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Hyponatremia
Overdrinking dilutes sodium in bloodstream. Causes brain to swell + push against skull.
Public Health is
the means of protecting + improving community health
Sanitation is
provision of facilities + services for safe human urine + faeces disposal.
Importance of sanitation
every day 2 million tonnes of human waste are disposed of in water courses
some ancient civilisations had advanced systems of drinking water supply + waste collection
Greco-Roman world public health
diphtheria
malaria
The Middle Ages (500-1500)
early urban sanitation
pandemics e.g., Black Death
community hospitals commissioned
Revolution of human health (1750-1830)
national policies e.g., Russian National Health Policy 1763
Coal + Iron industries
Fever hospitals + dispensaries
Theories of cholera outbreaks in Britain
contagionist theory - spread via contact with cholera victims
Miasmic theory - spread by a ‘miasma of filth’ breathed in from infected air
Cure theories in Britain (18th century)
rubs with ointments made from wine, vinegar, camphor, mustard, pepper, garlic
patent medicines - Moxon’s Effervescent Universal Mixture
prayer
Broad street cholera outbreak 1854
London’s Soho districts
growing populations
lack of sanitation
616 died
¾ residents fled
Dr John Snow traced outbreak to Broad Street Pump contaminated by old cesspit with leaking bacteria
James Newlands (1813-1871)
Designed + implemented world’s first integrated sewage system 1848.
Bacteriological era (1875- present)
‘Germ theory’
wide use of antiseptics
major sewage system improvements
NHS began 1948
escalating public health acts in UK since 1936 Public Health Act
UN Millennium Development Goals Report 2015
2015 - estimated 663 million people worldwide still use unimproved drinking water sources.
2.4 billion using unimproved sanitation facilities.
Spread of cholera again due to:
poor sanitation effects
transmitted by food or water
globally reappearing since 1950
globally affects 3.5 million
increasing floods + dry periods present ideal conditions
Haiti Cholera Epidemic 2010
Yemen Cholera epidemic 2017
types of sewer systems
conventional sewers
separate sewers (rural)
simplified sewers
solids-free sewers
pressurised sewers (high density)
vacuum sewers (high density)
channels
some require supporting elements like:
sewer pumping stations
transfer stations
types of sewer lines
main lines (primary) - centre of system
branch lines (secondary) - extend from main
house laterals (tertiary) - bring wastewater from houses to branch lines
water is crucial …
is a pre-condition for human existence + sustainability of planet
critical for socio-economic development
reducing global burden of disease
without proper governance, likely to be increased competition for water between sectors + escalation of water crises
often key in managing famine, epidemics, inequalities
UN focus on water
climate change
disaster
ecosystems
finance
gender
human rights
scarcity
water stats
total volume water is 1.4 billion km³
97.5% saltwater, 2.5% freshwater
30% of world’s freshwater stored as groundwater
UNMDG
ensure environmental sustainability
reduce child mortality
improve maternal health
eradicate extreme poverty and hunger
combat HIV/AIDS, malaria + other diseases
global partnership for development
STGs
life below water
zero hunger
clean water + sanitation
improved human health
food security
biodiversity
DPSIR framework (worldwide water quality assessment)
D rivers
P ressure
S tate
I mpact
R esponse
water quality factors
sedimentation
pH
erosion
dissolved oxygen
runoff
photic zone
epipelagic zone
aphotic zone
mesopelagic, bathypelagic, abyssopelagic
halocline
ability of water to hold its own salt
pycnocline
to do witt water density
thermocline
temperature of water
green water
water from precipitation stored in roots + soils
General water quality indicators
subjective impression: colour, turbidity, taste, odour
general: pH, electrical conductivity, temperature
thermal pollution
rise/fall of a natural body of water
common cause is power station effluents
warmer water decreases level of dissolved oxygen + increase metabolic rate of aquatic animals and increase food consumption.