ஓம் ரவிசுதாய வித்மஹே மந்தக்ரஹாய தீமஹி தந்நோ சனி ப்ரஜோதயாத்; ஓம் காகத்வஜாய வித்மஹே கஹட்கஹஸ்தாய தீமஹி தந்நோ சனி ப்ரஜோதயாத்; ஓம் சதுà®°்புஜாய வித்மஹே தண்டஹஸ்தாய தீமஹி தந்நோ மந்தஹ் ப்ரஜோதயாத்; ஓம் சனீஸ்வராய வித்மஹே சாய புத்à®°ாய தீமஹி தந்நோ சனி ப்ரஜோதயாத்; நீலாஞ்சனம் சமாபாà®·à®®் ரவிபுத்à®°à®®் எமாக்ரஜம் சாய à®®ாà®°்தாண்ட சம்பூதம் தம்நமாà®®ி சனிà®·் ச்சரம்



Drinking water

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Tap water is drinking water supplied through indoor plumbing for home use
Drinking water, also known as potable water, is water that is safe to drink or to use for food preparation. The amount of drinking water required to maintain good health varies, and depends on physical activity level, age, health-related issues, and environmental conditions.[1] Americans, on average, drink one litre of water per day and 95% drink less than three litres per day.[2]For those who work in a hot climate, up to 16 litres a day may be required.[1] Liquid water, along with air pressurenutrients, and solar energy, is essential for life.[1]
Typically in developed countries, tap water meets drinking water quality standards, even though only a small proportion is actually consumed or used in food preparation. Other typical uses include washing, toilets, and irrigationGreywater may also be used for toilets or irrigation. Its use for irrigation however may be associated with risks.[3] Water may also be unacceptable due to levels of toxins or suspended solids.
Globally, by 2015, 89% of people had access to water from a source that is suitable for drinking – called improved water source.[3]In Sub-Saharan Africa, access to potable water ranged from 40% to 80% of the population. Nearly 4.2 billion people worldwide had access to tap water, while another 2.4 billion had access to wells or public taps.[3] The World Health Organization considers access to safe drinking-water a basic human right.
About 1 to 2 billion people lack safe drinking water,[4] a problem that causes 30,000 deaths each week.[5] More people die from unsafe water than from war, U.N. Secretary-General Ban Ki-Moon said in 2010.[6]

Definitions[edit]

Only 61% of people in Sub-Saharan Africa have improved drinking water.
According to the World Health Organization's 2017 report, safe drinking-water is water that "does not represent any significant risk to health over a lifetime of consumption, including different sensitivities that may occur between life stages".[7]:2
A 'safely managed drinking water service" is "one located on premises, available when needed and free from contamination". By 2015, 5.2 billion people representing 71% of the global population used safely managed drinking water service.[8]
The terms 'improved water source' and 'unimproved water source' were coined in 2002 as a drinking water monitoring tool by the JMP of UNICEF and WHO. The term, improved water source refers to "piped water on premises (piped household water connection located inside the user’s dwelling, plot or yard), and other improved drinking water sources (public taps or standpipes, tube wells or boreholes, protected dug wells, protected springs, and rainwater collection)".[9] Improved sources are also monitored based on whether water is available when needed (5.8 billion people), located on premises (5.4 billion), free from contamination (5.4 billion), and "within 30 minutes' round trip to collect water.'[8]:3 While improved water sources such as protected piped water are more likely to provide safe and adequate water as they may prevent contact with human excreta, for example, this is not always the case.[9] According to a 2014 study, approximately 25% of improved sources contained fecal contamination.[10]
The SDC basic drinking water service is one in which a "round trip to collect water takes 30 minutes or less". Only Australia, New Zealand, North America and Europe have almost achieved universal basic drinking water services.[8]:3

Importance of access to safe drinking water[edit]

A fountain in Saint-Paul-de-VenceFrance. The sign reading Eau potableindicates that the water is safe to drink.
According to the World Health Organization, "access to safe drinking-water is essential to health, a basic human right and a component of effective policy for health protection."[7]:2

Requirements[edit]

The amount of drinking water required is variable.[1] It depends on physical activity, age, health, and environmental conditions. In a temperate climate under normal conditions, adequate water intake is about 2.7 litres (95 imp fl oz; 91 US fl oz) for adult women and 3.7 litres (130 imp fl oz; 130 US fl oz) for adult men. Physical exercise and heat exposure cause loss of water and therefore may induce thirst and greater water intake.[11] Physically active individuals in hot climates may have total daily water needs of 6 litres (210 imp fl oz; 200 US fl oz) or more.[11] The European Food Safety Authority recommends 2.0 litres (70 imp fl oz; 68 US fl oz) per day for adult women and 2.5 litres (88 imp fl oz; 85 US fl oz) per day for adult men.[12]
In the United States, the reference daily intake (RDI) for total water is 3.7 litres (130 imp fl oz; 130 US fl oz) per day for human males older than 18, and 2.7 litres (0.59 imp gal; 0.71 US gal) per day for human females older than 18 which includes drinking water, water in beverages, and water contained in food.[13] An individual's thirst provides a better guide for how much water they require rather than a specific, fixed quantity.[14] Americans, on average, drink one litre (35 imp fl oz; 34 US fl oz) of water a day and 95% drink less than three litres (110 imp fl oz; 100 US fl oz) per day.[2]
Water makes up about 60% of the body weight in men and 55% of weight in women.[15] A baby is composed of about 70% to 80% water while the elderly are composed of around 45%.[16]
The drinking water contribution to mineral nutrients intake is also unclear. Inorganic minerals generally enter surface water and ground water via storm water runoff or through the Earth's crust. Treatment processes also lead to the presence of some minerals. Examples include calciumzincmanganesephosphatefluoride and sodium compounds.[17] Water generated from the biochemical metabolism of nutrients provides a significant proportion of the daily water requirements for some arthropods and desert animals, but provides only a small fraction of a human's necessary intake. There are a variety of trace elements present in virtually all potable water, some of which play a role in metabolism. For example, sodium, potassium and chloride are common chemicals found in small quantities in most waters, and these elements play a role in body metabolism. Other elements such as fluoride, while beneficial in low concentrations, can cause dental problems and other issues when present at high levels.
Fluid balance is key. Profuse sweating can increase the need for electrolyte (salt) replacement. Water intoxication (which results in hyponatremia), the process of consuming too much water too quickly, can be fatal.[18][19]

Water resources[edit]

Drinking water vending machines in Thailand. One litre of potable water is sold (into the customer's own bottle) for 1 baht.

Global[edit]

Water covers some 70% of the Earth's surface. Approximately 97.2% of it is saline, just 2.8% fresh. Potable water is available in almost all populated areas of the Earth, although it may be expensive and the supply may not always be sustainable. Sources where water may be obtained include:
Springs are often used as sources for bottled waters.[20] Tap water, delivered by domestic water systems refers to water piped to homes and delivered to a tap or spigot. For these water sources to be consumed safely, they must receive adequate treatment and meet drinking water regulations.[21]
The most efficient way to transport and deliver potable water is through pipes. Plumbing can require significant capital investment. Some systems suffer high operating costs. The cost to replace the deteriorating water and sanitation infrastructure of industrialized countries may be as high as $200 billion a year. Leakage of untreated and treated water from pipes reduces access to water. Leakage rates of 50% are not uncommon in urban systems.[22]
Because of the high initial investments, many less wealthy nations cannot afford to develop or sustain appropriate infrastructure, and as a consequence people in these areas may spend a correspondingly higher fraction of their income on water.[23] 2003 statistics from El Salvador, for example, indicate that the poorest 20% of households spend more than 10% of their total income on water. In the United Kingdom authorities define spending of more than 3% of one's income on water as a hardship.[24]

United States[edit]

