CPHM: Environmental Health Flashcards
A branch of public health devoted to
preventing illness through managing the
environment and changing people’s
behavior to reduce exposure to
biological agents of disease and injury
Environmental Health
Practice covers the assessment, correction, control and prevention of environmental elements that can adversely affect the human health
Environmental Health
related to poverty
and insufficient development
Tuberculosis
Malaria
Dengue
Schistosomiasis
Filariasis
Traditional Hazard
related to rapid
development that lack of health and
environment safeguards
Communicable Disease
SARS/COVID-19
Avian Flu
HIV/AIDS
Non-Communicable Disease
Hypertension
Diabetes
COPD
Modern Hazard
The control of every factors in the physical environment such as water, air, soil,
excretal and food as well as insect/rodent, chemical, solid and liquid wastes
which have a significant effect on the physical development, health and survival
Environmental Sanitation
The ultimate objective is to improve the way of
the Filipinos by directing public health services
towards the protection and promotion of the
health of our people.
Environmental Sanitation
IMPORTANCE OF ENVIRONMENTAL SANITATION
It promotes health
It prevents disease transmission
It eliminates breeding places of the insects and rodents that carry germs
It improves the quality of life
It protects the environment from pollution
Goal of Environmental Sanitation
● Water sanitation
● Food sanitation
● Community waste management
● Rodent control
● Vector control
● Air pollution control
● Occupation health
● Radiologic health
● Sanitary housing
● Disaster management
a prime necessity and a basic need for the existence
Water
● Use for drinking, bathing, cooking, washing and maintaining general cleanliness in
and around the house
● Water supply sanitation is one of the top priority activities in the field of
environmental sanitation (by Sanitation Inspector)
Water Supply and Sanitation
Types of Water Supply
Level I (Point source)
Level II (Communal Faucet System / Stand Posts)
Level III (Waterworks System)
• Refers to a protected well (shallow and deep well / developed spring or rainwater) with an
outlet but without a distribution system
• Normally serves around 15 – 25 households
• The farthest user is not more than 250 meters from the point source
Level I (Point source)
• Refers to a system composed of a source, a reservoir, a piped distribution network and a
communal faucet located not more than 25 meters from the farthest house
• Generally, suitable for rural and urban areas where houses are clustered densely populated
areas
• Usually, one faucet serves 4-6 households
Level II (Communal Faucet System / Stand Posts)
• A system with a source, transmission pipes, a reservoir and a piped distribution network for
household taps
• generally suited for densely populated areas
• E.g MWSS, Maynilad, Manila Water
Level III (Waterworks System)
Doubtful Sources
- Undeveloped springs
- Open dug wells
Sources of Water Contamination
● Location of toilet
● Poor sanitary practices
● Failure to clean water tanks
● Illegal connection to pipes
● Leaking pipes
● Failure to protect water wells
● Poor drainage of excess water
● Bathing and washing near the
sourc
Types of Water
• Potable water, • Polluted water, • Contaminated water
safe, clean, free from contaminants and pollution, recommended for drinking purposes and food preparation
Potable water
– water which has suffered impairment on its physical qualities
Polluted water
contains infectious agents, materials and
toxic or poisonous substances, condemned for drinking purposes
Contaminated water
Types of Water according to Use
Rainwater, surface water, Underground water, piped water
source of all fresh water, distilled pure water which may get contaminated at atmosphere during collection and storage
Rainwater
– natural flow of water above ground including rivers, lakes, springs and streams
Surface water
– below the layers of the earth usually clean and safe except when located near the source of pollution such as septic tank
Underground water
– distributed to houses by means of pipes usually treated
Piped water
Impurities in Water
Physical impurities, Chemical impurities, Biologic/Bacteriologic impurities, Radiologic impurities
• inert suspension of floating substances that are carried by water that causes cloudiness or turbidity
Physical impurities
• dissolved constituents of water which account mostly for the color of water
Chemical impurities
• include microscopic plants and animals other than bacteria present in water
Biologic/Bacteriologic impurities
• results of nuclear weapon testing and discharge of radioisotopes and other radioactive wastes into water courses
Radiologic impurities
Examinations of Water
- Physical Examination
- Chemical Examination
- Microbiological Examination
- Radiological Examination
Physical Examination
Degree of cloudiness or muddiness of water
Turbidity
Physical Examination
Due to the presence of colored substances in solution such as vegetable matter and iron salts
Color
Physical Examination
It should be absent or very faint to be accepted for drinking
Odor
Physical Examination
• Algae, decomposing organic matter, dissolved gases and phenolic substances may cause taste
Taste
Chemical Examination
• Due to Ca / Mg; has a laxative effect; causes scaling in boilers, pots & kettles
Hardness / Softness
Chemical Examination
• Acidic water is corrosive to metallic piping system and alkaline water has a laxative effect
pH (alkalinity / acidity
Chemical Examination
• A constituent of all waste protein products from sewage, kitchen waste and all
dead organic matter
• Increased content should be suspected of possible contaminants
Organic nitrogen
Chemical Examination
• If present in appreciable concentration is hazardous to human health
• Includes arsenic, cadmium, chromium, lead, mercury, etc.
Toxic substances
• Microorganisms in drinking water must not be present.
• Water contaminated by sewage or by human and animal excreta can
cause an epidemic water borne diseases
Microbiological Examination
Two Basic Methods of Bacteriological Examination
Multiple Tube Fermentation
Membrane Filtration Method /
Standard Plate Count