Experimentation on bone char-based treatment for fluoride removal from drinking water in Senegal

In several areas of Senegal fluoride concentration in drinking water exceeds World Health Organization (WHO) guide value. A safe, efficient, simple and low cost defluoridation technique needs to be developed in order to prevent the occurrence of fluorosis. This paper describes a laboratory and pilot experimentation carried out using animal bone char as adsorbent material for fluoride removal. Possible influencing parameters, such as specific ions in Senegalese drinking water, were investigated and the best process conditions were defined for the application in Senegal

Assessment of Physical-Chemical Drinking Water Quality in the Logone Valley (Chad-Cameroon)

Unsafe drinking water is one of the main concerns in developing countries. In order to deal with this problem, a cooperation project was set up by the ACRA Foundation in the Logone valley (Chad-Cameroon). Water supplies were sampled throughout the villages of this area mostly from boreholes, open wells, rivers and lakes as well as some piped waters. The samples were analysed for their physical-chemical and microbiological quality in order to identify the contamination problems and suggest appropriate solutions. Results of the assessment confirmed that in the studied area there are several parameters of health and aesthetic concern. Elevated lead levels were detected both in aquifers and in surface waters, confirming that further investigations of the occurrence of lead contamination in the Logone valley are warranted. In addition, many groundwater sources are negatively impacted by parameters of aesthetic concern, such as turbidity, iron and manganese. Even though they do not affect human health, elevated levels of these parameters cause consumers to abandon improved water supplies, often in favour of surface water sources that are microbiologically contaminated. The use of alternative sources, improvement of water supply structures and water treatment are possible solutions to improve the quality of drinking water in the Logone valley

Is drinking water from 'improved sources' really safe? A case study in the Logone valley (Chad-Cameroon).

Within a cooperation project coordinated by the Association for Rural Cooperation in Africa and Latin America (ACRA) Foundation, water supplies were sampled across the villages of the Logone valley (Chad-Cameroon) mostly from boreholes, open wells, rivers and lakes as well as from some piped water. Microbiological analyses and sanitary inspections were carried out at each source. The microbiological quality was determined by analysis of indicators of faecal contamination, Escherichia coli, Enterococci and Salmonellae, using the membrane filtration method. Sanitary inspections were done using WHO query forms. The assessment confirmed that there are several parameters of health concern in the studied area; bacteria of faecal origins are the most significant. Furthermore, this study demonstrated that Joint Monitoring Programme (JMP) classification and E. coli measurement are not sufficient to state water safety. In fact, in the studied area, JMP defined 'improved sources' may provide unsafe water depending on their structure and sources without E. coli may have Enterococci and Salmonellae. Sanitary inspections also revealed high health risks for some boreholes. In other cases, sources with low sanitary risk and no E. coli were contaminated by Enterococci and Salmonellae. Better management and protection of the sources, hygiene improvement and domestic water treatment before consumption are possible solutions to reduce health risks in the Logone valley

Therapeutic alternatives in chronic thromboembolic pulmonary hypertension: from pulmonary endarterectomy to balloon pulmonary angioplasty to medical therapy. State of the art from a multidisciplinary team

Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare disease with a very complex pathophysiology differing from other causes of pulmonary hypertension (PH). It is an infrequent consequence of acute pulmonary embolism that is frequently misdiagnosed. Pathogenesis has been related to coagulation abnormalities, infection or inflammation, although these disturbances can be absent in many cases. The hallmarks of CTEPH are thrombotic occlusion of pulmonary vessels, variable degree of ventricular dysfunction and secondary microvascular arteriopathy. The definition of CTEPH also includes an increase in mean pulmonary arterial pressure of more than 25 mmHg with a normal pulmonary capillary wedge of less than 15 mmHg. It is classified as World Health Organization group 4 PH, and is the only type that can be surgically cured by pulmonary endarterectomy (PEA). This operation needs to be carried out by a team with strong expertise, from the diagnostic and decisional pathway to the operation itself. However, because the disease has a very heterogeneous phenotype in terms of anatomy, degree of PH and the lack of a standard patient profile, not all cases of CTEPH can be treated by PEA. As a result, PH-directed medical therapy traditionally used for the other types of PH has been proposed and is utilized in CTEPH patients. Since 2015, we have been witnessing the rebirth of balloon pulmonary angioplasty, a technique first performed in 2001 but has since fallen out fashion due to major complications. The refinement of such techniques has allowed its safe utilization as a salvage therapy in inoperable patients. In the present keynote lecture, we will describe these therapeutic approaches and results

Experimentation on bone char-based treatment for fluoride removal from drinking water in Senegal

2nonenoneSabrina SORLINI; Daniela PALAZZINISorlini, Sabrina; Daniela, Palazzin