IN DEVELOPING NATIONS INTRODUCTION It is estimated that over 1.5 billion people in the world are without adequate water supply and waste disposal facili-ties.. 2 Concerned about the n
Trang 1IN DEVELOPING NATIONS
INTRODUCTION
It is estimated that over 1.5 billion people in the world are
without adequate water supply and waste disposal
facili-ties. 1 Waterborne diseases kill an average of 25,000 people
every day, and millions suffer the debilitating effects of the
diseases. 2 Concerned about the need for safe water supply
and sanitation, the United Nations (UN) declared 1981–1990
as the International Water Supply and Sanitation Decade
with the professed goal of supplying potable water for all the
people of the world by 1990, and also of providing all people
with the means to safe disposal of human excreta This goal
was highly optimistic in view of the fact the nearly 80 percent
of the population in the developing countries does not have
access to piped water supply, and even a large percentage
lacks public sewers and household waste disposal systems. 3,4
At the end of the International Water and Sanitation
Decade, it was estimated that almost 31 and 44 percent of the
world population was lacking safe water supply and adequate
human waste disposal, respectively The global population
being 5.28 billions, total population currently having
inad-equate water supply and sanitation is therefore staggering. 5 – 7
Based on an assessment of the successes and failures of the
Decade, it is believed that much has been accomplished, but
progress is needed on all fronts: rehabilitation and operation
of existing systems, training of personnel, financing, and
new construction to achieve the goals of the Decade within
a reasonable time in the future In this article many factors
that contribute to successes and failures of the Water Decade
goals are reviewed The discussion is divided into (1)
under-standing of the needs, (2) appropriate technology for water
supply and waste disposal, (3) commitment, (4) financial
resources, (5) training of people to plan, design, build,
oper-ate and maintain woper-ater and sanitary projects, and (6) role of
developed nations. 8 – 10
UNDERSTANDING THE NEEDS
Adequate supply of safe water and basic sanitation are the
foundation of health Water pollution and poor sanitation
are probably responsible for 80 percent of the morbidity
and mortality in the developing countries It is estimated
that over 900 million cases of diarrhea related illness occur
each year, resulting in the death of over 3 million
chil-dren Common diseases associated with polluted water are
11 Prevention of such diseases depends on the improvement of the quality of the water supply, personal hygiene, food handling and preparation; as well as the provi-sion of adequate sanitation, including sanitary facilities for human waste disposal
The importance of personal hygiene specially on the part
of mothers and children is the key to beneficial results in dis-ease prevention Therefore, more intensive activities directed
to improve personal hygiene should be emphasized in the developing countries Furthermore, a meaningful program
of providing safe water supply in developing countries must also include safe disposal of human excreta, basic education, and improvement of sanitary conditions
The major constraints on the progress of the International Drinking Water Supply and Sanitation Decade have been operation and maintenance and rehabilitation of the systems that were built earlier Broken-down and poorly functioning facilities waste money, are a threat to health, and discourage future investments Also, inappropriate technology is at the root of many water supply and waste disposal problems in the developing countries. 12,14
APPROPRIATE TECHNOLOGY
Water Supply
The goal of the UN Water Decade was to provide “clean water and adequate sanitation for all by 1990” It should be noted that this did not mean a tap and a flush toilet in every house Reasonable access to safe water is usually understood
to be within 500 m of the household; for many developing countries, adequate sanitation probably refers to some tech-nology intermediate between the water flush toilet and the simple pit latrine The scope of the task of the UN Water Decade was truly enormous considering that the two pri-ority areas are the rural population (71%), who often have
to travel long distances for water, and the crowded urban poor (25%), for whom water supply often is grossly inad-equate; 87% of rural population and 47% of urban fringe areas lack adequate sanitation. 12 Naturally, achieving uni-versal coverage would mean not only supplying almost one billion people currently without safe water supplies and the 1.7 billion people without sanitation, but matching popula-tion growth as well Annual investment is currently in the range of 15 to 20 billion dollars per year—about 2 to 3 per-cent of gross investment in developing countries If the share grouped in Table 1
Trang 2remains constant over the next fifteen to twenty years,
eco-nomic growth will allow investment to double in real terms,
to 30–40 billion a year. 13 Therefore, selection of appropriate
technology and service levels must be established in
bring-ing down the capital costs of water supply and sanitation
projects It was also demonstrated in the first half of the
