One billion of the poorest people in the world today do not have access to improved drinking water. Without treatment, fecal contamination results in an overwhelming disease burden. A long term best practice solution will take decades to implement. In the meantime, approximately 5 million children under five die each year from gastrointestinal diseases. This tragedy can be alleviated by household water treatment. Household Water Treatment and safe Storage systems (HWTS) provide an interim solution. While many low cost and simple technologies exist, none of them are effective against high suspended solids concentrations (>50 NTU). Previous short-term field research by others has considered modifying a BioSand water Filter (BSF), to include pretreatment through an upper sand layer in order to extend the run cycle of the primary filter, enabling complete ripening to occur. In this research program, one control and twelve configurations of modified filters were setup in the laboratory. Water was chemically conditioned to provide worst case scenario treatment by adjusting pH, TDS, and particle dispersion. Sample water was passed through each filter daily, and monitored for DO, turbidity, flow rate, and E. coli concentrations. The results indicate that pretreatment is not necessarily beneficial under all water quality conditions. Recommendations include a description of conditions under which the modification may be beneficial, and optimized pretreatment design criteria. Regardless of water quality conditions, it was found that changing the operational guidelines for filter use can significantly improve treatment efficiency, without complicating the filter design. Design guidelines for an unmodified filter coupled with operational guidelines are provided, in order to obtain sufficient quantities of the best possible water quality under high turbidity conditions. This will enable the BSF to be used in high turbidity conditions and still significantly improve the drinking water quality. It is hoped that this will decrease the disease burden and loss of life in many of the world's poorest communities.

An evaluation of BioSand Filters, a method of Household Water Treatment, was conducted in Posoltega, Nicaragua, with objectives of determining the long-term filtration efficiency and the rate of sustained use. Field methods included microbial and turbidity water quality testing and interviews with filter users regarding the operation, maintenance and perceptions towards the filters. Of the 234 BioSand Filters installed in 1999 and 2004, only 24 were found to still be in operation. The average filtration efficiency was found to be 98% for total coliforms, 96% for E. coli and 88% for turbidity. Statistically significant effects on filtration efficiency were detected for the source contamination, the inverse of the flow rate, and the standing depth of water over the sand. A follow-up laboratory QA/QC procedure was undertaken to validate the field methods, which consisted of membrane filtration (MF) with m coliBlue24 growth media, and SolarCult dipslides. It was found that MF with m coliBlue24 produced useful reproducible results, and is an appropriate method for conducting field water quality testing. The dipslides were found to be an appropriate tool for testing source water quality and assessing the applicability of BioSand Filters, and may be an appropriate tool for local health representatives to promote safe water practices within the community. However, the dipslides should not be used as a presence / absence test for drinking water due to the high limit of detection. The low rate of sustained use (10%) is mostly a result of the structural failure of the concrete walls of the filter, in particular for those filters from 2004. Anecdotal evidence suggests insufficient quality control during the construction. The filtered water and the stored post-filtered water did not meet the WHO guidelines for safe drinking water on account of the presence of E. coli. Also identified were improper maintenance practices and unsafe storage of post-filtered water. These problems could have been addressed through the development of a holistic water system approach, such as the World Health Organization Water Safety Plan.

Contaminated drinking water is one of the major health challenges facing people in the developing world. The country of India leads the world in under age five mortality due to diarrheal disease, which is attributed to water and food contamination. While the Indian government has made progress in expanding access to improved water sources in the last decade, the microbiological quality of the water is unpredictable. Point of use household water treatment systems can provide clean drinking water for people who do not have access to a clean water source. This report examines five non-electrical point of use household water treatment options which have been extensively field-tested and could potentially be used in rural, South Indian villages: chlorine disinfectant, chlorine-flocculant sachets, ceramic filters, biosand filters and solar disinfection. A case study of a village in Andhra Pradesh is presented that highlights the factors to consider when introducing a new POU technology into a community.

An evaluation of BioSand Filters, a method of Household Water Treatment, was conducted in Posoltega, Nicaragua, with objectives of determining the long-term filtration efficiency and the rate of sustained use. Field methods included microbial and turbidity water quality testing and interviews with filter users regarding the operation, maintenance and perceptions towards the filters. Of the 234 BioSand Filters installed in 1999 and 2004, only 24 were found to still be in operation. The average filtration efficiency was found to be 98% for total coliforms, 96% for E. coli and 88% for turbidity. Statistically significant effects on filtration efficiency were detected for the source contamination, the inverse of the flow rate, and the standing depth of water over the sand. A follow-up laboratory QA/QC procedure was undertaken to validate the field methods, which consisted of membrane filtration (MF) with m coliBlue24 growth media, and SolarCult dipslides. It was found that MF with m coliBlue24 produced useful reproducible results, and is an appropriate method for conducting field water quality testing. The dipslides were found to be an appropriate tool for testing source water quality and assessing the applicability of BioSand Filters, and may be an appropriate tool for local health representatives to promote safe water practices within the community. However, the dipslides should not be used as a presence / absence test for drinking water due to the high limit of detection. The low rate of sustained use (10%) is mostly a result of the structural failure of the concrete walls of the filter, in particular for those filters from 2004. Anecdotal evidence suggests insufficient quality control during the construction. The filtered water and the stored post-filtered water did not meet the WHO guidelines for safe drinking water on account of the presence of E. coli. Also identified were improper maintenance practices and unsafe storage of post-filtered water. These problems could have been addressed through the development of a holistic water system approach, such as the World Health Organization Water Safety Plan.

