Bacteriological and physical quality of locally packaged drinking water in Kampala, Uganda

Evaluation of bottled drinking water and occurrence of multidrug-resistance and biofilm producing bacteria in Nepal

Health consequences arising from unsafe drinking water and water insecurity lead to increased reliance on usage of bottled water. Biofilm-producing antibiotic-resistant bacteria in bottled water may pose a risk to public health. This study aims to assess the quality of bottled drinking water with a focus on biofilm-producing and drug-resistant coliform. We analyzed 60 bottled water samples of 30 different brands purchased from Kathmandu for physicochemical and microbial analysis. The parameters pH, iron, total coliform count, Escherichia coli count, and fecal coliform count exceeded National Drinking Water Quality Standards, 2022 in 30.00%, 16.67%, 66.67%, 23.33%, and 16.67% of samples, respectively. Water quality index measurement showed 36.67% and 6.67% of bottled water samples were categorized as grade A and grade B indicating excellent and good water quality, respectively. However, 56.67% of bottled water samples fall under grade E meaning unsuitable for drinking. Among 14 coliform isolates, 85.71% and 14.29% were identified as E. coli and Klebsiella spp, respectively. The antibiotic susceptibility testing revealed that 28.57% of the isolates were multidrug-resistant and Gentamicin resistant isolates comprised 71.43%. However, none of the isolates were carbapenem (meropenem) resistant. In this study, 42.87% of the isolates were found biofilm producers with 14.29% each of strong, moderate, and weak biofilm producers. The genetic potential of biofilm-producing capacity of the isolates was assessed by Polymerase Chain Reaction amplification of bcsA and csgD genes. Our results showed that 66.67% and 50.00% of the isolates harbored bcsA and csgD genes, respectively. This study highlights potential public health hazards associated with the consumption of bottled water containing biofilm-producing and drug-resistant bacteria in Nepal.

Tap versus Bottled Water in Kampala, Uganda: Analyses of Consumers’ Perception alongside Bacteriological and Physicochemical Quality

In Uganda, tap water is always ensured to be potable. However, people are not sure whether tap water is generally safe for drinking without being boiled. Conversely, bottled water consumption is on the increase in Uganda. The main problem lies in the cost of energy for boiling tap water or purchasing bottled water. This study analyzed results of laboratory tests and consumers’ perception for comparison of tap and bottled water in Nakawa division, Kampala. Tap water was sampled at four representative locations. At least 16 different brands of bottled water were considered. The top four most consumer-preferred bottled water brands were selected for further analysis. In our study, 28.8%, 6.06%, and 13.64% of the 142 respondents indicated that bottled water had taste, color, and smell, respectively. However, 27.5%, 25.4%, and 34.5% of the respondents agreed that tap water had taste, color, and smell, respectively. Both tap and bottled water met the World Health Organization (WHO) guidelines for pH, total dissolved solids, chloride, copper, sodium, sulfate, and nitrate. However, a tap water sample was found to contain Coliform bacteria. In this line, affected communities need to thoroughly boil the raw tap water to kill the pathogens. All tap water samples yielded iron concentrations above the WHO recommended limit. Student's t-tests showed that tap and bottled water samples were significantly $\left(p\mathrm{<0}\mathrm{.05}\right)$ different with respect to total dissolved solids, pH, chloride, calcium, magnesium, iron, sodium, sulfate, and nitrate. We emphasize the need for routine maintenance of the water distribution system to check for leakages which can be potential source of contaminations.

Water quality of improved water sources and associated factors in Kibuku District, Eastern Uganda

Globally, billions of people still lack access to safe water, including basic drinking water services, particularly in sub-Saharan Africa. We analyzed water quality for improved water sources and associated factors in Kibuku district, Eastern Uganda. The mixed-methods study employed included; water quality analysis, a questionnaire survey, and key informant interviews conducted in the months of April-June 2020. A total of 249 improved water sources were sampled for analysis of bacteriological quality, pH, and electrical conductivity. This was followed by a sanitary and people's attitudes survey at all the water sources visited. Among the water sources, 62.3% deep boreholes, 63.5% public tap stands, 14.3% rain-water harvesting tanks, and 28.6% protected springs had zero thermotolerant coliforms with 63.8% having acceptable pH levels (6.5-8.5) and 35.3% having acidic levels (less than 6.4). Furthermore, 96.3% deep boreholes, 99.1% public tap stands, all (100%) rain-water harvesting tanks, and 50% protected springs had their turbidity levels in the acceptable range (less than 5NTUs). Additionally, only 22.1% of improved water sources had electrical conductivity in the acceptable range (less than 300 microSiemens). Among the 249 participants, majority (91.2%) had low knowledge levels about various methods that can be used in improving the quality of water. Generally, water sources had poor quality of water which was attributed to agricultural activities, dirty water collection containers, and poor attitude to water chlorination. The Ministry of Health, Ministry of Water and Environment, and other agencies need to design sustainable and feasible models for water treatment for low resourced setting.

