Safe Water Flashcards

1
Q

What does the presence of Pseudomonas Aeruginosa in a hot tub indicate?
What is the public health concern, what actions should be taken, and why?

A

This indicates a problem with the cleaning and disinfection of the hot tub.
Pseudomonas aeruginosa is a bacterium that causes eye, ear, and skin infections (hot tub rash) to those that come into contact with it.
It thrives in biofilm, which can easily accumulate in hot tubs. water sanitizer (Cl/Br) levels in hot tubs are also hard to maintain, making it easy for bacteria to survive.

close the spa to bathers, order the operator to drain, clean, and sanitize the tub and the circulation system, then to refill, and balance the chemistry before reopening.

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2
Q

What is the purpose of a GFCI when used with underwater lights?

A

To act as a fail-safe measure that cuts power in the event that current is leaking from the circuit (lights) into the pool.

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3
Q

What is a cross connection in plumbing? give an example, and explain PH significance.

A

A cross connection is anywhere that potable water supply comes into contact with non-potable water. examples of this are:

  • a garden hose sitting in a rain barrel, or a kiddie pool.
  • a bidet that is filled to above the faucet
  • a bathtub that is filled to above the faucet
  • a dish pit hose resting in a full sink
  • This can cause contamination if there is backflow of the non-potable water into the potable water system (negative pressure)
  • this is why there are backflow prevention devices such as check valves, and air gaps
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4
Q

What is a trap (plumbing), and what does it do?

A

A u-shaped pipe located in the drains of sinks, toilets, and other fixtures that holds a small amount of water, which prevents gases from flowing back out of drains.

These traps require the use of vents (pipes going outside, often to roof) to prevent siphoning of the water in the trap, as pressure builds up when other drains are used.

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5
Q

What are the recommended chemistry parameters for commercial pools and spas?
Explain the rationale for each chemical parameter

A

-FAC: 0.5-10 ppm (pools) 5-10 ppm (spas) 1-10 ppm (when CYA used)

Br: 2-4 ppm (pools) 5ppm-10 ppm (spas) 3-10ppm (wave pools)
This signifies the amount of disinfectant that can interact with organic material, and provide disinfection. if this level is too low, the disinfectant can’t do it’s job, too high, and the chemical itself becomes a health hazard.

-pH: 7.2-7.8
Chlorine is more effective in acidic environments (low pH), but that would cause corrosion. pH that is too high can cause scale, and cloudy water, and it can inhibit chlorines effectiveness

-ORP: 600-900 mV
indicates the potential of disinfectant to do work (oxidation/reduction reactions) basically a measure that is not fooled by factors like pH and TDS

  • Total Alkalinity: 80ppm-120 ppm
  • indicates the ability of the pool water to withstand swings in pH

-Cyanuric acid: <60 mg/L
stabilizes chlorine in outdoor pools, because the sun rapidly breaks it down. CYA should not be used indoors (sometimes people use pucks made for outdoor pools that contain CYA without knowing it)

-

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6
Q

What is the significance of total chlorine (TC) in pool water

A

Total chlorine = FAC + combined chlorine

combined chlorine is chlorine that is bound to organic material
the only way to get rid of it is by draining, and adding fresh water to dilute.
combined chlorine, aka chloramines cause the stanky “chlorine” smell, and also cause eye irritation

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7
Q

What does it mean when a sample comes back as “overgrown”?

A

It means that there is so much bacteria on the plate that they can not be counted.

NDOGN (No Data: Overgrown with non-target) means that there are other bacteria make it impossible to tell total coliform or e. coli counts, so the source water could be unsafe

NDOGT (No Data: Overgrown with target)
too many e. coli or coliform to count: water source is definitely unsafe

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8
Q

What actions do you take if the owner of a private water system says that their water sample contained bacteria?

A
  • determine if the well serves the public, or a private residence
  • determine what the exact results are, how many coliform, and how many e. Coli?
  • If a private residence, results should not exceed 5 total coliform, and 0 e. Coli
  • if a SDWS, there should be 0 total coliform, and 0 e. Coli

-ask about how the sample was handled: how long did it spend at room temperature?
(it should be refrigerated, and delivered to lab within one day of sampling- not doing this can cause bacterial growth to amplify)

-determine where the water is drawn from (dug/drilled well? Surface water?)

