An assessment of the health risks associated with shared sanitation: a case study of the community ablution blocks in Durban, South Africa.

Shared sanitation facilities have been hailed as an innovative approach to solve the challenge with sanitation access. However, these facilities may act as hotspots for disease transmission due to unhygienic conditions. In this study we used quantitative (based on Escherichia coli contamination) techniques to assess the health risks associated with the use of community ablution blocks (CABs). The most contaminated surfaces were the cistern handle (5.7 Log10 cfu/cm2) and internal pull latch (5.8 Log10 cfu/cm2). Based on the E. coli contamination, at least two people out of 100 CAB users might be potentially infected when they touch "hot" surfaces. These risks were modelled assuming transfer of potentially pathogenic E. coli from these surfaces to the mouth. The incorporation of risk-reduction measures, such as wiping of these surfaces or washing of hands, could potentially result in significant reduction of infection risks. The most significant risk-reduction intervention was determined to be wiping of the contact surfaces, especially twice prior to contact. A combination of risk-reduction interventions could further reduce the risks. This study shows that contamination of contact surfaces within shared CABs could lead to increased risks of infections, requiring measures aimed at reducing the associated risks. The risk assessment framework used in this study could therefore be applied in similar settings to estimate associated health risks with the use of such facilities.

The NEWgeneratorTM non-sewered sanitation system: Long-term field testing at an informal settlement community in eThekwini municipality, South Africa.

Globally, there is a dire need for a new class of advanced non-sewered sanitation systems (NSSS) to provide onsite wastewater treatment that is capable of meeting stringent discharge or reuse criteria. These systems need to be simple to operate and maintain, reliable, and resilient to unreliable electrical service. The NEWgenerator (NG) is a compact, automated, solar-powered wastewater treatment system comprised of three major treatment processes: anaerobic membrane bioreactor (AnMBR), nutrient capture system (NCS) with ion exchange and carbon sorption, and electrochlorination (EC). The NG system operated at an informal settlement community in South Africa over a 534 d period, treating high-strength blackwater (BW) and yellow water (YW) from a public toilet facility. Over three test stages (BW, BW + YW, BW) that included several periods of dormancy, the NG system was able to provide a high level of removal of total suspended solids (97.6 ± 3.1%), chemical oxygen demand (94.5 ± 5.0%), turbidity (96.3 ± 9.7%), color (92.0 ± 10.5%), total nitrogen (82.1 ± 24.0%), total phosphorus (43.0 ± 22.1%), E. coli (7.4 ± 1.5 LRV, not detected in effluent), and helminth ova (not detected in effluent). The treatment levels met most of the ISO 30500 NSSS standard for liquid effluent and local water reuse criteria. A series of maintenance events were successfully conducted onsite over the 534 d field trial: two membrane cleanings, two NCS regenerations, and granular activated carbon replacement. Desludging, a major pain point for onsite sanitation systems, was unnecessary during the field trial and thereby not performed. The AnMBR performed well, removing 94.5 ± 5.0% of the influent COD across all three stages. The high COD removal rate is attributed to the sub-micron separation provided by the ultrafiltration membrane. The NCS was highly efficient at removing total nitrogen, residual COD and color, but the regeneration process was lengthy and is a topic of ongoing research. The EC provided effective disinfection, but frequent prolonged run cycles due to power supply and water quality issues upstream limited the overall system hydraulic throughput. This extended field trial under actual ambient conditions successfully demonstrated the feasibility of using advanced NSSS to address the global water and sanitation crises.

Evaluating the Microbial Safety of Heat-Treated Fecal Sludge for Black Soldier Fly Larvae Production in South Africa.

Incorporation of black soldier fly larvae (BSFL) in fecal sludge management shows promise as a resource recovery strategy. BSFL efficiently convert organic waste into valuable lipids and protein, which can be further processed into commercial products. Ensuring the microbial safety of waste-derived products is critical to the success of resource-oriented sanitation and requires the development of effective sludge treatment. This study evaluates the microbial treatment efficacy of the viscous heater (VH) for fecal sludge management and potential application of the VH in BSFL production. The VH is a heat-based fecal sludge treatment technology that harnesses the viscosity of fecal sludge to achieve pasteurization temperatures. Inactivation of in situ Escherichia coli, total coliform, heterotrophic bacteria, and somatic coliphage was evaluated in fecal sludge that was treated for 1-6 min at VH temperature set-points of 60°C and 80°C. The VH inactivated in situ E. coli, total coliform, and somatic coliphage in fecal sludge to below the limits of detection (1- to 5-log10 inactivation) when operated at the 80°C set-point with a 1-min residence time. Both temperature set-points achieved 1- to 3-log10 inactivation of in situ heterotrophic bacteria. The VH was also evaluated as a potential pretreatment step in BSFL production. BSFL grown in untreated and VH-treated fecal sludge demonstrated similar results, indicating little impact on the BSFL growth potential by VH-treatment. However, BSFL bioconversion rates were low for both substrates (1.6% ± 0.6% for untreated sludge and 2.1 ± 0.4 VH-treated fecal sludge).

Bacteria Inactivation during the Drying of Struvite Fertilizers Produced from Stored Urine.

Human urine can be processed into market-attractive fertilizers like struvite; however, concerns regarding the microbial safety of such products remain. The present study evaluated the inactivation of in situ heterotrophs, total bacteria as observed by flow cytometry, and inoculated Enterococcus spp. and Salmonella typhimurium during the drying of struvite under controlled temperature (from 5 to 35 °C) and relative humidity (approximately 40 and 80%) as well as dynamic field conditions. Bacteria accumulated in the struvite cake during struvite filtration. Despite the use of sublethal temperatures, all bacteria types were subsequently inactivated to some degree during struvite drying, and the inactivation typically increased with increasing drying temperature for a given relative humidity. Heterotrophic bacteria inactivation mirrored the trend in total bacteria during struvite drying. A linear relationship was observed between inactivation and sample moisture content. However, bacteria survivor curves were typically nonlinear when struvite was dried at low relative humidity, indicating bacterial persistence. Weibull model survivor curve fits indicated that a shift in the mechanism of inactivation may occur with changing humidity. For increased efficiency of bacterial inactivation during the production of struvite, initial heating under moist conditions is recommended followed by desiccation.