Documente Academic
Documente Profesional
Documente Cultură
In Partial Fulfillment
Of the Requirements for the Course
Preventive and Community Medicine II
Proponents:
Agustin, Alyssa Marie D.
Amamio, Andre R.
Balhon, Ikea Marie J.
Diocampo, Nikki J.
Jayma, Marielle May C.
Namoc, Glen John B.
Okit, Kristine R.
Peneza, Dolores Monique S.
Santos, Johanna D.
December 9, 2016
Table of Contents
I. Introduction
2
4
5
13
14
18
19
20
22
26
30
I. Introduction
A. Background and Significance of the Study
Water, being fundamental for life, remains to face a challenge with regards to
safety especially in rural areas. Pathogenic organisms occurring in water range from
ultra small viruses to microscopic bacteria to relatively large protozoa. These can
potentiate waterborne diseases which are linked to significant burden worldwide 3.
Diarrhea, for example, is one of the leading causes of morbidity and mortality in
developing countries in which there is an estimated 1 billion episodes and
approximately 5 million deaths occurring in children under 5 years of age per year 1.
In the Philippines, diarrheal disease is the second leading cause of morbidity
and sixth leading cause of mortality for all ages. It is the third leading cause of infant
deaths. Most diarrheal illnesses are acute, usually lasting no more than 3-5 days and
are secondary to infectious diseases (bacterial, viral, and parasites). Infectious
agents that cause diarrheal disease are usually spread by the fecal-oral route,
specifically by ingestion of contaminated food or water and contact with
contaminated hands1.
Diarrhea is commonly linked to water and sanitation. This occurs when people
live in conditions where there are poor water and sanitation facilities, poor health
promotion, poor personal hygiene practices and lack of safe water sources 4. The
most common causative agents are Rotavirus and Escherichia coli that are
transmitted through feces which explains their prevalence in contaminated water, for
example, from sewage, septic tanks and latrines 2. Moreover, domestic animals
contribute heavily to the bacterial population in water. Many coliform bacteria may be
directly deposited into natural streams from waste in water and runoff from areas
with high concentrations of animals and humans. In addition, due to these factors,
fecal coliforms may access drinking water when reduced pressure or suction in long
water lines draws in bacteria-laden water or soil into pipes through joints 3.
According to a recent interview with MEEDO or the water works system
representative in Alubijid, Misamis Oriental, there are 31 level 2 and 157 level 3 endpoint water sources in barangay Baybay with 2 deep wells as the main water source.
In relation to this, a recent survey conducted in barangay Baybay, Alubijid, Misamia
Oriental showed that 41% of the population practice boiling and 28% use filtering as
2
a means of sanitizing water, while 30% consider other practices or none at all.
Furthermore, excreta disposal was predominantly through septic tanks (80%), but pit
latrines (17%) and cartage (1%) still exist. Open type of drainage (86%) has been
observed as well. As for handling of domestic animals, 61% are free of range while
39% are fenced. In terms of morbidity, diarrhea is responsible for 20% of common
illness in children.
Diarrhea may not be the leading cause of illness in the barangay as compared
to pneumonia and measles, but it can still pose a significant risk in the community
given its current water sanitation status. In addition, the latter are highly
communicable diseases which probably explains its higher rate. Statistics may not
be that alarming at present, but the fact that recent studies show strong correlation
between poor water sanitation and diarrhea, the barangays current situation
warrants special attention as an act of preventing further spread of possible waterborne diseases. Given all these relevant data, this study is initiated not only to
address risks associated with poor water sanitation but to improve the quality of life
of the people in barangay Baybay.
This study aims to assess the quality of Level II and Level III water sources as
well
as deep
B. Objectives
General Objectives
To determine the quality of drinking water in Barangay Baybay, Misamis
Oriental
Specific Objectives
has a high organic discharges from manufacturing facilities, runoff from livestock
production, and discharges from households10.
