Recovery of Surgical Equipment Sterile Processing During a Floodwater Boil Advisory

2017 ◽  
Vol 12 (3) ◽  
pp. 415-418
Author(s):  
Stephen Shelton ◽  
Jay Hamm ◽  
Bankole Olatosi ◽  
R. Ory Johnson

AbstractExcessive rainfall and dam failures resulted in floodwater contaminating our public water supply. The endotoxin risk in the contaminated water created challenges in recovery of sterile processing for our surgical equipment. Recovery plans should include a potable water source and a method to connect it to the required location. We share our solution of plumbing our sterile processing equipment to tanker-transported potable water sources. (Disaster Med Public Health Preparedness. 2018; 12: 415–418)

2016 ◽  
Vol 2016 ◽  
pp. 1-9 ◽  
Author(s):  
Celsus Sente ◽  
Joseph Erume ◽  
Irene Naigaga ◽  
Benigna Gabriela Namara ◽  
Julius Mulindwa ◽  
...  

Studies on waterborne parasites from natural environment and domestic water sources in Uganda are very scarce and unpublished. Water dwelling free-living amoebae (FLA) of the genus Acanthamoeba, Hartmannella, and Naegleria are often responsible for causing morbidities and mortalities in individuals with recent contact with contaminated water, but their presence in Uganda’s public water supply sources is not known. We cultivated and genotyped FLA from natural and domestic water from Queen Elizabeth Protected Area (QEPA) and Kampala (KLA). The cultivated parasites were observed microscopically and recorded. The overall prevalence of FLA in QEPA (Acanthamoeba spp., 35%; Hartmannella spp., 18.9%; Naegleria spp., 13.5%) and KLA (Acanthamoeba spp., 28.3%; Naegleria spp., 16.6%; Hartmannella spp., 23.1%) were not significantly different. The highest prevalence across water sources in QEPA and KLA was observed for Acanthamoeba spp., followed by Hartmannella spp., and Naegleria spp. Overall FLA mean (±SE) and mean (±SE) across water sources were highest for Acanthamoeba spp. compared to other FLA but were not statistically significant (p > 0.05). Analysis of the FLA sequences produced 1 Cercomonas, 1 Nuclearia, 1 Bodomorpha, 2 Hartmannella, 5 Echinamoeba, and 7 Acanthamoeba partial sequences, indicating a muliplicity of water contaminants that need to be controlled by proper water treatment.


2001 ◽  
Vol 126 (1) ◽  
pp. 135-138 ◽  
Author(s):  
K. LICENCE ◽  
K. R. OATES ◽  
B. A. SYNGE ◽  
T. M. S. REID

An outbreak of E. coli O157 infection occurred in the Highland Region of Scotland in the summer of 1999. The source of the outbreak was traced to an untreated private water supply. All six cases identified arose in visitors to the area, and most had very limited exposure to the contaminated water. Permanent residents on the same supply were unaffected. The E. coli O157 isolates from the water, sheep faeces collected from around the source and the human stool samples were indistinguishable using pulsed field gel electrophoresis. Previously reported outbreaks of E. coli O157 linked to potable water supplies have resulted from structural or treatment failures, which allowed faecal contamination of source water. Here, contamination of the water supply and subsequent human infection was due to the use of an untreated, unprotected private water source in a rural area where animals grazed freely.


2014 ◽  
Vol 18 (1) ◽  
pp. 35-37
Author(s):  
M. Carcev ◽  
D. Gjorgev ◽  
F. Tozija ◽  
H. Petanovski

Abstract From all the methods applied in preventing dental caries, the most significant is the use of fluorides. Nowadays, 6 decades after its massive use, it can certainly be argued that it is the most efficient, cheapest and safest way of preventing dental caries, confirmed by more than 150 longitudinal studies. In order to determine the presence of fluorides in drinking water, in coordination with the Institute for Public Health of the FYR Macedonia in 2009, we conducted a research for determining the presence of fluorides in drinking water from the public water supply in the country. The results from the research showed that concentration of fluorine in drinking water in our country is under 0.3ppm (0.3 mg per litre of water), which indicates a really low amount in accordance to the WHO standards. Optimal concentration was registered in only few water supply facilities in less settled areas, while hyper-fluorinated water was registered in few village wells, which were put out of use after they were located.


2018 ◽  
Vol 73 ◽  
pp. 03012
Author(s):  
Solikhul Abdi ◽  
Sudarno

Pucang Gading Housing Complex is an area within the Village Batursari, District of Demak with a population of 2018 as many as 44,257 inhabitants. Raw water service system Mranggen Unit is divided into 5 areas of service (service area Mranggen, Batursari I, Batursari II, Batursari III and Kebon) which utilize raw water source of water treatment plant (IPA Waru) and 8 Wells In a total discharge of 120 liter/second. The number of home connections in Pucang Gading area is currently 3,374 house connections, with a total water usage 14.25 liter/second Water discharges from clean water sources in Pucang Gading region are currently not maximally available to supply water to Pucang Gading service area. In this research will know the problems and readiness that exist by looking from the achievement of Medium Term Development Plan of Demak Regency Year 2016-2021. This research uses SWOT analysis method that is internal and external factors. The selection of raw water sources for drinking water should pay attention to aspects of quality, quantity and continuity. Demak Regency has the potential of surface water either river/ reservoir/dam. The problems and challenges of drinking water supply include issues of safe access to water supply, and regulation of groundwater utilization for the community.


