Health for a Lifetime

Water

Three Angels Broadcasting Network

Program transcript

Participants: Don Mackintosh, Allan Handysides

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Series Code: HFAL

Program Code: HFAL000098


00:46 Hello, and welcome to Health For a Lifetime.
00:48 I'm your host Don Mackintosh and today we are going to be
00:50 talking about water and here to talk with us is
00:53 Dr. Alan Handysides. Welcome doctor!
00:55 Thank you very much, it's a pleasure to be here!
00:57 Now water is a big thing I think, it probably makes up
01:00 what, 70/80% of the body?
01:02 Oh yes, it's a big thing, it makes up about that much
01:06 of the planet's surface too.
01:07 When you look at the world from space, it's the blue planet.
01:11 Many people take it for granted that they have good water
01:14 but is that really true?
01:17 Well here in North America, probably most of us do have
01:21 good water. But if we were to look at the world's globe people
01:25 globally, if we were to look at it it is not true.
01:27 About only three percent of the world's water is fresh water
01:33 and probably less than half that is clean fresh water
01:39 that we can drink, and that means unpolluted,
01:42 and not all of that is available.
01:44 Now you were mentioning that the World Health Organizations
01:47 so called WHO, had a big meeting about water recently
01:52 and then what was that all about?
01:54 Well they had, I believe it was the 22nd of March, 201,
01:59 was designated the World Water Day.
02:02 It was to draw attention to the fact that there are
02:06 six billion people in the world and that 40% of them
02:10 do not have access to safe water.
02:13 Forty percent! Forty percent of six billion.
02:17 So this is almost a crisis.
02:20 It's an ongoing crisis, it's been a crisis for so long
02:25 you know, that sometimes we forget about it.
02:28 Because here in America or where we are filming this,
02:33 we are just not aware of those types of things
02:35 this is more of a world-wide problem that we
02:38 really need to address.
02:40 When I first went to Africa as a missionary,
02:42 it was only then that I realized the importance of water
02:46 I had just taken water for granted and I am sure
02:49 most of us in North America... we just think it comes
02:52 out of the taps, we don't really know how it got into the taps,
02:54 we are not aware of how it's been purified or prepared for us
03:00 we just take it for granted.
03:02 But then when I went to Africa I suddenly realized,
03:04 even if you are looking at a piece of land,
03:06 you know somebody wants... can you put a clinic here
03:08 or could we build something. The first and most important
03:12 question is what's the water supply,
03:15 it's not coming down a pipe,
03:17 so where are you going to get your water.
03:19 Is it that there is less water available,
03:23 less fresh water available? Has the source of fresh water
03:27 changed, or what is the problem?
03:29 No, I don't think that the source of fresh water
03:32 has changed. A lot of the fresh water is locked up in the
03:34 polar ice caps, that's where there is a lot of fresh water
03:38 locked up in the polar ice caps.
03:40 But there has probably not been a dramatic change
03:44 in the last few centuries any how in the availability of water
03:50 but there has been a lot of contamination and pollution
03:54 of the water. So we have in countries of
03:57 developing nations or developed nations
03:59 we've had problems with pollution with mercury, lead,
04:04 toxic products, the dioxins, and so forth.
04:07 Then in developing countries the problem is that it's often
04:12 contaminated by human and animal waste,
04:15 so that it is biologically contaminated.
04:17 So sanitation is a big issue.
04:21 Way big, it's a massive massive problem.
04:25 I'll give you and example, schistosomiasis,
04:30 that's a big name.
04:31 In South Africa the South Africans and Southern Africans
04:35 call it bilharzia, and that is not named after William Harzia,
04:39 it's just a name that they give.
04:41 That's caused by human excreta containing the eggs of the
04:48 schistosomiasis getting into the water infecting snails
04:52 which live maybe in the reeds on the reeds and so forth,
04:55 infects the snails, goes through a cycle in the snail,
04:58 and then they release into the water the second phase
05:03 of these organisms which can pierce the skin.
05:05 So bathers, swimmers, children playing in the water...
05:10 the microorganism gets through the skin,
05:12 crawls in the lymphatic's, goes up and finds itself
05:16 into the blood vessels of either the bladder or large bowel.
