Burden of disease attributable to unsafe drinking water, sanitation, and hygiene in domestic settings: a global analysis for selected adverse health outcomes.

BACKGROUND: Assessments of disease burden are important to inform national, regional, and global strategies and to guide investment. We aimed to estimate the drinking water, sanitation, and hygiene (WASH)-attributable burden of disease for diarrhoea, acute respiratory infections, undernutrition, and soil-transmitted helminthiasis, using the WASH service levels used to monitor the UN Sustainable Development Goals (SDGs) as counterfactual minimum risk-exposure levels. METHODS: We assessed the WASH-attributable disease burden of the four health outcomes overall and disaggregated by region, age, and sex for the year 2019. We calculated WASH-attributable fractions of diarrhoea and acute respiratory infections by country using modelled WASH exposures and exposure-response relationships from two updated meta-analyses. We used the WHO and UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene public database to estimate population exposure to different WASH service levels. WASH-attributable undernutrition was estimated by combining the population attributable fractions (PAF) of diarrhoea caused by unsafe WASH and the PAF of undernutrition caused by diarrhoea. Soil-transmitted helminthiasis was fully attributed to unsafe WASH. FINDINGS: We estimate that 1·4 (95% CI 1·3-1·5) million deaths and 74 (68-80) million disability-adjusted life-years (DALYs) could have been prevented by safe WASH in 2019 across the four designated outcomes, representing 2·5% of global deaths and 2·9% of global DALYs from all causes. The proportion of diarrhoea that is attributable to unsafe WASH is 0·69 (0·65-0·72), 0·14 (0·13-0·17) for acute respiratory infections, and 0·10 (0·09-0·10) for undernutrition, and we assume that the entire disease burden from soil-transmitted helminthiasis was attributable to unsafe WASH. INTERPRETATION: WASH-attributable burden of disease estimates based on the levels of service established under the SDG framework show that progress towards the internationally agreed goal of safely managed WASH services for all would yield major public-health returns. FUNDING: WHO and Foreign, Commonwealth & Development Office.

Incidence of diarrhea and risk factors among wastewater-irrigating urban farmers along Akaki Rivers in Addis Ababa.

The importance of diarrhea risk associated with wastewater exposure in agriculture is almost unknown. This study aimed to examine diarrheal infection and risk factors among farmers using wastewater for irrigation in Addis Ababa. A cross-sectional study was employed among 380 farmers (190 exposed and 190 unexposed farmers). Among these, a cohort of 200 adults (100 wastewater-exposed, 100 unexposed farmers) aged 25-69 years were selected and followed up biweekly for two successive vegetables growing seasons to examine the incidence of diarrhea. The incidence rate of reported diarrhea was 12 episodes per 1,000 person-weeks at risk and a maximum of 17 episodes per 1,000 person-weeks at risk. Strongly associated risk factors include washing body and clothes with wastewater [AOR: 4.2, 95%CI (1, 11.2)], using working clothes at home [AOR: 4.7, 95%CI (0.25, 87)], and wearing protective cloth [AOR: 5.6, 95 CI (0.3, 70)]. Moreover, hand washing after work, washing feet and boots, and on-site hand washing were significant determinants of farmers' diarrhea. Exposure to wastewater significantly contributes to the risk of diarrhea among adults. Significant determinants of diarrhea among farmers include washing the body and clothes with irrigation water, contamination with soil and irrigation water, and on-site hand washing. Increased risk factors include hand contamination, washing vegetables with irrigation water, eating raw vegetables, and using work clothes at home.

Effectiveness of interventions to improve drinking water, sanitation, and handwashing with soap on risk of diarrhoeal disease in children in low-income and middle-income settings: a systematic review and meta-analysis.

