Antibiotic resistance patterns of Staphylococcus aureus and Enterobacteriaceae isolated from street foods in selected towns of Ethiopia.

BACKGROUND: Street foods are any foods or drinks prepared or sold by street vendors in an open space. The purpose of this study was to determine the Bacteriological safety and antibiotic resistance patterns of Staphylococcus aureus and Enterobacteriaceae isolated from street foods. METHOD: A laboratory-based cross-sectional study was used from December 2022 to February 2023 on street foods of Addis Ababa, Hawassa, Dire Dawa, and Jimma towns of Ethiopia. 525 street foods and 175 water samples were taken from 175 street food vending stalls. Proportional allocation to the total town population and stratified sampling techniques were used to select vending stalls. Samples were analyzed for the presence of bacteria following the standard microbiological methods used for the isolation, enumeration, and identification of bacteria. Pour plate technique was used to transfer the suspension to MacConkey agar, Mannitol Salt Agar, and Salmonella Shigella Agar. The antibiotic susceptibility test was performed using the Kirby-Bauer disk diffusion method. SPSS software was used to analyze the data. RESULT: Out of 525 food samples, 279 (53%) were contaminated by bacteria. From 175 water samples, 95 (54.3%) were contaminated with Escherichia coli. From both samples in total, eleven bacterial species were isolated. Staphylococcus aureus was the most frequently isolated species. Shigella, Klebsiella, and Salmonella group A have statistically significant with the type of food. Erythromycin (54%), Streptomycin (17%), and Amoxicillin (14%) were the most resistant antibiotics. Least resistance was observed to Ciprofloxacin (5%). CONCLUSION: Street foods of the selected towns were highly contaminated with various antibiotic-resistant organisms. Hence, the relevant authorities ought to ensure the proper handling of street food by enforcing safety measures. Additionally, they should initiate a widespread awareness campaign promoting the prudent use of antibiotics among both street food vendors and the broader population.

Ethiopian Street Foods: Working Conditions and Governance Perspectives. A Qualitative Study.

Introduction: Street foods are foods and beverages as either ready for direct consumption or minimally processed, prepared, and/or sold by vendors and handlers. The objective of this study was to explore the condition and governance of street foods in Ethiopia. Method: A qualitative exploratory study was employed from December 2022 to January 2023 in Addis Ababa, Hawassa, Dire Dawa, and Jimma, cities of Ethiopia. Twelve respondents comprised key informants from selected governmental sectors were interviewed. The purposive sampling method was used to recruit study participants. The number of participants interviewed was determined by the information saturation criterion, and data were collected at the interviewee's offices. Data were collected by using key informant interview technique and audio recorded. An interview guide was used to facilitate interviews and thematic analysis was employed. The Overall data management process was conducted using Atlas-ti V 8 software. Result: The result revealed there were 4 thematic areas these were street food vendors and vending process, policy content and implementation, integration and coordination of sectors, and the way forward. The street food vendors prepared their food in an insanitary manner, absence of common working places for the vendors, lack of due emphasis for the street food vendors in the national food and nutrition policy, lack of formalization and legalization of street food vendors, poor coordination among sectors and institutions work on street food governance, and weakness on the implementation of rules and regulations in controlling street food vendors were the prominent gaps that were identified in the policy. Conclusion: Though Ethiopia has a national food and nutrition policy, the policy doesn't adequately address the street food vending sector. Besides, it is not well communicated to the implementers resulting in poor policy implementation. Quantifying socio-economic benefits of street food vending activities in Ethiopia needs further investigation.

Meta-analysis of public health risks of lead accumulation in wastewater, irrigated soil, and crops nexus.

Lead (Pb) from different sources accumulate in the irrigation water, irrigated soil and in different parts of plants. Reports show contradictory findings and high variability of lead accumulation and associated public health risks. We hypothesized that lead accumulation in irrigation water, soil and edible plants is high enough to be a public health risk. By using the standard procedures for meta-analysis, 24 studies were qualified. The studies included in the meta-analysis are concentrated in few countries with strong authors' key words co-occurrence relationship. The mean concentration of Pb in the irrigation wastewater ranged from 0.0196 ± 0.01 mg/l to 52.4 ± 0.02 mg/l in wastewater and about 50% of the values are beyond the limits for irrigation water standard. The study also showed that the concentration of Pb in the irrigated soil vary significantly from a minimum of 0.04 ± 2.3 mg/l in Ethiopia to a maximum of 441 ± 19.8 mg/l in Iran (P < 0.01). Based on effect size analysis, the weight of the studies ranged from 0.1 to 5.4% indicating that the studies' contribution to the overall effect is barely different. The heterogeneity test statistics also indicates considerable variability between the studies (I2 = 98%, P-value < 0.001). The subgroup analysis showed large between-studies heterogeneity in both groups (Tau2 = 28.64; T2 = 98%). A total of 44 crops were studied, of which 38 were leafy and non-leafy vegetables. Most popular crops including spinach, cabbage and lettuce are most frequently studied crops. In all crops, the Pb level in crops produced by using untreated wastewater are beyond the WHO limit for edibility. In all of the studies, the pollution load index (PLI) and soil accumulation factor (SAF) is much higher indicating that there is a buildup of Pb concentration in wastewater irrigated soil. The plant concentration factor (PCF) calculated shows the high Pb accumulation potential of the edible parts of the crops. The health risk index (HRI) calculated shows that in all of the studied crops from India, Iraq, Morocco and Egypt are much higher than one indicating the high health risk of consumption.