Polluted water can at best lead to discomfort and mild illness, at worst to death, so
the travelling layman needs to know not only what methods and products are
available for water purification, but also how to improvise a treatment system in an
emergency.
Three points about advice on water treatment cause misunderstanding. Firstly, there
is no need to kill or remove all the micro-organisms in water. Germs do not
necessarily cause disease. Only those responsible for diseases transmitted by
drinking water need be treated. And even some water-borne diseases are
harmless when drunk. Legionnaires' disease, for example, is
caught by breathing in droplets of water containing the bacteria, and not by
drinking them.
Secondly, in theory, no normal treatment method will produce infinitely safe drinking
water. There is always a chance, however small, that a germ might, by virtue of
small size or resistance to chemicals or heat, survive and cause disease. But the
more exacting your water treatment process, the smaller the risk
- until such time as the risk is so tiny as to be discounted. The
skill of the experts lies in assessing when water is, in practice, safe to drink.
Unfortunately different experts set their standards at different levels.
Thirdly, beware the use of words like 'pure',
'disinfect' and
'protection', common claims in many
manufacturers' carefully written prose. Read the descriptions
critically and you will find that most are not offering absolutely safe water but only a
relative improvement.
Suspended solids
If you put dirty water in a glass the suspended solids are the tiny particles that do not
readily sink to the bottom. The resolution of the human eye is about one-hundredth
of a millimetre, so a particle half that size (five microns) is totally invisible to the
naked eye - and yet there can be over ten million such particles in
a litre of water without any visible trace. Suspended solids are usually materials
such as decaying vegetable matter or mud and clay. Normally mud and clay
contamination is harmless, but extremely fine rock particles including mica or
asbestos occasionally remain in glacier water or water running through some types
of clay.
Microbiological contamination
Eggs, worms, flukes, etc:
These organisms, amongst others, lead to infections of roundworm
(Ascaris), canine roundworm (Toxocara
canis), guinea worm (Dracunculus) and
bilharzia (schistosomiasis). They are relatively large, although still microscopic, and
can be removed by even crude forms of filtration. The tiny black things that you
sometimes see wriggling in still water are insect larvae, not germs, and are not
harmful. Almost any form of pre-treatment will remove them.
Protozoa: In this group of
small, single-celled animals, are the organisms that cause giardiasis
(Giardia lamblia), an unpleasant form of chronic
diarrhoea, and amoebic dysentery (Entamoeba
histolytica). Both of these protozoa have a cyst stage in their life cycle,
during which they are inert and resistant to some forms of chemical treatment.
However, they quickly become active and develop when they encounter suitable
conditions such as the human digestive tract. They are sufficiently large to be
separable from the water by the careful use of some types of pre-filter. This is not
always true for a common water borne protozoan called
Cryptosporidium parvum that causes diarrhoea in all parts
of the world and which may be lethal in immunocompromised people, e.g. those
with advanced AIDS. The cysts are small enough to pass
through many filters and are relatively resistant to chlorine, and are best destroyed
by boiling water.
Bacteria: These very small, single-celled
organisms are responsible for many illnesses from cholera, salmonella, typhoid and
bacillary dysentery to the less serious forms of diarrhoea known to travellers as
Montezuma's Revenge or Delhi Belly. A healthy person would
need to drink thousands of a particular bacterium to catch the disease. Luckily, the
harmful bacteria transmitted by drinking contaminated water are fairly
'soft' and succumb to chemical treatment
- their minute size means only a very few filters can be relied
upon to remove them all.
Viruses: These exceptionally small organisms live and
multiply within host cells. Some viruses such as hepatitis A, and a variety of
intestinal infections, are transmitted through drinking water. Even the finest filters
are too coarse to retain viruses. The polio and hepatitis viruses are about 50 times
smaller than the pore size in even the finest ceramic filter.
Selection of a water supply
Whatever method of water treatment you use, it is essential to start with the best
possible supply of water. Learning to assess the potential suitability of a water
supply is one of the traveller's most useful skills.
Good sources: Ground
water, e.g. wells, boreholes, springs; water away from or upstream of human
habitation; fast-running water; water above a sand or rock bed; clear, colourless
and odourless water. Fast running water is a hostile environment for the snails that
support bilharzia.
Bad sources: Water close to sources of
industrial, human or animal contamination; stagnant water; water containing
decaying vegetation; water with odour or scum on its surface; discoloured or
muddy water. Wells and boreholes can be contaminated by debris or excreta
falling in from the surface, so the top should be protected. A narrow wall will stop
debris. A broad wall is less effective, as people will stand on it and dirt from their
feet can fall in. Any wall is better than no wall at all.
