| Category | Case Study | Subject | Science |
|---|---|---|---|
| University | Munster Technological University (MTU) | Module Title | ENVI7001 Environmental Science and Industrial Hygiene |
Laboratory Safety is the responsibility of all who work in the laboratory environment; safety regulations are devised for the benefit of all. It is imperative that they be followed. Students must not take chances with their own safety or that of others; if in doubt, always ask before acting.
Laboratory Practical 1: Case Study Introduction & Chemical Water Tests
Title: An extensive gastroenteritis outbreak due to suspected contamination of a municipal drinking water supply.
Purpose: To investigate and determine the most likely cause of contamination of the municipal water supply which resulted in a serious outbreak of gastroenteritis in Newtown.
Summary: An inappropriate cross-connection between a contamination source and drinking-water pipelines contaminated tap water in Newtown, resulting in an extensive waterborne gastroenteritis outbreak. An estimated 2115 residents fell ill during the outbreak. 800 individuals sought medical care as a result of this exposure. Seventy-two patients were admitted to hospital, and of these, 15 developed hemolytic uremic syndrome. Six people died as a result of the outbreak. The age range of reported cases was < 1 to 90 years. Seven pathogens were found in patient samples of those who sought treatment including E.coli O157:H7, Campylobacter spp. and Cryptosporidium.
Increased diarrheal illness was observed in residential homes, long-term care facilities, schools and the emergency department of the local hospital. As a result, an outbreak investigation was launched.
Investigation: While most of those ill were residents of the town, a number of individuals lived in outlying communities. Two days of exhaustive investigation failed to identify any common food-borne exposure or community event that could account for the cases. Residing in or visiting Newtown was the only common factor among those ill. Therefore, the municipal water supply appeared to be the only plausible vehicle for such a widespread outbreak. Residents with access to their own water supply were not affected by the illness. A limited supply of clean water has been provided to the residents of Newtown and a boil-water advisory has been issued by the local health authority if using municipal water for drinking, food preparation and brushing teeth.
The onset for illness of the majority of reported cases occurred after 12 May and continued until late June. Although most became ill between 16 and 26 May. Mapping of the cases in the town by location of residence confirmed the widespread nature of the illnesses and supported the hypothesis that municipal water was the cause of the outbreak. Analyses of the cross-sectional study of Newtown households, conducted in June, confirmed that people residing in homes connected to the municipal water supply and consuming town water were 10 times more likely to develop gastroenteritis than those not exposed to town water.
The municipal drinking water supply is obtained from a lake (Lough Beg) on the outskirts of the town. There is a water treatment plant located next to Lough Beg and this purifies the water prior to distribution to homes. There are three services reservoirs located at the plant. These service reservoirs are water storage containers that hold the clean water after it has been treated in the water plant, and before it is piped to the end users. These service reservoirs are underground as they are built on elevated land ensuring a sufficient height to maintain enough pressure in the downstream pipe network. These containers are covered, and are designed to keep the water safe from contamination. Examination of service reservoir records indicated that reservoirs A and C were supplying the town during the critical exposure time prior to onset of illness. Examination of these records also revealed
that routine maintenance on the services reservoirs was overdue. Subsequent examination highlighted damaged covers on all three service reservoirs (refer to Figure 1.1 for area layout).
There is a wastewater treatment plant located two kilometres from the water purification plant. This treatment plant removes contaminants from wastewater and household sewage, both runoff and domestic. Treated water is released into the adjacent local river.
Note:
Wastewater is any water that has been adversely affected in quality by anthropogenic influence. It comprises liquid waste discharged by domestic residences, commercial properties, industry, and/or agriculture and can encompass a wide range of potential contaminants and concentrations.
Surface runoff is the water flow that occurs when soil is infiltrated to full capacity and excess water from rain, melt-water or other sources flows over the land. When runoff flows along the ground, it can pick up soil contaminants such as oil, pesticides, or fertilisers.
There are three livestock farms within a two kilometre radius of the water purification plant. Environmental testing of the farms identified human bacterial pathogens in animal manure on all three farms. Records show that animal slurry had been spread on the land at all three farms prior to the outbreak.
In the run up to the gastroenteritis outbreak there were unusually heavy rains which led to localised flooding.
Over the course of the laboratory practical’s the following tests may be conducted:
Based on the results of these tests you will determine the most likely cause(s) of contamination of the municipal drinking water supply. You will also suggest possible courses of action to be taken to prevent this from occurring again.
Laboratory Practical 1: Case Study Introduction & Chemical Water Tests
Figure 1.1. Map showing geographical locations of wastewater treatment plant, water treatment plant, service reservoirs and surrounding farmland in relation to Newtown, where the gastroenteritis outbreak occurred.
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