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
- Selection of Sampling Point – Choose clean tap directly connected to supply line; avoid leaking/rusty taps.
- Cleaning of Tap – Remove attachments, clean mouth of tap properly.
- Sterilization – Sterilize tap outlet using flame (spirit lamp/alcohol cotton) or disinfectant solution.
- Allow Water to Flow – Open tap fully, let water run for 2–3 minutes to remove stagnant water.
- Collection of Sample – Use sterile glass/plastic bottle (250 mL). Do not touch mouth or inside of bottle/cap. Fill leaving small air space.
- Addition of Sodium Thiosulphate – For chlorinated water, add to neutralize chlorine.
- Labeling – Mention date, time, place, source, collector’s name.
- Transportation – Send to lab within 2–6 hours, keep cool (4°C).
B. Collection of Water Sample from a River
- Selection of Sampling Site – Representative area, avoid edges or stagnant zones.
- Use Sterile Bottle – Sterilized bottle with stopper.
- Collection Technique – Hold bottle near base, dip facing upstream, collect 20–30 cm below surface.
- Avoid Contamination – Do not touch inner side; avoid disturbing bottom sediments.
- Leave Air Space – For mixing before testing.
- Labeling – River name, location, time/date, weather condition.
- 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
- Exhaust Ventilation: Removes foul air from room.
- Plenum Ventilation: Fresh air forced into room.
- Balanced Ventilation: Equal air supply and exhaust.
- Air Conditioning: Controls temperature, humidity and purity.
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.
| Grade | Description |
| Normal | No fluorosis |
| Questionable | Slight changes |
| Very Mild | Small opaque spots |
| Mild | White patches |
| Moderate | Brown stains present |
| Severe | Pitting 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:
- Ignores Humidity: Thermal comfort greatly depends on humidity.
- Individual Variation: Comfort differs with age, clothing, health status.
- Psychological Factors: Mental condition affects comfort sensation.
- Air Movement Variation: Different air speeds alter heat loss.
- Does not measure total comfort: Temperature, humidity, radiation, air velocity all matter.
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
- Prevents mixing of waste: Separates infectious and non-infectious waste.
- Reduces infection risk: Protects health workers, patients, waste handlers.
- Facilitates proper disposal: Different wastes need different treatment methods.
- Reduces cost: Less infectious waste = lower treatment cost.
- Environmental protection: Prevents pollution and improper disposal.
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
| Sector | Role |
| Health Department | Medical care, disease control |
| Police | Security, rescue, law & order |
| Fire Services | Fire control, rescue operations |
| Municipality | Sanitation, debris removal |
| NGOs | Relief distribution, shelter |
| Transport | Evacuation, logistics |
| Communication | Information 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.