In the US, the typical water consumption per capita, at home, is 69.3 US gallons (262 l; 57.7 imp gal) of water per day.[25][26] Of this, only 1% of the water provided by public water suppliers is for drinking and cooking.[27] Uses include (in decreasing order) toilets, washing machines, showers, baths, faucets, and leaks. Public water systems, defined as systems that serve more than 25 customers or 15 service connections, are regulated by the U.S. Environmental Protection Agency (EPA) under the Safe Drinking Water Act.[27] In some parts of the country water supplies are dangerously low due to drought and depletion of the aquifers, particularly in the West and the South East region of the U.S.[28][better source needed]

Canada[edit]

The drinking water in Canada's cities is regularly tested and considered safe, but on many native reserves clean drinking water is considered a luxury.[29] The latest Canadian government of 2015 was to spend additional funds to fix the problem but has not had success.[30][31]

Access to potable water[edit]

In 1990, only 76 percent of the global population had access to drinking water. By 2015 that number had increased to 91 percent.[9] 89% of people having access to water from a source that is suitable for drinking – called "improved water source".[3] In 1990, most countries in Latin America, East and South Asia, and Sub-Saharan Africa were well below 90%. In Sub-Saharan Africa, where the rates are lowest, household access ranges from 40 to 80 percent.[9]
Nearly 4.2 billion had access to tap water while another 2.4 billion had access to wells or public taps.[3]
Estimates suggest that at least 25% of improved sources contain fecal contamination.[10] 1.8 billion people still use an unsafe drinking water source which may be contaminated by feces.[3] This can result in infectious diseases, such as gastroenteritischolera, and typhoid, among others.[3] Reduction of waterborne diseases and development of safe water resources is a major public health goal in developing countries. Bottled water is sold for public consumption in most parts of the world.

Developing countries[edit]

One of the Millennium Development Goals (MDGs) set by the UN includes environmental sustainability. In 2004, only 42% of people in rural areas had access to clean water worldwide.[32] Projects such as Democratisation of Water and Sanitation Governance by Means of Socio-Technical Innovations work to develop new accessible water treatment systems for poor rural areas, reducing the price of drinking water from US$6.5 per cubic meter to US$1.[33]
The World Health Organization/UNICEF Joint Monitoring Program (JMP) for Water Supply and Sanitation[34] is the official United Nations mechanism tasked with monitoring progress towards the Millennium Development Goal (MDG) relating to drinking-water and sanitation (MDG 7, Target 7c), which is to: "Halve, by 2015, the proportion of people without sustainable access to safe drinking-water and basic sanitation".[35]
According to this indicator on improved water sources, the MDG was met in 2010, five years ahead of schedule. Over 2 billion more people used improved drinking water sources in 2010 than did in 1990. However, the job is far from finished. 780 million people are still without improved sources of drinking water, and many more people still lack safe drinking water. Estimates suggest that at least 25% of improved sources contain fecal contamination[10] and an estimated 1.8 billion people globally use a source of drinking water which suffers from fecal contamination.[36] The quality of these sources varies over time and often gets worse during the wet season.[37] Continued efforts are needed to reduce urban-rural disparities and inequities associated with poverty; to dramatically increase safe drinking water coverage in countries in sub-Saharan Africa and Oceania; to promote global monitoring of drinking water quality; and to look beyond the MDG target towards universal coverage.[38]
Expanding WASH (Water, Sanitation, Hygiene) coverage and monitoring in non-household settings such as schools, healthcare facilities, and work places, is one of the Sustainable Development Goals.[39]
One organisation working to improve the availability of safe drinking water in some the world's poorest countries is WaterAid International. Operating in 26 countries,[40] WaterAid is working to make lasting improvements to peoples' quality of life by providing long-term sustainable access to clean water in countries such as NepalTanzaniaGhana and India. It also works to educate people about sanitation and hygiene.[41]
Sanitation and Water for All (SWA) is a partnership that brings together national governments, donors, UN agencies, NGOs and other development partners. They work to improve sustainable access to sanitation and water supply to meet and go beyond the MDG target.[42] In 2014, 77 countries had already met the MDG sanitation target, 29 were on track and, 79 were not on-track.[43]

Climate change aspects[edit]

The World Wildlife Fund predicts that in the Himalayas, retreating glaciers could reduce summer water flows by up to two-thirds. In the Ganges area, this would cause a water shortage for 500 million people. The head of China's national development agency in 2007 said 1/4th the length of China's seven main rivers were so poisoned the water harmed the skin. United Nations secretary-general Ban Ki-moon has said this may lead to violent conflicts.[44][44]

Health aspects[edit]

Contaminated water is estimated to result in more than half a million deaths per year.[3] Contaminated water together with lack of sanitation was estimated to cause about one percent of disability adjusted life years worldwide in 2010.[45]

Diarrheal diseases[edit]

Over 90% of deaths from diarrheal diseases in the developing world today occur in children under five years old.[46]:11 Malnutrition, especially protein-energy malnutrition, can decrease the children's resistance to infections, including water-related diarrheal diseases. Between 2000 and 2003, 769,000 children under five years old in sub-Saharan Africa died each year from diarrheal diseases. Only thirty-six percent of the population in the sub-Saharan region have access to proper means of sanitation. More than 2,000 children's lives are lost every day. In South Asia, 683,000 children under five years old died each year from diarrheal disease from 2000 to 2003. During the same period, in developed countries, 700 children under five years old died from diarrheal disease. Improved water supply reduces diarrhea morbidity by 25% and improvements in drinking water through proper storage in the home and chlorination reduces diarrhea episodes by 39%.[46]

Well contamination with arsenic and fluoride[edit]

Some efforts at increasing the availability of safe drinking water have been disastrous. When the 1980s were declared the "International Decade of Water" by the United Nations, the assumption was made that groundwater is inherently safer than water from rivers, ponds, and canals. While instances of cholera, typhoid and diarrhea were reduced, other problems emerged due to polluted groundwater.
Sixty million people are estimated to have been poisoned by well water contaminated by excessive fluoride, which dissolved from granite rocks. The effects are particularly evident in the bone deformations of children. Similar or larger problems are anticipated in other countries including China, Uzbekistan, and Ethiopia. Although helpful for dental health in low dosage, fluoride in large amounts interferes with bone formation.[47]
Half of Bangladesh's 12 million tube wells contain unacceptable levels of arsenic due to the wells not dug deep enough (past 100 metres). The Bangladeshi government had spent less than US$7 million of the 34 million allocated for solving the problem by the World Bank in 1998.[47][48] Natural arsenic poisoning is a global threat with 140 million people affected in 70 countries globally.[49] These examples illustrate the need to examine each location on a case by case basis and not assume what works in one area will work in another.

Identifying hazardous substances[edit]

In 2008, the Swiss Federal Institute of Aquatic Science and Technology, Eawag, developed a method by which hazard maps could be produced for geogenic toxic substances in groundwater.[50][51][52][53] This provides an efficient way of determining which wells should be tested.

Water quality[edit]

EPA drinking water security poster from 2003
Parameters for drinking water quality typically fall within three categories:
  • physical
  • chemical
  • microbiological
Physical and chemical parameters include heavy metals, trace organic compoundstotal suspended solids (TSS), and turbidity.
Microbiological parameters include Coliform bacteriaE. coli, and specific pathogenic species of bacteria (such as cholera-causing Vibrio cholerae), viruses, and protozoan parasites.
Chemical parameters tend to pose more of a chronic health risk through buildup of heavy metals although some components like nitrates/nitrites and arsenic can have a more immediate impact. Physical parameters affect the aesthetics and taste of the drinking water and may complicate the removal of microbial pathogens.
Originally, fecal contamination was determined with the presence of coliform bacteria, a convenient marker for a class of harmful fecalpathogens. The presence of fecal coliforms (like E. Coli) serves as an indication of contamination by sewage. Additional contaminants include protozoan oocysts such as Cryptosporidium sp.Giardia lambliaLegionella, and viruses (enteric).[54] Microbial pathogenic parameters are typically of greatest concern because of their immediate health risk.
Throughout most of the world, the most common contamination of raw water sources is from human sewage in particular human faecal pathogens and parasites. In 2006, waterborne diseases were estimated to cause 1.8 million deaths while about 1.1 billion people lacked proper drinking water.[55] In parts of the world, the only sources of water are from small streams that are often directly contaminated by sewage.
There is increasing concern over the health effects of engineered nanoparticles (ENPs) released into the natural environment. One potential indirect exposure route is through the consumption of contaminated drinking waters. To address these concerns, the U.K. Drinking Water Inspectorate (DWI) has published a "Review of the risks posed to drinking water by man-made nanoparticles" (DWI 70/2/246). The study, which was funded by the Department for Food and Rural Affairs (Defra), was undertaken by the Food and Environment Research Agency (Fera) in collaboration with a multi-disciplinary team of experts including scientists from the Institute of Occupational Medicine/SAFENANO. The study explored the potential for ENPs to contaminate drinking water supplies and to establish the significance of the drinking water exposure route compared to other routes of exposure.
Test have found 83% of 159 water samples from around the world were contaminated with plastic fibers.[56][57]

