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water quality
and infrastructure
monitoring
s early as 500 BC, drinking water appearance, taste, and odor
characteristics were used to assess drinking water quality and
safety. In the 1850s, John Snow assessed customer illness
reports to determine that a pump on Broad Street in London,
England, was contaminated with cholera and was causing illness and fatalities (Hall & Dietrich, 2000). Over the next 150 years, scientific exploration uncovered water treatment and distribution techniques
that would eventually provide safe drinking water to
millions of people worldwide. In addition to these
developments, researchers established relationships
C U S TO M E R F E E D BA C K C A N B E A VA L UA B L E TO O L B U T O N LY
among drinking water infrastructure, treatment
I F U T I L I T I E S E F F E C T I V E LY M A N A G E T H I S I N F O R M AT I O N .
operations, water quality, waterborne disease, and
population health. Many of the waterborne disease
incidents chronicled in affluent countries during the
past 30 years were first detected when customers complained about
odd tastes, odors, and illnesses (Hrudey & Hrudey, 2004; Craun &
Calderon, 2001; Payment et al, 1997). Significant technological advances
in water treatment and distribution have been achieved, but an important resource for water utilities is one that is often overlooked. Utility
customerswho are located throughout the distribution systemcan
play an important role as monitors for water quality and public health.
62
A standardized list of descriptors can facilitate data management when customers call their
utility with complaints about the appearance of their water.
63
Intentional
injection
5%
Accidental
backflow
41%
Source
contamination
9%
Operationscaused problems
27%
64
2.0
Turbidityntu
A
South plant
North plant
1.5
1.0
0.5
April 30
April 24
April 20
April 12
April 6
March 31
March 25
March 19
March 13
March 7
March 1
0.0
Tubidity Readingdate
50
B
South plant
North plant
40
30
20
10
April 12
April 20
April 24
April 30
April 12
April 20
April 24
April 30
April 6
March 31
March 25
March 19
March 13
March 7
March 1
Complaintdate
7
C
South nursing home
North nursing home
6
5
4
3
2
1
April 6
March 31
March 25
March 19
March 13
March 7
0
March 1
Callsnumber
Symptom Onsetdate
Reprinted with permission of Proctor et al, 1998.
Outcome trends for: daily maximum effluent turbidity at treatment
plants (A), daily number of customer complaints received (B), and
daily prevalence of nursing home diarrhea rates per 100 residents (C).
65
TABLE 1
Population served
21 (101,600)
1,880 (1806,000)
8,178 (0108,000)
TABLE 2
3 (0125)
1,880 (3180)
Procedure
Utilities Using
Procedure%
50
42
33
Number of utilities responding = 12. Percentages exceed 100% because some utilities used more than one
method to receive and route calls.
66
Suspicious
activity
11%
Water-associated
illness
5%
Insufficient
pressure/flow
37%
Unusual
taste/odor
21%
Unusual
appearance
26%
67
TABLE 3
It was a common utility staff practice to request additional information from the customer concerning
the nature of the customers complaint. The following examples represent the types of questions that customers were asked.
Can you describe the problem?
Is the problem at one faucet or
throughout the building?
When did you first notice the
problem?
Is the problem in both the hot
and cold water?
Has there been any recent
plumbing work done on the
premises?
Has the water heater been
turned off?
Are you new to the premises?
Have you noticed any unusual
tastes or odors in the water?
Problem Category
Utility A
Utility B
Chlorine
Sulfur/sewage
42
Metallic
Earthy/musty
Solvent/gasoline
Cloudy
10
Rusty
11
Sediments
Particles
Utility C
Utility D
2
55
11
Black
Green
Blue
Yellow
Health
Odor
19
Taste
Appearance
5
32
24
19
33
Cross connection
7
1
Reclaim
Total
55
1
100
100
100
100
68
TABLE 4
Method
Paper files
75
Spreadsheets
42
33
17
Number of utilities responding = 12; percentages exceed 100% because some utilities used more than
one method to store customer feedback data.
