Search Results (46)

Increased food production and consumption patterns have resulted in higher urban food phosphorus footprints, leading to a series of resource and environmental problems worldwide. We quantified the food phosphorus footprint of the African city of Kisumu using substance flow analysis. Our aim was to develop Kisumu’s sustainable phosphorus management framework so that the city would reduce phosphorus losses into the food system. Our results show that in the year 2023, the import and export of food phosphorus in the Kisumu food system was 2730.26 ± 2.7% t P yr⁻¹ and 3297.05 ± 2.4% t P yr⁻¹, respectively. There was −566.79 ± −18% t P yr⁻¹ food phosphorus deficit in the Kisumu food system. Crop planting subsystem runoff/leaching/erosion loss, household consumption subsystem waste loss, and pit latrine subsystem blackwater loss are the major pathways of phosphorus losses into the environment and the main contributors to the food phosphorus footprint in the city. The 2030 scenario analysis shows that implementing a comprehensive scenario scheme throughout the entire lifecycle process from phosphorus input to waste disposal is the best choice for reducing phosphorus losses and suppressing the growth of food phosphorus footprint in the future. Our study shows that the food phosphorus footprint in the Kisumu food system was 0.67 kg P cap⁻¹yr⁻¹ in 2023, which is still at a low level but may enter a continuous upward trend with the improvement of socio-economic development of the city. In our framework, we have proposed a few essential measures that include urine separation, installation of septic tank, adjustment of dietary structure, flexible layout of sanitary disposal facilities, and separation of organic waste streams to reduce food phosphorus footprints in Kisumu. Given the similarity of cities along the shores of Lake Victoria, our calculation methods and management strategies can be applied to other cities in the region. Full article

Reliance on groundwater is outpacing natural replenishment, a growing imbalance that requires detailed and multi-faceted water resource understanding. This study integrated water-stable isotopes and hydrogeochemical species to examine hydrogeochemical processes during groundwater recharge and evolution in the Lake Malawi basin aquifer systems. The findings provide insights into groundwater source provenance, with non-evaporated modern precipitation dominating recharge inputs. Grouped hydrochemical facies exhibit five groundwater water types, prominently featuring Ca-Mg-HCO₃. Modelled hydrogeochemical data underscore dominant silicate dissolution reactions with the likely precipitation of calcite and/or high-Mg dolomitic carbonate constrained by ion exchange. Isotope hydrology reinforces water resource system conceptualisation. Coupled isotopic-hydrogeochemical lines of evidence reveal a discernible spatial-seasonal inhomogeneity in groundwater chemical character, revealing a complex interplay of meteoric water input, evaporative effects, recharge processes, and mixing dynamics. Findings show that measurable nitrate across Malawi highlights a widespread human impact on groundwater quality and an urgent need for detailed modelling to predict future trends of nitrate in groundwater with respect to extensive fertiliser use and an ever-increasing number of pit latrines and septic systems arising from rapid population growth. This study not only refined the Lake Malawi basin aquifer systems conceptualisation but also provided isotopic evidence of groundwater and lake water mixing. This study sets a base for groundwater management and policy decisions in support of the Integrated Water Resources Management principles and Sustainable Development Goal 6 objectives for groundwater sustainability in the transboundary Lake Malawi basin. Full article

Background: Taeniosis and cysticercosis are human infections caused by the pork tapeworm, Taenia solium. This study is a baseline for community-based intervention. We determined the prevalence of human cysticercosis and associated risk factors following a deworming program conducted throughout the country, with Mbulu District being among the districts in Northern Tanzania. Methods: Human cysticercosis was determined by enzyme-linked immunosorbent assay (Ag- ELISA). Household interviews and observations were conducted to identify risk factors for cysticercosis transmissions among households and communities. Results: Three hundred individuals participated in this study. The age ranged from 5 to 89 years, with a median of 19 years. The prevalence of human cysticercosis was 23 (7.67%). The prevalence was high with 6 (11.76%) among individuals aged 26 to 35 years and ±45 years. There was no statistically significant difference in the prevalence by age group, sex, or occupation. Among the 300 participants, 82 (27.3%) had received anthelmintics during the previous year; among these, 5 (21.7%) were infected. The likelihood of infection was low among anthelmintic users by 28% [0.72 (0.26–2.01)], but the protection was not significant. The communities differed in risk factors on the availability of a clean and safe water supply; 52.7% (46/86) of households visited had no pit latrine. The cysticercosis prevalence showed a significant difference in communities. Conclusions: The prevalence of human cysticercosis was high and associated with higher age groups. The prevalence was low among those who had taken anthelmintics and was associated with lower age groups. The current school deworming program has a positive effect on school children, while the elderly are at higher risk because the intervention did not target them. It is recommended to scale up anthelmintic intervention to higher age groups. Full article

