scholarly journals The Water Safety Plan Pursuant to Ministerial Decree 14.06.2017: Application to Campus Bio-Medico University Hospital of Rome

2021 ◽  
Vol 11 (3) ◽  
pp. 247-253
Author(s):  
Annunziata D’Orazio ◽  
Leo Poggi
Keyword(s):  
Risk Assessment ◽  
Health Facility ◽  
Control Measures ◽  
University Hospital ◽  
Human Consumption ◽  
Water Safety ◽  
Corrective Measures ◽  
Safety Plan ◽  
Water Safety Plan ◽  
Ministerial Decree

The paper illustrates the design and drafting of the Water Safety Plan (WSP) of a health facility, particularly with regard to water intended for human consumption. The components already present in the water and sanitary system as well as the control measures already provided, are described and critically discussed. Following the hazards identification and risk assessment related to the plant, some corrective measures and actions that have been proposed and implemented, are discussed.

Long-Term Effects of Hospital Water Network Disinfection onLegionellaand Other Waterborne Bacteria in an Italian University Hospital

2014 ◽  
Vol 35 (3) ◽  
pp. 293-299 ◽  
Author(s):  
Beatrice Casini ◽  
Andrea Buzzigoli ◽  
Maria Luisa Cristina ◽  
Anna Maria Spagnolo ◽  
Pietro Del Giudice ◽  
...  
Keyword(s):  
Legionella Pneumophila ◽  
Distribution Systems ◽  
Water Distribution ◽  
Hot Water ◽  
Control Measures ◽  
University Hospital ◽  
Long Term Effects ◽  
Water Safety ◽  
Safety Plan ◽  
Water Safety Plan

Objective and Design.Legionellacontrol still remains a critical issue in healthcare settings where the preferred approach to health risk assessment and management is to develop a water safety plan. We report the experience of a university hospital, where a water safety plan has been applied since 2002, and the results obtained with the application of different methods for disinfecting hot water distribution systems in order to provide guidance for the management of water risk.Interventions.The disinfection procedures included continuous chlorination with chlorine dioxide (0.4–0.6 mg/L in recirculation loops) reinforced by endpoint filtration in critical areas and a water treatment based on monochloramine (2-3 mg/L). Real-time polymerase chain reaction and a new immunoseparation and adenosine triphosphate bioluminescence analysis were applied in environmental monitoring.Results.After 9 years, the integrated disinfection-filtration strategy significantly reduced positive sites by 55% and the mean count by 78% (P< .05); however, the high costs and the occurrence of a chlorine-tolerant clone belonging toLegionella pneumophilaST269 prompted us to test a new disinfectant. The shift to monochloramine allowed us to eliminate planktonicLegionellaand did not require additional endpoint filtration; however, nontuberculous mycobacteria were isolated more frequently as long as the monochloramine concentration was 2 mg/L; their cultivability was never regained by increasing the concentration up to 3 mg/L.Conclusions.Any disinfection method needs to be adjusted/fine-tuned in individual hospitals in order to maintain satisfactory results over time, and only a locally adapted evidence-based approach allows assessment of the efficacy and disadvantages of the control measures.

Improved risk assessment and risk reduction strategies in the Water Safety Plan (WSP) of Salta, Argentina

2013 ◽  
Vol 13 (4) ◽  
pp. 1080-1089 ◽  
Author(s):  
L. Seghezzo ◽  
M. L. Gatto D'Andrea ◽  
M. A. Iribarnegaray ◽  
V. I. Liberal ◽  
A. Fleitas ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Risk Reduction ◽  
Control Measures ◽  
World Health ◽  
Assessment Procedure ◽  
Water Safety ◽  
Safety Plan ◽  
Reduction Strategies ◽  
Water Safety Plan ◽  
Risk Reduction Strategies

The Water Safety Plan (WSP) for the city of Salta (Argentina) is presented and discussed. To develop this WSP, we used an adapted version of the methodology proposed by the World Health Organization (WHO). The new method included a preliminary weighting procedure to assess the relative importance of different parts of the system, and a more systematic estimation of the magnitude of control measures. These modifications allowed the definition of a variety of risk reduction strategies. The risk assessment step was performed during participatory workshops with members of the local water company. The Initial Risk for the entire system was 30.2%, with variations among processes, subprocesses and components. More than 60% of the hazardous situations identified require control measures to reduce the risk below an acceptable threshold. If all control measures were successfully implemented, the Final Risk could be lowered to 17.7%. Methodological changes introduced allowed a more detailed analysis of the risks and can be an important improvement of the assessment procedure.

scholarly journals How current risk assessment and risk management methods for drinking water in The Netherlands cover the WHO water safety plan approach

2019 ◽  
Vol 222 (7) ◽  
pp. 1030-1037 ◽  
Author(s):  
H.H.J.L. van den Berg ◽  
L. Friederichs ◽  
J.F.M. Versteegh ◽  
P.W.M.H. Smeets ◽  
A.M. de Roda Husman
Keyword(s):  
Risk Assessment ◽  
Risk Management ◽  
Drinking Water ◽  
The Netherlands ◽  
Water Safety ◽  
Safety Plan ◽  
Water Safety Plan ◽  
Current Risk