05:21 It will mature into a worm, a worm is going to live
05:25 in a blood vessel, and a male will find a female,
05:28 they will envelope with each other like this,
05:32 and they will remain mated and will lay eggs
05:35 in the wall of the blood vessel which will migrate through
05:38 into the bowel and into the bladder.
05:40 Now there are six hundred million people on the surface
05:46 of the earth's globe that are infected with schistosomiasis.
05:50 Ohh! Now these are diseases that we haven't even heard of,
05:52 I know when I say the word schistosomiasis...
05:55 But think of the numbers of people, and you know sometimes
05:59 we make these matters worse our- selves by how we handle water.
06:03 For instance when they put in dams you put in the Aswan Dam,
06:07 schistosomiasis just came in like a plague after that.
06:11 I'm looking at them building on the Yangtze,
06:13 this is going to be the largest dam in the world,
06:16 to dam back and control the flood waters of the Yangtze,
06:19 and you say, I wonder what the effect is going to be?
06:22 Now why is that? The Aswan Dam, they stop up the water...
06:27 is that there near Egypt?
06:28 That's near, yes. Right! That water is backed up
06:33 and what happens, is it a breeding ground for that?
06:35 Yes, are using the water, the perimeter has increased
06:40 so much more because now it is not just a river that is running
06:43 through, it is a vast perimeter of a huge lake.
06:45 All the people are using it, bathing in it,
06:48 doing other things in it that they shouldn't be doing,
06:52 and the runoff from the land ...so we get this situation of
06:57 of human contamination and polluted waters, bacterial...
07:02 So we don't have systosomiasis, schistosomiasis,
07:06 here in the United States as much. No!
07:09 But what do you do when you treat that?
07:11 You've got these worms and eggs and everything
07:13 in your body, what happens?
07:14 Well, of course there are anti- worm medicines
07:17 that can be given, not without some toxic effects,
07:21 they will given and hopefully you will kill off these worms
07:24 and stop the process of the laying of the eggs.
07:26 But the fibrosis, the scarring, that is still there,
07:31 schistosomiasis is a potent cause of bladder cancer
07:34 because it interferes with the lining of the bladder
07:38 and you get these cancer. I remember the one time
07:40 with limited diagnostic abilities, I felt this lump
07:43 in a woman's abdomen on examination, and I thought
07:47 well, she's got fibroids. Well, she was complaining
07:49 and so we opened her up and it wasn't a lump in the bladder,
07:53 in the uterus, it was a huge bladder carcinoma.
07:57 When we sent away the tissue, of course it was infested with
08:01 schistosomiasis, plus the cancer which came on the top of it,
08:05 so that is a fairly typical story for people
08:08 who have schistosomiasis.
08:10 This is just not something that you should let alone,
08:11 if you have that, or you are in one of those areas
08:14 of the world. Don't bathe in those polluted
08:16 rivers, I mean the message I would have for American's
08:20 going over there is be careful. I remember in Australia
08:23 an Australian missionary, was working,
08:25 it was a fantastic missionary, but you know sometimes
08:27 they are a little bit cowboy, you have to be a little bit
08:29 of a cowboy to be able to tolerate that stuff you know.
08:31 So he was telling me that he was going water skiing,
08:34 taking the kids water skiing, I said don't do it in the water,
08:36 he said Naa!, we're not going to get anything.
08:38 Two years later we had to send him home,
08:40 he was riddled with schistosomiasis.
08:43 Very very sad!
08:45 What other types of things do you see besides
08:47 schistosomiasis, schistosomiasis in the water?
08:52 Well, the other things that you can get, of course water
08:54 can become polluted with human excrement,
08:58 so contaminated water is a source for Typhoid Fever,
09:02 Cholera, a common common pathogen is Giardia Lamblia,
09:08 now Giardia Lamblia is not a foot soldier who marched
09:10 with Garibaldi and his early... It's a microorganism that is
09:14 a protozoa, it's got little flagellate tail there...
09:17 I've heard that in America. Yeah!
09:18 We call it Beaver Fever in Canada.
09:20 It's where dirty water, or contaminated water...
09:25 If you drink that then they get a lot of diarrhea,
09:28 explosive gassy feeling, it may become chronic,
09:31 Amebiasis amoeba histolytica which can cause abscesses
09:36 that also can come from contaminated water.
09:39 Choloform infections, the diarrheal diseases,
09:43 most of the diarrheal diseases are water borne infections.
