WATER DISINFECTION

WATER DISINFECTION


Water purification is the removal of chemical pollutants by filtration through activated charcoal or active resin compounds. This usually improves the taste, but does not decrease the incidence of infectious disease, because microorganisms are not removed. Water disinfection is the treatment of water with chemicals, boiling, or filtration to remove agents of infectious disease, such as bacteria and cysts. Sterilization is the removal of all life forms.


If at all possible, carry disinfected water with you. If you must drink water from a stream or lake that you cannot disinfect, try to use small tributaries that descend at right angles to the main direction of valley drainage. Clean melted snow is of less risk than ice taken from the surface of a lake or stream. Most bacteria that cause diarrhea can survive for months in ice.


The principal offending agents in contaminated water or on unwashed food that cause illness and diarrhea are the bacteria Salmonella, Shigella, E. coli, and Campylobacter, and the flagellate protozoan Giardia lamblia (see page 207). Drinking nondisinfected water in parts of Africa, India, and Pakistan can cause dracunculiasis (guinea worm disease). In countries where water is improperly disinfected, stick to bottled or canned carbonated beverages, beer, and wine. However, be advised that even bottled water in developing countries can be contaminated with bacteria that cause diarrhea, so even bottled water should probably be boiled or disinfected with chemicals or ultraviolet (UV) light before drinking. All containers should be wiped clean to remove external moisture and dirt. All ice should be considered contaminated. For purposes of preserving the environment, it is preferable to carry a reusable water container that is filled with disinfected water than to discard multiple plastic or glass containers.


Do not urinate or defecate (inadvertently) into or near your water supply. Build a latrine 8 to 10 in (20 to 25 cm) deep into the ground at least 100 ft (31 m) and downhill from the water supply. Try to keep the latrine away from a gully or other formation that might become a runoff stream during a thaw or after heavy rainfall.


“Raw” drinking water should be allowed to rest for several hours in order for large particles to settle to the bottom. The top portion can be poured off, if possible, through a filter or fine cloth. Coagulation and flocculation techniques remove smaller suspended particles. Add a pinch of alum (an aluminum salt) to a gallon (3.8 liters) of water and mix well, then stir occasionally for 60 minutes. Allow the water to rest while the aggregated particles settle, and then pour off the upper (hopefully clearer) part through a paper filter (such as a laboratory-grade filter with a pore size of 20 to 30 microns).


Water may be disinfected by any of the following methods:



1. The usual advice—to boil water for 5 to 10 minutes plus 1 minute for each 1,000 ft (305 m) of altitude above sea level—is probably overkill. Giardia cysts are instantly killed in water heated to 158°F (70°C). To play it safe, bacteria and most viruses require a few minutes at this temperature. Hepatitis A virus requires a full minute of boiling to ensure inactivation.







2. Add one tablet of fresh tetraglycine hydroperiodide (Potable Aqua, Globaline, Coughlan’s, EDWGT) to 1 quart (liter) of water and allow the water to stand for 15 minutes. If the water is cloudy, use two tablets. If the water is cold, allow 1 hour after adding the tablets before drinking. Each tablet releases approximately 8 mg/liter of iodine. Do not leave an open bottle exposed to high heat and/or humidity. Potable Aqua Plus includes oxidizing tablets to remove the iodine taste after disinfection.


ADD TO 1 QUART (LITER) OF WATER

















water clear cloudy
warm (>15°C, 59°F) 1 tab for 15 minutes 2 tabs for 30 minutes
cold 1 tab for 60 minutes 2 tabs for 60 minutes

After adequate time for disinfection has elapsed, add a few grains of sodium thiosulfate per quart (liter) of water; this kills the iodine taste. Ascorbic acid (vitamin C) is also effective. Any fruit flavorings that contain vitamin C should be mixed in after full time for disinfection has elapsed. Potable Aqua Plus treatment includes an oxidizing tablet to remove the iodine taste. Granular activated charcoal removes organic material, chemicals, and radioactive particles by adsorption, but does not remove all microorganisms, and thus cannot be relied on to disinfect water. Rather, it should be used to improve taste and clarity. Use it after water has been properly disinfected.


Zinc metal reduces free chlorine or iodine in solution through a chemical reaction. A wand of zinc bristles stirred into a quart (liter) of water for 4 minutes will remove 10 mg/liter of residual chlorine.


Because a 50-tablet bottle of tetraglycine hydroperiodide contains only 0.4 g of iodine (1/50 the lethal dose), the tablet method is very safe. If you use military surplus iodine tablets, they should be steel gray in color and not crumble when pinched by two fingers; discard older, crumbled tablets. Also, no matter what chemical disinfection system you use, allow disinfected water to seep around the cap and threads of your canteen or water bottle, to disinfect them.


