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What is Arsenic (As)
• Natural and abundant element
found in soil, air, and water. It is a
notorious poisoning metalloid with
atomic no 33 in the periodic table.
• Tasteless,colorless and odorless.
• Solubility
– Insoluble in water when in natural
form
– Soluble in water when oxidized
• More toxic in this form
• 2 types
– Inorganic: usually with oxygen,
chlorine, or sulfur; most toxic (ex.
arsenite)
– Organic: usually with carbon or
hydrogen (ex. di-methyl arsonic acid)
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Introduction; Arsenic is a growing
problem throughout the world.
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Health effects; Arsenicosis
• Various cancers: skin, lung, bladder, kidney, liver
• Heart attacks and strokes
• Melanosis: spotting of the skin, blemishes, etc.
• Keratosis: hardening of palms and soles, ulcers, Black foot.
• Hepatomegaly: liver enlargement
• Splenomegaly: spleen enlargement
• Ascitis: abdominal fluid
• Death
• Social Problems
• Arsenicosis victims are rejected from society. The impact of arsenic
extends from immediate health effect to extensive social and
economic hardship that effects especially the poor. Costs of health
care, inability of affected persons to engage in productive activities
and potential social exclusion are important factors.
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Treatment option; Treatment is limited.
Consumption of only arsenic free water
can prevent
• Removal or prevention techniques;
• According to EPA coagulation filtration process. co-
precipitation, ion exchange and activated alumina filtration. The
technology for arsenic removal for piped water supply is
moderately costly and requires technical expertise.
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Aim:
“To improve the quality of water supply and prevent people from
hazards of arsenic in urban Islamabad”.
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Rationale
• My study will be helpful in the strengthening of health system
for surveillance and management of arsenicosis. In the
reduction of morbidity and mortality due to Arsenicosis. and
If arsenic found in drinking water advocacy campaign can be
started.
• Operational definition;
• Cut off value;
• According to W.H.O cut off limits are 0.01mg/L.
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Variable of interest;
• Arsenic level in water both at consumer and delivery
level
• METHODOLOGY;
• Study design; Descriptive type of study
• Duration of study; Three month
• Sample estimation; on 50% population
• n=P(1-P)/e2
=0.5(1-0.5)/(.05)2
= 100
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• Study area; I-8 sector.
• Study sample; 3 from the source, 3 from the pipe line
and100 from households.
• Sampling technique; simple random selection, 25 from
each 4 sub-sectors.
• Inclusion criteria; All the households agree to give
sample and using water from CDA.
• Exclusion criteria;All the households not agree to give
sample,using well water,Nestle or other.
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Data collection procedure
• According to National institute no of samples %
of health guideline; They give Source
sterilized bottles which is
usually of 750ml for chemicals.
First sterilized the tap and Water
discard initial water then collect
water. supply
• Arsenic checked by a kit (by
Merc) in the field and can be Consu
sent to lab.
• Data analysis; mean, stdev, will
mer
be calculated. Mean of the level
household level will be compare
with the mean of source and
supply. Data entry and analysis
will be performed by spss.
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Proposed budget; Rs; 37,370
• Proposed timeline:
3 months
PROPOSED TIMELINE:
Duration: 3 months.
Person April May J une
Activity Responsible 2009 2009 2009
Principal
Data collection. Researcher
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‘Expected recomentations‟
• A number of governmental technical and advisory committees should
be formed and a co-coordinating mechanism should be established
among the interested external support agencies. These committees
include the Governmental Arsenic Co-coordinating Committee headed
by the Minister of Health.
• One of the positive outcomes of this collaboration (including work
with local institutes) has been the testing of new types of treatment
technologies.
• So far, many initiatives have focused on water quality testing and
control with a view to supplying arsenic-free drinking-water, thereby
reducing the risk of further arsenic-related disease.
• The amount of testing required and the need to provide effective
feedback to end users, suggest use of field testing kits.
• Only a few proven sustainable options are available to provide safe
drinking-water in our country. These include: obtaining low-arsenic
groundwater through accessing safe shallow groundwater or deeper
aquifers (greater than 200 m); rain water harvesting; pond-sand-
filtration; household chemical treatment; and piped water supply from
safe or treated sources.
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Clay Pitcher Arsenic Removal Filter
Housing: Clay Pitchers
Capacity: 20 L
No. of holes: 10 -12 (1.0 mm diameter)
As contamination: 300 μg/L
Material:
Silver coated sand (2.0 kg)
Arsenic removal media developed by PCRWR
(3.0 kg)
Cast iron turnings (3.0 kg)
Plain sand
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RATIONALE;
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In Pakistan
1978 water sources contained arsenic
concentration up to 10 ppb
209 sources remained between 10-50 ppb
and 31 sources had arsenic concentration
level above 50ppb.
Dadu, Khairpur, Nawabshah and Thatta
,multan bhawalpur districts had relatively
higher number of water sources with high
concentration of arsenic,
Situation could be alarming as other districts
might also have arsenic contaminated water
sources.
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Sources of Arsenic
• Natural sources
• Weathering of rocks
• Volcanic activity can add
• Groundwater in contact with rocks that are high in
arsenic
• animals and plants make organic arsenic
compounds in oceans
• Mining/smelting of copper, gold, lead and zinc ores.
• Medical use of arsenic
• Wastewater from industries
• Pesticide use
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Medical Effects of Arsenic
• Arsenic poisoning is called arsenicosis
• Mode of testing people for arsenicosis
– Recent exposure: urine
– Instant exposure: blood
– Chronic exposure: hair, nails, and skin (usually caused by water
contamination)
• Illnesses resulting from arsenicosis
– Various cancers: skin, lung, bladder, kidney, liver
– Heart attacks and strokes
– Melanosis: spotting of the skin, blemishes, etc.
– Keratosis: hardening of palms and soles, ulcers
– Hepatomegaly: liver enlargement
– Splenomegaly: spleen enlargement
– Ascitis: abdominal fluid
– Death
• Social Problems
– Arsenicosis victims are rejected from society
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Arsenic poisoning appears after 10 years of consumption as
arsenicosis
Health Risks
Can lead to:
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• AIM:
• “to improve the quality of water supply
in urban Islamabad"
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