Water uses, treatment, and sanitation practices in rural areas of Chandigarh and its relation with waterborne diseases

Experimental investigation of Cd (II) ion adsorption on surface-modified mixed seaweed Biosorbent: A study on analytical interpretation and thermodynamics

Despite advancements in wastewater treatment technologies, heavy metal contamination, especially cadmium (Cd), severely threatens human health and ecosystems. The purpose of this work is to compare the removal of Cd (II) ions from aqueous solutions by chemically modified mixed seaweed biosorbent (CMSB) and physically modified mixed seaweed biosorbent (PMSB). BET, SEM, EDAX, FTIR, and XRD techniques characterized the mixed seaweed biosorbents before and after adsorption. They are well-known for their sustainability, affordability, and biodegradability. The BET study revealed that CMSB had a surface area of 19.682 m2/g, while PMSB had a lower surface area of 14.803 m2/g. The optimum adsorption conditions were a temperature of 303 K, pH of 6.0, and biosorbent dosages of 1 g/L for CMSB and 2.5 g/L for PMSB. For CMSB and PMSB, the most efficient contact times were 40 and 80 min, respectively. The Langmuir model was demonstrated to be the best fit for the experimental data when compared to other isotherm models, with a coefficient of determination, or R2, of 0.9713 and a maximum monolayer capacity of 151.2 mg/g and 181.6 mg/g for physical and chemical activated mixed seaweed biomass. There was a significant relationship between the R2 values of chemically modified and physically modified biomass. The findings demonstrate that pseudo-second-order kinetics more accurately represent the adsorption process than pseudo-first-order and Elovich models. Thermodynamic experiments validated the endothermic, spontaneous and favourable characteristics of the removal process. According to the results of the current study, PMSB and CMSB may be used as effective adsorbents to remove Cd (II) from aqueous solutions.

Drinking water, sanitation, hygiene, and health conditions in India: Findings from the national sample survey

Introduction

Uncertainty exists in the drinking water, sanitation, hygiene, and health conditions due to mosquitoes and flies across India. Therefore, this study aimed to assess the availability of drinking water, sanitation, hygiene, and health in India.

Methods

We used secondary analysis data on 95,548 household members from the National Sample Survey, which included 113,822 homes and 555,351 persons across India between June 2017 and 2018.

Results

About 36.4% of household members stated that tube wells or boreholes outside the property at a distance of less than 0.2 km were their main source of drinking water. More than 87% of respondents said that the water they drank was free of impurities, and 55.1% said that it had not been treated. About 45.7% of respondents stated that there were no bathrooms in the dwellings. More than 50% of the time, according to the respondents, garbage was not collected. A flea or mosquito problem was reported by about 97% of households. Around 97% of households reported fevers that were caused by a disease.

Conclusion

In India, poor access to drinking water, sanitary facilities, good hygiene, and healthcare existed. The results will support the next visionary programs to increase living standards in the country.

Barriers of household toilet utilization among toilet owners in a rural area of Northern India: An analytical cross-sectional study

Background

Open defecation continues to prevail among toilet owners despite effective implementation of the Swachh Bharat Mission (Gramin). We conducted this study to determine toilet utilization rates and learn about the barriers to toilet use in the rural areas. By understanding the barriers, physicians can provide targeted education and become better equipped to manage their patients' conditions and advocate for their demands.

Materials and Methods

We conducted a cross-sectional study on the households of the rural field practice areas of the department in central Uttar Pradesh by the census method. House listing was procured from the departmental records. The questionnaire was directed at both the household level and individual level.

Results

The proportion of households with access to a toilet was found to be 91.1% of which 504 households were included in the study. Among the toilet owners, 115 (22.8%) households were not using toilets exclusively by all the members. At the individual level, age groups (of 20-59 years, and ≥60 years) and female gender were found to be significantly associated with open defecation. At the household level, government assistance for toilet construction and livestock keeping was found to be associated with open defecation. Major barriers to toilet use were childhood habits, dearth of toilets in the farming grounds/workplace, women during menstruation and having a non-functional toilet.

Conclusion

This study indicates that merely installing a household toilet does not ensure exclusive utilization of toilet and the practice of open defecation might continue to be prevalent if corrective measures are not undertaken.

