3. Aquatabs®
Water treatment / WASH'Nutrition

 

 
 
 
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An integrated approach to reduce the risk of diarrhea, parasitic infections and intestinal inflammations (or environmental enteric dysfunction) and improve nutritional impact at a low price!
Effervescent chlorine tablets (NaDCC) for water treatment at the point of use. 

Added to water in a clean container, they dissolve rapidly and release a suitable dose of chlorine. They are:
Safe: improve drinking water quality and prevent its recontamination by ensuring a residual activity of the chlorine for 24 hours. 
Effective: against a spectrum of micro-organisms*.
Better accepted than hypochlorite in terms of taste and odor of treated water. 
Easy to use, store and handle (compared to liquid forms or granules). 
Do not require any energy source or maintenance operation. 
Not considered as hazardous merchandise for transport. 
Inexpensive. 

*The product is not effective against protozoans such as cryptosporidium oocysts. 

Quotation request

Aquatabs® are effervescent chlorine tablets (NaDCC) for water treatment at the point of use

 

Aquatabs® tablets are broadly used for water treatment at home and in emergency situations thanks to their simplicity of use and easy deployment. 

They are intended for a healthy population aged 2 years and over. 

For young children and immunodeficient persons, in particular children with severe acute malnutrition, it is recommended to use Aquatabs® in clear water < 10 NTU (Nephelometric Turbidity Unit).

For turbid water > 100 NTU, it is recommended to carry out a physical clarification step before chlorination (coagulation/flocculation/filtration) or to double the dose of chlorine. 

Clorination inactivates most pathogens responsible for diarrhea diseases in humans. A preliminary filtration pretreatment step is required to eliminate protozoans such as cryptosporidium oocysts. 

Aquatabs® complies with European standards (EN12931: 2000) and to the specifications of WHO and the FAO for drinking water: Round I of the evaluation of household water treatment products (Household Water Treatment – HWT). 

 

Disinfects water: recommended doses

The tablets are available in strips of 10 tablets under different formats according to the volume and nature of the water to be treatment (measurement of the particle load per million – ppm).

 

Group the products: combine the products in the field

 

  • Access to potable water in severe-acute malnutrition treatment centers is crucial for diagnostic and follow-up activities (≈ 5 liters / consultation/ day), for hospitalized patients (ASM with complication ≈ 40 liters / day), to maintain the structure and personnel.
  • Reconstitution of therapeutic, F-75/F-100 milk requires potable water.
  • Boiling water requires combustion material and extra time.

 

 

 

  • Distribution of Plumpy’Nut® rations (generally 42 bags for 2 weeks) rounds out the care packages along with water-disinfecting tablets for the entire family.
  • Distribution of an additional package of water-disinfecting tablets included in the Plumpy’Nut® packages can lower the dropout rate by inspiring them to return to the health-center at the end of the treatment and to mitigate the relapse-rate (60 days on average) by extending it beyond the one-time child-treatment duration.
  • Distribution and follow-up, combined with chlorination and at-home nutritional management minimizes the cost and helps to localize interventions.

 

 

 

  • Diarrhea episodes can be managed via Oral Rehydration Therapy (ORT) salts which are reconstituted in potable water (2 liters of water to be consumed for two days after the first symptoms) and ZinCfant® (zinc sulfate) (tablets to be dissolved in a teaspoon of water or maternal milk).
  • Practitioners (doctors, pharmacists) can prescribe, or provide free access to, kits which can ensure potable-water throughout the diarrhea-management period, not just for the concerned child but for the entire family.

 

 

Combined plans can be proposed to Nutriset or its partners. Co-packing options will also be considered.

Aquatabs® must not be ingested.