Improved water sources[edit]

Access to safe drinking water is indicated by safe water sources. These improved drinking water sources include household connection, public standpipeborehole condition, protected dug well, protected spring, and rain water collection. Sources that do not encourage improved drinking water to the same extent as previously mentioned include: unprotected wells, unprotected springs, rivers or ponds, vender-provided water, bottled water (consequential of limitations in quantity, not quality of water), and tanker truck water. Access to sanitary water comes hand in hand with access to improved sanitation facilities for excreta, such as connection to public sewer, connection to septic system, or a pit latrinewith a slab or water seal.[58]

Water treatment[edit]

Most water requires some treatment before use; even water from deep wells or springs. The extent of treatment depends on the source of the water. Appropriate technology options in water treatment include both community-scale and household-scale point-of-use (POU) designs.[59] Only a few a large urban areas such as ChristchurchNew Zealand have access to sufficiently pure water of sufficient volume that no treatment of the raw water is required.[60]
In emergency situations when conventional treatment systems have been compromised, waterborne pathogens may be killed or inactivated by boiling[61] but this requires abundant sources of fuel, and can be very onerous on consumers, especially where it is difficult to store boiled water in sterile conditions. Other techniques, such as filtration, chemical disinfection, and exposure to ultraviolet radiation (including solar UV) have been demonstrated in an array of randomized control trials to significantly reduce levels of water-borne disease among users in low-income countries,[62] but these suffer from the same problems as boiling methods.
Another type of water treatment is called desalination and is used mainly in dry areas with access to large bodies of saltwater.

Point of use methods[edit]

The ability of point of use (POU) options to reduce disease is a function of both their ability to remove microbial pathogens if properly applied and such social factors as ease of use and cultural appropriateness. Technologies may generate more (or less) health benefit than their lab-based microbial removal performance would suggest.
The current priority of the proponents of POU treatment is to reach large numbers of low-income households on a sustainable basis. Few POU measures have reached significant scale thus far, but efforts to promote and commercially distribute these products to the world's poor have only been under way for a few years.
Solar water disinfection is a low-cost method of purifying water that can often be implemented with locally available materials.[63][64][65][66] Unlike methods that rely on firewood, it has low impact on the environment.

Regulations[edit]

Guidelines for the assessment and improvement of service activities relating to drinking water have been published in the form of International standards for drinking water such as ISO 24510.[67]

European Union[edit]

The EU sets legislation on water quality. Directive 2000/60/EC of the European Parliament and of the Council of 23 October 2000 establishing a framework for Community action in the field of water policy, known as the water framework directive, is the primary piece of legislation governing water.[68] This drinking water directive relates specifically to water intended for human consumption.
Each member state is responsible for establishing the required policing measures to ensure that the legislation is implemented. For example, in the UK the Water Quality Regulationsprescribe maximum values for substances that affect wholesomeness and the Drinking Water Inspectorate polices the water companies.

United States[edit]

In the United States, the Environmental Protection Agency (EPA) sets standards for public water systems under the Safe Drinking Water Act (SDWA).[69] As of 2019 EPA has issued 88 standards for microorganisms, chemicals and radionuclides.[70] The Food and Drug Administration (FDA) regulates bottled water as a food product under the Federal Food, Drug, and Cosmetic Act (FFDCA).[71] Bottled water is not necessarily more pure, or more tested, than public tap water.[72] Peter W. Preuss, former head of EPA's division analyzing environmental risks, has been "particularly concerned" about current drinking water standards, and suggested in 2009 that regulations against certain chemicals should be tightened.[73]
In 2010 the EPA showed that 54 active pharmaceutical ingredients and ten metabolites had been found in treated drinking water. An earlier study from 2005 by the EPA and the Geographical Survey[who?] states that 40% of water was contaminated with nonprescription pharmaceuticals, and it has been reported that 8 of the 12 most commonly occurring chemicals in drinking water are estrogenic hormones.[74] Of the pharmaceutical components found in drinking water, the EPA only regulates lindane.[70] In 2009, the EPA did announce another 13 chemicals, hormones, and antibiotics that could potentially be regulated.[75][76]
EPA published a proposed rule on June 26, 2019 that would establish a standard for perchlorate. The Agency is proposing a maximum contaminant level of 0.056 mg/L.[77]

Russian Federation[edit]

A list of normative documents that regulate the quality of drinking water in Russia:
  • Sanitary norms and rules SanPin 2.1.4.1074-01 "Drinking Water. Hygienic requirements for water quality of centralized drinking water supply. Quality Control. "[78]
  • Sanitary norms and rules SanPin 2.1.4.1116-02 "Drinking Water. Hygienic requirements for water quality, packaged in a container. Quality Control. "[79]

Other animals[edit]

A cat drinking tap water
The qualitative and quantitative aspects of drinking water requirements of domesticated animals are studied and described within the context of animal husbandry. However, relatively few studies have been focused on the drinking behavior of wild animals. A recent study has shown that feral pigeons do not discriminate drinking water according to its content of metabolic wastes, such as uric acid or urea (mimicking faeces-pollution by birds or urine-pollution by mammals respectively).[80]



Water intoxication

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Water intoxication
One water molecule: 95.84 picometers between O and H, 104.45 degrees between two hydrogens
Water molecule
SpecialtyToxicologycritical care medicine
Water intoxication, also known as water poisoninghyperhydrationoverhydration, or water toxemia, is a potentially fatal disturbance in brain functions that results when the normal balance of electrolytes in the body is pushed outside safe limits by excessive water intake.
Under normal circumstances, accidentally consuming too much water is exceptionally rare. Nearly all deaths related to water intoxication in normal individuals have resulted either from water-drinking contests, in which individuals attempt to consume large amounts of water, or from long bouts of exercise during which excessive amounts of fluid were consumed.[1] In addition, water cure, a method of torture in which the victim is forced to consume excessive amounts of water, can cause water intoxication.
Water, just like any other substance, can be considered a poison when over-consumed in a brief period of time. Water intoxication mostly occurs when water is being consumed in a high quantity without adequate electrolyte intake.[2]
Excess of body water may also be a result of a medical condition or improper treatment; see "hyponatremia" for some examples. Water is considered one of the least toxic chemical compounds, with an LD50 of over 90 ml/kg in rats.[3]

Risk factors[edit]

Low body mass (infants)[edit]

It can be very easy for children under one year old to absorb too much water, especially if the child is under nine months old. Because of their small body mass, it is easy for them to take in a large amount of water relative to body mass and total body sodium stores.[4]

Endurance sports[edit]

Marathon runners are susceptible to water intoxication if they drink too much while running. This is caused when sodium levels drop below 135 Î¼mol/L when athletes consume large amounts of fluid. This has been noted to be the result of the encouragement of excessive fluid replacement by various guidelines. This has largely been identified in marathon runners as a dilutional hyponatremia.[5] A study conducted on participants of the 2002 Boston Marathon found that thirteen percent finished the race with hyponatremia. The study concluded that the strongest predictor of hyponatremia was weight gain while racing (over-hydration), and hyponatremia was just as likely to occur in runners who chose sports drinks as those who chose water.[5] Medical personnel at marathon events are trained to suspect water intoxication immediately when runners collapse or show signs of confusion.

