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7/23/2019 Vesi Ja Uimavesi-Eng
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Page 1
Drinking and bathing water monitoring
Page 2
Ken monitors
http://www.ymparisto.fi/default.asp?node=6740&lan=fi
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The quality of drinking water in the amount of social welfare and
Ministry of Health (STM), which has adopted Regulation
461/2000 of drinking water quality standards and
surveillance studies. The Regulation entered into force on 26.5.2000 and
it annulled the provisions of Regulation 74/1994.
The quality of drinking water and its control were required to bring new
in accordance with Regulation 12.25.2003 at the latest.
Health protection authorities from carrying out
supervision was removed from the raw water monitoring responsibilities
Page 3
Household water
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Page 4Page 5Page 6Page 7Page 8Page 9Page 10Page 11
Swimming pools and hygiene
Page 12
Who supervises?
Public beaches and swimming pools in water quality
control is part of the municipal health protection authority
tasks.
Also, the beach auxiliary facilities, structures and equipment
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is monitored, that they present no health hazard
swimmers.
See also:
http://www.valvira.fi/ohjaus_ja_valvonta/terveydensuojelu/
Pool water
Page 13
Swimmers source of infection
the entire surface of the skin
leach into the water from the skin surface bacteria and ihosieniä.
mucous membranes
rectal
urethra
In one experiment, a person was in the tub, where the water was 150 liters.
Within five minutes of subjects were washed without soap
water 600 million. bacteria.
Page 14
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When a person washes himself in the shower, the skin surface is washed 100 000 000
- 3 000 000 000 bacteria.
It is estimated that 1 ml of saliva contains 20 000 000 - 400 000 000
bacteria.
Mucous membranes form the surface of the skin after the next major
bacterial source.
Skin and mucous membranes to water of bacteria are often mucus
covered
therefore relatively well resistant bacteria disinfectants
effects.
Page 15
Such slime-covered bacteria floating in the pool of water in general
on the surface and on bathers' point of view this is quite a hygienic significance
Personal hygiene and its associated culture are toilet
One of the most important hygienic problems of bathing waters.
It is estimated that one gram of feces up to 100 billion
bacteria
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careless washing after using the toilet
cause quite a load of hygienic swimming pool
Page 16
Although urine usually is germ free, forms of bathers'
liraukset "basin excess nitrogen load. According to estimates,
Each swimmer lirauttaa into the pool for a swim when 50-60 ml of urine.
Urine ammonia to form together with the added chlorine in the pool
with chloramination. Desinfektioteho of these compounds is substantially
worse than the free active chlorine and provide eyes and
other irritation of mucous membranes and cause aversive
indoor swimming pool odor.
Page 17
According to one estimate, even after your bath, in-depth
pool passes for one swimmers still about 35 million. bacteria and
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120 mg of organic matter, for example. epithelial cells of the skin.
Before entering the pool executable careful not
Bath & Shower can not completely prevent water contamination.
Some estimates suggest that up to a hundredth of a swimmer could work
pathogenic bacteria carrier
Page 18
One of the most important special features of swimming pool water bacteria is their
chlorine resistance.
Assessing the effect of the disinfectant effect of time is crucial
Escherichia coli is the most common indicator of bacterial hygienic bathing waters
space observation
E. coli bacteria in 100% destruction of the required chlorine
concentration will depend on the water temperature, pH, and the organic substance
quantity and quality.
The more water is of organic material, the greater part of the
chlorine is consumed for oxidation of this substance
Bathing water and disinfection
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Page 19
The pH of the water's effect manifests itself in such a way that the higher the pH, the
more chlorine needed to kill the bacteria, so disinfection
it has to be as low as pH-value affordable.
In general, the free chlorine content of 0.4 mg / L is sufficient
to destroy the E. coli bacterium almost 100% for one minute
the effect of time.
Ozone:
Ozone is produced on-site swimming pool of dried air
Ozonator The electrical discharge form. The ozone-containing air
is dissolved in water.
Page 20
Our indoor swimming pools is the average ozone dosage is usually
0.3 - 0.6 g / m.
The starting point is in Finland always been that ozone is used
swimming pool water treatment plant, but it will be removed from the water before
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basin management.
Removal is normally accomplished through activated charcoal.
Since the pools must be a disinfectant, dispenses water also
chlorine.
Ozonation and chlorination are not mutually exclusive and disinfection
for oxidation.
Page 21
The use of ozone for cleaning swimming water based on the fact that
ozonating the water quality is influenced in such a way that the chlorination
operating conditions are improved.
Most micro-organisms, in particular with respect to viruses, ozone
more effective than chlorine disinfection method.
However, there are organisms that are more resistant to ozone than chlorine
against
Overall, it is the case of disinfection of ozone and chlorine,
Concomitant use of inexpensive and can be a wealth loaded
indoor swimming pools to maintain excellent swimmers pleasant water quality.
