Barriers and Opportunities for Sanitation and Water for All, as Envisaged by the New Delhi Statement

Today, 884 million people lack access to water and 2.6 billion lack access to sanitation. In the past 20 years, there has been important progress made in these areas at the international level. But despite some milestones, significant challenges remain to be addressed. Some of these milestones reflect recommendations from the New Delhi Statement, which endorsed the principle of ‘Some for All Rather than More for Some’, and its four guiding principles, 1 as do some of the remaining challenges. Other trends have emerged since then, as well. This article identifies the main political developments over the last 30 years and examines some barriers to the progress of attaining universal water and sanitation provision. It also outlines some of what we have done or not done in implementing the concepts contained in the New Delhi Statement, and identifies some key lessons for the future

An ecological quantification of the relationships between water, sanitation and infant, child, and maternal mortality

<p>Abstract</p> <p>Background</p> <p>Water and sanitation access are known to be related to newborn, child, and maternal health. Our study attempts to quantify these relationships globally using country-level data: How much does improving access to water and sanitation influence infant, child, and maternal mortality?</p> <p>Methods</p> <p>Data for 193 countries were abstracted from global databases (World Bank, WHO, and UNICEF). Linear regression was used for the outcomes of under-five mortality rate and infant mortality rate (IMR). These results are presented as events per 1000 live births. Ordinal logistic regression was used to compute odds ratios for the outcome of maternal mortality ratio (MMR).</p> <p>Results</p> <p>Under-five mortality rate decreased by 1.17 (95%CI 1.08-1.26) deaths per 1000, <it>p </it>< 0.001, for every quartile increase in population water access after adjustments for confounders. There was a similar relationship between quartile increase of sanitation access and under-five mortality rate, with a decrease of 1.66 (95%CI 1.11-1.32) deaths per 1000, <it>p </it>< 0.001. Improved water access was also related to IMR, with the IMR decreasing by 1.14 (95%CI 1.05-1.23) deaths per 1000, <it>p </it>< 0.001, with increasing quartile of access to improved water source. The significance of this relationship was retained with quartile improvement in sanitation access, where the decrease in IMR was 1.66 (95%CI 1.11-1.32) deaths per 1000, <it>p </it>< 0.001. The estimated odds ratio that increased quartile of water access was significantly associated with increased quartile of MMR was 0.58 (95%CI 0.39-0.86), <it>p </it>= 0.008. The corresponding odds ratio for sanitation was 0.52 (95%CI 0.32-0.85), <it>p </it>= 0.009, both suggesting that better water and sanitation were associated with decreased MMR.</p> <p>Conclusions</p> <p>Our analyses suggest that access to water and sanitation independently contribute to child and maternal mortality outcomes. If the world is to seriously address the Millennium Development Goals of reducing child and maternal mortality, then improved water and sanitation accesses are key strategies.</p

Water sources are associated with childhood diarrhoea prevalence in rural east-central Mali

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/74635/1/j.1365-3156.2004.01200.x.pd

Mobile phones carry the personal microbiome of their owners

Most people on the planet own mobile phones, and these devices are increasingly being utilized to gather data relevant to our personal health, behavior, and environment. During an educational workshop, we investigated the utility of mobile phones to gather data about the personal microbiome — the collection of microorganisms associated with the personal effects of an individual. We characterized microbial communities on smartphone touchscreens to determine whether there was significant overlap with the skin microbiome sampled directly from their owners. We found that about 22% of the bacterial taxa on participants’ fingers were also present on their own phones, as compared to 17% they shared on average with other people’s phones. When considered as a group, bacterial communities on men’s phones were significantly different from those on their fingers, while women’s were not. Yet when considered on an individual level, men and women both shared significantly more of their bacterial communities with their own phones than with anyone else’s. In fact, 82% of the OTUs were shared between a person’s index and phone when considering the dominant taxa (OTUs with more than 0.1% of the sequences in an individual’s dataset). Our results suggest that mobile phones hold untapped potential as personal microbiome sensors

Chapter 12 Groundwater scarcity in the Middle East

The lack of natural water supplies in the Middle East and North Africa region is fundamentally a crucial constraint on socioeconomic growth, development, and stability. This is the most water-scarce region in the world. The present chapter provides insights into the problem and evaluates the drivers of this challenge and the multi impacts on the regional water scarcity. It also discusses the current use and future trends in water resources, including water-quality issues. It explores selected mitigation measures with potentially high applicability in the region. These measures include a range of sustainable water productions such as desalination, treated wastewater reuse, rainwater harvesting, and artificial aquifer recharge. Case studies of shared river basins, groundwater from the region, and its associated challenges and opportunities were also presented

Determinants of epidemiologic transition in rural Africa: the role of socioeconomic status and drinking water source

Public Health and primary carePrevention, Population and Disease management (PrePoD

Pump it up: making single-pit emptying safer in rural Bangladesh

Safe emptying and disposal of fecal sludge from pit latrines in rural areas has become a priority for the Government of Bangladesh. In this paper, we calculate the volume and characterize the hazards of managing sludge to identify technologies for safely emptying rural single pits. In Bhaluka subdistrict, an estimated 15,000 m3 of sludge is produced annually. Physical, chemical, and microbial analysis of samples of sludge taken from pit latrines indicate that the sludge has a high moisture content of around 90%, a C:N ration of 10:1, and a helminth presence of 41 eggs/g. In a field test of alternative emptying technologies, simple pumps such as the gulpher emerged feasible for use in rural area, due to the liquid nature of sludge, narrow roads, and limited incomes of rural households. The results suggest that current practices of emptying liquid sludge manually without any protective equipment poses risks to those who handle sludge, and the process needs to be semi-mechanized with immediate effect. These results are being used by the Bangladesh government to design policy for sludge management. In the near future, an organized service that safely empties single-pits and transports sludge for treatment needs to be urgently designed