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Describe the purification of water on a small scale.

Community Medicine · 3rd Professional

Purification of Water on a Small Scale

Small-scale water purification is what an individual household, a traveller or a relief camp must rely on when no treated piped supply exists. It matters greatly in India, and the practical question is always which method suits the water available, the fuel available and the person using it.

  • Boiling is the most reliable household method — a rolling boil for 5 to 10 minutes is sufficient
  • Its advantage is that it kills everything — bacteria, viruses, and the cysts and ova that chlorine does not touch
  • Its disadvantages — it requires fuel, which is expensive and itself a source of indoor air pollution; it changes the taste by driving off dissolved air, so people dislike it; it does not remove turbidity or chemicals; and, critically, it leaves NO residual protection, so the water is recontaminated as soon as it is stored or handled carelessly
  • That last point is the practical key to all household treatment — safe storage matters as much as treatment, in a narrow-mouthed covered vessel with a tap or a long-handled dipper, so that hands never enter the water
  • Chemical disinfection:
  • Bleaching powder (chlorinated lime) — contains about 33% available chlorine when fresh, but loses it rapidly on exposure to air, light and moisture, which is why it must be stored in a dark, airtight container and tested before reliance
  • The horrocks apparatus is used to determine the dose of bleaching powder required for a given well, and is a classic examination item
  • Chlorine tablets (halazone) — convenient but expensive for routine use
  • Sodium hypochlorite solution — supplied under the national programme, typically one drop per litre of clear water, with 30 minutes of contact
  • The essential conditions for any chlorination to work — the water must be clear; the correct dose must be used; and a contact time of at least 30 minutes must be allowed before drinking
  • Iodine — effective and useful for travellers and emergencies, but not for prolonged use, in pregnancy or in thyroid disease
  • Potassium permanganate is not recommended, being unreliable, and it colours the water and alters the taste
  • Physical methods:
  • Filtration through household filters — ceramic (Pasteur-Chamberland, Berkefeld) candle filters, which remove bacteria and turbidity but not viruses, and must be scrubbed and boiled weekly, since the candle itself becomes a culture medium if neglected
  • Activated carbon improves taste and odour and removes some chemicals but does not disinfect
  • Modern domestic units — ultraviolet units, which are effective against bacteria and viruses but require clear water and a reliable electricity supply, and leave no residual; and reverse osmosis, which removes dissolved salts, fluoride, arsenic and nitrate as well as organisms
  • A caution about reverse osmosis is worth making — it wastes a large volume of reject water, removes beneficial minerals, and is unnecessary where the water is microbiologically the problem rather than chemically so; it is widely over-sold
  • Solar disinfection (SODIS) — clear water in a transparent plastic bottle exposed to full sunlight for about 6 hours, working by ultraviolet radiation together with heat; it is free and suited to sunny climates, but needs clear water and a full day of sun
  • Multi-barrier approaches such as flocculant-disinfectant sachets, which coagulate turbidity and disinfect in one step and are therefore useful in emergencies where the water is muddy
  • Disinfection of a well is a standard practical question — estimate the volume of water in the well; calculate the bleaching powder required using the Horrocks apparatus or an assumed dose; make a paste, dilute it, allow the lime to settle and use the supernatant; distribute it through the well by agitation with a bucket; and allow at least one hour of contact before use
  • The principle that should conclude the answer — no household method is a substitute for a safe piped supply; they are interim, depend on daily correct use, and place the burden on the household rather than on the system
  • Boiling leaves no residual protection, so safe storage matters as much as the treatment itself
  • Store in a narrow-mouthed covered vessel with a tap, so that hands never enter the water
  • Reverse osmosis is widely over-sold, wasting water and stripping minerals where the problem is microbiological
  • Chlorination needs clear water and contact time, at least thirty minutes before the water is drunk
  • Bleaching powder loses chlorine rapidly, so it must be stored dark and airtight and tested before reliance
  • The Horrocks apparatus finds the dose for a given well, which is a classic practical item
  • Scrub and boil a ceramic candle weekly, since the candle itself becomes a culture medium if neglected
  • Activated carbon improves taste but does not disinfect, which is a distinction consumers rarely appreciate
  • Ultraviolet units need clear water and power, and leave no residual protection afterwards
  • Solar disinfection needs six hours of full sun and clear water in a transparent bottle, and costs nothing
  • Avoid iodine in pregnancy and thyroid disease, and do not use it for prolonged periods
  • Potassium permanganate is not recommended, being unreliable and altering colour and taste
  • Household methods are interim, not a substitute for a safe piped supply, and place the burden on the family

CLINICAL PEARL

Boiling kills everything but leaves no residual, so safe storage matters as much as treatment. Keep the water in a narrow-mouthed covered vessel with a tap, so that hands never enter it — otherwise the treatment is undone within minutes. And beware over-selling reverse osmosis: it wastes water and strips useful minerals, and is unnecessary where the problem is microbiological rather than chemical.

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