BACKGROUND: Estimates of the effectiveness of water, sanitation, and hygiene (WASH) interventions that provide high levels of service on childhood diarrhoea are scarce. We aimed to provide up-to-date estimates on the burden of disease attributable to WASH and on the effects of different types of WASH interventions on childhood diarrhoea in low-income and middle-income countries (LMICs). METHODS: In this systematic review and meta-analysis, we updated previous reviews following their search strategy by searching MEDLINE, Embase, Scopus, Cochrane Library, and BIOSIS Citation Index for studies of basic WASH interventions and of WASH interventions providing a high level of service, published between Jan 1, 2016, and May 25, 2021. We included randomised and non-randomised controlled trials conducted at household or community level that matched exposure categories of the so-called service ladder approach of the Sustainable Development Goal (SDG) for WASH. Two reviewers independently extracted study-level data and assessed risk of bias using a modified Newcastle-Ottawa Scale and certainty of evidence using a modified Grading of Recommendations, Assessment, Development, and Evaluation approach. We analysed extracted relative risks (RRs) and 95% CIs using random-effects meta-analyses and meta-regression models. This study is registered with PROSPERO, CRD42016043164. FINDINGS: 19 837 records were identified from the search, of which 124 studies were included, providing 83 water (62 616 children), 20 sanitation (40 799 children), and 41 hygiene (98 416 children) comparisons. Compared with untreated water from an unimproved source, risk of diarrhoea was reduced by up to 50% with water treated at point of use (POU): filtration (n=23 studies; RR 0·50 [95% CI 0·41-0·60]), solar treatment (n=13; 0·63 [0·50-0·80]), and chlorination (n=25; 0·66 [0·56-0·77]). Compared with an unimproved source, provision of an improved drinking water supply on premises with higher water quality reduced diarrhoea risk by 52% (n=2; 0·48 [0·26-0·87]). Overall, sanitation interventions reduced diarrhoea risk by 24% (0·76 [0·61-0·94]). Compared with unimproved sanitation, providing sewer connection reduced diarrhoea risk by 47% (n=5; 0·53 [0·30-0·93]). Promotion of handwashing with soap reduced diarrhoea risk by 30% (0·70 [0·64-0·76]). INTERPRETATION: WASH interventions reduced risk of diarrhoea in children in LMICs. Interventions supplying either water filtered at POU, higher water quality from an improved source on premises, or basic sanitation services with sewer connection were associated with increased reductions. Our results support higher service levels called for under SDG 6. Notably, no studies evaluated interventions that delivered access to safely managed WASH services, the level of service to which universal coverage by 2030 is committed under the SDG. FUNDING: WHO, Foreign, Commonwealth & Development Office, and National Institute of Environmental Health Sciences.

Contamination and ecological risk assessment of toxic metals in Awetu watershed stream waters and sediments, Ethiopia.

The study analyzed the contamination level and ecological risk assessment of toxic metals Awetu watershed streams. A total of 20 water and 20 sediment samples were collected and analyzed for the toxic metals of Arsenic (As), cadmium (Cd), chromium (Cr), copper (Cu), mercury (Hg), manganese (Mn), nickel (Ni), lead (Pb), tin (Sn), and zinc (Zn). Sediment samples showed severe contamination levels based on ranges in sediment quality guidelines (SQGs). Water samples showed high grades of contamination factor and potential ecological risk factor by toxic metals. The synergistic effects of toxic metals in the sampling sites were evaluated by Nemerow pollution index, potential ecological risk index and modified degree of contamination and were found to have similar results. Dololo stream (D1, D2, D3, and D4) and Kito (K1, K2, and K3) were found at 'toxic' contamination and 'severe' ecological risk. Cd, Mn, Ni, Pb, and Sn contributed to the highest ecological risk. Toxic metal contamination in Dololo stream is attributed to institutions carrying out various anthropogenic activities along the stream bank, including traditional metal plating, garages, laboratory effluents, extensive agriculture, carwash, irresponsible waste disposal, and urban population growth. The result shows Awetu watershed streams are seriously contaminated by toxic metals. Therefore, future pollution control and management plans should accentuate the strict regulation of discharge of wastes from these anthropogenic activities.

