More than 500 million rural Africans lack safe drinking water. The human right to water and United Nations Sustainable Development Goal SDG6.1 promote a policy shift from building water infrastructure to sustaining water services. However, the financial calculus is bleak with the costs of "safely managed"' or "basic" water services in rural Africa beyond current government budgets and donor funds. The funding shortfall is compounded by the disappointing results of earlier policy initiatives in Africa. This is partly because of a failure to understand which attributes of water services rural people value. We model more than 11,000 choice observations in rural Kenya by attributes of drinking water quality, price, reliability, and proximity. Aggregate analysis disguises alternative user priorities in three choice classes. The two larger choice classes tolerate lower service levels with higher payments. A higher water service level reflects the smallest choice class favored by women and the lower wealth group. For the lower wealth group, slower repair times are accepted in preference to a lower payment. Some people discount potable water and proximity, and most people choose faster repair times and lower payments. We argue policy progress needs to chart common ground between individual choices and universal rights. Guaranteeing repair times may provide a policy lever to unlock individual payments to complement public investment in water quality and waterpoint proximity to support progressive realization of a universal right.
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http://dx.doi.org/10.1073/pnas.2105953118 | DOI Listing |
Metabolomics
January 2025
Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Background: Gestational exposure to non-persistent endocrine-disrupting chemicals (EDCs) may be associated with adverse pregnancy outcomes. While many EDCs affect the endocrine system, their effects on endocrine-related metabolic pathways remain unclear. This study aims to explore the global metabolome changes associated with EDC biomarkers at delivery.
View Article and Find Full Text PDFJ Environ Manage
January 2025
Department of Environmental Chemistry, IDAEA-CSIC, Jordi Girona, 18-26, 08034, Barcelona, Spain.
The present study evaluates for the first time the seasonal performance of an innovative green groundwater treatment. The pilot plant combines microalgae-bacteria treatment and a cork-wood biofilter to reduce nitrates, pesticides, antibiotics (ABs), and antibiotic resistance genes (ARGs) from groundwater. Groundwater had nitrate concentrations ranging from 220 to 410 mg/L, while ABs (sulfonamides and fluoroquinolones) and pesticides (triazines) were detected at concentrations ranging from a few ng/L to 150 ng/L.
View Article and Find Full Text PDFAppl Radiat Isot
January 2025
Service de Protection Radiologique des Armées, 1bis rue du Lieutenant Raoul Batany, 92141, Clamart cedex, France.
A specific goal of the French army is to ensure health protection of soldiers consuming water from overseas operations territories. To do so, the French Defence Radiological Protection Service developed a method to quantify the amount of Ra in water using Ra-Nucfilm discs. Ra analysis is achieved within less than two days and the detection limit, function of adsorption efficiency, ranges from 0.
View Article and Find Full Text PDFViruses
January 2025
Département de Virologie, Institut Pasteur de Dakar, Dakar BP 220, Senegal.
Despite extensive experience with influenza surveillance in humans in Senegal, there is limited knowledge about the actual situation and genetic diversity of avian influenza viruses (AIVs) circulating in the country, hindering control measures and pandemic risk assessment. Therefore, as part of the "One Health" approach to influenza surveillance, we conducted active AIV surveillance in two live bird markets (LBMs) in Dakar to better understand the dynamics and diversity of influenza viruses in Senegal, obtain genetic profiles of circulating AIVs, and assess the risk of emergence of novel strains and their transmission to humans. Cloacal swabs from poultry and environmental samples collected weekly from the two LBMs were screened by RT-qPCR for H5, H7, and H9 AIVs.
View Article and Find Full Text PDFNutrients
January 2025
College of Public Health and Health Professions, University of Florida, Gainesville, FL 32611, USA.
Background/objectives: Urinary fluoride (UF) is the most well-established biomarker for fluoride exposure, and understanding its distribution can inform risk assessment for potential adverse systemic health effects. To our knowledge, this study is the first to report distributions of UF among youth according to sociodemographic factors in a nationally representative United States (US) sample.
Methods: The study included 1191 children aged 6-11 years and 1217 adolescents aged 12-19 years from the National Health and Nutrition Examination Survey (NHANES) 2015-2016.
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