The sixth Sustainable Development Goal seeks to achieve universal sanitation, but a lack of progress due to inhibiting factors (e.g., limitations in financial resources, sociocultural conditions, household decision-making) demands innovative approaches to meet this ambitious goal. Resource recovery may generate income to offset sanitation costs while also enhancing agriculture through increased access to agricultural nutrients. The objective of this work was to determine if resource recovery sanitation can be a profitable business model in a specific context (Kampala, Uganda) and to explore the potential for this approach to translate to other Sub-Saharan African contexts. A techno-economic analysis was performed to evaluate the financial viability of two nutrient recovery systems and business models in urban communities in Kampala under two financing scenarios: (1) Startup relying on partial sanitation aid, and (2) Self-sustaining without philanthropic financing. Results show profitability can be achieved at a nutrient selling price at or below fertilizer market value in Uganda. Recoverable nutrients from the total population without at least basic sanitation services, in 10 Sub-Saharan African countries, are the same magnitude as nutrients distributed in subsidy programs (30-450% of distributed nutrients), indicating a potential to offset inorganic fertilizer consumption or increase nutrient availability. This research makes a case to support innovative sanitation strategies and the development and financial support of human-derived fertilizer markets in areas with poor fertilizer and sanitation access.
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http://dx.doi.org/10.1021/acs.est.0c03764 | DOI Listing |
BMC Infect Dis
January 2025
Department of Medical Parasitology, School of Biomedical and Laboratory Sciences, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Background: Gastrointestinal infections caused by intestinal parasites and Helicobacter pylori are significant public health issues in Africa, where poor sanitation and limited access to healthcare contribute to high disease burden. Since there was no previous pooled data regarding the intestinal parasites and Helicobacter pylori co-infections among gastrointestinal symptomatic patients in the African context, this review aimed to determine the overall prevalence of intestinal parasites and Helicobacter pylori co-infection in people with gastrointestinal symptoms in Africa.
Methods: The current review followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) standards and registered in the International Prospective Register of Systematic Reviews (PROSPERO; CRD42024598993).
Acta Trop
January 2025
Parasitology Department, Schistosomiasis Reference Laboratory. Aggeu Magalhães Institute/FIOCRUZ-PE.
Schistosomiasis presents a significant public health challenge, especially in regions with inadequate sanitation. Current diagnostic methods, including the Kato-Katz technique, often lack sensitivity in detecting low parasite loads, prompting the search for more precise alternatives. This study introduces the Sm1-7-qPCR system as a highly sensitive and specific diagnostic tool for identifying S.
View Article and Find Full Text PDFJ Racial Ethn Health Disparities
January 2025
Epidemiology and Health Economics Research (EHER), Universidad Científica del Sur, Lima, Peru.
Background: The Afro-Peruvian population is one of the ethnic minorities most affected by cultural, socioeconomic, and health barriers; however, there is little evidence on health inequalities in this ethnic group. Therefore, We aimed to determine health inequalities among the Peruvian Afro-descendant population in comparison with non-Afro-descendants.
Methods: A cross-sectional study was conducted using data from the Demographic and Family Health Survey 2022.
Graefes Arch Clin Exp Ophthalmol
January 2025
Department of Endocrinology, Metabolism and Internal Medicine, Poznan University of Medical Sciences, Przybyszewskiego 49, 60-355, Poznan, Poland.
Purpose: Graves' disease (GD) and Graves' orbitopathy (GO) are multifactorial disorders with links to the gut microbiome and autoimmunity. It is observed that patients with GD exhibit altered gut microbiome diversity. However, little is known about the role of oral microbiota in GD and GO.
View Article and Find Full Text PDFEur J Dent
December 2024
Division of Preventive Dentistry, Graduate School of Medical and Dental Sciences, Niigata University, Niigata, Japan.
Objectives: This article investigates the changes in blood-based biomarkers associated with mild cognitive impairment (MCI) risk in type 2 diabetic patients following local antibiotic periodontal treatment.
Materials And Methods: A secondary analysis of data from a 24-week randomized controlled trial was conducted, involving 27 patients with type 2 diabetes mellitus and periodontitis. Participants received periodontal treatment biweekly from baseline until the 6th week of the study.
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