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Water bill customer assistance

Our mission is to provide access to clean, safe water to all residents of Philadelphia. If you’re having problems paying your water bill, we have programs that may help you.

You can now apply for all of the assistance programs using one application. If you are approved, you will have a lower monthly bill that will not change from month to month.

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. Or use the checklist and sample application to plan your application now.

Anyone having trouble paying their water bill should apply for help. Assistance programs are designed to help Philadelphia Water Department customers who are:

You are eligible for the special hardship program if you have experienced any of the following circumstances in the past 12 months:

Even if you are not experiencing one of the hardships listed above, we decide claims on a case-by-case basis and may still be able to help. Report your specific situation when filling out the application.

Household grew: Job loss: Serious illness: Family loss: Domestic violence:

First, decide how you want to apply: online or by mail. If you apply online you’ll need electronic copies or pictures of all of your documents. If you apply by mail you’ll need photocopies of all your documents.

There can only be one application per household at a time. If you change your mind and decide you want to apply another way, you’ll have to start the process over.

If you apply online you’ll need electronic copies of all of your documents (you can use a scanner, or take photos of them).

You can’t apply from a mobile device. If you took pictures of documentation like your driver’s license, you’ll need to make sure you can get that off your device and onto a computer. Online applications must be completed within two hours.

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to print an application, request that an application be mailed to you, or call (215) 685-6300 to have a representative send you an application in the mail.

If you apply by mail, be sure to make photocopies of your documents. Don’t send in any original documents.

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to work with a representative to fill out your application. Bring photocopies of all your paperwork. You will still need to mail in your application when finished.

The TAP application asks for documents to show who is in your household and your income.

To prove you live at the address of the water account, you will need one of the documents listed below. You only need one, but it must be valid.

For every person who lives with you, you’ll need:

You also need to show monthly income amounts for every source of income from all members of the household. Please make sure you have one of the following for each source of income:

If you are applying because of a special hardship, then you will need one of the items below.

For increase in household size:
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Anthropometry Definition

Anthropometry is the science of obtaining systematic measurements of the human body. Anthropometry first developed in the 19 th century as a method employed by physical anthropologists for the study of human variation and evolution in both living and extinct populations. In particular, such anthropometric measurements have been used historically as a means to associate racial, cultural, and psychological attributes with physical properties. Specifically, anthropomorphic measurements involve the size (e.g., height, weight, surface area, and volume), structure (e.g., sitting vs. standing height, shoulder and hip width, arm/leg length, and neck circumference), and composition (e.g., percentage of body fat, water content, and lean body mass) of humans.

To obtain anthropometric measurements, a variety of specialized tools (as depicted below) are used:

Although the majority of the instruments appear straight forward to use, a high level of training is required to achieve high validity and accuracy of measurements.

Alphonse Bertillon was the son of the physician and founder of the Society of Anthropology of Paris, Louis-Adolphe Bertillon. Although the process of obtaining human measurements had originated in ancient civilizations, Alphonse Bertillon is credited as the father of anthropometrics based on his classification system known as the “anthropometric system” or “judicial anthropometry”. Alphonse Bertillon began his career working for the Paris police force in the criminal records department. It was here that Bertillon recognized the recurring problem that it was becoming increasingly more difficult to identify repeat offenders, as the criminal records were stored alphabetically and many criminals were devising aliases in order to avoid deportation and harsher sentences. To address this issue, Bertillon devised a new classification system based on anthropomorphic measurements with the assumptions that bone density is fixed past the age of 20 years, and human dimensions are intrinsically highly variable. Bertillon obtained measurements of height, breadth, foot size, length and width of the head, length of the middle finger, and the length of the left forearm, as well as other morphological and distinguishing characteristics of criminals in custody (as shown below). He then classified each individual as small, medium, or large, and added frontal and profile photography to each file. Such photography is still currently used today in the form of a “mug shot”. After convincing the Paris criminology department to implement Bertillon’s system, this method of classification was used to quickly and easily identify unknown individuals and repeat offenders. The use of this anthropometric system was subsequently termed “Bertillonage” and spread rapidly throughout the world during the late 1800s and early 1900s.

This same criticism can also be applied to good fisheries management, with which MPAs are often compared. No one tool can achieve all goals for ocean management, and LSMPAs will not be able to protect against all anthropogenic impacts, particularly those that diffuse across boundaries. That said, LSMPAs are likely to help promote ecosystem resilience and adaptation potential to changing environmental conditions. For example, LSMPAs may encompass range shifts of marine species under climate change, reduce cumulative stressors on ecosystems enabling faster recovery from climatic impacts, promote larger populations more resilient to extinction and with greater genetic diversity, and act as wildlife refugia (Roberts et al. 2017 ). To be effective, MPAs of any scale must be part of an environmental management package that includes improved land management for pollution, effective fisheries management, and reduced greenhouse gas emissions.