Decade that the biggest priority is correcting the inadequate training of the operating personnel. 14
Selection of appropriate technology for use by the devel-oping countries requires (1) understanding of the cultural background, regional environmental conditions, and local needs; (2) selection of appropriate systems that will be within
TABLE 1 Common disease associated with contaminated water and poor sanitation
Water-borne diseases
Amoebic dysentery Bacillary dysentery Cholera
Criptospridiosis Gastroenteritis Giardiasis Hepatitis Leptospirosis Paratyphoid fever Salmonellosis Typhoid
Diseases transmitted by ingesting contaminated water and food
Water-washed diseases
Conjunctivitis Hookworm (Ankylostoma) Leprosy
Scabies Skin sepsis and ulcers Trihcuriasis Whipworm (Enterobius) Yaws
Lack of adequate quantity of uncontaminated water, and poor personal hygiene create conditions favorable for their spread
Water-based diseases
Bilharziosis Dracunculosis Oncholersosis Philariosis Schistosomiasis Treadworm
Diseases caused by infecting agents by contact with or without ingestion of water An essential part of the life cycle of the infection agent takes place in
an aquatic animal
Fecal-disposal diseases
Clonorchiasis Diphyllobothriasis Fasciolopsiasis Paragonimiasis
Diseases caused by infecting agent mostly contracted by eating uncooked fish and other food
Water-related vectors
Arbovirus Bancroftian Dengue fever Encephalitis Filariasis Hemorrhagic fever Malaria
Diseases transmitted by insects which live and breed close to water Infections are spread by mosquitoes, flies, and insect bite
Adapted in part from Ref 11.
Trang 3the financial (minimizing initial investment cost as well as
maintenance cost) and technical (minimizing operational
failures) resources; (3) training paraprofessional rural water
technicians (using available labor where possible instead of
expensive imported equipment); (4) promoting
complemen-tary activities to help people to obtain the most benefits from
the systems (so that users will receive long-term benefits of
these basic services); and (5) selection of the most
appropri-ate wappropri-ater source and the most appropriappropri-ate energy source for
conveying water to its users
The different sources of small community water supply
systems in developing countries can be categorized as
fol-lows: (1) groundwater, (2) rain water, (3) springwater, and
(4) surface water Depending on the sources of water supply,
many techniques have been found effective and applicable
to the water and sanitation programs in the developing
coun-tries Some of these techniques are presented below
read-ily available at moderate depth, constructing a number of
wells fitted with hand pumps is by far the cheapest means
of providing a good water supply. 14 Although, community
water systems piped under pressure to households and public
standposts may be an ultimate goal, many areas will
realisti-cally have to seek hand pumps as an interim if not an
ulti-mate measure The trouble with most hand operated water
pumps used in developing countries is that they are not hardy
enough and require frequent maintenance Pump parts are
usually expensive to buy and are difficult to make locally
to fit the pump Development work started at the Consumer
Research Laboratory (CRL) in England has led to the snappy
plastic pump: a simpler, cheaper and hardier device that has
many beneficial features A complete description of such
hand pumps is given by Sattaur. 15 Additional information on
other types of hand pump manufactured in developing
coun-tries may be found in Ref 15 Hofkes provides some other
techniques and methods of groundwater withdrawal used by
small water supply systems in developing countries. 11
Rainwater In developing countries rainwater is
some-times used to supplement the other water supply sources In
some tropical islands rainwater is the only source of domestic
water supply Rainwater harvesting requires adequate
provi-sion for the interception, collection and storage of the water
Generally, cisterns are built to collect the runoff from the
roofs Water quality preservation is very important and some
basic measures should be followed to exclude bird
drop-pings, insects and dirt from the stored water Also, storage
in cool conditions, exclusion of light, and regular cleaning
is essential Simple disinfection devices may be very useful
Rainwater catchments are relatively simple to construct
and maintain It is expected that these systems will be widely
used in the future In Kenya, concrete jars used as storage
tanks are said to be the most popular appropriate technology
Their popularity is growing among the villagers in Thailand
where the construction and maintenance of these units is
undertaken by technicians of the Sanitation Division of the
Department of Health The technician directs the voluntary
labor of villagers in constructing concrete storage tanks
rein-forced with bamboo The Villagers then repay the costs of
the tanks in 12 monthly installments The owners of these tanks, having contributed so much of their time and money into their construction are usually very keen to operate and maintain it properly. 16 Design details and economics of many cisterns, storage tanks, and other rainwater harvesting systems may be found in Refs. 17 – 21
Spring and Surface Water There are many situations in