  • how is the water treated?
  • history of adverse results?
  • if a SDWS, how many people does the system service?
  • notify all users of water system to use an alternate source, or boil water for one minute (post signage at all sources)
  • re-test the water (might have been error in sampling, or some other fluke that caused the result)
  • get documentation in writing from the operator detailing their plan of action
  • BWA can be rescinded after 2 samples come back without adverse results (minimum 24 hours apart)
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9
Q

What is Turnover rate?

A

The rate at which the volume of water is filtered, disinfected & returned to the pool each day.
Class A = 4x/day
Class B = 3x/day

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10
Q

Six requirements for Chlorine Gas in a pool:

A

1) Automatic shut-off valve
2) Fixed (chained) / anchored
3) On weight scale
4) Trained operator
5) Wrench needs to be on valve for fast response to shut off
6) Respirators located outside where PPE is stored (must be full-faced mask with air supply)

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11
Q

Procedure for fecal/vomit incident in a spa

A

1) close spa. Turn off hydro jet pump, filter & heater.
2) Remove fecal matter with a scooping device. Dispose of fecal matter in toilet. Clean and disinfect device.
3) Drain the whirlpool
4) Use rubber gloves & face mask when working around the tank& mechanical equipment. Ensure pool is well-ventilated
5) Scrub & clean with detergent all accessible surfaces in contact with contaminated water. Rinse detergent.
6) Fill spa with uncontaminated water & shock chlorinate
7) Turn system back on
8) Disinfect deck area with 100 ppm Cl or 200ppm QUAT
9)Backwash filter and drain spa to waste
10) Refill spa, turn on recirculation equipment, balance water

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12
Q

Reasons for spa closure

A
  • lack of water clarity
  • fouling - faecal, vomit or chemical - filtration or circulation system inoperative or malfunctioning
  • no free available sanitizer
  • outlet covers not secured properly
  • failure of operator to demonstrate the suction vacuum relief system (SVRS) test competently or, the test itself fails
  • emergency telephone missing or not working
  • emergency stop button inoperable/malfunctioning
  • audible and visual signal inoperable/malfunctioning
  • ground fault circuit interrupter missing or malfunctioning
  • spa temperature greater than 40ºC (104ºF)
  • spa water heater not equipped with an operational tamper-proof upper limit cut-off switch
  • a swimming pool that has been closed and access to the spa is in the same room
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13
Q

What is the most common cause of splash pad associated outbreaks

A

Cryptosporidiosis

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14
Q

Components of a SDWS directive

A

(1) Risk Assessment Process
(2) Treatment Equipment
(3) Sampling and Testing
(4) Operational Checks
(5) Posting of Warning Signage
(6) Records
(7) Operator Training

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15
Q

What questions should you ask a homeowner in response to well water results that indicate E. coli?

A
  • What type of well is it?
  • What is the condition of the well?
  • Where is the well located?
  • Are there potential sources of contamination nearby (e.g., septic system, surface water, farm, etc.)? Do you live down hill, has there been rain recently?
  • Are there any issues with the septic system?
  • What is the sampling history of the well?
  • Has there been any recent maintenance or repairs associated with the well?
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16
Q

List examples of water treatment systems

A
  • Chlorinator
  • UV light
  • Microfilters
  • Bromine
  • Iodination
  • Ozonation
  • Distillation
17
Q

Main factors and characteristics to inspect when inspecting a well

A
  • Look for cracks in the well casing or cap
  • Ensure the cap is vermin proof, vented, and secure
  • Ensure the well casing extends at least 40 cm (16 inches) above the highest point
  • Ensure the ground surrounding the well is sloped away from the well
  • Ensure the well is at least 15 metres away from the septic system
  • Ensure the well is away from other sources of contamination in the area (surface water, roads, gardens, etc.)
18
Q

Details of the Walkerton Waterborne Outbreak

A

May 2000, water contamination resulting in 2300 people being ill and 7 deaths
Linked to pathogen: E.coli O157:H7
Heavy rainfall and flooding causes contamination of drinking water

19
Q

Cryptosporidiosis

A

Parasite
Incubation 2-10 days
Symptoms
- Watery Diarrhea **
- fever
- nausea
- vomiting
- dehydration
- stomach cramps or pain
If you have crypto, you cannot go swimming for 14 days
Filtration: UV is okay, but it is only good when there is no turbidity
3 steps for swimmers:
1) Don’t swim when you have diarrhea
2) Don’t swallow pool water
3) Practice good hygiene and shower with soap before swimming
Milwakee- 1993 “the largest waterborne outbreak to ever occur”