Waterborne Diseases
Diarrhea, typhoid, cholera, and helminthiasis are clinically manifested in
waterborne diseases. In the Philippines, one of the top five causes of morbidity
remains to be acute watery diarrhea. Recent studies of DOH shows that there is a
decline in the morbidity which was largely due to an increase in the access to safe
water and sanitation services, and the promotion of hygienic practices such as hand
washing. Other water- and sanitation-related diseases such as typhoid and cholera,
also shows a decline11,12,13,14. In addition, one-sixth of the reported disease cases are
due to exposure to water pollution and poor sanitation conditions and hygiene
practices and accounts for nearly 6,000 premature deaths per year. The lack of basic
sanitation consists of 25 million and those that lack water sources consists of about
13 million and should be provided with improved drinking water and hygiene 15.
Philippine National Standards for Drinking Water
Last 2007, the national Department of Health published during the Philippines
National standards for drinking water 16. It is based on criterias and guidelines by
well-known institutions such as the WHO and USEPA. This aims to understanding
more on the issues related to water quality, it pushes for a water quality surveillance
system that is efficient by putting first the factors that is needed to monitor for the
reason of protecting public health, safety of the people by ensuring that drinking
water is of quality standards17. This standards covers waterworks officials, the one
operating and developing water supply systems may it be government or a public
agency,other private distributors, sanitation departments, the public and other people
who may be concerned16.
Microbiological Indicators of Drinking-Water Quality
In the mandate of the Philippine Standards for Drinking Water it is stated that
drinking-water supplies should be free from contamination by human and animal
excreta, which can contain a variety of microbial contaminants. There are
microbiological parameters that is indicative of waterborne diseases and, in general,
are limited to bacteria, viruses and pathogenic protozoa 16.
6
Radiological Quality
Naturally-occurring radionuclides present in rocks, soils and from man-made
radionuclide from nuclear energy are sources of radioactive contaminants in drinking
water. Deep wells, groundwater and mineral springs are known to be sources of
natural radioactivity, primarily radium and radon. Even though radioactivity
contribution in drinking water is very minimal, monitoring radioactivity to protect the
public from undue exposure to radiation it is still important 16.
taps.The sampling bottle should be kept unopened until it is ready for filling. Remove
stopper or cap as a unit; do not contaminate inner surface of stopper or cap and
neck of bottle. Fill container without rinsing, it should be filled without rinsing and
ample space (at least 2.5 cm) must be left to facilitate mixing by shaking. Replace
stopper or cap immediately. Water samples should be processed promptly or within
six (6) hours after collection or if not possible the use of ice coolers for storage of
water samples during transport to the laboratory is recommended. The time elapsed
between collections and processing should in no case exceed 24 hours 16.
Guidelines for Drinking-Water Quality (WHO, 2011)
The recommendations of the World Health Organization (WHO) in managing
risks from hazards that may compromise the safety of drinking-water are provided in
the Guidelines for Drinking-water Quality with a primary purpose of protecting the
public health from exposures to hazards, such as waste, air, food and consumer
products. Since water is essential to sustain life, every effort should be done to
achieve drinking-water that is safe and practicable. Infants and young children,
people who are debilitated and the elderly, especially those living under unsanitary
conditions, are at greatest risk of waterborne disease and may need to take
additional steps to protect themselves against exposure to waterborne pathogens,
such as boiling their drinking-water. Safe drinking-water is required for all usual
domestic purposes, including drinking, food preparation and personal hygiene.
Hence, the Guidelines are applicable to packaged water and ice intended for human
consumption17.
The Guidelines are made to support the development and implementation of
risk management strategies that ensure the safety of drinking-water supplies by
controlling the hazardous constituents of water. It is referred to a reasonable
minimum requirements of safety practices in order to protect consumers health.
Also, it is derived from the numerical guideline values for components of water or
indicators of water quality. In terms of risk assessment and risk management of a
drinking water supply, it said to be a holistic approach. From the catchment and its
source water through the consumer, this necessitates systematic assessment of
risks all through a drinking-water supply and the ways in which these risks can be
10
effects are due to these few chemical contaminants and thus constitute only a very
small proportion17.