2013 ◽  
Vol 53 (1) ◽  
pp. 407
Author(s):  
Chris Hewitson ◽  
Eva Dec ◽  
Tony Lines

This peer-reviewed paper examines the risks and responsibilities of water providers and the process resource companies should undertake to document how they will deliver a safe and secure water supply to their employees and contractors, and the communities in which they operate, thereby reducing the risks of water quality incidents and managing the impact to the organisation should an incident occur. Water quality incidents can have major impacts to human health and the brand perception of the resource company supplying the water, and can potentially shutdown resource abstraction. Resource companies have a duty of care to provide a secure and safe drinking water supply. This is reinforced by state health departments directing resource organisations to comply with the Australian Drinking Water Guidelines (ADWG), which were updated in 2011 (National Health and Medical Research Council, 2011). Organisations in the CSG industry experience an additional challenge—managing water by-product from gas extraction. There are drivers for the beneficial use of this water—including irrigation, aquifer recharge and municipal supply—resulting in changes to legislation in Queensland (DERM, 2010) that require a process similar to ADWG recommendations, where beneficial use or disposal may impact potable supplies. The ADWG provides clear guidance to potable water providers—whether they are supplying a few consumers or major towns requiring a Drinking Water Quality Management System (DWQM System). This guidance includes documenting a clear process to securing a clean water source, making the water safe to consume and proving it is safe. Developing a DWQM System enables resource companies to understand issues in supplying drinking water through regular review and improvement, while minimising and managing the health risks to consumers.


2008 ◽  
Vol 29 (11) ◽  
pp. 1091-1093 ◽  
Author(s):  
Alexandre Brûlet ◽  
Marie-Christine Nicolle ◽  
Marine Giard ◽  
Franck-Emmanuel Nicolini ◽  
Mauricette Michallet ◽  
...  

A fatal nosocomial infection withLegionella pneumophilaserogroup 5 occurred in a patient with leukemia. Isolates recovered from both the potable water supply and the patient showed an identical genomic profile. With no other exposure identified, the water from the washbasin was evidently the source of infection.


2020 ◽  
Vol 18 (3) ◽  
pp. 430-438
Author(s):  
Walid Elmonir ◽  
Etab Mohamed Abo Remela ◽  
Yasmine Alwakil

Abstract This study aimed to assess the public health risk of coliforms and Escherichia coli contamination of potable water sources in Egypt. A total of 150 water samples (100 tap and 50 well) were collected from five districts in Gharbia governorate, Egypt. High rates of coliforms contamination were recorded in 52 and 76% of examined tap and well water samples, respectively. E. coli strains were detected in 16% of the water samples (15% tap water and 18% well water; 23.7% rural and 8.1% urban). Rural water sources were 3.5 times more likely to be contaminated than urban sources (P = 0.01). Eight (33.3%) E. coli isolates were Shiga toxin-producing E. coli (STEC). Multiple drug resistance (MDR) was observed for 62.5% of the isolates. Seven (29.2%) E. coli isolates harboured at least one of the extended-spectrum beta-lactamase (ESBL) genes. The majority (87.5%) of the STEC isolates were MDRs and harboured ESBL genes. STEC isolates were significantly more likely to resist six classes of antibiotics than non-STEC isolates. This is the first report of potable water contamination with MDR-STEC in Egypt. This study highlights an alarming public health threat that necessitates preventive interventions for public and environmental safety.


Water Policy ◽  
2019 ◽  
Vol 21 (6) ◽  
pp. 1207-1223 ◽  
Author(s):  
David J. Hess ◽  
Brandi M. Collins

Abstract Recycling of effluent water from urban water-supply systems is often a more sustainable water source than increased use of surface sources, groundwater sources, and desalination. However, water-supply organizations (WSOs) often do not take full advantage of recycled water. Although recycling water for direct potable use is efficient, public concern with safety has tended to cause WSOs to favor other uses for recycled water. This study examines patterns in the degree of utilization of two main indirect uses of recycled water: dual-reticulation systems and groundwater recharge. Drawing on case studies of four U.S. cities that are leaders in the use of recycled water, the study identifies conditions that favor the choice of one option over the other. Where cities are concerned with groundwater recharge of potable water supplies, they tend to prefer non-recycled water if available for recharge projects. However, where non-recycled water supplies are limited, recycled water may be prioritized for aquifer recharge. Otherwise, the preference is for use by large industrial partners such as power plants or for exchanges for higher-quality potable water resources with rural systems. In contrast, dual-reticulation (purple-pipe) systems for direct nonpotable recycling face steep economic and technical challenges.


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