20
Q

Giardiasis

A

Parasite
Incubation 7-10 days
Sypmtoms:
- frequent loose and pale greasy stools
- diarrhea
- abdominal cramps
- gas
- bloating
- nausea
- poor absorption of fats and vitamins
- weight loss
- fatigue
Giardia cysts (the dormant form of giardia) are very hardy organisms that survive for long periods of time in the environment including cold water.
Prevention
- Do not drink untreated surface water from springs, streams, rivers, lakes, ponds or shallow wells. Assume it is contaminated with animal feces.
- Chlorine is not effective
- Use filter, ozone, reverse osmosis, boiling water

21
Q

Salmonella Typhi

A

Typhoid fever
Bacteria
Incubation 1-2 weeks
Symptoms
- Constipation, more common than diarrhea**
- A rash on the trunk**
- High fever
- Headache
- Fatigue
- Loss of appetite
- Dizziness
- Cough
Antibiotics IS REQUIRED, 20% fatality rate without treatment
~50% hospitalization rate
10% of infected people become carriers for up to 3 months; 2-5% become carriers for extended periods
Vaccine is 50% effective, but only recommended to those travelling to endemic countries
spread by the fecal-oral route by Water or food. Human and animal reservoirs

Exclude all cases of S. Typhi from food handling, healthcare* and daycare activities until provision of:
• 3 consecutive negative stool samples collected at least 48 hours apart; AND
• at least 48h after completion of antibiotic treatment (for ciprofloxacin); OR
• at least 2 weeks after completion of antibiotic treatment (for ceftriaxone and azithromycin).5

22
Q

Cholera

A

Toxin-mediated infection
Incubation period 2 hours to 5 days
Symptoms
- Profuse watery diarrhea which looks like rice-water**
- Vomiting
- Signs of dehydration like rapid heart rate, thirst, low blood pressure which can lead to coma and death
More severe illness can occur in people with weak immune systems, low stomach acidity or liver disease.
Oral Rehydration Therapy for treatment (drinking sugar water)
Prevention:
- chlorine water treatment
- cooking food from contaminated handler
- hand hygiene
- vaccine
Cholera is a very rare disease in Canada

23
Q

Pseudomonas aeruginosa

A

Bacteria
Also known as hot tub rash or swimmers ear
incubation: 8hrs -5 days
Ubiquitous in water, vegetation and soil. Skin shedding from infected humans is the predominant source of contamination in swimming pool or spa
High biofilm, layer in pool filter (Buildup of lipids, which makes a breeding ground for pseudomonas)
Easily killed with disinfection
Survives in 35-410C water High temp makes disinfecting more challenging (use bromine in warm water, however chlorine is more effective for pseudo.)
Prevention and control:
- maintaining adequate residual disinfectant levels in swimming pools and spas
- frequent monitoring and adjustment of pH and disinfectant levels is essential
- using chlorination is superior to bromination in controlling P.aeruginosa
- Showering before and after using a swimming pool

24
Q

Naegleria fowleri

A

amoeba
Incubation: ~5 days
Initial symptoms
- headache
- fever
- nausea or vomiting
Later symptoms
- Stiff neck
- confusion
- lack of attention to people and surroundings
- loss of balance
- seizures, and hallucinations
- Death within about 5 days
Infections are rare
commonly found in warm freshwater and soil
Grows best at higher temperatures up to 115°F (46°C) (water heaters)
Route of entry is through the nasal passage, then into the sinuses**

25
Q

Amebiasis

A

Parasite called Entamoeba histolytica
Only about 10% to 20% of people who are infected with E.histolytica become sick from the infection.
Mild symptoms
- loose stools
- stomach pain/cramping
Transmitted by ingesting water contaminated with feces. Can be spread person-to-person through anal/oral sex
Cysts can survive weeks to months in environment and are fairly resistant to chlorine disinfection
Prevention
- Hand Hygiene
- PPE during sex & avoidance of fecal-oral exposure
Management of cases:
Symptomatic cases should be excluded from conducting activities in high-risk settings for 24 hours after diarrhea resolves or for 48 hours after completion of treatment.

