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                    298  Chapter 9  Cross-Connection Control
                                             Cross-connections are the links through which it is possible for contaminating materi-
                                         als to enter a potable water supply. The contaminant enters the potable water system when
                                         the pressure of the polluted source exceeds the pressure of the potable source. The action
                                         may be called backsiphonage or backflow. Essentially it is reversal of a hydraulic gradient,
                                          and it can be produced by a variety of circumstances.
                                             One might assume that the steps for detecting and eliminating cross-connections
                                          would be elementary and obvious. The reality, however, is that cross-connections can
                                          appear in many subtle forms and in unsuspected places. Reversal of pressure in the water
                                          may be freakish and unpredictable. The probability of contamination of drinking water
                                          through a cross-connection occurring within a single plumbing system may seem remote,
                                          but considering the multitude of similar systems, the probability is great. Cross-
                                          connections exist for these reasons:
                                             1. Plumbing is frequently installed by persons who are unaware of the inherent
                                                dangers of cross-connections.
                                             2. Oftentimes, connections are made as a simple matter of convenience without re-
                                                gard to dangerous situations that might be created.
                                             3. Connections are made with reliance on inadequate protection such as a single valve
                                                or other mechanical device.
                                             To combat the dangers of cross-connections and backflow connections, education in
                                          their recognition and prevention is needed. First, plumbing installers must know that
                                          hydraulic and pollutional factors may combine to produce a sanitary hazard if a cross-
                                          connection is present. Second, they must realize that reliable and simple standard backflow
                                          prevention devices and methods are available that can be substituted for convenient but
                                          dangerous direct connections. Third, plumbing installers must understand that the hazards
                                          resulting from direct connections greatly outweigh the convenience gained from a quick
                                          and direct connection.


                    9.2  PUBLIC HEALTH SIGNIFICANCE OF CROSS-CONNECTIONS

                                         Public health officials have long been aware of the threat to public health that cross-
                                         connections represent. Because plumbing defects are so frequent and the opportunities
                                         for contaminants to invade the public drinking water through cross-connections so gen-
                                         eral, enteric illnesses caused by drinking water may occur at most any location and at
                                         any time.
                                             The following documented cases of cross-connection problems illustrate and empha-
                                         size how cross-connections have compromised water quality and public health.


                    9.2.1  Human Blood in the Water System
                                         Health department officials cut off the water supply to a funeral home located in a large
                                         southern city after it was determined that human blood had contaminated the freshwater
                                         supply. The chief plumbing inspector had received a telephone call advising that blood was
                                         coming from drinking fountains within the funeral home building. Plumbing and county
                                         health department inspectors went to the scene and found evidence that blood had been cir-
                                         culating in the water system within the building. They immediately ordered the building
                                         cut off from the water system at the meter. City water and plumbing officials said that they
                                         did not think that the blood contamination had spread beyond the building; however, in-
                                         spectors were sent into the neighborhood to check for possible contamination.
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