The lethal effect of soap on Schistosoma mansoni cercariae in water.

Background: Schistosomiasis is a parasitic disease which is spread through skin contact with water containing Schistosoma cercariae. Drug treatment has been the main control method, but it does not prevent reinfection. The use of soap can be a complementary measure to reduce transmission.

Enhancing the nitrogen and phosphorus content of faecal-derived biochar via adsorption and precipitation from human urine.

Urine diversion in toilets is a promising strategy to maximise nutrient recovery and produce low-cost urine-derived fertilisers. There are various methods for nutrient recovery from urine, including precipitation and adsorption onto porous media, such as biochars. This study uses faecal-derived biochars to produce and, for the first time, comprehensively characterise enriched biochar fertilisers with the addition of fully hydrolysed undiluted human urine.

Source separation of human excreta: Effect on resource recovery via pyrolysis.

More people globally are now using on-site sanitation technologies than sewered connections. The management of faecal sludge generated by on-site facilities is still challenging and requires an understanding of all sanitation service chain components and their interactions; from source conditions to treatment and resource recovery. This study aimed to improve the current lack of knowledge regarding these interactions, by establishing a quantifiable relationship between human excreta source separation and resource recovery via pyrolysis.

The efficacy of soap against schistosome cercariae: A systematic review.

Background: Schistosomiasis is a parasitic disease that is endemic in 78 countries and affects almost 240 million people worldwide. It has been acknowledged that an integrated approach that goes beyond drug treatment is needed to achieve control and eventual elimination of the disease. Improving hygiene has been encouraged by World Health Organisation, and one aspect of good hygiene is using soap during water-contact activities, such as bathing and doing laundry.

A novel theatre-based behaviour change approach for influencing community uptake of schistosomiasis control measures.

Background: Appropriate behaviour change with regard to safe water contact practices will facilitate the elimination of schistosomiasis as a public health concern. Various approaches to effecting this change have been trialled in the field but with limited sustainable outcomes. Our case study assessed the effectiveness of a novel theatre-based behaviour change technique (BCT), in combination with cohort awareness raising and capacity training intervention workshops.

Spatial heterogeneity in drinking water sources in the Greater Accra Metropolitan Area (GAMA), Ghana.

Universal access to safe drinking water is essential to population health and well-being, as recognized in the Sustainable Development Goals (SDG). To develop targeted policies which improve urban access to improved water and ensure equity, there is the need to understand the spatial heterogeneity in drinking water sources and the factors underlying these patterns. Using the Shannon Entropy Index and the Index of Concentration at the Extremes at the enumeration area level, we analyzed census data to examine the spatial heterogeneity in drinking water sources and neighborhood income in the Greater Accra Metropolitan Area (GAMA), the largest urban agglomeration in Ghana.

Specific Nucleic AcId Ligation for the detection of Schistosomes: SNAILS.

Schistosomiasis, also known as bilharzia or snail fever, is a debilitating neglected tropical disease (NTD), caused by parasitic trematode flatworms of the genus Schistosoma, that has an annual mortality rate of 280,000 people in sub-Saharan Africa alone. Schistosomiasis is transmitted via contact with water bodies that are home to the intermediate host snail which shed the infective cercariae into the water. Schistosome lifecycles are complex, and while not all schistosome species cause human disease, endemic regions also typically feature animal-infecting schistosomes that can have broader economic and/or food security implications.

Sachet water in Ghana: A spatiotemporal analysis of the recent upward trend in consumption and its relationship with changing household characteristics, 2010-2017.

The consumption of packaged water in Ghana has grown significantly in recent years. By 2017, "sachet water"-machine-sealed 500ml plastic bags of drinking water-was consumed by 33% of Ghanaian households. Reliance on sachet water has previously been associated with the urban poor, yet recent evidence suggests a customer base which crosses socioeconomic lines.

Faecal sludge pyrolysis: Understanding the relationships between organic composition and thermal decomposition.