Overexertion and heat stress[edit]

Any activity or situation that promotes heavy sweating can lead to water intoxication when water is consumed to replace lost fluids. Persons working in extreme heat and/or humidity for long periods must take care to drink and eat in ways that help to maintain electrolyte balance. People using drugs such as MDMA (often referred to colloquially as "Ecstasy") may overexert themselves, perspire heavily, feel increased thirst, and then drink large amounts of water to rehydrate, leading to electrolyte imbalance and water intoxication – this is compounded by MDMA use increasing the levels of antidiuretic hormone (ADH), decreasing the amount of water lost through urination.[6] Even people who are resting quietly in extreme heat or humidity may run the risk of water intoxication if they drink large amounts of water over short periods for rehydration.

Psychiatric conditions[edit]

Psychogenic polydipsia is the psychiatric condition in which patients feel compelled to drink large quantities of water, thus putting them at risk of water intoxication. This condition can be especially dangerous if the patient also exhibits other psychiatric indications (as is often the case), as the care-takers might misinterpret the hyponatremic symptoms.[7]

Iatrogenic[edit]

When an unconscious person is being fed intravenously (for example, total parenteral nutrition) or via a nasogastric tube, the fluids given must be carefully balanced in composition to match fluids and electrolytes lost. These fluids are typically hypertonic, and so water is often co-administered. If the electrolytes are not monitored (even in an ambulatory patient), either hypernatremia or hyponatremia may result.[8]
Some neurological/psychiatric medications (Oxcarbazepine, among others) have been found to cause hyponatremia in some patients.[9] Patients with diabetes insipidus are particularly vulnerable due to rapid fluid processing.[10]

Pathophysiology[edit]

At the onset of this condition, fluid outside the cells has an excessively low amount of solutes, such as sodium and other electrolytes, in comparison to fluid inside the cells, causing the fluid to move into the cells to balance its concentration. This causes the cells to swell. In the brain, this swelling increases intracranial pressure (ICP), which leads to the first observable symptoms of water intoxication: headache, personality changes, changes in behavior, confusion, irritability, and drowsiness. These are sometimes followed by difficulty breathing during exertion, muscle weakness & pain, twitching, or cramping, nausea, vomiting, thirst, and a dulled ability to perceive and interpret sensory information. As the condition persists, papillary and vital signs may result including bradycardia and widened pulse pressure. The cells in the brain may swell to the point where blood flow is interrupted resulting in cerebral edema. Swollen brain cells may also apply pressure to the brain stem causing central nervous system dysfunction. Both cerebral edema and interference with the central nervous system are dangerous and could result in seizures, brain damage, coma or death.[11]

Prevention[edit]

Water intoxication can be prevented if a person's intake of water does not grossly exceed their losses. Healthy kidneys are able to excrete approximately 800 millilitres to 1 litre of fluid water (0.84 - 1.04 quarts) per hour.[12] However, stress (from prolonged physical exertion), as well as disease states, can greatly reduce this amount.[12]

Treatment[edit]

Mild intoxication may remain asymptomatic and require only fluid restriction. In more severe cases, treatment consists of:



Water purification

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Control room and schematics of the water purification plant of Lac de Bret, Switzerland
Water purification is the process of removing undesirable chemicals, biological contaminants, suspended solids, and gases from water. The goal is to produce water fit for specific purposes. Most water is purified and disinfected for human consumption (drinking water), but water purification may also be carried out for a variety of other purposes, including medical, pharmacological, chemical, and industrial applications. The methods used include physical processes such as filtrationsedimentation, and distillation; biological processes such as slow sand filtersor biologically active carbon; chemical processes such as flocculation and chlorination; and the use of electromagnetic radiation such as ultraviolet light.
Water purification may reduce the concentration of particulate matter including suspended particlesparasitesbacteriaalgaeviruses, and fungi as well as reduce the concentration of a range of dissolved and particulate matter.
The standards for drinking water quality are typically set by governments or by international standards. These standards usually include minimum and maximum concentrations of contaminants, depending on the intended use of the water.
Visual inspection cannot determine if water is of appropriate quality. Simple procedures such as boiling or the use of a household activated carbon filter are not sufficient for treating all possible contaminants that may be present in water from an unknown source. Even natural spring water – considered safe for all practical purposes in the 19th century – must now be tested before determining what kind of treatment, if any, is needed. Chemical and microbiological analysis, while expensive, are the only way to obtain the information necessary for deciding on the appropriate method of purification.
According to a 2007 World Health Organization (WHO) report, 1.1 billion people lack access to an improved drinking water supply; 88% of the 4 billion annual cases of diarrheal disease are attributed to unsafe water and inadequate sanitation and hygiene, while 1.8 million people die from diarrheal disease each year. The WHO estimates that 94% of these diarrheal disease cases are preventable through modifications to the environment, including access to safe water.[1] Simple techniques for treating water at home, such as chlorination, filters, and solar disinfection, and for storing it in safe containers could save a huge number of lives each year.[2] Reducing deaths from waterborne diseases is a major public health goal in developing countries.

Sources of water

  1. Groundwater: The water emerging from some deep ground water may have fallen as rain many tens, hundreds, or thousands of years ago. Soil and rock layers naturally filter the ground water to a high degree of clarity and often, it does not require additional treatment besides adding chlorine or chloramines as secondary disinfectants. Such water may emerge as springs, artesian springs, or may be extracted from boreholes or wells. Deep ground water is generally of very high bacteriological quality (i.e., pathogenic bacteria or the pathogenic protozoa are typically absent), but the water may be rich in dissolved solids, especially carbonates and sulfates of calcium and magnesium. Depending on the strata through which the water has flowed, other ions may also be present including chloride, and bicarbonate. There may be a requirement to reduce the iron or manganese content of this water to make it acceptable for drinking, cooking, and laundry use. Primary disinfection may also be required. Where groundwater rechargeis practiced (a process in which river water is injected into an aquifer to store the water in times of plenty so that it is available in times of drought), the groundwater may require additional treatment depending on applicable state and federal regulations.
  2. Upland lakes and reservoirs: Typically located in the headwaters of river systems, upland reservoirs are usually sited above any human habitation and may be surrounded by a protective zone to restrict the opportunities for contamination. Bacteria and pathogen levels are usually low, but some bacteria, protozoa or algae will be present. Where uplands are forested or peaty, humic acids can colour the water. Many upland sources have low pH which require adjustment.
  3. Riverscanals and low land reservoirs: Low land surface waters will have a significant bacterial load and may also contain algae, suspended solids and a variety of dissolved constituents.
  4. Atmospheric water generation is a new technology that can provide high quality drinking water by extracting water from the air by cooling the air and thus condensing water vapour.
  5. Rainwater harvesting or fog collection which collect water from the atmosphere can be used especially in areas with significant dry seasons and in areas which experience fog even when there is little rain.
  6. Desalination of seawater by distillation or reverse osmosis.
  7. Surface Water: Freshwater bodies that are open to the atmosphere and are not designated as groundwater are termed surface waters.

Treatment

Goals

The goals of the treatment are to remove unwanted constituents in the water and to make it safe to drink or fit for a specific purpose in industry or medical applications. Widely varied techniques are available to remove contaminants like fine solids, micro-organisms and some dissolved inorganic and organic materials, or environmental persistent pharmaceutical pollutants. The choice of method will depend on the quality of the water being treated, the cost of the treatment process and the quality standards expected of the processed water.
The processes below are the ones commonly used in water purification plants. Some or most may not be used depending on the scale of the plant and quality of the raw (source) water.

