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    Using the Minimum Standards

    in Water Supply, Sanitation &

    Hygiene Promotion

    2.2

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    Hygiene promotion standard 1:

    programme design and

    implementation

    All facilities and resources

    provided reflect thevulnerabilities, needs, and

    preferences the affected

    population. Users are involved

    in the management andmaintenance of hygiene

    facilities where appropriate.

    ICRCpho

    to

    ( please see page 60 of the 2004 Edition)

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    All people have safe and

    equitable access to a

    sufficient quantity ofwater for drinking,

    cooking and personal

    and domestic hygiene,.

    Public water points aresufficiently close to

    households to enable use

    of the minimum water

    requirement.

    Water supply standard 1:

    access and water quantity

    Doctors Without Borders photo

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    Water is palatable, and

    of sufficient quantity to

    be drunk and used forpersonal and domestic

    hygiene without causing

    significant risk to

    health.

    Water supply standard 2: water

    quality

    OXFAM photo

    Q. How many ways can you think of to measure this?

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    People have adequate

    facilities and supplies to

    collect, store and usesufficient quantities of

    water for drinking, cooking

    and personal hygiene and to

    ensure that drinking waterremains safe until

    consumed

    Water supply standard 3: water

    use facilities and goods

    Overland Solutions.com photo

    Q. How many ways can you think of to measure this?

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    People have adequate

    numbers of toilets,

    sufficiently close to theirdwellings, to allow them

    rapid, safe and acceptable

    access at all times of the day

    and night.

    Excreta disposal standard 1:

    access to, and number of, toilets

    American Red Cross photo - Brian Hatchell

    Q.

    How many ways can you think of to measure this?

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    Toilets are sited, designed,

    constructed and maintained

    in such a way as to be

    comfortable, hygienic and

    safe to use

    Excreta disposal standard 2:

    design, construction and use oftoilets

    Grouped VIP toilets

    Q.

    How many ways can you think of to measure this?

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    Vector control standard 1:

    individual and family protectionAll disaster-affected

    people have the

    knowledge and themeans to protect

    themselves from disease

    and nuisance vectors

    that are likely to

    represent a significant

    risk to health or well-

    being.

    Togolese Red Cross volunteers demonstrate

    how to properly use an insecticide-treated

    bednet - Canadian Red Cross photo byMarko

    Kokic

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    Vector control standard 2:

    physical, environmental andchemical protection measures

    The numbers of

    disease vectors that

    pose a risk to peoples

    health and nuisance

    vectors that pose a risk

    to peoples well-being

    are kept to an

    acceptable level.

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    Vector control standard 3:

    chemical control safety

    Chemical vector control

    measures are carried out in

    a manner that ensures that

    staff, the people affected by

    the disaster and the local

    environment areadequately protected, and

    avoids creating resistance

    to the substances used.larviciding photo from

    www.chesapeake.va.us/.../

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    Solid waste management

    standard 1: collection anddisposal

    People have an environment

    that is acceptably

    uncontaminated by solid

    waste, including medical

    waste, and have the means to

    dispose of their domestic

    waste conveniently and

    effectively

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    People have an

    environment in which the

    health and other risksposed by water erosion

    and standing water,

    including storm water,

    flood water, domesticwastewater and

    wastewater from medical

    facilities, are minimised.

    Drainage standard 1: drainage

    works

    Photo from www.tamilnet.com

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    Visualizing the indicators

    Key risks are identified

    Programmes include mechanisms

    for participation All groups have equitable access

    Messages address key behaviors

    and misconceptions

    Users take responsibility for

    maintenance and management

    Hygiene Promotion:

    ( please see page 60 of the 2004 Edition)

    Q. How many hygiene promoters/community mobilisersshould be provided in a camp situation?

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    Visualizing the indicators

    Water Supply average of 15 liters

    of water per person per day

    The maximum distance from any

    household to nearest water point is

    500 meters

    Queuing time no more than 15

    minutes

    No more than 3 minutes to fill a 20litre container

    Water is available consistently and

    on a regular basis

    WATER SUPPLY:

    (

    please see page 63 of the2004 Edition)

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    The maximum distance from any

    shelter to nearest water point is

    500 meters

    There is at least 1 water

    point for 250 people

    ( please see page 65 of the 2004 Edition)

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    Water Supply - average use is at least 15 liters of

    water per person per day

    So 20,000 people would need 20,000 X 15 liters = 300,000

    liters per day. This amounts to a storage container of 300 cubic

    meters. That is to say a cube of water 6m x 7m x7m.

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    300 cu. m. = 10 X 30,000 liter bladder tanks or 30 X 10 tonne water tankers

    What does this mean for planning and programming?