TABLE 5
Percent Responding%
Customer Feedback Data Linkages
Current
Desired
Total
77
23
100
15
62
77
46
46
38
38
23
23
Number of utilities responding = 13; results indicate percent of utilities that currently implement or
would like to implement a specific customer feedback integration action.
facilitate sharing data with other utilities and agencies such as public
health and municipal services. The
increased use of water wholesaling,
consecutive systems, and interconnected systems makes the case for
using consistent terminology across
utilities. The public health field has
69
FIGURE 4 The filter, funnel, and focus approach to customer feedback data
optimization
Primary source:
Water utility call center
Funnel
Secondary source:
other agencies
Nonwater quality
related calls
Secondary source:
other utility departments
Data Enhancement
Telephone Menu
Navigation
Telephone
menu system
Filter
Focus
Feedback
database
Work order
70
BETTER MANAGEMENT
OF CUSTOMER FEEDBACK
CAN ENHANCE ITS VALUE
Given the potential contribution of
customer feedback, utilities that want
to improve drinking water system surveillance should focus on improving
their systems for handling customer
feedback. Utilities can control how they
handle and process customer feedback,
thus increasing its value as an aid in
detecting and responding to problems.
Call taker
Operations
Suspicious
activity
Facilities
Hydrants
Storage tanks
Intake
Buildings
Fencing
Other
Pressure
No water
Low pressure
High pressure
Other
Other:
inquiry billing,
meter reading
Water quality
Appearance
Cloudy/milky
Rusty
Floating particles
Settling particles
Red/brown
Black
White
Green/blue
Other
Sweet
Sour
Bitter
Salty
Metallic
Earty/musty
Septic/sulfur
Chemical/medicinal
Chlorine/bleach
Gasoline
Other
Illness
Miscellaneous
Skin/rash
Diarrhea/stomach
Headaches/dizzy
Fever/flu
Cough/breathing
Bleeding
Vision/speech
Pet/animal
Stains
Scale/spots
Plant/garden
Other
The basis of this approach is also shown in Table 6 and Figure 6. Facility descriptors are based on the US Environmental Protection Agency
Response Protocol Toolbox (USEPA, 2003). Taste and odor descriptors are based on the taste and odor wheel (Suffet et al, 1999). Illness
descriptors are adapted from accepted categories of Health Level 7 (RODS Laboratory, 2006). All other descriptors were compiled from utility
site visits and literature data.
71
TABLE 6
Tier 1 Classification
Selected
Tier 2 Category
Selected
Tier 3 Descriptors
Selected
Engineering/distribution
Facility
Vehicles/equipment
Engineering/distribution
Pressure/flow
Other
No water
Engineering/distribution
Pressure/flow
No water
Engineering/distribution
Pressure/flow
No water; other
Low pressure
Engineering/distribution
Pressure/flow
Low pressure
Engineering/distribution
Pressure/flow
Other
Water quality
Appearance
Discolored water
Water quality
Appearance
Cloudy/milky
Water quality
Appearance
Floating particles
Water quality
Illness
Skin/rash, vision/speech
Water quality
Taste/odor
Chemical/medicinal
The basis of the three-tiered approach to customer feedback data coding is also shown in Figures 5 and 6.
72
RECEIVING INFORMATION
Customer Name:
Date:
Follow-Up Needed?