The use of faecal sludge (FS) in anaerobic digestion (AD) requires a perfect knowledge of their composition. Considered as a very heterogeneous material, the high variability of FS can disturb biodigesters’ functionality and impact biogas production. Unique in West Africa, Kossodo’s biogas plant in Ouagadougou receives sludge from septic tanks and pit latrines. To evaluate the quality of sludge discharged in this treatment plant and its ability for AD, a characterization of 130 FS trucks from several onsite sanitation facilities was carried out. Physico-chemicals, including heavy metals and microbiological parameters, were analyzed using standard protocols. A biochemical methane potential test was employed to evaluate biogas yield. Results showed that raw sludge averaged 1.12% total solids (TS), 54.74% volatile solids (VS), 9253 mg/L chemical oxygen demand (COD), and 1645 mg/L biochemical oxygen demand (BOD). Settled faecal sludge exhibited higher levels of total coliforms, E. coli, helminth eggs, and heavy metals. Heavy metal levels met AD standards defined by VDI 4630, with decreasing toxicity order: Zn > Mn > Cu > Cr > Ni > Pb > As ≥ Hg. The carbon-to-nitrogen (C/N) ratio was 6.7 ± 4.3, indicating unsuitability for AD. Sludge settling increased C/N ratio by 46%, which was still below optimal AD conditions (20–30). Methane yield of raw and settled FS averaged 61 ± 0.2 and 156 ± 3.2 NL CH₄/kg VS removed, respectively. Co-substrate addition could enhance the methanogenic yield of these sludges. This study provides a valuable database on the characteristics of FS, supporting sustainable recovery options. Full article

Ensuring access to adequate and equitable sanitation and ending open defecation by 2030 is the focus of Sustainable Development Goal 6.2 (SDG6.2). We evaluated Malawi’s progress towards SDG 6.2 (specifically the goal to end open defecation), presenting the results of a national survey of over 200,000 sanitary facilities and evaluating their management. Based on non-linear population dynamics, we used a linear model to evaluate the reduction in open defecation between 1992–2018, and to project whether Malawi can meet the SDG target to end open defecation by 2030 under multiple scenarios of population growth. Whilst Malawi has made considerable progress in providing sanitary provision for the population, we estimate that, at the current rate of the provision of sanitary facilities, Malawi will not reach SDG 6.2 by 2030 under any of the modelled socioeconomic scenarios. Furthermore, we compare the estimates of the extent of sanitary provision classed as improved from multiple surveys, including the USAID Demographic and Health (DHS) Surveys and Government of Malawi Census data. We conclude that some of the surveys (particularly the 2015/16 DHS) may be overestimating the level of improved sanitary provision, and we hypothesize that this is due to how pit-latrines with earth/sand slabs are classed. Furthermore, we examine the long-term sustainability of pit-latrine use, investigating the challenge of pit-latrine abandonment and identifying pit-latrine filling as a cause of the abandonment in 30.2% of cases. We estimate that between 2020–2070, 31.8 (range 2.8 to 3320) million pit-latrines will be filled and abandoned, representing a major challenge for the safe management of abandoned latrines, a potential for long-term impacts on the groundwater quality, and a significant loss of investment in sanitary infrastructure. For Malawi to reach SDG 6.2, improvements are needed in both the quantity and quality of its sanitary facilities. Full article