Entomological and Anthropological Factors Contributing to Persistent Malaria Transmission in Kenya, Ethiopia, and Cameroon.

INTRODUCTION: In order to improve our understanding of the fundamental limits of core interventions and guide efforts based on prioritization and identification of effective/novel interventions with great potentials to interrupt persistent malaria transmission in the context of high vector control coverage, the drivers of persistent disease transmission were investigated in three eco-epidemiological settings; forested areas in Cameroon, coastal area in Kenya and highland areas in Ethiopia. METHODS: Mosquitoes were sampled in three eco-epidemiological settings using different entomological sampling techniques and analysed for Plasmodium infection status and blood meal origin in blood-fed specimens. Human behavioural surveys were conducted to assess the knowledge and attitude of the population on malaria and preventive measures, their night activities, and sleeping pattern. The parasitological analysis was conducted to determine the prevalence of Plasmodium infection in the population using rapid diagnostic tests. RESULTS: Despite the diversity in the mosquito fauna, their biting behaviour was found to be closely associated to human behaviour in the three settings. People in Kenya and Ethiopia were found to be more exposed to mosquito bites during the early hours of the evening (18-21h) while it was in the early morning (4-6 am) in Cameroon. Malaria transmission was high in Cameroon compared to Kenya and Ethiopia with over 50% of the infected bites recorded outdoors. The non-users of LLINs were 2.5 to 3 times more likely to be exposed to the risk of acquiring malaria compared to LLINs users. Malaria prevalence was high (42%) in Cameroon, and more than half of the households visited had at least one individual infected with Plasmodium parasites. CONCLUSIONS: The study suggests high outdoor malaria transmission occurring in the three sites with however different determinants driving residual malaria transmission in these areas.

Risk perceptions and attitudinal responses to COVID-19 pandemic: an online survey in Ethiopia.

BACKGROUND: Effective risk communication is one of the critical strategies in the response to COVID-19. This study examined risk perceptions and attitudinal responses to COVID-19 among the educated section of the society in Ethiopia. METHODS: An internet-based survey was conducted from April 22 to May 04, 2020, in Ethiopia. A questionnaire addressing the perception of health threat-combination of perceived vulnerability (PV) and perceived seriousness (PS), and perceived efficacy-combinations of perceived response efficacy (PRE), perceived self-efficacy (PSE), and perceived collective efficacy (PCE). The data were analyzed using SPSS 21.0. Descriptive statistics were computed after the standardization of the scores. The scores for overall efficacy and threat were split by median value and response classifications were generated through threat by efficacy interactions. For statistical significance, 95% CI and p-value < 0.05 were used. RESULTS: A total of 929 respondents submitted their responses. Eight hundred and twenty-eight (89.1%) of the respondents were male and 753 (81.1%) were Christian. The perceived threat to COVID-19 was generally low (median = 58.3). The median score for overall efficacy, PRE, and PSE were 79.8, 87.5, and 80.0, respectively. However, the median value (66.7) for PCE was relatively low. Perceived threat significantly varied by age, education, occupation, and place of residence (p < 0.05). Perceived efficacy significantly differed by gender, residence, and use of some sources of information (p < 0.05). In terms of response to COVID-19, 290 (31.2%), 239 (25.7%), 175 (18.8%) and 225 (24.2%) of the respondents were in the responsive, pro-active, avoidant, and indifferent attitudinal categories, respectively. The avoidant and indifferent groups constituted a fear control response (mal-adaptive motivation towards COVID-19 protective behavior) whereas responsive and pro-active categories formed a danger control response (self-protective motivation). These responses varied significantly by residence, region, religion, and sources of information (p < 0.05). CONCLUSIONS: Understanding people's perceived health threat and efficacy is a critical step toward creating risk communication campaigns. Hence, this study provided an insight that has the potential to inform the COVID-19 risk communication campaigns targeting the educated section of the society, by ensuring a balanced combination of threat appeals and efficacy messages for improved self-protective responses.

