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Rocha-Melogno L, Crank KC, Ginn O, Bergin MH, Brown J, Gray GC, Hamilton KA, Bibby K, Deshusses MA. Quantitative microbial risk assessment of outdoor aerosolized pathogens in cities with poor sanitation. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 827:154233. [PMID: 35245543 DOI: 10.1016/j.scitotenv.2022.154233] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2021] [Revised: 02/08/2022] [Accepted: 02/25/2022] [Indexed: 06/14/2023]
Abstract
The aeromicrobiological transmission pathway of enteric pathogens in places with unsafe sanitation services is poorly understood. In an attempt to partly fill this knowledge gap, we assessed the potential public health impact of bioaerosols near open waste canals (OWCs) using Quantitative Microbial Risk Assessment (QMRA). We used data acquired in La Paz, Bolivia to characterize the risk of disease that aerosolized enteric pathogens may pose through food, fomites and inhalation (all followed by ingestion). Three reference pathogens were selected to conduct the assessment: enterotoxigenic Escherichia coli (ETEC), Shigella flexneri, and Campylobacter jejuni. Inhalation followed by ingestion had the highest median infection risk per event i.e. 3 × 10-5 (3 infections for every 100,000 exposures), compared to contaminated food e.g. 5 × 10-6 and fomites e.g. 2 × 10-7, all for C. jejuni infections. Our sensitivity analysis showed that bacterial fluxes from the air were the most influential factor on risk. Our results suggest that fecal bacterial aerosols from OWCs present non-negligible risks of infection in La Paz, with median annual infection risks by C. jejuni being 18 (food), and 100 (inhalation) times greater than the EPA's standard for drinking water (1 × 10-4). We included two of the QMRA models presented here in a novel web application we developed for user-specified application in different contexts.
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Affiliation(s)
- Lucas Rocha-Melogno
- Department of Civil and Environmental Engineering, Duke University, Durham, NC 27708, United States; Duke Global Health Institute, Duke University, Durham, NC 27710, United States; ICF, 2635 Meridian Parkway Suite 200, Durham, NC 27713, United States
| | - Katherine C Crank
- Department of Civil and Environmental Engineering and Earth Sciences, University of Notre Dame, IN 46556, United States
| | - Olivia Ginn
- School of Civil and Environmental Engineering, Georgia Institute of Technology, Atlanta, GA 30332, United States
| | - Michael H Bergin
- Department of Civil and Environmental Engineering, Duke University, Durham, NC 27708, United States
| | - Joe Brown
- Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, United States
| | - Gregory C Gray
- Duke Global Health Institute, Duke University, Durham, NC 27710, United States; Division of Infectious Diseases, Duke University School of Medicine, Durham, NC 27710, United States; Global Health Research Center, Duke-Kunshan University, Kunshan, China; Emerging Infectious Diseases Program, Duke-NUS Medical School, Singapore, Singapore; Division of Infectious Diseases, University of Texas Medical Branch (UTMB), Galveston, TX 77555, United States
| | - Kerry A Hamilton
- School of Sustainable Engineering and the Built Environment, Arizona State University, 770 S College Ave, Tempe, AZ 85281, United States; The Biodesign Institute Center for Environmental Health Engineering, Arizona State University, 1001 S McAllister Ave, Tempe, AZ 85281, United States
| | - Kyle Bibby
- Department of Civil and Environmental Engineering and Earth Sciences, University of Notre Dame, IN 46556, United States
| | - Marc A Deshusses
- Department of Civil and Environmental Engineering, Duke University, Durham, NC 27708, United States; Duke Global Health Institute, Duke University, Durham, NC 27710, United States.
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Motaghi H, Arabkhani P, Parvinnia M, Javadian H, Asfaram A. Synthesis of highly porous three-dimensional PVA/GO/ZIF-67 cryogel for the simultaneous treatment of waters contaminated with cadmium (II) and lead (II) heavy metal ions. NEW J CHEM 2022. [DOI: 10.1039/d1nj05418j] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
In this research, PVA/GO/ZIF-67 cryogel as a highly porous three-dimensional polymeric adsorbent was synthesized by freeze-drying method and applied for the simultaneous removal of Cd2+ and Pb2+ ions from contaminated...
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Price HD, Adams EA, Nkwanda PD, Mkandawire TW, Quilliam RS. Daily changes in household water access and quality in urban slums undermine global safe water monitoring programmes. Int J Hyg Environ Health 2020; 231:113632. [PMID: 33202361 DOI: 10.1016/j.ijheh.2020.113632] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 08/08/2020] [Accepted: 09/11/2020] [Indexed: 02/01/2023]
Abstract
Global drinking water monitoring programmes and studies on water quality in urban slums often overlook short-term temporal changes in water quality and health risks. The aim of this study was to quantify daily changes in household water access and quality in an urban slum in Malawi using a mixed-method approach. Household drinking water samples (n = 371) were collected and monitored for E. coli in tandem with a water access questionnaire (n = 481). E. coli concentrations in household drinking water changed daily, and no household had drinking water that was completely safe to drink every day. Seasonal changes in drinking water availability, intermittent supply, limited opening hours, and frequent breakdown of public water points contributed to poor access. Households relied on multiple water sources and regularly switched between sources to meet daily water needs. There were generally similar E. coli levels in water samples considered safe and unsafe by residents. This study provides the first empirical evidence that water quality, water access, and related health risks in urban slums change at much finer (daily) temporal scales than is conventionally monitored and reported globally. Our findings underscore that to advance progress towards Sustainable Development Goal (SDG) Target 6.1, it is necessary for global water monitoring initiatives to consider short-term changes in access and quality.
