Water sanitation, hygiene and the prevalence of diarrhea in the rural areas of the delta region of Myanmar

Myanmar is an agriculture-based country with 70% of the total population residing in rural areas. Around half of the total population in Myanmar has to consume water from unimproved sources. The prevalence of diarrhea due to contaminated drinking water is high even in urban areas. The urban community may expect the provision of municipal water supply in the near future if the current revolution in the country succeeds. However, the rural areas have lesser or no chance to get quality water because of a lot of other prioritized tasks. Household water treatment is encouraged to be implemented as one of the national water safety plans for rural water supply in Myanmar. This study explored the diarrhea prevention awareness of the rural community using a questionnaire survey. The microbial quality parameters of drinking water sources were also examined. Fecal coliform contamination was detected in all examined drinking water sources. A significant association was found between drinking untreated water and the occurrence of diarrhea. The percentage of people who applied the diarrhea preventive measures was low. Even if they knew how to prevent the disease, very few people applied the measures in reality. Therefore, measures to cause behavioral change should be initiated, together with awareness raising, to promote diarrhea prevention in the community.

Effects of hydrogen peroxide preoxidation on clarification and reduction of the microbial load of groundwater and surface water sources for household treatment

Household water treatment (HWT) technologies are a promising strategy for addressing the waterborne diseases burden. However, in order to be efficient, these are often limited to water quality and require it to not exceed a certain threshold of physicochemical and microbiological contamination. Additionally, some popular HWTs, as chlorination, are related to by-product formation. Preoxidation may improve source water quality, and hydrogen peroxide (H2O2) is an oxidant that has not been deeply explored in this specific application, so it could be an innovative approach to HWTs. We investigated effects of H2O2 preoxidation in two natural source waters (surface and groundwater), spiked with a high level of microorganisms. Clarification results suggested this pretreatment may improve life of HWTs. Reduction in microbial load of groundwater was considered ineffective, but 5-min H2O2 preoxidation at 15 mg L−1 led to >4.0 log10 inactivation of Phi X174 coliphage and >3.0 of Escherichia coli in surface water. We believe this performance was increased due to the presence of catalysts in the river water. This raised the point that water quality may be not only impairing, but potentially beneficial to the main HWT and characterization is crucial prior to the implementation of any technologies.

Evaluation of an alternative household water treatment system based on slow filtration and solar disinfection

Drinking water consumption is essential to maintain a good quality of life, but it is not available for all communities. Therefore, this work aimed to develop an alternative and accessible process for water treatment, based on filtration and solar disinfection, and evaluate it in both bench and pilot scales. The construction cost of the system was estimated and compared with other available options so that its economic viability could be discussed. For this purpose, water from a stream was collected and analyzed. A filter made of PVC tubes, sand, and gravel was built, acting, respectively, as a column, filtering medium, and support layer. As for the disinfection process, the SODIS (Solar Water Disinfection) methodology was adopted. The water was exposed to the sun, and the best exposure time was determined based on the analysis of total coliforms and E. coli. Finally, a prototype was built for a flow rate of 37.5 L d−1, consisting of two filters operating at a filtration rate of 2.38 m3 m−2 d−1. About 97% turbidity removal was obtained, as well as 99.9% for total coliforms and 99.1% for E. coli. It is estimated that the cost of building a water treatment system for one person is approximately USD 29.00.

Chitosan Coagulation Pretreatment to Enhance Ceramic Water Filtration for Household Water Treatment

Viruses are major contributors to the annual 1.3 million deaths associated with the global burden of diarrheal disease morbidity and mortality. While household-level water treatment technologies reduce diarrheal illness, the majority of filtration technologies are ineffective in removing viruses due to their small size relative to filter pore size. In order to meet the WHO health-based tolerable risk target of 10−6 Disability Adjusted Life Years per person per year, a drinking water filter must achieve a 5 Log10 virus reduction. Ceramic pot water filters manufactured in developing countries typically achieve less than 1 Log10 virus reductions. In order to overcome the shortfall in virus removal efficiency in household water treatment filtration, we (1) evaluated the capacity of chitosan acetate and chitosan lactate, as a cationic coagulant pretreatment combined with ceramic water filtration to remove lab cultured and sewage derived viruses and bacteria in drinking waters, (2) optimized treatment conditions in waters of varying quality and (3) evaluated long-term continuous treatment over a 10-week experiment in surface waters. For each test condition, bacteria and virus concentrations were enumerated by culture methods for influent, controls, and treated effluent after chitosan pretreatment and ceramic water filtration. A > 5 Log10 reduction was achieved in treated effluent for E.coli, C. perfringens, sewage derived E. coli and total coliforms, MS2 coliphage, Qβ coliphage, ΦX174 coliphage, and sewage derived F+ and somatic coliphages.

