Nurse Advocate: Environmental Sanitation

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Thursday, June 21, 2012

Environmental Sanitation

ENVIRONMENTAL SANITATION: 
  • defined as the study of all factors in man's physical environment, which may exercise a deleterious effect on his health, well-being and survival
  • Included are:
    • Water sanitation
    • Food sanitation
    • Refuse and garbage disposal
    • Excreta disposal
    • Insect vector and rodent control
    • Housing
    • Air pollution
    • Noise
    • Radiological protection
    • Institutional sanitation
    • Stream pollution
MAJOR ENVIRONMENTAL HEALTH AND SANITATION PROGRAM
  • Health and Sanitation
    • Still a health problem in the country
    • Diarrheal diseases ranked first in the leading causes of morbidity among the general population
    • Other sanitation related diseases which are controlled and/or eradicated by health programs with environmental sanitation components but still afflicting a great number of the population:
      • Pneumonia
      • Tuberculosis
      • Intestinal parasitism
      • Schistosomiasis
      • Malaria
      • Infectious hepatitis
      • Filariasis
      • Dengue hemorrhagic fever 
  • Water Supply and Sanitation Program
    • Approved Types of Water Supply Facilities:
      1. LEVEL I (Point Source)
        • protected well or a developed spring with an outlet but without a distribution system, generally adaptable for rural areas where the house are thinly scattered
        • normally serves around 15-25 households and its outreach must not be more than 250 meters from the farthest user
        • yield or discharge is generally from 40-140 liters per minute
      2. LEVEL II (Communal Faucet System or Stand-Posts)
        • system composed of a source, a reservoir, a piped distribution network and communal faucets, located at not more than 25 meters from the farthest house
        • system is designed to deliver 40-80 liters of water per capital per day to an average of 100 households, with one faucet per 4-6 households
        • generally suitable for rural areas where houses are clustered densely to justify a simple piped system
      3. LEVEL III (Waterworks System or Individual House Connections)
        • system with a source, reservoir, piped distributor network and household taps
        • generally suited for densely populated urban areas
        • requires minimum treatment of disinfection
  • Proper Excreta and Sewage Disposal Program
    • Approved Types of Toilet Facilities:
      1. LEVEL I (Non-Water Carriage Toilet Facility)
        • no water is necessary to wash the waste into the receiving space. Examples are pit latrines, reed odorless earth closet
        • requires small amount of water to wash the waste into the receiving space. Examples are pour flush toilet and aqua privies
      2. LEVEL II
        • on stie toilet facilities of the water carriage type with water-sealed and flush type
      3. LEVEL III
        • water carriage types of toilet facilities connected to a septic tanks and/or to sewerage system to treatment plant
    • In rural areas, the "blind drainage" type of wastewater collection and disposal facility shall continue to be the emphasis until such time that sewer facilities and off-site treatment facilities shall be made available to clustered houses in rural areas
    • Conventional sewerage facilities are to be promoted for construction in "Poblacions" and cities in the country as developmental objectives to attain control and prevention of fecal-water-borne diseases
    • Other policies embodied in Code of Sanitation of the Philippines shall be pursued and enforced by the local government units
  • Food Sanitation Program
    • Four (4) Rights in Food Safety - involve the chain in food processing from the source in the market until the food reaches the table
      1. Right source
      2. Right preparation
      3. Right cooking
      4. Right storage
    • Rule in Food Safety: "When in Doubt, Throw it Out!"
  • Hospital Waste Management Program
  • Program on Health Risk Minimalization 

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