scholarly journals Comprehensive Risk Assessment of Health-Related Hazardous Events in the Drinking Water Supply System from Source to Tap in Gaza Strip, Palestine

2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Samer Abuzerr ◽  
Mahdi Hadi ◽  
Kate Zinszer ◽  
Simin Nasseri ◽  
Masud Yunesian ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Electrical Conductivity ◽  
Drinking Water ◽  
Gaza Strip ◽  
Chlorine Residual ◽  
Quality Of Water ◽  
Health Related ◽  
The Mean ◽  
The Gaza Strip

Background. The traditional approach in the management of the quality drinking water, and relying on end-product testing, has proven ineffective in protecting public health. Therefore, the transition to a systematic approach in drinking water supply systems management from the source to the consumer tap was taken as a water safety plan (WSP). Objective. The study aims to investigate the health-related hazardous events in order to decide on the best risk-reduction strategies in the supply of drinking water in the Gaza strip. Methods. A semiquantitative matrix method for risk assessment was applied. Also, chlorine residual, electrical conductivity, and nitrate concentration further tested in 109 water wells, 109 small-scale water desalination plants, 197 tanker trucks, and 384 households distributed over five governorates of the Gaza strip. Results. The mean of the measured chlorine residual values was less than the recommended national and international limits (0.2–1 mg/liter). The mean of electrical conductivity at catchment points and household municipal water taps was 2165.1 μS·cm−1 and 2000 μS·cm−1, respectively. Furthermore, zero percent of water samples met the recommended criteria, indicating that the groundwater in the Gaza strip is nonpotable. Only 12.8% and 8.8% of water samples met the permissible levels at catchment areas and municipal water at household, respectively, indicating sever health impacts on the public. Moreover, the most hazardous events were related to high levels of groundwater salinity, the low level of disinfection, the effect of electricity outages on the efficiency of the desalination process, and leakage of water from the tanker truck tank reservoirs. Therefore, urgent interventions are required to improve the quality of water and to mitigate the possible health effects. Conclusion. The prioritization of hazardous events that are proportional to the degree of their attributed risk could help guide in making the right risk-reduction decisions. Urgent interventions are required to improve the quality of water and to mitigate the possible health effects.

scholarly journals Microbiological Quality of Drinking Water and Prevalence of Waterborne Diseases in the Gaza Strip, Palestine: A Narrative Review

2019 ◽  
Vol 07 (04) ◽  
pp. 122-138 ◽  
Author(s):  
Samer Abuzerr ◽  
Simin Nasseri ◽  
Masud Yunesian ◽  
Samir Yassin ◽  
Mahdi Hadi ◽  
...  
Keyword(s):  
Drinking Water ◽  
Gaza Strip ◽  
Microbiological Quality ◽  
Narrative Review ◽  
Waterborne Diseases ◽  
The Gaza Strip

scholarly journals Assessment of the Quality of Water in Sulaimaniyah City, Kurdistan Region– Iraq

2015 ◽  
Vol 10 (3) ◽  
pp. 781-791
Author(s):  
Faisal A Salih ◽  
Nasih Othman ◽  
Faridon Muhidin ◽  
Attallah Kasem
Keyword(s):  
Drinking Water ◽  
Tap Water ◽  
Well Being ◽  
Total Hardness ◽  
Quality Of Water ◽  
The Mean ◽  
City Water ◽  
Parameter Values ◽  
The City