Yes / No
Go to Work Order
Address:
Telephone:
Time:
CODING
OPERATIONS
WATER QUALITY
WATER QUALITY
FACILITY ISSUES
MISCELLANEOUS ISSUES
Descriptor
Descriptor
Descriptor
Hydrant
Storage Tank
Intake
Building
Fencing
Other
Sweet
Sour
Bitter
Salty
Metallic
Earthy/Musty
Septic / Sulfur
Chemical / Medicinal
Chlorine / Bleach
Gasoline
Other
Pet / animal
Stains
Scale / spots
Plant / garden
Other
PRESSURE ISSUES
Descriptor
No Water
Low Pressure
High Pressure
Other
SUSPICIOUS ACTIVITY
COMMENTS
ILLNESS ISSUES
Descriptor
WATER QUALITY
APPEARANCE ISSUES
Descriptor
Cloudy / Milky
Rusty
Floating particles
Settling particles
Red / Brown
Black
White
Green / Blue
Other
Skin / Rash
Diarrhea/ Stomachache
Headache / Dizzy
Fever / Flu
Cough / Breathing
Bleeding
Vision / Speech
Other
73
74
SUMMARY
A review of the published literature and onsite interviews with 13
utilities tracked the importance of
customer feedback in monitoring
operations and the necessity of effectively capturing, organizing, storing, and analyzing data received
from customers. This research
yielded the following findings and
observations:
Customer feedback helped
water utilities uncover water quality, operations, and infrastructure
access problems. An integrated customer feedback analysis tool would
allow utilities to improve water quality and infrastructure monitoring.
Although all utilities that participated in this project responded
promptly to customer concerns and
feedback, not all utility personnel perceived broader data analysis as a valuable tool for improving water quality and infrastructure monitoring.
Utilities desire and are working toward integrating customer feedback data with GIS and hydraulic
and water quality models.
Improved communications and
planning among utilities, health agencies, and law enforcement would
benefit both the customer and the
water industry.
Utilities should evaluate and
organize customer feedback data
acquisition and work practices to
optimize their drinking water surveillance systems.
A three-tiered approach to customer feedback data coding and a
water industry check sheet have been
proposed. A set of uniform descriptors is needed, especially to facilitate
communication and data-sharing
among utilities.
Utilities must train personnel
on how to receive, investigate, and
solve customer feedback issues pertaining to water quality, operations,
and security problems.
Research is needed to develop
and test statistical approaches for customer feedback analyses. In addition,
efforts should be directed toward
development of trigger levels at util-
REFERENCES
Allgeier, S.C. & Murray, R., 2005. Contamination Warning Systems: Framing the
Problem. Proc. 2005 AWWA WQTC,
Quebec.
Bartels, J.H.M.; Burlingame, G.A.; & Suffet,
I.H., 1986. Flavor Profile Analysis: Taste
and Odor Control of the Future. Jour.
AWWA, 78:3:50.
Berger, M.; Shiau, R.; & Weintraub, J.M.,
2006. Review of Syndromic Surveillance: Implications for Waterborne Disease Detection. Jour. Epidemiol. &
Community Health, 60:6:543.
Booth, S. & Brazos, B., 2004. Qualitative Procedures for Identifying Particulate Matter in Distribution and Tap Waters.
AwwaRF, Denver.
Burlingame, G.A. & Anselme, C., 1995. Distribution System Tastes and Odors.
Advances in Taste-and-Odor Treatment and Control (I.H. Suffet,
J. Mallevialle, and E. Kawczynski,
editors). AwwaRF/Lyonnaise des Eaux,
Denver.
ACKNOWLEDGMENT
Funding for this project was provided by the AWWA Water Industry
Technical Action Fund and the
Awwa Research Foundation. The
authors thank the 13 utilities and
their staff members who participated in interviews and data-sharing. The insights provided by the
members of the Project Advisory
Committee and Patricia Meinhardt
of Arnot Ogden Medical Center
(Elmira, N.Y.) are also acknowledged. Discussions with members
of the USEPA Water Security Initiative team were helpful and
insightful.
75
RODS (Real-time Outbreak and Disease Surveillance) Laboratory, 2006. RODS Version 4.2 User Manual. University of
Pittsburgh, Pittsburgh, Pa.
76
Taylor, W.D.; Losee, R.F.; Torobin, M.; Izaguirre, G.; Sass, D.; Khiari, D.; & Atasi,
K., 2006. Early Warning and Management of Surface Water Taste-and-Odor
Events. AwwaRF, Denver.