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"