Assessment of Bacterial Load in Polyethylene Terephthalate (PET) Bottled Water Marketed in Kathmandu Valley, Nepal

In recent years, we are having mixed feelings regarding the use of polyethylene terephthalate (PET) bottles for storing water. The aim of this study is to determine any associations between bacterial load and the physical condition of the water bottle. For this study, bottled water was purchased, and parameters like pH, electrical conductivity (EC), total dissolved solids (TDS), heterotrophic plate count (HPC), total coliform count, and Pseudomonas spp. count were determined as per the American Public Health Association, 2005. The pH value of water samples tested ranged from 5.2 to 6.8. The majority of samples (96%) were found to contain pH values that were unacceptable as per the Department of Food Technology and Quality Control (DFTQC) guideline. Value of electrical conductivity (EC) ranged from 5 to 199 μS/cm. HPC revealed that, out of 100 samples, 48 (48%) samples were found to be acceptable as per the DFTQC guideline value (<25 cfu/mL). Among 100 samples, Pseudomonas spp. was found to be present in 23% of bottled water. Acidic pH and elevated concentrations of TDS and EC may lead to the survival of extremophiles present in HPC which may lead to degradation of PET. Extremophile bacteria that survive in bottled water for a long time rely on several survival mechanisms including evolutionary development (evo-devo) and solely survive on complex polymers like PET.

Bacteriological Assessment of Bottled Drinking Water Available at Major Transit Places in Mangalore City of South India

Introduction

Safe drinking water is essential for human life. It is generally considered that bottled water is safe for usage by people. For long-distance travelers, it serves as the only source of reliable drinking water. But, several studies have reported that bottled water does not always meet the acceptability standards.

Objectives

To assess the bacteriological and physical quality of bottled water marketed in major transit areas and to check its compliance with national standards.

Methods

The investigating team visited retail shops at three main transit sites for long-distance travelers in Mangalore city. A total of 24 water bottles of 12 brands were randomly selected. The analysis of total viable count (TVC) was done to assess the bacteriological quality of samples.

Results

In 3(12.5%) samples, all of which were of local brands, batch number, the period of manufacture, and the period of expiry were not mentioned. Odor and floating bodies were present in one sample each. Five (20.8%) water bottles had been enriched with minerals. Ozone treatment was the most commonly 22(91.7%) used method for disinfection of water. In only 15(62.5%) samples, the bacterial contamination was within acceptable limits certified for drinking purposes. Water samples manufactured by multinational companies (p=0.018), those with batch number mentioned (p=0.042), the best period of manufacture (p=0.036), and long expiry dates (p=0.028) were acceptable for usage.

Conclusion

Surveillance of bottled water manufacturing industries in the settings on a regular basis needs to be done by regulatory agencies. These measures will ensure safe and wholesome bottled water for public usage.

Effects of inequality of supply hours on consumers' coping strategies and perceptions of intermittent water supply in Kathmandu Valley, Nepal

To investigate the effects of unequal supply hours on consumers' coping strategies and perceptions of the intermittent water supply (IWS) in the Kathmandu Valley (KV), Nepal we conducted a randomized household survey (n=369) and on-site water quality tests. Half of the households received piped water for 6 or fewer hours per week. To augment or cope with the inadequate supply, 28% of the households used highly contaminated and expensive tanker-delivered water. Half of the piped water samples (n=13) were contaminated with Escherichia coli. Free chlorine concentration in all piped water samples was below the national standards (0.1-0.2mg/L), but combined chlorine was detected at an average of 0.24mg/L, indicating ingression of contaminants in the network. Point-of-use devices could increase access to safe water in the KV from 42% to 80%. The use of Lorenz curves and Gini coefficients revealed inequality of piped water supply hours per week both between and within service areas in the KV, due mainly to a small percentage of households who receive longer supply hours. To cope with reduced supply hours, home owners pay more to get water from alternative sources, while tenants compromise their water consumption. Under IWS, expectations for improvements in piped water quality and supply regularity are higher than those for supply volume. Consumers' perceptions of the piped water services worsen with the reduction in supply hours, but perceptions of piped water tariff are independent of supply hours.