09:47 Let's talk about that, I mean that's a pretty practical thing,
09:50 I'm sure everyone's experienced diarrhea,
09:51 so what are the things you have to look at if someone
09:54 gets diarrhea is their water source,
09:56 what else do we need to know about that?
09:58 Well, we know, we can reduce the instance of diarrhea in a
10:04 given community by 27% by just insuring a
10:08 clean water supply.
10:09 So at our little mission hospital where we were in
10:12 Lesotho, we had a 50 bed ward, they still do a children's ward,
10:18 about 75% of the children were in there,
10:22 were in there because of diarrhea,
10:23 they would stay on an average of eight days.
10:27 So you can imagine that we were turning over probably
10:32 something like 1,500- 2,000 children a year
10:36 coming into the hospital and spending eight days there
10:39 because of diarrhea. Diarrhea!
10:40 And 27% of that could be reduced if you looked at the
10:44 water source there... If you just cleaned the
10:45 water source. And you must remember
10:48 it affects children who are often borderline as far as their
10:52 nutrition is concerned, who may be in a state of sub optimal
10:59 health. That often is catastrophic,
11:01 it's the straw that breaks the camel's back.
11:03 It just weakens them and they get dehydrated...
11:06 They become dehydrated, they loose energy, they become
11:10 apathetic, very, very, very sad.
11:13 So it's not just enough to get the diarrhea stopped.
11:16 Let's say a mother is watching now and their child has
11:19 diarrhea right now or someone does, what should you do?
11:22 What should you watch for with that?
11:24 Well, of course the first thing that you have to be aware of
11:27 when you see a child with diarrhea, is you have to say
11:30 is this child loosing more liquids or fluids than
11:34 we can keep up with by what we are giving him by mouth?
11:37 Of course you have to know that what you are giving him
11:39 by mouth is clean, there is no point in continuing to feed
11:42 him by mouth that which started the diarrhea
11:44 in the first place.
11:45 So you have to have clean preferably in those
11:49 sort of situations. Boiled water, and then you have to see
11:52 that the child is getting enough of that plus a little
11:54 electrolyte, which usually means a little bit of salt,
11:56 with the glucose added to that so the child is re-hydrated
12:00 in a balanced way, not just with water or else
12:03 you will get salt imbalance.
12:04 And if you can keep up with the diarrhea,
12:07 then the child will probably cope.
12:10 But if it starts to be a bloody flux with mucous in the stool,
12:14 passing large amounts of... A child is going to dehydrate
12:17 very rapidly and some of these very small babies,
12:21 you're going to see their fontanels,
12:24 their little soft spot at the top of the head,
12:25 are going to sink in, and they are going to start have to
12:28 loss the teckturger? of the skin you have lifted up,
12:29 and it doesn't have good elasticity
12:33 they are going to start to be lethargic, their eyes
12:36 start to sink. You need to get them in
12:38 right away. Oh, they need to be in there chop, chop,
12:40 really, really quickly.
12:42 So, some practical things before we go to our break,
12:45 what kinds of things should we do if we don't know
12:48 what the water supply is like? We don't know whether or not
12:50 it is clean or not? You mentioned boil the water,
12:53 anything else we can do?
12:54 Boiling the water is fine, of course you must remember
12:57 the effect of the altitude on boiling temperature.
13:00 If you are very high altitude, boiling the water will require
13:03 it to be boiled a little longer than if you are boiling it
13:06 at sea level. So boiling the water sufficiently long...
13:09 Sea level, what one minute? Sea level a couple of minutes
13:12 will be fine, a little higher, maybe 10,000 feet
13:14 maybe you will want to do it for five or six minutes
13:16 just to be sure, so you want to boil your water
13:18 to be sure that's fine. The other thing is you
13:20 can filter the water, especially if you are North American,
13:23 that is traveling into these countries.
13:25 I would advise that you take with you and pay a little extra
13:28 for it, get one of these filters that will filter out bacteria.
13:33 and then you know you can take even bacterially contaminated
13:38 water and you can filter it clean, and it will take out
13:41 a lot of the other toxins too.
13:43 Does this filter take out viruses?
13:45 There are some filters that will take out viruses, yes.
13:47 that are good enough for that.
13:50 So you need to get those if you know you are traveling.
