WATER SAFETY PLAN LINDEN GUYANA Prepared by the Caribbean Environmental Health Institute (CEHI) in Conjunction with the Ministry of Health, Guyana and the Guyana Water Incorporated (GWI) with support from the Project Partners The U.S. Centers for Disease Control and Prevention (CDC), the National Oceanic and Atmospheric Administration (NOAA), the U.S. Geological Survey (USGS), the Pan American Health Organization in Guyana (PAHO-Guyana), April 2009 1 ACKNOWLEDGEMENTS The Caribbean Environmental Health Institute (CEHI) would like to thank the Government of Guyana for its support for this project and for the assistance provided through its Ministries of Health and Housing and Water and the Guyana Environmental Protection Agency. We would also like to thank the United States Centers for Disease Control and Prevention (CDC), the National Oceanic and Atmospheric Administration (NOAA), the United States Geological Survey (USGS).and the Pan American Health Organisation (PAHO) who supported this project as part of the National Programme of Action/Water Safety Plan (NPA/WSP) Partnership group. CEHI would also like to acknowledge the guidance provided by the National Steering Committee that was ably led by Dr Bheri Ramsaran Minister in the Ministry of Health, Guyana. The inputs of Mr Karan Singh and Ms Savitri Jetoo of GWI, Dr Ashok Sookdeo and Ms Yohani Singh of the Ministry of Health, and Mr Samuel Wright, Consultant, were invaluable in the development of the Plan. CEHI would also like to acknowledge the inputs of all the participants in the various workshops held during the development of the Plan. Finally, CEHI would like to acknowledge the assistance provided by all of the key stakeholders and residents of Linden, for whom it is hoped this Plan can be implemented in order to improve the state of their environment and improve the quality of drinking water which they receive. i LIST OF ACRONYMS CBH CBWMP CDC CEHI CMO DFID DWC DWSS-GUY EH EHO EHU EPA F&D GNBS GPA GWI HACCP HH IDB IMC IT LEAP M&CC M&TC MoE MoH MoLG&RD MOU NOAA NPA NRW NTU PA/PE PAHO POE PSA PSI RDC RHO RWH SOP TCU UNESCO UNICEF USGS VIP WASH WHO WSP WTP Central Board of Health Caribbean Basin Water Management Programme US Centers for Disease Control and Prevention Caribbean Environmental Health Institute Chief Medical Officer Department for International Development Drinking Water Container Drinking Water Surveillance System in Guyana Environmental Health Environmental Health Officer Environmental Health Unit Environmental Protection Agency Food and Drugs Guyana National Bureau of Standards Global Programme of Action Guyana Water Incorporated Hazard Analysis and Critical Control Points Household Inter-American Development Bank Interim Management Council Information Technology Linden Economic Advancement Programme Mayor and City Council Mayor and Town Council Ministry of Education Ministry of Health Ministry of Local Government and Regional Development Memorandum of Understanding National Oceanic and Atmospheric Administration National Programme of Action Non Revenue Water Nephelometric Turbidity Units Public Awareness/Public Education Pan American Health Organisation Point of Entry Public Service Announcement Pounds per square inch Regional Democratic Council Regional Health Officer Rain Water Harvesting Standard Operating Procedures True Colour Unit United Nations Educational, Scientific and Cultural Organisation United Nations Children’s Fund United States Geological Survey Ventilated Improved Pit Water Sanitation and Hygiene World Health Organisation Water Safety Plan Water Treatment Plant ii TABLE OF CONTENTS 1.0 INTRODUCTION............................................................................................... 1 1.1 BACKGROUND ..............................................................................................................1 1.2 LINDEN .........................................................................................................................2 1.3 WHAT IS A WATER SAFETY PLAN?.................................................................................4 1.3.1 Main Objectives of a Water Safety Plan ............................................................................ 5 1.3.2 Benefits of a Water Safety Plan......................................................................................... 5 1.3.3 Inclusion of a Household Survey in the Water Safety Plan ............................................... 5 1.4 LINKAGE BETWEEN NATIONAL PROGRAMME OF ACTION (NPA) AND THE WATER SAFETY PLAN (WSP) FOR LINDEN ...................................................................................................6 1.5 WATER SAFETY PLAN TEAM ..........................................................................................7 2.0 WATER SUPPLY SYSTEM DESCRIPTION FOR LINDEN .............................. 9 2.1 WATER SERVICE PROVIDER AND RELATED AGENCIES .....................................................9 2.2 HEALTH-BASED STANDARDS .........................................................................................9 2.3 WATERSHEDS.............................................................................................................10 2.4 WATER TREATMENT PLANTS .......................................................................................10 2.4.1 Amelia’s Ward Sub-system ......................................................................................... 13 2.4.2 LPC Treatment Sub-system........................................................................................ 15 2.4.3 McKenzie Sub-system................................................................................................. 18 2.4.4 West Watooka Sub-system......................................................................................... 20 2.4.5 Wisroc.......................................................................................................................... 23 2.5 DISTRIBUTION .............................................................................................................25 2.5.1 Eastern Bank - Linden Water System ......................................................................... 28 2.5.2 Western Bank – Linden Water System ....................................................................... 28 2.6 WATER QUALITY .........................................................................................................30 2.6.1 WATER QUALITY MONITORING .................................................................................30 2.6.2 DISTRIBUTED WATER QUALITY .................................................................................32 2.6.3 HOUSEHOLD WATER QUALITY ..................................................................................33 2.7 POINT-OF-USE PRACTICES ..........................................................................................34 2.7.1 Household Water Treatment ........................................................................................... 34 2.7.2 Household Water Storage ............................................................................................... 35 2.8 OFF - NETWORK WATER USE ......................................................................................35 3.0 HAZARD IDENTIFICATION AND RISK ASSESSMENT................................ 36 3.1 HAZARD IDENTIFICATION .............................................................................................36 3.2 PRIORITISATION OF HAZARDS......................................................................................37 4.0 CONTROL MEASURES ................................................................................. 38 5.0 CORRECTIVE ACTIONS................................................................................ 39 6.0 MONITORING OF CONTROL MEASURES ................................................... 56 7.0 VERIFICATION ............................................................................................... 63 8.0 MANAGEMENT PROCEDURES .................................................................... 67 8.1 STANDARD OPERATING PROCEDURES (SOPS) ............................................................67 8.2 CONTINGENCY PLANS .................................................................................................68 9.0 SUPPORTING PROGRAMMES ..................................................................... 69 9.1 OPERATOR TRAINING ..................................................................................................69 9.2 INTRA AND INTERAGENCY REPORTING SYSTEM FOR DRINKING WATER QUALITY DATA ..70 9.2 PUBLIC AWARENESS AND PUBLIC EDUCATION (PA/PE)................................................71 10.0 PERIODIC REVIEW OF THE WATER SAFETY PLAN ................................ 73 iii 11.0 REVISION OF THE WATER SAFETY PLAN ............................................... 74 12.0 SUMMARY OF KEY FINDINGS AND RECOMMENDATIONS .................... 75 12.1 Overarching/Inter-Agency................................................................................................. 75 12.2 Watersheds/Source .......................................................................................................... 75 12.3 Treatment ......................................................................................................................... 75 12.4 Distribution........................................................................................................................ 76 12.5 Consumers ....................................................................................................................... 76 List of Tables Table 1.1: Steering Committee Members ................................................................ 7 Table 1.2: Other Partners ........................................................................................ 8 Table 2.1: Current Reference Water Quality Standards .......................................... 9 Table 2.2: Main Source of Drinking Water for Households for Linden Municipality (PAHO, 2005)........................................................................................................ 10 Table 2.3: Linden Water System Summary ........................................................... 12 Table 2.4: Amelia's Ward Completion Data........................................................... 13 Table 2.5: Final Water (Source GWI Laboratory Results, for the year 2007) ........ 31 Table 2.6: Plant Readings ..................................................................................... 32 Table 2.7: Distributed Water.................................................................................. 33 Table 2.8: Summary of Water Quality at Consumers’ Premises from Household Survey, December 2007........................................................................................ 33 Table 5.1: Hazards and Corrective Actions ........................................................... 41 Table 6.1: Monitoring Procedures ......................................................................... 58 Table 7.1: Verification Procedures (Water Quality) ............................................... 65 Table 7.2: Verification Procedures (Surveillance).................................................. 66 Table 8.1: Standard Operations Procedures ......................................................... 67 Table 8.2: Emergency Procedures ........................................................................ 68 Table 9.1: Reporting Mechanisms for Inter and Intra-agency Reporting ............... 70 Table 9.1: PA/PE Interventions ............................................................................. 72 Table 10.1: Audit Routine for GWI......................................................................... 73 List of Figures Figure 1.1: Map of Guyana...................................................................................... 3 Figure 1.2: Map of Linden ....................................................................................... 4 Figure 2.1: Linden Water Treatment Plant Location Map ...................................... 11 Figure 2.2: Flow Diagram - Amelia's Ward Treatment Plant.................................. 14 Figure 2.3: Flow Diagram - LPC Treatment Plant.................................................. 17 Figure 2.4: Flow Diagram - McKenzie Treatment Plant......................................... 19 Figure 2.5: Flow Diagram - West Watooka Treatment Plant ................................. 22 Figure 2.6: Flow Diagram - Wisroc Treatment Plant.............................................. 24 Figure 2.7: Linden Distribution System Pipe Materials .......................................... 26 Figure 2.8: Linden Distribution System Pipe Diameters ........................................ 27 List of Appendices Appendix I Appendix II Appendix III Glossary Proposal for the Improvement of Linden’s Water Supply Infrastructure Household Water Use and Health Survey Report for Linden iv Appendix IV Appendix V Standard Operating Procedure – Jar Test Procedure Draft Outline for Focus Group Meetings for the National Programme of Action/Water Safety Plan (NPA/WSP) v EXECUTIVE SUMMARY The town of Linden in Region 10 of the Co-operative Republic of Guyana was chosen as the pilot project in an initiative that would allow Linden to adopt a holistic approach to addressing the key issues of watershed management and drinking water quality. This report focuses on drinking water quality through the development of a Water Safety Plan (WSP) as recommended under Chapter 4 of the World Health Organisation (WHO) Guidelines for Drinking Water Quality 3rd Edition (2004). A WSP is a methodology developed by the World Health Organisation (WHO) to help drinking water suppliers improve and maintain water quality. It provides a comprehensive risk assessment and risk management approach that includes all steps in the water supply chain; from catchment to consumer. It provides an opportunity for a drinking-water supplier to assess, modify, and build upon existing good management practices. A WSP aims to improve drinking-water quality by optimizing: • • • control of source-water contamination; the removal, reduction, or inactivation of contaminants during treatment processes; the prevention of re-contamination during distribution, storage, and handling. The town of Linden is located 107 km inland from Guyana’s Atlantic coast, on the east and west banks of the Demerara River. Linden is the second largest town in Guyana and occupies an area of approximately 140 sq km. This town, which developed around the bauxite mining industry, with a population of approximately 40,000, is the main population centre of Region 10. Traditionally the major economic activities were centred on the bauxite industry which developed after the discovery of this mineral in the 1920’s. By 1960 the industry prospered and supported over 8,000 workers in the region. Declining world market prices and increasing cost of production resulted in the contraction of the industry, resulting in the declining living standards in the region. However, still a substantial number of the regions population is employed by the bauxite industry. Linden’s main water supply is derived from three primary sources – surface water intakes from the Demerara River and the Dakoura Creek, and groundwater intakes from the Coastal Aquifer (A- Sands). Guyana Water Incorporated (GWI) is the sole utility company responsible for providing potable water for both domestic and industrial use. GWI operates five water treatment plants (WTPs) in Linden and provides household connections for up to 70% of Linden’s residents. The issues relating to watershed concerns are detailed in another document, the National Programme of Action (NPA). As a result the WSP developed for Linden focused on issues relating to the five water treatment plants, the distribution system and household practices. The WSP does not, however, traditionally provide for identifying hazards that could compromise drinking water quality after it reaches the household, such as contamination associated with water collection, storage and treatment practices within the home. As a result, in December 2007, a Household Water Use and Health Survey was conducted in order to understand what happens to the water from the time it reaches the home to the point of consumption. The information from this Survey served to greatly enhance the scope of the WSP and to provide greater insight into the challenges faced by the town of i Linden with respect to drinking water quality and practices relating to water safety, hygiene and sanitation at the household level. The five water treatment plants are located in Amelia’s Ward, Linden Power Company (LPC), McKenzie, West Watooka and Wisroc. The first three plants are located on the east bank of the Demerara River whilst the latter two are located on the west bank of the Demerara River. LPC, McKenzie and West Watooka include the most chemical processes and source their water from the Demerara River. Amelia’s Ward uses ground water as the source and Wisroc is the simplest plant in operation with source water from the Dakoura Creek. The water quality standards used by GWI are the WHO Drinking Water Quality Guidelines with a relaxed standard for iron (iron naturally occurs in the area as a result of the soil type and is very expensive to remove totally; there are no proven health risks associated with iron (WHO). Guided by a Steering Committee, the WSP focused on determining the exact processes for each plant and documenting in detail the processes through flow charts. The entire operation was examined and water quality records for the raw water, water throughout the process, treated water, distributed water and water at consumers’ premises were found, analysed and documented in great detail. Based on these records together with a number of site visits and stakeholder consultations in Linden, the Water Safety Co-ordinator was able to determine the challenges of the treatment plants, distribution system, household practices, data recording, feedback, consumer awareness and monitoring systems. Through extensive stakeholder consultations, a number of recommendations were made to the Steering Committee. These recommendations included technical solutions together with procedural and monitoring activities that were required in order to ensure that the drinking water quality would meet the guidelines as recommended by the WHO, standards to which Guyana aspire to achieve. Some of the key findings and recommendations of the WSP process included: Overarching/Inter-Agency Key Findings: • Importance of including agencies other than the water utility in WSP planning process • Lack of formal and informal mechanisms for coordination between agencies • Lack of formalized and executed intra and inter-agency reporting mechanisms for routine sharing of water quality monitoring data Recommendations: • Continue oversight of WSP implementation by the Steering Committee • Establish both intra- and inter- agency reporting mechanisms • Formalize mechanisms for routine (monthly) reporting of water quality data and surveillance data between GWI, MoH, and other relevant agencies • Develop and formalize emergency surveillance data reporting mechanisms • Establish a water surveillance database to be instituted collaboratively by relevant agencies Watersheds/Source Key Findings: ii • • Poor quality of Demerara river water limits the ability of treatment plants to meet water quality standards Contamination of ground and surface waters through usage of pit latrines. Recommendations: • Explore option of sourcing only Dakoura Creek, and/or relocating effluent pipes • Increase enforcement of existing sanitation guidelines and expand guidelines to incorporate VIP latrines • Pursue funding options for improved sanitation Treatment Key Findings: • Treatment plants not operating optimally – need for operator training • Lack of consistent water quality testing and documentation at critical control points in the water treatment process • Lack of a system for routine review, analysis and feedback to operators of existing water quality monitoring records • Need to establish in-plant standards that are consistent for all treatment facilities Recommendations: • Optimise treatment processes through plant operator training programmes Develop operator training manuals, with the view to mandatory certification for operators • Set appropriate health-based water quality standards (with incremental targets for compliance), especially for turbidity • Develop specific Standard Operating Procedures Distribution System Key findings: • Capital Investment needed to repair leaks • High non-revenue water from leaks and non-payment • Lack of routine monitoring, review and feedback at points along distribution network Recommendations: • Repair leaks and replace pipes where necessary, reduce network vulnerability • Develop non-revenue water programme, including leak detection and demand suppression • Establish schedule for routine monitoring in the distribution system • Establish routine for reporting results of monitoring by MoH to GWI • Develop and implement targeted public relations programme, customer service training for GWI personnel, Consumers Key Findings: iii • • • Improper storage that may lead to re-contamination of water Lack of knowledge about effective home treatment methods Inconsistent water supply Recommendations: • Establish formal outreach programmes with consumers • Develop PA/PE materials that would target proper storage and treatment of water in the home • Encourage the use of appropriate sanitation facilities such as Ventilated Improved Pit Latrines (VIPs) • Encourage safe, alternative water supply such as rain water harvesting (RWH) The project was financially supported by the US Centers for Disease Control and Prevention (CDC) and the National Oceanic and Atmospheric Administration (NOAA). Project partners also include the US Geological Survey (USGS), the Caribbean Environmental Health Institute (CEHI), and the Pan American Health Organisation (PAHO) Guyana office. These principal agencies have supported the work of national-level agencies including the Guyana Environmental Protection Agency (EPA), the Ministry of Health (MoH), Guyana Water Incorporated (GWI); the country’s main water provider, and representatives of relevant industry, and local government in the execution of this project. A Steering Committee, chaired by the Minister in the Ministry of Health and comprising representatives from the Ministries of Health, Housing and Water, and Local Government, Linden Interim Management Council (IMC), GWI, EPA, US CDC (local office) and PAHO was set up to provide strategic direction and project oversight. iv 1.0 INTRODUCTION 1.1 Background Recognising the importance of water to sustainable development and improved public health and sanitation in the region, the Government of Guyana along with national, regional and international partners, established a team to oversee the development of a pilot project in the community of Linden Guyana, which would adopt a holistic approach to addressing the key issues of watershed management and drinking water quality. The approach would incorporate good watershed management practices aimed at ensuring the integrity of source waters with a strategy that optimised drinking water supply systems. The adopted approach has given rise to the merger of two initiatives – the development of a National Programme of Action (NPA) under the global framework of the Global Plan of Action (GPA) and the Cartagena Convention on Land Based Sources of Marine Pollution (LBS Protocol) and a Water Safety Plan (WSP) as recommended under Chapter 4 of the World Health Organization (WHO) Guidelines for Drinking Water Quality 3rd Edition (2004). The project was financially supported by the US Centers for Disease Control and Prevention (CDC) and the National Oceanic and Atmospheric Administration (NOAA). Project partners also include the US Geological Survey (USGS), the Caribbean Environmental Health Institute (CEHI), and the Pan American Health Organisation (PAHO) Guyana office. These principal agencies have supported the work of national-level agencies including the Guyana Environmental Protection Agency (EPA), the Ministry of Health (MoH), Guyana Water Incorporated (GWI); the country’s main water provider, and representatives of relevant industries and local government in the execution of this project. A Steering Committee, chaired by the Minister in the Ministry of Health and comprising representatives from the Ministries of Health, Housing and Water, and Local Government, Linden Interim Management Council (IMC), GWI, EPA, US CDC (local office) and PAHO was set up to provide strategic direction and project oversight. The project team held the first inception mission in November 2006. This mission was aimed at promoting the NPA and WSP concepts and at gaining much needed political buy-in amongst key policy stakeholders including GWI, the Ministries of Housing and Water, Health, and Local Government. The mission also allowed the project team to gain a better understanding of some of the critical issues related to water resources management as well as the state of the country’s water supply. The community of Linden was considered well suited for piloting this integrated NPA/WSP approach. Not only did it have active and committed community groups and strong local government structures, but it was also unique in that the community was situated within the well-defined watershed of the Demerara and relied primarily on surface water as its source of supply. An integrated NPA/WSP pilot project in Linden therefore presented an opportunity to directly link natural resource management issues related to industrial, forestry and agricultural best practices, land use planning, and waste disposal, to issues affecting water quality and its associated health impacts. This recommendation of the project team was subsequently endorsed at the first meeting of the Steering Committee held in January 2007. The project was officially launched in Linden in May 2007, during which an NPA/WSP stakeholder training session was conducted to sensitize community and agency stakeholders as to the process of developing an NPA and a WSP, and the benefits to be derived from these outputs. The meeting also sought to chart the way forward for project implementation and to obtain the commitment of the various interest groups involved. 1 The project execution model involved the use of a consultant in the development of the plan. The initial parts of the document were written primarily by the Guyana Water Inc. in conjunction with the local coordinator. CEHI assumed the role of the local co-ordinator for the NPA and eventually replaced the local co-ordinator for the WSP. 1.2 Linden The town of Linden is located 107 km inland from Guyana’s Atlantic coast, on the east and west banks of the Demerara River (see Figure 1.1 Map of Guyana). Linden is the second largest town in Guyana and occupies an area of approximately 140 sq km. This town, which developed around the bauxite mining industry, with a population of approximately 40,000, is the main population center of Region 10. Upper Demerara/ Upper Berbice. Coomacka, Ituni, Kwakwani, and Rockstone are among other population centers accessible from Linden. A detailed map of Linden is shown in Figure 1.2. In addition to its bauxite reserves, the Linden/Region 10 area is endowed with other resources such as gold, kaolin, laterite, and timber (information courtesy of the Linden Economic Advancement Programme (LEAP)). Traditionally the major economic activities were centred on the bauxite industry which developed after the discovery of this mineral in the 1920’s. By 1960 the industry prospered and supported over 8,000 workers in the region. Declining world market prices and increasing cost of production resulted in the contraction of the industry, resulting in the declining living standards in the region. However, still a substantial number of the regions population is employed by the bauxite industry. Linden’s main water supply is derived from three primary sources – surface water intakes from the Demerara River and the Dakoura Creek, and groundwater intakes from the Coastal Aquifer (ASands).GWI is the sole utility company responsible for providing potable water for both domestic and industrial use. It is estimated that GWI provides household connections for up to 70% of Linden’s residents (GWI Hi Affinity Database). Issues related to ageing infrastructure, illegal connections, unaccounted for water, and an inconsistent power supply, have all served to compromise GWI’s operations and consequently the quality, quantity and reliability of its supply to consumers. As with most areas outside of the capital, Georgetown, GWI is not responsible for wastewater management. This responsibility falls under the local town councils. Septic tanks are a common means of domestic sewage disposal, whilst many households also use pit latrines. Given the permeable nature of the soil conditions within the vicinity of Linden, there are concerns that ground water intakes could be at risk from untreated discharges. The responsibility for solid waste disposal resides with the local authorities. There are no landfill facilities for solid waste disposal. It is estimated that approximately 6,700 kg/day is collected and transported to one of two open dump sites where open burning takes place (IDB, 2000). Indiscriminate dumping of household waste into the Demerara and its tributaries also continues to be a source of concern for authorities. Emissions from bauxite mining operations also pose a concern with regards to the air quality. Concerns in relation to dust emissions extend to concerns regarding water quality in instances where household rainwater harvesting systems are used to augment the water supply. Given the nature and complexity of the environmental issues facing the community of Linden, there is the recognition that a holistic approach needs to be adopted to address the issues that pose a threat to water quality. It is against this backdrop that the WSP for Linden was developed. 