 

Physicochemical properties 

  Aquatabs® 33 mg Water-Disinfection Tablets  Aquatabs® 67mg Water-Disinfection Tablets Aquatabs®  167mg Water-Disinfection Tablets 
Active ingredient Troclosene Sodium or Sodium dichloroisocyanurate (CAS No. 2893 – 78 -9)
Excipients Adipic Acid/ Sodium bicarbonate/ Sodium carbonate
Appearance White/off white, flat beveled edged, effervescent tablet
Odour Slight chlorine odour
Average weight 52.8 – 57.2 mg (55 mg) 163.2 – 176.8 mg (170 mg) 327 – 341 mg (334 mg)
Hardness ≥9N ≥ 14.71N ≥ 39.24N
Disintegration  ≤ 5 minutes (in 200ml of water)
NaDCC content 29.70 – 36.30 mg NaDCC per tablet 60.3 – 73.7 mg NaDCC per tablet 150.3 – 183.7 mg NaDCC per tablet
Available chlorine 19.16 – 23.41 mg (21.9 mg) available chlorine per tablet 38.89 – 47.54 mg (43.22 mg) available chlorine per tablet 96.94 – 118.49 mg (107.72 mg) available chlorine per tablet
pH 5-6
Shelf life 5 years


 

 

Black, RE Allen, LH Bhutta, ZA et al., Maternal and child undernutrition: global and regional exposures and health consequences, Lancet (2008)

Dangour AD1, Watson L, Cumming O, Boisson S, Che Y, Velleman Y, Cavill S, Allen E, Uauy R. Interventions to improve water quality and supply, sanitation and hygiene practices, and their effects on the nutritional status of children (2013)

Foreword to the « 2+6=17 Linking WASH and Nutrition – A Blueprint for Living SDG17 » (2017)

Rogers E1, Tappis H2, Doocy S2, Martínez K3, Villeminot N3, Suk A4, Kumar D4, Pietzsch S3, Puett C3.Costs and cost-effectiveness of three point-of-use water treatment technologies added to community-based treatment of severe acute malnutrition in Sindh Province, Pakistan (2019)

WHO-UNICEF-USAID - Improving nutrition outcomes with better water, sanitation and hygiene: Practical solutions for policy and programmes (2015)

ACF WASH’NUTRITION Guidebook, Integrating water, sanitation, hygiene and nutrition to save lives (2017)

UNICEF Strategy for Water, Sanitation and Hygiene 2016-2030 (2016)

Fewtrell L1, Kaufmann RB, Kay D, Enanoria W, Haller L, Colford JM Jr. Water, sanitation, and hygiene interventions to reduce diarrhoea in less developed countries: a systematic review and meta-analysis (2005)

Household Water Treatment and Safe Storage (HWTS) 

Chlorination of drinking water in emergencies: a review of knowledge to develop recommendations for implementation and research needed (2017)

Lantagne, D.S., Chlorine Dosing Report. Dar es Salaam and Surrounding Areas, Tanzania. 2005. Centres for Disease Control and Prevention, Atlanta, USA. 

McLennan, S., L.A. Peterson and J.B. Rose ‘Comparison of point-of-use technologies for emergency disinfection of sewage-contaminated drinking water’, Antimicrobial Agents & Chemotherapy 75(22): 7283–6 (2009)

Clasen and Smith, 2005 Clasen, T. and L. Smith "The Drinking Water Response to the Indian Ocean Tsunami, Including the Role of Household Water Treatment" [online], Geneva: World Health Organization (2005)

Lantagne, D. and T. Clasen ‘Use of household water treatment and safe storage methods in acute emergency response: case study results from Nepal, Indonesia, Kenya, and Haiti’, Environmental Science and Technology 46(20): 11352–60  (2012b)

Patrick, M., D. Berendes, J. Murphy, F. Bertrand, F. Husainand T. Handzel ‘Access to safe water in rural Artibonite, Haiti 16 months after the onset of the cholera epidemic’, American Journal of Tropical Medicine and Hygiene 89(4): 647–53 (2013)

WHO Guidelines for Drinking-water Quality [pdf], 4th edition, Geneva: World Health Organization (2011)

EPA ‘List of drinking water contaminants and their MCLs: national primary drinking water regulations’ (2016b)

Results of Round I of the WHO International Scheme to Evaluate Household Water Treatment Technologies (2016)