Sachet water quality and product registration: a cross-sectional study in Accra, Ghana

Impact of “sachet water” microplastic on agricultural soil physicochemistry, antibiotics resistance, bacteria diversity and function

Nigeria's most consumed potable water plastic wastes are indiscriminately dumped into agricultural soil despite their ability to become microplastics. The study evaluates the potential impacts of these microplastics on soil physico-chemical parameters, soil bacterial diversity and functions as well as antibiotic resistance. Soil sample was collected using a sterile hand-held auger and its physico-chemical parameters evaluated. Baseline microplastic concentration was determined via the flotation method while microbial isolates were obtained from the test (enriched with microplastics) and control samples using cultural technique and metagenomics. Metagenomic next-generation sequencing (mNGS) was done using the Illumina Miseq platform. The cluster of orthologous genes (COG) tool was used in the prediction of bacterial functional roles. Replicate readings were analysed using analysis of variance (ANOVA) and means compared using the student’s t test. Observed baseline microplastic concentration was 0.08 particles/g of soil. The addition of the microplastics to the soil sample decreased the concentrations of some metals (iron, zinc, lead and nickel) while cobalt concentration, pH level and microbial counts increased. Microbial count and pH clustered together while iron, magnesium, nitrate, nitrite, chromium, cobalt, total organic carbon, zinc, lead, and nickel showed positive loading values suggesting that the addition of microplastics could alter them. Dominant taxa were proteobacteria, unknown, firmicutes at the phyla level. At the level of species, Pseudomonas species dominated microplastics incubated soil while potential pathogenic species such as Klebsiella dominated the control sample. A higher level of multi-drug resistance and altered metabolisms was observed in the test sample. Sachet water microplastics could have serious implications for public health and food security.

Microbial contamination and quantitative microbial risk assessment of high-density polyethylene (HDPE) film sachet drinking water in Ghana

The present research estimated the impact of storage on the microbial quality of high-density polyethylene drinking water. Samples were taken from two popular companies in Greater Accra using a two-sided exact test in SAS JMP to estimate the sample size. The samples were stored across three temperature profiles at 8 °C, 30 °C (average room temperature), and 40 °C (average outdoor temperature) for 28 days. The samples were examined using standard microbiological methods for heterotrophic plate counts (HPCs), faecal coliforms, and Escherichia coli. The data were described and regressed with Microsoft Excel, Argo 4.3.1, and SAS JMP software. The results demonstrated increasing deterioration of the water samples for all microbial indices at all temperatures with increasing storage duration. The highest HPC, faecal coliforms, and E. coli were 1,312; 622; and 252 cfu/100 mL, respectively, all at 40 °C. The daily risk of infection due to E. coli O157:H7 was 5.22 × 10^-5 infections per child per day for children under 5 years, and 1.6 × 10^-4 attacks per adult per day, compared to the upper limit of 1.0 × 10^-6. These results are higher than recommended exposures, and interventions along the sachet drinking water value chain are needed to protect public health.

Antibiotic-Resistant Bacteria in Drinking Water from the Greater Accra Region, Ghana: A Cross-Sectional Study, December 2021-March 2022

With safely managed water accessible to only 19% of the population in Ghana, the majority of its residents are at risk of drinking contaminated water. Furthermore, this water could be a potential vehicle for the transmission of antimicrobial-resistant bacteria. This study assessed the presence of bacteria and the antibiotic resistance profile of Escherichia coli and Pseudomonas aeruginosa in drinking-water sources using membrane filtration and Kirby-Bauer disc diffusion methods. A total of 524 water samples were analyzed for total coliforms, total heterotrophic bacteria, E. coli and P. aeruginosa. Samples included sachets, bottled water, tap water, borehole and well water. Most of the sachet and bottled water samples were within the limits of Ghana's standards for safe drinking water for the parameters tested. Over 50% of tap and borehole water was also free of E. coli and P. aeruginosa. Overall, of 115 E. coli isolates from tap and ground water samples, most were resistant to cefuroxime (88.7%), trimethoprim-sulfamethoxazole (62.6%) and amoxicillin-clavulanate (52.2%). P. aeruginosa isolates were most resistant to aztreonam (48%). Multidrug resistance was predominantly seen among E. coli isolates (58%). Evidence from this study calls for routine antimicrobial resistance surveillance in drinking water across the country and additional treatment of water sources at household levels.