Water Quality Guidelines and General Effluent Standards of 2016 (DENR
Administrative Order No. 2016-08)
Based on RA 9275 or the Philippine Clean Water Act of 2004, the DENR
released new water quality guidelines and effluent standards 12 years after RA 9275
passed. The former guidelines contained in DENR DAO-34 and 35 series of 1990
are now out-dated. These adopts and promulgates the Water Quality Guidelines
(WQD) and General Effluent Standards (GES) 18.
The DENR administrative Order provides guidelines for to help in the
classification of water bodies in the Philippines including the evaluation of water
quality. These Water Quality Guidelines apply to all bodies of water in the
Philippines. Water Quality Management Area or WQMA are certain areas designated
using appropriate physiographic units and are similar in terms of hydrological,
hydrogeological,
meteorological
or
geographic
conditions
which
affect
the
11
potable water and other domestic use Class A water quality guidelines will be used
exept BOD and Dissolved Oxygen (Appendix 2) 18.
Other Related Local Studies
Misamis Oriental is the center of industry, trade and commerce in Region X,
despite the fact that the budding economy the system of drinking water treatment is
not that advanced. The said treatment is only limited to disinfection through
chlorination. Through this method, the microorganisms found in the water will be
killed but other compounds and contaminants remain. These contaminants pose a
threat to the health of the residents20.
The study conducted by R. L. Besagas et al last 2015 concluded that the
upland and coastal freshwaters in Misamis Oriental are not totally safe since both
are high in total coliform and positive in E. coli. This is an obvious manifestation of
fecal pollution and possible pathogenic contamination in the water systems 21.
There was a study conducted in western Misamis Oriental that tested the
water quality from deep wells in the area and led to the findings which implies that of
the seven municipalities all well waters fail in total coliform count. In addition, well
waters from four (4) municipalities namely Laguindingan, Lugait, Gitagum, and
Libertad were found to have Escherichia coli21.
12
Citrobacter)15
Family composed of a father, a mother and their offspring
Heterotrophic Plate Count (HPC) - describes a broad group of bacteria that
include pathogens, non-pathogens and opportunistic microorganisms 15
Household one or more families living under the same house
Level II a system composed of source, a reservoir, piped distribution
network and communal faucets
Level III waterworks system or individual house connections
Potability drinkability of water based on the assessment of its physical
properties, chemical properties and bacteriologic property set by the
researchers
Safe drinking-water - does not represent any signicant risk to health over a
lifetime of consumption, including different sensitivities that may occur
13
14
D. Sterilization of Materials
Sterile sampling bottles will be provided by the DOH for the testing of
bacteriological property. For the physicochemical properties to be tested by the
researchers and the selected private facility, 8 1-liter polyethylene terephthalate
(PET) bottles will be purchased and sterilized. For the sterilization of bottles that will
be used in collecting water from Level II and III water sources it will be done by
initially adding 0.1 ml of a 3% solution of sodium thiosulfate (Na2S2O3) into the PET
bottles then sterilized by immersing in a 1:100 diluted bleach solution containing 5%
sodium hypochlorite for 30 minutes. On the other hand, for the sterilization of bottles
that will be used in collecting water samples from deep well it will be done by
immersing the PET bottles in a 1:100 diluted bleach solution containing 5% sodium
hypochlorite for 30 minutes. Then store the PET bottles in a clean environment to
avoid contamination prior to use.
E. Collection of Samples
Microbiological Quality
The samples for microbiological examination will be collected using the bottles
provided by DOH. The sample will serve as a representative of the water under
examination. If the source is a faucet type, the tap should be cleaned and free from
attachments and fully opened with water allowed to waste for a sufficient time to
permit the flushing or clearing of the service lines. Flaming will be not necessary.
Taps with a history of previous contamination may be disinfected with hypochlorite
solution (NaOCl 100 mg/L). No samples will be taken from leaking taps.
