measurement of arsenic in water at its source

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    AERENIC IN WATER; ESTIMATION AT

    SOURCE, SUPPLY AND END USER

    LEVEL,IN URBAN ISLAMABAD,A DESCRIPTIVE STUDY.

    Dr. NELOFAR NAZIM

    Student of MsPH(2009-2010)Health Services Academy

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    What is Arsenic (As) Natural and abundant elementfound in soil, air, and water. It is a

    notorious poisoning metalloid withatomic no 33 in the periodic table.

    Tasteless,colorless and odorless.

    Solubility Insoluble in water when in naturalform

    Soluble in water when oxidized More toxic in this form

    2 types Inorganic: usually with oxygen,

    chlorine, or sulfur; most toxic (ex.arsenite)

    Organic: usually with carbon orhydrogen (ex. di-methyl arsonic acid)

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    Introduction; Arsenic is a growing

    problem throughout the world.

    Globally; Argentina,,chilli, china,india,mexico,unitedstate,veitnam,canada hungry,peuru,Romania etc

    In Asia;Bangladesh,india,china,veitnam,compodia,myanmar,pakistan,nepal.(Epide

    mic in Bangladesh in 1970) .35-77Million citizens at risk of arsenicpoisoning (Out of a pop. of 125 Million).

    In pakistan;particularly in the central and southern parts of the country.In the province of Sindh,groundwater arsenic concentration has reached up

    to 1100 g/l against WHO limits of 10 g/l. In the province of Punjab, over

    20% and in the province of Sindh, around 36% of the population isexposed

    to arsenic contamination above WHO limits

    Bhawalpur,Rahimyar khan,multan, lahore,dado, khairpur,nawabshah,thatta.

    The National Water Quality Monitoring Programme (NWQMP) under the

    auspices of Pakistan Council of Research in Water Resources (PCRWR) in

    its Fifth water quality monitoring report has revealed that in federal capitalonly 26 percent of water resources are safe to drink.

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    Sources of Arsenic

    ; Natural sources include Weathering of rocks, Volcanic activity canadd ,Groundwater in contact with rocks that are high inarsenic ,animals and plants make organic arsenic compounds inoceans and Mining/smelting of copper, gold, lead and zinc ores.Wastewater from industries , Medical use of arsenic, Woodpreservation (greenish CCA pressure treated wood is treated withchromated copper arsenate, an arsenic and chromium containingpreservative (70% of world Arsenic pollution), Pesticide use andBurning materials with arsenic .

    Natural and abundant element found in soil, air, and water.

    It is a known carcinogenic

    Mode of testing; for recent exposure, in urine and blood

    for chronic exposure; hair nail and skin, usuallycaused by water exposure

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    Health effects; Arsenicosis

    Various cancers: skin, lung, bladder, kidney, liver Heart attacks and strokes

    Melanosis: spotting of the skin, blemishes, etc.

    Keratosis: hardening of palms and soles, ulcers, Black foot.

    Hepatomegaly: liver enlargement

    Splenomegaly: spleen enlargement Ascitis: abdominal fluid

    Death

    Social Problems

    Arsenicosis victims are rejected from society. The impact of arsenicextends from immediate health effect to extensive social andeconomic hardship that effects especially the poor. Costs of healthcare, inability of affected persons to engage in productive activitiesand potential social exclusion are important factors.

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    Treatment option; Treatment is limited.

    Consumption of only arsenic free water

    can prevent

    Removal or prevention techniques; According to EPA coagulation filtration process. co-

    precipitation, ion exchange and activated alumina filtration. The

    technology for arsenic removal for piped water supply is

    moderately costly and requires technical expertise.

    Removal systems have been made by using locally

    available housing and PCRWR developed filter

    media

    Three options were considered:1.Clay Pitcher Arsenic Removal Filter

    2.Gravity Flow Arsenic Removal Cartridge Filter

    3.Arsenic Removal Cartridge Filter

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    Aim:

    To improve the quality of water supply and prevent people from

    hazards of arsenic in urban Islamabad.

    ObjectivesOF THIS STUDY ARE TO:1. measure the quality of drinking water in Islamabad capital

    territory, by measuring the arsenic at source level, supplyand end user level.

    2. prevent arsenic related health hazards

    3. check the efficiency of filtration plant.

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    Rationale

    My study will be helpful in the strengthening of health system

    for surveillance and management of arsenicosis. In the

    reduction of morbidity and mortality due to Arsenicosis. and

    If arsenic found in drinking water advocacy campaign can be

    started.

    Operational definition;

    Cut off value; According to W.H.O cut off limits are 0.01mg/L.

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    Variable of interest;

    Arsenic level in water both at consumer and delivery

    level

    METHODOLOGY;

    Study design; Descriptive type of study Duration of study; Three month

    Sample estimation; on 50% population

    n=P(1-P)/e2

    =0.5(1-0.5)/(.05)2

    = 100

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    Study area; I-8 sector.

