COMMERCIAL DRINKING WATER QUALITY AND SAFETY IN BO CITY, SIERRA LEONE

Many people who lack reliable access to a quality and safe drinking water source in or near the home rely on commercial drinking water products, such as machine-filled sachet water, that may be of variable quality.A participatory geographic information system was used in conjunction with distribution point and vendor census in the study area to identify a total of 36 water sources across Bo city that  are used for commercial water production.  These include 6 water sources and the production facilities for 10 brands of machine-filled factory-produced water sachets as well as the 10 sources and finished samples for 10hand-tied plastic-bagged water producers. Water samples from all 16 water sources and 20 commercial water products purchased from randomly-selected retail outlets and street vendors were tested for microbiological and physicochemical properties. Workers at all of these facilities were also interviewed about their knowledge and practices.All of the machine-filled sachet waters were free of microbial contamination, but several of the hand- tied water sachets, all filled from unlined local wells, and had coliform bacteria.  Both machine-filled sachet water and hand-tied sachet water had pH levels that were below the World Health Organization’s recommended range. Water with acidic pH can cause corrosion of the metal pipes used with wells and can release those potentially harmful minerals into drinking water. Water factory workers used a variety of water treatment methods to purify their products; hand-tied sachets generally used only cloth filters to purify the water and often stored water in open containers. Improved quality of commercial water products would improve health in Sierra Leone.

Enabling methods for community health mapping in developing countries

<p>Abstract</p> <p>Background</p> <p>Spatial epidemiology is useful but difficult to apply in developing countries due to the low availability of digitized maps and address systems, accurate population distributions, and computational tools. A community-based mapping approach was used to demonstrate that participatory geographic information system (PGIS) techniques can provide information helpful for health and community development.</p> <p>Results</p> <p>The PGIS process allowed for the rapid determination of sectional (neighborhood) boundaries within the city of Bo, Sierra Leone. When combined with data about hospital laboratory visits, a catchment area for one hospital in Bo could be established. A survey of households from within the catchment area determined that the average population per household (about 6 individuals) was similar to that found in the 2004 census. However, we also found that the average house was inhabited by more than one household, for an average of 17.5 inhabitants per residential building, which is critical information to know when estimating population size using remote imagery that can detect and enumerate buildings.</p> <p>Conclusions</p> <p>The methods developed in this paper serve as a model for the involvement of communities in the generation of municipal maps and their application to community and health concerns.</p