3. Add 8 to 10 drops (0.5 mL in each drop) of standard 2% iodine tincture per quart (liter) of water and allow it to stand for 15 minutes. Use a dropper for measurement. If the water is not at least 68°F (20°C), this technique may not eliminate Giardia. If the water is cold, allow it to stand for 1 hour before drinking. If you have extra time and do not like the iodine taste, use four to five drops of iodine and allow the water to stand for 8 hours or overnight. Five drops of tincture of iodine disperses to approximately 4 mg/liter.


ADD TO 1 QUART (LITER) OF WATER:

















water clear cloudy
warm (>15°C, 59°F) 5 drops for 15 minutes 10 drops for 30 minutes
cold 5 drops for 60 minutes 10 drops for 60 minutes

Another iodine product that can be used to disinfect water, but has not definitively been proven effective for this purpose, is 10% povidone-iodine (Betadine) solution (not “scrub”):


ADD TO 1 QUART (LITER) OF WATER:

















water clear cloudy
warm (>15°C, 59°F) 8 drops for 15 minutes 16 drops for 30 minutes
cold 8 drops for 60 minutes 16 drops for 60 minutes

4. Fill a 1 oz (30 mL) glass bottle with iodine crystals (U.S. Pharmacopeia [USP] grade, resublimed: 2 to 8 grams), and then fill the bottle with water. The bottle should have a paper-lined Bakelite cap. Warm the water to 68°F to 77°F (20°C to 25°C). Shake vigorously, and then allow the crystals to settle to the bottom for 1 hour. This will create a saturated solution of iodine. As a crude measure, pour at least half of this liquid (not the remaining crystals), or approximately 12.5 to 15 mL, through a fine filter (such as Teflon) into a quart (liter) of water and allow it to stand for 30 minutes. If the water temperature is not at least 68°F (20°C), this technique may not eliminate Giardia. The crystals may be reused up to 1,000 times. Two grams (0.07 oz) of iodine represents a potentially lethal dose if ingested, so it is absolutely essential to keep the iodine crystals out of the hands of children. A commercial iodine crystal system that can be reused to disinfect up to 2,000 quarts (liters) of drinking water is sold as Polar Pure Water Disinfectant.


If one capful from a 2 oz (59 mL) bottle equals approximately 2.5 mL, then using a saturated solution prepared from iodine crystals in water:


ADD TO 1 QUART (LITER) OF WATER:

















water clear cloudy
warm (>15°C, 59°F) 5 capfuls for 15 minutes 10 capfuls for 30 minutes
cold 5 capfuls for 60 minutes 10 capfuls for 60 minutes

An alcohol-iodine solution can be prepared by adding 8 g of iodine crystals to 100 mL of 95% ethanol. The resulting supernatant yields 8 mg iodine per 0.1 mL. To add to water, measure with an eyedropper:


ADD TO 1 QUART (LITER) OF WATER:

















water clear cloudy
warm (>15°C, 59°F) 0.1 mL for 15 minutes 0.2 mL for 30 minutes
cold 0.1 mL for 60 minutes 0.2 mL for 60 minutes

5. Filter the water through a category-three (as set for purification by the Environmental Protection Agency) water treatment device. Manufacturers who sell filtration devices are Mountain Safety Research, Katadyn, AquaRain Filter Systems, General Ecology Inc., Recovery Engineering, Timberline, Stearns Outdoors Inc., McNett, and Sawyer Products. The Sawyer Point Zero Two water filter, with a 0.02 micron filter, is rated to remove viruses. This product is available with a bucket adapter kit, or can be fitted to 4 liter bags or a special water bottle.


If the filter doesn’t come with a “prefilter” (nylon mesh or screen) to remove large particles, pour the water through filter paper (see below) or fine cheesecloth. This helps keep your expensive water filter from clogging up, allows it to work more efficiently, and will improve the appearance and taste of the water.


6. Maximum filter pore sizes (in material or microns) for removing microorganisms are as follows: dracunculus (guinea worm) larvae—coffee filter or fine cloth; schistosome cercariae—coffee filter or fine cloth; parasitic eggs and larvae—20; Giardia lamblia cyst, Entamoeba histolytica cyst, Cyclospora—3 to 5; Cryptosporidium oocyst—1; enteric bacteria (such as E. coli) —0.2 to 0.4; and viruses—0.004 to 0.01.


7. Halazone (a mixture of monochloraminobenzoic and dichloraminobenzoic acids) and other chlorine (bleach) products have been considered less effective for field water disinfection. Halazone has been characterized as losing 75% of activity after 2 days’ continuous exposure to air with high heat and humidity; having a shelf life of 6 months; and decreasing potency by 50% after storage above 104°F (40°C). Therefore, you should obtain a new bottle every 3 to 6 months.