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Affiliation(s)
- Heather D Price
- Biological and Environmental Sciences, Faculty of Natural Sciences, University of Stirling, Stirling, FK9 4LA, UK
| | - Ellis A Adams
- Keough School of Global Affairs, University of Notre Dame, Notre Dame, IN, USA; Eck Institute for Global Health, University of Notre Dame, Notre Dame, IN, USA.
| | - Peter D Nkwanda
- University of Malawi, The Polytechnic, P/Bag 303, Chichiri, Blantyre 3, Malawi
| | | | - Richard S Quilliam
- Biological and Environmental Sciences, Faculty of Natural Sciences, University of Stirling, Stirling, FK9 4LA, UK
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Barrón Cuenca J, Tirado N, Barral J, Ali I, Levi M, Stenius U, Berglund M, Dreij K. Increased levels of genotoxic damage in a Bolivian agricultural population exposed to mixtures of pesticides. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 695:133942. [PMID: 31756860 DOI: 10.1016/j.scitotenv.2019.133942] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Revised: 08/13/2019] [Accepted: 08/14/2019] [Indexed: 05/25/2023]
Abstract
During the past decades, farmers in low to middle-income countries have increased their use of pesticides, and thereby the risk of being exposed to potentially genotoxic chemicals that can cause adverse health effects. Here, the aim was to investigate the correlation between exposure to pesticides and genotoxic damage in a Bolivian agricultural population. Genotoxic effects were assessed in peripheral blood samples by comet and micronucleus (MN) assays, and exposure levels by measurements of 10 urinary pesticide metabolites. Genetic susceptibility was assessed by determination of null frequency of GSTM1 and GSTT1 genotypes. The results showed higher MN frequency in women and farmers active ≥8 years compared to their counterpart (P < 0.05). In addition, age, GST genotype, alcohol consumption, and type of water source influenced levels of genotoxic damage. Individuals with high exposure to tebuconazole, 2,4-D, or cyfluthrin displayed increased levels of genotoxic damage (P < 0.05-0.001). Logistic regression was conducted to evaluate associations between pesticide exposure and risk of genotoxic damage. After adjustment for confounders, a significant increased risk of DNA strand breaks was found for high exposure to 2,4-D, odds ratio (OR) = 1.99 (P < 0.05). In contrast, high exposure to pyrethroids was associated with a reduced risk of DNA strand breaks, OR = 0.49 (P < 0.05). It was also found that high exposure to certain mixtures of pesticides (containing mainly 2,4-D or cyfluthrin) was significantly associated with increased level and risk of genotoxic damage (P < 0.05). In conclusion, our data show that high exposure levels to some pesticides is associated with an increased risk of genotoxic damage among Bolivian farmers, suggesting that their use should be better controlled or limited.
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Affiliation(s)
- Jessika Barrón Cuenca
- Institute of Environmental Medicine, Unit of Biochemical Toxicology, Karolinska Institutet, Box 210, SE-171 77 Stockholm, Sweden; Genetic Institute, Medicine Faculty, Universidad Mayor de San Andrés, Saavedra Av. 2246 Miraflores, La Paz, Bolivia
| | - Noemí Tirado
- Genetic Institute, Medicine Faculty, Universidad Mayor de San Andrés, Saavedra Av. 2246 Miraflores, La Paz, Bolivia.
| | - Josue Barral
- Genetic Institute, Medicine Faculty, Universidad Mayor de San Andrés, Saavedra Av. 2246 Miraflores, La Paz, Bolivia
| | - Imran Ali
- Institute of Environmental Medicine, Unit of Biochemical Toxicology, Karolinska Institutet, Box 210, SE-171 77 Stockholm, Sweden
| | - Michael Levi
- Institute of Environmental Medicine, Unit of Metals and Health, Karolinska Institutet, Box 210, SE-171 77 Stockholm, Sweden
| | - Ulla Stenius
- Institute of Environmental Medicine, Unit of Biochemical Toxicology, Karolinska Institutet, Box 210, SE-171 77 Stockholm, Sweden
| | - Marika Berglund
- Institute of Environmental Medicine, Unit of Biochemical Toxicology, Karolinska Institutet, Box 210, SE-171 77 Stockholm, Sweden
| | - Kristian Dreij
- Institute of Environmental Medicine, Unit of Biochemical Toxicology, Karolinska Institutet, Box 210, SE-171 77 Stockholm, Sweden.
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