The sampling bottle will be kept unopened until it is ready for filling. The stopper or
cap as a unit will then be removed and it must not be contaminated especially the
inner surface and neck of bottle. Subsequently, the container will be filled without
rinsing and ample space (at least 2.5 cm) must be left to facilitate mixing by shaking.
Then the stopper or cap will be replaced immediately.
The water samples will be processed promptly or within six (6) hours after collection
or if not possible, ice coolers for storage of water samples will be used during
transport to the laboratory as recommended. The time elapsed between collections
and processing should in no case exceed 24 hours.
15
If the water source is a deep well or an open body of water, the sampling
bottle will be fully submerged then uncapped using a gloved hand. It will be allowed
to fill up to the neck of the bottle, recapped, and will be sent to the laboratory for
analysis. The results will then be compared with the DOH standard for drinking
water.
Chemical and Physical Quality
Samples from wells will be collected using sterilized PET bottles after the well has
been pumped sufficiently to ensure that the samples represent the quality of
groundwater that feeds the well. New wells will require sufficient utilization and
abstraction before sampling. Collect samples from open shallow wells by taking a
composite sample.
Testing of Parameters
The selection of parameters to be tested are based on the criteria set for class
A water according to the PNSDW. The microbial parameters will be tested by the
DOH. The results obtained will be compared with the DOH water potability standards
total
coliforms,
fecal
coliforms,
heterotrophic
plate
count,
E.
coli.
The
physicochemical properties will be tested by the researcher and these include odor,
taste, color, turbidity, pH, total dissolved solids (TDS), hardness, copper, chloride,
aluminum, sodium, sulfate, hydrogen sulfide, zinc, iron, manganese. The radiological
constituents include gross alpha activity, gross beta, and radon. All gathered results
will be assessed if it has met the standards set by the DOH.
Data Analysis
Averages of the data gathered of replicates of same parameter will be computed and
will be used to assess whether the result will pass the standards set by DOH.
Graphs will be made showing the result of the study.
16
17
V. Work Plan
18
Microbial Test
Sample Testing for
Chemical Properties
Laboratory Rental
Printing
Binding
II. Administrative Expenses
A. Snacks
III. Miscellaneous
A. Contingency Fund
Unit Price
Quantit
(P)
200.00 9 People
Total
1,800.00
200.00
20.00
50.00
1 rim
5 pcs
8 pcs
200.00
100.00
400.00
300.00
1,200.00
300.00
samples
4
1,200.00
1,000.00
1.00
samples
1
500
1,000.00
500.00
200.00
pages
5 copies
1,000.00
450.00
7 mos
3,150.00
200.00
1,800.00
persons
TOTAL
12,350.00
19
VII.
References
1 Carlos C, Saniel M. Etiology and Epidemiology of Diarrhea [Internet].
Available
2
from:
http://citeseerx.ist.psu.edu/viewdoc/download?
doi=10.1.1.544.3015&rep=rep1&type=pdf
World Health Organization. Diarrhoeal Disease [Internet]. World Health
Organization;
2013.
Available
http://www.who.int/mediacentre/factsheets/fs330/en/
3 Treyens C. Bacteria and Private Wellls [Internet].
from:
Available
from:
https://www.google.com.ph/search?
site=&source=hp&q=bacteria+and+private+wells&oq=bacteria+and+private+&
gs_l=hp.1.0.0i22i30k1l2.27469.32648.0.35897.24.22.0.0.0.0.390.3206.0j1j7j4.
12.0....0...1c.1.64.hp..12.9.2420.0..0j0i131k1.WfWVgToUPZI
4 Su G. Water-borne illness from contaminated drinking water sources in close
proximity to a dumpsite in Payatas, The Philippines. Journal of Rural and
Tropical Public Health 2005; 4: 43-48.
5
https://www.unicef.org/wash/3942_4456.html
United Nations. The Millenium Development Goals Report [Internet]. New
York;
2012 p. 47-57. Available from:
%20Report%202012.pdf
World Health Organization. The Philippines [Internet]. World Health
Organization;
2011.
