A multi-faceted Case Area Targeted Intervention (CATI) approach emphasizing the integration of Water, Sanitation and Hygiene (WASH) interventions and Oral Cholera Vaccine (OCV) campaign was employed to respond to the ...A multi-faceted Case Area Targeted Intervention (CATI) approach emphasizing the integration of Water, Sanitation and Hygiene (WASH) interventions and Oral Cholera Vaccine (OCV) campaign was employed to respond to the outbreak of cholera in Garissa County. Drinking water sources in areas heavily impacted by cholera were systematically mapped and tested for microbiological quality. The quality assessment was carried out in April 2023 during an ongoing cholera outbreak in the county. A total of 109 samples were collected and tested for thermotolerant coliforms and other in situ parameters. The finding revealed that more than 87% of the samples did not meet the World Health Organization (WHO) standard for thermotolerant coliforms;and 30% had turbidity values above the recommended threshold values. None of the 109 samples had any traceable residual chlorine. Following these findings, the county government implemented the targeted interventions which resulted in a positive impact in the fight against cholera. The WHO supported key interventions which included capacity building in water quality monitoring and prepositioning of critical WASH commodities to the cholera affected areas.展开更多
Dihalogenated nitrophenols(2,6-DHNPs),an emerging group of aromatic disinfection byproducts(DBPs)detected in drinking water,have limited available information regarding their persistence and toxicological risks.The pr...Dihalogenated nitrophenols(2,6-DHNPs),an emerging group of aromatic disinfection byproducts(DBPs)detected in drinking water,have limited available information regarding their persistence and toxicological risks.The present study found that 2,6-DHNPs are resistant to major drinking water treatment processes(sedimentation and filtration)and households methods(boiling,filtration,microwave irradiation,and ultrasonic cleaning).To further assess their health risks,we conducted a series of toxicology studies using zebrafish embryos as the model organism.Our findings reveal that these emerging 2,6-DHNPs showed lethal toxicity 248 times greater than that of the regulated DBP,dichloroacetic acid.Specifically,at sublethal concentrations,exposure to 2,6-DHNPs generated reactive oxygen species(ROS),caused apoptosis,inhibited cardiac looping,and induced cardiac failure in zebrafish.Remarkably,the use of a ROS scavenger,N-acetyl-l-cysteine,considerably mitigated these adverse effects,emphasizing the essential role of ROS in 2,6-DHNP-induced cardiotoxicity.Our findings highlight the cardiotoxic potential of 2,6-DHNPs in drinking water even at low concentrations of 19μg/L and the beneficial effect of N-acetyl-l-cysteine in alleviating the 2,6-DHNP-induced cardiotoxicity.This study underscores the urgent need for increased scrutiny of these emerging compounds in public health discussions.展开更多
文摘A multi-faceted Case Area Targeted Intervention (CATI) approach emphasizing the integration of Water, Sanitation and Hygiene (WASH) interventions and Oral Cholera Vaccine (OCV) campaign was employed to respond to the outbreak of cholera in Garissa County. Drinking water sources in areas heavily impacted by cholera were systematically mapped and tested for microbiological quality. The quality assessment was carried out in April 2023 during an ongoing cholera outbreak in the county. A total of 109 samples were collected and tested for thermotolerant coliforms and other in situ parameters. The finding revealed that more than 87% of the samples did not meet the World Health Organization (WHO) standard for thermotolerant coliforms;and 30% had turbidity values above the recommended threshold values. None of the 109 samples had any traceable residual chlorine. Following these findings, the county government implemented the targeted interventions which resulted in a positive impact in the fight against cholera. The WHO supported key interventions which included capacity building in water quality monitoring and prepositioning of critical WASH commodities to the cholera affected areas.
基金supported by Jinhua Public Welfare Technology Application Research Project(2022-4-046)the Open Fund Project of Key Laboratory of Watershed Earth Surface Processes and Ecological Security of Zhejiang Normal University(KF-2022-15)+2 种基金the Foundation Natural Science Foundation of Zhejiang Province(LQ21D010008)the University of Pittsburgh Momentum Funds 2022-23(006068)the University of Pittsburgh Competitive Medical Research Fund 2023-24(006559).
文摘Dihalogenated nitrophenols(2,6-DHNPs),an emerging group of aromatic disinfection byproducts(DBPs)detected in drinking water,have limited available information regarding their persistence and toxicological risks.The present study found that 2,6-DHNPs are resistant to major drinking water treatment processes(sedimentation and filtration)and households methods(boiling,filtration,microwave irradiation,and ultrasonic cleaning).To further assess their health risks,we conducted a series of toxicology studies using zebrafish embryos as the model organism.Our findings reveal that these emerging 2,6-DHNPs showed lethal toxicity 248 times greater than that of the regulated DBP,dichloroacetic acid.Specifically,at sublethal concentrations,exposure to 2,6-DHNPs generated reactive oxygen species(ROS),caused apoptosis,inhibited cardiac looping,and induced cardiac failure in zebrafish.Remarkably,the use of a ROS scavenger,N-acetyl-l-cysteine,considerably mitigated these adverse effects,emphasizing the essential role of ROS in 2,6-DHNP-induced cardiotoxicity.Our findings highlight the cardiotoxic potential of 2,6-DHNPs in drinking water even at low concentrations of 19μg/L and the beneficial effect of N-acetyl-l-cysteine in alleviating the 2,6-DHNP-induced cardiotoxicity.This study underscores the urgent need for increased scrutiny of these emerging compounds in public health discussions.
