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conference magazine - Caribbean Environmental Health Institute

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Selikor has implemented this management system first as a pilot<br />

project in one department in 2004. In the second phase an extension<br />

took place to the four operational departments and in 2010 the<br />

staff departments have been added to the project. Daily measurements<br />

of performances of the services are taken. When performances<br />

are noted, through interventions the processes are revised,<br />

and changes are made for the continuous improvement. By delivering<br />

the most effective level of service to clients, innovative solutions<br />

that bring value to the client base, and a properly and timely billing<br />

system, the company will distinguish herself in such a positive way<br />

that it can survive in a complex, competitive, fast-changing economic-social-and<br />

political environment.<br />

Parallel Session 2 - Centers for Disease Control<br />

/ Water Safety Planning (Falmouth<br />

Safe Water Initiative Project: Ministry of <strong>Health</strong>, Guyana by<br />

Ashok Sookdeo<br />

Within the past decade the prevalence of acute diarrhoeal diseases<br />

in Guyana has increased more than triple fold. Whilst it may be argued<br />

that this is the result of improved surveillance by the Ministry<br />

of <strong>Health</strong>, the steady annual increase noted within the last ten years<br />

is a justified cause for concern. Moreover, the prevalence rate of<br />

acute diarrhoea in the interior locations of Guyana, where the Amerindians<br />

reside, is alarmingly higher. In most instances the prevalence<br />

of diarrhoea in these remote regions ranges from 50 to 234.<br />

These high figures are likely the result of the reliance on the creeks,<br />

ponds and rivers for drinking water, and poor sanitary conditions.<br />

The prevalence of diarrhoea is high both in the rainy and dry season<br />

and this can be explained by the fact that intense rainfall washes<br />

contaminants into water supplies. Drought conditions diminishes<br />

the availability of fresh water. To this end the <strong>Environmental</strong> <strong>Health</strong><br />

Unit of the Ministry of <strong>Health</strong>, Guyana, has developed a multipronged<br />

approach that encompasses education and training, advocacy,<br />

social marketing and hygiene promotion to tackle the diarrhoeal<br />

problem.<br />

There are three primary activities developed in this safe water initiative<br />

which commenced in February 2010. Firstly, <strong>Environmental</strong><br />

<strong>Health</strong> Officers, Community <strong>Health</strong> Workers and other allied health<br />

staff from areas where there is a higher prevalence of diarrhoea are<br />

being trained to assist their community develop good hygiene practices<br />

and to implement initiatives for household water treatment.<br />

Secondly, nine thousand bottles of Chlorosol, a user friendly chlorine<br />

solution developed in Guyana for the treatment of non-turbid<br />

waters, and one million sachets of PuR for the treatment of turbid<br />

waters are being distributed to vulnerable households. The distribution<br />

of PuR is mostly in the interior regions where there is a greater<br />

reliance on river, creek and pond water. Five gallon bottles, funnels,<br />

buckets and cotton cloth which are accessories needed for the use<br />

of PuR are also being distributed. Thirdly, to promote the use of the<br />

water treatment products Chlorosol and PuR and the techniques to<br />

improve the consumption of safe water a public awareness campaign<br />

utilizing television, radio, the press, pamphlets, posters and<br />

community meetings are being conducted. The mass media campaign<br />

is also geared to market Chlorosol as an excellent product for<br />

treating pipe and rain water. Questionnaires will be administered to<br />

households that are provided with both PuR and Chlorosol to assess<br />

the effectiveness of the various components of the safe water<br />

initiative.<br />

Water Safety Planning (WSP) Demonstration Initiative for<br />

Linden, Guyana by Christopher Cox and Savitri Jetoo<br />

Water safety planning (WSP) is a risk assessment and risk management<br />

approach recommended under Chapter 4 of the World<br />

<strong>Health</strong> Organisation (WHO) Guidelines for Drinking Water Quality<br />

3 rd Edition (2004) that seeks to enhance the management of processes<br />

that impact the quality of water supply along all steps in the<br />

supply chain; from catchment to consumer. The WSP approach is<br />

now being piloted and implemented within water supply systems in<br />

many parts of the world, and work has been initiated in some <strong>Caribbean</strong><br />

countries through the support of regional and international<br />

development partners. This paper describes the project development<br />

methodology and plans for the implementation of a WSP initiative<br />

in Guyana that was led by the Government of Guyana and<br />

the Guyana Water Incorporated (GWI), with support from the United<br />

States Centers for Disease Control and Prevention (CDC), the National<br />

Oceanic and Atmospheric Administration (NOAA), the <strong>Caribbean</strong><br />

<strong>Environmental</strong> <strong>Health</strong> <strong>Institute</strong> (CEHI) and the Pan-American<br />

<strong>Health</strong> Organization (PAHO).<br />

The project sought to demonstrate implementation of a holistic approach<br />

aimed at addressing the key issues of water source protection<br />

and its linkage to drinking water and ambient water quality, and<br />

demonstration of the design of a system-wide water safety plan<br />

(WSP) for water supply and distribution. Guyana’s second-largest<br />

city, Linden, was selected as the pilot community for the project.<br />

The water source protection component of this pilot initiative was<br />

formulated within the framework of the Global Programme of Action<br />

(GPA) for the Protection of the Marine Environment from Land-<br />

Based Sources (LBS) of Pollution, a global agreement committed to<br />

by governments worldwide to improve the health of coastal and<br />

marine waters. Watersheds that drain the areas within and around<br />

Linden constituted the geographic study area for development of a<br />

local-level National Plan of Action (NPA) to minimize pollution into<br />

the ambient environment, with specific emphasis on protection of<br />

source waters used for drinking water supply to the Linden community.<br />

The joint Water Safety Planning (WSP) and National Plan of Action<br />

(NPA) framework for water source protection demonstrated in Guyana<br />

will be of value to other <strong>Caribbean</strong> SIDS in the development of<br />

management approaches to improve quality of water supply systems.<br />

Waste Water Treatment Plants as a Best Practice for Rural Settlements<br />

on Impervious Soils by LaVerne Walker and Cornelius<br />

Isaac<br />

The Fond d’Or watershed is the second largest in Saint Lucia comprising<br />

10,230 acres. The absence of adequate forest cover, along<br />

with poor waste, land-use, and soil management practices adopted<br />

by resource users, are the main causes of the environmental degradation<br />

and resultant acute water problems experienced in this wa-<br />

25<br />

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B<br />

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A<br />

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FIFTH BIENNIAL CARIBBEAN ENVIRONMENTAL FORUM AND EXHIBITION

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