Prev Med 2 Flashcards
What is a raised frame to keep out water?
Coaming
What is the total process the distilling plant forms, including evaporation and condensation?
Distillation
What is the Chlorine available (after demand is met) in the forms of Hupochlorous acid and Haypchloriet ions?
Free Available Chlorine
A unit of length. One miilionth of a meter?
Micron
Treatment device applied to a single tap used for the purpose of reducing contaminants in drinking water at that tap
Point of Use
Water that is suitable for human consumption, bathing, laundry, personal hygiene
Potable Water
The Reverse of the natural osmosis achieved by external application of sufficient reverse pressure to cause the solvent to flow in its unnatural direction
Reverse Osmosis
- Group of closely related, mostly harmless bacteria that live in soil as well as the guts of animals
- Presence or abscence of this bacteria is the drinking water standard
Total Coliform
Type of fecal coliform bacteria commonly found in the intestines of animals and humans.
The presence of this bacteria in water is a strong indication of recent sewage or animal contamination
E. Coli
Responsible for the shipboard potable water systems, including treatment facilities and processes to assure that safe drinking water is available at all times
Naval Sea Systems Command
Responsible for establishing and promulgating health standards for water quality afloat
Chief, BUMED
Responsible for promulgating instructions for ship-to-shore potable water connections and providing potable water from an approved source when the ship is berthed at a naval facility
Naval Facilities Engineering Command
Responsible for issuing the necessary implementing directives to ensure that adequate water sanitation standards are provided and enforced in each ship within the command
Area, Fleet and Subordinate Commanders
Responsible for promulgating a water sanitation bill to ensure procedures are followed for:
- Receipt
- Transfer
- Treatment
- Storage and Distribution
- Surveillance
Commanding Officer
Responsible to the Commanding Officer for implementing the requirements of NAVSEASYSCOM:
- Supply and Treatment of Potable Water
- Recieve
- Store
- Distribute
- Produce
- Treat
Engineering Department
Responsible for conducting a medical surveillance program of the potable water system including collection of water samples for:
- Bacteriological (BACTI) Testing
- Daily Halogen Testing
Medical Department Representative
How many gallons of water per man per day is specified by NAVSEASYSCOM for new ships?
50 gallons
What is the minimum gallons of water per man per day that a ship has to provide?
No less than 2 gallons/man/day
Which 2 systems are able to produce potable water from bacteriology contaminater seawater?
- Distillation
2. Reverse Osmosis
Where are U.S. Navy vessels able to receive shore-to-ship potable water?
- EPA approved public water system
- U.S. Military Sources including establishments under the cognizance of:
- British Royal Navy
- Canadian Forces
- Royal Australian Navy
- Other OCONUS locations may be obtained from U.S. Representatives ashore or NEPMU
If the ship is receving shore-to-ship delivery from an unapproved source, what is the minimum PPM?
The water has to be treated to a minimum of 2.0 PPM
What are the 3 types of Distillation Plants?
- Steam Distilling Plants
- Waste Heat Distilling Plant
- Vapor Compression Type
What are the 2 types of Reverse Osmosis Plants?
- Single Pass
2. Triple Pass
What does a single pass, Reverse Osmosis plant require when preparing potable water?
Additional disinfection such as chlorination or bromination is required
What does a triple pass, Reverse Osmosis plant require when preparing potable water?
Nothing. Additional disinfection is not required
What are the 3 types of Water Level Measurement Devices?
- Automatic Level Gaugesn (Direct Read Guage)
- Petcocks ( Valves at various intervals)
- Sounding Tubes (Some carry a measuring rod)
Other types of Sounding tubes require the water to be disinfected to how many PPM?
100 PPM FAC for 2 Mins
What temp should the hot water be at the tap?
120 degrees F
What are the requirements for Potable Water Hose?
- Approved for potable water use
- Examined Routinely
- Removed from use when cracks develop in the lining or leaks occur
How should potable water lines be labeled?
“Potable Water Only” in 1 inch high letters every 10 feet
How should risers be labeled?
“Potable Water Only” in 1/4 inch high letters
Valves and valve handles should be painted Dark Blue
What happens to water that is being transfered to the ship is not within normal standards?
- If not tested at the minimum 0.2, the ship must boost the halogen residual to the appropriate level
- If halogen residual is within standards, no further treatment is required
What happens if the potable water hose is accidentally dropped in the harbor water?
It must be disinfected
What is the process for accepting water that is of doubtful quality?
- Commanding Officer should be notified
- The water should be tested and examined throughly
- The minimum halogen residual should be 2.0 PPM
How should the ship prepare for a ship to shore water transfer?
