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Ken Startup Public Health Inspector Prairie North Health Region

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Presentation on theme: "Ken Startup Public Health Inspector Prairie North Health Region"— Presentation transcript:

1 Ken Startup Public Health Inspector Prairie North Health Region
Water & Sewage in Shoreland Areas Ken Startup Public Health Inspector Prairie North Health Region

2 What Does A PHI Do ? Food Facilities Licenced Accommodations
Personal Service Facilities Institutions Recreational Facilities Communicable Disease Control

3 Others Pest Identification Housing Water Sewage Disposal Plumbing
Land-use Reviews Tobacco Enforcement

4 Interesting Water Facts
Almost 80% of the earth’s surface is covered in water. Of this, 97% is salt water, 2% is glacial ice 1% of all water on earth is available to us for drinking water 15% of the world’s fresh water is in Canada 60% of Canada’s fresh water is located in the North

5 Interesting Water Facts
The human body is about 70% water; we cannot survive more than a week without water. Water makes up about 75% of the brain and 83% of blood; the total amount of water in the body of an average adult is 37 L.

6 Interesting Water Facts
the average person uses more than 650 L a day an average adult drinks about 1.5 L of water each day 40% of Canadians use some sort of water treatment device

7 Roles & Responsibilities
Sask Health & Health Regions Sask Health is the lead on developing policy & regulations not covered by Sask Environment Health Regions responsible for administering the regulations and providing health advice Estimated 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.

8 Roles & Responsibilities
Both Sask Health and Health Regions work collaboratively with Sask Environment in dealing with water quality issues Provincial Lab provides drinking water quality analysis for the province Health Region responsible for reportable communicable disease investigations

9 Contaminated 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.

10 Selected Enteric Diseases:
Cryptosporidiosis Giardiasis Escherichia coli (VTEC) For the purpose of this presentation I will be focusing on the above … Enteric Disease types can also include: Campylobacteriosis Hepatitis A Salmonellosis Shigellosis Verotoxigenic

11 Cryptosporidiosis Became a reportable disease in 1994
Most commonly associated with contaminated water, including swimming pools, hot tubs Outbreak in 2001 in North Battleford

12 Giardiasis Sometimes called “Beaver Fever”
Most commonly associated with drinking contaminated water that has been infected by animal droppings, including beavers and muskrats Giardia cysts

13 Verotoxigenic E. Coli First recognized in 1982 outbreak occurred in the US, which was traced to contaminated hamburger About 10% will develop hemolytic uremic syndrome (HUS), ultimately leading to kidney failure and death Most commonly associated with inadequately cooked ground beef, but can also include water Walkerton 2000 water contamination problem – E. coli

14 Enteric Disease Year Crypto Giardiasis VTEC 2000 32 208 42 2001
772 (135) 168 (372) 71 (102) 2002 49 (45) 175 (352) 52 (95) Numbers are reported cases Estimate only 1 in 10 are reported Numbers in Red are national averages Prov. #’s National #’s

15 Risk Factors Legislated in 2003 – Disease Control Regulations
Collected since 2001 20 possible risk factors to choose from

16 Risk Factors Suspected origin of the illness based on public health investigation Factors Include (20 possibilities): Food - Daycare Camping - Travel Water - Contact with case/carrier Contact with animals (pets/farm) Risk factors are assigned during the course of a public health investigation Public health official identified possible cause of illness Other factors include illicit drug use, food service: institutional/commercial/non profit/home; water: private water/public water/untreated surface water/swimming (lakes)/swimming (pools);

17 20.3% From Water Unknown factors 19-20%
Selected Enteric Diseases, Saskatchewan Risk Factor Incidence Rates 20 18 16 14 12 Percent 10 8 6 4 2 Private water supply Public water supply Untreated water supply Swimming - natural water Food Service - Institutional Food Service - Non profit Camping/hiking Contact with animals/reptiles pets/farm Employee/child attending daycare Travel outside province/country Oral/anal contact Risk Factor 20.3% From Water Unknown factors 19-20%