the developing world where water is available from a nearby stream or spring Various devices have been constructed to utilize the energy available in flowing streams to pump the water to the point of use
The more successful devices, that will represent substan-tial savings in pumping water are the hydraulic ram pumps (hydram) and low-head turbine pumps One converts pres-sure energy to mechanical work and the other converts kinetic energy to mechanical work These two practical devices have been described and compared in detail by Schiller. 22 He observed that the hydram is easier to operate and maintain, but installation of the turbine pump is easier and simpler
Before the Water Decade program started the water qual-ity control was given least importance in developing coun-tries Perhaps, the major reason was inappropriate operation and maintenance of the equipment The primary goal of any water project started in the Drinking Water Decade was to provide a facility and system that can be operated, maintained and managed at local levels giving self sufficiency with proper personnel and financial needs. 23 Local capabilities for operation and maintenance must be developed through training local maintenance personnel, establishing a locally managed maintenance fund, selecting an easily maintained technology, and requiring capital contributions from the community to increase local sense of ownership and respon-sibility for the systems. 24 Finally, a successful drinking water program requires extensive local participation (materials and labor) and minimize dependence on overseas materials and equipment for construction and operation of facilities. 25
Human Waste Disposal
Rapid growth of the urban populations (mainly because of migration from rural areas) has led to severe problems in providing human waste disposal systems Only 32 percent
of the population in the developing countries is directly con-nected to sewer systems Therefore, the collection and dis-posal of human wastes constitute a serious environmental and health problem. 26 Several alternatives are available; each has its own limitations and constraints Certainly there is
no single option appropriate to all situations The range of options described below is sufficient to cover the vast major-ity of the situations within the low income communities of the developing countries
One of the fundamental principles of community sanita-tion is to remove all putrescible matter, particularly human wastes A satisfactory excreta disposal method must satisfy the following requirements: 26
1) Should not be accessible to flies or animals 2) Should not cause odors or unsightly conditions
Trang 43) Should be simple and inexpensive to construct
and operate 4) Should not cause ground water or surface water
contamination 5) Should not cause soil contamination
The appropriate technology for human waste disposal in
developing nations fall into two major applications (1) rural,
and urban areas without sewers, and (2) urban areas having
municipal sewers Appropriate technology for each of the
above applications are discussed below:
Rural and Urban Areas without Municipal Sewers
The environmentally acceptable methods of human waste
disposal in rural areas include various types of sewerless
composting toilets Common examples of such toilets are
bored-hole latrine, pit privy, vault privy, septic privy,
chemi-cal toilet, soil or composting toilet, methane forming toilet,
and box-and-can privy. 26,27 These devices are simple and
inexpensive to build and operate Each of these devices is
briefly discussed below
Bored-hole Latrine: Bored-hole latrines consist of a hole
in the ground 25 to 60 cm in diameter, and 2 to 3 meters deep
The hole may be braced to prevent it from caving A concrete
slab with a hole cut in it may be placed over it, and the entire
assembly is made into an outhouse When the hole is filled,
the structure is moved to another hole Fly and odor problems
are controlled by keeping the hole covered, and dropping dry
soil in the hole on a regular basis Deep bored-hole latrines
present danger of ground-water pollution. 26
Pit or Vault Privy: Pit or vault privies can serve the needs
of homes, schools or groups of homes A concrete pit or vault
is constructed in the ground and a toilet seat is located on
the top The seat cover must be kept closed to prevent flies
from entering Odor is a problem A vent pipe raised over the
roof has been helpful in odor control In 3 to 4 months when
the pit or vault becomes full, there is the unpleasant job of
cleaning it Some vaults have two compartments When one
compartment is full it is kept closed for 2 to 3 months while
the other side is used During this time, the excreta is
decom-posed, and cleaning becomes less objectionable Pit or vault
privies with separate back covers have also been used These
back covers help in the cleaning operation. 26
Septic Privy: Septic privies utilize a liquefying tank
similar to a septic tank The waste is digested and overflow
may be discharged into a percolation field The toilet has a
shallow trap After use the toilet must be flushed by pouring
2 to 3 liters of water. 26
Chemical Toilet: Chemical toilets consist of a tank in
which waste accumulates The toilet seat is provided directly
over the tank Caustic soda (sodium hydroxide (NaOH))