Groundwater Quality Assessment in Urban Areas of Malawi: A Case of Area 25 in Lilongwe

Groundwater sources provide an important supply of alternative drinking water in most urban areas in Malawi. This study was conducted to assess the quality of groundwater in Area 25, a typical urban residential area in Malawi. Samples were collected from wells and analyzed for physicochemical and bacteriological parameters following standard methods. Results were compared to Malawi Standards (MS) and World Health Organization (WHO) drinking water quality guidelines. The overall water quality index was computed to ascertain the general quality of the water. Levels of pH, phosphate, sulfate, arsenic, lead, and potassium were below the guideline limits while, electrical conductivity, total dissolved solids, chloride, fluoride, nitrate, total hardness, calcium, and magnesium were observed above permissible limits, posing a health risk to the residents. The quality index ranged from 22 (excellent quality) to 64 (Poor quality) with an average of 41 (good quality). Fecal coliforms were present in 70% of the sampled locations with an average of 7.9 cfu/100 ml. The presence of these bacteria presents a serious risk for waterborne disease outbreaks. This study, therefore, recommends the provision of basic treatment techniques to improve the quality of water in the area before consumption, regular monitoring of groundwater resources, and proper design and setting of septic systems.

Analysis of contaminant dispersion in open channel with two streambank-absorption boundaries

Boundary absorption intensity can affect the contaminant depletion capacity within rivers, and the process of spatial contaminant cloud expansion is complicated with the consideration of irreversible absorption boundaries at riverbanks. Nonuniformity of concentration distribution appears in spatial concentration distribution, especially in the transverse direction, which is caused by the absorption capacity difference between two riverbanks. A model for illustrating the performance of environmental dispersion with two irreversible absorption banks in 2D space is given in this work. Furthermore, the position of the maximum concentration distributions shifts within the transverse directions with the change of the absorption intensities at two boundaries. The overall absorption capacity would also be affected by the ratio of two absorption intensities at the left and right riverbanks. The residual mass is left with a greater variation in the two bank-absorption intensity ratios. A detailed analysis of the spatial concentration distribution and contaminant depletion capacity with two bank-absorption boundaries would contribute to the construction of a wetland for water treatment. With a certain absorption capacity in total, the transverse distribution of concentration gets more heterogeneous as the ratio deviates from 1gradually, and the transverse concentration distribution appears to be symmetric to the center (0.5W) when the ratios of absorption intensities at two stream-banks are in accord with β₀ : β₁ = β₁ : β₀. The novelty of this work is to provide the analytical solution of two-dimensional concentration distribution with the ratio of two stream-bank absorptions, furthermore, a linear fitting equation([Formula: see text]) for crest position of transverse concentration distribution is given to show the shifting process of spatial contaminant cloud with the change of two stream-bank absorption ratios, and the correlation coefficients are all above 0.99, illustrating a good fit for the results.

Intestinal viral infections of nSARS-CoV2 in the Indian community: Risk of virus spread in India

In December 2019, novel severe acute respiratory syndrome coronavirus 2 (nSARS-CoV-2) virus outbreaks emerged from Wuhan, China, and spread all over the world, including India. Molecular diagnosis of Coronavirus Disease 2019 (COVID) 19 for densely and highly populated countries like India is time-consuming. A few reports have described the successful diagnosis of nSARS-CoV-2 virus from sewage and wastewater samples contaminated with fecal matter, suggesting the diagnosis of COVID 19 from the same to raise an alarm about the community transmission of virus for implementation of evacuation and lockdown strategies. So far, the association between the detection of virus and its concentration in stool samples with severity of the disease and the presence or absence of gastrointestinal symptoms have been rarely reported. We led the search utilizing multiple databases, specifically PubMed (Medline), EMBASE, and Google Scholar. We conducted a literature survey on gastrointestinal infection and the spread of this virus through fecal-oral transmission. Reports suggested that the existence and persistence of nSARS-CoV-2 in anal/rectal swabs and stool specimens for a longer period of time than in nasopharyngeal swabs provides a strong tenable outcome of gastrointestinal contamination and dissemination of this infection via potential fecal-oral transmission. This review may be helpful to conduct further studies to address the enteric involvement and excretion of nSARS-CoV-2 RNA in feces and control the community spread in both COVID-19 patients ahead of the onset of symptoms and in asymptomatic individuals through wastewater and sewage surveillance as an early indication of infection. The existence of the viral genome and active viral particle actively participate in genomic variations. Hence, we comprehended the enteric spread of different viruses amongst communities with special reference to nSARS-CoV-2.

The Political Economy of Public Health Inequalities and Inequities in India: Complexities, Challenges, and Strategies for Inclusive Public Health Care Policy

This article examines the political economy of health inequalities and inequities in the public health care system in India and identifies potential areas for interventions to promote equal and equitable health care for marginalized people. Drawing on the Political Economy of Health Model of Research, this article reiterates the inadequacy of policy frameworks and programs in ensuring accessible, affordable, and quality public health care services to all. We argue that for policies to be successful, policymakers should consider the diverse social registries of class, caste, religion, gender, region, ethnicity, and age, as well as their intersections. We also argue that health care policies and programs need to be: (a) dynamic and flexible, (b) intersectional and backed up by sufficient grassroots research, and (c) equitable at every stage of policy formulation, implementation, and evaluation.

