Acanthamoeba in Southeast Asia - Overview and Challenges.

Acanthamoeba, one of free-living amoebae (FLA), remains a high risk of direct contact with this protozoan parasite which is ubiquitous in nature and man-made environment. This pathogenic FLA can cause sight-threatening amoebic keratitis (AK) and fatal granulomatous amoebic encephalitis (GAE) though these cases may not commonly be reported in our clinical settings. Acanthamoeba has been detected from different environmental sources namely; soil, water, hot-spring, swimming pool, air-conditioner, or contact lens storage cases. The identification of Acanthamoeba is based on morphological appearance and molecular techniques using PCR and DNA sequencing for clinico-epidemiological purposes. Recent treatments have long been ineffective against Acanthamoeba cyst, novel anti-Acanthamoeba agents have therefore been extensively investigated. There are efforts to utilize synthetic chemicals, lead compounds from medicinal plant extracts, and animal products to combat Acanthamoeba infection. Applied nanotechnology, an advanced technology, has shown to enhance the anti-Acanthamoeba activity in the encapsulated nanoparticles leading to new therapeutic options. This review attempts to provide an overview of the available data and studies on the occurrence of pathogenic Acanthamoeba among the Association of Southeast Asian Nations (ASEAN) members with the aim of identifying some potential contributing factors such as distribution, demographic profile of the patients, possible source of the parasite, mode of transmission and treatment. Further, this review attempts to provide future direction for prevention and control of the Acanthamoeba infection.

Soil heavy metal pollution from waste electrical and electronic equipment of repair and junk shops in southern Thailand and their ecological risk.

The waste electrical and electronic equipment (WEEE) stream in Thailand shifted from exporting WEEE to recycling them in domestic enterprises after China's import restrictions on e-waste in 2018. This study aims to investigate the pollution status, pollution sources, and ecological risk of heavy metals from manual WEEE dismantling facilities (12 repair shops and 8 junk shops) in the Nakhon Si Thammarat province of southern Thailand by examining the concentrations of As, Cd, Ni, and Pb in the topsoil (0-15 cm) during the wet and dry seasons. The results revealed that the mean concentrations of all heavy metals were higher during the dry season than in the wet season. The concentrations of analyzed soil heavy metals decreased as the intensity of e-waste dismantling activities increased, with recycling sites > repair sites > control sites (no e-waste recycling activities). Only 10% of WEEE processing workshops (junk shops) had soil Pb and As concentrations that exceeded Thailand's residential soil quality standards. However, ecological indexing models based on the geo-accumulation index found that 75% of electric repair shops were contaminated with the analyzed heavy metals, particularly Pb. Moreover, the Nemerow integrated pollution index indicated that 16.7% of electric repair shops were on the pollution warning line. Our findings suggest that policymakers should promote ecological risk assessment as a method for mitigating the negative environmental impact of electronic repair businesses, which are widely dispersed in residential areas and tend to dominate the WEEE stream because of the circular economy concept of "right to repair", and highlight the decline of junk shops and e-waste dismantling villages for waste export resulting from China's ban.

Bacteriological Quality of Drinking Water and Hygienic Assessment of Water Cooler Dispensers in Higher Education Institution.

Background: The bacteriological quality of drinking water has become a public health concern according to its association with water-borne diseases. Nowadays, there are several different types of drinking water, including water cooler dispensers (WCDs), which are becoming a popular device in educational institutions. Therefore, this study aims to determine the bacteriological quality of drinking water from WCDs, and inspect their hygienic conditions in students' dormitories at a university in Nakhon Si Thammarat, Thailand. Methods: Water samples from 53 WCDs installed in 13 dormitories were collected and analyzed coliform bacteria by using the multiple-tube fermentation technique. The hygienic inspection form from the Department of Health, Ministry of Public Health, was used for inspection of the sanitary conditions. The hygienic factors of water cooler sanitation were analyzed using the generalized linear model. Results: Coliform bacteria were found in 10 out of 53 samples; moreover, Escherichia coli was recovered in three samples. Maintenance/cleaning and monitoring were the most two sanitary issues found in 100% (53/53) of the WCDs. Location and features of machine were found the correlation with the prevalence of coliform bacteria in drinking water. Conclusions: The findings of this study suggest regular monitoring of water quality in educational institutions. Also, the Sanitary Standard and Operational Procedures (S.S.O.P.) should be developed to improve the hygienic conditions of the water cooler dispensers.