Psychological distress during the COVID-19 pandemic in Ethiopia: an online cross-sectional study to identify the need for equal attention of intervention.

BACKGROUND: The COVID-19 pandemic led individuals to suffer from different levels of mental health problems such as psychological distress, anxiety, depression, denial, panic, and fear. This study aimed at determining the prevalence of psychological distress and associated factors among the Ethiopian population during the COVID-19 pandemic. METHODS: A cross-sectional study was performed through an online survey using different online platforms. The questionnaire was created through Google Form and the survey link was administered by e-mail, LinkedIn, Telegram, and Facebook. Educated Ethiopian population who have access to the internet were invited to participate through an online survey and addressed to 929 respondents. The study participants completed the survey anonymously without any personal identifier. The psychological distress was assessed using the Kessler 10-item tool to measure psychological distress. Data were analyzed using SPSS and logistic regression to examine mutually adjusted associations, expressed as adjusted odds ratios. A generalized additive model was also employed to identify additional predictors using R. RESULTS: The prevalence of high psychological distress among the study population was 236 (25.5%). Of all respondents, 421 (45.1%) had low psychological distress, 274 (29.4%) had moderate psychological distress, 164 (17.6%) had high psychological distress, and 72 (7.3%) had very high psychological distress. Psychological distress increased with being at young and middle-aged adults, getting information from social media, and not correctly practicing infection prevention and control measures to prevent COVID-19 infection. Respondents with high perceived severity had increased psychological distress. On the contrary, those with the highest score of perceived response efficacy had low distress. CONCLUSION: Prevalence of psychological distress was substantial. The need for intervention of psychological distress inline with the prevention of COVID-19 is critically essential. The intervention target groups are those whose information sources are from social media, young and middle-aged adults, and those who do not correctly practice infection prevention and control measures against COVID-19 infection.

Relevance of macroinvertebrate communities as a water quality monitoring tool in ecosystems under harsh environmental conditions in the Rift Valley region.

Ecological assessment was performed in different thermal springs located in the Ethiopian Rift Valley area: Gergedi, Sodere, Halaba, and Gara. We assessed the habitat conditions, physicochemical characteristics, and macroinvertebrate composition at 12 sampling sites in four thermal spring systems. The physicochemical properties of the water samples varied among the sampling stations. Temperature ranged from 38.5 to 90°C among the 12 sites. Dissolved oxygen, which is essential to aquatic ecosystem normal functioning, was not detected at three sampling sites. An average of 109 macroinvertebrates were identified in three sampling campaigns. Relatively higher macroinvertebrate abundance 94 (86.2%) was registered in Gergedi than any other thermal spring sites. The macroinvertebrate abundance was 9 (8.3%) and 6 (5.5%) for the Gara and Sodere thermal springs. No macroinvertebrate communities were observed in all sites of Halaba thermal spring. From all macroinvertebrate groups, 82 (75.2%) were dipterans, 20 (18.4%) Oligochaeta, 5 (4.6%) Gastropoda, and the rest Hemipterans and Coleopterans, which comprises 2 (1.8%) individuals. Chironomidae was the dominant invertebrate taxa at all sites, and when the water temperature exceeds 42°C, it becomes the only taxon in the thermal springs. Macroinvertebrates were absent in thermal springs where the water temperature is 52°C or higher. Other diversity measures were not sensitive enough to discriminate sampling sites regardless of physicochemical variabilities except the richness and abundance. Water temperature, chloride, pH, and phosphate were identified as major determinants of macroinvertebrate richness in the Ethiopian Rift Valley region.

Use of broken brick to enhance the removal of nutrients in subsurface flow constructed wetlands receiving hospital wastewater.