Pre-treatment
If you are using water from a river, pool or lake, try to not to draw in extra dirt from the
bottom or floating debris from the surface. If the source is surface water, such as a
lake or river, and very poor, some benefit may even be gained by digging a hole
adjacent to the source. As the water seeps through, a form of pre-filtration will take
place, leaving behind at least the coarsest contamination.
Pouring the water through finely woven fabrics will also remove some of the larger
contamination. If you have fine, clean sand available, perhaps taken from a stream
or lake bed, an improvised sand filter can be made using a tin can or similar
container with a hole in the bottom. Even a (clean) sock will do. Pour the water into
the top, over the sand. Take care to disturb the surface of the sand as little as
possible. Collect the water that has drained through the sand. The longer the filter
is used, the better the quality of the water, so re-filter or discard the first water
poured through. Discard the contaminated sand after use.
If you are able to store the water without disturbing it, you could also try
sedimentation. Much of the dirt in water will settle out if left over a long enough
period. Bilharzia flukes die after about 48 hours. The cleaner water can then be
drawn off at the top. Very great care will be needed not to disturb the dirt at the
bottom. Siphoning is the best method.
If the water you are using has an unpleasant taste or smell, an improvement can be
achieved by using coarsely crushed wood charcoal wrapped in cloth. When the
'bag' of charcoal is placed in the water, or the
water is run through the charcoal (like a sand filter), the organic chemicals
responsible for practically all the unpleasant tastes and smells will be removed.
Some colour improvement may also be noticed. The water will still not be safe to
drink without further treatment, but you should notice some benefit.
Treatment of a water supply
Boiling
Boiling at 100C kills all the harmful
organisms found in water, except a very few such as slow viruses and spores
which are not dangerous if drunk. However, as your altitude above sea level
increases, the weight of the atmosphere above you decreases, the air pressure
drops, as does the temperature at which water boils. A rule of thumb for calculating
this is that water boils at 1C less for
every 300 metres of altitude. If you are on the summit of Kilimanjaro, at 5895
metres, water will boil at only 80C. At
temperatures below 100C, most
organisms can still be killed but it takes longer. At temperatures below
70C, some of the harmful organisms
can survive indefinitely and as the temperature continues to drop, so they will
flourish.
There is one more important consideration. When water is boiling vigorously, there is
a lot of turbulence and all the water is at the same temperature. While water is
coming to the boil, even if bubbles are rising, there is not only a marked and
important difference between the temperature of the water and the temperature at
a full boil, but there can also be a substantial difference in temperature between
water in different parts of the pan, with the result that harmful organisms may still
be surviving. To make water safe for drinking, you should bring water to a full boil
for at least two minutes. Boil water for one minute extra for every 300 metres
above sea level. Do not cool water down with untreated water.
Filtration
The key to understanding the usefulness of a filter is ensuring that you know the size
of the particles that the filter will reliably separate, and the dirt-load the filter can
tolerate before it clogs up. If the pores in the filter are too large, harmful particles
can pass through. If small enough to stop harmful particles, the pores can block up
quickly, preventing any more water from being filtered.
To reduce this problem, manufacturers employ ingenious means to increase the filter
area, and filter in at progressively smaller stages. But even in one apparently clean
litre of water there can be a hundred thousand million particles the same size or
larger than bacteria. And to stop a bacterium, the filter has to take out all the other
particles as well. If the filter is small (of the drinking straw type for instance) or if
the water is at all visibly dirty, the filter will block in next to no time.
There are three solutions: water can be filtered first through a coarse filter to remove
most of the dirt, and then again through a fine filter to remove the harmful bacteria;
a re-cleanable filter can be used; or finally, only apparently clean water could be
used with the filter. The use of a coarser filter is called pre-filtration. Viruses are so
small they cannot be filtered out of drinking water by normal means. However,
because they are normally found with their host infected cells and these are large
enough to be filtered, the finest filters are also able to reduce the risk of virus
infection from drinking water.
A filter collects quite a lot of miscellaneous debris on its surface and, in order to
prevent this providing a breeding ground for bacteria, the filter needs to be
sterilised from time to time. Some are self-sterilising and need no action, but others
should be boiled for 20 to 30 minutes at least once every two weeks.
Where filters are described as combining a chemical treatment, this is for self-
sterilisation. The chemical is in such small concentrations and in contact with water
passing through the filter for such a short period that its use in improving the
quality of the filtered water is negligible.
