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Comprehensive Risk Assessment of Health-Related Hazardous Events in the Drinking Water Supply System From Source to Tap in Gaza Strip, Palestine Publisher Pubmed



Abuzerr S1, 2, 3 ; Hadi M4 ; Zinszer K2 ; Nasseri S4, 5 ; Yunesian M5, 6 ; Mahvi AH4, 5 ; Nabizadeh R5 ; Hussien Mohammed S7
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Authors Affiliations
  1. 1. Department of Environmental Health Engineering, School of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. School of Public Health, Department of Social and Preventive Medicine, University of Montreal, Montreal, Canada
  3. 3. Quality Improvement and Infection Control Unit, Ministry of Health, Gaza, Palestine
  4. 4. Center for Water Quality Research (CWQR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Environmental Health Engineering, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Research Methodology and Data Analysis, Institute for Environmental Research, TUMS, Tehran, Iran
  7. 7. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Environmental and Public Health Published:2020


Abstract

Background. The traditional approach in the management of the quality drinking water, and relying on end-product testing, has proven ineffective in protecting public health. Therefore, the transition to a systematic approach in drinking water supply systems management from the source to the consumer tap was taken as a water safety plan (WSP). Objective. The study aims to investigate the health-related hazardous events in order to decide on the best risk-reduction strategies in the supply of drinking water in the Gaza strip. Methods. A semiquantitative matrix method for risk assessment was applied. Also, chlorine residual, electrical conductivity, and nitrate concentration further tested in 109 water wells, 109 small-scale water desalination plants, 197 tanker trucks, and 384 households distributed over five governorates of the Gaza strip. Results. The mean of the measured chlorine residual values was less than the recommended national and international limits (0.2-1 mg/liter). The mean of electrical conductivity at catchment points and household municipal water taps was 2165.1 μS·cm-1 and 2000 μS·cm-1, respectively. Furthermore, zero percent of water samples met the recommended criteria, indicating that the groundwater in the Gaza strip is nonpotable. Only 12.8% and 8.8% of water samples met the permissible levels at catchment areas and municipal water at household, respectively, indicating sever health impacts on the public. Moreover, the most hazardous events were related to high levels of groundwater salinity, the low level of disinfection, the effect of electricity outages on the efficiency of the desalination process, and leakage of water from the tanker truck tank reservoirs. Therefore, urgent interventions are required to improve the quality of water and to mitigate the possible health effects. Conclusion. The prioritization of hazardous events that are proportional to the degree of their attributed risk could help guide in making the right risk-reduction decisions. Urgent interventions are required to improve the quality of water and to mitigate the possible health effects. © 2020 Samer Abuzerr et al.
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