Each Halazone tablet releases 2.3 to 2.5 mg/liter of chlorine. To disinfect water:


ADD TO 1 QUART (LITER) OF WATER:





















water clear cloudy
warm (>15°C, 59°F) 5 tablets for 15 minutes 7 tablets for 15 minutes
  2.5 tablets for 30 minutes 5 tablets for 30 minutes
cold 5 tablets for 60 minutes 7 tablets for 60 minutes

Liquid bleach (hypochlorite solution; household bleach, usually 5.25%) can be used to disinfect water via chlorination. There should be a faint smell or taste of chlorine before drinking.


FOR 5.25% BLEACH, ADD TO 1 QUART (LITER) OF WATER:

















water clear cloudy
warm (>15°C, 59°F) 2 drops (0.1 mL) for 30 minutes 4 drops (0.2 mL) for 30 minutes
cold 2 drops (0.1 mL) for 60 minutes 4 drops (0.2 mL) for 60 minutes

FOR 1% BLEACH, ADD TO 1 QUART (LITER) OF WATER:

















water clear cloudy
warm (>15°C, 59°F) 10 drops (0.5 mL) for 30 minutes 20 drops (1 mL) for 30 minutes
cold 10 drops (0.5 mL) for 60 minutes 20 drops (1 mL) for 60 minutes

8. Superchlorination followed by dechlorination is an effective technique. This is a more complicated method that requires understanding and experience. Add 27 g or more of calcium hypochlorite crystals to a gallon (3.8 liters) of water to attain a chlorine concentration of 27 to 30 parts per million. After the requisite disinfection time (10 to 30 minutes), add six drops of concentrated (30%, caustic) hydrogen peroxide to dechlorinate the water. The chemical reaction produces calcium chloride (which remains in solution), water, and oxygen.


9. Chlorination can be combined with flocculation. AquaCure tablets contain alum and sodium dichloro-s-triazinetrione. Dropped into a liter of cloudy water, a tablet releases 8 mg/liter of free chlorine. If a tablet is dropped into clear water where the flocculation capability isn’t exhausted, the alum causes a bit of cloudiness, and there is a stronger chlorine taste.


10. Aquamira water treatment uses stabilized 2% chlorine dioxide combined with an activator (5% food grade phosphoric acid) to improve the taste of water. One kit can be used to treat more than 120 liters of water. Mix 7 drops of the two bottles together, let sit for 5 minutes, and then pour the contents into 1 quart of water. Oxygen is released in a highly active form to kill odor-causing bacteria. The process takes approximately 20 minutes.


11. The SteriPEN carries the promotional byline of “safe drinking water anywhere.” Distributed by Traveler’s Supply, Inc., this unique hand-held water purifier that uses ultraviolet light (UVL) is advertised to fit into most plastic consumer water bottles, as well as other types of containers up to 32 ounces (1 liter). It operates on four AA batteries, with nickel-metal-hydride or lithium batteries recommended. According to the distributor, only 48 seconds of exposure to the UVL is required to disinfect 16 ounces (½ liter) of water and 90 seconds for 32 ounces (1 liter). The claim is that the device is effective against common outdoor and household pathogens, as well as less common microorganisms, to include bacteria, viruses, and protozoa. The test results are found at an Internet link provided by the company. According to the product literature, the SteriPEN meets U.S. Environmental Protection Agency standards for microbiological water purifiers. A filter can be used to remove particulates from the water before UV treatment.


UVL works for water disinfection by destroying the DNA of microbes. This keeps the germs from reproducing, which is necessary in order for them to make a person ill. The light emitted by the SteriPEN device is in the UV-C range, of wavelength 254 nanometers. This wavelength is germicidal (kills germs) by causing adjacent thymine base nucleotides in DNA to bond together, which prevents them from being properly recognized (“read”) in the replication process, which is necessary for DNA to allow a microorganism to reproduce. Thus, the germ(s) is rendered harmless. Used as directed, the UVL exposure is of no consequence, as this wavelength of UVL does not pass through most materials (e.g., glass, metal, ceramic, and nearly all plastics). Furthermore, the underside of the air/water surface in a water container acts as a reflector for UV-C. So, if the SteriPEN lamp is completely immersed in water and used according to the instructions, the UV-C is contained and does not pose any health risk to the user. For additional safety, the SteriPEN is equipped with water sensors and will not operate unless the lamp is under water. The SteriPEN contains a microcomputer that controls operation time, according to information it receives from integrated temperature sensors and user indication of the volume of water to be disinfected. During use, the device should be used to gently stir the water. It is intended for use in clear water, so cloudy water must be filtered or otherwise made clear before using the SteriPEN. Disposable lithium or rechargeable AA nickel metal hydride batteries will provide many more disinfection cycles than will alkaline batteries. The latter are better in a cold weather situation.

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Aug 11, 2016 | Posted by in EMERGENCY MEDICINE | Comments Off on WATER DISINFECTION

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