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Project Report · Guatemala

Safe Water for a Hospice in Cerro de Oro, Guatemala

GOLD is building a small hospice on Lake Atitlán. Clean Water Help volunteers are advising on a safe, reliable drinking and medical water system. This report summarizes the challenges, options and plan.

Design support
UpdatedSeptember 28, 2026
PartnerGOLD
Prepared byClean Water Help volunteers
Webcleanwaterhelp.org/projects/guatemala

Clean Water Help is a 100% volunteer-run 501(c)(3) nonprofit (EIN 99-0765687). Founders cover all operating costs, so 100% of public donations go to projects. Numbers are current as of September 28, 2026. Photos are shared by partners with permission; names of private individuals are withheld. impact@cleanwaterhelp.org

At a glance

LocationCerro de Oro, Lake Atitlán
PartnerGOLD
FacilityHospice, planned for ~10 patients
StageChoosing the water source
TreatmentFiltration + UV (planned)
CWH roleOn-call technical advisor
~10planned patient capacity
~5planned volunteer caregivers
~9,000people in the town
2treatment barriers planned

1 Executive summary

Key findingThe hospice needs two things: a reliable water source and dependable disinfection. The source decision (a new well) comes first. Whether the water is suitable for drinking and medical use depends on testing that source. Fine filtration and UV remove or inactivate germs, but they do not remove dissolved arsenic, so an adsorption step will be added if testing finds arsenic above the WHO guideline.

GOLD (Gospel of Life Disciples + Dwellings) contacted CWH in May 2025 about water for Morada Apla’s, a hospice for the indigenous community of Cerro de Oro. CWH President Dr. Stephen McCord visited in July 2025 with test kits and prepared a plan.

The municipal supply is intermittent, tap water can carry sewage, and the lake region has natural arsenic. Rainwater harvesting was set aside for lack of community support. In 2026, a GOLD donor offered to fund a well; GOLD is gathering bids. CWH recommended fine filtration plus UV and offered to subsidize a two-stage system.

What happens next

  1. GOLD decides on the well after a second bid.
  2. Test a nearby well of similar depth for bacteria, arsenic and metals.
  3. CWH specifies the treatment system and writes a simple operation guide.
  4. Install and train staff once construction allows.
The issue to watchThe water source. Treatment can make water safe, but only if there is water to treat. The well decision sets everything else.

Key numbers and how solid they are

Each number is labeled by its basis: Measured counted or tested, Reported reported by a partner or a document, Record from our own payments, contracts and correspondence, Estimate a calculation or assumption, Planned a plan or target, not yet done.

ItemValueBasisSource
Hospice capacityabout 10 patients, 5 volunteersPlannedGOLD
Town populationabout 9,000ReportedGOLD / CWH plan
Drinking water needabout 16 gallons a dayEstimateCWH plan, Aug 2025
New wellDonor-funded; bids in progressReportedGOLD, 2026

2 Background and progress

The hospice

Morada Apla’s is GOLD’s end-of-life care mission for the indigenous community of Cerro de Oro, on the south shore of Lake Atitlán. In early 2026, GOLD renovated a small building beside the parish hall as a health center, and it has received a donated property for a future hospice.

Volunteers at the hospice site
Volunteers at the site. Photo: GOLD
A pressure filter tank in Cerro de Oro
A pressure filter tank in town

The water situation

Municipal water flows only a few hours a week. In July 2026 the lake pump broke during a dry spell and no water was delivered. Buildings use septic pits, and tap water can smell of sewage. Lake Atitlán’s volcanic setting brings natural arsenic and other metals.

Timeline

3 Technical foundation

Treatment options

OptionProsCons
1 micron filter + flow-through UVSimple; low maintenanceNeeds power; no chlorine residual
Ultrafiltration + UV into storageTwo strong barriers; stores treated waterSlightly higher cost
Chlorination onlyCheap; residual protectionTaste; dosing effort; does not remove arsenic

None of these remove dissolved arsenic. If well testing finds arsenic above the WHO guideline (10 µg/L), an adsorption step will be added.

Decisions and the options we set aside

DecisionOptions consideredWhy
Source first, then treatmentDesign treatment nowThe source determines the treatment needed.
Two barriersSingle barrierPatients at the end of life need dependable protection.
Set aside rainwaterRainwater harvestingNo community support for it.

Risks and how we respond

RiskLevelResponse
No reliable source yetHighWell bids; municipal water with storage as backup.
Arsenic in groundwaterMediumTest before finalizing treatment.
Power outagesMediumStorage and generator options.

4 What we learned and what is still open

Progress depends on having someone on site. GOLD’s visits drive decisions; CWH’s role is to be ready with answers when they are needed.

Open questions

5 How you can help

Support the hospice

Gifts pay for testing and the disinfection system.

  • Give: gofundme.com/f/clean-water-for-endoflife-hospice-in-rural-guatemala

References and sources

  1. Clean Water Help. Project Plan: Clean Water for Cerro de Oro, Guatemala (August 2025).
  2. GOLD. gospeloflifedisciples.org
  3. World Health Organization. Guidelines for Drinking-water Quality (arsenic 10 µg/L).