Continuous low-level basaltic volcanic activity, from Yasur Volcano in Tanna, and Marum and Benbow vents on Ambrym, occurred for as long as records have been kept in Vanuatu. The potential chronic health implications for the inhabitants of these two areas were investigated in a preliminary environmental sampling program. The focus was particularly on fluoride and other volcanic gas-derived chemical contamination in areas surrounding the volcanic centres. Little immediate contamination of the environment was evident for areas affected by volcanic ash and gas on Tanna, with water fluoride concentrations being elevated (to 0.42 mg x l(-1)) only within a lake adjacent to the active volcanic cone. Selected re-sampling in April 2001 following the long active phase of Yasur, revealed higher F levels in surface waters (to 1.05 mg x l(-1)). Analysis of cow rib bone and teeth indicated a possible long-term accumulation of F in grazing animals, which probably consume F-bearing volcanic ash and gas hydrates on the surface of plant leaves. No human impacts (including stress and respiratory problems) were noted, probably due to the constant and familiar low-level activity, plus the coarse nature of most ash ejecta. Ambrym appears to be a more F-concentrated system than Tanna, with volcanic ash containing 281 total and 36.7-43.6 soluble mg F x kg(-1) (cf. 178 total and 7.3-9.1 soluble mg F x kg(-1) on Tanna), and water levels reaching up to 2.8 mg F x l(-1) in rainwater tanks. The drinking water F levels on Ambrym are higher than WHO recommended levels, despite the being sampled during a substantial lull in eruptive activity, and signal potential for chronic dental and skeletal fluorosis.

The effect of a cyclone (Ami, January 2003) on drinking-water quality on the island of Vanua Levu, Fiji was investigated. Following the cyclone nearly three-quarters of the samples analysed did not conform to World Health Organisation (WHO) guideline values for safe drinking-water in terms of chlorine residual, total and faecal coliforms, and turbidity. Turbidity and total coliform levels significantly increased (up 56 and 62 per cent, respectively) from pre-cyclone levels, which was likely due to the large amounts of silt and debris entering water-supply sources during the cyclone. The utility found it difficult to maintain a reliable supply of treated water in the aftermath of the disaster. Communities were unaware they were drinking water that had not been adequately treated. Circumstances permitted this cyclone to be used as a case study to assess whether a simple paper-strip water-quality test (the hydrogen sulphide, H(2)S) kit could be distributed and used for community-based monitoring following such a disaster event to better protect public health. The H(2)S test results correlated well with faecal and total coliform results as found in previous studies. A small percentage of samples (about 10 per cent) tested positive for faecal and total coliforms but did not test positive in the H(2)S test. It was concluded that the H(2)S test would be well suited to wider use, especially in the absence of water-quality monitoring capabilities for outer island groups as it is inexpensive and easy to use, thus enabling communities and community health workers with minimal training to test their own water supplies without outside assistance. The importance of public education before and after natural disasters is also discussed.