Exploring Ontario small drinking water system data: A 10-year revie · 2017. 11. 18. · resources...

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Exploring Ontario small drinking water system data: A 10-year review Elaina MacIntyre, Public Health Ontario Tony Amalfa, Ministry of Health and Long-Term Care

Transcript of Exploring Ontario small drinking water system data: A 10-year revie · 2017. 11. 18. · resources...

  • Exploring Ontario small

    drinking water system data:

    A 10-year review

    Elaina MacIntyre, Public Health Ontario

    Tony Amalfa, Ministry of Health and Long-Term Care

  • PublicHealthOntario.ca 2

    An Opportunity for Public Health Leadership

    "While it is not possible to utterly remove all risk

    from a water system, the overall goal is to ensure

    that Ontario's drinking water systems deliver

    water with a level of risk so negligible that a

    reasonable and informed person would feel safe

    drinking the water."

    Report of the Walkerton Inquiry:

    Strategy for Safe Drinking Water, 2002

  • PublicHealthOntario.ca

    What Happened in Walkerton – May 2000?

    3

    • Storm water infiltrated the municipal well resulting in pathogen contamination

    • Adverse test results of the drinking water supply were not acted upon immediately,

    and the community was exposed to

    contaminated drinking water

    • People began reporting illness on May 11th

    • Local medical officer of health issued boil water advisory on May 21st

    2,500 people

    became ill

    7 people died

  • PublicHealthOntario.ca

    Ontario Drinking Water Advisory Council

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    Recommendations

    “After this careful review of the current Regulation (170/03) as it

    applies to smaller, private systems, the Council has concluded the

    problems with the Regulation cannot be remedied through

    specific changes to the current Regulation.”

    • Health units would evaluate risks at individual systems and develop a system-specific water protection plan to ensure

    compliance with the drinking water quality standards.

    • The Small Drinking Water Systems (SDWS) Program was implemented in 2008 and consisted of regulations, tools,

    resources and training for public health inspectors and

    operators

  • PublicHealthOntario.ca

    PHO/MOHLTC Project

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    • The Environmental & Occupational Health team at Public Health Ontario (PHO) is engaged in numerous

    environmental health surveillance projects

    • Many health units have asked us to include SDWS!

    • Collaboration to review RCat (Risk Categorization Tool)• Objective: Identify how RCat could be used to support

    environmental health surveillance

    • Data was transferred to PHO summer 2017

    • Technical report expected spring 2018

  • PublicHealthOntario.ca

    Preliminary description of data

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    • RCat data: ~400 questions divided into 8 sections• Premises• Unit • General • Source • Treatment • Distribution • Sampling requirements• Calculations

    • Data extracted for all 36 health units

    • Approximate date range: December 2008 - May 2017

  • PublicHealthOntario.ca

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    Date range in RCat, by health unit

    2009 2010 2011 2012 2013 2014 2015 2016

  • PublicHealthOntario.ca 8

    Number of SDWS, by health unit (1)

    0

    200

    400

    600

    800

    1000

    1200H

    KP

    NW

    R

    NP

    S

    LGL

    SM

    D

    GB

    O

    KF

    L

    HP

    E

    TH

    B

    PT

    C

    RE

    N

    SU

    D

    HD

    N

    EO

    H

    YR

    K

    DU

    R

    OT

    T

    ALG

    WD

    G

    HA

    L

    HA

    M

    MS

    L

    HU

    R

    NIA

    WA

    T

    OX

    F

    BR

    N

    PD

    H

    TS

    K

    PE

    E

    ELG

    PQ

    P

    WE

    C

    LAM

    CH

    K

    TO

    R

    Nu

    mb

    er

    of

    Sy

    ste

    ms

    Health Unit

    Total Count: 17,260

  • PublicHealthOntario.ca 9

    Southern Ontario

    Number of small drinking water

    systems as captured by ID number

    Number of SDWS, by health unit (2)

  • PublicHealthOntario.ca 10

    SDWS premise types

    11%

    11%

    33%5%

    18%

    4%

    4%

    14%

    Restaurant

    Other Premise Type

    Public spaces (community

    centres, place of worship, etc.)