Eight horizontal subsurface flow pilot scale artificial wetlands were constructed to evaluate the effectiveness of broken brick to remove nutrients from hospital wastewater. The average total suspended solids (TSS), 5-day biochemical oxygen demand (BOD5), chemical oxygen demand (COD), total Kjeldahl nitrogen (TKN), NH4-N, NO3-N, and phosphate percent removal efficiency of constructed wetlands were, respectively, 93.2%, 90.4%, 83.7%, 64%, 64.3%, 52.1% and 56.1% in the dry season and 89.7%, 85.8%, 82.9%, 66%, 62.7%, 56.1% and 59.5% in the rainy season. Broken brick bed wetlands provide better removal efficiency of TKN, ammonia, nitrate, and phosphate with an average removal rate of 73%, 71.3%, 79.6% and 77.1% in the dry season and 74.7%, 70.7%, 70.9% and 73.6% in the rainy season, respectively, and it provides better adsorption sites for ammonium, nitrate, and phosphate. Typha with the broken brick bed significantly improved (P < 0.05) the treatment performance of the constructed wetland systems for the removal of ammonia, nitrate, and phosphate. The seasonal variation could not significantly influence the removal of all the pollutants, but better performance of nitrate and phosphate was achieved in a dry season. Use of locally available broken brick as a substrate media can increase the nutrient removal efficiency of wetlands at a cheaper cost when applied in full scale constructed wetlands.

Effect of watershed land use on tributaries' water quality in the east African Highland.

A study was carried out on four tributaries of Gilgel Gibe Reservoir to identify water physicochemical characteristics in different land use categories (farmland, naturally vegetated land, and settlement). Water samples were collected from 12 sampling sites along four permanent streams flowing into Gilgel Gibe Reservoir. Data sets were evaluated using nonparametric statistical techniques. Dissolved oxygen (DO), temperature, biochemical oxygen demand (BOD5), total phosphorus (TP), soluble reactive phosphorus (SRP), total nitrogen (TN), turbidity, total dissolved solids (TDS), and total suspended solids (TSS) spatially showed significant differences in the wet season and DO, temperature, and BOD5 varied significantly during the dry season. When excluding DO, electrical conductivity (EC), and TP during the wet and dry seasons, the remaining variables showed significant differences. During the wet season, concentrations of most water quality parameters were greatest in influents from agricultural land. Pollution and eutrophication risk is closely associated with drainage from agricultural land, requiring that emphasis and priorities be given to land use management and conservation.

Seasonal and spatial variation of reservoir water quality in the southwest of Ethiopia.

This research investigated the spatiotemporal variation of water quality in the Gilgel Gibe reservoir, Ethiopia, using physicochemical water quality parameters. Nonparametric tests and multivariate statistical techniques were used to evaluate data sets measured during dry and rainy seasons. Electrical conductivity (EC), pH, biochemical oxygen demand (BOD5), total phosphorus (TP), total nitrogen (TN), nitrate (NO3-), total dissolved solids (TDSs), and total suspended solids (TSSs) were all significantly different among seasons (Mann-Whitney U test, p < 0.01). In addition, principal component analysis distinguished dry season samples from wet season samples. The dry season was positively associated with EC, pH, TP, TN, NO3-, TDS, and TSS and negatively associated with BOD5. The wet season was in contrast associated with high values of turbidity, soluble reactive phosphorus (SRP), water temperature, and dissolved oxygen (DO). Within the reservoir, spatial variation was observed for some of the water quality parameters, with significant difference at p = < 0.05. Overall, high nutrient concentrations suggest eutrophic conditions, likely due to high nutrient loading from the watershed. Levels of TSS, attributed to inputs from tributaries, have been excessive enough to inhibit light penetration and thus have a considerable impact on the aquatic food web. Our findings indicate that the reservoir is at high risk of eutrophication and siltation, and hence, urgent action should target the planning and implementation of integrated watershed management for this and similar reservoirs in the region.

Exposure to DDT and its metabolites from khat (Catha edulis) chewing: Consumers risk assessment from southwestern Ethiopia.