Pretreatment

  1. Pumping and containment – The majority of water must be pumped from its source or directed into pipes or holding tanks. To avoid adding contaminants to the water, this physical infrastructure must be made from appropriate materials and constructed so that accidental contamination does not occur.
  2. Screening (see also screen filter) – The first step in purifying surface water is to remove large debris such as sticks, leaves, rubbish and other large particles which may interfere with subsequent purification steps. Most deep groundwater does not need screening before other purification steps.
  3. Storage – Water from rivers may also be stored in bankside reservoirs for periods between a few days and many months to allow natural biological purification to take place. This is especially important if treatment is by slow sand filters. Storage reservoirs also provide a buffer against short periods of drought or to allow water supply to be maintained during transitory pollution incidents in the source river.
  4. Pre-chlorination – In many plants the incoming water was chlorinated to minimize the growth of fouling organisms on the pipe-work and tanks. Because of the potential adverse quality effects (see chlorine below), this has largely been discontinued.[3]

pH adjustment

Pure water has a pH close to 7 (neither alkaline nor acidic). Sea water can have pH values that range from 7.5 to 8.4 (moderately alkaline). Fresh water can have widely ranging pH values depending on the geology of the drainage basin or aquifer and the influence of contaminant inputs (acid rain). If the water is acidic (lower than 7), limesoda ash, or sodium hydroxide can be added to raise the pH during water purification processes. Lime addition increases the calcium ion concentration, thus raising the water hardness. For highly acidic waters, forced draft degasifiers can be an effective way to raise the pH, by stripping dissolved carbon dioxide from the water.[4] Making the water alkaline helps coagulation and flocculation processes work effectively and also helps to minimize the risk of lead being dissolved from lead pipes and from lead solder in pipe fittings. Sufficient alkalinity also reduces the corrosiveness of water to iron pipes. Acid (carbonic acidhydrochloric acid or sulfuric acid) may be added to alkaline waters in some circumstances to lower the pH. Alkaline water (above pH 7.0) does not necessarily mean that lead or copper from the plumbing system will not be dissolved into the water. The ability of water to precipitate calcium carbonate to protect metal surfaces and reduce the likelihood of toxic metals being dissolved in water is a function of pH, mineral content, temperature, alkalinity and calcium concentration.[5]

Coagulation and flocculation

One of the first steps in most conventional water purification processes is the addition of chemicals to assist in the removal of particles suspended in water. Particles can be inorganic such as clay and silt or organic such as algaebacteriavirusesprotozoa and natural organic matter. Inorganic and organic particles contribute to the turbidity and color of water.
The addition of inorganic coagulants such as aluminum sulfate (or alum) or iron (III) salts such as iron(III) chloride cause several simultaneous chemical and physical interactions on and among the particles. Within seconds, negative charges on the particles are neutralized by inorganic coagulants. Also within seconds, metal hydroxide precipitates of the iron and aluminium ions begin to form. These precipitates combine into larger particles under natural processes such as Brownian motion and through induced mixing which is sometimes referred to as flocculation. Amorphous metal hydroxides are known as "floc". Large, amorphous aluminum and iron (III) hydroxides adsorb and enmesh particles in suspension and facilitate the removal of particles by subsequent processes of sedimentation and filtration.[6]:8.2–8.3
Aluminum hydroxides are formed within a fairly narrow pH range, typically: 5.5 to about 7.7. Iron (III) hydroxides can form over a larger pH range including pH levels lower than are effective for alum, typically: 5.0 to 8.5.[7]:679
In the literature, there is much debate and confusion over the usage of the terms coagulation and flocculation: Where does coagulation end and flocculation begin? In water purification plants, there is usually a high energy, rapid mix unit process (detention time in seconds) whereby the coagulant chemicals are added followed by flocculation basins (detention times range from 15 to 45 minutes) where low energy inputs turn large paddles or other gentle mixing devices to enhance the formation of floc. In fact, coagulation and flocculation processes are ongoing once the metal salt coagulants are added.[8]:74–5
Organic polymers were developed in the 1960s as aids to coagulants and, in some cases, as replacements for the inorganic metal salt coagulants. Synthetic organic polymers are high molecular weight compounds that carry negative, positive or neutral charges. When organic polymers are added to water with particulates, the high molecular weight compounds adsorb onto particle surfaces and through interparticle bridging coalesce with other particles to form floc. PolyDADMAC is a popular cationic (positively charged) organic polymer used in water purification plants.[7]:667–8

Sedimentation

Waters exiting the flocculation basin may enter the sedimentation basin, also called a clarifier or settling basin. It is a large tank with low water velocities, allowing floc to settle to the bottom. The sedimentation basin is best located close to the flocculation basin so the transit between the two processes does not permit settlement or floc break up. Sedimentation basins may be rectangular, where water flows from end to end, or circular where flow is from the centre outward. Sedimentation basin outflow is typically over a weir so only a thin top layer of water—that furthest from the sludge—exits.
In 1904, Allen Hazen showed that the efficiency of a sedimentation process was a function of the particle settling velocity, the flow through the tank and the surface area of tank. Sedimentation tanks are typically designed within a range of overflow rates of 0.5 to 1.0 gallons per minute per square foot (or 1.25 to 2.5 litres per square meter per hour). In general, sedimentation basin efficiency is not a function of detention time or depth of the basin. Although, basin depth must be sufficient so that water currents do not disturb the sludge and settled particle interactions are promoted. As particle concentrations in the settled water increase near the sludge surface on the bottom of the tank, settling velocities can increase due to collisions and agglomeration of particles. Typical detention times for sedimentation vary from 1.5 to 4 hours and basin depths vary from 10 to 15 feet (3 to 4.5 meters).[6]:9.39–9.40[7]:790–1[8]:140–2, 171
Inclined flat plates or tubes can be added to traditional sedimentation basins to improve particle removal performance. Inclined plates and tubes drastically increase the surface area available for particles to be removed in concert with Hazen's original theory. The amount of ground surface area occupied by a sedimentation basin with inclined plates or tubes can be far smaller than a conventional sedimentation basin.

Sludge storage and removal

As particles settle to the bottom of a sedimentation basin, a layer of sludge is formed on the floor of the tank which must be removed and treated. The amount of sludge generated is significant, often 3 to 5 percent of the total volume of water to be treated. The cost of treating and disposing of the sludge can impact the operating cost of a water treatment plant. The sedimentation basin may be equipped with mechanical cleaning devices that continually clean its bottom, or the basin can be periodically taken out of service and cleaned manually.

Floc blanket clarifiers

A subcategory of sedimentation is the removal of particulates by entrapment in a layer of suspended floc as the water is forced upward. The major advantage of floc blanket clarifiers is that they occupy a smaller footprint than conventional sedimentation. Disadvantages are that particle removal efficiency can be highly variable depending on changes in influent water quality and influent water flow rate.[7]:835–6

Dissolved air flotation

When particles to be removed do not settle out of solution easily, dissolved air flotation (DAF) is often used. After coagulation and flocculation processes, water flows to DAF tanks where air diffusers on the tank bottom create fine bubbles that attach to floc resulting in a floating mass of concentrated floc. The floating floc blanket is removed from the surface and clarified water is withdrawn from the bottom of the DAF tank. Water supplies that are particularly vulnerable to unicellular algae blooms and supplies with low turbidity and high colour often employ DAF.[6]:9.46

Filtration

After separating most floc, the water is filtered as the final step to remove remaining suspended particles and unsettled floc.

Rapid sand filters

Cutaway view of a typical rapid sand filter
The most common type of filter is a rapid sand filter. Water moves vertically through sand which often has a layer of activated carbon or anthracite coal above the sand. The top layer removes organic compounds, which contribute to taste and odour. The space between sand particles is larger than the smallest suspended particles, so simple filtration is not enough. Most particles pass through surface layers but are trapped in pore spaces or adhere to sand particles. Effective filtration extends into the depth of the filter. This property of the filter is key to its operation: if the top layer of sand were to block all the particles, the filter would quickly clog.[9]
To clean the filter, water is passed quickly upward through the filter, opposite the normal direction (called backflushing or backwashing) to remove embedded or unwanted particles. Prior to this step, compressed air may be blown up through the bottom of the filter to break up the compacted filter media to aid the backwashing process; this is known as air scouring. This contaminated water can be disposed of, along with the sludge from the sedimentation basin, or it can be recycled by mixing with the raw water entering the plant although this is often considered poor practice since it re-introduces an elevated concentration of bacteria into the raw water.
Some water treatment plants employ pressure filters. These work on the same principle as rapid gravity filters, differing in that the filter medium is enclosed in a steel vessel and the water is forced through it under pressure.
Advantages:
  • Filters out much smaller particles than paper and sand filters can.
  • Filters out virtually all particles larger than their specified pore sizes.
  • They are quite thin and so liquids flow through them fairly rapidly.
  • They are reasonably strong and so can withstand pressure differences across them of typically 2–5 atmospheres.
  • They can be cleaned (back flushed) and reused.

