds and lakes GROUND WATER Shallow wells Deep wells Springs
  • 8. RAIN WATER PUREST FORM SOFT IMPURITIES-
  • 9. SURFACE WATER IMPOUNDING RESERVOIRS Artificial lake Good quality Soft water IMPURITIES- Impurities from catchment area Algal growth
  • 10. RIVERS Turbid in rainy season Impurities- bacterial count is very high SELF- PURIFICATION- Dilution, sedimentation, oxidation, sunlight, plant life. River water needs purification before it can be used for drinking purposes.
  • 11. TANKS Most often contaminated. Needs purification Highly dangerous source of drinking water even at the best of times.
  • 12. SEA WATER HIGH SALT CONTENT (3.5%) Demineralization and desalting
  • 13. GROUND WATER Cheapest and most practical means of providing water. Superior- pathogen free, continuous supply, need no treatment, least possibility of contamination. Disadvantages- high mineral content, lifting arrangement. Shallow well and Deep well Dug well and tube well Step Well
  • 14. WELLS Shallow and deep well Shallow well Deep well Porous strata Impervious strata Porous strata Impervious strata
  • 15. SANITARY WELL Location- higher level, 15m away from source of contamination, user distance within 100 m. Lining- brick, 6m deep, 60-90cm above ground level. Parapet- 70-75 cm Platform- cement, 1m Drain Coverings Hand pump Consumer responsibility Quality
  • 18. Sources Sewage Industrial and trade waste Agricultural pollutants Physical pollutants
  • 19. 1. Water borne diseases Viral- Hepatitis A &E, polio, rotavirus diarrhea Bacterial- typhoid and paratyphoid fever, bacillary dysentry, E.coli diarrhea, cholera. Protozoal- Amoebiasis, giardiasis. Helminthic- roundworm,threadworm, hydatid disease.
  • 20. 2. Water-associated diseases Behaviour- associated diseases Snail- Shistosomiasis Cyclops- Guineaworm, fish tapeworm Leptospirosis Mineral- associated diseases Dental caries, Dental and skeletal fluorosis Effluent-associated diseases Cyanosis(methhemoglobinemia) Methyl mercury (Minamata Disease)
  • 21. 3.Water washed diseases Scabies, trachoma,conjuctivitis. 4. Water based diseases Malaria ,filaria, onchocerciasis.
  • 22. WATER POLLUTION LAW Water (prevention and control of pollution) Act 1974
  • 23. PURIFICATION OF WATER Large scale Small scale
  • 25. SLOW SAND FILTERS Elements 1. Supernatant water 2. Graded sand 3. Under-drainage system 4. Filter control valve Schmutzdecke Filtration rate= 0.1-0.4m3 /m 2 /hr sa Underdrainage system Venturi meter Raw water 1-1.5m outlet Vital layer 2-3cm inlet Sand bed 1m
  • 26. RAPID SAND FILTERS II Rapid mixing III Flocculation IV Sedimentation V Filtration River I Coagulation (Alum) Mixing Chamber (5min) Flocculation chamber (30min) Sedimentation tank (2-6hrs) Clear water storage Water Under-drains Sand bed 5-15m 3/m2 /hr Consumption c h l o r i n e
  • 27. Rapid sand filter Slow sand filter Little space 5-15m 3/m2 /hr 0.4-0.7 mm Chemical coagulation and sedimentation Backwashing Highly skilled Removal of color and turbidity is good Removal of bacteria 98- 99% Large area 0.1-0.4m3 /m 2 /hr 0.2-0.3mm Plain sedimentation Sand scraping Less skilled Removal of color and turbidity is fair Removal of bacteria 99.9-99.99%
  • 28. DISINFECTION CHLORINE SATISFIES ALL THE ATTRIBUTES OF AN IDEAL DISINFECTANT IDEAL DISINFECTANT KILLING POWER CHEAP,HARMLESS TIMELY ACTION APPLICABILITY MONITORING ACCEPTABILITY DETECTABILITY SUSTAINIBILITY
  • 29. AGENTS Chlorination Ozonation Ultraviolet irradiation
  • 30. CHLORINATION CHLORINE COAGULATES ORGANIC MATTER BY OXIDATION POWERFUL GERMICIDAL ACTION OXIDISES IRON AND MANGANESE ALGAECIDE ACTS WITHIN NORMAL pH OF WATER ELIMINATES OBJECTIONABLE COLOUR, TASTE AND ODOUR OF WATERRESIDUAL ACTION Chlorine has no effect on bacterial spores, protozoal cysts and helminthic ova except in high doses. Viral agents like Hepatitis and Poliomyelitis are also resistant to chlorine in normal doses.
  • 31. ACTION OF CHLORINE H2O + Cl2 HCl + HOCl HOCl H+ + OCl- Neutralized Disinfecting property Minor action
  • 32. PRINCIPLES OF CHLORINATION Observe the quality of water Satisfy chlorine demand. Ensure adequate contact period- A free residual chlorine-0.5ppm (mg/L) appears after contact period of 30 min
  • 33. METHODS OF CHLORINATION Chlorine gas Chloramines Perchloron(HTH) Patersons Chloronome is used for measuring, regulating and administering gaseous chlorine to water supplies.
  • 34. TYPES OF CHLORINATION PLAIN CHLORINATION PRECHLORINATION-0.1-0.5ppm POST CHLORINATION DOUBLE CHLORINATION SUPERCHLORINATION-0.5-0.7ppm DECHLORINATION- Sod.bisulphate,sod.thiosulphate,Sod.sulphite BREAKPOINT CHLORINATION
  • 35. BREAKPOINT CHLORINATION Formation of Chloro- organic and chloramines Destruction of chlorine Formation of free chlorine by reducing C D compounds B Destruction A of chloro-organic and chloramines 0 0.1 0.5 0.7 1.0 de R S I D U A L C H L O R I N E Combined residual Free residual Combined residual Chlorine Added (ppm)
  • 36. TEST FOR CHLORINATION ORTHOTOLIDINE TEST- Color change ( yellow) Free chlorine- 10sec Residual chlorine+ free chlorine -15 min ORTHOTOLODINE- ARSENITE (OTA) TEST
  • 37. PURIFICATION OF WATER ON SMALL SCALE HOUSEHOLD PURIFICATION DSINFECTION OF WEL Horrocks apparatus Double pot method
  • 38. HOUSEHOLD PURIFICATION BOILING CHEMICAL DISINFECTANTS- Bleaching powder Chlorine solution High test hypochlorite Chlorine tablets Iodine Pot. Permanganate FILTERATION- 損 Chamberland filter 損 Berkefeld filter 損 Katadyn filter