Good drinking water quality is essential for the well being of all population. The object of this study was to assess the quality of drinking water in the city of Sulaimaniyah in Iraqi Kurdistan. A total of 2342 water samples from various sources providing water to the city collected during 2014 were analyzed for physiochemical and biological parameters using standard methods. Fifty percent of the samples were from, Dukan project after treatment, 26% from Dukan project before treatment, 8% from Sarchinar, 6% from city storage tanks and networks and 10% were brought by citizens from various sources.The total hardness of the city water at source after treatment was 186.3 (95% CI 179.6, 192.8), TDS was 150.6 (95% CI 149.5, 151.7), and PH was 7.74(95% CI 7.36, 8.12). The total hardness, TDS, turbidity and Calcium were considerably higher in Sarchinar than Dukan (231 vs. 161, 242 vs. 147, 2.7 vs. 1.8 and 72.9 vs. 44.5 mg/l respectively), while Sodium and Potassium were higher in Dukan than Sarchinar (3.4 vs. 1.4 and 1.4 vs. 0.08 mg/l respectively). Samples from the two supply lines from filtrated Dukan water project were compared in relation to physic-chemical characteristics and there were no significant differences in any of the parameters except PH, TDS and turbidity which were different. TDS of Dukan 1 project was slightly higher than Dukan 2 (148.9 vs. 145.9 respectively). Similarly turbidity of Dukan 1 was twice that of Dukan 2 (2.4 vs. 1.2). Overall, the parameter values were within standard ranges except Cl1- which was 19.8 (Iraqi standard 10 ppm) and dissolved oxygen which was 9 ppm (Iraqi standard 7-8 ppm). Microbiological results showed that 973 of the samples (91%) had an MPN of zero, 61 (5.7%) had an MPN of 2.2 and 35 (3.3%) had a higher MPN. The mean chlorination level for all samples was 1.12 (SD 0.44) .We can conclude that both Sarchinar and Dukan waters are acceptable for drinking purposes according to the parameters evaluated. We recommend to include monitoring heavy metals like Hg, Pb, Ni, Cr, Cd, Ag in the future; to consolidate the existing reporting system and to included samples from household tap water for analysis.

scholarly journals Health-related quality of life of Palestinian preschoolers in the Gaza Strip: a cross-sectional study

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Salwa G Massad ◽  
F Javier Nieto ◽  
Mari Palta ◽  
Maureen Smith ◽  
Roseanne Clark ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Gaza Strip ◽  
Cross Sectional Study ◽  
Health Related Quality ◽  
Sectional Study ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related ◽  
The Gaza Strip

scholarly journals Impact of dental caries on oral health related quality of life among preschool children: perceptions of parents

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mina Pakkhesal ◽  
Elham Riyahi ◽  
AliAkbar Naghavi Alhosseini ◽  
Parisa Amdjadi ◽  
Nasser Behnampour
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Dental Caries ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Dmft Index ◽  
The Mean ◽  
The Impact

Abstract Background Childhood dental caries can affect the children’s and their parents’ oral health-related quality of life. The aim of the present study was to evaluate the impact of oral and dental health conditions on the oral health-related quality of life in preschool children and their parents. Methods In this descriptive-analytical cross-sectional study, samples were selected from children 3 to 6 years old enrolled in licensed kindergartens using "proportional allocation" sampling. Then, the parents of the children were asked to complete the Early Childhood Oral Health Impact Scale (ECOHIS). Results In this study, 350 children aged 3 to 6 years were evaluated with a mean age of 4.73 years. The mean dmft index (decayed, missed, and filled teeth) was 3.94 ± 4.17. The mean score of oral health-related quality of life was 11.88 ± 6.9, which 9.36 ± 5.02 belongs to the impact on children and 2.52 ± 3.20 to parents' impact. Conclusions The mean score of ECOHIS increased with the dmft index increase in children, indicating a significant relationship between the dmft and ECOHIS score. These outcomes can be used as proper resources to develop preventive policies and promote oral health in young children.

scholarly journals The Water Safety Plan Approach: Application to Small Drinking-Water Systems—Case Studies in Salento (South Italy)

2021 ◽  
Vol 18 (8) ◽  
pp. 4360
Author(s):  
Francesca Serio ◽  
Lucia Martella ◽  
Giovanni Imbriani ◽  
Adele Idolo ◽  
Francesco Bagordo ◽  
...  
Keyword(s):  
Drinking Water ◽  
Case Studies ◽  
Distribution Systems ◽  
Water Systems ◽  
Water Safety ◽  
Quality Of Water ◽  
Safety Plan ◽  
Water Safety Plan ◽  
Drinking Water Systems