Spatial heterogeneity in drinking water sources in the Greater Accra Metropolitan Area (GAMA), Ghana

Universal access to safe drinking water is essential to population health and well-being, as recognized in the Sustainable Development Goals (SDG). To develop targeted policies which improve urban access to improved water and ensure equity, there is the need to understand the spatial heterogeneity in drinking water sources and the factors underlying these patterns. Using the Shannon Entropy Index and the Index of Concentration at the Extremes at the enumeration area level, we analyzed census data to examine the spatial heterogeneity in drinking water sources and neighborhood income in the Greater Accra Metropolitan Area (GAMA), the largest urban agglomeration in Ghana. GAMA has been a laboratory for studying urban growth, economic security, and other concomitant socio-environmental and demographic issues in the recent past. The current study adds to this literature by telling a different story about the spatial heterogeneity of GAMA's water landscape at the enumeration area level. The findings of the study reveal considerable geographical heterogeneity and inequality in drinking water sources not evidenced in previous studies. We conclude that heterogeneity is neither good nor bad in GAMA judging by the dominance of both piped water sources and sachet water (machine-sealed 500-ml plastic bag of drinking water). The lessons from this study can be used to inform the planning of appropriate localized solutions targeted at providing piped water sources in neighborhoods lacking these services and to monitor progress in achieving universal access to improved drinking water as recognized in the SDG 6 and improving population health and well-being.

Evaluation of plastic packaged water quality using health risk indices: A case study of sachet and bottled water in Accra, Ghana

Plastic packaged water is the drinking water of choice for urban populations across Africa but its quality remains questionable in most developing countries. Six hundred (600) packages, consisting of sachet and bottled water, were sampled from two high-end companies in Accra (Ghana) and stored through their shelf lives under an average room temperature of 30 °C. The samples were tested for physicochemical quality and the presence of bacteria and phthalate esters at 2ⁿ × 3 periods, where n is the sampled batch number. The data were described and modelled with embedded Bayesian and Machine Learning algorithms in JASP0.16.0.0 and Argo-4.1.3. The results reported lower than regulated levels of electrical conductivity (163.66 μS/cm), alkalinity (39.67 mg/L), and residual chlorine (<0.01 mg/L) while the pH was generally within specification (6.5-7.7). All samples showed progressive biological contamination following the third week (sachet samples) and the sixth week (bottled water) of incubation. Initial samples, including raw water, processed bulk water and packaged water did not present detectable microbial growth. The total microbial load in sachet samples grew at 0.936 cfu/week and 1.006 cfu/week for the bottled samples although the results did not exceed 1000 cfu/L (0-976 cfu/100 mL). Modelled mean probability of infection was 1.196 × 10^-4 in 67% of the samples. Raw and processed water samples did not show detectable levels of phthalate contaminants. The mean hazard index calculated on the individual hazard quotients of phthalates was 7.41 × 10^-3 ± 8.20 × 10^-4, suggesting lower acute risk potential. Mean integrated lifetime cancer risk (ILCR) was determined to be 1.53 × 10^-3 ± 1.71 × 10^-4 within a range of 2.86 × 10^-4 and 7.18 × 10^-3. Mean child ILCR was about 70% of adult ILCR and increased from 4.16 × 10^-4 to 2.41 × 10^-3 for sachet and 4.93 × 10^-4 to 7.18 × 10^-3 for bottled water. For adult ILCR, sachet water presented 2.86 × 10^-4 to 1.65 × 10^-3, and 3.38 × 10^-4 to 4.93 × 10^-3 for bottled water. This study confirmed the presence of phthalates and pathogenic bacteria in the samples, at-risk levels that require mitigation.

Evaluating the potability and human health risk of sachet water in Wukari, Nigeria

This study assessed physiochemical and biological properties of sachet waters. In general, sachet waters were within standards for all parameters except lead in batch A & B, iron in batch E, and E. coli in all water brands. Human health risk showed the order of THI as NO₃^- > Pb > F^- > Fe for batch A & B samples and NO₃^- > F^- > Pb > Fe for batch C, D & E. This showed nitrate constituting over 50% of the THI while batch B water samples showed THI above the acceptable limit for all age groups. The THI for infants suggests moderate risk. This indicates infants are more likely to be impacted even though water parameters were within standards. Hence, there is a need to monitor sachet water companies to protect public health.

Sachet water quality and Vendors’ practices in Damongo, northern Ghana during the emergence of SARS-CoV-2 using multivariate statistics, water quality and pollution indices, and panel assessment

The emergence of the SARS-CoV-2 has affected several production services including the water production and delivery processes. This study considered sachet water quality during the advent of the SARS-CoV-2 pandemic using multivariate statistics and Water Quality Index, Water Pollution Index and, hygienic and sanitation practices of sixty-two (62) sachet water vendors using a panel assessment approach. The findings showed that vendors did not adhere to proper hygienic practices as ninety-four (94%) of them did not have health clearance, ninety (90%) did not frequently wash their receptacles for selling daily, and most of them stored and sold in unhygienic environments. Majority of the producers violated Food and Drugs Authority Regulations. The Empirical Orthogonal Function analysis showed that total iron, Total Heterotrophic Bacteria, Salmonella, Cl⁻, E. coli, and fecal and total coliforms were the controlling elements in the water. All the brands were below threshold limits based on the physical water assessment. However, enteric bacteria were observed in all the brands. Water Quality and Water Pollution Indices (WQI and WPI) described all the sachet water brands (vendors and production sites) as excellent for drinking. The WQI computations for samples from the production and vending sites respectively ranged from 0.12 to 0.36 and 0.27–0.42 whereas WPI presented 0.22–0.31 and 0.23–0.32. Comparatively, samples from vendors had elevated elemental concentrations and loads. This suggests that besides sachet water contamination during production and transportation, vendors significantly impacted the quality of sachet water. Sensitization on proper hygienic practices for sachet water production and vending and routine assessment of the quality of sachet water produced or sold is recommended.