On-site sanitation systems (OSS), such as pit latrines, are an important source of methane (CH₄), with emissions increasing when they are wet, and this occurs when anaerobic conditions dominate. This paper presents the development of a model, which uses seasonal changes in groundwater to account for the fluctuating inundation of pit latrines, and, therefore, the associated CH₄ emissions from varying degrees of anerobic conditions are examined. Given that observed timeseries of groundwater table depth at high enough spatial and temporal resolutions are often difficult to obtain in low- and middle-income countries (LMICs), inverse distance weighted (IDW) interpolation is used to generate values for a whole region, which is then used, alongside average pit latrine depth, to determine areas of pit latrine inundation. Outcomes are further informed with open-source contextual data, covering population, urban/rural split, and sanitation facility data, before using methodologies from the Intergovernmental Panel on Climate Change (IPCC) to generate CH₄ emissions data. As a case study, we use data from Senegal to illustrate how this model works. Results show total CH₄ emissions for the month of January to be ~1.69 kt CH₄. We have also discussed the potential use of satellite remote sensing data in regions where access to historical groundwater data is limited. Understanding when the pit conditions are most likely to change could lead to incentives for better management strategies, as well as a reduction in CH₄ production. Full article

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the ongoing coronavirus disease 2019 (COVID-19) pandemic. Despite the fact that it affects all ages and profiles, some evidence shows that patients with comorbidities, including diabetes, obesity, and hypertension, are likely to be most affected. For chronic diseases, such as human immunodeficiency virus (HIV), information is scarce, with a few studies from high-income countries. This study reports predictors of SARS-CoV-2 seropositivity (IgG + IgM) among unvaccinated people living with HIV attending Bugando Medical Centre in Mwanza, Tanzania. Methodology: A cross-sectional, hospital-based study involving 150 HIV-infected patients was conducted at Bugando Medical Centre between June and July 2022. A pretested questionnaire was used to collect the participants’ information. Blood samples were collected and used for the detection of SARS-CoV-2 (IgM/IgG) antibodies by immunochromatographic assay. Data were analyzed using STATA version 15. Results: The mean age of the enrolled participants was 46.4 ± 11.1 years. The overall seropositivity (IgG + IgM) of SARS-CoV-2 antibodies was 79/150 (52.7%) [95% CI: 44.4–60.9]. Seropositivity of IgM only was 8/150 (5.3) [95% CI: 1.7–8.8], while that of IgG only was 61/150 (40.6%) [95% CI: 32.7–48.4]. Seropositivity of both IgG and IgM was observed in 10/150 (6.7%) patients. In a multivariate logistic regression analysis, history of sore throat (OR: 6.34, 95% CI: 2.305–18.351, p < 0.001), low CD4 count (OR: 0.99, 95% CI: 0.995–0.999, p = 0.004), and use of pit latrines (OR: 2.30, 95% CI: 1.122–4.738, p = 0.023) were independently associated with SARS-CoV-2 seropositivity. Conclusion: HIV-infected individuals with history of sore throat, low CD4 count, and use of pit latrines were more likely to be SARS-CoV-2 IgG seropositive. There is a need to routinely screen for SARS-CoV-2 infection among HIV-infected individuals to obtain comprehensive data regarding the interactions of the pathogens. Full article

Pharmaceuticals are widely used in Africa due to the high burden of human and animal diseases. However, a review of the current practices and pollution risks arising from the disposal of pharmaceuticals in low-income settings in Africa is still lacking. Therefore, the present review examined the literature to address the following questions: (1) what are the key factors driving the accumulation of unused and expired pharmaceuticals?, (2) what are the current disposal practices for unused and expired pharmaceuticals, and wastewater (feces and urine) containing excreted pharmaceuticals?, (3) what are the potential environmental and human health hazards posed by current disposal practices?, and (4) what are the key research needs on the disposal of pharmaceuticals in low-income settings? Evidence shows that, in low-income settings, wastewater comprising predominantly of feces and urine containing excreted pharmaceuticals often end up in on-site sanitation systems such as pit latrines, septic tanks, and the environment in the case of open defecation. Unused and expired pharmaceuticals are disposed of in pit latrines, household solid waste, and/or burned. The pollution risks of current disposal practices are poorly understood, but pharmaceutical pollution of groundwater sources, including those used for drinking water supply, may occur via strong hydrological connectivity between pit latrines and groundwater systems. Potential high-risk pollution and human exposure hotspots are discussed. However, compared to other environmental compartments, the occurrence, dissemination, fate, and human health risks of pharmaceuticals in the pit latrine-groundwater continuum are still understudied. Future research directions are discussed to address these gaps using the Source-Pathway-Receptor-Impact-Mitigation (SPRIM) continuum as an organizing framework. Full article

