Contribution of rooftop rainwater harvesting to climate adaptation in the city of Hannover: Water quality and health issues of rainwater storage in cisterns and ponds

Rooftop rainwater harvesting systems and blue-green infrastructure are becoming important resilience alternatives for urban climate adaptation. This study sheds light on the largely unreported physicochemical and microbiological quality of private roof-harvested rainwater (RHRW). We aimed to identify the physicochemical and microbiological characteristics of RHRW, explore potential correlations between them and assess probable health risks associated with recreational interactions of children with the water. RHRW was collected from cisterns and ponds located in an inner courtyard in Hanover, Germany. Physicochemical parameters were measured on site and samples were collected once a month in two campaigns in 2020 and 2021. Escherichia coli concentrations ranged from 1 × 10° to 24.1 × 102 MPN/100 mL, Enterococci from 1 × 10° to 19.7 × 102 MPN/100 mL, Salmonella from 1 × 102 to 39 × 103 CFU/100 mL and Pseudomonas aeruginosa from 1 × 10° to 3 × 103 MPN/100 mL. Correlation analysis indicated potential relationships between bacteria, oxygen, and water temperature. The results of the health risk assessment indicated a potential risk of gastrointestinal illnesses due to exposure to Enterococci and Salmonella spp. present in the cisterns and ponds, highlighting the need for appropriate regulations and guidelines for RHRW aimed for non-potable uses. Blue-green infrastructure, when effectively managed and maintained, can offer benefits both by enhancing urban climate resilience and promoting citizens well-being.

Risk of illness, hospitalization and death in a cohort of blood donors in Italy

OBJECTIVE

The aim of this study was to determine whether blood donors (BDs), compared with non blood donors (nBDs), present significant differences in risk of illness, hospitalization and death.

METHODS

All subjects included in the database of the Association of Voluntary Italian Blood Donors of Ferrara entered the study. The analysis only included residents who donated at least once. For each BD, four age- and sex-matched non-donor controls were selected from the master archive of the Province of Ferrara. Then, all hospitalizations of BDs and controls from January 2005 to December 2010 were extracted from the hospital admission and discharge database of the region.

RESULTS

During the considered period, 26,140 hospital admissions in BDs and 98,685 in controls were recorded; 11,862 individual BDs and 43,138 nBDs. Compared with controls, BDs were characterized by older age, lower average number of admissions and diagnoses, Charlson comorbidity index score, shorter hospital length-of-stay (LOS), lower mortality rates and higher age at death. Age at death was significantly higher for BDs with longer duration and higher number of donations. In particular, blood donation was not related to an increased risk of malignancies. The main limitation of this study is potential selection bias (i.e. a healthy donor effect). Matching with the control population also has its limitations.

CONCLUSIONS

This study confirms that BDs have a lower risk of hospitalization, and, more specifically, do not have an increased risk of malignancies, leukemias, lymphomas and myeloma.