2 Linden Figure 1.1: Map of Guyana (Source: State of the Environment Report for the Demerara Watershed 2006) 3 Figure 1.2: Map of Linden (Source Guyana Water Inc) 1.3 What is a Water Safety Plan? A WSP is a methodology developed by the World Health Organisation (WHO) to help drinking water suppliers improve and maintain water quality. It provides a comprehensive risk assessment and risk management approach that includes all steps in the water supply chain, from catchment to consumer. It provides an opportunity for a drinking-water supplier to assess, modify, and build upon existing good management practices. As a preventive, multiple barrier approach to ensuring safe drinking-water, the WSP adopts a methodology based upon the Hazard Analysis and Critical Control Points HACCP system used by the food manufacturing industry for ensuring compliance with industry quality standards. The WSP therefore focuses attention on the identification and prioritisation of hazards at key points within the water supply system; the design of control measures to mitigate these risks; and the establishment of management plans and procedures for taking necessary corrective actions and conducting ongoing operational 4 monitoring. Management plans by extension may also include supporting programmes and verification procedures that ensure the effectiveness of measures outlined in the WSP. The WHO Guidelines for Drinking Water Quality outline three main components of a WSP. These include: 1) The conduct of a system review and assessment involving the examination and documentation of the entire water supply system, with a view to determining whether the system can provide water that meets pre-determined health based standards. The assessment also serves the purpose of identifying key points where there is the potential for harmful contaminants to be introduced into the supply system, including an assessment of the likelihood and severity of such occurrences. The formulation of the corrective actions to mitigate those risks also forms an integral part of this component. 2) The enhancement of overall risk management through the development of operational control measures. These measures would include monitoring procedures for each key or critical control measure identified to ensure the effectiveness of each control measure. 3) The development of management and communication plans which document the WSP components, including the system assessment, operational monitoring and verification protocols. The management plan also serves the purpose of describing actions to be taken during routine operations, as well as during times of incident. As noted above, management plans may also include the need for ongoing support programmes. These may include operator training programmes, research and development, evaluation procedures and community awareness and outreach programmes. 1.3.1 Main Objectives of a Water Safety Plan A WSP aims to improve drinking-water quality by optimizing: • • • control of source-water contamination; the removal, reduction, or inactivation of contaminants during treatment processes; and the prevention of re-contamination during distribution, storage, and handling. 1.3.2 Benefits of a Water Safety Plan • • • • • It is a powerful tool to help the water provider optimize system operations and apply improved management practices. It contributes to an improved understanding of the water supply system and an increased awareness of threats to water quality. It facilitates communication and collaboration among stakeholder groups. It can assist in heightening community awareness of practices that negatively impact the quality of source waters. It can assist in leveraging financial support for capital improvement needs by building donor confidence. 1.3.3 Inclusion of a Household Survey in the Water Safety Plan As noted above, the Water Safety Plan (WSP) aims to identify hazards to drinking water quality that can be introduced at multiple points from “catchment to consumer.” It does not, however, traditionally provide for identifying hazards that could compromise drinking water quality after it reaches the household, such 5 as contamination associated with water collection, storage, treatment and user practices within the home. As a result, in December 2007, a Household Water Use and Health Survey was conducted in order to understand what happens to the water from the time it reaches the home to the point of consumption. The survey, consisting of a household questionnaire and testing of household water samples, looked at issues such as consistency of water delivery, quality of delivered and stored water, community perceptions, and consumer practices concerning water use that impact customer satisfaction and the safety of drinking water within the home. Specific aims of the household survey were: 1. to determine the quality of household water at the point of collection and at the point of consumption; to determine the quality of water reaching consumers and to identify whether deterioration of water quality occurs as a result of storage and handling practices; 2. to describe water use and treatment practices at the household level, user satisfaction, and perceptions of water quality by consumers; 3. to estimate the prevalence of diarrhoeal illness in the population, evaluate its possible association with water-related variables, and describe health-seeking behaviours; 4. to determine the quality and consistency of water service provision, identify issues of special concern, and evaluate the impact that interruptions in service or pressure or other service-related issues may have on the safety of water consumed. Information derived from this survey is further elaborated on in Section 2.6.3. 1.4 Linkage between National Programme of Action (NPA) and the Water Safety Plan (WSP) for Linden The approach chosen for this process was unique in that it is the first to merge the WSP initiative together with an NPA. The NPA addresses the threats posed by land-based activities on the coastal and marine ecosystems, whilst the WSP looks at assessing water supply systems with a view to developing management and operational plans that serve to address potential risks of contamination of the water supply at critical points within the water supply system. The National Programme of Action is a conceptual guide developed in response to the commitment of several countries to addressing the concerns regarding the state of the coastal and marine eco-systems under the framework of the Global Programme of Action (GPA) for the Protection of the Marine Environment from Land-based Activities. The NPA takes national priorities, geographic and geologic characteristics, local political, institutional and regulatory frameworks and other domestic factors into account in formulating strategies for minimising the destructive impacts of pollution on the marine environment. Although drinking water quality is not expressly stated and directly addressed in an NPA, issues related to watershed management and source water protection are of relevance to the WSP process, given the fact that an understanding of the nature and extent of pollutants entering the water system is critical to determining the extent of treatment required and the possible health risks associated with consuming poorly treated or untreated water. In this NPA/WSP joint demonstration project, the two processes were developed in parallel. By allowing the watershed issues that are traditionally included in a WSP to be addressed by the NPA, a more indepth assessment of the watershed and source waters, as well as more large-scale environmental issues such as those affecting the aquifers and corresponding oceanic features was possible. This combined approach allowed for an assessment greater in scope than would have been achieved through either the 6 WSP or the NPA alone. The Plans are presented jointly, and where the WSP would normally address issues in the watershed, reference is made to the corresponding sections of the NPA. Great synergies were realised given the commonality of issues relating to and impacting on the quality of raw water. The steering committee identified for the WSP was the same for the NPA so that both processes were jointly discussed at the steering committee meetings. The recommendations of both initiatives are highly interlinked and would allow the authorities in Linden to make the necessary interventions to improve the quality of water available to the residents of Linden. 1.5 Water Safety Plan Team The successful implementation of a WSP is dependant on the commitment of policy makers, regulators, service providers and community interest groups as a whole. As such, a Steering Committee was set up to provide guidance to the project and to ensure involvement and buy-in to the process at the political level. Given the need for a multi-agency, multi-sectoral approach, the Steering Committee comprised policy makers and technical experts from the health, water and environmental sectors, along with local government representatives from Linden. The members of the Steering Committee are mentioned in Table 1.1. The other Partners and persons involved in the development of the Water Safety Plan are mentioned in Table 1.2. Table 1.1: Steering Committee Members NAME OFFICE RESPONSIBILITIES Dr Bheri Ramsarran Minister within the Ministry of Health Office of the President Chairman Mr Navin Chandarpal Ms Savitri Jetoo Dr Ashok Sookdeo Dr Teofilo Montiero Ms Yohani Singh Mr Orrin Gordon Mr Hance Thompson replaced by Ms Tashana Redmond Mr Khalid Alladin replaced by Ms Geeta Singh Mr Julius Farber Ms Debra MontouthHollingsworth Ms Nicollette Henry Mr Renwick English Guyana Water Incorporated (GWI) Director, Environmental Health, Ministry of Health PAHO/WHO Guyana Office Ministry of Health Chairman, Interim Management Council, Linden Environmental Protection Agency Environmental Protection Agency Ministry of Local Government and Regional Development; Regional Chairman -Region 3 Permanent Secretary, Ministry of Housing and Water US Centers for Disease Control - Guyana Environmental Protection Agency Ms Audreyanna Thomas 7 Steering Committee Member Steering Committee Member Local Co-ordinator Project Partner Steering Committee Member/Secretary Steering Committee Member Steering Committee Member Steering Committee Member Steering Committee Member Steering Committee Member Steering Committee Member Steering Committee Member Steering Committee Member Table 1.2: Other Partners NAME AGENCY RESPONSIBILITIES Ms Camille Roopnarine Caribbean Environmental Health Institute Caribbean Environmental Health Institute US Centers for Disease Control US Centers for Disease Control US Centers for Disease Control Water Safety Plan Coordinator National Programme of Action Co-ordinator Technical Advisor Technical Advisor Technical Advisor Dr Christopher Cox Ms Angella Rinehold Ms Lana Corrales Dr Rick Gelting 8 2.0 WATER SUPPLY SYSTEM DESCRIPTION FOR LINDEN 2.1 Water service provider and related agencies Potable water is supplied to the population of Guyana by the Guyana Water Inc (GWI). GWI provides water to over 145,000 homes, offices and schools across Guyana. It also provides water to Amerindian communities in the Hinterland. The company supplies over 300,000,000 litres of water per day. Guyana Water Incorporated (GWI) was established, resulting from the merger of the Guyana Water Authority (Guywa) and the Georgetown Sewage and Water Commissioners (GS&WC), on May 30, 2002. This was done through the Water and Sewerage Act of 2002. GWI operates five water treatment plants in Linden. These plants will be described in detail later in this section. The overall management of all GWI operations is done at the head office in Georgetown. This also includes Capital Investment Projects and billing. In Linden, there is a Divisional Manager who oversees meter readings and other divisional management issues. The Ministry of Health has a mandate for developing the regulatory framework for the definition of drinking water quality standards and for the monitoring of the quality of water that is used by consumers. Through the Regional Health Office in Linden, Environmental Health Officers routinely sample and test the water quality. Since the severe floods of 2005, PAHO/WHO has been working with the Environmental Health Unit (EHU) and other agencies to develop a Drinking Water Surveillance System in Guyana (DWSS-GUY). This surveillance of drinking-water quality will allow the EHU to continuously assess and review the safety and acceptability of drinking-water supplies”. The Environmental Protection Agency (EPA) has a mandate to promote, facilitate and coordinate effective environmental management and protection: and the sustainable use of Guyana’s natural resources. 2.2 Health-based Standards The Government of Guyana does not have any technical standards for water quality referenced in any regulations or laws. However, the WHO Guidelines for Drinking-Water Quality 3rd Edition have been used as a guide by GWI for their treatment plants, with a relaxed standard for iron (see Table 2.1). These standards have also been adopted by the MoH for its monitoring and surveillance programmes. It is recognised that the aquifers in Guyana are characterised by high iron content and the reduction of these levels requires expensive treatment. For this reason, and also taking into account the fact that iron is not detrimental to health, the decision was made to relax the standard for iron. Further details on these parameters are explained in Appendix I – Glossary. Table 2.1: Current Reference Water Quality Standards Parameter Monitored GWI Standards pH (at treatment plant, 6.5 – 8.5 finished water) Turbidity (at treatment <5 NTU plant) Aluminium (point of use) Iron (point of use) 0.2 mg/l 0.3 mg/l Notes No WHO health-based guideline value Above 5, the water appearance is not appealing to consumers. *1 NTU is the desirable value that should be achieved No WHO health-based guideline value; GWI uses a relaxed value 0.5 mg/l 9 Parameter Monitored Chlorine (residual) (Point of Use) Faecal coliform/E Coli Total coliform GWI Standards 0.2 mg/l Notes Disinfectant of distribution system 0 0 WHO recommends 0 coliforms as an indicator of adequate disinfection 2.3 Watersheds Please refer to Chapter four of the NPA document (put the formal name) for a detailed description of the watershed and sources of water for Linden. 2.4 Water Treatment Plants The Linden water system comprises five treatment plants, one pressure booster stations, four discontinued elevated storage tanks, miles of transmission and distribution pipelines (PVC, HDPE, cast iron), and three different sources of water; the Demerara River, Dakoura Creek and the Coastal Aquifer (A-Sands). There are some existing raw water lines that previously provided water for industrial use and for fire fighting (hydrants). The Linden water system serves about 70% of the total population. The system’s total operational capacity is the sum of the capacity of its five (5) treatment plants. According to a Bureau of Statistics Population and Housing Census – 2002, 3,895 households were serviced by piped water to their dwelling. Table 2.2 details the various sources of drinking water for the Linden municipality. Table 2.2: Main Source of Drinking Water for Households for Linden Municipality (PAHO, 2005) Piped into dwelli ng Piped into Yard Public Stand pipe Tubewell, Borehole with pump Prote cted Dug well Protec ted spring Bottled Water Rain water collect ion Unprot ected dug well Unprotected Spring Pond, River, Stream 3,895 1,147 499 10 22 333 291 332 24 469 264 Each plant has an associated transmission and distribution system, which forms a separate sub-system of the Linden water system. Adjacent distribution systems are connected and are often manually adjusted to support the immediate demands of neighbouring communities. While Linden’s treatment capacity can meet the current demands, the actual delivery of water to the community is limited by nonrevenue water (NRW), pumping, supply, and lack of optimisation of the individual plants. The treatment plants are: 1. 2. 3. 4. 5. Amelia’s Ward LPC McKenzie West Watooka Wisroc The locations of the water treatment plants are shown in Figure 2.1, Linden Water Treatment Plant Location Map. Table 2.3 Linden Water System Summary provides an outline of the various treatment capacities of the Linden water system. 10 Figure 2.1: Linden Water Treatment Plant Location Map (Source: GWI) 11 Table 2.3: Linden Water System Summary Treatment Plant Location Source Amelia’s Ward South Amelia’s Ward 3,636 m³ LPC Ground 1985 water - A Sands Aquifer Demerara 1961 River Alumina Plant, Spreightland Watooka, at Demerara McKenzie/Wismar River Bridge 5,000 m³ 3,960 m³ 1956 5,000 m³ 3,960 m³ McKenzie Year Treatment Components Commissioned Capacity Design Operation West Watooka West Watooka Demerara River 1968 7,272 m³ Wisroc Wisroc on Dakoura Creek Dakoura Creek 1976 5,909 m³ 3,456 m³ 5,500 m³ 5,909 m³ 12 Aeration, chlorination Hours of Service Areas Operation filtration, 24 hours Central, North, South & East Amelia’s Ward, Cinderella City, Squatters Area 5:00 am – Spreightland, Retrieve, Rainbow City, 10:30 pm Industrial Area. Old, New & Lower Kara Kara, North Cocatara 5:00 am – Old, New & Lower Kara Kara, Rainbow 10:30 pm City, Retrieve, Industrial Area, North McKenzie, Noitgedacht, Cocatara, Redwood Crescent, Constabulary Compound, Watooka, Fairs Rust, Surapana, Richmond Hill Coagulation, flocculation, 5:00 am – West Watooka, Wismar Silver town, Silver sedimentation, filtration, 10:30 pm City, Christianburg, Half Mile chlorination Pre-Filtration, chlorination 24 hours Wisroc, Block 22, Blueberry Hill, Canvas City, Section of One Mile Coagulation, flocculation, sedimentation, filtration, chlorination Coagulation, flocculation, sedimentation, filtration (pressure), chlorination 2.4.1 Amelia’s Ward Sub-system The Amelia’s Ward Treatment Plant is located on Well Road, about 300 metres south of the Linden Highway, in Amelia’s Ward. Description The treatment system comprises the following components: • two sub-surface wells (only one in service) • low-lift pumps (150 m3/min) • 10” transmission line (wells to plant) • cascade aerator • monoscour filters (2) • clear well • high-lift distribution pumps (2) • backwash Pumps The flow diagram for the Amelia’s Ward treatment system is shown in Figure 2.2, Flow Diagram - Amelia’s Ward Treatment Plant. Extraction/Intake Water for the Amelia’s Ward Treatment Plant is extracted by two wells about 600 metres southwest of the treatment plant. The wells tap the A-Sands Series at a depth of 54 and 60 metres, respectively. The well completion data is summarised in Table 2.4. One well is secured by a protective security fence. Table 2.4: Amelia's Ward Completion Data Well Well # 1 Well # 2 Completion Type & Depth (m) Depth of Casing 54.86 Fibreglass 60.96 Fibreglass Pumps Subtech Goulds Extraction rate M3/hr 80 Notes Out service of 180 Cascade Aerator/Precipitator The raw water is pumped from the well # 2 (via a 10” line) to the cascade aerator which sits on top of the contact tank, allowing water to enter the tank from above. Well #1 requires cleaning, air lifting and another pump. The cascade aerator is a natural draft, free trickle pool-type aerator and uses stainless steel material and aluminium louvers. The trays are packed with coal. Aeration of the well water facilitates extraction of high concentrations of noxious gases (e.g. hydrogen sulphide, methane, carbon dioxide) from the water and the transfer of oxygen from air to the water. This oxidises the iron and manganese to allow their precipitation. Filtration Water is routed to two monoscour filters through a two-way splitting box and into a 25 cm ∅ pipeline. The filter operation is manual. There is a backwash interval of once per shift. 13 P-156 P-168 Blower 2-way Splitter Filter Filter Chlorine P-195P-164 To Chemical Feeds Aerator Tank Clear Well P-167 P-198 P-198 P-194 P-165 Backwash Pump P-280 P-155 Extraction From Water Wells E-45 Figure 2.2: Flow Diagram - Amelia's Ward Treatment Plant 14 High Lift Pumps Central, North, South & East A/ Ward, Cinderella City, Squatters Area. 2.4.2 LPC Treatment Sub-system The treatment plant at the Linden Power Company (LPC) is located at the abandoned alumina plant. The water treatment plant consists of two essentially identical systems. The no 1 system has a further system of de-ionisation but this is out of operation. The plants originally treated water for use in the power plants for the alumina processing and provided drinking water for Retrieve community, within the vicinity of the alumina plant. Subsequent to the closure of the alumina plant (1985), Linmine operated the power plant and the water system and continued supplying water to the community. The LPC began operation as a separate power generator in 2001 and continued supplying water to the community under a contract with GWI. The LPC subsequently terminated operations in 2005 and GWI then assumed operation of the plant as part of the Linden Water Supply System. Description LPC comprises of two treatment process chains. The design capacity of plant I and plant II are 2839m3/day and 2614m3 /day respectively. There are no flow meters in the system, therefore the actual operating capacity is unknown. The plants are operated in parallel until clear well storage, at which point they are operated in series as treated water from the clear well from Plant I feeds (is pumped to) the clear well at Plant II. Discharge from the LPC system is from the clear well in Plant II. The treatment system comprises the following components: • high Lift Pumps (2) • clarifiers (2) • booster Pump • backwash Pumps • anthracite Filters (2) • transfer Pump (2) • clearwells (2) The flow diagram for the LPC treatment system is shown in Figure 2.3: Flow Diagram - LPC Treatment Plant. Extraction/Intake The Demerara River is the source of water for the LPC plants. There are two high-lift pumps at the intake. Intake flows are screened to remove debris and river borne materials. The system is designed for one pump to service the treatment plant and the other the needs of the power plant. Currently, only one pump is in operation. A booster pump pressures the flow before it enters the clarifiers. Manual control valves manage the flow to the clarifier. Clarifier – Coagulation, Flocculation and Sedimentation The water is collected at a sample port and tested for pH prior to entry to the clarifier. Chemical pumps (manual controls) deliver lime (CaCO3) and alum (Al2(SO4)3) to control pH as an aid to flocculation. The rate of addition of alum and lime is tied to the specific gravity of water in the filter. Specific gravity is routinely monitored for this purpose. Gravity flow delivers water to the filters and is manually controlled. The clarifier is de-sludged routinely to maintain efficiency. The process is managed at a control panel within the treatment plant. Filtration The filter media consists of 1.82 feet of anthracite beds. The filters are designed to remove residual turbidity, pathogens or organic chemicals. Flow through the media takes about 35 15 minutes. The filter system is backwashed (manually) once per day. The system is periodically air lanced to enhance the filter process. Disinfection/Clear Well Storage The treated water flows into underground clear well storage tanks where chlorine (gaseous) is added as a disinfectant. Residual chlorine concentration is continually monitored at a sample port on the discharge line. It should be noted that the state of the LPC plant is under serious consideration by GWI and plans are in place to decommission this plant. These and other plans by GWI are included in Appendix II. 16 Figure 2.3: Flow Diagram - LPC Treatment Plant 17 2.4.3 McKenzie Sub-system The McKenzie Treatment Plant is located in Watooka, on the eastern bank of the Demerara River just south of the McKenzie Wismar Bridge. The plant and associated systems were constructed in 1956 and originally served the communities of the eastern bank and the needs of the bauxite plant. A raw water distribution network supported the power plants and other bauxite processing activities. This network also provided water for the fire hydrants. Parts of the network still exist even though most fire hydrants are in disrepair. Description The plant consists of • high-lift intake pumps, • mixing chamber, • settling tanks, • filter tanks, • storage basins, • discharge pumps. The flow diagram for the McKenzie treatment system is shown in Figure 2.4: Flow Diagram - McKenzie Treatment Plant. Extraction/Intake Water for this plant is extracted from the Demerara River; the intake area is at the McKenzie Bridge where a 10-inch line delivers the water to the treatment plant. Intake flows are screened to remove debris and river borne materials. The high-lift pumps were originally sized to also supply water to the Bauxite Plant. The excess flow is now discharged to the river pending resolution of the matter. Clarifier – Coagulation, Flocculation and Sedimentation 3 Raw water flows through at a rate of approximately 170 m /hr and is discharged into a mixing chamber (mixing depend on the turbulence of water entering the chamber), where alum (Al2(SO4)3) and lime (CaCO3) is added via manually adjusted chemical pump. The chemically charged water travel through a flume to enter eight (8) settling tanks where the retention time is approximately 2.0 hrs. Specific gravity is routinely monitored for this purpose. Gravity flow delivers water to the filters and is manually controlled. The clarifier is de-sludged routinely to maintain efficiency. The process is managed at a control panel within the treatment plant. Disinfection The clarified water from the settling basin then enters two (2) storage basins where disinfectant is added from cylinder-mounted chlorinators. Residual chlorine concentration is continually monitored at a sample port on the discharge line. Filtration Four (4) high lift (filter) pumps deliver chlorinated water from the storage basins through twelve (12) pressure filters (only 6 currently operable) to the distribution system. 18 Chlorine Chem Pump Chem Pump Figure 2.4: Flow Diagram - McKenzie Treatment Plant 19 2.4.4 West Watooka Sub-system The West Watooka treatment plant is located in a fenced compound about 300 metres west of the intake area at the Demerara River, the source for the water at this plant. The internals, clarifier and the recirculators were recently (2006) rehabilitated/replaced. Description The West Watooka plant comprises the following components: • intake area/low-lift pumps (2) • clarifier • two (2) monoscour filters • backwash pumps • clear well storage basins • discharge pumps (high lift) (3 pumps) • intake and discharge line flow meters The flow diagram for the West Watooka treatment system is shown in Figure 2.5: Flow Diagram - West Watooka Treatment Plant. Extraction/Intake The Demerara River is the source of water for the West Watooka plant. The raw water is pumped by two low-lift pumps (5000m3/day) and conveyed to the treatment Plant via a 41 cm pipe. Intake flows are screened to remove debris and river-borne materials. Clarifier – Coagulation, Flocculation and Sedimentation The raw water is sampled for turbidity, pH and specific gravity twice per eight (8) hour shift. Lime (CaCO3) and alum (Al2(SO4)3) are added to the line (based on turbidity & pH) just before the entrance to the recirculator. The chemical pumps (manual controls) deliver lime and alum to control pH as an aid to flocculation. Precipitate, or floc, settles to the bottom of the clarifier where the scraper guides it along the conical floor to the sump. The current absence of a sludge pump reduces the efficiency of the de-sludging. The clear water rises to the top and enters the launders that surround the clarifier and is conveyed to the filters through gravity flow. This helps to reduce the exit velocity to a minimum, which aids in obtaining water of low turbidity for subsequent filtration. A 41 cm pipe conveys the flow into a splitter-box, which divides the flow equally into the three filters. Filtration The filter media are designed to remove residual turbidity, pathogens or organic chemicals. The filters originally used a single medium of sand, 25-30 cm up to 60-70 cm, with effective grain size from 0.5-0.6 mm up to 0.8-0.9 mm. Regular maintenance is required to maintain the order and efficiency of the filter. The sand in the filters is supported by a gravel bed. An underdrain system below the gravel bed serves as conduit for flow out of the filter and backwashing. The filters are 20 backwashed once per 8-hour shift. There is also an air line that was designed to aid in the backwash of the filter. Flow through the media takes about 35 minutes. Disinfection/Clear Well Storage Filter effluent flows (by gravity) into underground clear well storage tanks, where chlorine is added as a disinfectant. Residual chlorine concentration is continually monitored at a sample port on the discharge line. 21 Figure 2.5: Flow Diagram - West Watooka Treatment Plant 22 2.4.5 Wisroc The Wisroc treatment plant is located in a fenced compound on the northern bank of Dakoura Creek. Description The Wisroc plant comprises the following components: • intake area/low-lift pumps (150 gpm) • pre-filtration tank • two (2) monoscour filters • backwash pumps • clear well Storage tanks • discharge pumps ( high lift) The flow diagram for the Wisroc treatment system is shown in Figure 2.6: Flow Diagram – West Watooka Treatment Plant. Extraction/Intake Dakoura Creek is the source for the Wisroc treatment plant. Intake flows at the creek are screened to remove debris and creek-borne materials. The raw water is pumped by two low-lift pumps and conveyed to the pre-filtration tank via a 41 cm ∅ pipe. Pre-Filtration Tank While this basin was designed for the addition of alum and lime for coagulation and flocculation, these chemicals are not used at this plant because of the excellent water quality. Filtration Water is then routed through a 25 cm ∅ mild steel pipe to a splitter box, which divides the flow equally into the two 4.5 m ∅ monoscour filters. The filter media are designed to remove residual turbidity, pathogens or organic chemicals. The plant is designed for the use of backwash and pressurised air to enhance the filtration process. The filters are backwashed once per eight (8) hour shift. Disinfection/Clear Well Storage Gravity flow carries the water from the filters to the clear well (12m x 12m; capacity 375m3) for storage and chlorine disinfection. 