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    Children from Dos Puertas, El

    Salvador drawing water from

    newly installed tapstands. (Tank

    behind is 10,000 liter capacity.)

    Part of earthquake emergency

    response.

    Photo: Rachel Stabb/OXFAM

    ?What issues or questionsmust you investigate about this

    situation if you want to evaluatethe project using the Sphere

    Project Humanitarian Charter

    and Minimum Standards in

    Disaster Response?

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    Oxfam type tanks - typical sizes, volumes

    10,500 liters 45,000 liters 70,000 liters 95,000 liters

    2.5 m

    6.4 m

    2.3m

    1.5m

    2.3m

    3.0m

    nominal storage capacities

    Assuming these tanks can each be filled once daily, how

    many people can each tank support in an emergency camp?Assume working volume to be 90% of nominal volume.

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    Some Sphere water quality indicators:

    No fecal coliforms per 100ml water at

    delivery point

    residual free chlorine @ 0.5 mg per liter ofwater

    turbidity below 5 NTU

    Q. What does all of that mean?

    ( please see pages 66 & 67 of the 2004 Edition)

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    E. coli are bacteria, full name is Escherichia Coli

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    http:// lake access.org/russ/turbidity.htm

    What in the world are

    Nephelometric Turbidity Units

    (NTUs)?

    They are the units we use when

    we measure Turbidity. The term

    Nephelometric refers to the way

    the instrument estimates how light

    is scattered by suspended

    particulate material in the water.

    The Nephelometer, also called a

    turbidimeter, attached to the

    RUSS unit has the photocell

    (similar to the one on your camera

    or your bathroom nightlight) set at

    90 to the direction of the light

    beam to estimate scattered ratherthan absorbed light. This

    measurement generally provides

    a very good correlation with the

    concentration of particles in the

    water that affect clarity.

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    Comparative examples of effect of varying NTUs fromdifferent causes

    http://lake access.org/russ/turbidity.htm

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    Some water use facilities and goods indicators:

    2 containers for water collection of 10-20 liters each perhousehold (narrow neck and or cover)

    1 water storage vessel of 20 liters per household (narrow

    neck and or cover)

    250 g of soap per person per month

    separate bathing cubicles for men and women (where

    communal)

    1 clothes washing basin per 100 people where

    communal (provide separate private laundering areas

    for women only)

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    Afghan children collect waterfrom a hand pump provided

    by UNICEF in the Naser

    Bagh refugee settlement in

    Peshawar, Pakistan.

    UNICEF photo: S. Noorani

    Locally available, 20-liter plastic

    jerry cans, used inA large-scale

    implementation project funded by

    the CARE/CDC Health Initiative

    that is being incorporated into

    CAREs Programme

    MAHAVITA

    CDC photo

    Whats right, Whats wrong?Why?

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    Tanker, bladder tank, and tapstand.What indicators would

    apply in the design, layout, purchasing or installation of

    these components?

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    Some Sphere excreta disposal indicators:

    Maximum 20 people per toilet

    use by households or segregated by sex

    no more than 50m from dwellings and no morethan 1 minutes walk

    latrines and soakaways (in most soils) are at least

    30 meters away from any groundwater source, and

    bottom of pits at least 1.5 meters above water table.

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    New Shamshatoo Camp, Peshawar, Pakistan,August, 2001 - InterWorks photo

    Explain this picture - what does it tell you?

    If there are 35,000 people in this camp, how many latrines

    are needed?Where do you put them in the camp?

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    v

    15* m

    Trash Bin

    Latrine

    Garbage Dump/Pit

    Some layout and accessibility indicators

    * 2000 Sphere Edition

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    Some Sphere solid waste indicators:

    All households have access to a refuse container

    and/or are no more than 100 meters from a

    communal refuse pit.

    One 100 liter refuse container is available for every

    10 families, where domestic waste is not buried onsite.

    InterWorks photo

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    Some Sphere site drainage indicators:

    Areas around dwellings and water points are kept free

    of standing wastewater, and stormwater drains are

    kept clear

    Shelters, paths and water and sanitation facilities are

    not flooded or eroded by water

    Kabul,Afghanistan, 2003 InterWorks photo

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    Whats right, whats wrong, and why?

    Boys at water tap stand, Albania

    Camp Hope, Albania, after rains of 22 June, 1999

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    Conclusions.These standards and their

    supporting indicators

    illustrate an integrated

    system of analysis of needs,

    provision of water, and

    management of waste that

    should be well-coordinated

    if public health is to be

    preserved. Each part

    supports and is supported

    by the others.

    1. Hygiene

    promotion

    2. Water supply

    3. Excretadisposal

    4. Vector control

    5. Solid waste

    management

    6. Drainage