Khat (Catha edulis) is one of the most consumed plant in the horn of African countries. However, it is a stimulant plant that has several side effects on the health of consumers. On top of that, the khat leaves used for human consumption are often contain contaminants such as pesticide residues. The present study aims to investigate the level of DDT residue and its metabolites (p'p-DDE, p'p-DDD, o'p-DDT and p'p-DDT) in khat samples and to undertake exposure assessment to consumers. The khat samples were collected from local markets in southwestern Ethiopia. Consumption survey was undertaken using 24 h recall method for both male and female khat consumers. The finding showed that 80% of the khat samples contained DDT and its metabolites. Some of the residues were above the maximum residue limit (MRL) set by Food and Agricultural Organization (FAO). The concentration of p'p-DDE and p'p-DDT in khat were in the range of 0.033-0.113 and 0.010-0.026 mg/kg, respectively. High concentration of the metabolite (p'p-DDE) compared to the parent compound (p'p-DDT) revealed the historical use of DDT in the study area. Probabilistic exposure analysis indicated that the mean and 97.5 percentile (P97.5), of the estimated daily intake of total DDT were 0.002 and 0.006 mg/kg bw/day, respectively. The study concluded that khat consumers are exposed to the stimulant effect of the plant as well as DDT and its metabolites in Jimma zone.

Impact of Tannery Effluent on the Self-purification Capacity and Biodiversity Level of a River.

The present study investigates the impact of tannery effluents on the self-purification capacity and the local macroinvertebrate community of one natural stream. As the concentration of chromium and sulfide increased from up- to downstream sites, the reduction of suspended solids, 5-days biological oxygen demand (BOD5), chemical oxygen demand and nitrification capacity decreased by 61 %, 21 %, 30 % and 74 %, respectively. Similarly, the share of Ephemeroptera, Plecoptera, and Trichoptera on the macroinvertebrate community decreased from 24 % to 0 %. Also the diversity (Simpson's) index and the correlation between the physicochemical parameters, BOD5 reduction, the macroinvertebrate abundance and the chromium concentration underpin the importance of the contamination by tannery effluents for the degradation of the stream habitat quality. In conclusion, although the physicochemical parameters indicate that the self-purification of the river can be maintained for a certain stream section, the biodiversity of the river is severely compromised.

Evaluation of immunomodulatory activities of methanolic extract of khat (Catha edulis, Forsk) and cathinone in Swiss albino mice.

BACKGROUND: The objective of this study was to explore the immunomodulatory effect of khat and its active component, cathinone, using mice. MATERIALS AND METHODS: Female Swiss albino mice aged 7-8 weeks weighing 25-30 g were used in the study. Mice were randomized into eight groups of 6 each and oral treatment of khat crude extract and cathinone were given daily for four weeks. Physical, hematological, biochemical, and immunological parameters were measured. Immunological studies included humeral immunity (IgG and IgM), cellular immune response (delay type hypersensitivity), phagocytic activities of reticuloendothelial system, and determination of T-lymphocyte population: CD3(+), CD4(+), CD8(+) count and CD4(+)/CD8(+) status. RESULTS: Findings of this study showed that, khat and its major metabolite, cathinone, can positively affect immune system in dose dependent manner. When doses of crude khat extract and cathinone increase, the induction of humeral (IgG and IgM) and cellular immune responses were up-regulated significantly (P < 0.05), while at higher dose of khat (200 mg/kg) cellular immune response was suppressed. In support of this, as doses of the two test substances increased, the count of T helper cells (CD4(+)) was significantly increased (P < 0.05), while higher dose significantly reduced whole white blood cell (WBC), CD8(+), and CD3(+) counts. CONCLUSION: At relatively lower dose (50-100 mg/kg), crude khat extract has immune stimulating property, although higher dose (200 mg/kg) leads to suppression of cellular immune response. Cathinone also share all immune modulating property of its parent compound, khat, but with intense strength. Thus, it calls for further detailed investigation of khat for practical application of the same in human medication.