Slow sand filters

Slow "artificial" filtration (a variation of bank filtration) into the ground at the Water purification plant Káraný, Czech Republic
A profile of layers of gravel, sand and fine sand used in a slow sand filter plant.
Slow sand filters may be used where there is sufficient land and space, as the water flows very slowly through the filters. These filters rely on biological treatment processes for their action rather than physical filtration. They are carefully constructed using graded layers of sand, with the coarsest sand, along with some gravel, at the bottom and finest sand at the top. Drains at the base convey treated water away for disinfection. Filtration depends on the development of a thin biological layer, called the zoogleal layer or Schmutzdecke, on the surface of the filter. An effective slow sand filter may remain in service for many weeks or even months, if the pretreatment is well designed, and produces water with a very low available nutrient level which physical methods of treatment rarely achieve. Very low nutrient levels allow water to be safely sent through distribution systems with very low disinfectant levels, thereby reducing consumer irritation over offensive levels of chlorine and chlorine by-products. Slow sand filters are not backwashed; they are maintained by having the top layer of sand scraped off when flow is eventually obstructed by biological growth.[10]
A specific "large-scale" form of slow sand filter is the process of bank filtration, in which natural sediments in a riverbank are used to provide a first stage of contaminant filtration. While typically not clean enough to be used directly for drinking water, the water gained from the associated extraction wells is much less problematic than river water taken directly from the river.

Membrane filtration

Membrane filters are widely used for filtering both drinking water and sewage. For drinking water, membrane filters can remove virtually all particles larger than 0.2 Î¼m—including giardia and cryptosporidium. Membrane filters are an effective form of tertiary treatment when it is desired to reuse the water for industry, for limited domestic purposes, or before discharging the water into a river that is used by towns further downstream. They are widely used in industry, particularly for beverage preparation (including bottled water). However no filtration can remove substances that are actually dissolved in the water such as phosphatesnitrates and heavy metal ions.

Removal of ions and other dissolved substances

Ultrafiltration membranes use polymer membranes with chemically formed microscopic pores that can be used to filter out dissolved substances avoiding the use of coagulants. The type of membrane media determines how much pressure is needed to drive the water through and what sizes of micro-organisms can be filtered out.[citation needed]
Ion exchange:[11] Ion exchange systems use ion exchange resin- or zeolite-packed columns to replace unwanted ions. The most common case is water softening consisting of removal of Ca2+ and Mg2+ ions replacing them with benign (soap friendly) Na+ or K+ ions. Ion exchange resins are also used to remove toxic ions such as nitriteleadmercuryarsenic and many others.
Precipitative softening:[6]:13.12–13.58 Water rich in hardness (calcium and magnesium ions) is treated with lime (calcium oxide) and/or soda-ash (sodium carbonate) to precipitate calcium carbonate out of solution utilizing the common-ion effect.
Electrodeionization:[11] Water is passed between a positive electrode and a negative electrode. Ion exchange membranes allow only positive ions to migrate from the treated water toward the negative electrode and only negative ions toward the positive electrode. High purity deionized water is produced continuously, similar to ion exchange treatment. Complete removal of ions from water is possible if the right conditions are met. The water is normally pre-treated with a reverse osmosis unit to remove non-ionic organic contaminants, and with gas transfer membranes to remove carbon dioxide. A water recovery of 99% is possible if the concentrate stream is fed to the RO inlet.

Disinfection

Pumps used to add required amounts of chemicals to the clear water at a water purification plant before distribution. From left to right: sodium hypochlorite for disinfection, zinc orthophosphate as a corrosion inhibitor, sodium hydroxide for pH adjustment, and fluoride for tooth decay prevention.
Disinfection is accomplished both by filtering out harmful micro-organisms and by adding disinfectant chemicals. Water is disinfected to kill any pathogens which pass through the filters and to provide a residual dose of disinfectant to kill or inactivate potentially harmful micro-organisms in the storage and distribution systems. Possible pathogens include virusesbacteria, including SalmonellaCholera,Campylobacter and Shigella, and protozoa, including Giardia lamblia and other cryptosporidia. After the introduction of any chemical disinfecting agent, the water is usually held in temporary storage – often called a contact tank or clear well – to allow the disinfecting action to complete.

Chlorine disinfection

The most common disinfection method involves some form of chlorine or its compounds such as chloramine or chlorine dioxide. Chlorine is a strong oxidant that rapidly kills many harmful micro-organisms. Because chlorine is a toxic gas, there is a danger of a release associated with its use. This problem is avoided by the use of sodium hypochlorite, which is a relatively inexpensive solution used in household bleach that releases free chlorine when dissolved in water. Chlorine solutions can be generated on site by electrolyzing common salt solutions. A solid form, calcium hypochlorite, releases chlorine on contact with water. Handling the solid, however, requires more routine human contact through opening bags and pouring than the use of gas cylinders or bleach, which are more easily automated. The generation of liquid sodium hypochlorite is inexpensive and also safer than the use of gas or solid chlorine. Chlorine levels up to 4 milligrams per liter (4 parts per million) are considered safe in drinking water.[12]
All forms of chlorine are widely used, despite their respective drawbacks. One drawback is that chlorine from any source reacts with natural organic compounds in the water to form potentially harmful chemical by-products. These by-products, trihalomethanes (THMs) and haloacetic acids (HAAs), are both carcinogenic in large quantities and are regulated by the United States Environmental Protection Agency(EPA) and the Drinking Water Inspectorate in the UK. The formation of THMs and haloacetic acids may be minimized by effective removal of as many organics from the water as possible prior to chlorine addition. Although chlorine is effective in killing bacteria, it has limited effectiveness against pathogenic protozoa that form cysts in water such as Giardia lamblia and Cryptosporidium.

Chlorine dioxide disinfection

Chlorine dioxide is a faster-acting disinfectant than elemental chlorine. It is relatively rarely used because in some circumstances it may create excessive amounts of chlorite, which is a by-product regulated to low allowable levels in the United States. Chlorine dioxide can be supplied as an aqueous solution and added to water to avoid gas handling problems; chlorine dioxide gas accumulations may spontaneously detonate.

Chloramination

The use of chloramine is becoming more common as a disinfectant. Although chloramine is not as strong an oxidant, it provides a longer-lasting residual than free chlorine because of its lower redox potential compared to free chlorine. It also does not readily form THMs or haloacetic acids (disinfection byproducts).
It is possible to convert chlorine to chloramine by adding ammonia to the water after adding chlorine. The chlorine and ammonia react to form chloramine. Water distribution systems disinfected with chloramines may experience nitrification, as ammonia is a nutrient for bacterial growth, with nitrates being generated as a by-product.

Ozone disinfection

Ozone disinfection, or ozonation, Ozone is an unstable molecule which readily gives up one atom of oxygen providing a powerful oxidizing agent which is toxic to most waterborne organisms. It is a very strong, broad spectrum disinfectant that is widely used in Europe and in a few municipalities in the United States and Canada. It is an effective method to inactivate harmful protozoa that form cysts. It also works well against almost all other pathogens. Ozone is made by passing oxygen through ultraviolet light or a "cold" electrical discharge. To use ozone as a disinfectant, it must be created on-site and added to the water by bubble contact. Some of the advantages of ozone include the production of fewer dangerous by-products and the absence of taste and odour problems (in comparison to chlorination). No residual ozone is left in the water.[13] In the absence of a residual disinfectant in the water, chlorine or chloramine may be added throughout a distribution system to remove any potential pathogens in the distribution piping.
Ozone has been used in drinking water plants since 1906 where the first industrial ozonation plant was built in Nice, France. The U.S. Food and Drug Administration has accepted ozone as being safe; and it is applied as an anti-microbiological agent for the treatment, storage, and processing of foods. However, although fewer by-products are formed by ozonation, it has been discovered that ozone reacts with bromide ions in water to produce concentrations of the suspected carcinogen bromate. Bromide can be found in fresh water supplies in sufficient concentrations to produce (after ozonation) more than 10 parts per billion (ppb) of bromate — the maximum contaminant level established by the USEPA.[14]Ozone disinfection is also energy intensive.