26
Q

What is reverse osmosis water treatment and what is it effective for.

A

water purification process that uses pressure to force water through a semi-permeable membrane to separate water molecules from other substances. (Fancy Filter)

Na, Cl, Cu, lead, Arsenic, fluorine, Nitrate

27
Q

What is Ozone water treatment and what is it effective for.

A

Ozone oxidizes the iron, manganese, and sulfur in the water to form insoluble metal oxides or elemental sulfur. These insoluble particles are then removed by post-filtration

OZONE MUST BE PAIRED WITH FILTER AFTER

  • neutralizes biological matter, such as bacteria, viruses, and parasites
  • Trihalomethanes
  • Metals
28
Q

What is distillation water treatment and what is it effective for.

A

Boiled water where the vapours are collected

Destroys microorganisms, removes chemicals (Except VOCs)

Lead, Cl, microorganisms, nitrate, fluorine

29
Q

Trihalomethane

A
  • Forms when chlorine reacts with naturally occurring organic matter (e.x. Decaying leaves & vegetation)
  • Chloroform (most common) by-product of chlorination
  • Found in drinking water disinfected with chlorine
  • increased levels in treated surface water or shallow wells
  • mice/rat studies show THM causes liver/kidney tumours (not enough evidence for humans)
  • THM can be absorbed through the skin or inhaled by breathing in water vapour
    MAC = 0.1 mg/L
30
Q

Factors that affect the amount of lead leaching from pipes

A
  1. Age of plumbing
  2. Water chemistry (pH and alkalinity) (low pH = more lead)
  3. Water temperature (warmer water = more lead)
  4. Time sitting in pipes

The more acidic the water is (pH below 6.5), the greater the capacity for the water to leach lead from these plumbing components.

31
Q

Oxidative Reduction Potential (ORP)
Give parameters, what it is and what high or low parameters mean

A
  • 600 - 900mv
  • Measures oxidizing capacity in the water (ability to break down contaminants)
  • Low ORP –> lower ability to break down contaminants
  • High ORP –> higher ability to break down contaminants but too much chlorine is needed to maintain high ORP values
32
Q

Cyanuric acid
Give parameters, what it is and what high or low parameters mean

A
  • max 60 ppm
  • Stabilizes and protects chlorine molecules from sunlight (UV rays)
  • Low CA –> degradation of chlorine when exposed to sunlight
  • High CA –> damages pool liner, false water chemistry readings, and reduces chlorine effectiveness (“chlorine lock” >100 ppm)
33
Q

pH
Give parameters, what it is and what high or low parameters mean

A
  • 7.2 - 7.8
  • Measure of how acidic/basic the water is (0–14)
  • Low pH –> irritates the eyes and skin and causes corrosion of pumps and mechanical equipment
  • High pH –> inactivates chlorine and causes cloudy water
34
Q

Alkalinity

A
  • 80 - 120 pm
  • Helps stabilize the pH (buffer)
  • Low alkalinity –> pH levels fluctuate rapidly, chlorine inefficiency, metal corrosion, pool staining, and scaling
  • High alkalinity –> higher pH levels, cloudy water, reduced pool circulation, clogged filter, and rough surfaces
35
Q

Factors that can cause a pool to become cloudy

A
  • Poor filtration and/or circulation
  • High levels of organic matter
  • Low chlorine levels
  • High pH à inactivates chlorine à leads to bacterial growth
  • High alkalinity à formation of calcium carbonate deposits (scaling)
  • Excess of total dissolved solids
  • Improper application of chemicals
36
Q

Secure vs non-secure SDWS sources

A

Secure: designed and maintained in accordance with O. Reg. 903 (Wells)
- 6m of water-tight well casing underground
- Annular seal
- Secure well cap with 6m of soil overburden
- Protected from surface water contamination
- E.g., drilled well

Non-secure: not a safe distance from pollution sources and/or not designed to prevent contamination
- E.g., surface water sources and dug wells

37
Q

How to disinfect a well

A

Please google. I am not typing all that up but you should know how to. <3

38
Q

What factors to look at when reviewing a septic system installation proposal

A

DISTANCE:
- from water table
- from potable water source
- from property line

CAPACITY: of the system and number of bedrooms & fixtures

TYPE:
- of soil
- of ground slope
- of surrounding properties

SYSTEM: is the type being installed appropriate