is most commonly used to kill the bacteria and to liquefy
the wastes The caustic soda dosage is 1 to 2 kg of sodium
hydroxide per month for a family of four The tank is emptied
periodically If caustic soda is used the tank contents can be
carefully applied over farming land Many types of chemical
toilets are available from various manufacturers. 26,28,29
Soil or Composting Toilet: This is dry toilet capable of
being used indoors The toilet consists of a wooden frame
with toilet seat, and a bucket lined with a plastic bag The toilet is started with a layer of dry soil 10 to 15 cm deep
Users must sprinkle several scoops of soil after each use
Once or twice a week, the bag is removed, tied and stored
After a decomposition of several weeks the contents are spread over farm land. 30
A more involved is the Clivus Multrum composting
toilet This toilet was developed and has been successfully used for some time in Sweden and is now manufactured
in the United States. 31 The toilet is capable of composting toilet waste, kitchen wastes, and even leaves and grass It has three sloping chambers and is started with a layer of peat moss four to five inches thick Design and operational details
may be obtained in Ref 31 Another toilet similar to Clivus
Multrum toilet is the Toa-Throne compost toilet also
devel-oped in Sweden
Another dry composting toilet that has been proven highly successful in Vietnam, offers a suitable system for all developing nations. 32 The toilet consists of two-holer outhouse in which only one hole is used at any one time
There is no raised seat, instead each hole is placed in a squat-ting plate at floor level The urine flows out and soaks into the ground outside the outhouse The fecal wastes go into the other hole The user must drop dry soil or ash after use
When the toilet is two-thirds full, the rest is filled with soil, and the vault is tightly sealed The other side is started After
a composting period of approximately 45 days the contents are taken out and used over the farm as rich compost. 33,34
Methane Farming Toilet: In India small biogas plants are
extensively built in rural areas These biogas plants anaero-bically digest animal manure and other organic wastes, and the methane is used to light, heat, and power the farms
Singh gave the basic design and construction details of such toilet. 34 Other designs of anaerobic digesters utilizing human, animal and other organic wastes are used in Kenya and Brazil. 35 – 37 Morris developed a package unit for meth-ane generation from human wastes. 37 Khandelwal provided design and operational details on dome-shaped biogas plants used in India. 38 Eusebio and Rabino provided design of large biogas plants used in Philippines, India and Africa. 39
Box-and-can Privy: The toilet system consists of a
wooden box, the lid and toilet seat The can or pail is remov-able through the top or side of the box The cans are removed manually under regular scavenger service, emptied, cleaned, and replaced This system is most commonly used in cities that do not have a sewerage system
This type of system is associated with odors and serious fly problems if the lids are not tightly closed after use For satisfactory operation there should be a regular scavenger service, preferably under a governmental supervision with ordinances covering types and size of box and can, method
of emptying and cleaning of the cans, and ultimate disposal
of the human waste A speedy and convenient way is to use identical toilet boxes and cans for the entire community The scavengers remover the can and place it in his vehicle without emptying, and replacing a clean can The vehicle when full is taken to a central disposal facility for emptying, and replac-ing with clean cans The disposal facility should be located in
Trang 5a remote area and should utilize anaerobic digesters whereby
the recovery and sale of methane gas, and digested sludge as
soil conditioner can be achieved The central disposal
facili-ties should be equipped with running water, hose, and
chemi-cal solution for washing and cleaning the cans
Experience has shown that such systems based on
pay-ments by the residents to private scavengers have been
unsat-isfactory The service is poor, irregular and wastes may be
dumped uncontrolled upon land and in waters
The box-and-can system should be used only as a
tempo-rary means of waste disposal with continued effort to replace
it by other more acceptable methods Furthermore, it should
be carried out only under the supervision of trained
person-nel and under strict governmental control
Urban Areas with Municipal Sewers The wastewater
collected through municipal sewers contains large volumes of
water Therefore, treatment technology is much more complex
than discussed above Treatment schemes to achieve
second-ary level of treatment (90% organics and total suspended solids
removal) include screening, grit removal, primary
sedimenta-tion, biological treatment (activated sludge or trickling filter),
final clarification, and disinfection Other physical, chemical
and biological treatment processes may be added to remove
phosphorus, nitrogen, and additional organics and suspended
solids The solids fraction (sludge) is digested aerobically or
anaerobically
Although, such treatment technology may be desirable
for the developed nations, their use in developing nations