- Remove shore cap and flush pier side potable water outlet for 15-30 seconds
- Immerse outlet and rinse fitting in solution containing 100 ppm FAC for at least 2 mins
- Flush water to waste for 15-30 seconds
What is the purpose for checking the halogen residual of potable water?
Quick indication of water that may have been improperly treated or handled
Why does medical conduct bacteriological testing on water?
To assess adequacy of disinfection process
What is the standard for the Halogen residual aboard ship?
- Ships with large potable water distribution, trace level in the distal ends of the distribution system
- Unapproved source: 2.0 at point of consumption
How often should medical conduct water checks?
Daily
How many weekly water samples should be taken?
- ships with 400 personnel or less: no less than 4 samples
- Ships with over 400 to 800 personnel: requires 8 samples
- More than 800 requires 12 samples
How often should the emergency potable water tank should be tested?
Monthly
What does the DPD (Diethly-p-phenylene diamine) test for?
- DPD #1 tests for FAC or TBR
2. DPD # 4 tests for chloramines (total chlorine) residual
How accurate does the color comparator have to be?
+ or - 10 percent
How accurate does the Portable spectrophotometer have to be?
+ or - 2 percent
What are the 2 approved methods for bacteriological testing?
- Colilert
2. Colisure
When using the Colilert test, what color does it turn for a postive test?
- Yellow (+) total coliform
2. Fluorescent Yellow (+) fecal colifrom (e-coli)
What color does the Colisure turn when used for testing?
- Yellow: Negative
- Magenta: (+) total Coliform
- Fluorescent light blue: (+) fecal colifrom
- Postive and negative control should be conducted on the day of bacteriological testing
When using the Chlorine Dosage Calculator, what are the 2 strengths and types of chlorine that you can choose from?
- 5% Sodium Hypochlorite
- 10% Sodium Hypochlorite
- 65-70% Calcium Hypochlorite
What is the required Halogen residuals for disinfecting potable water afloat?
- From an approved source, 0.2 ppm FAC/TBR after 30 minute contact time
- From an unapproved Source: 2.0 ppm FAC/TBR after 30 minute contact time
What is method 1 for disinfecting the potable water system?
Add chlorine to achieve 10 ppm FAC through the tank
What is method 2 for disinfecting the potable water system?
Apply directly, 200 PPM FAC to all tank surfaces for 30 minutes
What is method 3 for disinfecting the potable water system?
- Fill 5% of tank volume with 50 PPM FAC Solution
2. Hold solution for 6 hours
What is the Chlorination Method for controlling the taste and odor in potable water?
- Chlorinate to 5.0 PPM FAC
2. Distribute at 2.0 PPM FAC
When using Steam to control the taste and odor in potable water who provides the approval?
NAVSEASYSCOM
What are the storage requirements for HTH?
- No more than 48, 6 ounce bottles
- Stored in a Metal Locker
- Drill three 1/4 inch holes in the bottom for ventilation of chlorine gas
What is the minimum supply of HTH storage?
No more than a 7 day supply
How should HTH lockers be labeled?
“Hazardous Material, Calcium hypochlorite” with red letters on a white background
What is the 1st element of a water sanitation bill?
Posted conspicuoulsy in areas where potable water and associated materials are: Processed, Treated, Stored
What is the 2nd element of a water sanitation bill?
Should consist of the following:
- Responsibility
- Sources
- Connection procedures for:
a. Ship to Shore
b. Ship to Ship
What are the remaining elements of a water sanitation bill?
Potable Water Hoses Storage Tanks Disinfection Procedures Halogen Residual Testing Bacteriological Testing Temperature, PH and salinity testing Disinfection of Tanks and Distribution System Distribution System Records
What is Medical’s responsibility for Managing CHT and Waste Water Mgmt?
- Conduct Inspections
- Indoctrination of personnel on potential health hazards
- Peroiodic Training
What 3 ways does the CHT system operate?
- Restricted Waters
- At Sea
- In Port
What are the functional elements of the CHT System?
- Collection Element
- Hold Element
- Transfer Element
How big are the tanks for the holding element?
Sized for up to a 12 hour holding period
How are the sewage pumps activated?
- Manual Mode
2. Automatic Mode
How does the automatic mode work?
- 10% capacity the pumps stop
- 30% capacity signals the pump to start
- 60% capacity signals the standby pump to activate
- 80% capacity, a visual and audible high level alarm is activated
How long is an EEBD good for?
10 mins
During regular inspections, if there is a leak found by engineering, who do they report it to?