Available
from:
http://www.wpro.who.int/topics/water_sanitation/wsp_case_study_phl.pdf
State of water : Philippines [Internet]. Wepa-db.net. 2016 [cited 18 November
2016].
http://www.un.org/millenniumgoals/pdf/MDG
Available
from:
http://www.wepa-
db.net/policies/state/philippines/overview.htm
Tonog M. Poblete M. Drinking Water Quality Assessment in Selected
20
Oriental,
Philippines
[Internet].
2015.
Available
from:
http://waset.org/pdf/books/22699?pageNumber=253
21
VIII.
Appendices
A. Dummy Tables
Type of
station
Water
Taste
Odor
Average
pH (Range)
Turbidity
Color
Source
True
TDS
Hardness
(ppm)
Apparent
Type of
Water
Aluminum
Source
Chloride
Coppe
Hydrogen
sulfide
Iron
Manganese
Sodium
Sulfate
Table 3. Fecal Coliform of the Drinking Water Sources of Barangay Baybay, Alubijid,
Misamis Oriental
22
Zinc
Sampling Station
Fecal Coliform (+ or -)
Interpretation
Gross beta
Radon
Research Data
DENR Standard
Color
23
Hardness
Odor
pH (Range)
Turbidity
Total Suspended
Solids
Aluminium
Chloride
Copper
Hydrogen sulfide
Chemical Property
Iron
Manganese
Sodium
Sulfate
Zinc
Bacteriologic
Property
Fecal Coliform
Gross beta
Radon
24
25
26
27
28
Personal Data
Nationality: Filipino
Gender: Female
Marital Status: Single
Date of Birth: 12 November 1992
Education
2015 Present
2009 2013
2005 2009
1999 2005
2013
30
ANDRE R. AMAMIO
Address: #20 Seahorse St. Villa Ernesto Phase 2, Gusa, Cagayan de Oro City
Contact information: 09369535418
Email address: andre.amamio@gmail.com
Personal Data
Nationality: Filipino-American
Gender: Male
Marital Status: Single
Date of Birth: 14 July 1992
Education
2015 Present
2009 2014
2005 2009
1999 2005
31
Personal Data
Nationality: Filipino
Gender: Female
Marital Status: Single
Date of Birth: 01 March 1994
Education
2015 Present
2010 2014
2006 2010
2000 2006
32
NIKKI J. DIOCAMPO
Address: Zone 8, Bulua, Cagayan de Oro City
Contact information: 09177122585
Email address: njdiocampo@gmail.com
Personal Data
Nationality: Filipino
Gender: Female
Marital Status: Single
Date of Birth: 05 December 1993
Education
2015 Present
2010 2014
2006 2010
2000 2006
33
Personal Data
Nationality: Filipino
Gender: Female
Marital Status: Single
Date of Birth: 27 April 1994
Education
2015 Present
2010 2014
2006 2010
2003 2006
2000 2003
34
Personal Data
Nationality: Filipino
Gender: Male
Marital Status: Single
Date of Birth: 16 August 1993
Education
2015 Present
2009 2013
2005 2009
2003 2005
35
KRISTINE R. OKIT
Address: Tubigon, Maramag, Bukidnon
Contact information: 09357462102
Email address: okitkristine@yahoo.com
Personal Data
Nationality: Filipino
Gender: Female
Marital Status: Single
Date of Birth: 15 April 1994
Education
2015 Present
20011 2015
2007 20011
2002 2007
2001 2002
36
Personal Data
Nationality: Filipino
Gender: Female
Marital Status: Single
Date of Birth: 27 November 1994
Education
2015 Present
2009 2013
2005 2009
1999 2005
2013
37
JOHANNA D. SANTOS
Address: Block 19, Lot 3, Mockingbird Street, Morning Mist Village, Cagayan de Oro
City
Contact information: 09151301700
Email address: preensantos@ymail.com
Personal Data
Nationality: Filipino
Gender: Female
Marital Status: Single
Date of Birth: 13 April 1994
Education
2015 Present
2010 2014
2006 2010
2000 2006
2011-2014
38