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Operational Medicine 2001
Field Medical Service School
Student Handbook

Water Purification

FMST 0602

17 Dec 99


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TERMINAL LEARNING OBJECTIVES:

1.      Given a combat environment (day and night), individual combat equipment and required water purification materials, perform water purification, per the references. (FMST.06.02)

ENABLING LEARNING OBJECTIVES:

1.      Without the aid of reference materials and given a list, select the four general sources of water used in the field, in order of preference, per the student handbook. (FMST.06.02a)

2.      Without the aid of reference materials and given a list, select the characteristics of the four water sources, per the student handbook. (FMST.06.02b)

3.      Without the aid of reference materials and given a list of types of water containers and a list of quantities, correctly put them in proper sequence, per the student handbook. (FMST.06.02c)

4.      Without the aid of reference materials and given a list of compounds, select the primary type of disinfectant used in the field for sanitizing large quantities of water, per the student handbook. (FMST.06.02d)

5.      Given a quantity of water, a canteen and cup, and iodine tablets, sanitize a canteen of water for consumption, per student handbook. (FMST.06.02h)

OUTLINE:

A.     FACTORS AFFECTING SOURCES OF WATER

  1. WATER QUANTITY

a.       Provides adequate quantity for all hands

b.      Provide adequate quantity for duration of exercise/operation

  1. WATER QUALITY

a.        Free of contamination such as runoff from sewage or toxic chemicals from industrial plants

b.        Appearance of water is not excessively turbid and smell is acceptable

c.        The water must be able to be treated with available resources like a Reverse Osmosis Purification Unit (ROWPU)

       3.  ACCESSIBILITY

a.       Easy accessibility to water purification equipment and transport equipment

B.     WATER SOURCES AND CHARACTERISTICS (IN ORDER OF PREFERENCE)

  1. SALT WATER

a.   Sources - Ocean

b.      Characteristics:

1.    Plentiful, generally less contaminated

2.    Unlimited supply

3.    Best source of water, if near the sea or ocean and if a ROWPU is available

(a)    ROWPU

1)    Processes up to 600 gallons of water an hour

2)    Removes suspended and dissolved organic and inorganic matter

3)    Calcium hypochloride (HTH) used to keep the Free Available Chlorine

(FAC) level to 2.0 parts per million (PPM)

  1. GROUND WATER

a.       Sources:

1.      Wells

2.      Springs

b.      Characteristics:

1.      Generally more desirable and less contaminated than surface water

2.      Considered best source of water during NBC attack

3.      Generally less chemical and biological pollution

4.      Quantity hard to determine

  1. SURFACE WATER

a.       Sources:

1.      Rivers

2.      Lakes

3.      Ponds

4.      Streams

b.      Characteristics:

1.      Larger sources generally less contaminated than small sources

2.      Capable of supplying adequate quantities

3.      Readily accessible quantities

4.      Moving water generally better than still because aeration severely retards growth of bacteria, algae, or fungus

  1. RAIN WATER

a.       Not a reliable source due to fluctuation in annual rainfall levels

b.      May not provide adequate quantities

NOTE:  Bottled drinking water may be used in areas overseas if available.   Bottled drinking water source must be approved as, “Fit for human consumption” by Army Veterinarians

C.     QUALITY OF WATER

  1. COLOR

a.       Causes of discoloration:

1.      Vegetable matter

2.      Mineral matter

3.      Industry waste

4.      Turbidity

b.   May be harmful or harmless depending on the cause

c.       Use clearest (most colorless) water available

  1.  TASTE / ODORS

a.       Causes:

1.       Algae

2.       Organic matter

3.       Dissolved gases

4.       Industrial wastes

b.      Palatability is frequently affected, which in turn, affect the amount of water the troops consume

c.       Use of filters and correct levels of chlorination can improve palatability; too much chlorine makes most taste and odor problems worse

  1. TURBIDITY

a.       Causes which may result in a muddy or unclear condition:

1.       Suspended particles of sand

2.       Clay

3.       Organic matter

b.      Removal of turbidity is essential in reducing contamination

c.       Suspended particles often contain organisms that cause diseases such as hepatitis, cholera, and dysentery

d.      Decreases effectiveness of chlorine

  1. TEMPERATURE

a.       Warm water  tastes flat and more chlorine must be used

b.      Cool water retains chlorine residual longer

c.       Consumption rate of water for the troops will decrease as the temperature of drinking water increases

  1. SURROUNDING VEGETATION

a.       Observe surrounding vegetation around water source

b.      Dead or decaying vegetation may indicate water contamination

  1. POTABLE WATER

a.        Water that is free from disease producing organisms(hepatitis A, typhoid), NBC agents, organic and inorganic poisonous substances

D.     TYPES OF WATER CONTAINERS AND CAPACITIES

1.      CANTEEN

a.       One or two quart capacity

b.      Durable plastic construction, impervious to corrosion

c.       Issued two canteens per person

2.      JERRY CAN

a.       Five gallon capacity

b.      Plastic containers must be labeled: POTABLE WATER ONLY

3.      LYSTER BAG

a.        36 gallon capacity

b.        Not recommended for drinking water due to being easily contaminated and not being properly maintained - primarily used for hand washing

c.        Made of canvas, lightweight and collapsible

d.        Allows cooling of water by evaporation through wet canvas

e.        Do not use detergent on Lyster bags when cleaning

4.      WATER TRAILER (WATER BUFFALO, WATER BULL)

a.        400 gallon capacity

b.        Newer trailers made of stainless steel without interior enamel

c.        Old trailers lined with epoxy enamel which, after prolonged use, could harbor bacteria when chipped or cracked

d.        Equipped with round hatch on the top for entry of servicing personnel, cleaning, and filling with water