Ultraviolet disinfection

Ultraviolet light (UV) is very effective at inactivating cysts, in low turbidity water. UV light's disinfection effectiveness decreases as turbidity increases, a result of the absorptionscattering, and shadowing caused by the suspended solids. The main disadvantage to the use of UV radiation is that, like ozone treatment, it leaves no residual disinfectant in the water; therefore, it is sometimes necessary to add a residual disinfectant after the primary disinfection process. This is often done through the addition of chloramines, discussed above as a primary disinfectant. When used in this manner, chloramines provide an effective residual disinfectant with very few of the negative effects of chlorination.
Over 2 million people in 28 developing countries use Solar Disinfection for daily drinking water treatment.[15]

Ionizing radiation

Like UV, ionizing radiation (X-rays, gamma rays, and electron beams) has been used to sterilize water.[citation needed]

Bromination and iodinization

Bromine and iodine can also be used as disinfectants. However, chlorine in water is over three times more effective as a disinfectant against Escherichia coli than an equivalent concentration of bromine, and over six times more effective than an equivalent concentration of iodine.[16] Iodine is commonly used for portable water purification, and bromine is common as a swimming pool disinfectant.

Portable water purification

Potable water purification devices and methods are available for disinfection and treatment in emergencies or in remote locations. Disinfection is the primary goal, since aesthetic considerations such as taste, odour, appearance, and trace chemical contamination do not affect the short-term safety of drinking water.

Additional treatment options

  1. Water fluoridation: in many areas fluoride is added to water with the goal of preventing tooth decay.[17] Fluoride is usually added after the disinfection process. In the U.S., fluoridation is usually accomplished by the addition of hexafluorosilicic acid,[18] which decomposes in water, yielding fluoride ions.[19]
  2. Water conditioning: This is a method of reducing the effects of hard water. In water systems subject to heating hardness salts can be deposited as the decomposition of bicarbonate ions creates carbonate ions that precipitate out of solution. Water with high concentrations of hardness salts can be treated with soda ash (sodium carbonate) which precipitates out the excess salts, through the common-ion effect, producing calcium carbonate of very high purity. The precipitated calcium carbonate is traditionally sold to the manufacturers of toothpaste. Several other methods of industrial and residential water treatment are claimed (without general scientific acceptance) to include the use of magnetic and/or electrical fields reducing the effects of hard water.[20]
  3. Plumbosolvency reduction: In areas with naturally acidic waters of low conductivity (i.e. surface rainfall in upland mountains of igneous rocks), the water may be capable of dissolving lead from any lead pipes that it is carried in. The addition of small quantities of phosphate ion and increasing the pH slightly both assist in greatly reducing plumbo-solvency by creating insoluble lead salts on the inner surfaces of the pipes.
  4. Radium Removal: Some groundwater sources contain radium, a radioactive chemical element. Typical sources include many groundwater sources north of the Illinois River in Illinois, United States of America. Radium can be removed by ion exchange, or by water conditioning. The back flush or sludge that is produced is, however, a low-level radioactive waste.
  5. Fluoride Removal: Although fluoride is added to water in many areas, some areas of the world have excessive levels of natural fluoride in the source water. Excessive levels can be toxic or cause undesirable cosmetic effects such as staining of teeth. Methods of reducing fluoride levels is through treatment with activated alumina and bone charfilter media.

Other water purification techniques

Other popular methods for purifying water, especially for local private supplies are listed below. In some countries some of these methods are also used for large scale municipal supplies. Particularly important are distillation (de-salination of seawater) and reverse osmosis.
  1. Boiling: Bringing water to its boiling point (about 100 °C or 212 F at sea level), is the oldest and most effective way since it eliminates most microbes causing intestine related diseases,[21] but it cannot remove chemical toxins or impurities.[22] For human health, complete sterilization of water is not required, since the heat resistant microbes are not intestine affecting.[21] The traditional advice of boiling water for ten minutes is mainly for additional safety, since microbes start getting eliminated at temperatures greater than 60 °C (140 °F). Though the boiling point decreases with increasing altitude, it is not enough to affect the disinfecting process.[21][23] In areas where the water is "hard" (that is, containing significant dissolved calcium salts), boiling decomposes the bicarbonate ions, resulting in partial precipitation as calcium carbonate. This is the "fur" that builds up on kettle elements, etc., in hard water areas. With the exception of calcium, boiling does not remove solutes of higher boiling point than water and in fact increases their concentration (due to some water being lost as vapour). Boiling does not leave a residual disinfectant in the water. Therefore, water that is boiled and then stored for any length of time may acquire new pathogens.
  2. Granular Activated Carbon adsorption: a form of activated carbon with a high surface area, adsorbs many compounds including many toxic compounds. Water passing through activated carbon is commonly used in municipal regions with organic contamination, taste or odors. Many household water filters and fish tanks use activated carbon filters to further purify the water. Household filters for drinking water sometimes contain silver as metallic silver nanoparticle. If water is held in the carbon block for longer periods, microorganisms can grow inside which results in fouling and contamination. Silver nanoparticles are excellent anti-bacterial material and they can decompose toxic halo-organic compounds such as pesticides into non-toxic organic products.[24] Filtered water must be used soon after it is filtered, as the low amount of remaining microbes may proliferate over time. In general, these home filters remove over 90% of the chlorine available to a glass of treated water. These filters must be periodically replaced otherwise the bacterial content of the water may actually increase due to the growth of bacteria within the filter unit.[13]
  3. Distillation involves boiling the water to produce water vapour. The vapour contacts a cool surface where it condenses as a liquid. Because the solutes are not normally vaporised, they remain in the boiling solution. Even distillation does not completely purify water, because of contaminants with similar boiling points and droplets of unvapourised liquid carried with the steam. However, 99.9% pure water can be obtained by distillation.
  4. Reverse osmosis: Mechanical pressure is applied to an impure solution to force pure water through a semi-permeable membrane. Reverse osmosis is theoretically the most thorough method of large scale water purification available, although perfect semi-permeable membranes are difficult to create. Unless membranes are well-maintained, algaeand other life forms can colonize the membranes.
  5. The use of iron in removing arsenic from water. See Arsenic contamination of groundwater.
  6. Direct contact membrane distillation (DCMD). Applicable to desalination. Heated seawater is passed along the surface of a hydrophobic polymer membrane. Evaporated water passes from the hot side through pores in the membrane into a stream of cold pure water on the other side. The difference in vapour pressure between the hot and cold side helps to push water molecules through.
  7. Desalination – is a process by which saline water (generally sea water) is converted to fresh water. The most common desalination processes are distillation and reverse osmosis. Desalination is currently expensive compared to most alternative sources of water, and only a very small fraction of total human use is satisfied by desalination. It is only economically practical for high-valued uses (such as household and industrial uses) in arid areas.
  8. Gas hydrate crystals centrifuge method. If carbon dioxide or other low molecular weight gas is mixed with contaminated water at high pressure and low temperature, gas hydrate crystals will form exothermically. Separation of the crystalline hydrate may be performed by centrifuge or sedimentation and decanting. Water can be released from the hydrate crystals by heating[25]
  9. In Situ Chemical Oxidation, a form of advanced oxidation processes and advanced oxidation technology, is an environmental remediation technique used for soil and/or groundwater remediation to reduce the concentrations of targeted environmental contaminants to acceptable levels. ISCO is accomplished by injecting or otherwise introducing strong chemical oxidizers directly into the contaminated medium (soil or groundwater) to destroy chemical contaminants in place. It can be used to remediate a variety of organic compounds, including some that are resistant to natural degradation
  10. Bioremediation is a technique that uses microorganisms in order to remove or extract certain waste products from a contaminated area. Since 1991 bioremediation has been a suggested tactic to remove impurities from water such as alkanes, perchlorates, and metals.[26] The treatment of ground and surface water, through bioremediation, with respect to perchlorate and chloride compounds, has seen success as perchlorate compounds are highly soluble making it difficult to remove.[27] Such success by use of Dechloromonas agitata strain CKB include field studies conducted in Maryland and the Southwest region of the United States.[27][28][29] Although a bioremediation technique may be successful, implementation is not feasible as there is still much to be studied regarding rates and after effects of microbial activity as well as producing a large scale implementation method.