13:52 If you are not able to do that, you can buy chlorine tablets.
13:57 Chlorine I don't like to push, it is not so tasty
14:02 of itself it is not good for you so you have to put it in
14:05 and then you have to let the water stand for a long time.
14:06 If you had absolutely none of these things,
14:09 of course you might just put the water in a bottle
14:12 and let the sun shine on the bottle.
14:14 I see! An leave it there for
14:16 a good few hours and the sun light will actually
14:20 sterilize the water in the bottle.
14:22 If the water is cloudy should you drink it?
14:23 Well, I think it depends...
14:26 That's a pretty obvious question. If you are desperate
14:29 and you haven't got any water at all and you maybe want to
14:32 filter it through your shirt or something, but
14:34 I mean you could be in a desperate situation
14:36 and there is just not clean water available.
14:39 The thing for us to do is to educate people about
14:42 clean water sources, how to protect their springs
14:46 and so forth. Is rain water clean?
14:47 Rain water is by and large clean except it depends
14:51 on how you collect it. For instance if you are
14:53 collecting it off an Asbestos roof, you worry about
14:55 Asbestos particles. If your birds have been dropping
14:58 all over the roof, you've got a burn dropper
15:01 but if you could collect it in a relatively clean way
15:05 and then rain water tends to be not bad.
15:08 We're talking with Dr. Alan Handysides,
15:11 we've been talking about water, it's an important issue,
15:13 it's a global concern and it's practical for you,
15:17 we hope that you can join us when we come back.
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16:24 Welcome back, we're talking with Dr. Alan Handysides
16:29 from the General Conference of Seventh Day Adventists,
16:31 you're the head doctor and one of the things doctors are
16:33 concerned with is water.
16:35 Right! Sure am! So, we've talked a lot about it
16:39 but are there any other diseases you would like to mention,
16:41 we've mentioned a whole host of them and what to do
16:43 about if we have those, but anything we've missed?
16:47 Well, you know I think perhaps of importance to our folks
16:51 in the states who may be traveling to other parts
16:54 is hepatitis A. Hepatitis A, there are so many hepatitis',
16:57 explain the difference. Well! There's A, B, C, D, E.
17:00 A, B, C, Yeah, there are a lot of hepatitis virus.
17:02 Hepatitis A is one that is water transmitted, hepatitis B
17:06 and C are probably blood and human fluid transmitted.
17:12 But the hepatitis A is what we call a fecal oral transmission
17:17 from feces to the mouth, and so therefore when water gets
17:22 into the mouth... I think we got the picture...
17:23 You've got the picture. Ok! A lot of travelers need
17:28 to worry about this, especially if you are going to a
17:30 non-developed country like... I won't name them,
17:32 but if you know there is a developing country
17:34 that you are going to, you maybe should think about
17:38 hepatitis A. Now up until recently
17:41 when I say recently, the last couple of years or so.
17:43 They used to give you Gamma-globulin,
17:47 of course people were very frightened about taking
17:49 Gamma-globulin because that is from somebody else
17:51 and you are worried about AIDS and transmission of the other
17:55 Hepatitis diseases and those sort of things we were worried..
17:58 Because you are getting it out of their blood.
18:00 Out of their blood. Right! But now there is a vaccine
18:03 that is available which is not living, it is not a live virus
18:08 and it's able to give you immunity to hepatitis A.
18:14 So anybody that is traveling would be wise to be immunized
18:18 against hepatitis A.
18:20 Hepatitis A usually doesn't cause a problem,
18:22 but every now and again maybe one in 4,000, one in 5,000
18:25 it causes fulminating liver problems and I've seen
18:29 children die...From Hepatitis A! From hepatitis A!
18:32 So let's say that you didn't have that vaccine
18:36 and you went any way, how would you avoid...
18:38 You would make sure all of the water you used was boiled,
18:41 you would have canned type water or Pop, maybe that's not
18:46 the best... Bottled water! Bottled water!
18:47 Now in developing countries you have to be careful
18:50 about the bottles because a lot of people will just
18:53 go around and collect bottles fill them up with water,
18:56 put the caps back on and sell it to you as bottled water
18:59 so you need to know it is sealed.
19:01 And another good thing to do is to crush the bottle
19:04 when you are finished with it so they are not tempted,
19:08 that is a very important thing for travelers to do.