23 Figure 2.6: Flow Diagram - Wisroc Treatment Plant 24 2.5 Distribution This section provides a summary description of the distribution network of the Linden water system. Some of the risks to the delivery of safe drinking water are related directly to the state of the distribution network. The age and maintenance of a network are contributing factors in the state of such a network. Inadequate and inconsistent supplies of water are also factors which give rise to low pressure conditions and network tampering by customers/residents to meet their needs when the supply is poor. This tampering potentially increases the risk of contamination of the network through the creation of leaks and backflows into main distribution lines. Customers are of the view that water should be free and, as such, often install illegal connections. The Linden water distribution network extends and covers ninety-five (95) percent of the community. The total operational capacity of the Linden water system is 22,785 m3/day. The total system capacity is an aggregate of the five subsystems, each associated with a treatment plant. Residents, businesses and other entities have supplemented the water delivered by GWI by purchase and use of bottled water. The network includes transmission and distribution lines, booster pump/stations, flow meters and other components. It should be noted that there are three (3) discontinued over-head tanks. The plants and associated distribution systems of the Linden Water System were constructed at different periods in the development of Linden. This is also reflected in the different pipe materials – such as polyvinyl chloride (PVC) and cast iron (CI). Cast Iron pipes occur within the McKenzie sub-system. These pipes are the oldest, and are therefore generally used for the purpose of transmitting raw water for industrial (bauxite plant) purposes and for fire hydrants. Fire hydrants are currently located only in Cocatara, north McKenzie and Wisroc. Hydrants exist in A/Ward, Niotgedacht, Watooka, Fairs Rust, and Richmond Hill. There has been a constant upgrading and rehabilitation of the distribution system since 2001, the most recent being the replacement of the older CI pipes in Cocatara and Central McKenzie. The replacement of the lines was necessary to remove corroded CI pipes and improve water pressure. GWI has proposed a final rehabilitation phase to address limitations in the distribution system. Figure 2.7 shows the materials of the distribution system. Figure 2.8 shows the different diameters of the pipes. Some of the adjacent systems are interconnected but are not routinely operated as combined units. Local system limitations and/or defects prevent the operation of a combined system. Additionally, leakages, estimated at about thirty-five (35%), limit any optimization of adjacent systems. 25 Figure 2.7: Linden Distribution System Pipe Materials 26 Figure 2.8: Linden Distribution System Pipe Diameters 27 2.5.1 Eastern Bank - Linden Water System There are three (3) treatment plants and associated distribution networks on the eastern bank of the Demerara River. These are the McKenzie, Amelia’s Ward and LPC Sub-systems. The Amelia’s Ward system is the newest. There are no major operational problems associated with this system. However, the limited hours of service, service disruptions, and pump failures have caused customers to depend on household storage tanks. The McKenzie sub-system is connected to the Amelia’s Ward Sub-system via a 200 mm Ø PVC pipe at the Kara Kara Bridge. Neither system has enough pressure or capacity to supply the other. An abandoned pump house and booster station in Kara Kara potentially could allow the water from McKenzie to service the Amelia’s Ward system. However this pump house and booster station were abandoned when the Amelia’s Ward treatment plant was commissioned in 1982 so extensive repairs may be required. There are some notable concerns in the LPC distribution network; about twenty five (25%) of the production is unaccounted for. The LPC and McKenzie networks are connected through Industrial Area and Retrieve and facilitated by the new 150 mm Ø line from the bauxite plant. Amelia’s Ward The Amelia’s Ward sub-system serves the Central, North, South & East Amelia’s Ward, Cinderella City, and some squatter areas. There are no system storage tanks or booster pumps within the system. The distribution system consists of 100, 150 and 200 mm Ø PVC pipes. The system is linked to the McKenzie distribution system via the 100 mm Ø line (gate valve closed) at the bridge at Kara Kara Creek. Previously a booster pump allowed the McKenzie system to serve Amelia’s Ward but this has been abandoned since 1982. LPC The LPC plant serves the Retrieve, Rainbow City, Kara Kara, North Kara Kara, and North Cocatara areas of Linden. McKenzie The McKenzie plant currently serves Old, New & Lower Kara Kara, Rainbow City, Retrieve, Industrial Area, North McKenzie, Noitgedacht, Cocatara, Constabulary Compound, Watooka, Fairs Rust, Surapana, and Richmond Hill. A booster pump pressurises the dedicated line for delivery to Richmond Hill. There are two discontinued overhead storage tanks in Rainbow City and Richmond Hill. 2.5.2 Western Bank – Linden Water System Two treatment plants, West Watooka and Wisroc, and one converted booster station in Wismar, service the customers on the western bank. The distribution network on the Western Bank of the Linden water system is more complex, with a wider spatial distribution, more variation in elevations, and generally greater challenges to system optimization. The western network is interconnected, each plant /system is “plumbed” to service the network of the other. Some areas, however, can only get water through manual adjustment of select gate valves. These include Half Mile and Half-Mile Extension and parts of Canvas City. There is currently not enough capacity and system pressure to service all the areas concurrently. The 28 booster station at Wisroc could address this limitation but the increased energy cost is a consideration. The removal of the 3000 m3/day capacity of the Wismar treatment plant also contributed to the current lack of capacity. West Watooka Three high-lift pumps pump the water from the storage tanks through a 51cm distribution line. The West Watooka plant serves Wismar Flat, West Watooka, Silver Town, Silver City, 1st, 2nd & 3rd Alley, Christianburg, D’Anjou Park, and Victory Valley. The former treatment plant at Wismar is now used as a booster station to enhance delivery to the service areas. Wisroc Three high-lift pumps pump the water from the storage tanks through a 51cm distribution line. The Wisroc plant serves Wisroc, Block 22, Blue Berry Hill, Canvas City, and Sections of One Mile. 29 2.6 Water Quality This section discusses the water quality from the five water treatment plants and through distribution and point of use. The data was derived from a number of sources. These sources included: • Bi-weekly water treatment plant and distribution system water quality testing results, GWI laboratory in Georgetown, 2007 records, (electronic format) • Water treatment plant operator “daily” water quality testing results, on-site testing at water treatment plants, all records on file, (hard copy reports) • Mayor and Town Council “monthly” water quality surveillance results, Food & Drug Department laboratory in Georgetown, 2006-2008 records, (hard copy reports) • Regional Democratic Council “monthly” water quality surveillance results, Food & Drug Department laboratory in Georgetown, 2006-2008 records, (hard copy reports) • One-time independent water treatment plant and distribution system water quality testing results, Eureka Medical laboratory in Georgetown – March 2008, (sampling conducted by CDC) • Results of residual chlorine and microbiological testing at households connected to the GWI distribution network during a household survey conducted in December 2007 • One-time water treatment plant water quality testing results provided by plant operators during the household survey – December 2007 2.6.1 Water Quality Monitoring The water quality parameters of interest, based on the WHO guidelines, and the monitoring regimes of GWI and the MoH are the following: (Explanations of these parameters are detailed in Appendix I – Glossary) pH Turbidity Colour Iron E coli Aluminium Residual Chlorine Faecal Coliform Total Coliform Currently, water quality testing is carried out by plant operators of GWI, approximately every two hours per shift at each treatment plant. Finished water is tested for pH, turbidity, chlorine residual, and sometimes iron. Plant testing results are recorded on log sheets, sent to the main Linden office at West Watooka periodically, then sent to Georgetown. However, after examining records over the course of one year it was apparent that this regime is not being followed. For the distribution system, sampling is carried out biweekly in the distribution system. Samples are sent to Georgetown and measured for total coliforms, faecal coliforms, pH, turbidity, iron, colour and aluminium. Samples are collected from certain locations within the plants (postaerator, post filter, finished water, etc.) and at approximately 12-14 locations throughout the distribution system. However, due to problems with transportation and a lack of testing reagents in Georgetown, sampling and testing does not occur according to schedule. 30 Analysis of the water quality for final water from the five water treatment plants shows a lack of consistency of the results. This is an indicator that the systems need to be optimised. A summary of that analysis is included in Table 2.5. Table 2.5: Final Water (Source GWI Laboratory Results, for the year 2007) Wisroc West McKenzie LPC Amelia’s Watooka Ward pH Consistently lower Consistently Consistently Consistently Consistently than 6.5. lower than lower than lower than lower than 6.5. 6.5. 6.5. 6.5. Low pH has no known direct health impact. However, low pH can increase corrosivity. This can cause premature damage to metal piping and have associated aesthetic problems such as a metallic or sour taste and staining of laundry, sinks and drains. Inconsistent Inconsistent Inconsistent Generally Turbidity Within the current results, results, results, within the acceptable limit (5 turbidity turbidity turbidity NTU). This could be current routinely routinely routinely acceptable because the raw higher than higher than limit (5 NTU). higher than water turbidity is limit. limit. limit. Treatment quite low. Turbidity seems to be generally effective in increased reducing through turbidity given treatment due the high to oxidation of levels in the iron. raw water. There is no health-based guideline value for turbidity. High levels of turbidity can give rise to significant chlorine demand, indicate treatment process control problems and adversely impact disinfection efficacy. Good iron Poor iron Good iron Inconsistent Iron Iron is within the treatment treatment. treatment results. acceptable limits. process, Routinely There was However, iron levels process, consistently violated the consistently about 80% in the raw water do within limits. limit. within limits. compliance not seem to be but results affected by the were highly treatment process. variable which suggests improper process control. There is no health-based guideline value for iron. High levels of iron can cause bad tasting drinking water and can stain laundry. This in turn can give rise to poor public perceptions about the quality of water received and the ability of the water utility to provide water of an acceptable standard. No Consistent Consistent Aluminium Inconsistent results. Consistent information violation of violation of Al does not seem to violation of available. standard. In standard. In standard. In be affected by the most cases most cases most cases treatment process. 31 Wisroc West McKenzie LPC Amelia’s Watooka Ward the Al in the the Al in the the Al in the final water final water final water was higher was higher was higher than raw than raw than raw which which which suggests suggests suggests insufficient insufficient insufficient alum removal alum removal alum removal during the during the during the process. process. process. There is currently no health-based guideline value for aluminium due to limitations of available health data. Inconsistent Inconsistent Inconsistent No Colour Routine violation of the permissible limit. readings with readings with readings with information routine routine routine available. Colour does not violations. violations. seem to be affected violations. by the treatment process. Approximately Approximately Approximately Approximately Total Approximately 50% 90% of the 25% of the 50% of the Coliforms of the samples were 40% of the samples were samples were samples were samples were positive for total positive for positive for positive for positive for coliforms. This total total total total indicates coliforms. coliforms. coliforms. coliforms. inadequate disinfection.Samples This indicates This indicates This indicates This indicates inadequate inadequate inadequate inadequate consistently did not disinfection. disinfection. disinfection. disinfection. have faecal coliforms. According to the WHO, inadequate disinfection can increase microbial risks of diseases. 2.6.2 Distributed Water Quality (Source: CDC results from March 2008 – one time sampling) Table 2.6 describes several parameters for the treatment plants and the established monitoring points along the distribution system as identified by GWI. Table 2.6: Plant Readings Wisroc Residual Chlorine Other Parameters West Watooka McKenzie LPC Amelia’s Ward Minimal No detection No detection Minimal Detection detection detection As seen in previous sections, the pH readings were low at all plants. There were detections for total coliforms at the Amelia’s Ward Plant. Turbidity was acceptable for all plants except Amelia’s Ward. Aluminium was higher than acceptable for all plants where tested. Iron and colour were acceptable for all plants. 32 Table 2.7: Distributed Water Residual Chlorine Wisroc West Watooka McKenzie LPC Amelia’s Ward Distribution System No detection No detection No detection Minimal detection Minimal detection Residual chlorine was detected at only two locations along the distribution system. This is of great concern as the WHO recommends residual chlorine to be 0.2 - 1.0 mg/L for consumers at point of use. The issue of disinfection needs to be addressed as a matter of priority. 2.6.3 Household Water Quality Based on a Household Survey that was undertaken by the CDC in December 2007 information was obtained on water quality, treatment and storage for consumers. For the full Household Water Use and Health Survey Report for Linden, Guyana, refer to Appendix III. A summary of the water quality at the Consumers’ premises in included in Table 2.8. Most water delivered to the taps of consumers connected to the Linden GWI distribution system contained no residual free chlorine. The target residual free chlorine levels for water leaving the treatment plants set at each of the treatment plants is quite low. The target of 0.5 mg/L for water leaving the Amelia’s Ward and Wisroc plants was determined based on the notion that water from those sources are of comparatively highest quality, and therefore would consume the least amount of chlorine in the distribution system. The operators aim for a minimal effective level (to achieve a free chlorine residual of 0.2 mg/L at the most distal point of the distribution system) and to avoid the water having a taste of chlorine, which is considered undesirable by consumers. This minimum level, however, is not being achieved, as evidenced by the lack of free chlorine residual found in tap samples. Other water quality data reported by plant operators on survey days indicate that there are additional parameters of concern. According to the WHO Guidelines for Drinking Water Quality, median turbidity should be below 0.1 NTU in order to ensure effective disinfection, and that turbidity of 5 NTU has an acceptable appearance to consumers. Turbidity levels above 0.3 NTU are often associated with higher levels of disease-causing microorganisms such as viruses, parasites and some bacteria (USEPA Primary Drinking Water Standards). Turbidity values in finished water measured on survey days were as high as 15 NTU. In addition, pH values measured on survey days from waters leaving the three treatment plants sourced by the Demerara River were low. Table 2.8: Summary of Water Quality at Consumers’ Premises from Household Survey, December 2007 Amelia’s Linden Power Ward Company (LPC) Mean free Cl2 leaving plant on survey days† (mg/L) Mean pH leaving 0.56 0.79 33 McKenzie 1.21 West Watooka 1.20 Wisroc 0.51 plant on survey days† Mean turbidity leaving plant on survey days† (NTU) Free Cl2 at tap ≥0.2 mg/L (% of households) Free Cl2 in tanks ≥0.2 mg/L (% of households) Free Cl2 in DWC ≥0.2 mg/L (% of households) HH tap – total coliforms+ (% of households) HH tank – total coliforms+ (% of households) HH DWC – total coliforms+ (% of households) HH tap – E. coli+ (% of households) HH tank – E. coli + (% of households) HH DWC – E. coli + (% of households) Amelia’s Linden Power Ward Company (LPC) 6.3 5.4 McKenzie 4.9 West Watooka 5.0 Wisroc 6.4 - 3.7 (range: 0, 7) 8.3 (range: 5, 12) 9.4 (range: 5, 15) 3.1 (range: 0, 5) 14% 7%* 8% 1% 10% 10% 4% 6% 5% 6%* 8.5% 8.5%* 1.8% 7.1%** 16.3%** 67% 55% 89% 54% 64% 75% 75% 100% 100% 67% 80% 88% 80% 100% 93% 0 18% 56% 8% 27% 50% 25% 50% 100% 0 40% 50% 10% 42% 71% *includes one sample with >3.5 mg/L free Cl2 residual ** includes two samples with >3.5 mg/L free Cl2 residual †Reported daily by plant operators on 7 survey days 2.7 Point-of-use Practices Information on the quality of water received by consumers and their behaviour, such as at-home treatment and storage, was obtained by the Household Survey that was undertaken by the CDC in December 2007. The following sub-sections describe the key findings in more detail. For the full Household Water Use and Health Survey Report for Linden, Guyana, refer to Appendix III. 2.7.1 Household Water Treatment More than half of respondents reported that they treated their water in the home before drinking it. However, in most cases where the household reported treating their drinking water, the water sampled from the drinking water container did not contain any free chlorine residual. In six of 34 the samples of water that had been treated with bleach, residual free chlorine levels surpassed the upper limit of the test method, indicating a lack of knowledge about appropriate home chlorination or possible accidental introduction of bleach into drinking water containers. No households that reported using a filter had filtered water available for testing at the time of the survey. The proportion of E. coli-positive samples was lower in samples that had been reportedly boiled than in untreated samples (27% vs. 62%). While boiling is generally not recommended in a chlorinated system due to its removal of chlorine, in this case where most tap water samples did not have measureable free chlorine residual, boiling appeared to be an effective method for reducing contamination. Other than boiling and adding bleach, many respondents stated that they treated their drinking water by allowing it to settle in a container, believing that settling constituted treatment for more than just aesthetic concerns. This reflects a lack of knowledge about effective home treatment methods and underscores the need for community education as long as home treatment continues to be necessary. 2.7.2 Household Water Storage Most GWI customers experienced periods of interrupted service and low pressure on most days. Inconsistent service often necessitates secondary storage of water in the household, either in tanks and large drums and/or in smaller drinking water containers. Secondary storage increases the opportunity for the introduction of contaminants and increases hydraulic residence time (and hence chlorine dissipation) prior to consumption. The proportion of residual free chlorine-compliant samples was lower in stored versus tap samples. Both total coliform and E. coli counts were higher in samples taken from tanks and drinking water containers than from those taken directly from the tap, likely reflecting contamination through increased handling or from storage in unclean vessels, combined with the loss of chlorine through dissipation. While numbers were insufficient for statistical significance, there was a trend towards decreasing free chlorine residual and increasing microbiological contamination from taps to tanks to drinking water containers. The paired samples from taps and tanks of the same households showed lower residual free chlorine levels in tanks than taps unless bleach was added to the tank. Paired tap and drinking water container samples also showed a loss of free chlorine residual in drinking water containers as compared to tap samples. 2.8 Off - network Water Use A number of communities, including squatter communities and some as yet unincorporated new housing developments are not currently on the distribution network. Residents of these areas get their water supplies from springs, creeks and rain water collection. These areas include the Amelia’s Ward new housing scheme, 3rd Phase/Phase 1B Wismar, Blueberry Hill squatter area, Old England, and the West Watooka squatter area. In addition, there are unconnected households interspersed within generally connected areas. Some residents who are connected to the water distribution network also supplement their piped supplies with water from the springs, creeks and rain when the system is non-operational or pressure is low. 35 3.0 HAZARD IDENTIFICATION AND RISK ASSESSMENT The identification and assessment of the impacts of hazards and hazardous events on the water supply system is a critical component in the development of the WSP. According to the WHO Guidelines for Drinking Water Quality, 3rd edition, hazards are defined as: physical, biological or chemical agents that can cause harm to public health. Risk assessment involves the identification of the threats to human health posed by each hazard, in relation to both the likelihood and severity of the occurrence. 3.1 Hazard Identification A preliminary hazard identification exercise for the Linden water supply system was conducted in October 2007 as part of an NPA/WSP workshop held in Georgetown. The workshop sought to obtain inputs from a variety of agencies and Linden stakeholders. Subsequent site visits were made to corroborate preliminary information gleaned from that workshop. Further hazards were identified through a thorough review and analysis of water quality testing and monitoring records of GWI and Ministry of Health and through analysis of household survey results. Through these activities, the WSP team developed a list of hazards which were categorised according to the various stages of the supply chain – those occurring in the watershed, during treatment and distribution, and in the household”. The information gathered was validated through further site visits, independent laboratory sampling and analyses, stakeholder workshops and household surveys. These hazards were further deliberated on in a three (3) day Workshop held in Linden in September 2008 with the aim of ranking these hazards/risks in order of priority. The hazards that related to the watershed were discussed in a parallel NPA workgroup during the September 2008 workshop. The NPA grouping assessed these hazards as part of the NPA process and these will be reported as part of the NPA document. During the workshop, the WSP group was divided into two sub-groupings. One group, which comprised of GWI employees, was charged with discussions specific to water safety as it related to GWI operations. The other sub-grouping comprised of participants from monitoring agencies such as the Ministry of Health, Regional Democratic Council for Region 10, Environmental Health, Food and Drugs Department, PAHO etc. These groups were divided in this way so that the various persons with different areas of expertise would be able to focus on the hazards that most related to their area. The two groups discussed hazards, the control measures and the limitations to control measures. Where hazards were not found to be effectively controlled, corrective actions were developed. These corrective actions were then prioritised, responsible parties were assigned and targeted timelines were developed. Where applicable, empirical data were used to justify the hazards. Often, several findings were related to the same hazard. For example, the finding of levels that exceeded the recommended standards for turbidity, iron, aluminium, colour, total coliforms and faecal coliforms all indicated that treatment plants were not operated optimally. The other main hazards identified were: RELATING TO TREATMENT: • Insufficient chlorination practices 36 • • • • • • • • • • • • • Lack of timely ordering and/delays in delivery of chemicals for water treatment and laboratory testing Equipment failures Operators do not consistently record finished water quality Poor quality of source water from the Demerara River West Watooka intake is located near Bosai Mining company’s discharge pipe Backwash and water from clarifier at West Watooka WTP are returned to river near intake Low pH of surface water Lack of reliable and consistent sampling methods between agencies Inconsistent and expensive power supply High turbidity standard used (not a health-based standard) No system in place for reporting WQ surveillance results from MoH to GWI No system in place for reporting WQ surveillance results from regional bodies to central MoH Inadequate reporting system between GWI and the regulatory agencies RELATING TO DISTRIBUTION: • Leaks in the distribution network • Lack of routine monitoring of chlorine residual in the distribution system • Lack of consistent surveillance monitoring in the distribution system RELATING TO THE HOUSEHOLD: • Inadequate cost recovery • Unsafe household treatment and storage practices • Contamination of surface and ground waters through use of unsafe pit latrines The hazards identified through the hazard analysis, and the associated findings are listed in Table 5.1: Hazards and Corrective Actions. Watershed level hazards that were identified are listed and discussed in the NPA Report. 3.2 Prioritisation of Hazards Given the broad scope of the WSP, it is common to identify a large number of hazards and a similarly large number of associated control measures. It is therefore necessary to rank these hazards in order of priority, to ensure that needed resources are channelled in the most efficient and effective manner. WHO guidelines recommend the use of a semi-quantitative approach using a prioritisation matrix. The objective of the matrix is to focus attention on the most significant hazards using a ranking system that scores hazards based on the factors of likelihood and severity. .However, given the largely subjective and time consuming nature of this exercise, a decision was taken by the WSP partnership group to adopt a more qualitative risk management approach, which relied on expert judgement and experience to reach consensus among team members in determining priority areas of focus. The group also decided to delay priority ranking of risks until after control measures had been considered. As a result, prioritisation would be discussed in Section 5.0, Corrective Actions. 37 4.0 CONTROL MEASURES The process of risk assessment involves the review of control measures at critical points within the water supply system. Control measures are defined by the WHO guidelines as being actions, activities and processes applied to prevent or minimise the occurrence of hazards in a water supply system thereby ensuring that the quality of water supplied meets health based standards. In considering the existence and effectiveness of control measures for the Linden water supply system, the WSP team undertook: • a review of the regulatory framework governing water resources management • a review of the agencies with monitoring and surveillance responsibilities • a physical review of GWI’s treatment and distributions systems • a review GWI’s operating procedures, protocols, and documentation • a review of laboratory capabilities Examples of control measures identified included: • relating to treatment: existing treatment processes, use of lime to raise pH, supervisory oversight, maintenance of log sheets at WTPs, existing memorandums of understanding between agencies for reporting water quality monitoring results • relating to distribution: protocols for monthly sampling for chlorine and microbial contamination, replacement of ageing pipeline • relating to household-level factors: metering to increase cost-recovery, public outreach campaigns through health centres, schools and general public service announcements to address unsafe household treatment and storage practices General findings included the fact that most of the control measures identified were never documented or evaluated on the basis of efficiency. As a result, existing control measures continued to be used regardless of whether they were effective or not. Limitations to the effectiveness of the existing control measures were also noted. For example, based on the results of water quality testing and the reports from the operators, it was clear that the processes were not optimised as the water quality results were highly variable. Given GWI’s financial status due to poor revenue collection, the plants face difficulties with respect to the replacement of essential parts and procurement of needed consumables and are therefore sometimes not able to ensure that the processes operate as required. The monitoring agencies also have control measures in place, but many times these are not structured or adhered to. Many of these control measures relate to communication protocols between these agencies and the water utility. They also did not have a structured monitoring regime in place for the water received by consumers and were consequently not testing all the key parameters. These agencies are also hampered by lack of resources and the fact that their main laboratory had been in the process of moving. As a result, they were not able to access any laboratory facilities in order to ensure that water quality testing was done. These monitoring agencies do engage in public education campaigns periodically, a lot of times they are supported by PAHO. However, a lack of resources hampers the continuity of these programmes. All the control measures are stated in Table 5.1: Hazards and Corrective Actions. The effectiveness of these existing control measures are also discussed in this table. 