Effect of chronic khat (Catha edulis, Forsk) use on outcome of Plasmodium berghei ANKA infection in Swiss albino mice.

BACKGROUND: The objective of this study was to explore effects of khat (Catha edulis) on outcome of rodent malaria infection and its anti-plasmodial activities on Plasmodium berghei ANKA (PbA). METHODS: Female Swiss albino mice were orally treated with crude khat (Catha edulis) extracts (100, 200 and 300 mg/kg) on a daily basis for 4 weeks prior to PbA infection. Physical, clinical, hematological, biochemical and histo-pathological features of the mice were assessed. In addition, in vivo anti-plasmodial activities of khat were evaluated. RESULTS: The finding of this study showed that khat use was strongly associated with increment of levels of liver and kidney biomarkers, leucopenia, severe anemia, rise in level of inflammation biomarkers: C-reactive protein (CRP), uric acid (UA), increased monocyte-lymphocyte count ratio (MLCR), manifestation of cerebral malaria symptoms such as ataxia, paralysis and deviation of the head but with no pulmonary edema. Significantly lower level of parasitemia (P<0.05), rectal temperature, but, high level of hemoglobin were observed at the early stage of the PbA infection in khat treated mice than the control. With extension of the treatment period, however, drastic increments were observed in parasite load and rectal temperature although there was reduction in hemoglobin (Hb) level. Moreover, khat showed poor anti-plasmodial activity with <10% parasite suppression activity and lack protection against major malaria symptoms. The significant reduction (P<0.01) of hematological parameters during PbA infection strengthen the notion that hematological parameters could be good predictors of severe malaria complications in human. CONCLUSIONS: In mice model treated with khat prior to infection with the rodent malaria parasite, khat was found to worsen manifestation of most malaria complications. Furthermore, the same plant showed poor in vivo anti-plasmodial activity and protection against major malaria symptoms.

The potential of biogas production from municipal solid waste in a tropical climate.

The objective of this study was to estimate the potential of organic municipal solid waste generated in an urban setting in a tropical climate to produce biogas. Five different categories of wastes were considered: fruit waste, food waste, yard waste, paper waste, and mixed waste. These fractions were assessed for their efficiency for biogas production in a laboratory-scale batch digester for a total period of 8 weeks at a temperature of 15-30 °C. During this period, fruit waste, food waste, yard waste, paper waste, and mixed waste were observed to produce 0.15, 0.17, 0.10, 0.08, and 0.15 m(3) of biogas per kilogram of volatile solids, respectively. The biogas produced and caloric value of each feedstock was in the range of 1.25 × 10(-3) m(3) (17 kWh)/cap/day (paper waste) to 15 × 10(-3) m(3) (170 kWh)/cap/day (mixed waste). Paper waste produced the least (<1×10(-3)(<17.8 kWh)/cap/day), and mixed waste produced the highest methane yield (10 × 10(-3) m(3) (178 kWh)/cap/day). Thus, mixed waste was found to be more efficient than other feedstocks for biogas and methane production; this was mainly related to the better C/N ratio in mixed waste. Taking the total waste production in Jimma into account, the total mixed organic solid waste could produce 865 × 10(3) m(3) (5.4 m(3)/capita) of biogas or 537 × 10(3) m(3) (3.4 m(3)/capita) of methane per year. The total caloric value of methane production potential from mixed organic municipal solid waste was many times higher than the total energy requirement of the area.

Exposure and health risk assessment of lead in communities of Jimma town, southwestern Ethiopia.