19:11 What about fruit, produce, or vegetables in those types
19:14 of situations? Of course they could be
19:16 contaminated, we've had out- breaks, large outbreaks
19:18 of diseases from countries that have been either sprayed
19:24 with contaminated water or the hands of the people
19:27 handling the fruits and vegetables have contained
19:30 contamination so you have to be careful.
19:33 What if you have the fruit itself and you peel it yourself
19:36 is that safer?
19:37 Yes, but again, let's say you take the fruit and you peel it
19:40 like this and you move it around and peel it and
19:42 your hands were already contaminated,
19:43 it's very difficult to peel, maybe you wash it
19:46 that will get rid of a certain degree of contamination.
19:50 Maybe if you are really living in a country like that
19:53 where you are worried about it you maybe soak it in a little
19:56 chlorine which is the easiest way to get chlorine is bleach.
19:58 If you put a tablespoon of bleach in a quart of water
20:02 and then we used to take our lettuce leaves or things
20:06 like that, we would soak them in that and then we would
20:10 rinse it off with boiled water, there's no point
20:12 rinsing it off with dirty water, but you rinse it
20:15 off with water, or you might put it in one of those...
20:18 I like those centrifuge jobs that my wife has
20:20 spin those lettuce leaves around and get rid of a lot
20:23 of the water and leave it to dry and then
20:25 you may eat it like that.
20:27 That save a lot of pain and a lot of misery.
20:31 A lot of yellow skin.
20:35 Now you sit in a chair where you see a lot of things
20:38 around the world and you are part of a global network
20:41 the Seventh-Day Adventist Church, that's what 205 nations
20:45 out of the 223 nations of the world? That's right!
20:48 And so what is the Seventh- Day Adventist Church doing
20:50 to address the concerns of water around the world?
20:53 I think we have some pictures that ADRA gave to us,
20:56 the Adventist Development Relief Agency but
20:59 what are you doing?
21:01 Well, if you look at the pictures here there is a woman
21:07 carrying a bucket of water, this is the lot,
21:10 the lot of millions of African women.
21:14 They walk literally miles a day to bring a pail of water home.
21:18 So when you look at that you say what is the economic impact?
21:22 that if she spends three hours a day carrying water
21:26 that is three hours that she is not tending the crops,
21:28 three hours that she... The economic impact
21:30 is something that we have to look at.
21:32 We look at the health impact of that,
21:34 you don't know where she got that water from.
21:35 Or what goes into it when she is walking along. No!
21:38 You don't know what goes in and she's had to carry
21:41 and when she comes home it is precious.
21:43 So as far as washing and cleansing themselves
21:47 it's at a premium... You know, you and I
21:49 sit in the shower, how long did you spend in the shower
21:51 this morning, probably fifteen minutes, Wow!
21:54 So every bucket full of water comes like that,
21:59 that has tremendous impact.
22:01 So you say Wow, this is important is there something
22:06 that we can do to help them?
22:07 So do we get involved in wells or different things
22:10 I think we have a picture of one of those but...
22:11 ADRA has been one of the world's outstanding agencies.
22:18 If you look there is a well, ADRA must have drilled
22:21 thousands, thousands of wells throughout the world.
22:25 You'll notice it is a hand pump, people will say
22:27 why don't we have a diesel pump on there,
22:29 that would be much better?
22:30 Because the diesel pump, they don't have the money to pay for
22:33 the diesel fuel.
22:34 They put the diesel in the wrong place and the pump
22:37 doesn't work any more. And I noticed that it's capped
22:39 too. Very important, you see these are Agrarian Communities,
22:43 cattle, goats, chickens, that is kept out of there.
22:48 Even the human dung/feces is kept out of there
22:51 so the cap is very very important.
22:53 And ADRA has done this in all kinds of countries,
22:58 you've seen these wells in all over the countries.
22:59 I've seen these wells all over, they've been doing this
23:01 for years. I remember being involved
23:03 in a project at our own hospital years ago now,
23:07 I'm talking about years ago and it's been increasing
23:10 ever since then, where we put in 70...we protected 70 springs
23:16 in one year. This was in a rural community?
