Describe safe water criteria for psm

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Safe Water Criteria (PSM)

Based on Park's Textbook of Preventive and Social Medicine, WHO Guidelines for Drinking Water Quality (2011)

Definition of Safe and Wholesome Water

Water intended for human consumption must be:
  • (a) Free from pathogenic agents
  • (b) Free from harmful chemical substances
  • (c) Pleasant to taste - free from colour and odour
  • (d) Usable for domestic purposes
Water not fulfilling these criteria is said to be polluted or contaminated.

WHO Guidelines for Drinking Water Quality (2011)

The WHO recommends assessment of four broad categories:
I. Acceptability Aspects | II. Microbiological Aspects | III. Chemical Aspects | IV. Radiological Aspects

I. Acceptability Aspects

A. Physical Parameters

ParameterGuideline / Acceptable LevelReason
Turbidity≤1 NTU (median); >4 NTU noticeable to naked eyeInterferes with disinfection; aesthetic
ColourUp to 15 TCU (True Colour Units)Levels >15 TCU detectable in a glass; aesthetics
Taste & OdourShould be acceptable (no numeric health guideline)Indicates pollution or treatment malfunction
TemperatureCool water preferred (no specific guideline)High temp encourages microbial growth
pH6.5 - 8.5 (optimal for distribution)Extremes cause corrosion/scaling

B. Inorganic Constituents (Aesthetic Thresholds - Table 4)

ConstituentLevel Causing Consumer ComplaintsReason
Colour15 TCUAppearance
Turbidity1 NTUAppearance; disinfection effectiveness
Aluminium0.2 mg/LDeposits, discoloration
Ammonia1.5 mg/LOdour and taste
Chloride250 mg/LTaste, corrosion
Copper1 mg/LStaining of laundry/sanitary ware
Hydrogen sulphide0.05 mg/LOdour and taste
Iron0.3 mg/LStaining of laundry/sanitary ware
Manganese0.1 mg/LStaining; taste in beverages
Sodium200 mg/LTaste
Sulphate250 mg/LTaste
Total Dissolved Solids<600 mg/L (good palatability); >1200 mg/L unpalatableTaste, scaling
Zinc>5 mg/LAstringent taste, opalescent appearance

II. Microbiological Aspects

(a) Bacteriological Indicators

The primary indicator is the coliform group of organisms.
  • Coliforms = aerobic and facultative anaerobic, gram-negative, non-sporing, motile/non-motile rods fermenting lactose at 35-37°C within 48 hours
  • E. coli is the key faecal indicator
  • Supplementary indicators: faecal streptococci and sulphite-reducing clostridia

Bacteriological Quality Standards (Table 5 - WHO)

SituationOrganismsGuideline Value
All water intended for drinkingE. coli or thermotolerant coliform bacteriaMust NOT be detectable in any 100 mL sample
Treated water entering distribution systemE. coli or thermotolerant coliform bacteriaMust not be detectable in any 100 mL sample
Total coliform bacteriaMust not be detectable in any 100 mL sample
Treated water in distribution systemE. coli or thermotolerant coliform bacteriaMust not be detectable in any 100 mL sample
Total coliform bacteriaMust not be detectable in any 100 mL sample; in large supplies - must not be present in 95% of samples in any 12-month period

(b) Virological Aspects

  • Drinking water should be free from any viruses infective for man
  • Disinfection standard:
    • 0.5 mg/L free chlorine residual after contact of ≥30 minutes at pH 8.0 (for areas endemic for hepatitis A)
    • 0.2 mg/L free residual chlorine for 30 minutes in non-endemic areas
    • Turbidity must be ≤1 NTU prior to disinfection for adequate treatment
  • Ozone at 0.2-0.4 mg/L for 4 minutes is also effective but cannot be maintained in distribution systems

(c) Biological Aspects

  • Protozoa: Water must not contain pathogenic intestinal protozoa (Entamoeba histolytica, Giardia spp., Balantidium coli). Sand filtration removes a high proportion.
  • Helminths: Infective stages of roundworms and flatworms must be absent; filtration is effective.

III. Chemical Aspects (Health-Based)

Inorganic Chemicals of Health Significance (Table 6 - WHO)

ConstituentMax. Limit (mg/L)Max. Limit (µg/L)
Arsenic0.01 (P)10
Antimony0.02 (P)20
Barium0.7700
Boron2.42,400
Cadmium0.0030.3
Chromium0.05 (P)50
Copper22,000
Fluoride1.51,500
Lead0.0110
Manganese0.4 (P)400
Mercury (total)0.0066
Molybdenum0.0770
Nickel0.0770
Nitrate (as NO₃)5050,000
Nitrite (as NO₂)3 (P)3,000
Selenium0.0440
(P) = Provisional guideline value
Key chemical notes:
  • Fluoride >1.5 mg/L: causes dental/skeletal fluorosis
  • Nitrate >50 mg/L: causes methaemoglobinaemia in infants ("blue baby syndrome")
  • Lead: neurotoxic, especially in children; guideline 0.01 mg/L
  • Arsenic: carcinogenic; provisional limit due to analytical constraints

IV. Radiological Aspects

  • Radiological quality is assessed separately based on total indicative dose from alpha, beta, and gamma radiation
  • WHO guidance value: total indicative dose < 0.1 mSv/year

Water Requirement

SettingQuantity
Basic physiological need (survival)~2 litres/head/day
Adequate for all urban domestic purposes150-200 litres/capita/day
Rural target (India)40 litres/capita/day

Source: Park's Textbook of Preventive and Social Medicine, pp. 807-823, WHO Guidelines for Drinking Water Quality 4th ed. (2011)
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