Background: The quality of water for human consumption is an objective of fundamental importance for the defense of public health. Since the management of networks involves many problems of control and efficiency of distribution, the Water Safety Plan (WSP) was introduced to address these growing problems. Methods: WSP was applied to three companies in which the water resource assumes central importance: five water kiosks, a third-range vegetable processing company, and a residence and care institution. In drafting the plan, the terms and procedures designed and tested for the management of urban distribution systems were applied to safeguard the resource over time. Results: The case studies demonstrated the reliability of the application of the model even to small drinking-water systems, even though it involved a greater effort in analyzing the incoming water, the local intended use, and the possibilities for managing the containment of the dangers to which it is exposed. This approach demonstrates concrete effectiveness in identifying and mitigating the dangers of altering the quality of water. Conclusions: Thanks to the WSP applied to small drinking-water systems, we can move from management that is focused mainly on verifying the conformity of the finished product to the creation of a global risk assessment and management system that covers the entire water supply chain.

Eternal engine of progress

2021 ◽  
pp. 41-45
Author(s):  
В.А. Гвоздев ◽  
Л.В. Леонов ◽  
О.Н. Рублевская
Keyword(s):  
Drinking Water ◽  
Activated Carbon ◽  
Water Supply ◽  
Measurement System ◽  
Odor Control ◽  
Wastewater Disposal ◽  
Quality Of Water ◽  
Precipitation Measurement ◽  
General Director

Качество услуг водоснабжения и водоотведения за первые двадцать лет XXI века вывело на новый уровень развития ГУП «Водоканал Санкт-Петербурга» благодаря внедрению инновационных технологий в системах водоснабжения и водоотведения. Использование технологий, таких как двухступенчатое обеззараживание питьевой воды, дезодорирование полигонов, геотубирование, применение центрифуг «Флоттвег», порошкообразного однокомпонентного флокулянта, порошкообразного активированного угля, внедрение системы измерения осадков, осуществлялись при активном участии Федора Ивановича Лобанова – помощника генерального директора ГУП «Водоканал Санкт-Петербурга» по работе с промышленностью, которому в ноябре 2021 г. исполнилось 80 лет. The quality of water supply and wastewater disposal services over the first twenty years of the 21st century has brought SUE «Vodokanal of St. Petersburg» to a new level of development owing to the introduction of innovative technologies in water supply and wastewater disposal systems. The use of technologies, such as two-stage disinfection of drinking water, odor control of landfills, geotubing, the use of Flottweg centrifuges, powdered one-component flocculant, powdered activated carbon, the introduction of a precipitation measurement system, were carried out with the active participation of Fedor Ivanovich Lobanov, Assistant to the General Director of SUE «Vodokanal of St. Petersburg» on dealing with industries, who turned 80 in November 2021.

ASSESSMENT OF THE HEALTH-RELATED QUALITY OF LIFE IN OUTPATIENTS WITH DIABETES MELLITUS AT HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

2019 ◽  
pp. 35-42
Author(s):  
Tri Vo Duc ◽  
Ngoc Nguyen Phuoc Bich
Keyword(s):  
Quality Of Life ◽  
Diabetes Mellitus ◽  
Health Related Quality ◽  
Vas Score ◽  
Related Quality ◽  
Health Related ◽  
The Mean ◽  
Lower Hrqol ◽  
Eq Vas

