Presentation on theme: "Ken Startup Public Health Inspector Prairie North Health Region"— Presentation transcript:
1Ken Startup Public Health Inspector Prairie North Health Region Water & Sewage in Shoreland AreasKen StartupPublic Health InspectorPrairie North Health Region
2What Does A PHI Do ? Food Facilities Licenced Accommodations Personal Service FacilitiesInstitutionsRecreational FacilitiesCommunicable Disease Control
3Others Pest Identification Housing Water Sewage Disposal Plumbing Land-use ReviewsTobacco Enforcement
4Interesting Water Facts Almost 80% of the earth’s surface is covered in water. Of this, 97% is salt water, 2% is glacial ice1% of all water on earth is available to us for drinking water15% of the world’s fresh water isin Canada60% of Canada’s fresh water is located in the North
5Interesting Water Facts The human body is about 70% water; we cannot survive more than a week without water.Water makes up about 75% of thebrain and 83% of blood; thetotal amount of water in the bodyof an average adult is 37 L.
6Interesting Water Facts the average person uses more than 650 L a dayan average adult drinks about 1.5 L of water each day40% of Canadians use some sort of water treatment device
7Roles & Responsibilities Sask Health & Health RegionsSask Health is the lead on developing policy & regulations not covered by Sask EnvironmentHealth Regions responsible for administering the regulations and providing health adviceEstimated 2000 public water supplies that are regulated by health (800 supplies in the far north).Types of supplies include RM wells, tourist accommodation, roadside restaurants.
8Roles & Responsibilities Both Sask Health and Health Regions work collaboratively with Sask Environment in dealing with water quality issuesProvincial Lab providesdrinking water qualityanalysis for the provinceHealth Region responsible for reportable communicable disease investigations
9Contaminated Water Can Cause Enteric Disease Enteric disease is an illness of the GI tract. Estimated that there 2.2 million cases of enteric illness in Canada each year. Since most people do not see a physician the actual number is unknown. We estimate that there is only 1 in 10 that report to a Dr…Enteric Disease (all types) cost the Health Care system approx ¾ M $/year (hospitalization billing/physician billing/lab costs).When water that is used for drinking becomes contaminated it can cause enteric disease. Public Health Authorities receive notification of reportable communicable disease incidents. In an effort to determine the cause of the disease, public health officials will during the course of their investigation will interview individuals.
10Selected Enteric Diseases: CryptosporidiosisGiardiasisEscherichia coli (VTEC)For the purpose of this presentation I will be focusing on the above …Enteric Disease types can also include:CampylobacteriosisHepatitis ASalmonellosisShigellosisVerotoxigenic
11Cryptosporidiosis Became a reportable disease in 1994 Most commonly associated with contaminated water, including swimming pools, hot tubsOutbreak in 2001 inNorth Battleford
12Giardiasis Sometimes called “Beaver Fever” Most commonly associated with drinking contaminated water that has been infected by animal droppings, including beavers and muskratsGiardia cysts
13Verotoxigenic E. ColiFirst recognized in 1982 outbreak occurred in the US, which was traced to contaminated hamburgerAbout 10% will develop hemolytic uremic syndrome (HUS), ultimately leading to kidney failure and deathMost commonly associatedwith inadequately cookedground beef, but can alsoinclude waterWalkerton 2000 water contamination problem – E. coli
14Enteric Disease Year Crypto Giardiasis VTEC 2000 32 208 42 2001 772 (135)168 (372)71 (102)200249 (45)175 (352)52 (95)Numbers are reported casesEstimate only 1 in 10 are reportedNumbers in Red are national averagesProv. #’sNational #’s
15Risk Factors Legislated in 2003 – Disease Control Regulations Collected since 200120 possible risk factors to choose from
16Risk FactorsSuspected origin of the illness based on public health investigationFactors Include (20 possibilities):Food - DaycareCamping - TravelWater - Contact with case/carrierContact with animals (pets/farm)Risk factors are assigned during the course of a public health investigationPublic health official identified possible cause of illnessOther factors include illicit drug use, food service: institutional/commercial/non profit/home; water: private water/public water/untreated surface water/swimming (lakes)/swimming (pools);
1720.3% From Water Unknown factors 19-20% Selected Enteric Diseases, SaskatchewanRisk Factor Incidence Rates2018161412Percent108642Private watersupplyPublic watersupplyUntreated watersupplySwimming -natural waterFood Service -InstitutionalFood Service -Non profitCamping/hikingContact withanimals/reptilespets/farmEmployee/childattendingdaycareTravel outsideprovince/countryOral/anal contactRisk Factor20.3% From WaterUnknown factors 19-20%
18This slide shows the subset % for risk factors relating to water. Percentage of Cases of Water in Selected Enteric DiseasesSaskatchewan,Swimming - Artificial WaterPrivate Supply17%24%Swimming - Natural Water26%Public Supply19%This slide shows the subset % for risk factors relating to water.Untreated Surface Water14%