Assessment of Household Management Practices of Drinking Water in Two Selected Rural Communities of Plateau State

Background: Understanding how drinking water is managed in rural households that lack access to improved water sources is necessary for designing effective strategies that can meet their drinking water requirements. This study aimed to assess the drinking water management practices of rural households in two selected communities of Plateau State.Methods: A descriptive cross-sectional study was carried out in Plateau State among 202 female caregivers of under-five children residing in households of two rural communities who were selected using a multistage sampling technique. An interviewer-administered questionnaire and an observational checklist were used to obtain information on water sources, collection, storage and treatment practices. Data were analyzed using SPSS 23.0. Bivariate analysis was done to identify factors associated with household water treatment practice followed by logistic regression to determine predictors. Level of significance was set at p<0.05.Results: Mean age of respondents was 32.5±12.3 years. Nearly half (48%) of the households obtained drinking water from unimproved sources and 18.3% treated water at home which were mainly inappropriate methods. About 75% always stored drinking water separately from other uses while 64% stored water for over 3days. Only 51% were observed to store water in clean containers. Independent predictors of household water treatment were perception of drinking water safety (AOR=4.6; 95%CI: 2.1–10.3) and encouragement to treat water within the community (AOR=16.7; 95%CI: 2.1 – 28.5).Conclusion: There is a need to educate and encourage the rural populace on appropriate water management methods while efforts are being made to increase access to improved sources.

Performance evaluation of ceramic pot filters combined with adsorption processes for the removal of heavy metals and phenolic compounds

It has been demonstrated that the ceramic pot filters (CPFs) with impregnated colloidal silver are efficient for the removal of turbidity and pathogens for household water treatment. This investigation evaluated the efficiency of two filter models for the removal of chemical contaminants (Hg, Pb, As and phenolic compounds) during 175 days. The first model is a traditional CPF impregnated with colloidal silver and the second consists of the ceramic silver-impregnated pot plus a post-filtration column with granular activated carbon and zeolite (CPF + GAC-Z). The results of the CPF showed average efficiencies of 91.5% (Hg), 92% (Pb), 50.2% (As) and 78.7% (phenols). The CPF + GAC-Z showed similar efficiencies for the removal of heavy metals (92.5% Hg, 98.1% Pb and 52.3% As) and a considerably higher efficiency for the removal of phenols (96.4%). The As concentration of the filtered water in both systems was higher than the regulatory limit. The ceramic pot was responsible for the highest removal of chemical compounds. It can be concluded that the traditional CPF is a viable option for water supply treatment at the household level for the removal of chemical contaminants. The efficiency of this filter can be improved with the post-filtration column mainly for the removal of organic constituents.

Evaluation of Microbial Contamination of Groundwater under Different Topographic Conditions and Household Water Treatment Systems in Special Region of Yogyakarta Province, Indonesia

Since the coverage of piped water is still only 20.1% in Indonesia, many people rely on groundwater for drinking and daily use, although the quality of the groundwater is not well understood. This study evaluated the influence of the topography, well type, groundwater abstraction depth, sanitation facility type, and distance between the well and the sanitation facility on the groundwater quality. In addition, a possible household treatment system was investigated based on microbial removal efficiency and household acceptance. The results showed the groundwater abstraction depth and well type were the most important factors in controlling microbial contamination. The sanitation facility type, except small-scale sewer systems, and the distance from a well were not significantly correlated with E. coli concentration. A high microbial concentration was found in a flat area with predominantly shallow wells, latrines, and septic tanks because the topographic conditions determined the commonly used well types and groundwater abstraction depth. The RO + UV system was the only system that assured microbial safety of treated water. The chlorination and microfiltration systems had difficulty with chlorine-dosage adjustment and microbial removal, respectively. Raising public awareness of water quality problems was found to be important to improve acceptance of household treatment systems.