38 5.0 CORRECTIVE ACTIONS After the control measures were discussed and evaluated, corrective actions were identified for each hazard. After these had been identified, the corrective actions were prioritised. A ranking of High (H), Moderate (M) or Low (L) priority were assigned to each corrective action. These rankings were derived based on group discussions and consensus. The groups took a variety of factors into consideration during their deliberations. These included the severity of the hazard (based on the threats to health associated with poor water quality), the likelihood that the hazardous event would occur, the feasibility of implementation of the action(s), and the availability of financial and personnel resources to implement the action(s). Some of the corrective actions include: • • • • • • • • • • • • • • • • • • • • • • • Optimise plant operations to ensure that proper water quality is obtained and that variability is minimised Operator training Increase monitoring of all relevant water quality parameters by both GWI as well as the monitoring agencies Make infrastructural improvements Establish sharing of information both within and external to GWI Provide public education Conduct monthly meetings in Linden with the utility and community members Ensure that chlorine residual is monitored in the distribution network Ensure that there is adequate inventory of all chemicals needed for the treatment plants Increase pH of the water by the addition of lime or sodium hydroxide Consider sourcing of water from the Dakoura Creek Implement leak detection programme Identify vulnerable households to pursue funding for improved sanitation Replace filter media Establish process for sharing water quality data with operators Develop and implement line flushing programme Develop and enforce planned maintenance programme Improve supervision at plants Develop national standards on Water Quality Promote Rain Water Harvesting Establish Water Surveillance Database Develop and implement Standard Operating Procedures for all plants Promote independent quality assurance testing for all water testing laboratories The actions also called for the development of operational monitoring plans that include timeframes, responsible parties for implementation and oversight personnel. Critical corrective actions (those with a High Priority ranking) were identified. Barriers to implementation of these corrective actions were also discussed. It was recognised that these barriers needed to be overcome in order to ensure the success of any intervention. Ensuring that there is buy-in by all the major stakeholders is one critical factor of success. It is important that this is done through consultations (this has been on-going throughout the duration of the development of the WSP) as well as effective Public Education and Awareness strategies (addressed in more detail in Section 9.3). 39 The group discussions focused on the implementation of the Water Safety Plan and how important the corrective actions were. It was recognised that even though there were responsibilities assigned to every activity, there would be the need for periodic reviews by the Steering Committee as well as future auditing of the plan to ensure the effectiveness of these corrective measures. These issues are further elaborated on in Section 10.0. Remediation measures were identified as being short, medium or long term with respect to implementation and impact. There was the recognition by stakeholders that most of the corrective measures identified were short term (i.e. within a 12 month period) and non-capital intensive in nature. It was, however, recognised that even the seemingly simpler corrective actions still required the commitment of the responsible agencies and the allocation of required resources. In addition to assigning responsible parties to each corrective action, time frames for initiation of each corrective action were determined, and these will provide a basis for accountability to the Steering Committee for addressing the prioritised hazards. Table 5.1: Hazards and Corrective Actions details the corrective actions identified. The priority rankings are also listed next to each corrective action in this table. The responsible parties and some suggested time frames are also noted. 40 Table 5.1: Hazards and Corrective Actions Hazard Findings Existing Control Measures Limitations/Effectiveness Corrective Actions Barriers to Implementation Priority Responsible Parties Target Timeline Raw water values for iron at the West Watooka WTP higher than raw water values at McKenzie and LPC despite the common source (Demerara River). Findings listed beside hazards above (associated with lack of optimised treatment) are also due in part to the poor quality of the Demerara Location of intake; EPA regulations Proximity of intake to source of contamination (Bosai operations); lack of enforcement of EPA regulations (?) 1) Explore option of sourcing Dakoura Creek; 2) encourage EPA enforcement of environmental regulations Funding; need for feasibility assessment (for sourcing Dakoura) H GWI, EPA 1) Engage EPA immediately; target enforcement by March 09 Alum/lime (coagulation); settling; filtration Physical limitations of existing infrastructure to treat poor quality water 1) Explore option of sourcing only Dakoura Creek (and Amelia's Ward) Funding and need for feasibility assessment (for sourcing Dakoura) M-H GWI 1) Feasibility assessment to be completed by Dec 09 Most samples taken at all 5 WTPs were below (well below in the case of surface water WTPs) GWI's pH standard of 6.5-8.5. Lime No lime is added 1) Chemical addition for pH adjustment (adding lime or sodium hydroxide); 2) explore sourcing Dakoura Creek Chemical cost; cost of installing new tanks M GWI 1) Dec 09; 2) feasibility assessment to be completed by Dec 09 SOURCE WATER West Watooka intake is located near Bosai discharge pipe, threatening water quality Poor quality of Demerara increases cost of treatment and limits the ability of treatment plants to meet water quality standards (including maintenance of chlorine residual due to high turbidity) Low pH of all surface water may cause indirect health effects (due to corrosivity and metal leaching) 41 Hazard Findings Existing Control Measures Limitations/Effectiveness Corrective Actions Barriers to Implementation Priority Responsible Parties Target Timeline Contamination of ground and surface waters through usage of pit latrines. Pit latrines were associated with higher incidence of diarrheal illness. Old guidelines exist, plans in place to update guidelines for VIP construction. Guidelines for construction of pit latrines are not consistently followed. MoH to identify vulnerable households and aggressively pursue funds (from funding agencies) for improving sanitation for these households. Increase education and enforcement of existing sanitation guidelines and expand guidelines to incorporate Ventilated Improved Pit (VIP) latrines. None M MoH Dec 09 None M MoH/RDC, M&TC Jan 10 1) Optimise treatment processes (operator training; “train the trainer” programme; provide 24/7 service); 2) replace filter media Lack of operator capacity (no minimum qualification requirements) creates a challenge for designing an effective programme; funding (for filter media replacement) Impoverished communities cannot afford to construct latrines according to guidelines. TREATMENT Treatment plants are not operated optimally POE turbidity was routinely higher than the standard of 5 NTU at McKenzie and LPC WTPs and values were highly variable. POE iron concentrations at McKenzie WTP violated the standard of 0.5 mg/L in some of samples, and values were highly variable. Alum/lime (coagulation); settling; filtration; at McKenzie, regulate flow rate (raw water intake) Treatment processes not optimised; need to replace filter media Coagulation, settling, filtration Treatment processes not optimised; need to replace filter media The standard for aluminium of 0.2 mg/L was violated in POE samples taken from plants using aluminium sulphate for coagulation Jar testing for optimisation (to determine the appropriate alum dose/ pH combination); hydrometer; Treatment processes not optimised; need to replace filter media 42 H GWI 1) Jun 09; 2) Dec 09 Hazard Findings Existing Control Measures Limitations/Effectiveness (West Watooka, McKenzie and LPC WTPs). sedimentation basin; filters Colour in POE samples at all 3 conventional plants (West Watooka, McKenzie and LPC WTPs) was highly variable and routinely and significantly exceeded the standard of 15 TCU. Colour values were commonly 2-3 times the limit at each plant. Finished water at all 5 WTPs was commonly contaminated with total and faecal coliforms. Alum/lime (coagulation); settling; filtration Treatment processes not optimised; need to replace filter media Treatment plant processes (including disinfection) Treatment processes not optimised; need to replace filter media Turbidity at Amelia's Ward WTP was consistently and significantly increased through the WTP, resulting in frequent POE turbidity levels greater than the standard of 5 NTU despite raw water turbidity values generally below 2 NTU. Aeration; filtration Treatment processes not optimised; need to replace filter media 43 Corrective Actions Barriers to Implementation Priority Responsible Parties Target Timeline Hazard Insufficient chlorination practices result in insufficient residual to protect against microbial contamination Findings Existing Control Measures Limitations/Effectiveness POE iron concentrations at Amelia's Ward WTP were consistently and significantly above the standard of 0.5 mg/L. Aeration; filtration Treatment processes not optimised; need to replace filter media Treatment processes at Wisroc WTP generally did not reduce (and on multiple occasions contributed to) turbidity, iron, aluminium and colour. Consequently, aluminium and colour were frequently and significantly in violation of the recommended standards. Non routine distribution sampling indicate low presence of chlorine residual Treatment processes Treatment processes not optimised; need to replace filter media. (Note: addressed below is the issue of operators bypassing holding tank and filters, which is necessary because network demand exceeds plant capacity due to leaks in the system and consumer waste.) Treatment processes not optimised; need to replace filter media (funding); limited monitoring (accountability/oversight; resource constraints; limited sharing of information); work remaining to repair leaks Treatment plant processes (including disinfection)monitoring; pipeline programme; leak protection programme (including replacement of ageing infrastructure 44 Corrective Actions Barriers to Implementation Priority Responsible Parties 1) Optimise treatment processes (operator training; “train the trainer” programme; provide 24/7 service); 2) replace filter media; 3) establish a process for sharing water quality findings with Lack of operator capacity (no minimum qualification requirements) creates a challenge for designing an effective H GWI Target Timeline 1) Dec 08; 2) Dec 09; 3)-5) Dec 08 Hazard Findings Existing Control Measures Limitations/Effectiveness Corrective Actions Barriers to Implementation Water samples from routine distribution system water quality monitoring (2007) were commonly contaminated with total and faecal coliforms. Treatment plant processes (including disinfection); monitoring; pipeline programme; leak protection programme (including replacement of ageing infrastructure) Treatment plant processes (including disinfection); monitoring; pipeline programme; leak protection programme (including replacement of aging infrastructure) Treatment processes not optimised; need to replace filter media (funding); limited monitoring (accountability/oversight; resource constraints; limited sharing of information); need to repair leaks Treatment processes not optimised; need to replace filter media (funding); limited monitoring (accountability/oversight; resource constraints; limited sharing of information); work remaining to repair leaks operators; 4) increase operator accountability; 5) developing and implementing a line flushing programme programme; funding (for filter media replacement); valve accessibility issues; limited human resources; inaccurate (or lack of) network drawings Of 47 tap water samples (no on-site storage) taken from all 5 distribution systems for microbiological testing during the HH survey, 64% of samples were positive for total coliforms and 23% were positive for E. coli. Approximately 70% of water quality samples taken from the distribution system between January 2006 and March 2008 for surveillance monitoring by either RDC or M&TC were positive for either total or faecal coliforms (or both). Treatment plant processes (including disinfection); monitoring; pipeline programme; leak protection programme (including replacement of aging infrastructure) 45 Priority Responsible Parties Target Timeline Hazard Findings Existing Control Measures Limitations/Effectiveness Corrective Actions Barriers to Implementation Priority Responsible Parties Target Timeline Lack of timely ordering and/or delays in delivery of chemicals for water treatment and laboratory testing can impact operations and monitoring. Inventory; order and follow up; Inventory and ordering practices in Linden are effective; shipping delays; delayed procurement 1) Ensure a 3-month supply is on hand; explore local production of alum (no target timeline); 2) stringent contract specifications with supplier; 3) develop and enforce a more efficient procurement programme in Georgetown Feasibility study needed for local production of alum (sulphuric acid); capital investment needed for production facilities H GWI 1) Effective immediately; 2) Dec 08; 3) Dec 08 Equipment failures affect GWI's ability to treat and deliver water. Spare part storage; procurement system; response maintenance programme Insufficient parts in storage; dependency on parts from overseas (vulnerability to shipping delays); limited local capacity to machine parts; procurement delays; no preventive maintenance programmes; lack of availability of key equipment to perform maintenance 1) Develop and enforce a planned maintenance programme; 2) hire maintenance personnel (1) with oversight in Linden; 3) link annual materials plan to budget process; 4) empower division to outsource repair jobs (grant necessary authority/autonomy); 5) procure needed equipment (pump hoist) Human resource limitations for preventive maintenance; limited local personnel with maintenance skills; securing buy-in within finance group; funding (to procure needed equipment); management resistance Operators do not consistently record finished water quality at any of the 5 WTPs. Supervisory oversight; log sheets Limited supervisory 1) Increase operator oversight/accountability accountability through increased supervisory oversight 46 Human resources; transportation limitation H H GWI GWI 1) Mar 09; 2) Mar 09; 3) Sep 09; 4) Dec 08; 5) Dec 09 1) Effective immediately Hazard Findings Existing Control Measures Limitations/Effectiveness At West Watooka, backwash and water from clarifier (dislodge water) is returned to river near intake (~40 ft away) High turbidity standard means that disinfection processes are not optimised and may pose health risks. Raw water values for iron at the West Watooka WTP higher than raw water values at McKenzie and LPC despite the common source (Demerara River). Location of intake Proximity of intake to 1) Source Dakoura source of contamination Creek; 2) relocate the (plant discharge) effluent pipe GWI's turbidity standard of 5 NTU is higher than WHO and USEPA standards/recommendati ons. The data indicate that all plants (except Amelia's Ward) are capable of achieving POE turbidity considerably below 5 NTU. Turbidity limit of 5 is used, in accordance with WHO stated value for aesthetic acceptability by consumers. Not a health-based standard. Lower turbidity levels can be achieved by GWI. Inconsistent supply of power and high cost of power affects ability to provide daily water service Inconsistent/unreliable power supply affects GWI's ability to consistently treat and deliver water. Overhead treated water storage Existing pumps are inefficient because of insufficient maintenance; network variables (preventing optimal and consistent operation of pump); chemical degradation of pump 47 Corrective Actions MoH in collaboration with GNBS and other stakeholders review third version of WHO guidelines and set national standards (including turbidity) based upon healthbased standards or recommendations. May propose step-wise targets to reach desired turbidity values as system improvements are made. 1) Promote rainwater harvesting (reduce demand); 2) create a preventive equipment maintenance programme (with equipment history cards); 3) non-revenue Barriers to Implementation Priority Responsible Parties Target Timeline Funding; need for feasibility assessment (for sourcing Dakoura) M-H GWI 1) Feasibility assessment to be completed by Dec 09; 2) relocate effluent pipe by Jun 09 Achieving standard may not be immediately feasible; hence this may need to be done in a stepwise approach. H MoH May-09 Funding (for bringing overhead tank on line or exploring alternative power supplies); competing priorities for M GWI 1) Jun 09; 2) 3/09 (see above); 3) ngoing, to be completed by Dec 12; 4) Dec 10; 5) Dec 09; 6) Hazard DISTRIBUTION The existing water quality monitoring plan does not include routine monitoring of chlorine residual in the distribution system Leaks in distribution network make system vulnerable to contamination. Also cause operators at Findings Existing Control Measures Limitations/Effectiveness Corrective Actions Barriers to Implementation High cost of power affects GWI's ability to provide 24/7 service to customers, causing low pressure conditions in the distribution network and requiring consumers to store water at home. Pump efficiency; overhead storage to allow gravity distribution (Wisroc) impellers; overhead storage tank (at Wisroc) not used (because of need for pipeline to tank, as existing pipeline is undersized); hydraulic analysis is needed water programme (to reduce leaks network variability); 4) install pipeline to deliver pipe from Wisroc to tank; 5) perform hydraulic analysis; 6) explore alternative power options funding; human resource limitations (for preventive maintenance); feasibility analysis for alternative/backup power supplies 48 Responsible Parties Target Timeline Dec 12 Human resources; transportation limitation; funding (for testing reagents) H GWI 1) Jun 09 Implement leak Soil type creates to detection and demand challenges suppression (non- identifying leaks; revenue water resource availability (due in programme) part to prevalence of leak problem country-wide) H GWI Ongoing, to be completed by Dec 12 Microbiological water Chlorine residual is not 1) Include chlorine quality monitoring (in routinely tested residual testing as part distribution system) of routine distribution system monitoring availability of Non-revenue water Timely (material, programme (including resources replacement of aging personnel) pipeline material) Priority Hazard Findings Existing Control Measures Limitations/Effectiveness Wisroc to bypass holding tank and filters to maximise flow through plant (deliberately exchanging quality for quantity). Treatment processes at Wisroc WTP generally did not reduce (and on multiple occasions contributed to) turbidity, iron, aluminium and colour. Consequently, aluminium and colour were frequently and significantly in violation of the standards. (Note: problem also listed above because it may be due to either, or both, unintentional and intentional deviations from optimised operations) Approximately half of the households with GWI connections interviewed during the HH survey reported that they did not pay for water service or paid less that the billed amount. Some consumers were unwilling to pay for poor quality service Treatment processes Operators bypassing holding tank and filters, which is necessary because network demand exceeds plant capacity (due to leaks in the system and consumer waste) Billing; disconnection campaign; public outreach; customer complaints line; treatment processes (to improve quality of water and willingness to pay) Unwillingness to pay; poor quality/service; incorrect billing; poor response to customer complaints (customer services) Inadequate cost recovery affects GWI's ability to provide safe water 49 Corrective Actions Barriers to Implementation 1) optimise treatment processes; 2) customer service training (training of GWI personnel and consumers to ensure understanding of complaints procedure); 3) provide a toll-free hotline; 4) develop and implement targeted (Linden-specific) PR Insufficient capacity among customer service trainers; insufficient commitment/profe ssionalism to GWI (among GWI personnel); inadequate internal employee care (affecting Priority Responsible Parties H GWI Target Timeline 1) Jun 09; 2) ongoing process to begin Dec 08; 3) - 5) Dec 08 Hazard MONITORING There is no system in place by which GWI water quality monitoring results reach the surveillance authority (MoH, RDC, M&TC). Findings Existing Control Measures Limitations/Effectiveness Corrective Actions Barriers to Implementation Insufficient cost recovery affects GWI's ability to operate, maintain and make capital investments in the system. Metering; billing; disconnection campaign; public outreach; customer complaints line; treatment processes (to improve quality of water and willingness to pay) Socio-political challenges with disconnection (or full cost recovery); customer service training needs; need to identify effective medium to reach customers; treatment processes not optimised (see limitations above); cost of contacting GWI in Georgetown strategies and programmes; 5) identify effective medium for reaching consumers Perceptions of GWI by community affect relations with GWI and willingness to pay. Public outreach (TV programme, press releases); monthly meetings major stakeholders Limited effectiveness of communication medium morale and limiting GWI personnel investment and commitment to company); belief among consumers that water should be free; enforcement of disconnection (limited human resources) and corruption among contractors None There is a MoU between the MoH and GWI for sharing data however this MoU is only applicable in emergency situations. Revise and formalise the MoU to establish routine and emergency inter- and intra-agency surveillance monitoring and reporting mechanisms. Mechanisms for routine data sharing will include: (1) A GWI intra-agency mechanism for cohesively collecting and reporting surveillance information between Commitment and trust Funding (for purchase of database software); human resources to perform data entry; human resource limitations within MoH 50 Priority H Responsible Parties GWI (1,2) Target Timeline Oct-09 Hazard Findings Existing Control Measures Limitations/Effectiveness Corrective Actions Barriers to Implementation Priority Responsible Parties Target Timeline M MoH/CBH (3) Oct-09 H GWI, MoH/CBH Oct-09 H M&TC, MoH, RDC (4) regional and national level; (2) National level GWI then reports surveillance data to Central Board of Health on a monthly basis; There is no system in place by which MoH surveillance results regularly reach GWI. Under the present system, GWI learns of unsatisfactory surveillance findings through a public health advisory. M&TC and RHO share water testing surveillance (chemical and microB) data with GWI on a monthly basis. No structural reporting mechanism in place to share data among these three agencies (RDC/ MoH, M&TC and GWI). RDC reports only go to the RHO. GWI does not share their testing data with these agencies. 51 (3) CBH (MoH) shares that information with the RHO); Mechanisms for emergency surveillance data reporting is: GWI will immediately inform the Chief Medical Officer of emergency events. CMO will then inform the relevant personnel (MOH Env Health Unit, M&TC). (Need to define "emergency" from health perspective.) Revise MoU as above to include routine surveillance reporting between EHO and MoH/RDC on a monthly basis. (4) EHO will report monthly regional surveillance data to the RHO. RHO then reports monthly to Institutionalising this reporting mechanism. May-09 Hazard Findings Existing Control Measures No structural reporting mechanism in place to share data among these RDC/ MoH and M&TC There is not a formalised system in place by which surveillance data collected by regional bodies is reported to central MoH. Lack of consistent Limitations/Effectiveness Surveillance monitoring of the distribution Monthly monitoring and sampling protocol All relevant parameters are not being monitored. 52 Corrective Actions MoH and to regional GWI. (Regional GWI will be responsible for reporting to central GWI). Emergency surveillance reporting: Inspectorate (Food and Drug Lab)/EHO will make calls to MoH, RHO and M&TC. RHO will share that info with GWI. Establish a Water Surveillance database to be instituted collaboratively by relevant agencies. Standard Operating Procedures need to be developed and implemented. Should include: 1) Sampling methodologies, frequency, locations, recording; 2) Testing methodologies & quality assurance & documentation; 3) Recording & Reporting schedule: routine & emergency Adopt routine schedule as prescribed by WHO Barriers to Implementation Priority Responsible Parties Human resource and expertise constraint. H MoH Inspectorate/ EHOs May-09 Securing funding and expertise M MoH, M&TC, PAHO Oct-09 M GWI, MoH/RDC, M&TC May-09 H MoH/RDC, M&TC May-09 None Target Timeline Hazard Findings Existing Control Measures Limitations/Effectiveness Corrective Actions surveillance monitoring in the distribution system system is not consistently performed by RDC or M&TC. exists for RDC, M&TC. Monitoring is not done as planned. Lack of reliable sampling methods and consistency between agencies. Microbiological sampling methods are not consistent between GWI and RDC/M&TC, which has raised concerns about result validity. water surveillance guidelines (population and monitoring points). Consider alternative Financial microbiology and constraints chemical field testing kits for Environmental Health Officers. Independent quality None assurance (proficiency) testing should be done for GWI and F&D labs to ensure consistency of testing. There is no system in place for reporting surveillance results to GWI. Under the present system, GWI learns of unsatisfactory surveillance findings through a public health advisory. Limited public awareness and education regarding household water practices leads The HH survey showed that there is a lack of knowledge about appropriate home treatment practices. Barriers to Implementation WHO methodology is being used by both GWI, M&TC and MoH. Different sampling techniques might produce different test results MOU between GWI and MoH System by which information shared is not being followed (or does not require that information is shared) 1) Enforce MOU (or None revise it to include information sharing for routine operations, including frequency of sharing) and setting up a channel of communication/collabo ration between GWI and MoH Routine public health messages delivered through health centres and schools as well as posters and flyers produced by MoH. Perhaps messages are not reaching target audience or are in an ineffective format. Short term: make existing information materials more readily available to schools and to households. MoH print brochures 53 Financial constraints bureaucratic procedures. Priority Responsible Parties M MoH – Standards & Technical Unit, Food & Drug MoH – Standards & Technical Unit H M H and GWI, MoH Target Timeline Jul-09 Jan-09 & annually thereafter 1)Jun 09 MoH, RDC, May 09 M&TC Hazard Findings Existing Control Measures Limitations/Effectiveness to unsafe treatment and storage practices that are associated with health risks. Storage in household tanks and household drinking water containers leads to loss of chlorine and increased opportunities for contamination. Basic public awareness through general PSAs. PSAs do not address maintenance of storage tanks. Improper rain water harvesting at household level. None PSAs do not address rain water harvesting issues. 54 Corrective Actions and sends to RHO, RHO passes on to EHOs and M&TC who then disseminate to households and schools as part of routine visits. Long term: Develop creative and stimulating PSAs for populace through a communication mechanism that conducts social marketing assessments. Include impact evaluation. Develop and disseminate (as mentioned above) information materials to specifically address proper maintenance and use of storage tanks and household drinking water containers. Develop and disseminate (as mentioned above) information materials to specifically address proper rain water harvesting and storage. Barriers to Implementation Priority Responsible Parties Target Timeline Financial constraints and bureaucratic procedures. M MoH (with assistance from PAHO, CDC, UNICEF, UNESCO) Feb-10 Financial constraints and bureaucratic procedures. H MoH Aug-09 Financial constraints and bureaucratic procedures. H MoH, EPA, CEHI, GWI, PAHO Aug-09 Hazard Findings Existing Control Measures Limitations/Effectiveness Corrective Actions Barriers to Implementation HH survey found that consumers turned to unsafe alternate supplies for drinking. Public education is done through house to house visits by EHOs and health workers. Public education is only being done through limited means and only tackles general water safety issues. Expand public education mechanism to include community leaders, edutainment initiatives, etc to disseminate information designed to dispel incorrect perceptions about alternative water supplies. Financial constraints and bureaucratic procedures. 