Background: The prevalence of diabetes mellitus (DM) has been increasing significantly in the world as well as in Viet Nam. DM is a serious and complex chronic disease that affects the physical health of the patients and lower health-related quality of life (HRQoL). Objectives: (1) To analyze the HRQoL in DM outpatients at Hue University of Medicine and Pharmacy Hospital. (2) To evaluate the associated factorsin outpatients with DM. Materials and method: A cross-sectional descriptive study was conducted on 253 outpatients at Hue University of Medicine and Pharmacy Hospital. EuroQoL-5 dimension-5 level (EQ-5D-5L) scale was used for the assessment of HRQoL. Results: The median of the EQ-5D index was 0.85(interquartile range (IQR) = 0.28). The mean of EQ-VAS score was 64.07 (SD=16.99). Aging was associated with lower HRQoL. Unemployed participants had the lowest HRQoL index compared to workers. Higher educational levels led to higher HRQoL. Patients withDM duration of over 10 years had lower HRQoL index than the other groups. Conclusion: The median of the EQ-5D index was 0.85 (IQR = 0.28). The mean of EQ-VAS score was 64.07 (SD=16.99). The HRQoL in diabetic patients was associated with age, occupation, level of education and DM duration. Key words: EQ-5D-5L, quality of life, diabetes mellitus.

MO822POLYPHARMACY NEGATIVELY AFFECTS HEALTH-RELATED QUALITY OF LIFE IN DIALYSIS PATIENTS

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Julia Colombijn ◽  
Anna Bonenkamp ◽  
Anita Van Eck van der Sluijs ◽  
Alferso C Abrahams ◽  
Joost Bijlsma ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Related Quality ◽  
Dialysis Patients ◽  
Self Rated Health ◽  
Therapeutic Benefits ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related ◽  
The Mean

Abstract Background and Aims Dialysis patients are often prescribed a large number of medications to improve metabolic control and manage co-existing comorbidities. However, several studies suggest that a large number of medications can also detrimentally affect their health-related quality of life (HRQoL). Therefore, this study aims to provide insight in the association between the number of medications and various aspects of HRQoL in dialysis patients. Method A multicentre study was conducted among dialysis patients from Dutch dialysis centres three months after initiation of dialysis as part of the ongoing prospective DOMESTICO study. The number of medications, defined as the number of concomitantly prescribed types of drugs, was obtained from electronic patient records. Primary outcome was HRQoL measured with the Physical Component Summary (PCS) score and Mental Component Summary (MCS) score (range 0-100) of the Short Form 12. Secondary outcomes were number of symptoms (range 0-30) measured with the Dialysis Symptoms Index and self-rated health (range 0-100) measured with the visual analogue scale of the EuroQol-5D-5L. Data were analysed using linear regression and adjusted for possible confounders, including age, sex, dialysis modality, and comorbidity. Analyses for MCS and number of symptoms were performed after categorising patients in tertiles according to their number of medications because assumptions of linearity were violated for these outcomes. Results A total of 162 patients were included. Mean age of patients was 58 ± 17 years, 35% were female, and 80% underwent haemodialysis. The mean number of medications was 12.2 ± 4.5. Mean PCS and MCS were 36.6 ± 10.2 and 46.8 ± 10.0, respectively. The mean number of symptoms was 12.3 ± 6.9 and mean self-rated health 60.1 ± 20.6. In adjusted analyses, PCS was 0.6 point lower for each additional medication (95%CI -0.9 – -0.2; p=0.002). MCS was 4.9 point lower (95%CI -8.8 – -1.0; p=0.01) and 1.0 point lower (95%CI -5.1 – 3.1; p=0.63) for the highest and middle tertiles of medications, respectively, compared to the lowest tertile. Patients in the highest tertile of medications reported 4.1 more symptoms compared to the lowest tertile (95%CI 1.5 – 6.6; p=0.002) but no significant difference in the number of symptoms was observed between the middle and lowest tertile. Self-rated health was 1.5 point lower for each medication (95%CI -2.2 – -0.7; p<0.001). Conclusion After adjustment for comorbidity and other confounders, a higher number of medications was associated with a lower PCS, MCS, and self-rated health in dialysis patients and with more symptoms. This suggests that it may be relevant to weigh expected therapeutic benefits of medication against their possible harmful effects on HRQoL. An unfavourable balance between expected benefits and impact on HRQoL might be ground to deviate from clinical guidelines, especially for patients with a limited life-expectancy and for whom a kidney transplant is unattainable.

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