19New Regulations Walkerton – May 2000 7 deaths – approximately 2,500 illNorth Battleford – April 2001approximately 7,000 illThe water incidents in Walkerton and North Battleford cost governments across Canada to review programs/policies/regulations dealing with public water supplies.In Saskatchewan, Government developed the Long-Term Safe Drinking Water Strategy in which regulation improvements were identified.In the case of semi-public water supplies, health developed regulations to address the operation of these types of supplies (eg. RM wells, tourist accommodations).850,000 residents make use of public supplies that are regulated150,000 residents rely on private water systems that are not regulatedApproximately 2000 small public water community systems that are regulated by health
20Health Hazard Regulations Came into force December 2002Apply to:Designated facilities (e.g. schools, personal care homes, health care facilities, licensed facilities etc)Municipal wells not connected to a distribution systemDistribution system more than 2 and less than 15 service connectionsBulk water haulers
21Public Water Supply Technical Guidelines Contain Sections Dealing with:ApprovalsTreatment (e.g. log reduction for Crypto, Giardia, viruses, bacteria) GUIDITesting EquipmentMonitoringReporting of ActionsBulk WaterTechnical Guideline 552 is used by the health regions in determining whether the health regulated public water supply is operating in compliance with the Health Hazard Regulations.Approvals of existing water supplies (pre December 2002) are not required.Treatment is required for all surface water supplies.Ground water supplies will be required to be treated when determined necessary by the health region.Testing equipment includes chlorine residual test kits (when chlorine is used) and pH.Monitoring: bacteriological once per year (seasonal supplies) and quarterly (year round); major ion (once per year for ground supply/once every two years for surface supply).Require operator to notify health region if breakdown of treatment equipment or contamination problems.Bulk water haulers will be required to comply with regulations if health region determines that there is a problem.
22Improper location of well head Improper location of well head. Photo indicates that livestock have access to well area.
23Sewage in Shoreland Areas RegulationsShoreland Pollution Control Regulations 1976Local BylawsR.M. 498/499 RV of KMB Liquid Waste Control Bylaws
24Sewage in Shoreland Areas Saskatchewan Sewage Disposal GuidelinesLand areas are defined via sensitivitye.g. proximity to urban municipalities andsubdivisions of 5 or more parcels;size of parcelsRequirements for prior approval of systemswith soil samples and design criteria
25Sewage in Shoreland Areas Shoreland Pollution Control Regulations 1976Shoreland Development Area means an area of land:designated as a reservoir development area by regulations made under The Water Resources Management Act, 1972; or
26Sewage in Shoreland Areas Shoreland Pollution Control Regulations 1976Shoreland Development Area means an area of land:(ii) that is within 1,500 feet from the high water mark of a lake, river, stream or other body of water and upon which is situated an urban municipality or part thereof, or a summer resort or part thereof, or upon which has been or is being established a recreational area or part thereof;
27Sewage in Shoreland Areas Shoreland Pollution Control Regulations 1976Sewage means liquid wastes that contain animal, mineral or vegetable matter in suspension or solution but excludes storm water;Privy pit means a pit excavated under an outdoor toilet for confining human excrement;Privy vault means a storage tank placed under an outside toilet for confinement and storage of human excrement;
28Sewage in Shoreland Areas R.M. 498 Liquid Waste Control BylawApplies to all properties zoned “Summer Resort”or “Hamlet” or any portion of thosezones designated as “Commercial”
29Sewage in Shoreland Areas R.M. 499 Liquid Waste Control BylawApplies to all subdivisions zoned“Lakeshore Development Districts”
30Sewage in Shoreland Areas RV Kivimaa Moonlight Bay LiquidWaste Control BylawApplies to all properties within the“Corporate Limits” of the Village
31Sewage in Shoreland Areas Size of sewage holding tanks shall not beless than 1,000 gallonsSize of privy vaults shall not be lessthan 250 gallons
32Sewage in Shoreland Areas Bylaw States:All householders must provided an approvedstorage or holding tank to receive sewageAll sewage emanating from premises shall bedischarged into an approved storageor holding tank
33Sewage in Shoreland Areas Sewage transported shall be disposed of only atpoint(s) approved by Saskatchewan Environmentand the local governing authority
34Sewage in Shoreland Areas Contravention penalties:Individual1st offence – not more than $75,000 andnot more than $100 each day theoffence continues2nd offence - $100,000 and $200/dayCorporation1st – not more than $100,000 and 1,000/day2nd - $250,000 and $5,000/day
35Sewage in Shoreland Areas What does PNHR do?Inspect the installation of all new sewagesystems including holding tanks and movingof existing tanksInspect new plumbing installationsInspection of sewage and plumbingsystems is done with permits andonsite inspections
36Sewage in Shoreland Areas What does PNHR do?Investigate complaintsserious complaints must in writing and signede.g.. tank never pumped; tank is leaking;pumping sewage in ditches, etc.