55 Priority H Responsible Parties MoH Target Timeline Aug-09 6.0 MONITORING OF CONTROL MEASURES Once corrective actions have been defined and implemented, these need to be monitored to ensure that they function effectively. Effective monitoring relies on establishing: • What will be monitored • How it will be monitored • The timing or frequency of monitoring • Appropriate locations for monitoring • Who will do the monitoring • Who will analyse the samples • Who will interpret the results • Who receives the results for action Based on the work of the Water Safety Plan some of the major monitoring procedures were developed or reinforced. These are detailed in Table 6.1. Some examples of these are: • • • • • • Key parameters such as turbidity, pH and iron should be monitored as part of the source water protection programme Turbidity should be monitored as part of the coagulation, flocculation, sedimentation and filtration processes at West Watooka, LPC and McKenzie WTPs Turbidity of final water will be measured after filtration to monitor the efficacy of filtration at the West Watooka, LPC, McKenzie and Amelia’s Ward WTPs Operator training to ensure they become familiar with the WTP operations Standard Operating Procedures need to be developed (details are in Section 8.0) Public Awareness and Public Education (PA/PE) programmes that have been developed need to be monitored. This includes monitoring the frequency of distribution and ensuring that the messages are being received. It is important that operators understand the importance of performing on-going monitoring as part of their routine work. They also need to record the monitoring results consistently and take the necessary corrective actions when a process is out of control. In order for this to happen, they need to be properly trained in all aspects of operations and monitoring. Equally important is the role of the supervisors in the monitoring process. They have to be vigilant regarding water quality through the monitoring of records and as well as through seeking ways to improve the process. Contingency plans should be understood by all employees. It is also important that there is a co-ordination of efforts between various agencies that perform water quality testing. Recommendations have been made (Table 9.1) that address the timely communication of monitoring results amongst GWI, MoH and all other local and regional agencies. In order to ensure that this takes place, complete Standard Operating procedures should be developed (see Section 8.0 for more details). The issue of water quality standards had been discussed since the inception of the Water Safety Plan. Although Guyana has “adopted” the WHO guideline values, the country has never developed national standards. It is recommended that national standards should be developed for Guyana. This would be done through a technical sub-committee of the Guyana National 56 Bureau of Standards (GNBS). This sub-committee would examine all the mitigating circumstances, any existing documentation and studies and allow baseline studies to be developed. This approach would allow the sub-committee to recommend standards that are achievable, while at the same time providing a step-wise approach to allow for improvements. 57 Table 6.1: Monitoring Procedures Critical Control Measure Parameter to be monitored Acceptable Range Where? When is it done (frequency)? By Whom? Who ensures that work is done? Corrective Action for non-compliance Comments Source water protection programmes (collectively) Turbidity Guided by NPA Raw water intake 08:00 AM daily Plant operators pH Guided by NPA Raw water intake 08:00 AM daily Plant operators Contact appropriate person(s) overseeing source water protection programmes Iron Guided by NPA Raw water intake 08:00 AM daily Plant operators While higher frequency would be ideal, it is important to be realistic about cost of reagents and gradually increasing operator workload/responsibility Coagulation, flocculation, sedimentation (West Watooka, LPC, McKenzie) Turbidity (after these processes) Sedimentat 08:00 AM daily ion basin effluent Plant operators Perform jar test/daily for optimal alum dose/pH combination; check operation of chemical pumps; adjust flow (down to increase sedimentation time) No jar testing equipment at McKenzie or LPC Filtration (all plants but Wisroc) Turbidity Consult with hired expert to determine reasonable expected range; GWI empirical study (after optimisation training) to determine appropriate range in Linden This standard will be determined for each plant Plant supervisors or managers Plant supervisors or managers Plant supervisors or managers Plant supervisors or managers Final water Plant operators Plant supervisors or managers Backwash filters; otherwise explore need for filter replacement; manual cleaning of filter media; chemical stripping of media (caustic or acid) 08:00 AM daily 58 Critical Control Measure Parameter to be monitored Acceptable Range Where? When is it done (frequency)? By Whom? Who ensures that work is done? Corrective Action for non-compliance Filtration (Wisroc) Pressure (gauge) 1 to 5 psi Gauge on filter tank 08:00 AM daily Plant operators Plant supervisors or managers Disinfection Chlorine residual Final water 08:00 AM daily Plant operators Plant supervisors or managers Distribution line flushing programme Number of times flushed per quarter Pressure (pressure gauge) Range needs to be optimised as per plant. This value should ensure that at least 0.2mg/l is recorded at the most distant point At least one time Backwash filters; if not resolved by backwashing, explore need for filter replacement (sieve analysis); manual cleaning of filter media; chemical stripping of media (caustic or acid) Adjusting chlorine dose; check turbidity NA NA Distribution maintenanc e crew Plant supervisors or managers Pressure in the distribution system Distribution lines leaving the WTPs and Randomly selected points throughout the distribution systems 59 Disciplinary action Comments Critical Control Measure Parameter to be monitored Acceptable Range Where? When is it done (frequency)? By Whom? Who ensures that work is done? Corrective Action for non-compliance Operator training Number of operator training sessions per year Distribution of PA/PE materials At least 4 (a minimum of 2 formal training sessions) 2 classroom; 2 plant sessions Quarterly GWI training department Scientific Services Manager; HR Enforce training Home visits, Schools, public events, market etc Beginning June 09 Annually – home visits Quarterly – business visits MoH EHU, RHO Different information materials will need to be developed to target the different subject areas such as RWH, Ventilated Pit Latrines etc December 09 MoH and technical partners (GINA, PAHO, CDC) GWI, MoH (Central and Local), M&TC GWI (Head Office), Steering Committee Whilst most SOPs will be applicable across all five plants, some will have to be tailored to meet each plant’s needs. This process should be done collaboratively with the operators and Public health and hygiene education Target subject areas include: Improved Household Practices, Rainwater harvesting, safe alternative drinking supplies, proper pit latrine design and construction Public Service Announcements Standard Operating Procedures (SOPs) needs to be developed and implemented. Should include: 1) Sampling Frequency of airing of PSAs Standard Operating Procedures (SOPs) For all five treatment plants December 09 60 Comments Critical Control Measure methodologies, frequency, locations, recording; 2)Testing methodologies & quality assurance & documentation; 3)Recording & Reporting schedule: routine & emergency Water Surveillance database instituted collaboratively by relevant agencies Establish National Water Quality Standards Interagency reporting system from GWI to other agencies (a. Routine and b. Emergency) Parameter to be monitored Acceptable Range Where? When is it done (frequency)? By Whom? Who ensures that work is done? Corrective Action for non-compliance Comments supervisors to ensure a sense of ownership. This approach will greatly increase the success of their use. Water Surveillanc e Database MOU revised (include both routine and emergency ) Monthly Reports received For all relevant agencies, housed at the MoH March 09 EHU, Information Technology Department MoH, Steering Committee For all water quality parameters Process begins June 09 GNBS Steering Committee For all water quality results Monthly for routine reporting beginning June 09 Emergency – as necessary GWI, a. MoH, GWI, MoLG&RD, EPA, PAHO, CBH b. GWI reports to CMO who will then inform the relevant personnel (MOH Env Health Unit, M&TC). 61 Critical Control Measure Parameter to be monitored GWI intra-agency reporting mechanism between regions and central head office Use of alternative field test kits Intra agency reporting protocol Receipt of appropriate field test kits Acceptable Range Microbiological tests for water quality Where? For distributed water When is it done (frequency)? By Whom? Who ensures that work is done? On a weekly basis GWI (Regional) GWI (Head Office) EHU to research field test kits by March 09 EHU, PAHO 62 Corrective Action for non-compliance Comments 7.0 VERIFICATION Verification provides the evidence that the overall system design and operations are capable of consistently delivering water of a specified quality that meets identified health-based targets. Verification includes compliance monitoring; internal and external auditing of operational activities and determination of consumer satisfaction ( WHO Water Safety Plan Manual). For water quality in Linden, it is imperative to verify that operational procedures are being followed. This can be done through systematic assessment of the following parameters and activities: • E. coli and total coliforms not being present in the final water • E. coli and total coliforms not being present at different points along the distribution systems of each WTP • Turbidity level at different points along the distribution systems of each WTP • Chlorine residual at different points along the distribution systems of each WTP • Formal internal and external review of operational monitoring records from each WTP • Formal reporting of water quality testing results from laboratory to utility plant operators Verification of the system operation can be done through compliance monitoring by the utility of the parameters described above. Samples of finished water quality would be taken by the operators and/or the supervisors and tested on site (for residual chlorine) or sent to the Georgetown laboratory for analysis. Independently, samples would be tested routinely from points along the distribution system, including the most distal points, by the Environmental Health Officers and tested at the Laboratory of the Food and Drugs Division. It is very important that the results are analysed, summarised and sent back to the plant and to the operators so they can have adequate feedback on the quality of water they are responsible for treating. This is not currently occurring and as a result this system was recommended as a corrective action. This would not only allow for a sense of ownership and pride to be engendered but will also assist the plant with operational plans and decisions. The current scenario demonstrates severe lapses in testing, recording and reporting. Establishing these procedures would see a marked improvement in the verification process and more importantly in the quality of treated water. It would serve to highlight problems in a timelier manner. Having proper records would also facilitate regulatory oversight. Inter and Intra regional reporting systems have also been recommended for development/improvement. The results of the reports shared would inform all concerned parties about the quality of the water and any other incidents that should be highlighted. This would allow the necessary agencies to make timely interventions to improve the water quality or service delivery to the consumers. This system would also inform about other areas such as leaks, tampering with the distribution system and alternative water supply sources. The Ministry of Health has a Surveillance Unit, which is generally responsible for collecting, validating, collating, analysing data and information dissemination to inform decision makers for appropriate action (policy, budget allocation, prevention programmes, programme monitoring, etc). They are mainly concerned with the ongoing monitoring of distributions and trends in incidence and mortality of diseases and risk factors and this is achieved through systematic collection, validation, analysis and interpretation of morbidity, mortality and risk factor data. 63 They work closely with the Environmental Health Unit on issues of water quality as poor water quality is one of the contributing factors to illnesses. The monitoring agencies such as the Ministry of Health Surveillance Unit, Environmental Health Unit, Mayor and Town Council, Regional Health Officer etc. would be responsible for checking the applicability of the national standards for water quality through review. They also have a responsibility for water quality verification by testing for E Coli, Total Coliforms and Residual Chlorine. They will also gauge consumer satisfaction by conducting household evaluation surveys. Tables 7.1 and 7.2 detail these recommendations. 64 Table 7.1: Verification Procedures (Water Quality) Parameter to be monitored Acceptable Range When is it done (frequency)? Sampled by Tested by Who ensures that monitoring is done? To whom (internally) are results shared? To whom (externally) are results shared? And how often? Scientific Services Manager Head of division Central Board of Health (CBH); monthly Scientific Services Manager Head of division CBH; monthly Scientific Services Manager Head of division CBH; monthly Scientific Services Manager Head of division CBH; monthly Scientific Services Manager Head of division CBH; monthly Scientific Services Manager Head of division CBH; monthly Final Water/Distribution (where in distribution?) (West Watooka, McKenzie, LPC, Wisroc) pH 6.5 - 8.5 Biweekly Operators GWI Georgetown laboratory GWI Georgetown laboratory GWI Georgetown laboratory GWI Georgetown laboratory GWI Georgetown laboratory Operators Turbidity Biweekly Operators Iron <5 NTU (under review) <0.5 mg/L Biweekly Operators Aluminium <0.2 mg/L Biweekly Operators Colour 15 TCU Biweekly Operators Chlorine Residual >0.2 mg/L Biweekly Operators Total/Faecal None Biweekly Coliforms Final Water/Distribution (Amelia's Ward) Operators GWI Georgetown laboratory Scientific Services Manager Head of division CBH; monthly pH 6.5 - 8.5 Biweekly Operators Georgetown lab Scientific Services Manager Head of division CBH (Central Board of Health); monthly Turbidity Biweekly Operators Georgetown lab Scientific Services Manager Head of division CBH (Central Board of Health); monthly Iron <5 NTU (this target currently under review) <0.5 mg/L Biweekly Operators Georgetown lab Scientific Services Manager Head of division CBH (Central Board of Health); monthly Chlorine Residual >0.2 mg/L Biweekly Operators Operators Scientific Services Manager Head of division CBH (Central Board of Health); monthly Total/Faecal Coliforms None Biweekly Operators Georgetown lab Scientific Services Manager Head of division CBH (Central Board of Health); monthly Currently sampling for verification by GWI is done at nineteen locations along the distribution system. These points were chosen through a variety of criteria including ease of access to a point source and representativeness of the system. Distal points on the system were also chosen. The monitoring agencies through the EHOs choose taps at the consumers’ premises from which to sample the water quality. For thorough analysis, GWI should ensure that their points are maintained and the results should be analysed biweekly to ensure consistency. 65 Table 7.2: Verification Procedures (Surveillance) What is being Monitored Applicability of the National Standards Testing Laboratories Proficiency (GWI, F&D) Local Certification When is this done? By whom? Who receives the results? Five year review GNBS and technical team MoH, EPA, GWI June, 2009 GNBS GWI, F&D, MoH Water Quality (Distribution and Consumer) E. Coli monthly Environmental Health Officers (EHOs) RHO, MoH Total Coliforms Chlorine Content (Residual Chlorine) monthly EHOs RHO, MoH weekly EHOs RHO, MoH Operator results treatment plants from Results of bi-weekly water quality testing by GWI personnel Inter-agency monitoring and surveillance system (include emergency surveillance system) Household Practices (through Sanitary Inspections which includes inspections of storage facilities and use of alternative water supplies) Behaviour - through impact evaluation (Storage, RWH System, Household Treatment System) Adoption of water surveillance guidelines Compiled by GWI Supervisors Water quality tested by GWI laboratory and results compiled by GWI Scientific Services Manager Bi-weekly Bi-weekly Operators GWI Supervisors Every three months Surveillance, EH National Food Safety Committee Annually for households Quarterly/Businesses EHOs RHO, EHU June, 2010 EH March 2009 66 MoH, PAHO, M&TC MoH MoH, M&TC 8.0 MANAGEMENT PROCEDURES 8.1 Standard Operating Procedures (SOPs) During the discussion of corrective actions, Standard Operating Procedures were highlighted as being essential to the efficient and optimal operation of the water treatment plants. Whilst there are procedures in place, these are not always documented nor enforced and as a result, the system is prone to lapses in procedure. Additionally, ensuring the consistent communication of water quality information is very critical to the on-going operations of the plants and this can only be achieved if routine testing and recording takes place. Based on the findings of the Water Safety Plan, several management procedures need to be developed for the plants as well as the surveillance teams. The Standard Operating Procedures are detailed in Table 8.1. This table summarises the types of operating procedures that should be developed by GWI. These SOPs would detail all the necessary activities that should be undertaken as well as responsibilities. An example of an SOP is included in Appendix IV – Jar Test Procedure. Some of these procedures are simple and rarely require review. Others can be obtained directly from manufacturer’s specifications and manuals. The procedures that should be developed would include the following categories: • • • Start-up Procedures - How to start up? What kinds of check procedures are needed? What is the sequence of start-up? Normal Operating Procedures - What are normal operating procedures? What are the check points for normal operation? What are the minimum and maximum values of the checkpoints? What is the normal range of chemical dosages? Alternate Operating Procedures - How does the plant operate when the normal conditions change, the raw water quality changes, or a process or piece of equipment is out of service? An alternate operation procedure is usually a planned change to accommodate major maintenance, increased demand, or use of an alternate source. Table 8.1: Standard Operations Procedures CATEGORY DETAILS Start Up Procedures Normal Operating Procedures These will provide a description of the normal operation of each process. Each description assumes that the process is operating properly as designed and that all influent/effluent parameters meet the required standards. Equipment Inspection – Physical, Mechanical, Electrical 1. A general description of the process including schematics and related diagrams . 2. A description of the influent water quality including any anticipated variations should be provided for each unit/process. The description should include average, maximum, and minimum conditions. Reference should be made for any sampling/testing procedures which are involved 3. A description of all variables which may have an effect upon the unit/process operation. The maximum and minimum conditions should be indicated. a. A description of process variables would include loadings 67 CATEGORY DETAILS and feed rates applicable to the unit/process. b. A description of equipment variables would include speed settings, pump settings, etc. for the unit/process under consideration. Individual components must be considered in this description. 4. A description of valve positions related to normal operation (i.e., normally closed, normally open) of the process under operation. 5. A general description of the normal dosages of chemicals used in the process under consideration. The procedure should reference standard procedures for performance of tests (i.e., jar testing) to determine precise dosages . Also describe the calibration and adjustment of test equipment to ensure accuracy 8.2 Contingency Plans It is important that contingency plans are also developed to address any unforeseen event or emergency. GWI should anticipate what these conditions would be and establish the procedures for these conditions. It is important that operational staff know about these procedures and know how to access them when necessary. These procedures would be accessible in all offices. Posters summarising the most important emergency procedures would be posted on all accessible common areas and would be reviewed as part of any employee orientation process. Table 8.2 details some of the most important emergency procedures that should be adopted for Linden. Table 8.2: Emergency Procedures CATEGORY Emergency Procedures A list of potential emergency situations such as power, well and water storage failure, equipment failure, loss of supply, toxic contamination, drought, loss of aeration, chemical or disinfection systems should be prepared and procedures developed. Some examples include: 1. Distribution System Problems; 2. Equipment Failure; 3. Disinfection Failure; 4. Power Outages; 5. Loss of Supply; 6. Contamination of Supply; 7. Strikes; 8. Vandalism and Sabotage DETAILS 1. A description of alternate power and power sources detailing the access to and operation of the source. 2. A description of the process with schematics and diagrams should indicate warning, interlock systems, and standby equipment. 3. A description of procedures for process bypass or shut down and the effects should be accompanied by schematics and diagrams. 4. An emergency notification list identifying who should be contacted by priority should include names, addresses, normal and alternate phone numbers, the reason for the notification and the type of information required 68 9.0 SUPPORTING PROGRAMMES 9.1 Operator Training The WSP development process highlighted notable deficiencies within GWI’s water treatment plant operations, which underscored the need for urgently addressing the issue of operator training and re-training. As a result of the WSP process, the following training-of-trainers programme is suggested. It ideally should cover a five day period and target a variety of stakeholders recognising the need for a collective effort in tackling issues related to improving water quality. It is proposed that a Water Treatment Plant expert be drafted for this training exercise and that the training should be customised for Linden. To date one has been sourced by GWI and is in the process of developing such materials. It is the medium-term plan on GWI to ensure that all their operators are certified to an international certification body. The Scientific Services Manager is currently examining working with the regional certification body Caribbean Basin Water Management Programme (CBWMP). Topics covered in the training programme include: DAY 1-2 o Trainer to get acquainted with 5 WTPs; customise presentations for Linden DAY 3 Participants: plant supervisors, Linden’s system managers, HQ operations department, HQ management (Scientific Services Manager) o o o o o o o Understanding source water quality; typical contaminants Physical/chemical treatment processes System optimisation Activities for interaction/engagement/reinforcement Operational monitoring plan development (monitoring within the plant; critical control points, operational limits, monitoring locations and frequency, corrective action plans) Template for operational monitoring plan Group exercise to develop an operational monitoring plan DAY 4 Participants: plant supervisors, Linden’s system managers, HQ operations department, HQ management (Scientific Services Manager), HR & IR personnel, PAHO representative, Linden’s M&TC & RDC EHOs, RHO, Director of Environmental Health, Health Surveillance Officer o o o o o Basic water quality/treatment principles (introductory for surveillance personnel; review for Day 3 participants) GWI final water monitoring procedures (plant and distribution system; parameters, frequency, locations, methods) MoH final water surveillance procedures (distribution system; parameters, frequency, locations, methods; work from PAHO’s Water Surveillance Plan for Region 6) Recording, reporting and evaluating data (within and between GWI and MoH) Template for surveillance plans (operator and Environmental Health Oficers) 69 o Breakout sessions to develop 1) operator monitoring plan and 2) surveillance plan; plenary presentations for mutual awareness/buy-in DAY 5 Participants: plant supervisors, Linden’s system managers, HQ operations department, HQ management (Scientific Services Manager) o o o Operator incentives (performance-based promotions, encouraging investment/ownership) Operator Health and Safety Guidance on developing an operator training plan (including appropriate refresher intervals, etc.) 9.2 Intra and Interagency Reporting System for Drinking Water Quality Data Mechanisms for formal reporting of water quality testing results were found to be lacking. The WSP team developed a series of reporting guidelines to ensure the communication of water quality data between agencies, thus increasing the capacity to detect problems within the system and address them in the most timely manner possible. The following recommendations are made with respect to agency reporting mechanisms: Table 9.1: Reporting Mechanisms for Inter and Intra-agency Reporting Reporting Agencies MoH (intraagency regional level):RDC EHOs to RHO MoH & Municipality (interagency - regional level): M&TC EHOs to RHO MoH & GWI (interagency – regional level): RHO to GWI MoH (intraagency – regional to national level): RHO to Env. Health Unit GWI (intraagency – regional to national Routine Reporting Mechanism and information reported Emergency Reporting Mechanism EHOs submit to the RHO a compiled monthly report on all water testing (chemical and microbiological) done in the region. EHOs submit to the RHO a compiled written monthly report on all water testing (chemical and microbiological) done in Linden. Inspectorate Unit, Food & Drug Labs immediately informs the EHO(s) via telephone of the lab results. The EHO(s) immediately informs the RHO of the laboratory findings. The RHO then informs the Director of Environmental Health Unit who will then inform GWI Head Office (Scientific Services Department). RHO then immediately informs the GWI Officer in Charge for Region 10 of the laboratory findings. RHO then immediately informs the Director of the Env. Health Unit of the laboratory findings. RHO submits a monthly report of water quality monitoring to the GWI Officer in Charge of Region 10. RHO submits a copy of the monthly report water quality monitoring to the GWI Officer, to the Director of the Environmental Health Unit. Region 10 Officer in Charge submits a weekly plant monitoring report, to the 70 GWI Officer in Charge for Region 10 immediately Reporting Agencies Routine Reporting Mechanism and information reported Emergency Reporting Mechanism level): Region 10 Officer in Charge to GWI Head Quarters (HQ) GWI (intraagency – national to regional level): GWI Head Quarters (HQ) to Region 10 Officer in Charge GWI & MoH (interagency – national to national level): GWI HQ to MoH Laboratory, GWI, HQ informs the Scientific Services Manager, GWI HQ GWI HQ submits monthly laboratory report, to the Region 10 Officer in Charge GWI HQ immediately informs the GWI Officer in Charge for Region 10 of the laboratory findings. GWI submits to the Food and Drug Analyst Department, MoH a monthly written report on all water testing (chemical and microbiological) done in and for Region 10. MoH (intraagency – national to national and regional level): CBH to Env. Health Unit and RHO MoH (intra and interagency – regional level): RHO to RDC EHOs and M&TC EHOs The Food and Drug Unit then every month distributes copies of the monthly report from GWI to the Env. Health Unit and RHO. GWI HQ immediately informs the Head, Food and Drug Department, MoH via telephone of the emergency situation. This should be followed by a written emergency report. Head, Food and Drug will then immediately inform the Director, Env. Health Unit and the RHO of the situation. RHO will distribute on a monthly basis copies of the GWI report received from Food and Drug Unit with the EHOs (those from the RDC as well as those from M&TC) in her region. 9.2 Public Awareness and Public Education (PA/PE) Education and public awareness are important to the successful implementation of this WSP. Education would increase knowledge about water safety and hence this should lead to improved water quality and reductions in reported water borne illnesses. Awareness materials are tools that will be used to deliver the messages to both the public as well as the operators in the water treatment plants. Based on discussions with the Project partners and the Steering Committee, some public education interventions and public awareness tools were detailed. The interventions would take place in late 2008 and early 2009. The public awareness materials would be used by GWI and the monitoring agencies as part of their ongoing programmes. These are detailed in Table 9.1. These interventions are planned collectively by the Steering Committee and implemented by a consultant. 