    Parks and Marinas

    Campgrounds/Cottages/Cabins

    Trailer park, migrant housing

    Commercial & Airport

    Hotel/Motel/Resort/B&Bs

    N = 16,087

  • PublicHealthOntario.ca 11

    53%

    30%

    4%13%

    Source Classification

    Secure

    Groundwater

    Non-Secure

    Groundwater

    Non-Secure

    Conditional

    Groundwater

    Surface water

    n = 7,445*

    53%

    47%

    Secure groundwater systems: Does

    the system provide primary

    disinfection?

    Yes

    No

    n = 3,917

    *Systems may report having more than one source (i.e.,

    double-counted). There are 7,080 unique system IDs.

    Source water classification & treatment

  • PublicHealthOntario.ca 12

    Total number of users across all systems

    • Important variable for health surveillance

    • Premises with a reported high number of users (>100,000):• Campgrounds• Golf courses• Restaurants• Recreational facilities

    • Premises with a reported low number of users (

  • PublicHealthOntario.ca 13

    Mapping data for use in

    surveillance

  • PublicHealthOntario.ca

    Telling a story with surveillance data

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    A campsite with 5 risk assessments:

    Understanding the importance of source water:

    • Additional improvements over time:• Record keeping • Qualifications of the owner/operator

    2011 2012 2013 2015 2016

    High Risk High Risk High Risk High Risk Low Risk

    Surface

    water

    Non-secure

    conditional

    groundwater

    Non-secure

    conditional

    groundwater

    Non-secure

    conditional

    groundwater

    Secure

    groundwater

    2011 2012 2013 2015 2016

  • PublicHealthOntario.ca 15

    Final risk category based on earliest risk assessment

    0

    200

    400

    600

    800

    1000

    1200

    ALG

    BR

    N

    CH

    K

    HA

    M

    OT

    T

    DU

    R

    EO

    H

    ELG

    GB

    O

    HD

    N

    HK

    P

    HA

    L

    HP

    E

    HU

    R

    KF

    L

    LAM

    LGL

    MS

    L

    NIA

    NP

    S

    NW

    R

    OX

    F

    PD

    H

    PE

    E

    PQ

    P

    PT

    C

    RE

    N

    SM

    D

    SU

    D

    TH

    B

    TS

    K

    TO

    R

    WA

    T

    WD

    G

    WE

    C

    YR

    K

    Nu

    mb

    er

    of

    Sy

    ste

    ms

    Low

    Medium

    High

  • PublicHealthOntario.ca 16

    Final risk category based on latest risk assessment

    0

    200

    400

    600

    800

    1000

    1200

    ALG

    BR

    N

    CH

    K

    HA

    M

    OT

    T

    DU

    R

    EO

    H

    ELG

    GB

    O

    HD

    N

    HK

    P

    HA

    L

    HP

    E

    HU

    R

    KF

    L

    LAM

    LGL

    MS

    L

    NIA

    NP

    S

    NW

    R

    OX

    F

    PD

    H

    PE

    E

    PQ

    P

    PT

    C

    RE

    N

    SM

    D

    SU

    D

    TH

    B

    TS

    K

    TO

    R

    WA

    T

    WD

    G

    WE

    C

    YR

    K

    Nu

    mb

    er

    of

    Sy

    ste

    ms

    Low

    Medium

    High

  • PublicHealthOntario.ca 17

    812

    1110

    1489

    12801326

    1115

    891939

    819

    266

    341

    224

    164165

    145

    129137

    95

    10

    39

    33

    95 49

    44

    68

    73

    46

    0

    200

    400

    600

    800

    1000

    1200

    1400

    1600

    1800

    2000

    2009 2010 2011 2012 2013 2014 2015 2016 2017*

    Nu

    mb

    er

    of

    Ad

    ve

    rse

    Wa

    ter

    Qu

    ali

    ty I

    nci

    de

    nts

    Year*

    Number of SDWS Program Adverse Water Quality

    Incidents, 2009-2017*

    INORGANIC

    ORGANIC

    Others

    MICROBIOLOGICAL

    *2017 data up to Aug 31, 2017

  • PublicHealthOntario.ca

    Acknowledgements

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    • Public Health Ontario: Chantal Burnett, John Minnery, Rena Chung & Ray Copes

    • Ministry of Health and Long-Term Care: Vanessa Robicheau, Cheryl Szikita

    Thank you

    We welcome your feedback on this project:

    Elaina MacIntyre, 647-260-7506

    [email protected]