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Slide1: 

Where Healthcare Meets Policy

Slide2: 

Healthy Waters: A Public Trust Where Healthcare Meets Policy

Should We Worry About Running Out of Water?: 

Should We Worry About Running Out of Water? 70% of the earth is covered by water 97% is salt water 3% is fresh water (much is trapped in glaciers, icebergs, snow) Only 1% is fresh and available “We’re not running out of water. We’re running out of fresh water.” – Dr. Kerstin Leitner World Health Organization “In the vastness of the planets’ oceans and the pureness of its rivers lies the very basis of life itself.” – “Protecting International Waters: Sustaining Livelihoods” United Nations Water Study Sources: Protecting International Waters: Sustaining Livelihoods. United Nations Development Programme. Swanson P. Water: The Drop of Life. 2001. Northword Press, Minnetonka, Minnesota. Leitner K. Personal communication, October 15, 2004.

Human Beings Are Critically Dependent on Water for Life: 

Human Beings Are Critically Dependent on Water for Life An average human: Consumes 2.3 liters/water/day Releases 2.3 liters/water/day .5 liters  sweat .3 liters  respiration 1.5 liters  waste 1/6 of humans (1.1 billion people) lack reliable access to clean water Sources: Swanson P. Water: The Drop of Life. 2001. Northword Press, Minnetonka, Minnesota. Water for Health: WHO’s Guidelines for Drinking-Water Quality. Geneva, World Health Organization, 2004. Global Water Supply and Sanitation Assessment 2000 Report. Geneva, World Health Organization, 2000. Water dependency Lose 1%  thirsty Lose 5%  mild fever Lose 10%  immobile Lose 12%  death 70% of the human body is water

Source Points of Water Are Complex, Interdependent, and Fragile: 

Source Points of Water Are Complex, Interdependent, and Fragile Seawater: 80X as dense as air Support needs of many species Create 50 billion tons of life per year Yield 90 million metric tons of fish to humans per year Absorb 8 billion tons of carbon dioxide per year Provide secure environment for biological cells Oceans Watershed Areas Cover 45% of land Nourish locations that support 60% of global population 261 watersheds cross 2 or more countries’ boundaries Pollution runs downstream Sewage Unregulated industry waste Poor land management Agricultural runoff 40% of global population lacks access to proper sanitation. In Bangladesh 60% have no access to latrines. Sources: Protecting International Waters: Sustaining Livelihoods. United Nations Development Programme. Water for Health: WHO’s Guidelines for Drinking-Water Quality. Geneva, World Health Organization, 2004.. Kenchington RA. Managing marine environments: an introduction to issues of sustainability, conservation, planning and implementation. In: Conserving marine environments: out of site out of mind. Pat Hutchings and Dan Lunney (eds.). 2003. Royal Zoological Society of New South Wales. Mosman, NSW Australia. From Source Water to Drinking Water. Workshop Summary. Institute of Medicine, 2004.

Waste Easily Finds Its Way Into Surface Water and Underground Water: 

Waste Easily Finds Its Way Into Surface Water and Underground Water Human waste Agricultural waste Industrial waste Pollution and Disease In Varanasi, India, 60,000 people bathe in the polluted Ganges River each day 4 billion cases of diarrhea per year worldwide 2.2 million deaths 15% of all deaths among children under 5 in developing countries Sources: Swanson P. Water: The Drop of Life. 2001. Northword Press, Minnetonka, Minnesota. Global Water Supply and Sanitation Assessment 2000 Report. Geneva, World Health Organization, 2000.

While Demand for Fresh Water is Increasing, Our Limited Supply Is Further Diminished : 

While Demand for Fresh Water is Increasing, Our Limited Supply Is Further Diminished Individual consumption varies: 4 liters/day: Masai, Africa 500 liters/day – Los Angeles WHO Standards Consumption Agriculture – 70% of fresh water Standard irrigation (50% gets to roots) New drip irrigation (90% gets to roots) Middle East: .9% of fresh water 5% of global population Demand 1 ton of wheat = 1,000 tons of water 75 liters/day – protect against household disease 50 liters/day – basic sanitation Population 2004 – > 6 billion 2050 – > 12 billion Water shortages 2020 – 50 nations, severe 2025 – many nations will need water from hostile neighbor Industry Only 10% of water used goes into product 90% is discarded, often permanently fouled Sources: Swanson P. Water: The Drop of Life. 2001. Northword Press, Minnetonka, Minnesota. Water for Health: WHO’s Guidelines for Drinking-Water Quality. Geneva, World Health Organization, 2004.

Ensuring Healthy Waters Requires Wise Policy and Grassroots Activation of Leaders: 

Ensuring Healthy Waters Requires Wise Policy and Grassroots Activation of Leaders The Aral Sea “A Cautionary Tale” Two Rivers Diverted to Support Cotton Fields Open Ditch Irrigation – Loss of Water Aral Sea Shrunk to 1/2 Size  Salinity  Dead fish Sources: Swanson P. Water: The Drop of Life. 2001. Northword Press, Minnetonka, Minnesota. Hidalgo L. Aral Sea poison dust danger. BBC News. February 18, 2000. 60,000 people impacted Dust from seabed blew to the Antarctic, ingested by penguins Deposited on Himalayan peaks, caused early melting of snow

Faced with Such a Complex and Expansive Challenge , Where Do We Begin?: 

Faced with Such a Complex and Expansive Challenge , Where Do We Begin? Priorities Water – fundamental human right Efficiency and conservation Match specific water demand to quality needed Maximize use of reclaimed water at site Sustained resources for technology, training, infrastructure Enforce healthy land use policy Attention on agriculture and industry Emphasis on water education, water as ultimate human resource Sources: Swanson P. Water: The Drop of Life. 2001. Northword Press, Minnetonka, Minnesota. Hidalgo L. Aral Sea poison dust danger. BBC News. February 18, 2000.

Slide10: 

Healthy Waters: A Public Trust Where Healthcare Meets Policy Release Date: 1/19/2005 www.healthpolitics.com

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