5.      SIX-CON

a.        900 gallon capacity

b.        Stainless steel and insulated

c.        Has capability of attaching to other six-cons, six maximum per flat bed truck

6.      WATER TANKER

a.        1,000 gallon capacity

b.        Should only be used as fuel truck when emergency circumstances arises

7.      COLLAPSIBLE TANK INSTALLATION (Water Bladder)

a.        Capacity ranges from 3,000 gallons for laundry and showers to 50,000 gallons

b.        Made of rubberized material

c.        Used for large quantities of water in operations, when engineers are using the ROWPU for producing potable water

E.      MECHANICAL CLEANING OF CONTAINERS

1.      PROCEDURES:

a.       Drain container or system

b.      Scrub interior surfaces with soft brush and a detergent solution

c.       Scrub all gaskets, lids, and spigot openings

d.      High pressure water stream should be used to rinse out container

e.       Open all valves, lids, taps or spigots and allow detergent solution to drain out

f.        Rinse with potable water (Several rinses may be necessary)

g.       Superchlorinate container or system

2.      SUPERCHLORINATION

a.        Fill container with water

b.        Introduce sufficient chemical into tank to provide at least 100 PPM

c.        Hold for four hours contact time

d.        The Free Available Chlorine (FAC) residual after four hours must not be less than 50 PPM.  If FAC residual falls below 50 PPM, chlorine must be added to bring residual to 100 PPM and the four-hour period starts again

e.        Drain and fill container with potable water

NOTE:  “POISON DO NOT DRINK” MUST BE WRITTEN ON ALL SIDES OF THE CONTAINER

F.      TYPES OF WATER DISINFECTION

1.      BOILING

a.       Boil vigorously for two minutes; kills any pathogen in the water

b.      Used for small quantities of water such as a canteen cup in emergency situations

c.       Impractical for large quantities

d.      No residual disinfection capability

e.       Must be protected from contamination

2.      CHEMICAL DISINFECTION- THREE HALOGEN COMPOUNDS ARE USED:

a.       Iodine purification tablets

1.    The recommended and preferred treatment for emergency water supply

2.    Must be inspected periodically to ensure efficiency

b.      Calcium Hypochlorite 60-75% (HTH)

1.   The primary method to disinfect large quantities of water in the field

2.   A potential hazard due to its corrosiveness and chemically active nature, as a result it requires special storage precautions

3.   Should be obtained in six-ounce containers and stored in a cool, dry, well ventilated area.

4.   Available through Logistics/Supply (S-4) from Navy Stock Number (NSN)

c.       Sodium Hypochlorite 5.25-10%

1.     Common household bleach

2.     Available through the S-4 from NSN stock

G.      PROCEDURES FOR WATER DISINFECTION

  1. CANTEEN

a.       Iodine tablets- Add two Iodine tablets per canteen of water regardless of color

b.      Replace cap loosely and wait five minutes for the tablets to dissolve

c.       Shake well allowing leakage around threads of cap and neck of canteen

d.      Tighten cap and wait an additional 25 minutes before drinking

e.       Water will be golden brown in color

-OR-

a.        Tincture of Iodine 2%- Add 5 drops to canteen or 10 drops if water is cold or cloudy

b.        Mix thoroughly by shaking canteen

c.        Slightly loosen cap and tip over to allow leakage around threads

d.        Tighten cap and wait 30 minutes before drinking

-OR-

a.          Household/common bleach 4-6%- Add 2 drops to canteen or 4 drops if water is cold or cloudy

b.          Place cap on and shake

c.          Slightly loosen cap and tip over to allow leakage over threads

d.          Tighten cap and wait 30 minutes before drinking

  1. JERRY CAN, LYSTER BAG, TRAILERS AND TANKERS

a.        Use calcium hypochlorite to disinfect large amounts of water.  Refer to NAVMED P-5010-9 for proper dosages

b.        Dissolve powder in half canteen cup of water (empty MRE bag can be used)

c.        Pour supernate into container

d.        Allow 30 minutes contact time before drinking

e.        Test for chlorine residual, it must have 5 PPM

f.          Must maintain between 2-5 PPM

H.  TESTING OF WATER

a.       All bulk water supplied to personnel for drinking must be chlorinated properly then tested to ensure its potability

b.      A chemical tablet, Diethylphenyline Diamine (DPD) is added to a sample of water producing a color change reaction that is then compared to a color standard comparator.

1.       Standard:

a.                 2.0 ppm free available chlorine (FAC) for chlorine test

b.                pH between 7.2 to 7.6 using the phenyl red tablet

c.       Perform weekly bacteriological tests

d.      Results of the daily FAC’s and weekly bacteriological tests are to be recorded in the Medical Department log

NOTE: The DPD water test kit is the primary method for using chlorine residual under field conditions.  It is available through the S-4 from the Stock System, open purchase, or from the local preventive Medicine Unit on a temporary loan basis.

 

REFERENCE (S):

1.  Field Hygiene and Sanitation (FM 21-10)

2.  Manual of Preventive Medicine (NAVMED P-5010, Chapter 6)

 


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Operational Medicine 2001
Health Care in Military Settings

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Operational Medicine
 Health Care in Military Settings
CAPT Michael John Hughey, MC, USNR
NAVMED P-5139
  January 1, 2001

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