Environmental Health

MPH 1st Semester – WBUHS (May 2024) | Detailed Questions & Answers

1(a) Sequential Steps of Collection of Water Samples for Surveillance Purpose

A. Collection of Water Sample from a Tap

  1. Selection of Sampling Point – Choose clean tap directly connected to supply line; avoid leaking/rusty taps.
  2. Cleaning of Tap – Remove attachments, clean mouth of tap properly.
  3. Sterilization – Sterilize tap outlet using flame (spirit lamp/alcohol cotton) or disinfectant solution.
  4. Allow Water to Flow – Open tap fully, let water run for 2–3 minutes to remove stagnant water.
  5. Collection of Sample – Use sterile glass/plastic bottle (250 mL). Do not touch mouth or inside of bottle/cap. Fill leaving small air space.
  6. Addition of Sodium Thiosulphate – For chlorinated water, add to neutralize chlorine.
  7. Labeling – Mention date, time, place, source, collector’s name.
  8. Transportation – Send to lab within 2–6 hours, keep cool (4°C).

B. Collection of Water Sample from a River

  1. Selection of Sampling Site – Representative area, avoid edges or stagnant zones.
  2. Use Sterile Bottle – Sterilized bottle with stopper.
  3. Collection Technique – Hold bottle near base, dip facing upstream, collect 20–30 cm below surface.
  4. Avoid Contamination – Do not touch inner side; avoid disturbing bottom sediments.
  5. Leave Air Space – For mixing before testing.
  6. Labeling – River name, location, time/date, weather condition.
  7. Preservation and Transport – Ice box, rapid transport to lab.
📌 Importance of Water Surveillance: Detect contamination, prevent water-borne diseases, monitor chlorination, ensure safe drinking water.

1(b) Major Components of Swachh Bharat Mission-Gramin (SBM-G)

Infrastructure Components

  • Individual Household Latrines (IHHL)
  • Community Sanitary Complexes
  • Solid & Liquid Waste Management (SLWM)

Behavioural & Capacity Components

  • Information, Education & Communication (IEC)
  • Capacity Building
  • Rural Sanitation Marketing
  • ODF Sustainability

Goal: Eliminate open defecation, improve rural sanitation, ensure safe waste disposal.

2(a) Mercury Hot Spots

Definition: Areas with very high mercury contamination in air, water or soil due to industrial/mining activities.

Sources: Coal-fired power plants, gold mining, battery industries, thermometer manufacturing, chemical industries.

Health Effects: Affects nervous system, kidneys, brain development; symptoms: tremors, memory loss, vision problems, developmental defects.

Environmental Effects: Bioaccumulation in fish, biomagnification through food chain.

Prevention: Proper industrial waste disposal, monitoring mercury emission, ban on mercury-containing products.

2(b) Flash Flood and its Effects

Definition: Sudden flooding within short period after intense rainfall, dam failure or cloudburst.

Causes

  • Heavy rainfall/cloudburst
  • Urban drainage blockage
  • Deforestation

Health Effects

  • Drowning, injuries
  • Water-borne diseases
  • Psychological stress

Other Effects: Soil erosion, crop destruction, house/bridge damage, displacement of population.

Prevention: Early warning systems, proper drainage, afforestation, disaster preparedness.

2(c) Artificial Ventilation

Definition: Process of supplying and removing air mechanically from a room or building.

Objectives: Maintain air quality, remove heat/dust/odors, provide comfort.

Types

Advantages: Better indoor air quality, prevents infection spread, improves comfort/productivity.
Disadvantages: Expensive, requires maintenance, electricity dependent.

2(d) Dean’s Index

Definition: Used to measure severity of dental fluorosis caused by excess fluoride.

GradeDescription
NormalNo fluorosis
QuestionableSlight changes
Very MildSmall opaque spots
MildWhite patches
ModerateBrown stains present
SeverePitting and corroded appearance

Importance: Assess fluoride toxicity, community dental surveys, guides fluorosis prevention programs.

3(a) Occupational Health Hazards of Stone Crusher Industry Workers

Hazards

  • Physical: Noise, vibration, heat → hearing loss, fatigue
  • Dust (Silica): Silicosis, bronchitis, asthma, TB
  • Mechanical: Injuries, accidents from machines
  • Chemical: Diesel fumes, lubricants
  • Ergonomic: Improper posture, heavy lifting → back/joint pain
  • Psychosocial: Stress, long working hours

Preventive Measures

  • PPE (mask, earplug, gloves)
  • Dust suppression by water spray
  • Proper ventilation
  • Regular health check-ups
  • Worker education
  • Machine guarding

3(b) Strategies to Prevent Air Pollution at National and Individual Level

🏛️ National Level Strategies

  • Enforcement of environmental laws
  • Promotion of clean energy (solar, wind, LPG, CNG)
  • Industrial emission control (filters, scrubbers)
  • Vehicular pollution control (BS-VI norms, EVs)
  • Afforestation programs
  • Air quality monitoring (NAMP)

🧑 Individual Level Strategies

  • Use public transport
  • Avoid burning waste
  • Save electricity
  • Plant trees
  • Maintain vehicles regularly
  • Use clean cooking fuel (LPG)

4(a) “Cooling Power is not a Perfect Index to Measure Thermal Comfort” – Justify

Cooling Power: Measures rate of heat loss from body under environmental conditions.

Why not perfect:

Conclusion: Cooling power alone is insufficient for assessing thermal comfort.

4(b) “Segregation is the First and Most Important Step of Biomedical Waste Management” – Justify

Method: Color-coded bins – Yellow, Red, White, Blue as per BMW Rules.

4(c) “Sanitary Latrines are not always Water Sealed” – Justify

Sanitary latrine definition: Prevents human contact with excreta and fly breeding.

Non-water-seal sanitary latrines: Bore-hole latrine, pit latrine, compost latrine.

Why still sanitary: Prevent contamination, reduce fly breeding, ensure safe excreta disposal.

Conclusion: Water seal is desirable but not mandatory for a latrine to be sanitary.

4(d) “Disaster Management is an Example of Intersectoral Coordination” – Justify

SectorRole
Health DepartmentMedical care, disease control
PoliceSecurity, rescue, law & order
Fire ServicesFire control, rescue operations
MunicipalitySanitation, debris removal
NGOsRelief distribution, shelter
TransportEvacuation, logistics
CommunicationInformation dissemination, early warning

Importance: Faster response, efficient resource utilization, better rehabilitation, reduced mortality & morbidity.

✅ Conclusion: Disaster management requires coordination among multiple sectors, making it a classic example of intersectoral coordination.