An evaluation of BioSand Filters, a method of Household Water Treatment, was conducted in Posoltega, Nicaragua, with objectives of determining the long-term filtration efficiency and the rate of sustained use. Field methods included microbial and turbidity water quality testing and interviews with filter users regarding the operation, maintenance and perceptions towards the filters. Of the 234 BioSand Filters installed in 1999 and 2004, only 24 were found to still be in operation. The average filtration efficiency was found to be 98% for total coliforms, 96% for E. coli and 88% for turbidity. Statistically significant effects on filtration efficiency were detected for the source contamination, the inverse of the flow rate, and the standing depth of water over the sand. A follow-up laboratory QA/QC procedure was undertaken to validate the field methods, which consisted of membrane filtration (MF) with m coliBlue24 growth media, and SolarCult dipslides. It was found that MF with m coliBlue24 produced useful reproducible results, and is an appropriate method for conducting field water quality testing. The dipslides were found to be an appropriate tool for testing source water quality and assessing the applicability of BioSand Filters, and may be an appropriate tool for local health representatives to promote safe water practices within the community. However, the dipslides should not be used as a presence / absence test for drinking water due to the high limit of detection. The low rate of sustained use (10%) is mostly a result of the structural failure of the concrete walls of the filter, in particular for those filters from 2004. Anecdotal evidence suggests insufficient quality control during the construction. The filtered water and the stored post-filtered water did not meet the WHO guidelines for safe drinking water on account of the presence of E. coli. Also identified were improper maintenance practices and unsafe storage of post-filtered water. These problems could have been addressed through the development of a holistic water system approach, such as the World Health Organization Water Safety Plan. / Applied Science, Faculty of / Civil Engineering, Department of / Graduate

Diarrheal diseases are a global public health burden, killing 1.8 million people annually. Diarrhea disproportionately affects children and those in poverty. Most diarrheal cases can be prevented through safe drinking water, basic hygiene and/or sanitation measures, with drinking water interventions having the most impact on reducing diarrheal disease. There is no generally agreed-upon field method for determining biosand water filter effectiveness that is usable in low-resource communities. A pilot study was conducted of potential field use indicators, including the Colilert coliform presence/absence (P/A) test, hydrogen sulfide, alkalinity, hardness, pH, and fluorescently labeled latex microspheres. The study included both laboratory and field testing. The Colilert P/A test had the highest correlation to the United States Environmental Protection Agency standard method (IDEXX Quanti-trays), but more data are needed before making a recommendation. This study adds to understanding about evaluation of biosand water filters and provides preliminary data to address the need for a field use indicator for biosand water filters.

No description available.

Home based interventions are advocated in rural areas against a variety of diseases. The combination of different interventions might have synergistic effects in terms of health improvement and cost effectiveness. However, it is crucial to ensure cultural acceptance. The aim of the study was to develop an effective and culturally accepted home-based intervention package to reduce diarrhoea and lower respiratory illnesses in children. In two rural Peruvian communities we evaluated the performance and acceptance of cooking devices, household water treatments (HWT) and home–hygiene interventions, with qualitative and quantitative methods. New ventilated stove designs reduced wood consumption by 16%. The majority of participants selected solar water disinfection as HWT in a blind tasting. In-depth interviews on hygiene improvement further revealed a high demand for kitchen sinks. After one year of installation the improved chimney stoves and kitchen sinks were all in use. The intervention package was successfully adapted to local customs, kitchen-, home–and hygiene management. High user satisfaction was primarily driven by convenience gains due to the technical improvements and only secondarily by perceived health benefits. / Revisión por pares.

Diarrheal diseases are a global public health burden, killing 1.8 million people annually. Diarrhea disproportionately affects children and those in poverty. Most diarrheal cases can be prevented through safe drinking water, basic hygiene and/or sanitation measures, with drinking water interventions having the most impact on reducing diarrheal disease. There is no generally agreed-upon field method for determining biosand water filter effectiveness that is usable in low-resource communities. A pilot study was conducted of potential field use indicators, including the Colilert coliform presence/absence (P/A) test, hydrogen sulfide, alkalinity, hardness, pH, and fluorescently labeled latex microspheres. The study included both laboratory and field testing. The Colilert P/A test had the highest correlation to the United States Environmental Protection Agency standard method (IDEXX Quanti-trays), but more data are needed before making a recommendation. This study adds to understanding about evaluation of biosand water filters and provides preliminary data to address the need for a field use indicator for biosand water filters.

Yes / This paper presents a study to assess the roof-harvested rainwater (RHRW) in the Ikorodu area of Lagos state, Nigeria, and recommends guidance to minimise the health risk for its households. The types, design and use of rainwater harvesting systems have been evaluated in the study area to inspect the human risk of exposure to Escherichia coli (E. coli). To achieve these objectives, a detailed survey involving 125 households has been conducted which showed that 25% of them drink RHRW. Quantitative microbial risk assessment (QMRA) analysis has been used to quantify the risk of exposure to harmful E. coli from RHRW utilised as potable water, based on the ingestion of 2 L of rainwater per day per capita. Results have revealed that the maximum E. coli exposure risk from the consumption of RHRW, without application of any household water treatment technique (HHTTs) and with application of alum only, were 100 and 96 respectively, for the estimated number of infection risk per 10,000 exposed households per year. This estimation has been done based on 7% of E. coli as viable and harmful. Conclusively, it is necessary that a form of disinfectant be applied to the RHRW before use.