Sustainable Wastewater Treatment and Utilization: A Conceptual Innovative Recycling Solution System for Water Resource Recovery

The global demand for drinking water is increasing day by day. Different methods are used for desalination of water, which can help in the conservation of resources, such as seawater, highly saline, or treated water underground reservoirs. Polluted water can be treated by the utilization of different advanced techniques. In this study, wastewater mixed canal water has been taken into consideration for the utilization of humans and agriculture use as well. A two-stage conceptual methodology has been proposed to deal with the water conservation and utilization process. In the first phase, power has been produced using a Belgian vortex turbine, which is a safe, efficient, and eco-friendly technology working without disturbing waterways. The power produced by the vortex machine will be utilized to operate the water treatment plant to obtain clean water for utilization in the second phase. Since enough energy is produced, and its availability to the water head level base is a natural resource, this energy can be used to fulfill daily water requirements by maximizing the energy-driven treatment process as per WHO Guidelines. Water quality can be monitored at regular intervals, depending upon the selection and installation of a treatment plant. An increase in efficiency comes from nearly exponential patterns depending on water velocity and availability. This technique will not only help in the production of clean water but will also help in the conservation of groundwater resources and the efficient utilization of wastewater.

Hand cleaning with ash for reducing the spread of viral and bacterial infections: a rapid review

BACKGROUND

Handwashing is important to reduce the spread and transmission of infectious disease. Ash, the residue from stoves and fires, is a material used for cleaning hands in settings where soap is not widely available.

OBJECTIVES

To assess the benefits and harms of hand cleaning with ash compared with hand cleaning using soap or other materials for reducing the spread of viral and bacterial infections.

SEARCH METHODS

On 26 March 2020 we searched CENTRAL, MEDLINE, Embase, WHO Global Index Medicus, and the WHO International Clinical Trials Registry Platform.

SELECTION CRITERIA

We included all types of studies, in any population, that examined hand cleaning with ash compared to hand cleaning with any other material.

DATA COLLECTION AND ANALYSIS

Two review authors independently screened titles and full texts, and one review author extracted outcome data and assessed risk of bias, which another review author double-checked. We used the ROBINS-I tool for observational studies, we used RoB 2.0 for three interventional studies, and we used GRADE to assess the certainty of the evidence. We planned to synthesise data with random-effects meta-analyses. Our prespecified outcome measures were overall mortality, number of cases of infections (as defined in the individual studies), severity of infectious disease, harms (as reported in the individual studies), and adherence.

MAIN RESULTS

We included 14 studies described in 19 records using eight different study designs, but only one randomised trial. The studies were primarily conducted in rural settings in low- and lower-middle-income countries. Six studies reported outcome data relevant to our review. A retrospective case-control study and a cohort study assessed diarrhoea in children under the age of five years and self-reported reproductive tract symptoms in women, respectively. It was very uncertain whether the rate of hospital contacts for moderate-to-severe diarrhoea in children differed between households that cleaned hands using ash compared with households cleaning hands using soap (RR 0.97, 95% CI 0.84 to 1.11; very low-certainty evidence). Similarly, it was very uncertain whether the rate of women experiencing symptoms of reproductive tract infection differed between women cleaning hands with ash compared with cleaning hands using soap (RR 0.48, 95% CI 0.12 to 1.86; very low-certainty evidence) or when compared with handwashing with water only or not washing hands (RR 0.50, 95% CI 0.13 to 1.96; very low-certainty evidence). Four studies reported on bacteriological counts after hand wash. We rated all four studies at high risk of bias, and we did not synthesise data due to methodological heterogeneity and unclear outcome reporting.

AUTHORS' CONCLUSIONS

Based on the available evidence, the benefits and harms of hand cleaning with ash compared with soap or other materials for reducing the spread of viral or bacterial infections are uncertain.