Safety and controversies

Rainbow trout (Oncorhynchus mykiss) are often used in water purification plants to detect acute water pollution
In April, 2007, the water supply of Spencer, Massachusetts in the United States of America, became contaminated with excess sodium hydroxide (lye) when its treatment equipment malfunctioned.[30]
Many municipalities have moved from free chlorine to chloramine as a disinfection agent. However, chloramine appears to be a corrosive agent in some water systems. Chloramine can dissolve the "protective" film inside older service lines, leading to the leaching of lead into residential spigots. This can result in harmful exposure, including elevated blood lead levels. Lead is a known neurotoxin.[31]

Demineralized water

Distillation removes all minerals from water, and the membrane methods of reverse osmosis and nanofiltration remove most to all minerals. This results in demineralized water which is not considered ideal drinking water. The World Health Organization has investigated the health effects of demineralized water since 1980.[32] Experiments in humans found that demineralized water increased diuresis and the elimination of electrolytes, with decreased blood serum potassium concentration. Magnesiumcalcium, and other minerals in water can help to protect against nutritional deficiency. Demineralized water may also increase the risk from toxic metals because it more readily leaches materials from piping like lead and cadmium, which is prevented by dissolved minerals such as calcium and magnesium. Low-mineral water has been implicated in specific cases of lead poisoning in infants, when lead from pipes leached at especially high rates into the water. Recommendations for magnesium have been put at a minimum of 10 mg/L with 20–30 mg/L optimum; for calcium a 20 mg/L minimum and a 40–80 mg/L optimum, and a total water hardness (adding magnesium and calcium) of 2 to 4 mmol/L. At water hardness above 5 mmol/L, higher incidence of gallstones, kidney stones, urinary stones, arthrosis, and arthropathies have been observed.[33] Additionally, desalination processes can increase the risk of bacterial contamination.[33]
Manufacturers of home water distillers claim the opposite—that minerals in water are the cause of many diseases, and that most beneficial minerals come from food, not water.[34][35]

History

Drawing of an apparatus for studying the chemical analysis of mineral waters in a book from 1799.
The first experiments into water filtration were made in the 17th century. Sir Francis Bacon attempted to desalinate sea water by passing the flow through a sand filter. Although his experiment did not succeed, it marked the beginning of a new interest in the field. The fathers of microscopyAntonie van Leeuwenhoek and Robert Hooke, used the newly invented microscope to observe for the first time small material particles that lay suspended in the water, laying the groundwork for the future understanding of waterborne pathogens.[36]

Sand filter

Original map by John Snowshowing the clusters of cholera cases in the London epidemic of 1854.
The first documented use of sand filters to purify the water supply dates to 1804, when the owner of a bleachery in Paisley, Scotland, John Gibb, installed an experimental filter, selling his unwanted surplus to the public.[37] This method was refined in the following two decades by engineers working for private water companies, and it culminated in the first treated public water supply in the world, installed by engineer James Simpson for the Chelsea Waterworks Company in London in 1829.[38] This installation provided filtered water for every resident of the area, and the network design was widely copied throughout the United Kingdom in the ensuing decades.
The practice of water treatment soon became mainstream and common, and the virtues of the system were made starkly apparent after the investigations of the physician John Snow during the 1854 Broad Street cholera outbreak. Snow was sceptical of the then-dominant miasma theory that stated that diseases were caused by noxious "bad airs". Although the germ theory of disease had not yet been developed, Snow's observations led him to discount the prevailing theory. His 1855 essay On the Mode of Communication of Cholera conclusively demonstrated the role of the water supply in spreading the cholera epidemic in Soho,[39][40] with the use of a dot distribution map and statistical proof to illustrate the connection between the quality of the water source and cholera cases. His data convinced the local council to disable the water pump, which promptly ended the outbreak.
The Metropolis Water Act introduced the regulation of the water supply companies in London, including minimum standards of water quality for the first time. The Act "made provision for securing the supply to the Metropolis of pure and wholesome water", and required that all water be "effectually filtered" from 31 December 1855.[41] This was followed up with legislation for the mandatory inspection of water quality, including comprehensive chemical analyses, in 1858. This legislation set a worldwide precedent for similar state public health interventions across Europe. The Metropolitan Commission of Sewers was formed at the same time, water filtration was adopted throughout the country, and new water intakes on the Thames were established above Teddington Lock. Automatic pressure filters, where the water is forced under pressure through the filtration system, were innovated in 1899 in England.[37]

Water chlorination

John Snow was the first to successfully use chlorine to disinfect the water supply in Soho that had helped spread the cholera outbreak. William Soper also used chlorinated lime to treat the sewage produced by typhoid patients in 1879.
In a paper published in 1894, Moritz Traube formally proposed the addition of chloride of lime (calcium hypochlorite) to water to render it "germ-free." Two other investigators confirmed Traube's findings and published their papers in 1895.[42] Early attempts at implementing water chlorination at a water treatment plant were made in 1893 in HamburgGermany and in 1897 the city of MaidstoneEngland was the first to have its entire water supply treated with chlorine.[43]
Permanent water chlorination began in 1905, when a faulty slow sand filter and a contaminated water supply led to a serious typhoid fever epidemic in Lincoln, England.[44] Dr. Alexander Cruickshank Houston used chlorination of the water to stem the epidemic. His installation fed a concentrated solution of chloride of lime to the water being treated. The chlorination of the water supply helped stop the epidemic and as a precaution, the chlorination was continued until 1911 when a new water supply was instituted.[45]
Manual-control chlorinator for the liquefaction of chlorine for water purification, early 20th century. From Chlorination of Water by Joseph Race, 1918.
The first continuous use of chlorine in the United States for disinfection took place in 1908 at Boonton Reservoir (on the Rockaway River), which served as the supply for Jersey City, New Jersey.[46] Chlorination was achieved by controlled additions of dilute solutions of chloride of lime (calcium hypochlorite) at doses of 0.2 to 0.35 ppm. The treatment process was conceived by Dr. John L. Leal and the chlorination plant was designed by George Warren Fuller.[47] Over the next few years, chlorine disinfection using chloride of lime were rapidly installed in drinking water systems around the world.[48]
The technique of purification of drinking water by use of compressed liquefied chlorine gas was developed by a British officer in the Indian Medical Service, Vincent B. Nesfield, in 1903. According to his own account:
It occurred to me that chlorine gas might be found satisfactory ... if suitable means could be found for using it.... The next important question was how to render the gas portable. This might be accomplished in two ways: By liquefying it, and storing it in lead-lined iron vessels, having a jet with a very fine capillary canal, and fitted with a tap or a screw cap. The tap is turned on, and the cylinder placed in the amount of water required. The chlorine bubbles out, and in ten to fifteen minutes the water is absolutely safe. This method would be of use on a large scale, as for service water carts.[49]
U.S. Army Major Carl Rogers Darnall, Professor of Chemistry at the Army Medical School, gave the first practical demonstration of this in 1910. Shortly thereafter, Major William J. L. Lyster of the Army Medical Department used a solution of calcium hypochlorite in a linen bag to treat water. For many decades, Lyster's method remained the standard for U.S. ground forces in the field and in camps, implemented in the form of the familiar Lyster Bag (also spelled Lister Bag). This work became the basis for present day systems of municipal water purification.
 
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