may not be appropriate Such treatment processes are costly
to build, and complex to operate Desirable treatment
meth-ods for developing nations may include the following:
1) stabilization pond followed by effluent reuse on
farming lands, 2) Imhoff tanks followed by stabilization pond and
effluent reuse on farming land, and 3) upflow anaerobic sludge blanket process
Imhoff tanks provide primary sedimentation, and
anaero-bic digestion of settled sludge The methane is collected for
energy source and digested sludge is used as compost The
stabilization pond (oxidation pond or lagoon) is an earthen
basin that retains the wastewater for sufficient time to stabilize
the organic matter, and destroy large percentage of pathogens
The effluent is used for irrigation, or discharged into
natu-ral waters. 40 – 43 The upflow anaerobic sludge blanket process
(UASB) was developed in Netherlands and is extensively
used and tested in the developing nations. 44 In this process the
wastewater enters the bottom of the reactor and percolates up
through the sludge blanket where organics are converted to
methane and carbon dioxide by anaerobic organisms The gas
is collected, and treated effluent is drawn off from the top. 34
COMMITMENT
The water supply and sanitation schemes in developing
countries cannot be successful without the willingness of
the government to commit the resources to undertake water supply and sanitation projects Unfortunately, the govern-mental priority in this area is quite low Most of the develop-ing countries set their priorities as follows: (1) agriculture, (2) industries, (3) energy resource development, (4) educa-tion, (5) commerce and transportaeduca-tion, (6) family planning, (7) housing and urban development, and (8) water supply, and sanitation, and environmental control. 45 Such priorities have been set on account of necessities It is necessary that the developing countries give needed priority on water and sanitation
FINANCIAL RESOURCES
The success of any program in any country depends upon the financial commitments of the respective governments
Developing nations (except for the oil exporting nations) are poor and have very limited funds A 1975 study indi-cated that villagers if they have to pay more than 50 cents per month for water supply, they would not participate in the program. 45 Their ability to pay for water and sanitation
is very limited Success of the program will depend upon outside funds, and local labor
TRAINING AND MANPOWER DEVELOPMENT
It is well recognized that the success of any program requires well trained people Unfortunately, past experience has shown that many internationally supported training pro-grams were not successful because the emphasis was incor-rectly placed Engineers from developing nations when trained in the western world generally learn the theory and design of most sophisticated unit operations and processes
in water and wastewater treatment and environmental engi-neering When they return to their countries, they are gen-erally eager to utilize such technologies, although in most cases these may be quite inappropriate Furthermore, for-eign consultant’s unfamiliarity with the cultural and operat-ing competence of the people in developoperat-ing countries have resulted in selection and design of technology that have not functioned
What is really needed is a program where training at all levels may be effectively provided The includes training of central government officials and engineers; local govern-ment officials, residents and technicians; on-the-job training
of operators; and users education Government officials set the priorities and make funding decisions Engineers have responsibility to evaluate, select and implement the appro-priate technology Local officials participate and support the program The technicians and operators have the responsibil-ity for continued operation and maintenance of the system
And finally, users education is essential as they are the ulti-mate beneficiary
In order to effectively provide such a complex training opportunity, programs must be developed in the develop-ing nations Such traindevelop-ing programs must be developed as
Trang 6academic programs, short courses, seminars, and internships
to address different audiences yet meet the specific needs of
each Brief discussion is given below
Academic Programs
Academic programs include regular undergraduate and
graduate programs at universities, and technology or
voca-tional programs in polytechnics and colleges Both programs
have different objectives
University Programs Regular academic programs such
as master’s and bachelor’s degrees in civil, sanitary or
envi-ronmental engineering, biology, public health, and so on
have been modeled along the lines of western universities
These programs often may not be directly applicable to the
needs of the developing nations It is necessary to modify or
develop new programs tailored for their national needs As
an example, graduates in civil, sanitary or public health
engi-neering must also know community interactions,
socio-eco-nomic implications, relationships between service levels and
health and well-being, that dictate the success or failure of
any water supply and sanitation projects, especially in rural
and urban settings of developing nations
