Effects of a tropical cyclone on the drinking-water quality of a remote Pacific island.

The effect of a cyclone (Ami, January 2003) on drinking-water quality on the island of Vanua Levu, Fiji was investigated. Following the cyclone nearly three-quarters of the samples analysed did not conform to World Health Organisation (WHO) guideline values for safe drinking-water in terms of chlorine residual, total and faecal coliforms, and turbidity. Turbidity and total coliform levels significantly increased (up 56 and 62 per cent, respectively) from pre-cyclone levels, which was likely due to the large amounts of silt and debris entering water-supply sources during the cyclone. The utility found it difficult to maintain a reliable supply of treated water in the aftermath of the disaster. Communities were unaware they were drinking water that had not been adequately treated. Circumstances permitted this cyclone to be used as a case study to assess whether a simple paper-strip water-quality test (the hydrogen sulphide, H(2)S) kit could be distributed and used for community-based monitoring following such a disaster event to better protect public health. The H(2)S test results correlated well with faecal and total coliform results as found in previous studies. A small percentage of samples (about 10 per cent) tested positive for faecal and total coliforms but did not test positive in the H(2)S test. It was concluded that the H(2)S test would be well suited to wider use, especially in the absence of water-quality monitoring capabilities for outer island groups as it is inexpensive and easy to use, thus enabling communities and community health workers with minimal training to test their own water supplies without outside assistance. The importance of public education before and after natural disasters is also discussed.