Assessment of Sustainable Socioeconomic Development in European Union Countries

There are still debates in the scientific literature about the factors influencing countries’ sustainable socioeconomic development. Therefore, the current article aims at determining the factors of sustainable socioeconomic development and assessing its level in the EU countries. The following methods were employed for the research: an evaluation based on distance from average solution (EDAS) and hierarchical cluster analysis (HCA). EDAS was used to reveal which countries have the highest level of sustainable socioeconomic development, and which have the lowest. The ranking was done based on the appraisal score, which is an outcome of EDAS. Hierarchical cluster analysis (HCA) was used for clustering the countries based on the appraisal scores in order to distinguish groups of countries having a similar level of sustainable socioeconomic development. The results revealed that the highest level of sustainable socioeconomic development is in Germany, and the lowest in Portugal. Based on HCA, the countries were divided into three groups. The first cluster’s countries have the weakest sustainable socioeconomic development, and countries assigned to the third cluster have the best. In the current research, the third cluster consists of one country, Germany, which supports the results obtained with the EDAS method, i.e., Germany is the country with the highest level of sustainable socioeconomic development in the EU.

Evaluation of groundwater contamination in Chandigarh: Source identification and health risk assessment

The major objective of the current study is to estimate the groundwater quality and identify the likely sources of contamination in Chandigarh, India. Total 80 groundwater samples were collected from different locations and at various depths. Further, physcio-chemical analysis was done to estimate pH, electrical conductivity (EC), total dissolved solids, total hardness (TH), total alkalinity (TA), Na⁺, K⁺, Cl^-, SO₄^2-, PO₄^3- and NO₃^-. The groundwater samples collected from shallow water sources contain higher concentration of total dissolved salts. EC, TA, Cl^-, TH, Na⁺, and K⁺ were found relatively higher in the shallow aquifer (<150 ft). Based on the location of pollution sources at the surface and consecutive geo-statistical distribution of physicochemical characteristics, this study suggests that non-scientific disposal of municipal solid waste, dumping of industrial waste and agricultural activities, in the nearby areas lead to the deterioration of groundwater of shallow aquifer. These observations were also confirmed using various water quality indices and outcomes of multivariate modeling, including principal component analysis. Health risk assessment for nitrates indicated that 29 groundwater samples pose non-carcinogenic health risk for children due to dermal and oral exposure. Hence, there is a need to establish a system for regularly assessing the groundwater quality to minimize public health risks.

Evaluation of biomedical waste management practices in public and private sector of health care facilities in India

Proper management of biomedical waste (BMW) is required to avoid environmental and human health risks. The current study evaluated the BWM practices in public and private health care facilities of Fatehgarh Sahib District in Punjab, India. The study was conducted, using a modified World Health Organization (WHO) tool in 120 health care facilities randomly selected from rural and urban areas. At primary health care level, BMW management guidelines were followed in 67.2% of the public sector and 40.4% of the private sector facilities, whereas in secondary health care sectors both private and public sector follows 100% compliance. Health facilities were graded into different categories according to median score, i.e., scores less than < 2.5 was categorized as red (no credible BMW management system in place), scores between 2.5 to 7.5 as yellow (system present but needs major improvement) and scores > 7.5 as green (good system in place for BMW). It was observed that among primary health care facilities, 85% of the public sector and 64% of private sector facilities falls in the red category, whereas for secondary health care facilities only 8% fall in the red category. Logistic regression helped to identify the major factors that affect the performance of the health care facility, and it shows that regular training on BMW and improved infrastructure can improve the BMW management practices. Further, proper management of BMW requires multi-sectoral coordination, which can be better addressed through policies and by providing periodical training to all stakeholders.

Distribution and health risk assessment of arsenic and selected heavy metals in Groundwater of Chandigarh, India

Groundwater quality of Chandigarh was assessed by collecting 80 groundwater samples from different depths varying between 10 ft and 1200 ft. These samples were analyzed for possible contamination with metal pollutants such as Al, Cd, Co, Cr, Cu, Fe, Mo, Mg, Ni, Pb, V, Zn. Geospatial interpolation of the contaminants identified poor sanitary practices of waste management, agrarian activities, and industrial pollution as the prominent sources of groundwater contamination. Quality assessment of groundwater performed using Heavy metal Pollution Index (HPI), and Metal Index (MI) revealed HPI as a better method for health risk assessment. HPI indicate poor groundwater quality near municipal solid waste dumping sites and industrial areas of Chandigarh. The shallow aquifer was reported to be more contaminated than deeper aquifer. Further, health risk assessment of Chandigarh's groundwater indicated non-carcinogenic health impacts due to contamination of As, Cr, Co, Cd, Cu, Ni, Pb, Zn and carcinogenic health impacts from As, Cd, Cr, Cu, Pb. The study suggests that groundwater should also be regularly monitored for metal contamination as over-extraction, industrialization, disposal of municipal solid waste and informal E-waste recycling activities increases the public health risks in countries worldwide, facing similar environmental pollution problems of the groundwater.