Technology Programs The technology or vocational
programs should be directed towards training technicians,
health inspectors, and community workers Specialized
train-ing is needed so that these personnel can undertake field work,
organize the community, conduct training, and assist the
com-munity in the selection and installation of water supply and
sanitation facilities, and provide continued operation and
maintenance of such facilities Special training is needed for
personnel to motivate people and implement the programs in
rural areas where approximately 75% of the population lives
Short Courses and Seminars
In corporation with the health ministry specialized short
courses of one- or two-week duration should be conducted at
universities, colleges, and high schools These short courses
should be designed to provide training to full-range of
people including decision makers, engineers, operators and
community workers
Decision Makers The government officials who have
the responsibility for setting up priorities, and allocation
of funds must be aware of the relationship between service
levels and health and other benefits, cost of construction and
operation, and short-range and long-range implications of
the investments in water supply and sanitation projects
Engineers and Designers The intensive short courses
designed for engineers and designers should cover the
suc-cesses and failures of different projects, improvements
needed in future systems, public education, and how to relate
health conditions and project objectives in order to develop
the most cost-effective system for the specific conditions
Operators and Community Workers Intensive short
courses should be conducted for operators and community
workers in basic topics ranging from chemistry, biology,
vec-tors, communicable diseases, to metal working, equipment
repairs, operation and maintenance, leak repairs, book keep-ing, to management of public works projects
On-the-job Training On-the-job training programs
of varying periods with or without short courses should be developed to train field workers and inspectors and local people in construction techniques and operation of water supply and sanitation systems Such practical training can
be a powerful tool for manpower development
Primary Health Care Workers Health education or sanitation education should be provided at village level
Villagers, literate or illiterate, should be trained as primary
health care workers, or barefoot doctors, whose training
should be emphasized on prevention, and curative care Six
to 12 months intensive training could be provided at local high schools or through health education service
Users Education Training of villagers in water supply
and sanitation must also be provided as part of user or adult education program This can be achieved by mass campaigns
by health education extension services Health education must also be instituted in primary schools This will provide the broadest, and most dependable coverage to younger groups
The program must include community sanitation; hygiene habits in home; fly rodent and other vector control; water con-tamination and use of water supply devices; and proper use and maintenance of various types of privies and latrines
Training and Educational Material, and Education of Trainers
It is important that training, educational and technical material should be in the form of posters, technical books, manuals, photographs, slides, films and audio-visual aids
Audio-visual equipment has been highly successful in train-ing personnel, and illiterate population in rural areas A porta-ble power generator may be necessary for rural areas without electrification
Educational material must be carefully prepared for the specific audience General health related material covering disease transmission, vector control, water and food pro-tection, personal hygiene, should be prepared for general public with no education Information on public use of water supply and sanitation devices should also be prepared for general audience Technical and semitechnical information should cover the design and construction; and operation and maintenance of different types of water supply and sanita-tion devices presented earlier in this paper
The other most important of all training program activi-ties is the selection and training of instructors or trainers
Technicians and supervisors should be trained so that they can teach their colleagues, subordinates or interns on the job
Education of trainers should be provided in schools, through short courses, audio-visual aids, and job training
ROLE OF DEVELOPED NATIONS
Developed nations can play a major role in helping the developing nations to achieve the original goals of the UN
Trang 7Water Decade The assistance may come in the form of
fund-ing of the international agencies (UN, World Bank, etc.) and
international development agencies in their own countries
The technical assistance and transfer of know-how can
also be achieved in the form of advisory services to the
gov-ernments, utilities, and institutions The assistance can be
provided by short-term and long-term consultants for on-job
training, development of educational material, and training
of personnel and manpower development
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SYED R QASIM
The University of Texas at Arlington