First I live in Allegheny county in Pennsylvaina. My issue is two part: one my landlord is charging me for water use when water is included in my lease, secondly my refriderator went out eight days ago I have called multiple times and just now have received a call back . I have lost over a hundred dollars in food and they are claiming ignorance and no responsibility for the lose. They said they were on vacation and its not their fault. What can I do?

Does it state specifically in your lease that the water is included IN the rent amount total.
I know some communities in Allegheny county the landlord is required to pay the water and then he adds the amount to what you owe him because too many people were up and moving without paying the water bill so some of the water companies now require the landlord to keep the water in his name so he is responsible to go after payment.

This explains about the refrigerator pretty well.
It says the landlord is not responsible for personal property which is what food would be classified as

When the Refrigerator Dies, Who Pays for the Spoils? - washingtonpost.com

Yes my lease specifically says that the landlord pays water.
I called the landlord four times over the last eight days about the fridge. Her response was they were out of town. I have had repeated problems with the electricity, (the circuit breaker popped when they were out of town, the hot water heater broke when they were out of town and each time I suffer cause they have no one available in emergency situations. And now they claim they are not liable for my lose, I am by no means rich and can not afford to replace all of the food gone, is there something specific I can do or someone I can contact?

So your lease specifically states rent amount includes water and it does not say rent amount plus water.
You need to send them a certified letter of all the repairs that need to be made and tell him if they aren't done within a specified date you are going to take him to court.
They are not liable for your food but they are liable to not be slum lords either.
I think you can go to the district court to file to force him to do something but I am [retty sure you need to send him a certified copy and keep a copy for yourself.

It includes water, sewage and garbage.

Point it out to him in the lease then there isn't much he can do about it,