    Study sample; 3 from the source, 3 from the pipe line

    and100 from households.

    Sampling technique; simple random selection, 25 from

    each 4 sub-sectors.

    Inclusion criteria; All the households agree to give

    sample and using water from CDA.

    Exclusion criteria;All the households not agree to give

    sample,using well water,Nestle or other.

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    Data collection procedure

    According to National instituteof health guideline; They givesterilized bottles which isusually of 750ml for chemicals.First sterilized the tap anddiscard initial water then collect

    water. Arsenic checked by a kit (by

    Merc) in the field and can besent to lab.

    Data analysis; mean, stdev, willbe calculated. Mean of the

    household level will be comparewith the mean of source andsupply. Data entry and analysiswill be performed by spss.

    Source

    Water

    supply

    Consu

    mer

    level

    no of samples %

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    Proposed budget; Rs; 37,370

    Proposed timeline:

    3 months

    PROPOSED TIMELINE:

    Duration: 3 months.

    ActivityPerson

    ResponsibleApril2009

    May2009

    J une2009

    Proposal writing andQuestionnaireDevelopment.

    PrincipalResearcher

    Field testing ofquestionnaire.Principal

    Researcher

    Data collection.Principal

    Researcher

    Data analysis. PrincipalResearcher

    Report writing andSubmission ofDissertation.

    PrincipalResearcher

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    Ethical consideration:

    Informed consent will be obtained from all the

    participants after explaining to them, the nature of

    study.

    Confidentiality of all information obtain will beensured.

    General ethical principals including respect for

    persons will be observed.

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    Expected recomentations

    A number of governmental technical and advisory committees shouldbe formed and a co-coordinating mechanism should be establishedamong the interested external support agencies. These committeesinclude the Governmental Arsenic Co-coordinating Committee headedby the Minister of Health.

    One of the positive outcomes of this collaboration (including workwith local institutes) has been the testing of new types of treatment

    technologies. So far, many initiatives have focused on water quality testing and

    control with a view to supplying arsenic-free drinking-water, therebyreducing the risk of further arsenic-related disease.

    The amount of testing required and the need to provide effectivefeedback to end users, suggest use of field testing kits.

    Only a few proven sustainable options are available to provide safedrinking-water in our country. These include: obtaining low-arsenicgroundwater through accessing safe shallow groundwater or deeperaquifers (greater than 200 m); rain water harvesting; pond-sand-filtration; household chemical treatment; and piped water supply fromsafe or treated sources.

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    Clay Pitcher Arsenic Removal Filter

    Housing: Clay Pitchers

    Capacity: 20 L

    No. of holes: 10 -12 (1.0 mm diameter)As contamination: 300 g/L

    Material:

    Silver coated sand (2.0 kg)

    Arsenic removal media developed by PCRWR(3.0 kg)

    Cast iron turnings (3.0 kg)

    Plain sand

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    RATIONALE;

    To reduce the morbidity and mortality.

    Decrease risk factors for exposure to arsenic.

    Strengthening the health system for surviellence

    and management of arsenicosis. Prevent people from skin diseases and cancers.

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    In Pakistan

    1978 water sources contained arsenicconcentration up to 10 ppb

    209 sources remained between 10-50 ppband 31 sources had arsenic concentration

    level above 50ppb. Dadu, Khairpur, Nawabshah and Thatta

    ,multan bhawalpur districts had relativelyhigher number of water sources with highconcentration of arsenic,

    Situation could be alarming as other districtsmight also have arsenic contaminated watersources.

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    Natural sources

    Weathering of rocks

    Volcanic activity can add

    Groundwater in contact with rocks that are high in

    arsenic animals and plants make organic arsenic

    compounds in oceans

    Mining/smelting of copper, gold, lead and zinc ores.

    Medical use of arsenic Wastewater from industries

    Pesticide use

    Sources of Arsenic

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    Medical Effects of Arsenic

    Arsenic poisoning is called arsenicosis Mode of testing people for arsenicosis

    Recent exposure: urine

    Instant exposure: blood

    Chronic exposure: hair, nails, and skin (usually caused by watercontamination)

    Illnesses resulting from arsenicosis Various cancers: skin, lung, bladder, kidney, liver

    Heart attacks and strokes

    Melanosis: spotting of the skin, blemishes, etc.

    Keratosis: hardening of palms and soles, ulcers

    Hepatomegaly: liver enlargement

    Splenomegaly: spleen enlargement

    Ascitis: abdominal fluid

    Death

    Social Problems Arsenicosis victims are rejected from society

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    Health RisksArsenic poisoning appears after 10 years of consumption as

    arsenicosis

    Can lead to:

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    AIM:

    to improve the quality of water supply

    in urban Islamabad"