TL;DR: Point-of-use (POU) water treatment technology has emerged as an approach that empowers people and communities without access to safe water to improve water quality by treating it in the home as discussed by the authors.
Abstract: The lack of safe water creates a tremendous burden of diarrheal disease and other debilitating, life-threatening illnesses for people in the developing world. Point-of-use (POU) water treatment technology has emerged as an approach that empowers people and communities without access to safe water to improve water quality by treating it in the home. Several POU technologies are available, but, except for boiling, none have achieved sustained, large-scale use. Sustained use is essential if household water treatment technology (HWT) is to provide continued protection, but it is difficult to achieve. The most effective, widely promoted and used POU HWTs are critically examined according to specified criteria for performance and sustainability. Ceramic and biosand household water filters are identified as most effective according to the evaluation criteria applied and as having the greatest potential to become widely used and sustainable for improving household water quality to reduce waterborne disease and death.
TL;DR: E. coli reductions by the BSF in laboratory and field studies were less than those typically observed for traditional slow sand filters (SSFs), although as for SSFs microbial reductions improved over the period of filter use.
TL;DR: The Manz BioSand filters are an attractive option for supplying water treatment to family units in rural areas of poorly developed countries and are generally satisfied with their filter's performance.
Abstract: Introduction Approximately one billion people world-wide lack access to adequate amounts of safe water. Most are in developing countries, especially in rapidly expanding urban fringes, poor rural areas, and indigenous communities. Methods In February and March 2005, a field study of 107 households was conducted to evaluate the use and performance of the Manz BioSand filter in the Artibonite Valley of Haiti. Approximately 2000 filters had been installed in this area over the preceding 5 years by the staff in Community Development at Hospital Albert Schweitzer, Deschappelle, Haiti. Interviews, observations, and water samplings were carried-out by two teams of Haitian enumerators, each consisting of a nurse and a filter technician. Water analyses were performed by Haitian lab technicians using the membrane filtration method to determine Escherichia coli counts. The enumerators and the lab technicians completed a 2 week training program before beginning the study; they worked under the direct supervision of the primary investigator. Laboratory quality was monitored by running 10% blank and 10% duplicate samples. Results The households contained an average of 5.4 persons. Filters had been in use for an average of 2.5 years, and participants were generally satisfied with their filter's performance. Shallow, hand-dug wells provided the only source of water for 61% of the households, with 26% using water piped from springs or deep wells, and 13% having access to both. Only 3% had plumbing in their homes. Source water from shallow wells contained an average of 234 E. coli cfu/100 mL. Piped sources averaged 195 E. coli cfu/100 mL. Of the source water samples 26% contained 0-10 E. coli cfu/100 mL. Of the filtered water samples 97% contained 0-10 E. coli cfu/100 mL (80% with 0 cfu/100 mL, and 17% with 1-10 cfu/100 mL). Overall bacterial removal efficiency for the filters was calculated to be 98.5%. Turbidity decreased from an average of 6.2 NTU in source water samples to 0.9 NTU in the filtered water. None of the households treated the water after filtering; 91% used the filtered water only for drinking. No problems related to filter construction were observed; 13% were found to have significantly decreased flow rates (all restored by cleaning the filter). Recontamination was found to occur, with only 3% of the samples from the filters' spouts containing >10 E. coli cfu/100 mL and 22% of the stored filtered water samples at point-of-use containing >10 cfu/100 mL. Conclusion The Manz BioSand filters are an attractive option for supplying water treatment to family units in rural areas of poorly developed countries.
TL;DR: Based on random intercepts logistic regression, BSF households had 0.53 times the odds of diarrheal disease as control households, indicating a significant protective effect of the BSF against waterborne diarrheals disease.
Abstract: A number of household water treatment and safe storage technologies, such as chlorine disinfection, solar disinfection, and ceramic filtration, have been documented for their ability to reduce diarrheal disease and improve microbial water quality. The biosand filter (BSF) is a promising household water treatment technology in use by > 500,000 people globally. The purpose of this research was to document the ability of BSFs to improve water quality and to reduce diarrheal disease in user compared with non-user households in a randomized controlled trial in Bonao, Dominican Republic, during 2005-2006. During the 6-month intervention period, 75 BSF households had significantly improved drinking water quality on average compared with 79 control households ( P < 0.001). Based on random intercepts logis- tic regression, BSF households had 0.53 times the odds of diarrheal disease as control households, indicating a significant protective effect of the BSF against waterborne diarrheal disease. 1 Diarrheal diseases make up 4% of the global bur- den of disease. A recent review suggested that the environment and environmental risk factors play an important role in the global burden of diseases. This review estimated that 94% of diarrheal diseases are attributed to a "reasonably modifiable environment" and suggested that interventions can be made in water, sanitation, and hygiene in an attempt to decrease the burden of diarrheal disease. 2
TL;DR: In this paper, an extensive literature survey was conducted to regroup various household treatment devices that are suitable for the inexpensive treatment of water on a household basis, which resulted in the selection of four household water treatment devices: the biosand filter (BSF), bucket filter (BF), ceramic candle filter (CCF), and the silver-impregnated porous pot filter (SIPP).
Abstract: One of the United Nations Millennium Development Goals is to reduce to half by 2015 the number of people, worldwide, who lack access to safe water. Due to the numerous deaths and illnesses caused by waterborne pathogens, various household water treatment devices and safe storage technologies have been developed to treat and manage water at the household level. The new approaches that are continually being examined need to be durable, lower in overall cost and more effective in the removal of the contaminants. In this study, an extensive literature survey was conducted to regroup various household treatment devices that are suitable for the inexpensive treatment of water on a household basis. The survey has resulted in the selection of four household treatment devices: the biosand filter (BSF), bucket filter (BF), ceramic candle filter (CCF) and the silver-impregnated porous pot filter (SIPP). The first three filters were manufactured in a Tshwane University of Technology workshop, using modified designs reported in literature. The SIPP filter is a product of the Tshwane University of Technology. The performance of the four filters was evaluated in terms of flow rate, physicochemical contaminant (turbidity, fluorides, phosphates, chlorophyll a, magnesium, calcium and nitrates) and microbial contaminant (Escherichia coli, Vibrio cholerae, Salmonella typhimurium, Shigella dysenteriae) removals. The flow rates obtained during the study period were within the recommended limits (171 l/h, 167 l/h, 6.4 l/h and 3.5 l/h for the BSF, BF, CCF and SIPP, respectively). Using standard methods, the results of the preliminary laboratory and field studies with spiked and environmental water samples indicated that all filters decreased the concentrations of contaminants in test water sources. The most efficiently removed chemical contaminant in spiked water was fluoride (99.9%) and the poorest removal efficiency was noted for magnesium (26–56%). A higher performance in chemical contaminant removal was noted with the BF. For pathogenic bacteria, the mean percentage removals ranged between 97% and 100%. Although the concentrations of most chemical parameters were within the recommended limits in raw surface water, poor removal efficiencies were recorded for all filters, with the poorest reduction noted with fluorides (16–48%). The average turbidity removals from surface water ranged between 90% and 95% for all filters. The highest bacterial removal efficiency was recorded by the SIPP (99–100%) and the lowest by the BF (20–45%) and the BSF (20–60%). Extensive experimental studies with various types of raw surface water will still determine the long-term performance of each filter, as well as the filters that can be recommended to the communities for household treatment of drinking water.