18 This slide shows the subset % for risk factors relating to water.
Percentage of Cases of Water in Selected Enteric Diseases Saskatchewan, Swimming - Artificial Water Private Supply 17% 24% Swimming - Natural Water 26% Public Supply 19% This slide shows the subset % for risk factors relating to water. Untreated Surface Water 14%

19 New Regulations Walkerton – May 2000
7 deaths – approximately 2,500 ill North Battleford – April 2001 approximately 7,000 ill The 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 regulated 150,000 residents rely on private water systems that are not regulated Approximately 2000 small public water community systems that are regulated by health

20 Health Hazard Regulations
Came into force December 2002 Apply to: Designated facilities (e.g. schools, personal care homes, health care facilities, licensed facilities etc) Municipal wells not connected to a distribution system Distribution system more than 2 and less than 15 service connections Bulk water haulers

21 Public Water Supply Technical Guidelines
Contain Sections Dealing with: Approvals Treatment (e.g. log reduction for Crypto, Giardia, viruses, bacteria) GUIDI Testing Equipment Monitoring Reporting of Actions Bulk Water Technical 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.

22 Improper location of well head
Improper location of well head. Photo indicates that livestock have access to well area.

23 Sewage in Shoreland Areas
Regulations Shoreland Pollution Control Regulations 1976 Local Bylaws R.M. 498/499 RV of KMB Liquid Waste Control Bylaws

24 Sewage in Shoreland Areas
Saskatchewan Sewage Disposal Guidelines Land areas are defined via sensitivity e.g. proximity to urban municipalities and subdivisions of 5 or more parcels; size of parcels Requirements for prior approval of systems with soil samples and design criteria

25 Sewage in Shoreland Areas
Shoreland Pollution Control Regulations 1976 Shoreland Development Area means an area of land: designated as a reservoir development area by regulations made under The Water Resources Management Act, 1972; or

26 Sewage in Shoreland Areas
Shoreland Pollution Control Regulations 1976 Shoreland 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;

27 Sewage in Shoreland Areas
Shoreland Pollution Control Regulations 1976 Sewage 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;

28 Sewage in Shoreland Areas
R.M. 498 Liquid Waste Control Bylaw Applies to all properties zoned “Summer Resort” or “Hamlet” or any portion of those zones designated as “Commercial”

29 Sewage in Shoreland Areas
R.M. 499 Liquid Waste Control Bylaw Applies to all subdivisions zoned “Lakeshore Development Districts”

30 Sewage in Shoreland Areas
RV Kivimaa Moonlight Bay Liquid Waste Control Bylaw Applies to all properties within the “Corporate Limits” of the Village

31 Sewage in Shoreland Areas
Size of sewage holding tanks shall not be less than 1,000 gallons Size of privy vaults shall not be less than 250 gallons

32 Sewage in Shoreland Areas
Bylaw States: All householders must provided an approved storage or holding tank to receive sewage All sewage emanating from premises shall be discharged into an approved storage or holding tank

33 Sewage in Shoreland Areas
Sewage transported shall be disposed of only at point(s) approved by Saskatchewan Environment and the local governing authority

34 Sewage in Shoreland Areas
Contravention penalties: Individual 1st offence – not more than $75,000 and not more than $100 each day the offence continues 2nd offence - $100,000 and $200/day Corporation 1st – not more than $100,000 and 1,000/day 2nd - $250,000 and $5,000/day

35 Sewage in Shoreland Areas
What does PNHR do? Inspect the installation of all new sewage systems including holding tanks and moving of existing tanks Inspect new plumbing installations Inspection of sewage and plumbing systems is done with permits and onsite inspections

36 Sewage in Shoreland Areas
What does PNHR do? Investigate complaints serious complaints must in writing and signed e.g.. tank never pumped; tank is leaking; pumping sewage in ditches, etc.

37 The End

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