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If water is the mirror of health, as an old proverb says, it can also become a source of disease when sanitation breaks down.

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World Health • July-August 1992 27

Clean water at low cost

Prosper Mihindu·Ngoma

Rainwater from the roof may be the safest - provided it rains!

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variety of different factors, including limited fmancial resources, the low level of health education among the public, and the rapidly rising population combined to render the idealistic goals of the International Drinking Water Supply and Sanitation Decade (1981- 1990) - universal access to adequate and safe water with appropriate sanitation - unattainable in almost all countries.

To meet this challenge, many African countries have launched experimental programmes of low-cost appropriate technology, which is easy to maintain and culturally acceptable by the communities concerned. These programmes have benefited from technical advice from WHO, UNICEF and UNDP and are supported by the Regional Centre for Drinking Water and Sanitation (CREPA) in

Ougadougou, capital of Burkino Faso.

In the Congo, the most common techniques for supplying water are gravity feed pipes, rainwater collec- tion, wells and manual pumps.

Gravity feed supply is particularly suited to rural communities and costs

least when there is community participation. If the source is suffi- ciently high above the village, the water is brought down through pipes made for the purpose in local materi- als. The system needs regular upkeep, particularly in cases where private taps are granted to individual families, while the quality of the water depends on safe collection from the source and proper upkeep of the installations.

Collection of rainwater in tanks as it flows offthe.house roof is economi- cally and socially acceptable, but the initial high cost of the tank means that the materials.used must be carefully chosen from what is locally available.

Where underground water sources are easily accessible and of good quality, hand pumps installed at each well can provide drinking-water simply and cheaply, and can be maintained by the users themselves.

If water is a mirror of health, as an old proverb says, it can also become a source of disease; more than one-third of deaths in developing countries are caused by drinking contaminated water. The UN Centre for Human Settlements estimates that a tenth of

If water is the mirror of health, as an old proverb says, it can also become a source of disease when sanitation breaks down.

every individual's life is lost through water-related diseases. When sanitation breaks down, it nullifies all efforts to supply clean water. This is the case in Brazzaville where, among over 9000 dwellings officially inspected between April 1990 and March 1991, some 14% had unusable latrines and 19% had no sanitary installations at all. Such an environ- ment does nothing for the quality of water in the neighbourhood!

The remedies suggested by CREPA put the emphasis on purifica- tion tanks to recycle waste water, and on ventilated latrines. These improved latrines, installed in a number of homes in Brazzaville, differ from traditional types by having a big ventilation pipe fixed on the outside which is fitted with an anti-fly grill. •

Prosper Mihindu-Ngoma is a iournalist with the Congolese Information News Agency. His address is: B.P. 2144, Brazzaville, Congo.

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