Sludge treatment is an integral part of faecal sludge management in non-sewered sanitation settings. Development of pyrolysis as a suitable sludge treatment method requires thorough knowledge about the properties and thermal decomposition mechanisms of the feedstock. This study aimed to improve the current lack of understanding concerning relevant sludge properties and their influence on the thermal decomposition characteristics.

Ultraviolet disinfection of Schistosoma mansoni cercariae in water.

Background: Schistosomiasis is a parasitic disease that is transmitted by skin contact with waterborne schistosome cercariae. Mass drug administration with praziquantel is an effective control method, but it cannot prevent reinfection if contact with cercariae infested water continues. Providing safe water for contact activities such as laundry and bathing can help to reduce transmission.

Modeling the Impacts of Urban Flood Risk Management on Social Inequality.

The exposure of urban populations to flooding is highly heterogeneous, with the negative impacts of flooding experienced disproportionately by the poor. In developing countries experiencing rapid urbanization and population growth a key distinction in the urban landscape is between planned development and unplanned, informal development, which often occurs on marginal, flood-prone land. Flood risk management in the context of informality is challenging, and may exacerbate existing social inequalities and entrench poverty.

Critical analytical parameters for faecal sludge characterisation informing the application of thermal treatment processes.

Thermal processes for the treatment of faecal sludge such as pyrolysis or combustion offer complete destruction of pathogens, whilst allowing for energy and nutrient recovery. The development of such processes is currently constrained by a lack of knowledge on thermally relevant faecal sludge characteristics. This study investigated thirty faecal sludge samples from three sanitation technologies (ventilated improved pit latrines (VIP), urine diverting dry toilets (UD), septic tanks (ST)) and compared these by non-parametric statistical analysis.

Chlorination of Schistosoma mansoni cercariae.

Background: Schistosomiasis is a water-based disease acquired through contact with cercaria-infested water. Communities living in endemic regions often rely on parasite-contaminated freshwater bodies for their daily water contact activities, resulting in recurring schistosomiasis infection. In such instances, water treatment can provide safe water on a household or community scale.

The rate of vermi-compost accumulation within 'Tiger Toilets' in India.

Tiger Toilets use a worm-based ecosystem to degrade human waste and have recently been demonstrated as a cost-effective innovation in on-site sanitation. The benefits over traditional pit latrines include slower fill rate, fewer odours, and safer emptying. However, a question remains around how to measure the rate of accumulation of vermi-compost and predict the fill rate into the future.

Determining the viability of Schistosoma mansoni cercariae using fluorescence assays: An application for water treatment.

Background: Schistosome cercariae are the human-infectious stage of the Schistosoma parasite. They are shed by snail intermediate hosts living in freshwater, and penetrate the skin of the human host to develop into schistosomes, resulting in schistosomiasis infection. Water treatment (e.

The formation of disinfection by-products from the chlorination and chloramination of amides.

This study examined the potential of six aliphatic and aromatic amides, commonly found in natural waters or used as chemical aids in water treatment, to act as organic precursors for nine haloacetamides (HAcAms), five haloacetonitriles (HANs), regulated trihalomethanes (THMs) and haloacetic acids (HAAs) upon chlorination and chloramination. The impact of key experimental conditions, representative of drinking water, including pH (7 & 8), retention time (4 & 24 h) and bromide levels (0 & 100 μg/L), on the generation of the target DBPs was investigated. The highest aggregate DBP yields upon chlor(am)ination were reported for the aromatic and hydrophobic hydroxybenzamide; 2.

Resource recovery and biochar characteristics from full-scale faecal sludge treatment and co-treatment with agricultural waste.

Unsafe disposal of faecal sludge from onsite sanitation in low-income countries has detrimental effects on public health and the environment. The production of biochar from faecal sludge offers complete destruction of pathogens and a value-added treatment product. To date, research has been limited to the laboratory.