71 Table 9.1: PA/PE Interventions PA/PE Intervention Focus Group Workshops Video Detail This would involve targeted group meetings for three focus groups – Public, Private Sector and Civil Society. Each workshop will be of two days duration and will focus on each person’s/organisation’s roles and responsibilities with respect to water. The sessions will be designed to be highly interactive. Details of the plan for these workshops are included in Appendix V. Creation of a 20-minute informational video is planned that will highlight the following main themes: Part 1: Profiling the watershed and aquifer zones with a focus on practices that negatively impact on the watershed and compromise source water quality. Activities including mining, deforestation, poor agricultural practices, indiscriminate solid waste discharge, and contamination by sewage would be highlighted. Part 2: Highlighting the operations of a water treatment plant including steps in water abstraction and treatment. Viewers will learn how irresponsible behaviour affects the process and makes the treatment more complex and costly. Part 3: Highlighting the challenges with respect to distribution systems including. The dangers associated with illegal connections, leakages in household systems, aged piping infrastructure and low water pressure. Posters Power Point Presentation Manual Part 4: Will review how householders can augment and improve the quality of their household supply through the proper use of household rainwater harvesting systems. This section will also focus attention on household water treatment techniques including chlorination. The posters are intended to draw attention to the ways in which activities in the watershed and consumer behaviour affect water quality. These posters will be designed for use not only in Guyana but will be generic enough for use in other countries in the Caribbean. The NPA/WSP posters will be developed by the Steering Committee and the Plant Operator Posters by GWI and reviewed by the Steering Committee. This narrated presentation will be used to highlight the development of the Linden pilot project integrating both the NPA and WSP approaches. It will include elements of catchment protection as well as important elements of water treatment. These can be used as general promotion of the process and can also be used to present to policy developers who need to be educated as to the benefits. Summary versions (handbook format) of the NPA and WSP documents would be produced for wider circulation and usage. 72 10.0 PERIODIC REVIEW OF THE WATER SAFETY PLAN The Water Safety Plan has been guided by the project Steering Committee. Once the Water Safety Plan has been officially handed over to GWI and the monitoring agencies, the periodic review of the Water Safety Plan can be done through the Steering Committee that would continue to meet bi-monthly. The Water Safety Plan outlines recommendations that are timebound. Guyana Water Inc. should adopt procedures to audit the implementation and operation of the Water Safety Plan into their routine audit schedules. As a result, they have developed an audit routine. There will be several levels of audit as in the Table 10.1 below: Table 10.1: Audit Routine for GWI Responsible Party Supervisors Activity to be audited Intervals Operators Log sheets; Daily Operators’ log book; Visual inspection of plant; Checking of results with instruments Divisional Engineer Same as above Spot checks as evidenced by signature in the operators’ logbook and on log sheets Divisional Manager Same as above Periodic Scientific Services Same as above At least quarterly Manager and Operations Director Maintenance Manager All of the above At least once per month It is recommended that the GWI also work with the Ministry of Health to develop a schedule for external audits. These audits can be semi-annual at most and would focus on key areas such as the standard operating procedures (including operational monitoring and compliance monitoring plans), operator training programmes, and action plans to address high-priority hazards. In addition to improving adherence to established plans and procedures, these audits are expected to improve communication both within GWI and between GWI and the MoH. 73 11.0 REVISION OF THE WATER SAFETY PLAN By its very nature, a WSP is not intended to be a static operational document. As factors impacting on a water supply system change and demands for water increase, the WSP will need to be revisited to ensure that it continues to identify and respond to emerging risks and hazards. The Water Safety Plan will also need to be revised as major improvements and capital improvement works are implemented in Linden, taking into account that these changes will give rise to new operating procedures, personnel and the need for retraining. Other factors including changes in watershed usage and practices, brought about by mining, industrial, agricultural and urban expansion, will serve to create additional source hazards that would need to be taken into account. It would also be necessary to review the WSP following any emergency incident or unforeseen event. With respect to the occurrence of an unplanned event, a post-incident review should be conducted by GWI to identify areas for WSP improvement, whether it is with respect to the introduction of a new hazard; a revised risk requiring further risk assessment; the need for a revision of an operating procedure; the need for further training or for enhanced communications. The outcomes of the post incident review would largely inform the revisions required. Where possible, a variety of stakeholders should be involved in this post-incident review. GWI should inform the Steering Committee when these incidents occur so this can be discussed in view of the need for making any changes necessary to the WSP. Bosai plant and other business enterprises should be involved in the process given that they are major stakeholders. They can be invited to be part of the team that examines the revision of the Water Safety Plan. The overall responsibility for the WSP review though should be with the Steering Committee. If the Steering Committee is discontinued, this can then be done through the National Water Council. Other changes that would require a review and revision of the WSP include: • • • • • Change of roles and responsibilities of key staff Personnel change Identification of new hazards or elimination of existing hazards Change in water treatment plant eg addition of a disinfection unit Change in system operation or maintenance process or procedure If there are no major incidents or changes that warrant a review, then an annual review should be scheduled. This should be done to coincide with a scheduled audit so that the interest is maintained and some of the same personnel can be used. 74 12.0 SUMMARY OF KEY FINDINGS AND RECOMMENDATIONS 12.1 Overarching/Inter-Agency Key Findings: • Importance of including agencies other than the water utility in WSP planning process • Lack of formal and informal mechanisms for coordination between agencies • Lack of funds for system infrastructure improvements and for chemicals • Lack of formalized and executed intra and inter-agency reporting mechanisms for routine sharing of water quality monitoring data • Lack of reporting mechanism and contingency plans for emergencies Recommendations: • Continue oversight of WSP implementation by the Steering Committee • Establish both intra- and inter- agency reporting mechanisms • Establish both internal and external audit schedules • Pursue funding options for system improvements from funding agencies • Revise and formalize GWI intra-agency mechanism for cohesively collecting and reporting surveillance information between regional and national levels • Formalise mechanisms for routine (monthly) reporting of water quality data and surveillance data between GWI, MoH, and other relevant agencies • Develop and formalize emergency surveillance data reporting mechanisms • Establish a water surveillance database to be instituted collaboratively by relevant agencies 12.2 Watersheds/Source *Refer to accompanying NPA document for most recommendations related to the watershed and source waters Key Findings: • Poor quality of Demerara river water limits the ability of treatment plants to meet water quality standards • Contamination of ground and surface waters through usage of pit latrines. • Lack of funds for expanding coverage of improved sanitation (VIP latrines) Recommendations: • Explore option of sourcing only Dakoura Creek, and/or relocating effluent pipes • Increase enforcement of existing sanitation guidelines and expand guidelines to incorporate VIP latrines • Pursue funding options for improved sanitation 12.3 Treatment Key Findings: • Treatment plants not operating optimally – need for operator training 75 • • • • • Lack of consistent water quality testing and documentation at critical control points in the water treatment process Lack of a system for routine review, analysis and feedback to operators of existing water quality monitoring records Need to establish in-plant standards that are consistent for all treatment facilities Current turbidity standard not appropriate for optimal disinfection, plants found capable of achieving lower turbidity Need for formalisation of testing mechanisms (eg, use of Georgetown GWI Laboratory, alternate laboratories, use of facilities in Linden etc) Recommendations: • Optimise treatment processes through plant operator training programmes - Develop operator training manuals, with the view to mandatory certification for operators • Increase accountability of plant operators through routine monitoring schedules and increased supervisory oversight • Establish GWI schedule for review of water quality monitoring records • Set appropriate health-based water quality standards (with incremental targets for compliance), especially for turbidity • Develop specific Standard Operating Procedures 12.4 Distribution Key findings: • Capital Investment needed to repair leaks • High non-revenue water from leaks and non-payment • Lack of routine monitoring, review and feedback at points along distribution network Recommendations: • Repair leaks and replace pipes where necessary, reduce network vulnerability • Develop non-revenue water programme, including leak detection and demand suppression • Establish schedule for routine monitoring in the distribution system • Establish routine for reporting results of monitoring by MoH to GWI • Develop and implement targeted public relations programme, customer service training for GWI personnel, 12.5 Consumers Key Findings: • Improper storage that may lead to re-contamination of water • Lack of knowledge about effective home treatment methods • Inconsistent water supply • Distrust between consumers and the utility • High frequency of non-payment for water, leading to low cost recovery Recommendations: • Establish formal outreach programmes with consumers 76 • • • • • Develop PA/PE materials that would target proper storage and treatment of water in the home Encourage the use of appropriate sanitation facilities such as Ventilated Improved Pit Latrines (VIPs) Encourage safe, alternative water supply such as rain water harvesting (RWH) Improvement of cost recovery by GWI, use of meters, and improved billing. Public outreach to improve human relations between GWI and consumer base 77 APPENDIX I Glossary (Terms as defined by the WHO and the CDC) TERM DEFINITION Aluminium Aluminium is the most abundant metallic element and constitutes about 8% of the Earth's crust. It occurs naturally in the environment as silicates, oxides, and hydroxides, combined with other elements, such as sodium and fluoride, and as complexes with organic matter. Chemical coagulants, usually salts of aluminium are dosed to the raw water under controlled conditions to form a solid flocculent metal hydroxide. Owing to limitations in the animal data as a model for humans and the uncertainty surrounding the human data, a healthbased guideline value cannot be derived; however, practicable levels based on optimization of the coagulation process in drinking-water plants using aluminium-based coagulants are derived: 0.1 mg/litre or less in large water treatment facilities, and 0.2 mg/litre or less in small facilities Coagulation/Flocculation This causes suspended and dissolved particles to clump together under the influence of chemical aids for easy removal Colour Drinking-water should ideally have no visible colour. Colour in drinking-water is usually due to the presence of coloured organic matter (primarily humic and fulvic acids) associated with the humus fraction of soil. Colour is also strongly influenced by the presence of iron and other metals, either as natural impurities or as corrosion products. It may also result from the contamination of the water source with industrial effluents and may be the first indication of a hazardous situation. Levels of colour below 15 TCU are usually acceptable to consumers, but acceptability may vary. No healthbased guideline value is proposed for colour in drinking-water. Control Measure Any action and activity that can be used to prevent or eliminate a water safety hazard or reduce it to an acceptable level. Corrective Action Any action to be taken when the results of monitoring at the control point indicate a loss of control Disinfection This destroys or inactivates harmful, disease-causing microorganisms Faecal Coliforms/E Coli Faecal coliform bacteria are a specific kind of total coliform. The faeces (or stool) and digestive systems of humans and warm-blooded animals contain millions of faecal coliforms. E. coli is part of the faecal coliform group and may be tested for by itself. Faecal coliforms and E. coli are usually harmless. However, a positive test may mean that faeces and harmful germs have found their way into your water system. These harmful germs can cause diarrhea, dysentery, and hepatitis. Filtration This removes suspended or colloidal particles from water as it is passes through the filter media; Hazard Analysis The process of collecting and evaluating information on hazards and conditions leading to their presence to decide which are significant for water safety and therefore should be addressed in the WSP. 78 TERM DEFINITION Hazard A biological, chemical or physical agent in, or condition of, water with the potential to cause an adverse health effect. Another word for hazard includes “contaminant”. Iron is a very common element in the earth’s crust. Water naturally contains iron. Iron is an essential nutrient needed for good health. Water that is high in iron often contains iron bacteria that make a redbrown slime that can clog water systems. Iron bacteria do not cause any diseases in humans. Iron bacteria are responsible for corrosion of piping and plumbing. Iron in water of more than 0.1 to 0.2 mg/L can cause the water to taste bitter or astringent and can stain porcelain and laundry. The act of conducting a planned sequence of observations or measurements of control parameters to assess whether a control point is under control. The pH level tells you how acidic or basic water is. The pH level of the water can change how water looks and tastes. If the pH of water is too low or too high, it could damage your pipes and cause heavy metals like lead to leak out of the pipes into the water. Iron Monitor pH Residual Chlorine Sedimentation Surveillance Total Coliforms Turbidity The presence of chlorine residual in drinking water indicates that: 1) a sufficient amount of chlorine was added initially to the water to inactivate the bacteria and some viruses that cause diarrheal disease; and, 2) the water is protected from recontamination during storage. The presence of free residual chlorine in drinking water is correlated with the absence of disease-causing organisms, and thus is a measure of the potability of water. Removes suspended or dissolved matter (turbidity) from water Surveillance of drinking-water quality can be defined as the continuous and vigilant public health assessment and review of the safety and acceptability of drinking water supplies Coliform bacteria are microbes found in the digestive systems of warm-blooded animals, in soil, on plants, and in surface water. Many of these microbes typically do not cause illnesses however, because microbes that do cause disease are hard to test for in the water, "total coliforms" are tested instead. If the total coliform count is high, then it is very possible that harmful germs like viruses, bacteria, and parasites might also be found in the water. Turbidity in drinking-water is caused by particulate matter that may be present from source water as a consequence of inadequate filtration or from resuspension of sediment in the distribution system. It may also be due to the presence of inorganic particulate matter in some groundwaters. The appearance of water with a turbidity of less than 5 NTU is usually acceptable to consumers, although this may vary with local circumstances. Particulates can protect microorganisms from the effects of disinfection and can stimulate bacterial growth. In all cases where water is disinfected, the turbidity must be low so that disinfection can be effective. Turbidity is also an important operational parameter in process control and can indicate problems with treatment processes, particularly coagulation/sedimentation and filtration. No health-based guideline value for turbidity has been 79 TERM Validation Verification DEFINITION proposed; ideally, however, median turbidity should be below 0.1 NTU for effective disinfection, and changes in turbidity are an important process control parameter. Obtaining evidence that the elements of the WSP are effective The application of methods, procedures, tests and other evaluations, in addition to monitoring to determine compliance with the WSP. 80 APPENDIX II: PROPOSAL FOR THE IMPROVEMENT OF LINDEN’S WATER SUPPLY INFRASTRUCTURE GUYANA WATER INCORPORATED PROPOSAL FOR THE IMPROVEMENT OF LINDEN’S WATER SUPPLY INFRASTRUCTURE Background The proposed action is focused on improving the state of water supply in the town of Linden. The overall objective is to provide the residents of Linden with sustainable access to potable water. Given the poor state of supply, conditions within the system are not conducive to revenue generation and as such, the financial sustainability of the system is uncertain. As a result of the poor state of the infrastructure within the system, five water treatment plants are operated, but yet still an inadequate service is delivered to the residents of the town. It is proposed that the overall objective be achieved through the strategic decommissioning of two treatment plants and development of treatment and production capacity of the remaining three plants within the system. Additional infrastructure to support this consolidation of treatment plants is also proposed under the action including storage both in the form of elevated and ground reservoirs, transmission and distribution mains, service connections installation/ rehabilitation, establishment of district metered areas and domestic metering. New raw water sources with better quality than existing sources will also be developed to further reduce treatment requirements and improve operational efficiency. These objectives are hoped to be achieved in a phased manner based on the availability of funding. The immediate focus, however, is to reduce Non Revenue Water (NRW) through service connection upgrades and metering in areas of where levels of service are generally good and to ensure that the infrastructural support for the decommissioning of McKenzie and LPC treatment plants is put in place. 81 It must be noted when GWI took over in 2003, GWI inherited six (6) treatment plants and a dilapidated network. The Non-Revenue Water then was estimated at 70%. In an effort to improve the water supply system, GWI has expended almost two hundred and fortyfour million (244M) from 2003 to 2007 in capital works. Year Capital Investment ($GM) 2004 186.7 2005 14 2006 13.1 2007 30 TOTAL 243.8 It must be noted also that prior to 2003 (during the El-Niño Period) a new well was constructed at the Amelia’s Ward Treatment Plant to boost water supply. Last but not least, the annual operational for the Linden Water Supply System is estimated at one hundred and seventy million dollars ($G170M) Existing Infrastructure The existing water supply infrastructure of GWI includes transmission distribution networks, treatment plants, boreholes and storage tanks (ground and elevated). Projects Planned for 2008 The projects planned for 2008 basically target the reduction of NRW and the installation of a transmission line to interlink Amelia’s Ward and McKenzie Water Treatment Plants. The reduction of NRW is hoped to be achieved through the upgrading of distribution networks which includes replacing of old cast iron networks with new PVC, the upgrading of service connections and metering. The interlinking of the treatment plants will provided the infrastructural support for the decommissioning of McKenzie and LPC Water Treatment Plants. The projects planned for 2008 are represented in the table below: 82 PROJECT FOR 2008 COST $GM) BRIEF DESCRIPTION Expansion of Distribution Network Installation of distribution Installation of 1,300m of 100mm PVC distribution lines and 100 service Lines, South Amelia’s Ward connections complete with water meters and meter boxes Distribution Network Upgrade Replacement of old cast iron network with new PVC. The project entails Upgrading of North the installation of 3,000m 100mm PVC pipe lines 200 service connections Amelia’s Ward Distribution complete with water meters and water meter boxes and the construction Network of 1 Public Stand Pipe Unit . Upgrading of Silvertown Distribution Network Replacement of old cast iron network with new PVC. The project entails the installation of 3,000m 100mm & 180m 150mm PVC pipelines and 250 service connections complete with water meters Upgrading of Kara Kara Distribution Network Replacement of old cast iron network with new PVC. The project entails the installation of 2,900m 100mm & 600m 150m pipelines and 200 service connections complete with water meters and meter boxes Leak Repairs and service connection Upgrade, Retrieve, Linden Effect repairs to the water supply network (transmission and distribution lines) in the project area and the installation /upgrading of 500 service connections complete with water meters and meter boxes Repair of leaks to North Amelia’s Ward Water Supply Network. Upgrading of approximately six hundred (600) service connections complete with the installation of water meters and meter boxes Transmission Line Installation/Upgrade Transmission Line Interlink (Amelia’s Ward/ McKenzie) Installation of 4km of 200mm Transmission Line (PVC and Ductile Iron) Transmission Line Upgrade ( McKenzie/Richmond Hill) Installation of 3km of 200mm Transmission Line (PVC and Ductile Iron) 10 13.7 23 16.4 12 12 36.5 25 IMPACT BENEFIC ARIES Expansion of our revenue collection base 500 persons Improve Levels of service. Expansion of our revenue collection base. Reduction of NRW Improve Levels of service. Expansion of our revenue collection base. Reduction of NRW Improve Levels of service. Expansion of our revenue collection base. Reduction of NRW Improve Levels of service. Expansion of our revenue collection base. Reduction of NRW 1,000 persons 1,200 persons 1,000 persons 2,500 persons Improve Levels of service. Expansion of revenue collection base. Reduction of NRW 3,000 persons Improve operational efficiency. 5,000 persons Improve operational efficiency. 2,000 persons Improve operational efficiency 4,000 persons Procurement of Pump Procurement of pumps 4 Procurement of 2 submersible pumps 152.6 TOTAL 83 Projects Planned for 2009 The projects planned for 2009 are basically an extension of those from 2008 with the aim of reducing NRW and improving overall operational efficiency. Additionally, interventions will be made towards improving existing networks transmission capacity in networks that are deficient in this regard. The reduction of NRW is hoped to be achieved through leak repairs, servicing connections upgrade and metering projects. Improving of transmission capacity will be realized through the installation of secondary transmission lines (rings) in areas where it has been established that poor levels of services are as result of poor network designs. These interventions for 2009 comprise of the following: 9 Construction of six ground storage tanks each with a capacity of 2000m3. One tank at each treatment plant, one at the booster station and another two within the distribution network. 9 Rehabilitation of two elevated storage tanks, each with a capacity of 300m3. 9 Construction of two elevated storage tanks with a capacity of 300m3. 9 20km of transmission mains and 40km of distribution mains 9 15 district metered areas 9 Development of a new raw water source 9 Rehabilitation of three treatment plants 9 Raw water pump array 9 Cascade aerators 9 Rapid sand filters 9 Sedimentation tanks 9 Chlorinators 9 Booster pumps 9 Development of a booster pumping station. 9 The above physical outputs from the action are intended to provide synergy in the sustainable delivery of potable water to the residents. Actual deliverables are the licence targets of GWI relevant to service levels and quality of supply. The net effect would be the overall reduction in operational costs while increasing levels of service and revenue generation. The specific targets are as follows: 9 Minimum service pressure of 5m while delivering adequate flows 9 24 hour supply 9 Water quality in conformity to the WHO guidelines 9 Non-revenue water of 25% 84 APPENDIX III: HOUSEHOLD WATER USE AND HEALTH SURVEY REPORT HOUSEHOLD WATER USE AND HEALTH SURVEY FOR THE WATER SAFETY PLAN LINDEN, GUYANA DECEMBER 2007 BACKGROUND The Water Safety Plan (WSP) aims to identify hazards to drinking water quality that can be introduced at multiple points from “catchment to consumer.” It does not, however, traditionally provide for identifying hazards that could compromise drinking water quality after it reaches the household, such as contamination associated with water collection, storage and treatment practices within the home. This Household Water Use and Health Survey was therefore conducted as part of the Water Safety Plan for Linden, Guyana in order to understand the fate of water from the time it reaches the home to the point of consumption. The survey, consisting of a household questionnaire and testing of household water samples, looked at issues such as consistency of water delivery, quality of delivered and stored water, community perceptions, and consumer practices concerning water use that impact customer satisfaction and the safety of drinking water within the home. This survey is intended to provide information about customer experience and concerns for the WSP team to consider as they go through the process of system and management evaluation and implementation of changes resulting from the Water Safety Plan. Five water treatment plants serve the residents of Linden, and each treatment plant serves its own distribution area. Despite some connections between distribution areas, the system is operated (through valve adjustments) such that each area is effectively an independent distribution system. This survey, therefore, is an evaluation of five separate water treatment plant service areas, under the management of Guyana Water Incorporated (GWI), the national water utility of Guyana. CDC provided technical assistance for survey planning and implementation in collaboration with Guyana Water Incorporated and the Linden Health Department. OBJECTIVES Specific aims of the household survey were: 5. to determine the quality of household water at the point of collection and at the point of consumption to determine the quality of water reaching consumers and if deterioration of water quality occurs due to storage and handling practices; 6. to describe water use and treatment practices at the household level, user satisfaction, and perceptions of water quality by consumers; 7. to estimate the prevalence of diarrheal illness in the population, evaluate its possible association with water-related variables, and describe health-seeking behaviors; 85 8. to determine the quality and consistency of water service provision, identify issues of special concern, and evaluate the impact that interruptions in service or pressure or other service-related issues may have on the safety of water consumed. METHODS Sample selection The survey was conducted in communities served by the five water treatment facilities operated by Guyana Water Incorporated (GWI) in Linden, Guyana: Amelia’s Ward, Linden Power Company (LPC), McKenzie, West Watooka, and Wisroc. Additional households from newly developed areas and informal (squatter) settlements that were not connected to GWI’s distribution network were also sought for inclusion to allow for comparisons between households on and off of the piped water delivery system. (Table 1, Figure 1) Because the survey was descriptive and not based on a single outcome variable, the total sample size was determined based upon achieving a 95% confidence interval, ± 5% around the most conservative estimate of several outcome measures of potential interest, including selfreported two-week diarrhea recall, the presence of residual free chlorine in tap water, and household treatment of water. It was determined that a sample size of approximately 500 would provide the desired level of confidence. The sample size of households not connected to the GWI piped water system was not large enough to permit statistical analysis with households on the distribution network; such comparisons are only to identify potential trends between these different areas. Maps indicating the service areas for each community were provided by GWI and the Guyana Bureau of Statistics. Population estimates were based on the 2001 census, current GWI service connection records, and estimates of community informants in newer settlements or where there was no GWI service. Selection of houses within the community was based on stratified systematic sampling. The number of households visited in each community was allocated proportional to the size of the community. The total number of households was divided by the sample size to produce a sampling interval. The surveyors were assigned a random number between one and the sampling interval and counted off this number from one corner of the community to determine the house for the first interview. The surveyor then systematically walked through the community selecting every nth household for inclusion in the survey. If no adult was home at a selected household, the surveyor would return later that same day. If no adult was available upon return, or if the house was abandoned or unoccupied, the next closest house was selected. Ten local interviewers were employed to conduct the survey. A three-day training was provided to review the questionnaire, household selection, interview techniques and water sample collection and testing. The questionnaire and survey methods were pilot tested in the field. A designated field coordinator managed the daily activities of field personnel. Community sensitization, using local television announcements to inform people of the survey, was done in order to increase participation and for the sake of interviewer safety. Household Visits At each selected household, a questionnaire was administered and water samples were tested for free chlorine. For a subset of the selected households, water samples were also collected for microbiological testing. 