Human beings could be exposed to lead arising from different environmental sources, such as air, water and soil. Tap water, air and soil samples were collected from four quadrants of Jimma town in southwestern Ethiopia. Eighty samples from each environmental source: water, air and soil samples were collected and analyzed for lead concentration. Prediction of the blood lead level and risk characterization was made using integrated exposure uptake biokinetic model and lead risk was calculated using USEPA guideline. Average concentration of lead in water, air and soils were 24.55 ± 10.01, 1.01 ± 0.41 µg/m(3), and 220.08 ± 135.95 µg/g respectively. Uptake of lead by children is significantly higher than the adults. The total risk value was 1.41 for children and 0.37 for adults. The finding revealed that children are more at risk than adults.

Vulnerability Assessment and Protection Zone Delineation for Water Supply Schemes in the Upper Awash Subbasin, Ethiopia, Sub-Saharan Africa.

Water quality issues in Ethiopia necessitate the implementation of the Water Safety Plan (WSP) to safeguard drinking water. Despite its benefits, WSP implementation is underutilized, a situation exacerbated by urbanization, agriculture, pollution, and climate change. This study evaluated water supply system vulnerability and delineated protection zones in the Upper Awash River subbasin. By employing the DRASTIC model, the National WASH Inventory-2 (NWI-2), and qualitative methods, this research aims to integrate the NWI-2 with vulnerability assessments. The study revealed that, among 2864 schemes, only 14.4% had a water safety plan, while 20.7% practiced water safety, and 6% reported the occurrence of waterborne diseases. Over 39.23% of the schemes were in high vulnerability areas, 12.32% were in very high vulnerability areas, and only 8% were in low vulnerability areas. The validation revealed a 61.7% association between the vulnerability indices and nitrate concentration. The strengths of the strategy included coordination and guideline development, but challenges such as institutionalization, catchment protection, the legal framework, and climate information remain for the Water Safety Plan. To promote public health, these findings help to demonstrate and integrate the NWI-2 with vulnerability assessments to protect drinking water sources. The conclusion also calls for all concerned authorities to implement water source protection, emphasizing the use of GIS technology and the adoption of integrated watershed management practices, which encompass regulatory control and conservation strategies. Furthermore, more research on the pollutant time of travel, assimilation capacity, and land use priorities is needed to delineate specific protection zones.

Public health risks associated with drinking water consumption in the upper Awash River sub-basin, Ethiopia, sub-Saharan Africa.

The Upper Awash sub-basin characterized by urban, industrial, agricultural and population growth, has impacted the quality of its water sources. This study focuses on the assessment of public health risks associated with drinking water sources in the sub-basin. In accordance with WHO guidelines, 120 water samples were collected from 60 water supply schemes in dry and wet seasons located in areas with low and high water pollution risk (WPR). Multi-meter, Photometer, Digital Arsenator, and Microbiological test kit measured the concentration of parameters. The assessment uses methods of hazard identification, exposure and dose-response analysis, and risk characterization, including Hazard Quotient (HQ), Cancer Risk (CR), Hazard Index (HI), and probability of infection. Monte Carlo simulation analyzes non-cancer risks from Nitrite, Nitrate, Chromium, Iron, Fluoride, and Arsenic, and CRs from Chromium and Arsenic, and infection risks from Escherichia coli (E.coli). As a result, the Hazard Quotient (HQ) of Nitrate was beyond unity (HQ > 1) in the dry season for all groups. HQ of Chromium was HQ > 1 for Women (1.1E+00) and Children (1.4E+00) in the wet season in the high WPR area. Chromium HQ > 1 for children (1.4E+00) in the wet season and Fluoride (HQ > 1) for Children (3.2E+00) in the dry season in the low WPR area. Arsenic CR was above 1 in 10,000 persons for children in the dry season, for all groups, and for women and children in the wet season in the high WPR areas. The CR of chromium ranged from 1 in 1000 persons, which is beyond the limit. Moreover, the Hazard Index (HI) was higher than the unity (HI > 1) for most cases. All E coli infection risks daily and annually exceeded the acceptable risks. Therefore, Public health concerns in the Sub-basin were quantified, and evidences were generated for risk management to undertake source protection through integrated watershed management and appropriate water treatment technologies.