In transition: current health challenges and priorities in Sudan.

A recent symposium and workshop in Khartoum, the capital of the Republic of Sudan, brought together broad expertise from three universities to address the current burden of communicable and non-communicable diseases facing the Sudanese healthcare system. These meetings identified common challenges that impact the burden of diseases in the country, most notably gaps in data and infrastructure which are essential to inform and deliver effective interventions. Non-communicable diseases, including obesity, type 2 diabetes, renal disease and cancer are increasing dramatically, contributing to multimorbidity.

Ultraviolet sensitivity of WASH (water, sanitation, and hygiene) -related helminths: A systematic review.

Background: Helminthiases are a group of disabling neglected tropical diseases that affect billions of people worldwide. Current control methods use preventative chemotherapy but reinfection is common and an inter-sectoral approach is required if elimination is to be achieved. Household and community scale water treatment can be used to provide a safe alternative water supply for contact activities, reducing exposure to WASH (water, sanitation, and hygiene) -related helminths.

Barriers to access improved water and sanitation in poor peri-urban settlements of Abidjan, Côte d'Ivoire.

Achieving access to safe water and sanitation still pose major challenges in urban areas of sub-Saharan Africa countries, despite all the progress achieved in the last decade. This study assessed the ability of populations living in poor peri-urban settlements to access improved water and sanitation and identified factors influencing this access, in order to guide sustainable mitigating solutions to address associated health and environmental risks. We conducted a cross-sectional study in six poor peri-urban settlements of Yopougon, the largest municipality of Abidjan.

The effectiveness of water treatment processes against schistosome cercariae: A systematic review.

Background: Schistosomiasis is one of the most disabling neglected tropical diseases, ranking second in terms of years lived with disability. While treatment with the drug praziquantel can have immediate beneficial effects, reinfection can occur rapidly if people are in contact with cercaria-infested water. Water treatment for schistosomiasis control seeks to eliminate viable cercariae from water, thereby providing safe alternative water supplies for recreational and domestic activities including laundry and bathing.

Sanitation, hookworm, anemia, stunting, and wasting in primary school children in southern Ethiopia: Baseline results from a study in 30 schools.

Background: Inadequate nutrition; neglected topical diseases; and insufficient water, sanitation, and hygiene (WASH) are interrelated problems in schools in low-income countries, but are not routinely tackled together. A recent three-year longitudinal study investigated integrated school health and nutrition approaches in 30 government primary schools in southern Ethiopia. Here, we report on baseline associations between sanitation, hookworm infection, anemia, stunting, and wasting.

Managing peatland vegetation for drinking water treatment.

Peatland ecosystem services include drinking water provision, flood mitigation, habitat provision and carbon sequestration. Dissolved organic carbon (DOC) removal is a key treatment process for the supply of potable water downstream from peat-dominated catchments. A transition from peat-forming Sphagnum moss to vascular plants has been observed in peatlands degraded by (a) land management, (b) atmospheric deposition and (c) climate change.

The role of natural organic matter in nitrite formation by LP-UV/HO treatment of nitrate-rich water.

The role of natural organic matter (NOM) on nitrite formation from nitrate photolysis by low pressure ultraviolet lamp (LP-UV) photolysis and LP-UV/HO treatment was investigated. Nitrate levels up to the WHO guideline maximum of 50 mg NO/L were used in tests. The presence of 4 mg/L Suwannee River natural organic matter (NOM) led to increased nitrite yields compared to NOM-free controls.

School Water, Sanitation, and Hygiene to Reduce the Transmission of Schistosomes and Soil-Transmitted Helminths.

The life cycles of schistosomes and soil-transmitted helminths (STHs) suggest that water, sanitation, and hygiene (WASH) might reduce their transmission. However, the level of impact of WASH is likely to vary with the location (in school, at home, or elsewhere), the type of WASH, and the parasite in question.