86 The household questionnaire aimed to gather information about demographics, sources of water, consistency of service throughout the day and year, possession of a household storage tank, storage and treatment practices within the home, handwashing practices, sanitation, incidence of diarrhea and other illnesses, and health-seeking behaviors. Several questions were aimed toward understanding perceptions of community members concerning water quality and safety and other community and health concerns. Water Testing Water samples from each household were tested on site for free residual chlorine using the DPD method and portable colorimeters (© 1996, Hach Company, Ames, Iowa, model CN-66). Samples were collected from each household water source present or available at the time of the survey, including household, yard or shared taps, storage tanks, and drinking water storage containers. Additional samples were collected from a randomly selected subset of households for microbiological analysis. Surveyors were instructed to collect water samples from a random numbered house directly from the household tap, from the household storage tank, and from the household drinking water container, depending upon which sources were available at the time of the survey. Samples were collected in sterile 100-ml plastic bottles and were transported in cool boxes to a central location and processed within 6-8 hours of collection using the Del Agua Portable Water Testing Kit (Oxfam-Del Agua, 2004). This is a field test kit that tests for total coliforms and E. coli using the membrane filtration method, where membranes are incubated on selective media and colonies are counted after 24 hours. Bottled water controls (blanks) were also run each day to test the efficacy of the sterilization technique between groups of samples. On each day of the survey, water treatment plant operators at each of the five plants were asked to report the free residual chlorine, pH, and turbidity values of water leaving the plant. Data Management Questionnaires were reviewed and checked for clarity and cultural appropriateness through question-by-question review with interviewers before and after pilot testing. Completed questionnaires were reviewed with interviewers on a daily basis for accuracy and completeness. All questionnaire and water sampling data were entered into an Epi InfoTM database (CDC, version 3.3.2) and spot-checked for errors. Data were cleaned and analyzed using SAS (© 2002, SAS Institute, Cary NC, version 9.1). RESULTS Characteristics of households related to water, sanitation and health are found in Table 2. Demographics A total of 535 households from Linden were included in the survey. In most cases, the respondents were women (80%), unless only the male head of household was available at the time of interview. All respondents were at least 18 years of age, and 80% were over 30 years of age. The average family size was 4.4 persons (range: 1, 18), and the total number of children under age five was 249, or 11% of the sample population. Seventy-three percent of homes were owned, 15% were rented, and 16% were occupied rent-free (either squatters or care-takers). The informal and unincorporated settlements included the Amelia’s Ward new housing scheme, the Blueberry Hill squatter area, Watooka Hill, Siberian and Old England. 87 Thirty-nine percent of respondents had completed only a primary school education, and 46% had completed secondary school. Fifteen percent had completed either vocational/technical school (9%) or college/university (6%). Post-secondary education was higher for men than women (25% for males, vs.13% for females). Water sources and service Seventy-nine percent of respondents (419) received water from GWI directly to a tap inside their home, and another 14% (74) used water from a tap in their yard or a shared standpipe as their primary source. Twenty-three percent (125) of respondents regularly collected water from a river, creek or spring; 20% (108) regularly purchased bottled water; 13% (70) purchased water from a refilling station (where tap water is sold by a private company after it is reportedly retreated); and 41% (222) regularly collected rain water in addition to other sources of water. Residents of the West Watooka and Wisroc water treatment plant (WTP) service areas were most likely to supplement their tap water with river or spring water (49% and 18%, respectively). Members of the Linden Power Company (LPC) and McKenzie WTP service areas were most likely to purchase bottled water (37% and 34%, respectively) or to purchase water from a refilling station (26% and 38%, respectively). Rain water collection was common in all communities (Amelia’s Ward: 35%, LPC: 46%, McKenzie: 31%, West Watooka: 40%, and Wisroc: 38%). Of those households that had a household tap, 86% experienced interruptions in service resulting in less than 24-hour per day service. Four and a half percent of households reported that their service was regularly out for two to three days at a time. Fifty-six percent had experienced periods of several days without water service in the previous year. Most households (87%) reported that they had problems with low water pressure on most days. The average time for not having water was eight hours per day (range: 0, 22) (Table 3). Amelia’s Ward and LPC WTP service areas experienced the greatest interruptions in water service; 97% and 92% of respondents, respectively, reported daily periods without water. Respondents from the LPC area also reported the highest incidence of low pressure and times of the year when there is no service for several days at a time (Table 3). During interruptions of service or periods of low pressure, people most commonly used water stored in drums or buckets (40%), river or spring water (37%), rain water (33%), water from their household storage tank (29%), or purchased bottled water (16%). Others responded that they got water from a neighbor’s house (8%) or did nothing and waited for water service to return (5%). The 51 households that were not connected to the GWI distribution network most often got water from the river or spring (40%), collected rain water (42%) or used a public standpipe (14%). Of those households with no GWI connection, 15 (29%) were from Amelia’s Ward (with 13 of those from a new housing scheme that has not yet been incorporated into GWI’s network). Other squatter or as yet unincorporated areas without water connections were: 3rd Phase/Phase 1B Wismar, the Blueberry Hill squatter area, Old England, and the West Watooka squatter area. Additional households within GWI’s WTP service areas, but that were not connected to the distribution network were found in Watooka Hill, Spikeland, Victory Valley, Siberian, Micah Square, Nottinghamshire and Block 22. Water storage One hundred fifty-eight households (30%) had a water storage tank. Most (59%) were groundlevel tanks, and 41% were elevated. Fifty-two percent of the tanks were plumbed such that water 88 flowed from the distribution system through the tank to the household tap. Forty-four percent of the tanks were not connected to the household tap and were either free-standing or connected to the distribution system only; thus water had a longer storage time. Four percent had a valve system that allowed water from the distribution system to flow either directly to the tap or through the tank to the tap. Seventy-four percent of respondents reported that their tank had been cleaned in the previous year. Sixteen percent said it had been cleaned one to five years ago and 10% said that their tank had not been cleaned for at least five years. Thirty-one percent (49) of storage tank owners reported that they added chlorine to their tank. Only 9% of tank owners had added chlorine in the previous two weeks. Ninety-eight percent of households kept drinking water in a container for serving in the home. Most (79%) used closed containers, such as bottles or covered pitchers, for storing drinking water, and 43% used open containers (exclusively or in addition to covered containers), such as uncovered buckets or bowls. Household water treatment Eighty-seven percent of households used tap water for drinking; 35% reported drinking it directly (without treatment) and 52% said they treated it before drinking. Those who treated their drinking water at home (from tap or other sources) did so by adding chlorine or bleach (70%), boiling (49%), or using a filter, such as coal, sand or cloth (2%). Twenty-two respondents (8%) stated that their water was treated by settling, referring to the time the water remained in a tank, drum, or other container. A free chlorine residual was found in only 18% of drinking water container samples from households that reported treating their drinking water with bleach. Water costs Thirty-eight percent (153) of respondents who received GWI water did not pay for their water service. The annual cost for residential water service for those who did pay was 8,000 Guyana dollars (GY $), approximately $43 USD. Twelve percent (47) paid less than GY $7,000 annually, 39% (157) paid GY $7,000 – GY $9,000 (~$38 – $49 USD), and 12% (50) stated that they paid more than GY $9,000 per year. In most of the latter cases, payments for amounts in arrears from previous years were included. More than 5% of respondents reported having bills in arrears. Most respondents (67%) did not pay for additional (non-GWI) water. The mean monthly amount paid by those who did purchase additional water was GY $2800 (~$15 USD). Nine percent of GWI customers reported spending more than GY $2,800 per month on bottled water or water from a refilling station or truck. Money spent by GWI customers on additional water was highest in the areas served by the McKenzie WTP (28% of residents) and lowest in West Watooka and Wisroc WTP areas (4% of residents). Twenty-one percent of respondents who were not connected to GWI’s system spent more than GY $2,800 per month on water from other sources. Consumer perceptions and satisfaction Nearly half (43%) of respondents considered water shortages in their community to be a big problem, while 28% considered them to be somewhat of a problem, and 29% stated that they were not a problem. When asked if they believed the water from the tap was safe to drink (without secondary treatment), 69% of respondents said that it was not; 17% said that it was safe to drink; and 13% said it was safe to drink it sometimes. When asked why they believed it was not safe, most people (93%) cited the appearance of the water - that it was dirty, cloudy, had particles in it, or had a strange color. Other reasons mentioned were that it made them feel ill (6%), contained 89 bugs or bacteria (6%), had a bad smell or taste (5%), was contaminated with chemicals or pesticides (1%), or had too much chlorine (1%). Sanitation About 72% of households (384) used a flush toilet that was connected to a septic tank. Twentyeight percent used a pit latrine. The average number of users of the pit latrines was 5 (range: 1, 24). In the Amelia’s Ward, LPC and McKenzie WTP service areas, the proportion of households with a flush toilet was 92%, 91% and 96%, respectively. In the West Watooka and Wisroc service areas, 66% and 58% of households had a flush toilet, respectively, and pit latrines were more concentrated in those areas. Households that were not connected to a GWI water distribution system had the lowest proportion of flush toilets and most of those (67%) had pit latrines. There is no sewer system in Linden. Most households (61%) burned their solid waste. Thirty-four percent had it collected by a private or public rubbish collection service; 14% buried it; 12% dumped it indiscriminately on the road, a lot, or in the creek; and 6% carried their rubbish to a dumpsite. Fifty-six percent of respondents said they used soap always or almost always when they washed their hands and 43% said they sometimes used soap. There was no correlation in this survey between reported frequency of handwashing and diarrhea incidence. Diarrhea and Other Illnesses Diarrhea was defined as having 3 or more loose or watery stools in a 24-hour period. A total of 87 cases of diarrhea was reported for the two weeks prior to the survey (representing 4% of the estimated total population, based on an average survey household size of 4.4), including 33 (representing approximately 13%) of children under age five and 54 (representing approximately 3%) of older children and adults. In most cases (75%), children under age five were taken to a health facility when they had diarrhea. Five (16%) were given a home remedy, and two (6%) waited for it to go away on its own without intervention. Older children and adults were less likely to seek medical care for diarrhea; 20 (37%) went to a health facility, 14 (26%) used a home remedy, 13 (24%) purchased medicine at a pharmacy without first visiting a health facility, and 6 (11%) waited for it to go away on its own without intervention. When analyzed using a logistic regression model, reported diarrhea in the 2 weeks prior to the survey was not found to have a significant statistical association with any potential risk factors. The 2-week cumulative incidence of diarrhea among children under 5 appeared to be higher with increasing household size and among members of households with pit latrines. Incidence was higher among people with free chlorine residual ≥0.2 mg/L in household drinking water containers. There were no apparent differences in reported diarrhea incidence among children based on having a household tank, having a tap (connection to GWI distribution system), or free chlorine residual levels at the household tap or tank (Table 4). When asked about other illnesses among children under age five in the previous two weeks, 28 (12%) were reported to have had the flu or common cold, and six (2.5%) had had a skin infection. The cumulative incidence of other illnesses among older children and adults was low; the most common illnesses reported included the flu or common cold (26 [1%]), skin infections (26 [1%]), chronic diseases (9, [0.4%]), and vomiting/stomach ailments (7 [0.3%]). Community Concerns 90 When respondents were asked to rate a range of issues in their community, those most often identified as being a “big problem” were mosquitoes (80.5%), HIV/AIDS (79%), rubbish (64%) and water quality (61%). Other problems identified were crime (39.1%), chronic diseases (other than HIV) (47%), respiratory infections (25%), diarrhea (24%), and skin infections (21%). Combining responses for “big problem” and “somewhat of a problem,” mosquitoes, HIV/AIDS, water quality, and rubbish were the most frequently-mentioned concerns (Table 2). Free chlorine residual testing of tap and stored water Free chlorine residual from tap water (direct from the distribution system with no storage time in tank) was tested from 313 households (58%). Two hundred and thirty-six (75%) were negative for chlorine, and a total of 293 (94%) had a free chlorine residual concentration below 0.2 mg/L. Nineteen (6%) had a free chlorine residual concentration between 0.2 and 0.5 mg/L, and one (0.3%) had a free chlorine residual concentration greater than 0.5 mg/L (max = 0.7 mg/L). The mean concentration of free chlorine residual-positive tap water samples was 0.29 mg/L (Table 5). The greatest percentage of tap samples with free chlorine residual levels above 0.2 mg/L was found in Amelia’s Ward (14%) and the lowest percentage of free chlorine residual-compliant samples was found in West Watooka (1%). The mean concentration of free chlorine residual positive samples (≥0.2 and ≤3.5) was highest in LPC (0.4 mg/L) and lowest in West Watooka (0.2 mg/L). Table 5 shows the results of onsite free residual chlorine testing from tap, tank and drinking water container samples. Water from drinking water containers such as pitchers, bottles, or jugs was sampled from 386 households. Three hundred and five (79%) were negative for chlorine, and a total of 355 (92%) had free chlorine residual levels below 0.2 mg/L. Thirty-six (9%) had free chlorine residual levels greater than 1.0 mg/L, including six that surpassed the upper limit of the test method (>3.5 mg/L). The mean concentration of free chlorine residual-positive drinking water container samples (≥0.2 and <3.5) was 1.1 mg/L. According to respondents, 175 drinking water container samples were untreated tap water. Of these, 145 (83%) had a free chlorine residual level of zero (96% <0.2 mg/L). Of drinking water container samples that had been boiled, 43 (91%) had no free chlorine residual (98% <0.2 mg/L), and 37 (50%) of samples reportedly treated with chlorine or bleach were free chlorine residual-negative (66% <0.2 mg/L). Water from a storage tank was tested from 135 households. One hundred (74%) were negative for chlorine, and a total of 124 (92%) had a free chlorine residual concentration below 0.2 mg/L. Eight (6%) had a free chlorine residual concentration between 0.2 and 0.5 mg/L. Only three samples (2%) had free chlorine residual concentrations greater than 1.0, and two of those surpassed the upper limit of the test method used (>3.5 mg/L). The mean concentration of free chlorine residual-positive tank samples (≥0.2 and <3.5) was 0.43 mg/L. When comparing residual free chlorine levels from 43 tap and tank sample pairs available from the same household, five (12%) showed chlorine in the tap sample but not in the tank sample. Seven (16%) chlorine-positive samples showed no difference between tap and tank, and four (9%) had higher chlorine levels in the tank samples than the tap, with three of those from households that reported adding bleach to their tank. When residual free chlorine levels were compared from 129 tap and drinking water container sample pairs from the same households, where the drinking water was untreated tap water, eight pairs (6.2%) showed lower free chlorine residual in drinking water containers versus tap 91 samples. In 23 free chlorine residual-positive pairs, there was no difference between drinking water container and tap samples, and in 2 cases (1.6%) there was more free chlorine residual in the drinking water container than the tap sample. Residual free chlorine levels, pH and turbidity of water leaving the treatment plants were provided by the plant operators on each of the seven survey days. The mean of reported residual free chlorine levels of water leaving the Amelia’s Ward treatment plant was 0.6 mg/L (range: 0.5-0.7, target: 0.5), the mean pH was 6.3, and turbidity was not taken (this is a ground water source). The mean residual free chlorine from LPC was 0.8 mg/L (range 0.5-1.0, target: 1.0), mean pH was 5.4 and mean turbidity was 3.7 NTU. The mean residual free chlorine from McKenzie was 1.2 mg/L (range: 0.4-2.0, target: 1.0), mean pH was 4.9, and mean turbidity was 8.3 NTU. The mean residual free chlorine from West Watooka was 1.2 mg/L (range: 0.8-1.7, target: 1.5), mean pH was 5.0 and mean turbidity was 9.4 NTU. The mean residual free chlorine from Wisroc was 0.5 mg/L (range: 0.5-0.6, target: 0.5), mean pH was 6.4 and turbidity was 3.1 NTU (Table 5). Microbiological testing of tap and stored water One hundred and forty-seven water samples were collected for microbiological testing. Fortyseven were taken directly from household taps. Of those tap samples, 30 (64%) were positive for total coliforms and 11 (23%) were also positive for E. coli. Table 6 shows the results of testing for total coliforms and E. coli from taps, tanks, and drinking water container samples. Twenty-two samples were taken from household storage tanks. Nineteen of the tank samples (86%) were positive for total coliforms and eight samples (36%) were also positive for E. coli. Seventy-three samples were taken from household drinking water containers (pitchers, jugs etc. stored in the refrigerator or counter). Of those samples, 66 (90%) were positive for total coliforms and 31 (42%) were also positive for E. coli. When 17 paired samples from taps and drinking water containers of the same households were compared, where drinking water samples were untreated tap water, E. coli was found in 10 (59%) of drinking water container samples where the tap sample was E. coli-negative. There were insufficient paired samples to compare tank and tap water results. Of eight drinking water samples that contained water drawn from community springs, all were positive for total coliforms and six (75%) were positive for E. coli. Two samples were taken directly from community springs and both were positive for total coliforms (too numerous to count). One of these samples taken directly from springs (One Mile/Wismar) was also positive for E. coli, and the other (Old England) was not. One sample was taken from each of the following sources: water obtained from a refilling station, from a nearby dairy farm, from a bucket of water originally taken from a neighbor’s tap, from a creek, and purchased bottled water. All of these samples were positive for total coliforms and the last three were also positive for E. coli, including the bottled water sample. DISCUSSION The water delivery service provided by GWI to the town of Linden consists of five water treatment plants and three water sources. The West Watooka, McKenzie, and Linden Power Company (LPC) water treatment plants draw water from the Demerara River. The Wisroc treatment plant draws from Dakoura Creek, and the Amelia’s Ward treatment plant draws from two wells. In most cases, the distribution service areas for each treatment plant are independent, 92 such that there is a single source of water for each household. The exception is in some areas of Wisroc and West Watooka, where shortages in one system can be supplemented by the other, such that some households may receive water from either source depending upon each plant’s capacity to deliver sufficient quantity (depending on demand and source water availability) and quality (depending on turbidity). Thus, the Linden GWI water delivery service can be viewed as five distinct systems. People living in areas not served by GWI generally use water drawn directly from the Demerara River or its tributaries. Water quality Most water delivered to the taps of people connected to the Linden GWI distribution system contained no residual free chlorine. The target residual free chlorine levels for water leaving the treatment plants set at each of the treatment plants is quite low. The target of 0.5 mg/L for water leaving the Amelia’s Ward and Wisroc plants was determined based on the idea that water from those sources is the cleanest, and therefore would consume the least amount of chlorine in the distribution system. The operators aim for a minimal effective level (to achieve a free chlorine residual of 0.2 mg/L at the most distal point of the distribution system) and to avoid the water having a taste of chlorine, which is considered undesirable by consumers. This minimum level, however, is not being achieved, as evidenced by the lack of free chlorine residual found in tap samples. Other water quality data reported by plant operators on survey days indicate that there are additional parameters of concern. According to the WHO Guidelines for Drinking Water Quality, median turbidity should be below 0.1 NTU in order to ensure effective disinfection, and that turbidity of 5 NTU has an acceptable appearance to consumers. Turbidity levels above 0.3 NTU are often associated with higher levels of disease-causing microorganisms such as viruses, parasites and some bacteria (USEPA Primary Drinking Water Standards). Turbidity values in finished water measured on survey days were as high as 15 NTU (see Table 5). In addition, pH values measured on survey days from waters leaving the three treatment plants sourced by the Demerara River were as low as 4.8 (see Table 5). This may be attributable to naturally occurring bauxite and mining activity. Low pH can cause corrosion of distribution pipes, adversely affecting the taste and appearance of water and can reduce the effectiveness of coagulants used for flocculation. Total coliforms and E. coli were measured from multiple sources (taps, household tanks and household drinking water containers) from a random sub-sample of households. The presence of total coliforms indicates inadequate disinfection and/or the presence of biofilms or leaks in the distribution system. E. coli is evidence of recent fecal contamination. The proportion of total coliform-positive and E. coli-positive samples found from water taken directly from taps in all five WTP service areas was high (71% and 27%, respectively), indicating that inadequate primary disinfection at the treatment plant and/or breaches in the integrity of the distribution system combined with insufficient free chlorine residual contribute to reducing water quality. Results from GWI’s 2007 routine monitoring show that the finished water from all five WTPs was frequently positive for total and/or fecal coliforms, further indicating inadequate disinfection at the treatment plant (see Linden Water Quality Data Analysis Report in WSP). Inconsistent service also leads to greater reliance on alternate water sources that are generally unsafe for drinking. While nearly all respondents had access to an in-house, yard or shared tap, most stated that they used alternative water sources, such as the river, spring, rainwater catchment, refilling station or bottled water to supplement their tap water supply, indicating that the tap service alone was not considered a reliable source. The results of the small number of 93 samples from alternative water sources that were tested suggest that further testing is needed to evaluate the safety of these sources, including bottled water. Water treatment More than half of respondents reported that they treated their water in the home before drinking it. In most cases where the household reported treating their drinking water, however, the water sampled from the drinking water container did not contain any free chlorine residual, possibly reflecting a discrepancy between reporting and practice, inconsistency in treatment practices, or a lack of understanding of what constitutes treatment. In six of the samples of water that had been treated with bleach, residual free chlorine levels surpassed the upper limit of the test method, indicating a lack of knowledge about appropriate home chlorination or possible accidental introduction of bleach into drinking water containers. No households that reported using a filter had filtered water available for testing at the time of the survey. The proportion of E. coli-positive samples was lower in samples that had been reportedly boiled than in untreated samples (27% vs. 62%). While boiling is generally not recommended in a chlorinated system due to its removal of chlorine, in this case where most tap water samples did not have measureable free chlorine residual, boiling appeared to be an effective method for reducing contamination. Other than boiling and adding bleach, many respondents stated that they treated their drinking water by allowing it to settle in a container, believing that settling constituted treatment for more than just aesthetic concerns. This reflects a lack of knowledge about effective home treatment methods and a need for community education as long as home treatment will continue to be necessary. Water storage Most GWI customers experienced periods of interrupted service and low pressure on most days. Inconsistent service often necessitates secondary storage of water in the household, either in tanks and large drums and/or in smaller drinking water containers. Secondary storage increases the opportunity for the introduction of contaminants and increases hydraulic residence time (and hence chlorine dissipation) prior to consumption. The proportion of residual free chlorine-compliant samples was lower in stored versus tap samples. Both total coliform and E. coli counts were higher in samples taken from tanks and drinking water containers than from those taken directly from the tap, likely reflecting contamination through increased handling or from storage in unclean vessels, combined with the loss of chlorine through dissipation. While numbers were insufficient for statistical significance, there was a trend towards decreasing free chlorine residual and increasing microbiological contamination from taps to tanks to drinking water containers. The paired samples from taps and tanks of the same households showed lower residual free chlorine levels in tanks than taps unless bleach was added to the tank. Paired tap and drinking water container samples also showed a loss of free chlorine residual in drinking water containers as compared to tap samples. Our previous studies have shown a similar trend of decreasing chlorination and increasing contamination with increased storage time, from tap to tank to drinking water container. Water costs GWI water service is not metered in Linden; rather there is a standard annual residential rate of GY $8,000 (~USD $40) per year, with higher rates for businesses and subsidies for pensioners. With a national average annual per capita income of ~USD $1,130 (World Bank, 2006), this can represent a substantial economic burden for some residents. Customers are sent bills annually and are expected to pay them at the Linden GWI office, but GWI reports problems with non- 94 payment. About half of households surveyed with GWI connections did not pay for their water service or paid less than the annual cost, though they continued receiving water service. This represents economic loss for GWI and a problem with GWI collections. About five percent of households owed large bills from unpaid bills in previous years which they were unable to pay. Some residents stated that they were resentful about over-paying for water when their service was inconsistent, and many spent additional money to purchase bottled or refilling station water for drinking. Perceptions of water quality In some cases, the use of alternative sources may not be due solely to a lack of tap service, but rather reflects a preference for other sources. There is a perception among the general population that the water source for the Wisroc water treatment plant, Dakoura Creek, contains high quality water. This perception probably comes from the visual clarity of the water and its low turbidity. The high number of users of river/creek/spring water observed among residents