A mixed-method examination of risk factors in the truck-to-cistern drinking water system on the Beardy's and Okemasis First Nation Reserve, Saskatchewan.

The provision of safe drinking water is a key driver of public health and a pressing health issue facing First Nations communities in Canada. Contaminated water is a perennial issue for reserve communities across the country despite numerous government investments. Many First Nations communities rely heavily on cistern use for their drinking water supply; however, bacterial contamination within these systems is frequent and a common reason for household boil water advisories. The sources of contamination during the process of hauling water to cisterns in First Nations communities have received limited attention in academic research. The purpose of this research is to identify the risks to water quality through the truck-to-cistern water system. In partnership with a Saskatchewan First Nations community, drinking water quality was monitored in the treatment plant, in delivery trucks and at 142 household cisterns and taps from July to October, 2014. Risks to water supply were identified through monthly water sampling and laboratory analysis, key informant interviews, and observation. Coliform contamination in trucks, cisterns and taps was most common during August. Total coliforms were more likely to be found in cisterns compared to household taps and samples from trucks. Chlorine residuals were lower in household tap samples than in cisterns for August and September. Together with the community, investigators identified contamination and bacteriological growth in cisterns and household distribution systems, and variable levels of total chlorine concentrations depending on month and site of sampling. Recommendations are provided for advancing guidelines on management of truck-to-cistern drinking water supply chains in First Nations. [ABSTRACT FROM AUTHOR]