Human activities have expanded across the oceans, and although intensity varies, few areas remain untouched (Halpern et al. 2015 ). With emerging activities such as deep-sea mining and marine biotechnology fast becoming reality, history suggests that exploitation pressures on the ocean will continue to increase and affected areas expand, rendering timely and increased protection vital (McCauley et al. 2015 ). Although LSMPAs are assets that already meet many immediate ecological and socioeconomic goals, their value will increase as the human footprint expands across the oceans. To achieve their full potential, however, MPAs of any size require effective implementation and management backed with strong protection (Edgar et al. 2014 ), and so it is essential that management ambition and protection level matches stated MPA objectives.

Clearly, no single strategy can protect marine biodiversity and resources. Polarized debates about the superiority of LSMPAs versus fishery or other management can divide a scientific and management community that shares the common goal of intelligently governing the future of the oceans for the benefit of humanity and all life within. Combining LSMPAs with effective management of all ocean uses, including fisheries, and other MPAs, such as smaller networked sites or dynamic MPAs, will establish a diversified management portfolio that tempers potential losses, insures against inherent ecological and management uncertainty, and ultimately enhances the probability of successfully achieving sustainably managed oceans.

BO’L is supported by The Pew Charitable Trusts. DJM receives funding from the Benioff Ocean Initiative. NCB received funding from the Social Sciences and Humanities Research Council (SSHRC) and Natural Sciences and Engineering Research Council (NSERC), Canada. EKP’s participation was supported by the Ocean Sanctuary Alliance and the Italian Ministry of the Environment. We would like to thank Josh Cinner for his helpful comments on an earlier draft. We would like to thank the two anonymous reviewers and the editor for their helpful comments that strengthened the manuscript.

Most investigators have recommended that patients who are not receiving active antibiotic treatment prior to planned FMT should be placed on a brief “induction course” of oral vancomycin for 3–4 days prior to FMT administration to reduce the burden of vegetative C. difficile . The patient and the treating physician must also decide the route of FMT instillation, taking into consideration individual preferences and recognizing that the rate of success varies with the route of instillation [ 373 ].

Robust data assessing the optimal approach for treating an initial episode of CDI in children are limited, and evidence of the comparative effectiveness of metronidazole and vancomycin for treating pediatric CDI is lacking. There are no RCTs comparing the use of these agents in children. A few recent studies suggest that failure rates with metronidazole may be higher than traditionally reported, but these data have limitations. Kim et al [ 165 ] prospectively studied 82 children with CDI, of whom 56 received metronidazole; 6 (11%) of them had treatment failure, but half of these were children with severe disease. Khanna et al [ 125 ] performed a population-based cohort study of CDI epidemiology in children 0–18 years of age. Among 69 patients with community-acquired CDI, treatment failure rate was 18% for metronidazole and 0% for vancomycin, but these rates were not statistically different. In a survey of pediatric infectious diseases physicians by Sammons et al [ 382 ], 100% of respondents reported using metronidazole for initial therapy in healthy children with mild CDI, but the proportion fell to 41%–79% for treating mild CDI in children with underlying comorbidities. Schwenk et al [ 383 ] used a national administrative database to study vancomycin use for pediatric CDI and found that vancomycin use for initial therapy increased significantly between 2006 and 2011, with substantial variability between children’s hospitals. Complications and mortality from CDI in children are uncommon, regardless of severity of disease or choice of antibiotic for treatment [ 125 , 126 , 158 , 345 ].

Treatment recommendations for pediatric CDI should balance the accumulated experience of good outcomes with metronidazole for initial mild disease and emerging data in both adults and children, suggesting a possible difference in favor of vancomycin. At the current time there are insufficient pediatric data to recommend vancomycin over metronidazole as preferred treatment, so either metronidazole or vancomycin should be used for an initial episode or first recurrence of nonsevere CDI in children ( Table 2 ). However, because oral vancomycin is not absorbed, the risk of side effects is lower than for metronidazole. Nonetheless, studies have demonstrated that vancomycin exposure promotes carriage of vancomycin-resistant enterococci in the intestinal flora of treated patients, although available data suggest that metronidazole use is also associated with this outcome [ 307 , 384 ].

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