The use and abuse of antibiotics are directly related to the development of drug resistance, a global public health problem. Whereas the majority of research focus is on the use and misuse of antibiotics in drug resistance development, little is known about improper disposal, as a source of contamination in the environment that includes groundwater, especially in informal settlements. This study sought to determine antibiotic use and disposal in informal settlements in Kisumu, Kenya. A random cross-sectional sample of 447 households in selected informal settlements of Kisumu, Kenya was studied. A structured questionnaire was issued to persons heading households. The prevalence of antibiotic use was 43% (n = 193). Among these people, 74% (n = 144) had consulted a health worker in a healthcare facility for a prescription. Respondents did not always complete doses but kept the remainder for the next time they would become ill (54%). About 32% disposed of the remainder of the antibiotics in pit latrines and compost pits (10%) while 4% disposed through burning. Antibiotic use was fairly high despite a low level of awareness of the health effects of consuming water contaminated with antibiotics (35%) (n = 156); p = 0.03. Misuse and inappropriate disposal of antibiotics as identified may lead to a higher risk of antibiotic resistance, increasing the disease burden in the informal settlements. Full article

In recent decades, there has been a growing emphasis on assessing aquifer vulnerability. Given the availability of spatial data and the GIS advantages, mapping the groundwater vulnerability has become a common tool for protecting and managing groundwater resources. Here, we applied the GIS indexing and an overlay method to explore a combination of the potential contamination factors needed to assess groundwater vulnerability in the Mosha aquifer. The data from a borehole data logger and chemical analysis of spring water show groundwater responses to the surface contaminating sources. To assess the aquifer vulnerability, the potential contaminating sources were classified into three groups, namely (1) geological characteristics such as lithology and structural geology features; (2) the infrastructures induced by human activities such as roads, water wells, and pit latrines; and (3) land use. By considering these components, the risk maps were produced. Our findings indicate that the aquifer is very responsive to the anthropogenic contaminants that may leak into the aquifer from urbanized areas. Additionally, roads and pit latrines can significantly release pollutants into the environment that may eventually leak into the aquifer and contaminate the underlying groundwater resources. Full article

The current paper provides a review and meta-analysis of the practical implications of disaster risk management related to the ventilated improved latrines in South Africa. This technology is evaluated through its legacy and novel challenges of disaster risk reduction. In the current article, the methodology adopted was a literature review and meta-analyses. The results indicate that the in-situ treatment and breakdown of faecal sludge in the ventilated improved pit latrines is not always taking place and that anaerobic digestion might not always be feasible. New strategies are proposed to manage the sanitation-related risks in South Africa by specifying more exact dimensions for the newly built ventilated improved pit latrines by suggesting the use of novel sanitation additives such as fly ash to enhance on-site and in situ treatment, as well as ex situ treatment of the pit latrine faecal sludge. Regular maintenance can lead to prevention of the dysfunctional character of the ventilated improved pit latrines as a functional sanitation technology and a user-friendly hygiene barrier to the spread of sanitation/WASH-related epidemics or infectious diseases. The implementation of the novel strategies should be enhanced by the application of the (Environmental) Technology Assessment in sanitation service delivery in South Africa. Full article

In Vietnam, data on the risk factors for diarrhea at the community level remain sparse. This study aimed to provide an overview of diarrheal diseases in an agricultural community in Vietnam, targeting all age groups. Specifically, we investigated the incidence of diarrheal disease at the community level and described the potential risk factors associated with diarrheal diseases. In this prospective cohort study, a total of 1508 residents were enrolled during the 54-week study period in northern Vietnam. The observed diarrheal incidence per person-year was 0.51 episodes. For children aged <5 years, the incidence per person-year was 0.81 episodes. Unexpectedly, the frequency of diarrhea was significantly higher among participants who used tap water for drinking than among participants who used rainwater. Participants who used a flush toilet had less frequent diarrhea than those who used a pit latrine. The potential risk factors for diarrhea included the source of water used in daily life, drinking water, and type of toilet. However, the direct reason for the association between potential risk factors and diarrhea was not clear. The infection routes of diarrheal pathogens in the environment remain to be investigated at this study site. Full article

