Answer:
a) For this case we can check if we can use the normal approximation with these two conditions:
1) np = 80*0.475 = 38>10
2) n(1-p)=80*(1-0.475)= 42>10
So then we have the conditions to apply the z test 
b) 
 estimated proportion of people with good health 
c) 
 
d) 
 
e) So the p value obtained was a very low value and using the significance level given 
 we have 
 so we can conclude that we have enough evidence to reject the null hypothesis
f) d. there is sufficient evidence to conclude the water quality in the area has decreased.
Reason : We reject the null hypothesis
Explanation:
Data given and notation 
n=80 represent the random sample taken 
X=38 represent the people with good health
 estimated proportion of people with good health 
 is the value that we want to test 
 represent the significance level 
Confidence=95% or 0.95 
z would represent the statistic (variable of interest) 
 represent the p value (variable of interest) 
Part a
For this case we can check if we can use the normal approximation with these two conditions:
1) np = 80*0.475 = 38>10
2) n(1-p)=80*(1-0.475)= 42>10
So then we have the conditions to apply the z test 
Part b
 estimated proportion of people with good health 
Part c
We need to conduct a hypothesis in order to test the claim that the true proportion is loer than 0.6.: 
Null hypothesis:
 
Alternative hypothesis:
 
When we conduct a proportion test we need to use the z statisitc, and the is given by: 
 (1) 
The One-Sample Proportion Test is used to assess whether a population proportion 
 is significantly different from a hypothesized value 
. 
Part c: Calculate the statistic 
Since we have all the info requires we can replace in formula (1) like this: 
 
Statistical decision 
It's important to refresh the p value method or p value approach . "This method is about determining "likely" or "unlikely" by determining the probability assuming the null hypothesis were true of observing a more extreme test statistic in the direction of the alternative hypothesis than the one observed". Or in other words is just a method to have an statistical decision to fail to reject or reject the null hypothesis. 
Part d
The significance level provided 
. The next step would be calculate the p value for this test. 
Since is a left tailed test the p value would be: 
 
Part e
So the p value obtained was a very low value and using the significance level given 
 we have 
 so we can conclude that we have enough evidence to reject the null hypothesis
Part f
d. there is sufficient evidence to conclude the water quality in the area has decreased.
Reason : We reject the null hypothesis