of the Wisroc and West Watooka service areas (which have some overlap in water distribution) likely reflects this perception. This perception is shared by the water utility (GWI) plant operators. The target residual free chlorine leaving the Wisroc treatment plant is set at 0.5 mg/L. The reasoning for this is that because the source waters have low turbidity, it is considered clean; chlorine is therefore kept to a minimum so that the water will not taste of chlorine. The results of the microbiological testing, however, do not support this perception. The proportion of total coliform positive tap samples from Wisroc (64%) was greater than from both West Watooka (54%) and LPC (55%). Similarly, the proportion of E. coli positive tap samples from Wisroc (27%) was greater than from West Watooka (8%), LPC (18%) and Amelia’s Ward (0). Furthermore, the household survey results do not reflect the perceived concern over excessive chlorination, as only 6 (1%) respondents reported that they believed the water was unsafe due to too much chlorine. Additional water quality data records from GWI’s 2007 biweekly WTP and distribution system water testing (see Linden Water Quality Data Analysis Report in WSP) found that the presence of total coliforms and fecal coliforms in water leaving the Wisroc plant was greater than in samples taken from the distribution system, demonstrating that contamination is present in the finished water at the treatment plant and cannot be attributed solely to the distribution system. Further, the 2007 biweekly sampling results indicate that the percentage of total coliform detections in the finished water at Wisroc WTP equaled that at McKenzie WTP and exceeded those at West Watooka and LPC WTPs. Similarly, the percentage of fecal coliform detections in the finished water at Wisroc WTP exceeded those at all 4 of the other WTPs. These findings bring into question the perception that Wisroc water quality is superior to the other surface-water treatment plants. Water collected directly from springs is also widely believed to be safe and was reported as a preferred drinking water source by some residents. While the number of samples tested was small, total coliforms and E. coli were found in samples collected directly from springs and from spring water stored in drinking water containers. Diarrhea and other illnesses While no significant statistical associations were found for childhood diarrhea, some trends did appear. The higher incidence of diarrheal illness with increasing household size and among people with pit latrines is consistent with known trends for these risk factors, as both large household size and pit latrines provide increased opportunities for transmission of fecal-oral 95 pathogens. The prevalence of pit latrines was highest among households that were not connected to the GWI water distribution network (newly developed areas or squatter areas), so pit latrine users were more likely to access water directly from the river or creek, increasing the risk of infection through consumption of contaminated water. The West Watooka and Wisroc WTP service areas had a higher number of pit latrine users than other WTP service areas and the highest reported incidences of diarrhea; West Watooka also had the highest number of households obtaining drinking water from a creek or spring. Additionally, it is possible that these same source waters could be contaminated through leeching from nearby pit latrines, and that handwashing practices were poor due to the lack of piped water, potentially further contributing to the higher incidence of diarrhea observed among residents of those areas. Unexpectedly, we found that diarrhea incidence was higher among people from households where drinking water container samples contained residual free chlorine levels greater than 0.2 mg/L. Two of those five cases, however, came from households where the chlorine level in the drinking water container was greater than 3.5 mg/L. Because of the very small number of cases, it is possible that the results are skewed by illnesses from causes unrelated to water consumption. While respiratory illnesses and skin infections were mentioned as concerns by 65% and 59% of respondents, respectively, reported incidence of these illnesses was low (0 and 4%, respectively). Concern over these illnesses arises from dust, emissions and waste produced by bauxite mining, which is the economic base of Linden. Exposure, either through water or air, to dust and smoke caused by bauxite mining was frequently mentioned by respondents as an additional concern. Other community concerns When asked about their biggest community concerns, the most common responses were: mosquitoes, HIV/AIDS, water quality, and rubbish. The first two probably reflect extensive media campaigns and public service announcements in response to the increasing rates of malaria and HIV in Guyana – amongst the highest in the Americas. Solid waste disposal is an obvious problem in Linden. With no officially designated site for rubbish disposal, informal dumping sites can be found along the streets, in and near the river, around the market area, and in the woods and undeveloped areas around Linden. This poses a health risk in terms of vector control and injury, and threatens water quality. The frequent burning of rubbish produces an additional risk factor for respiratory illness. Gutters blocked by rubbish can create breeding grounds for malarial mosquitoes, which are a growing problem in Guyana. LIMITATIONS This assessment faced several limitations. The sample size was calculated based on the ability to evaluate certain variables, such as diarrheal illness for the entire population size of Linden. It was not sufficiently large to make such associations for each of the water treatment plant service areas independently. This limited our ability to describe associations between diarrheal illness and potential risk factors given the different conditions of each water system. The number of samples that could be tested for total coliforms and E. coli was limited by the capacity of the available testing equipment. The number of microbial testing results, therefore, is small and does not allow for statistical analysis of association with potential risk factors. Only trends could be reported. In addition, this assessment did not include laboratory analysis for chemical contaminants that may be present in the water supply. 96 Information on illness for all household members was requested from a single respondent, likely contributing to under-reporting of illness incidence. Using two-week recall for diarrhea and other illnesses is also subject to under-reporting due to recall bias. Incidence rates for diarrheal illness in Linden could not be ascertained from health department and clinic data, so comparisons with the results of this household survey could not be made. Considerable variations in water quality can occur due to seasonal climatic changes that affect the quality of source waters. Operational variations at the treatment plants can also affect water quality. For example, the Amelia’s Ward treatment plant was not functioning for several days of the survey due to a damaged well pump. On those days, households collected untreated well water provided by the treatment plant, or used other alternative sources This survey was conducted on seven consecutive days in December, and therefore may not accurately reflect typical year-round water quality, water home storage and treatment practices, or the overall health situation of respondents. CONCLUSIONS AND RECOMMENDATIONS 1. The results of this assessment indicate insufficient chlorination at all GWI water service areas in Linden. Target residual free chlorine levels leaving the treatment plants should be increased to ensure a free chlorine residual at the most distal points in the distribution system of at least 0.2 mg/L. The determination of appropriate target values should be based upon the results of routine free chlorine residual testing in the distribution system rather than assumptions about source water purity. A schedule of routine monitoring of free chlorine residual in the distribution system, as well as evaluation of possible breaches and/or biofilm contamination, should be established to both determine and maintain adequate chlorination levels. This may require training of plant operators on setting appropriate levels for disinfectants and also a system for regular communication of water quality monitoring results to plant operators. Other operational considerations beyond just chlorination levels should be included in this analysis. For example, determination should be made through the WSP of operational and/or structural improvements needed to achieve turbidity levels that will allow for maximum effectiveness of disinfection. Adjusting pH and alkalinity of incoming water may allow for more effective treatment, which would improve finished water quality and potentially reduce the quantity and cost of chemicals for treatment. Testing of raw and finished water for other potential contaminants identified in the Water Safety Plan should be considered, including chemicals and other microbiological parameters such as Giardia and Cryptosporidium. 2. Education both to the public and to plant operators should be provided about the risks associated with drinking water directly or untreated from the Dakoura Creek and community springs. Although these waters may be less turbid and therefore appear “cleaner” to some residents than water from the Demerara River, the final water should be treated to the same level of quality as other source waters and should not be consumed directly. 3. Until adequate and consistent chlorination can be achieved at the treatment plants and until consistent service precludes the need for household storage, home treatment of drinking water can be an effective method of improving the safety of drinking water. However, public education on home treatment methods needs to be disseminated as 97 current knowledge is low. Microbiological testing showed greater contamination in water from household drinking water containers than from water taken directly from the tap. Storage of drinking water in secondary containers leads to lower free chlorine residual levels and creates opportunities for contamination through increased handling. Providing consistent service of high quality water would eliminate the need for household storage that creates these additional risks. Health education about proper use and storage of water within the household could also help to reduce risks from these practices. Messages should emphasize: • appropriate dosing with bleach to ensure effective, but not excessive dosage; • boiling, accompanied by careful handling and storage techniques to reduce the reintroduction of pathogens after boiling; • settling alone does not constitute an effective treatment method, thus another method should also be used. 4. Water quality is considered a large problem by Linden residents, so improvements in water quality and delivery would likely be met with positive public response. As GWI progresses with the Water Safety Plan, informing the community of improvements to their water service and educating the public about safe handling, storage and treatment within the home could help improve public relations. Local cable television is a widely used medium for delivering public service announcements in Linden and could be used to inform people about actual or anticipated changes to water quality, or interim measures that should be taken such as household water treatment. 5. Diarrhea incidence was most strongly associated with pit latrine use (although still not statistically significant). Improved sanitation would both help to decrease potential contamination of source waters and isolate pathogens from consumers. Therefore, sanitation should be considered an important component of the Water Safety Plan. 6. Improved payment collection and customer satisfaction will need to be addressed if GWI is to recover costs from consumers, as the current payment system is not effectively recovering funds owed. GWI has a plan to install household water meters starting in 2008. Installing a metered system should improve their ability to track payment for water use and increase satisfaction among paying customers since people will be billed only for the water they use. GWI will need to continue to provide special payment provisions for those customers who cannot pay due to poverty. 98 Table 1: Communities surveyed and estimated population size Communities GWI WTP service area Amelia’s Ward Amelia's Ward Central, Amelia's Ward South, Brazina Housing Scheme, Cinderella City, Self Help Area Linden Power Kara Kara Scheme, Old Kara Kara, Company (LPC) Rainbow City, Redwood Crescent, Retrieve, Spikeland McKenzie Constabulary Compound, Docama Circle, Fair's Rust, Industrial Area, North McKenzie, Noitgedacht, Nottinghamshire, Richmond Hill Surapana, Watooka West Watooka 1st, 2nd, 3rd Alleys (Wismar Nuclear), Buck Hill, most of Canvas City, Christianburg (sections B and C), Half Mile, Silver City, Silver Town, Watooka Hill, West Watooka, Wismar Housing Scheme, parts of One Mile and Victory Valley Wisroc Block 22, Blueberry Hill, D'Anjou Park, Ho a Shoo, Micah Square, Wisroc, some of Canvas City, part of Victory Valley, most of One Mile/Extension None 3rd Phase/ Phase 1B, Amelia’s Ward New Housing Scheme, Blueberry Hill squatter area, Old England, West Watooka squatter area, Siberian Linden Total Estimated # of HHs population of surveyed survey area 4,250 74 4,235 79 4,320 77 8,400 142 8,175 138 135 25 29,515 535 99 Table 2: survey population characteristics by water treatment plant service area # of HHs Have an in- Have a water Have a flush Believe their surveyed house tap storage tank toilet tap water is and GWI safe to drink connection WTP service area # of children <5 w/ diarrhea in previous 2 weeks Paid ≥GY$2800/ yr on nonGWI water 71 66 (93.0%) 38 (55.1%) 65 (91.6%) 26 (36.6%) 0 7 (9.9%)* Linden Power 78 Company (LPC) 67 (85.9%) 24 (31.6%) 71 (91.0%) 6 (7.8%) 2 (7.4%) 8 (10.3%)* McKenzie 71 61 (85.9%) 19 (27.1%) 68 (95.8%) 5 (7.0%) 0 20 (28.2%)* West Watooka 134 120 (89.6%) 24 (18.1%) 88 (65.7%) 17 (12.7%) 14 (24.6%) 5 (3.7%)* Wisroc 130 105 (80.8%) 34 (26.2%) 76 (58.5%) 31 (23.9%) 12 (16.4%) 5 (3.9%)* No water treatment plant 51 connection na 19 (38.0%) 16 (32.0%) na 4 (10.3%) 11 (21.6%)† Linden Total 419 (78.6%) 158 (30%) 384 (71.8%) 86 (17.4%) 32 (12.9%) 56 (10.5%) Amelia’s Ward 535 * includes people with GWI connection only includes entire † survey Three highest community concerns Mosquitoes HIV/AIDS Water quality HIV/AIDS Mosquitoes Water quality Mosquitoes Water quality Rubbish Mosquitoes HIV/AIDS Rubbish Mosquitoes HIV/AIDS Rubbish Mosquitoes HIV/AIDS Water quality Mosquitoe s HIV/AIDS Water quality population 100 Table 3: Consistency of water service by water treatment plant service area Have 24- Average # Experience Experience Consider hr/day water of hours/ periods of several water service day low pressure days/yr shortages a without without big problem WTP service area service service Amelia’s Ward 2 (2.8%) 13.5 62 (87.3%) 40 (58.8%) 40 (57.1%) Linden Power 6 (7.7%) Company (LPC) 8.0 62 (95.4%) 42 (66.7%) 41 (53.3%) McKenzie 13 (18.3%) 7.3 63 (90.0%) 26 (37.7%) 26 (36.6%) West Watooka 21 (15.9%) 5.8 103 (78.6%) 66 (50.4%) 43 (32.8%) Wisroc 23 (17.8%) 7.3 115 (89.8%) 84 (66.1%) 46 (36.5%) Linden Total 65 (13.5%) 7.8 405 (87.1%) 258 (56.3%) 223 (42.6%) 101 Table 4: Potential risk factors for diarrhea and diarrhea prevalence in previous 2 weeks among children under five years of age Variable Frequency with Odds Confidence Limit diarrhea (%) Ratio* (p-value)* Hrs/day without water (range 0-22) 1.01 0.93-1.09 (0.87) # in HH ≥7 persons 17 (20.2) 3.09 1.02-9.35 (0.06) 5-6 persons 9 (11.0) 1.50 0.43-5.30 (0.77) 1-4 persons 6 (7.6) ref Have tank No 27 (14.5) 1.80 0.45-10.21 (0.40) Yes 5(8.6) ref Tap service 0.35-5.13 (0.66) Yes 28 (13.3) 1.35 No 4 (10.3) ref Type of toilet: Pit latrine 17 (18.3) 2.41 0.90-6.44 (0.08) Flush (septic tank) 13 (8.5) ref Handwashing with soap (respondent) 17 (13.1) Always/almost always † † 15(13.0) Sometimes 0 Never/almost never Free Cl2 residual at tap ≥0.2 mg/L 2 (12.5) 1.12 0.12-10.215 (0.92) <0.2 mg/L 22 (13.8) ref Free Cl2 residual in tank <0.2 mg/L 3 (60.0) † † ≥0.2 mg/L 0 (0.0) Free Cl2 residual in drinking 0.35 20 (11.8) water containers 0.09-1.33 (0.12) 5 (27.8) <0.2 mg/L ref ≥0.2 mg/L *Logistic regression model adjusted for effect of clustering by WTP service area and household † Unable to calculate due to zero values ref = referent group for calculating odds ratio 102 WTP service area Amelia’s Ward Linden Power Company (LPC) McKenzie West Watooka Wisroc None Total Linden Table 5: Water quality data in different household samples and at treatment plants Free Cl2 Free Cl2 Mean of Free Cl2 Free Cl2 Mean Free Cl2 Free Cl2 at tap at tap free Cl2- in tank in tanks free Cl2- in DWC in DWC <0.2 ≥0.2 positive <0.2 ≥0.2 positive <0.2 ≥0.2 mg/L mg/L tap mg/L mg/L samples mg/L mg/L samples in tank (mg/L)§ (mg/L)§ Mean free Cl2positive DWC samples (mg/L)§ Mean free Cl2 leaving plant on survey days† (mg/L) Mean pH leaving plant on survey days† Mean turbidity leaving plant on survey days† (NTU) 19 (86%) 3 (14%) 0.28 35 (90%) 4 (10%) 0.64 54 (91.5%) 5 (8.5%) 0.69 0.56 6.3 - 55 (93%) 4* (7%) 0.40§ 22 (96%) 1 (4%) 0.30 43 (91.5%) 4* (8.5%) 1.60§ 0.79 5.4 3.7 (range: 0, 7) 47 (92%) 4 (8%) 0.27 17 (94%) 1 (6%) 0.30 55 (98.2%) 1 (1.8%) 0.50 1.21 4.9 8.3 (range: 5, 12) 100 (99%) 1 (1%) 0.20 19 (95%) 1 (5%) 0.30 92 (92.9%) 7** (7.1%) 1.68§ 1.20 5.0 9.4 (range: 5, 15) 72 (90%) 8 (10%) 0.26 29 (94 %) 2* (6%) 0.30§ 87 (83.7%) 17** (16.3%) 1.01§ 0.51 6.4 3.1 (range: 0, 5) na na na 3 (75%) 1 (25%) 0.20 19 (90.5%) 2* (9.5%) 0.20§ na na na 293 (94%) 20 (6%) 0.29 125 (93%) 10 (7%) 0.43 350 (90.7%) 36 (9.3%) 1.27 0.85 5.6 6.1 *includes one sample with >3.5 mg/L free Cl2 residual ** includes two samples with >3.5 mg/L free Cl2 residual § Excluding samples that surpassed the upper limit of the test method (>3.5 mg/L) †Reported daily by plant operators on 7 survey days 103 Table 6: Microbiological test results (total coliforms and E. coli) for direct-from-tap, and tank samples HH tank – total HH tank – Source of water HH tap – total HH tap – coliforms+ E. coli+ coliforms+ E. coli + sample Amelia’s Ward 2 (67%) 0 3 (75%) 2 (50%) LPC McKenzie West Watooka Wisroc None Total Linden drinking-water container (DWC) HH DWC – total HH DWC – coliforms+ E. coli + 8 (80%) 4 (40%) 6 (55%) 2 (18%) 3 (75%) 1 (25%) 7 (88%) 4 (50%) 8 (89%) 5 (56%) 4 (100%) 2 (50%) 8 (80%) 1 (10%) 7 (54%) 1 (8%) 2 (100%) 2 (100%) 19 (100%) 8 (42%) 7 (64%) 3 (27%) 2 (67%) 0 13 (93%) 10 (71%) na na 5 (100%) 1 (20%) 11 (92%) 4 (33%) 30 (64%) 11 (23%) 19 (86%) 8 (36%) 66 (90%)) 31 (42%) 104 Figure 1: Linden Household Survey Water Treatment Plant (WTP) Service Area Distribution Map Linden Power Co. WTP service area Blueberry Hill One Mile Extension Wisroc WTP service area Wisroc Danjo Park Cinderella City Ho a Shoo Wismar 3rd Phase/Phase 1B Block 22 WTP Silver City Victory Valley One Mile WTP Christanburg Half Mile Silver Town Canvas City Spikeland Industrial Constabulary Area Compound Bauxite Plant Old England Dakoura Creek WTP West Watooka WTP service area Watooka Hill Amelia’s Ward WTP service area Retrieve WTP Rainbow City Kara Kara Central Amelia’s Ward New Housing Scheme Brazina WTP South Amelia’s Ward Tailings pond N. McKenzie Richmond Hill McKenzie WTP service area Noitgedacht Fair’s Rust Surapana Demerara River 105 APPENDIX IV: Standard Operating Procedure Jar Test Procedures Prior to starting a jar test, a sample of the water to be tested should be analyzed for turbidity, temperature, pH, alkalinity, hardness, and colour. The results should be recorded on a jar test results form. The amounts of chemicals to be added to each of the six beakers should be calculated and prepared for immediate addition to the beakers at the proper time. 9 9 9 9 9 9 9 9 9 9 9 Collect at least a two-gallon (eight litres) sample of water to be tested. Immediately measure six 1000 ml quantities and place into six 1000 ml beakers. Place all six beakers on the stirring apparatus. With a measuring pipette, add increasing dosages of the coagulant solution to the beakers as rapidly as possible. For example, add enough solution to be equivalent to a 10 mg/L dose in beaker #1 and add enough solution to be equivalent to a 12 mg/L in beaker #2. Add uniform amounts of the pH chemical solution to each beaker. These amounts should be calculated so the finished water is approximately 7.0 to 7.5 pH. On a subsequent jar test, the feed rates for both the coagulant and pH can be variable to determine the correct dosage of each. Add standard solutions and feed rates for any other chemicals normally used. If a coagulant aid is used, the alum feed rate may be uniform for all six jars and the coagulant aid could be the variable. Quickly lower the stirring paddles into the beakers and activate the paddles immediately for one minute at 80 rpm. The specified rate and time are typical of the action and detention time found in many treatment plants, but calculations have to be made to meet actual conditions present in your treatment process. Reduce the mixer speed to 20 rpm for 20 minutes to simulate the flocculation basin conditions. Again, time and rate adjustments should be made according to the treatment plant conditions. Record the time required for visible floc to form and describe the floc characteristics (pinhead sized floc, flake sized floc) during mixing. j . Stop the stirrers. Allow the floc to settle for 30 minutes or for a period similar to your plant conditions. Observe and note how quickly the floc settled, the floc appearance, and the turbidity of settled water above the floc. You can remove a sample of the clear water with a pipette for testing. Using the sample of clear water from each beaker, measure the turbidity, pH, and alkalinity of the water. Evaluate the results of the jar test. Several factors should be considered such as rate of floc formation, type of floc particles, clarity of water between floc particles, size of floc, amount of floc formed, floc settling rate, and clarity of water above settled floc. The following comments will assist in evaluating the results. Visible floc formation should begin shortly after the rapid mix portion of the jar test. During the flocculation mixing, a number of small particles will gradually clump together to form larger particles. Floc particles which are separate and fairly dense in appearance are usually better than floc particles that have a light, fluffy appearance. Large floc is impressive but it is neither necessary nor always desirable. Large, light floc does not settle as well as smaller, denser floc, and it is more subject to shearing (breaking up). The water between the floc particles should be clear and not hazy or milky in appearance. The best chemical dosage is one which produces a finished water that meets the SDWA standards 106 at the lowest cost. The floc should settle quickly after the mixing has stopped. Floc that remains suspended longer than 15 to 20 minutes would be carried over onto the filter media. The jar tests can be repeated using other combinations of chemicals to produce the best results for turbidity, pH, and alkalinity. The pH should preferably be between 7.0 and 7.5 and the alkalinity should be greater than 40 mg/L and at least half of the coagulant dose rate. Jar tests are an effective tool for predicting the results of the treatment process and evaluating various combinations of chemical feed and different chemicals. These test results are used to adjust or verify the feed rates in your treatment plant. A jar test should be run at the beginning of each shift and more frequently when the raw water turbidity is high or changing. There is no substitute for experience in evaluating jar test data. Frequent tests will provide a basis for comparing results of the quality of finished water under different conditions and aid in fine tuning of the chemical feed dose rates. Always verify the effectiveness of a change in treatment based on a jar test result. To verify the jar test results with treatment plant performance, after the changes have been in effect for sufficient time to show results at the rapid mix chamber, collect a sample just down stream from the rapid mix chamber. Mix the sample on the jar test equipment under the same conditions as the original sample (not including the rapid mix simulation). This sample should show similar results to the original test sample and a comparison of these results could be the basis for further fine tuning of the chemical dosage. 107 APPENDIX V : DRAFT FOCUS GROUP MEETINGS PLAN Draft Outline for Focus Group Meetings for the National Programme of Action/Water Safety Plan (NPA/WSP) 1. Aim The aim of these sessions is to provide members of communities in Linden with information on the Water Safety Plan and the National Programme of Action (NPA/WSP) and to create an environment/forum to enable a greater awareness among members of the public, private and civil society sectors in areas of water resources management, water purification, water conservation, household practices and sanitation and also to foster partnership building across sectors in areas relating to the National Programme of Action/Water Safety Plan (NPA/WSP). 2. Objectives • To provide members of three communities in Linden with information on - water resources management, water purification, water conservation, household practices and sanitation relating to the National Programme of Action/Water Safety Plan (NPA/WSP). • To create opportunities for representatives of the public, private and civil society sectors in Linden to engage in discussions and receive information on aspects of water and sanitation as is relevant to the National Programme of Action/Water Safety Plan (NPA/WSP). • To create opportunities for building strategic partnerships between the public, private and civil society sectors in Linden in the area of water and sanitation as is relevant to the National Programme of Action and the Water Safety Plan (NPA/WSP). 3. Target Audience These Focus Group sessions will be divided into two sections: 1. Community Meetings 2. Two-Day Workshop for public, private and civil society sectors in Linden 4. Community Meetings The communities selected for the Community Meetings are, Wismar, Amelia’s Ward and Mc Kenzie. a) Format for Community Meetings 108 The Format for the Community Meetings is as follows: i) One Meeting will be held in each community. ii) Each Meeting is expected to have in attendance at least 30 persons from the community. iii) Delivery of Sessions Discussions - The sessions will be very interactive (Please note that a Powerpoint presentation will not be used for these meetings since I do believe that at meetings such as these a more interactive approach is most effective). b) Topics for Discussions i) Water Resources Management ii) Water Purification iii) Water Conservation iv) Household Practices v) Proper Sanitation and its Relations to Water (Impact of improper sanitation practicespositive and negative) vi) Water Distribution in Linden Please note that existing materials from the various agencies involved in the development of the WSP/NPA will be used for discussions on the abovementioned topics. C) Venue for Community Meetings: i) Linden Foundation School for the Amelia’s Ward Community meeting. ii) Wismar Multilateral School for the Wismar Community meeting. iii) New Silver City Secondary School for the Mc Kenzie Community meeting. d) Dates and Time for Community Meetings: i) 16 April 2009 at 17:00 hours – Wismar ii) 17 April 2009 at 17:00 hours – Amelia’s Ward iii) 18 or 19 April at 16:00 – Mc Kenzie 5. Workshop for Public, Private and Civil Society Sectors This Workshop will bring together representatives from the public, private and civil society sectors to assist them in developing a greater understanding of the Water Safety Plan and the National Programme of Action and to build on current techniques of working together for the successful implementation of the NPA/WSP). 109 The details for this Workshop are as follows: Target Audience a) Public Sector This group will include Government Agencies, Semi – Autonomous and other agencies - the public service in Linden and large water users (surface water and ground water users - whether for Agriculture or other use, uses chemicals, disposes of chemical waste, disposes of large quantities of domestic waste). i) Hospital Representatives ii) Mining Representatives iii) Regional Democratic Council (RDC) Representatives iv) Mayor and Town Council Representatives v) Guyana Water Inc. (As the main water producer) vi) Ministry of Education (Regional Education Department) vii) Schools (Administration) viii) Members of the WSP/NPA partnership group (optional) Etc. b) Private Sector The group will include businesses in Linden which are providing water services or are large water users (whether it be surface water of ground water, whether for Agriculture or other use, uses chemicals, disposes of chemical waste, disposes of domestic waste. Restaurants Hotels Mining Organisations Hair Dressing Salons Drinking Water Producers (in Linden) c) Civil Society This group will include civil society organizations (CSOs) in Linden. It will include all CSO’s with an interest in water, sanitation and hygiene. Non Governmental Organisations (NGO’s) 110 Civil Society Organisations (CBO’s) Faith Based Organisations (FBO’s) Schools Women’s Organisations Youth Groups Environmental Organisations Media d) Number of Participants 40 e) Venue LEAP – Conference Room f) Date and Time: Dates 20 -21 April 2009 Time 09:00 – 16:00 hours g) Format for Sessions i)PowerPoint Presentations on the following: • The Water Safety Plan (WSP) and it Relevance to Water Safety and Health and Development Linden by Dr. Ashok Sookdeo – (Presenter confirmed) • The National Programme of Action (NPA) and its implementation in Linden Mr. Hance Thompson (Presenter to be confirmed). • Building, Managing and Sustaining Partnerships for the Successful Implementation of the Water Safety Plan/National Programme of Action (WSP/NPA) in Guyana ii) Discussions iii) Group Discussions iv) Role Plays v) Plenary e) Focus Group Meeting 2 – 20 – 21 April 2009 This group will comprise of members from the Public, Private and civil society Sectors in Linden and members of the NPA/WSP Partnership Team (optional). 111