Experiences and lessons learned from practical implementation of a software-supported Water Safety Plan (WSP) approach

2012 ◽  
Vol 12 (1) ◽  
pp. 101-108 ◽  
Author(s):  
Ernest Mayr ◽  
Aditya Lukas ◽  
Wolfgang Aichlseder ◽  
Reinhard Perfler
Keyword(s):  
Lessons Learned ◽  
Control Measures ◽  
Water Utilities ◽  
World Health ◽  
Practical Implementation ◽  
Water Safety ◽  
Drinking Water Safety ◽  
Safety Plan ◽  
Water Safety Plan ◽  
Health Organization

The Water Safety Plan (WSP) is considered the preferred approach to ensure drinking water safety by the World Health Organization (WHO). This approach ideally requires extensive scientific and technical input from a multidisciplinary team of experts. However, in small- and medium-sized municipalities in Austria, financial and personnel resources are usually of very limited availability. Therefore, a spreadsheet based WSP tool was designed to facilitate the implementation of the WSP approach at these small supply units. The WSP tool comprises the relevant national Austrian guidelines, which include the key components of the WSP by the WHO. The tool provides an overview of the required steps, explains how to carry out each step and guides the user through the three key components: system and hazards assessment, control measures and operational monitoring, and management. The practical application of the WSP tool was tested at 12 water utilities over a period of three months. After this period, the tool was improved based on collected feedback from the water utilities.

scholarly journals Hazard Identification and Risk Assessment-Based Water Safety Plan for Packaged Water Production Companies in Abeokuta, South West Nigeria

2020 ◽  
Vol 11 (01) ◽  
pp. 48-63 ◽  
Author(s):  
Boluwatife Olusegun Osikanmi ◽  
Mohammed Mustapha ◽  
Mynepalli Kameswara Chandra Sridhar ◽  
Akinwale Oladotun Coker
Keyword(s):  
Risk Assessment ◽  
Hazard Identification ◽  
Water Production ◽  
Water Safety ◽  
South West ◽  
Safety Plan ◽  
Water Safety Plan

scholarly journals Water Safety Plan: Importance of including epidemiological data in risk assessment in drinking water supply

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Telma Cassia Dos Santos Nery ◽  
Roseane Garcia Lopes Souza ◽  
Sonia Nogueira ◽  
Marico Ribeiro Barbosa ◽  
Gisele Boschi ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Drinking Water ◽  
Water Supply ◽  
Epidemiological Data ◽  
Drinking Water Supply ◽  
Water Safety ◽  
Safety Plan ◽  
Water Safety Plan

scholarly journals Risk Assessment of Water Supply System Safety Based on Water Safety Plan (WSP) Implementation in Hamadan, Iran

2019 ◽  
Vol 8 (1) ◽  
pp. 46-55 ◽  
Author(s):  
Ebrahim Hoshyari ◽  
Nasrin Hassanzadeh ◽  
Mehdi Khodabakhshi ◽  
◽  
◽  
...  
Keyword(s):  
Risk Assessment ◽  
Water Supply ◽  
Supply System ◽  
Water Supply System ◽  
Water Safety ◽  
System Safety ◽  
Safety Plan ◽  
Water Safety Plan

scholarly journals Status of Water Safety Plan Development and Implementation in Uganda

2019 ◽  
Vol 16 (21) ◽  
pp. 4096 ◽  
Author(s):  
Christopher Kanyesigye ◽  
Sara J. Marks ◽  
Juliet Nakanjako ◽  
Frank Kansiime ◽  
Giuliana Ferrero
Keyword(s):  
Group Discussion ◽  
Control Measures ◽  
Water Safety ◽  
Enabling Factors ◽  
Stakeholder Groups ◽  
Management Commitment ◽  
Safety Plan ◽  
Water Safety Plan ◽  
System Assessment ◽  
Training Team

Uganda was among the first countries in Africa that pioneered Water Safety Plan (WSP) development and implementation, with the first WSP dating back to 2002. The objective of this study was to assess WSP status in Uganda, focusing on the experience of the National Water and Sewerage Corporation (NWSC), in order to understand the factors that influenced it and strategies for scaling-up. This study consisted of a review of documentation for 20 WSPs, 42 interviews, a focus group discussion and four field visits. Results show that the development of the 20 WSPs over the last 15 years was largely incomplete and diverse. Most of the WSPs focused on system assessment and improvement, but failed to include WSP monitoring, verification and management. The monitoring of control measures was implemented in nine of the 20 systems, while verification took place in the form of internal (5/20) and external (2/20) auditing. The main barriers identified to WSP implementation were inadequate training, team composition and deployment, mistaken perception and inability to evaluate WSP effectiveness. Conversely, the main enabling factors were management commitment, public health responsibility, good customer relations, financial availability and reliable laboratories. These findings suggest a need for more institutionalization of WSPs with improved coordination across stakeholder groups.

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