Domestic drinking water management: Quality assessment in Oforikrom municipality, Ghana

Drinking water in Ghana is estimated at 79%, but this only represents the proportion of the population with access to improved drinking water sources without regard to the quality of water consumed. This study investigated the quality of household drinking water sources in the Oforikrom municipality where potable water requirements are on the rise due to an ever-increasing population. Both quantitative and qualitative methods were employed in this study. One Hundred households were randomly selected and interviewed on the available options for drinking water and household water treatment and safe storage. A total of 52 points of collection (POC) and 97 points of use (POU) water samples from households were collected for physicochemical and microbial water quality analysis. Amongst the available drinking water options, sachet water (46%) was mostly consumed by households. Water quality analysis revealed that the physicochemical parameters of all sampled drinking water sources were within the Ghana Standards Authority (GSA) recommended values expected for pH (ranging from 4.50 to 7.50). For the drinking water sources, bottled (100%, n = 2) and sachet water (91%, n = 41) showed relatively good microbial water quality. Generally, POC water samples showed an improved microbial water quality in comparison to POU water samples. About 38% (n = 8) of the households practicing water quality management, were still exposed to unsafe drinking water sources. Households should practice good water quality management at the domestic level to ensure access to safe drinking water. This may include the use of chlorine-based disinfectants to frequently disinfect boreholes, wells and storage facilities at homes.

Evaluation of bottled water quality by determining nitrate concentration

The presence of nitrate in sources of drinking water is a matter of concern because of its potential risk for human health. In many countries like Argentina, an increasing proportion of the population chooses to consume bottled water, among other reasons, for lack of water access. The present study was conducted (a) to evaluate the quality of bottled waters by determining nitrate concentration, (b) to relate bottled water quality with water access, (c) to analyze public awareness about bottled water quality and consumption habits of the population in the urban area of Buenos Aires. Two locations were selected, Ciudad Autónoma de Buenos Aires (C.A.B.A.) and Malvinas Argentinas in Buenos Aires Province (PBA), with percentages of water access of 99.6% and 8.8%, respectively. Random samples from both locations (n = 100) were analyzed. A survey was conducted in order to inquire about perception of population on bottled water quality and their consumption habits. In C.A.B.A., no sample exceeded the 45 mg/L limit value in force in Argentina, while in Malvinas Argentinas, 34% of the brands analyzed showed values above it. The survey revealed that 71.7% of people consume bottled water. While people in C.A.B.A. do so mainly out of habit, safety is the priority in PBA.

Consumer Preference and Quality of Sachet Water Sold and Consumed in the Sunyani Municipality of Ghana

Good quality water is odourless, colourless, and free from faecal pollution, and a satisfactory safe supply must be made available to consumers. The study assessed consumer preference and quality of sachet water sold and consumed in the Sunyani Municipality of Ghana. A cross-sectional study design was used, and data were collected using a structured questionnaire from a sample size of 500 respondents. A total of twenty (20) samples of sachet water commonly sold and consumed in the Sunyani Municipality were also collected and analyzed for bacteriological and physicochemical parameters. Out of these 20 samples, 10 samples of sachet water were collected from the production site and the other 10 samples from the market site. Results showed that respondents' choice of sachet water was based on several indicators. While 70% (350/500) of consumers indicated that sachet water had taste, 58% (290/500) of them were not enthused when the water had colour. Using smell as an indicator, 71% of consumers have had an experience with sachet water smell being questionable. Water taste (p < 0.001), colour of water (p < 0.001), smell (p < 0.001), and increase in cost (p < 0.001) were found as determinants of consumer preference. Consumers who said the colour of water informed their decision when buying sachet water were seven times more likely to have a preference for a particular brand (OR 7.057, CI: 4.474-11.133). Those who checked for expiry dates when buying water (OR 4.871, CI: 3.110-7.628) and those who looked out for Food and Drugs Authority stamp (OR 4.433, CI: 2.806-7.003) were both four times more likely to have a preference for a particular brand. Water quality tests also indicated that 30% of all water samples collected from the production site were contaminated with total coliforms and 50% of sachet water samples collected from the markets were also contaminated with coliforms. The same brands of sachet water that contained total coliforms from the production site were the same brands that contained total coliforms selected from the market. From this study, only total coliforms other than Escherichia coli were detected in the water samples analyzed. It was observed that the evaluated physicochemical parameters of the water analyzed were within the accepted WHO limits. It is recommended that consumers be educated about the indicators to look out for when buying sachet water and, also, that regulatory bodies be empowered to ban the sale of unwholesome brands of sachet water on the market.