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Page 22
Staphylococci
Staphylococci cause a variety of diseases that occur predominantly
on the skin and a minor extent, also mucous membranes, respiratory tract, or
the nasal passages
Staphylococci are the most common bacteria encountered in bathing waters. They
resistant to chlorine relatively well. Their presence
the possibility can not be detected E. coli assay
Streptococci
Normally, streptococci (Streptococcus salivarius) excreted in the mouth
and mucous membranes of the nose and pharynx. Similarly, S. faecalis
origin of the bacteria of the intestine
Found in swimming pools microbes and their health
importance
Page 23
Pneumococci
Pneumococci may occur bathing waters, although their
the probability is low. They do not tolerate very well
chlorine
Mycobacterium
Mycobacterium balnei, swimming pool mycobacterial has caused
According to literature, a number of cases, mainly chronic
uimareissa ulcers.
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Salmonella
There is little found in bathing waters. The reason for this, Salmonella lasts
poor chlorine.
Page 24
If a bathing water meets the hygienic requirements
coliform ratio does not have the Salmonella
germs.
In order to get infected with Salmonella, the swimmer must be swallowed
a relatively large dose of Salmonella germs.
Pseudomonas aeruginosa
It is one of the most important bathers borne bacterial and
also the most common spreading through the bathing waters pathogenic
bacterium (Pipes, 1978)
It has been shown to cause diseases, especially
whirlpools käyneissä persons.
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Chlamydia
It takes a relatively low chlorine, so it is eliminated
generally effective for disinfection.
This pathogen must therefore question mainly only
inadequately chlorinated swimming pools.
Leptospira
On the very rare swimming pools spreading
pathogenic bacterium.
Trichomonas
Can be considered as one possible bathers' health
endanger eliönä
Page 26
Amoebas
These organisms can withstand relatively well chlorine.
Kloramiinikonsentraatio 2 mg / l to kill them until two
hours life time.
It has been suggested that the swimming pool water temperature should be
kept <+ 25 ° C, since below this temperature
eg. Naegleria fowleri is unable to reproduce.
Fungal Diseases
Various fungal diseases are spreading studies, swimming clubs
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through
Norovirus spreads through swimming clubs
Page 27
Critical places are constantly wet areas such as washrooms and flooring
the lowest levels in the steam room and the floors.
The indoor swimming pool facilities in temperature and humidity provide favorable conditions
microbes
Detergent selection should pay attention to. Alkaline
detergent disinfectant is effective against both the body and the dirt that yleislikaan
disinfects at the same time.
Roll-in shower room, washroom, toilets as dressing should be
clean disinfectant detergent.
Page 28
Hot Tubs
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Whirlpools properties favor of pathogenic bacteria such as
Pseudomonas aeruginosa growth.
Legionella can be spread through aerosolization and poreallasveden
cause respiratory infections.
Whirlpool spas are characterized by a small amount of water relative to kylpijämäärää, water
high temperature (36-40 ° C), high load and efficient aeration.
Warm air poreallasvedessä of human origin
bacteria, including pathogens multiply easily.
In addition, efficient poreistus bathers removed from the skin effectively
impurities.
Page 29
Careful washing is important before taking a bath.
Cleaning of the pools will also pay special attention to
the organic dirt is removed.
Sources:
Seppänen, H. Water Hygiene and Disinfection
Of the environment and health. 5/87
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Page 30
Legionella
Page 31Page 32
Features
Gram-negative rods
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general of fresh water bacteria
humans live inside white blood cells
is not part of normal flora of man
work enrichers use of water and distribution systems
as well as air conditioning ducts
Legionella pneumophila famous
Page 33
Adhesion and Epidemiology
thrive in humid and warm conditions
adhesion is obtained from the water vapor of aerosol particles
through which inhaled in the lungs
direct contact with water eg. a wound area possible
infection does not spread from person to person
In Finland, from 1979 tot. approx. 300 cases (usually
from the south returns on tourists)
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Page 34
Infections
Legionella pneumonia
L. pneumiphila cause
The incubation period: 2-10 day
Symptoms: mm. fever, cough, chest pain, headache,
confusion, abdominal pain, bradycardia, pulmonary changes
x-ray
the disease progresses rapidly
predisposing factors: immunosuppression, cancer,
lowered resistance, AIDS, asthma
Page 35
... Continued
Pontiac fever
L. pneumophila causes
The incubation period: 1-2 day
symptoms: fast start, similar to the symptoms of flu
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(muscle pain, fever, cough, headache)
milder legionellosis
Page 36
Laboratory Diagnostics
Cultivation
2-10 days
requires special culture media and conditions
are mm. sputum, biopsies, imulimasta, BAL
fluid
Direct immunofluorescence staining
the fastest diagnostic method
to find all the L. pneumophila serotype 14
posit. Result 100% specific
not as sensitive as cultivation
Page 37
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... Laboratory diagnostics
Indirect immunofluorescence
Nucleic Acid Hybridization
high specificity
not as sensitive as cultivation
EIA, RIA, latexagglutinaatiotestit
Serology
is low, suitable for epidemiological
follow-up
Page 38
Medications and Sensitivity
Several types of induction of resistance to penicillin and cephalosporins
The best antibiotic erythromycin
power is based on its ability to penetrate inside macrophages,
where Legionella bacteria multiply
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The duration of treatment approx. 3 weeks