Faecal sludge management (FSM) in most developing countries is still insufficient. Sanitation challenges within the sub-Saharan region have led to recurring epidemics of water- and sanitation-related diseases. The use of pit latrines has been recognised as an option for on-site sanitation purposes. However, there is also concern that pit latrine leachates may cause harm to human and ecological health. Integrated approaches for improved access to water and sanitation through proper faecal sludge management are needed to address these issues. Biochar a carbon-rich adsorbent produced from any organic biomass when integrated with soil can potentially reduce contamination. The incorporation of biochar in FSM studies has numerous benefits in the control of prospective contaminants (i.e., heavy metals and inorganic and organic pollutants). This review paper evaluated the potential use of biochar in FSM. It was shown from the reviewed articles that biochar is a viable option for faecal sludge management because of its ability to bind contaminants. Challenges and possible sustainable ways to incorporate biochar in pit latrine sludge management were also illustrated. Biochar use as a low-cost adsorbent in wastewater contaminant mitigation can improve the quality of water resources. Biochar-amended sludge can also be repurposed as a useful economical by-product. Full article

Rural households have latrine preferences and unique sanitation needs. An assessment of how rural households adapt their sanitation needs to a nationally encouraged latrine design was done. A cross-sectional survey was conducted among 790 households in a rural district of Zimbabwe from November 2020 to May 2021. Data were analysed using logistic regression. Qualitative data were collected using focus groups and analysed using thematic analysis. Analyses were done in STATA 16 and considered significant at p < 0.05. There was low adoption of the Blair ventilated improved pit latrine and its upgradable models. Significant predictor variables of BVIP latrine adoption were mainly contextual and psychosocial at the individual and household levels. They included source and level of household income, residence period, nature of homestead, number of cattle owned, knowledge of sanitation options and perceived high latrine cost. The latrine design was considered not a pro-poor option as it was unaffordable by many rural households resulting in its non-completion, poor-quality designs, alternative options, sharing and open defaecation. Poverty appears the main barrier for latrine ownership. However, a window of opportunity to improve access to sanitation in rural Zimbabwe exists by considering alternative sanitation options and financial investment mechanisms. Full article

Discharge of excreta into the environment and the use of decentralized sanitation technologies, such as septic tanks, pit latrines and ecological sanitation variants (i.e., container-based sanitation), contribute to greenhouse gas (GHG) emissions but have remained poorly quantified. The purpose of this analysis was to investigate the impacts that meeting Sustainable Development Goal (SDG) 6.2 (i.e., ending open defecation by 2030) would have on SDG 13 (i.e., combatting climate impacts). The current Intergovernmental Panel on Climate Change GHG estimation methodology was used as the basis for calculations in this analysis, augmented with improved emission factors from collected data sets for all types of on-site sanitation infrastructure. Specifically, this assessment focused on the three different service levels of sanitation (i.e., improved, unimproved and no service) as defined by UNICEF and WHO as they pertain to three Shared Socioeconomic Pathways. This analysis considered the 100-year global warming potential values in carbon dioxide equivalents of methane and nitrous oxide that can be emitted for each scenario and decentralized sanitation technology. Ultimately, six scenarios were developed for various combinations of pathways and sanitation technologies. There was significant variability between the scenarios, with results ranging from 68 Tg CO₂eq/year to 7 TgCO₂eq/year. The main contributors of GHG emissions in each scenario were demonstrated to be septic tank systems and pit latrines, although in scenarios that utilized improved emission factors (EFs) these emissions were significantly reduced compared with those using only standard IPCC EFs. This analysis demonstrated that using improved EFs reduced estimated GHG emissions within each SSP scenario by 53% on average. The results indicate that achieving SDG sanitation targets will ultimately increase GHG emissions from the current state but with a relatively small impact on total anthropogenic emissions. There is a need for the continued improvement and collection of field-based emission estimations to refine coarse scale emissions models as well as a better characterization of relevant biodegradation mechanisms in popular forms of on-site sanitation systems. An increase in the understanding of sanitation and climate change linkages among stakeholders will ultimately lead to a better inclusion of sanitation, and other basic human rights, in climate action goals. Full article