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                                                                      9.2 Public Health Significance of Cross-Connections  299
                                             Investigation revealed that the funeral home had been using a hydraulic aspirator to drain
                                         fluids from the bodies of human “remains” as part of the embalming process. The aspirator
                                         connected directly to the water supply system at a faucet located on a sink in the “prepara-
                                         tion” (embalming) room. Water flow through the aspirator created suction that was utilized to
                                         draw body fluids through a hose and needle attached to the suction side of the aspirator.
                                             The contamination of the funeral home potable water supply was caused by a combi-
                                         nation of low water pressure in conjunction with the simultaneous use of the aspirator.
                                         Instead of the body fluids flowing into the sanitary drain, they were drawn in the opposite
                                         direction—into the potable water supply of the funeral home (see Fig. 9.1).


                    9.2.2  Sodium Hydroxide in the Water Main
                                         A resident of a small town in Alabama jumped in the shower at 5 a.m. one morning, and
                                         when he got out his body was covered with tiny blisters. “The more I rubbed it, the worse
                                         it got,” the 60-year-old resident said. “It looked like someone took a blow torch and
                                         singed me.”
                                             He and several other residents received medical treatment at the emergency room of
                                         the local hospital after the public water system was contaminated with sodium hydroxide,
                                         a strong caustic solution.



                                                                 Normal operation             Open
                                                         positive supply pressure potable water

                                                                            Closed


                                                                                              Cold

                                           Negative supply      Open         Hot
                                             pressure
                                              Closed

                                                                                    “Hydro”
                                                                 Cold               aspirator

                                                Hot





                                             Reverse flow through
                                               aspirator due to                           Body fluids
                                               back siphonage









                                         Figure 9.1 Reverse Flow through Aspirator Due to Backsiphonage
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