23:19 Just in a rural community, you go in and say where are you
23:21 getting your water from. Here it is running out of
23:23 the corner of a rock or a little muddy pool that's
23:26 got a spring fed pool and you would protect it,
23:29 that is somehow cover it, be sure that you didn't back the
23:33 water up to block the spring make it come out
23:34 somewhere else and by protecting it in that way,
23:37 putting a running water where they could collect
23:40 the fresh spring water out of the pipe,
23:43 you cut their problems 27% with diarrhea and you move...
23:49 Saving hundreds, millions of lives.
23:51 Millions of lives throughout, when you multiply this
23:53 throughout the world in a given community,
23:55 you might be saving dozens of lives a year.
23:59 Now I imagine a lot of what you do in these poor countries
24:02 if I call them that, well, developing countries
24:06 is a lot of education, but what other connections do you
24:09 see between the poor and water supply?
24:13 Well, poor people can't afford the processing of water
24:18 our water systems are very elaborate, we take water
24:23 we filter it, we precipitate it, we treat it with chemicals,
24:28 we pipe it, once it has been used we dispose of it.
24:32 This is amazing infrastructure, it is the infrastructure,
24:36 the public health infrastructure that resulted in the 60%
24:41 improvement in the health of the western nations.
24:44 But that takes money, when you don't have any money
24:48 what do you do? I remember in the little village
24:50 outside of our hospital, I said if there is one thing
24:53 that we could do for you what would it be, they said
24:55 put a tap in the village.
24:56 So we were able to do that, it was 3/4 of a kilometer
25:00 up the hillside, we put the pipe up, poured it down,
25:04 they had that tap in the village,
25:06 that was to them like liquid gold because
25:08 they didn't have the money. The fountain of life.
25:10 That's right, the fountain of life.
25:11 Well, you know when you think about just a quick question
25:17 bottled water verses not bottled water in the United States,
25:20 any value to that?
25:21 It depends on the bottled water, it depends on the
25:26 tap water. By and large probably we are fine with
25:30 the tap water and the reason that I say that
25:32 is a global perspective we are
25:35 the luckiest people in the world.
25:36 When you look at the problems that I have been talking about
25:39 today, talk about minute problems...
25:42 Like bottled water verses tap...
25:44 It seems like we are... trite almost. Yes!
25:47 On the other hand if we are concerned about our water
25:50 certain bottled water may be better, you must remember
25:53 some bottled water is just from the city supply of some...
25:56 Yeah, and they want to just make a little extra money.
25:59 That's right, they are just making money, it's the biggest
26:00 come on in making the money for some of these companies.
26:03 On the other hand some of the water is purer,
26:05 some is very nice, it depends.
26:08 We've got two minutes left and I want you to share from
26:12 Christian physician perspective, what's your favorite
26:14 Bible studies relates to water or Bible story,
26:17 comment on that as we close our program today on water.
26:21 I'd like to tell you about something that I've seen myself.
26:25 Now I'm a physician, I'm a sceptic by training,
26:28 and I have seen many many sick people get better
26:35 and I believe that often times it is good medicine.
26:39 The good Lord of course is giving His strength and power
26:42 but I remember a little child forty one days this child
26:47 of being in the ward, IV's every available vein,
26:52 I was doing cut downs to find the vein to keep...
26:55 the kid had diarrhea, pooping and pooping, diarrhea and
26:58 diarrhea, we didn't have a laboratory back up to find out
27:00 what it was, the mother was beside herself,
27:03 so she said to me doctor I am taking this child home.
27:06 I said, you are going to take the child home?
27:09 It will die at home, she said it's going to die here any way,
27:12 I'd rather it die at home.
27:13 I said please give us one more day.
27:15 I called all the nurses and we prayed,
27:17 do you know from the time we prayed,
27:20 that child never had another diarrheal stool.
27:24 Hmmm! Amen!
27:26 And I am reminded when Jesus stood at that well
27:28 He said to her, I will give you water that will be
27:34 a spring of fountain within- side you will never thirst
27:37 again. That's what He did for that little child.
27:40 That's going to be the day when there is going to be
27:42 no more water problems. No more water problems.
27:45 We're glad that you have been watching us today
27:47 we've talked about water, it's a global concern
27:49 but more than that as the doctor's remind us
27:53 it's a spiritual concern.
27:55 We hope that you do come in touch with the Water of Life.
27:58 Amen!


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Revised 2014-12-17