- Engineering Officer
- Executive Officer
- SMDR
What are the procedures for cleaning up sewage spills?
- Medical, Food service and Berthing spaces must be disinfected with EPA approved disinfectants
What are the two types of Germicides used in sewage spill clean up?
Phenolic Type
Iodine Type
What is the color coding for CHT lines?
- Ship’s interior is color coded for Gold
2. Exterior deck is the same color as surrounding structure
Where can CHT be discharged when underway?
Within 3 nautical miles of shore
What are the 3 modes for CHT systems to operate?
- At Sea
- In Port
- In Restricted Waters
Who is responsible for ensuring there is enough drinking water, enforcement of water discipline, informing the troops about the dangers of consuming untreated water and knowing the proper methods of disinfection of personal drinking water?
Unit Commander
Whose responsiblity is provide sufficient potable water for the population, construction, operation and maintenance of facilities, selecting sources of raw water?
Engineering Officer
Who is responsible for advising the CO on water quality issues, assist engineering, selection of water sources, surverying the potable water sources, surveying teh potable water system, conducting routine bacteriological exams, test water for halogen levels?
SMDR
What are the 3 sources of acceptable water supply in the field?
- Surface Water
- Ground Water
- Bottled Water
What is the most common used Water purification unit?
Military Reverse Osmosis Water Purification Unit (ROWPU)
Which water purification system can produce 3,000 gallons per hour?
Light Medium Tactical (LMT) Freshwater Purfication System
Which purification system can be used on Fresh water, Brackish water and sea water?
ROWPU
Which purification system is for small units and can process 125 gallons per hour?
Lightweight Water Purifier (LWP)
Which purification unit processes 1500 gallons per hour and is replacing the reverse osmosis water purification system?
Tactical Water Purification System
What is the most common method of disinfecting field water?
Chlorination
What are the different types of disinfectant used for field water?
Calcium Hypochlorite (HTH) 65% to 70%
Sodium Hypochlorite 5% or 10% (unscented bleach)
Chlorine Dioxide
What is the required chlorine residuals for Water buffaloes?
Between 0.2 and 1 ppm FAC, rechlorinate to 1 ppm
Less than 0.2 ppm FAC, rechlorinate to 2 ppm and ensure that at least 1 ppm remains after 30 mins
What is the required chlorine residuals for water canteens?
0.2 ppm FFC
What is the chlorine risidual for Ground Water?
2 ppm FAC after 30 min contact time
What is the chlorine residual for disinfecting natural surface water?
5 ppm after 30 min contact time
Emergency only
What are water purification tablets?
Iodine tablets
Which potable water system is the primary means for storage of bulk drinking water in a tactical setting?
Potable Water Storage and Distribution System (PWS/DS)
How many gallons of water can the onion tank hold?
3,000
How much water can a Semitrailer-Mounted Fabric Tank hold?
3,000 or 5,000
What is the purpose of a Tactical Water distribution system?
Designed to distribute water for a distance of 10 miles on level terrain
How many gallons of water can a Water Pod System (Camel) hold?
800 gallon unit
What is the 1st method of disinfecting potable water containers in the field?
Chrlorinate the water to 100 PPM FAC
What is the 2nd method of disinfecting potable water containers?
- 5 gallon of water with 100 ppm chlorine solution
2. Using a long-handled brush and a rag, swab the interior every 10 mins to keep the walls wet for 1 hour
What is the sanitation requirement for barbershoops?
- Must have hot and cold water
- Lavatory fixtures
- Waste Disposal
- Must use FDA/EPA approved products
What practices are prohibited in a barber shop?
Treating pimples
Removing ingrown hair
What are the disinfecting procedures for barber shop instruments?
- Clean and disinfected after each patron
2. Washed with soap and water
How often does the disinfectant used in barber shops have to be replaced?
Weekly or when visibly soiled
What should the PSI be set at for the vacuum equipped clippers in the barber shop?
not to exceed 15 psi
How often does barbershop personnel have to be medically cleared?
When checking in at the command to ensure they are medically up to date
How often are barbershop inspections conducted?
Quarterly
Ensure barbers have their medical card
How often do laundry personnel have to receive a medical physical?
Periodically as determined by the SMDR or higher authority
What clothing should laundry personnel wear?
clean washable outer garments
How often should the floor in the laundry facility be cleaned?
At least once daily by a dustless method
Where should lint be removed from?
Bulkheads
Overheads
Structural Supports
When can seawater be used in plumbing fixtures aboard ship?
Outside the 50 fathom curve (25 nautical miles from shore)
Never in polluted waters