Pre-filtration: Pre-filters should remove
particles larger than five to ten microns in size and be very simple to maintain.
They will be more resistant to clogging since they take out only the larger particles.
They will remove larger microbiological contamination including protozoal cysts,
flukes and larger debris that might form a refuge for bacteria and viruses. Pre-
filtration is normally adequate for washing. Further treatment is essential for safe
drinking supplies.
Fine filtration: To remove all harmful bacteria from water, a
filter must remove all particles larger than 0.5 microns (some
harmless bacteria are as small as 0.2 microns). Filters using
a disposable cartridge are generally more compact and have high initial flow rates,
but are more expensive to operate. Alternatively there are ceramic filters that use
porous ceramic 'candles'. These have low flow
rates and are fairly heavy. Some need special care in transport to ensure they do
not get cracked or chipped thus enabling untreated water to get through. Ceramic
filters can be cleaned easily and are very economic in use.
Activated carbon/charcoal filters: These remove a wide
range of chemicals from water, including chlorine and iodine, and can greatly
improve the quality and palatability of water. But they do not kill or remove germs,
and may even provide an ideal breeding ground unless self-sterilising. Some filters
combine carbon and other elements to improve taste; this also removes harmful
organisms.
Chemical treatment
Broadly speaking, there are three germicidal chemicals used for drinking-water
treatment. For ease of use, efficiency and storage life, the active chemical is
usually made up as a tablet suitable for a fixed volume of water, although the
heavier the contamination, the larger the dose required. Germs can also be
embedded in other matter and protected from the effects of a chemical, so where
water is visibly dirty you must pre-filter first. Chlorine and iodine have no lasting
germicidal effect so on no account should untreated water be added to water
already treated.
Silver: Completely
harmless, taste-free and very long-lasting effect, protecting stored water for up to
six months. The sterilisation process is quite slow and it is necessary to leave
water for at least two hours before use. Silver compounds are not effective against
cysts of Amoeba and Giardia, so
use pre-filtration first if the water is of poor quality.
Chlorine: Completely harmless, fast-acting
and 100 per cent effective if used correctly. A minimum of ten minutes is required
before water can be used. The cysts of Amoeba and
Giardia are about ten times more resistant to chlorine
than bacteria, but both are killed if treatment time and dose are adequate. If in
doubt, we recommend that the period before use be extended to at least 20 and
preferably 30 minutes. If heavy contamination is suspected, double the dosage.
Alternatively, pre-filter. Some people find the taste of chlorine unpleasant
particularly if larger doses are being used. The concentration of chlorine drops
quickly over several hours and more so in warm temperatures so there is very little
lasting effect. Excess chlorine may be removed using sodium thiosulphate or
carbon filters.
Iodine: Fast acting and very effective, normally taking ten
minutes before water is safe to use. It has a quicker action against cysts than
chlorine. Double dosage and extended treatment times or pre-filtration are still very
strongly recommended if heavy contamination is suspected. Iodine is more volatile
than chlorine and the lasting effect is negligible. Excess iodine may be removed by
sodium thiosulphate or a carbon filter.
Note: Iodine can have serious, lasting physiological side
effects and should not be used over an extended period. Groups particularly at risk
are those with thyroid problems and the unborn foetuses of pregnant women.
Thyroid problems may only become apparent when the gland is faced with excess
iodine, so in the unlikely event of the use of iodine compounds being unavoidable,
ask your doctor to arrange for a thyroid test beforehand - or use a
good carbon filter to remove excess iodine from the water.
Rules for treatment
Order of treatment: If
chemical treatment and filtration are being combined, filter first. Filtration removes
organic matter which would absorb the chemical and make it less effective. If of a
carbon type, the filter will also absorb the chemical leaving none for residual
treatment. In some cases, the filter may also be a source of contamination. If water
is being stored prior to treatment then it is worthwhile treating chemically as soon
as the water is collected and again after filtration. The first chemical dose prevents
algae growing in the stored water.
Storage of water: Use
separate containers for treated and untreated water, mark them accordingly and
don't mix them up. If you are unable to use separate containers
take particular care to sterilise the area round the filler and cap before treated
water is stored or at the time treatment takes place. In any case, containers for
untreated water should be sterilised every two to three weeks. Treated water
should never be contaminated with any untreated water. Treated water should
never be stored in an open container. Treated water left uncovered and not used
straight away should be regarded as suspect and re-treated.