WEBVTT 00:00:01.000 --> 00:00:04.000 (English captions by Trisha Paul, University of Michigan.) 00:00:04.000 --> 00:00:09.000 Drought and water scarcity. 00:00:09.000 --> 00:00:19.000 Factors contributing to drought include global warming, 00:00:19.000 --> 00:00:41.000 El Nino Southern Oscillation, and random meteorological variability. 00:00:41.000 --> 00:00:48.000 Factors contributing to water shortages include increased water demand, drying up of surface 00:00:48.000 --> 00:00:55.000 water, reduced yield of wells and springs, water pollution, restricted access to water 00:00:55.000 --> 00:01:04.000 sources, dysfunctional water distribution, and poor water conservation. 00:01:04.000 --> 00:01:13.000 Consequences of drought include desertification, famine, and drought is closely associated 00:01:13.000 --> 00:01:22.000 with political disruption, especially in Africa. 00:01:22.000 --> 00:01:29.000 Possible public health hazards include health hazards like insufficient water for consumption 00:01:29.000 --> 00:01:33.000 and insufficient water for hygiene purposes. 00:01:33.000 --> 00:01:40.000 The threat to agriculture and economy, malnutrition 00:01:40.000 --> 00:01:48.000 may be caused by lack of water for food preparation, loss of electrical power from hydroelectric 00:01:48.000 --> 00:01:53.000 generation. 00:01:53.000 --> 00:02:05.000 There are also a number of environmental hazards that may result from drought and desertification. 00:02:05.000 --> 00:02:12.000 The general aims for the public health response in water emergencies are to save life and 00:02:12.000 --> 00:02:19.000 preserve health by making at least the minimum quantities of reasonably safe water available 00:02:19.000 --> 00:02:28.000 for household use, for institutions and for community services, to provide supplies, where possible, 00:02:28.000 --> 00:02:36.000 for livestock and irrigation purposes, to restore or enhance existing sources, pumping 00:02:36.000 --> 00:02:42.000 and distribution systems, where possible, to develop alternative arrangements where 00:02:42.000 --> 00:02:47.000 necessary. 00:02:47.000 --> 00:02:51.000 Water priorities for public heath include protection of existing water sources from 00:02:51.000 --> 00:03:01.000 contamination, maintenance of water systems, conservation measures, and seeking alternative 00:03:01.000 --> 00:03:03.000 sources. 00:03:03.000 --> 00:03:11.000 Conservation measures may include storage tanks, recycling waste water for sanitation 00:03:11.000 --> 00:03:21.000 and irrigation if this is possible, and rationing of water. 00:03:21.000 --> 00:03:24.000 Choosing alternative water sources. 00:03:24.000 --> 00:03:33.000 Rain and deep closed wells are usually safe. 00:03:33.000 --> 00:03:41.000 Surface water and shallow or open wells are unlikely to be safe. 00:03:41.000 --> 00:03:45.000 Criteria for choosing between alternative water sources. 00:03:45.000 --> 00:03:52.000 Speed with which it can be made operational; how fast can we set up this water source? 00:03:52.000 --> 00:04:01.000 Potential yields of this water source, reliability of supply, water purity, simplicity of technology 00:04:01.000 --> 00:04:08.000 and ease of maintenance as well as the appropriateness of this technology to the affected communities, 00:04:08.000 --> 00:04:18.000 costs, rights and welfare of affected population. 00:04:18.000 --> 00:04:26.000 Transportation: truck water should only be a strictly short-term, stop-gap emergency 00:04:26.000 --> 00:04:37.000 measure to ensure immediate survival of the affected population. 00:04:37.000 --> 00:04:43.000 Quantity is preferable to quality, although quality is also important. 00:04:43.000 --> 00:04:48.000 Involve the community in finding solutions. 00:04:48.000 --> 00:04:53.000 Involve the national and local water authorities, equipment and infrastructure that are normally 00:04:53.000 --> 00:05:00.000 responsible. 00:05:00.000 --> 00:05:10.000 Pay special attention to the needs of hospitals, schools, health centers, and feeding centers 00:05:10.000 --> 00:05:17.000 as well as other important institutions. 00:05:17.000 --> 00:05:23.000 Individuals need at least 15-30 liters per person per day. 00:05:23.000 --> 00:05:29.000 The absolute minimum for survival is 3-5 liters per day. 00:05:29.000 --> 00:05:34.000 Health centers need 40-60 liters per patient per day. 00:05:34.000 --> 00:05:40.000 Feeding centers need 20-30 liters per person per day. 00:05:40.000 --> 00:05:49.000 Needs increase with air temperature and exertion. 00:05:49.000 --> 00:06:00.000 Minimize work invested in "interim" solutions. Try and look for permanent solutions. 00:06:00.000 --> 00:06:12.000 Provide safe water as close as possible to homes. 00:06:12.000 --> 00:06:24.000 Minimize the risk of water contamination in distribution points, delivery, and households. 00:06:24.000 --> 00:06:34.000 Provide safe storage at community and household levels. 00:06:34.000 --> 00:06:40.000 Mobilize appropriate technical expertise: water engineers to exploit available resources, 00:06:40.000 --> 00:06:47.000 sanitarians to test and organize water treatment, hydrogeologists to assess ground water potential, 00:06:47.000 --> 00:06:51.000 hydrologists to assess surface water potential.