Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Division of Community Health and Humanities, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Int J Health Plann Manage. 2019 Apr;34(2):e1098-e1118. doi: 10.1002/hpm.2747. Epub 2019 Feb 8.
Existing public policies mostly focus on public water systems, leaving aside the quality issues regarding private wells in small and rural locations. Establishment of affordable and accessible water quality monitoring services may ensure acceptable levels of all the parameters. This paper aims to explore (a) health risk because of chemical contaminants of private wells, (b) population perspective on well water quality and monitoring, and (c) to create a business model of a centralized water quality monitoring service. The results show potential problems with toxic levels of arsenic, barium, cadmium, chromium, lead, mercury, and selenium. About 5% of the province's population is at risk for potential exposure to contaminated private well water. The survey reinforces that the successful implementation of water testing laboratories for private wells is a shared responsibility between well owners and the government organizations, and almost three-fourths respondents were willing to share the cost up to certain limit. A business model including financial projections for a centralized water testing laboratory is presented. Drinking of unmonitored private well water is putting population health at risk. Either strong regulation with mandatory water testing or voluntary water testing with adequate government subsidy can ensure sustainable function of a centralized water testing laboratory.
现有的公共政策大多侧重于公共供水系统,而忽略了小型和农村地区私人水井的水质问题。建立负担得起和可及的水质监测服务可以确保所有参数都达到可接受的水平。本文旨在探讨:(a)私人水井中化学污染物对健康的潜在风险;(b)公众对井水质量和监测的看法;(c)创建集中式水质监测服务的商业模式。结果显示,砷、钡、镉、铬、铅、汞和硒等有毒物质的含量存在潜在问题。该省约有 5%的人口面临接触受污染的私人井水的潜在风险。调查结果进一步证实,成功实施私人水井水质检测实验室是水井所有者和政府组织的共同责任,近四分之三的受访者愿意在一定限度内分担费用。本文提出了一个包括集中式水质检测实验室财务预测的商业模式。饮用未经监测的私人水井中的水会使公众健康面临风险。无论是强制性水质检测的严格监管,还是有足够政府补贴的自愿水质检测,都可以确保集中式水质检测实验室的可持续运作。