Situation of Water, Hygiene and Sanitation in a Peri-Urban Area in Benin, West Africa: The Case of Sèmè-Podji

This study aimed to analyze the environmental factors related to health vulnerability in the municipality of Sèmè-Podji. For this study, 216 households were surveyed using questionnaires. Twelve key informants were enrolled for depth interviews and 18 water samples were collected from different sources used by the populations. It came out of our investigations that water from traditional sources used at Sèmè-Podji was contaminated by various microorganisms such as Escherichia coli and fecal coliforms. 66.38% of households reject domestic waste and 47.41% of them evacuate sewage in the yard. In addition, 93.05% drop stagnant water for natural infiltration. This municipality faces lack of sanitation. The main health problems experienced by people were malaria (46.35%), diarrheal diseases (15.88%). The study stated some results which could improve the help about health management in the area.

Sanitation By-Products Used for Lettuce (<i>Lactuca sativa</i>L.) Production: Quantitative Microbial Risk Assessment

Sanitation by-products (i.e. greywater, human urine and toilet compost) reuse for agriculture presents an opportunity to enhance food security while overcoming water scarcity and fertilizers issues in developing countries. However, the risks to health from farmers and consumers’ exposure to pathogenic micro-organisms persistent in sanitation by-products has hindered their popularity in these regions. This study was conducted to apply a quantitative microbial risk assessment to estimate the annual risk probability of Salmonella infection associated with these sanitation by-products reuse for lettuce production and explore options for health risk reduction. Risk was performed a Monte Carlo simulation for farmers and consumers. The exposure routes were contaminated soil ingestion, urine/greywater/compost ingestion and lettuce consumption without washing. Results showed that the annual infection risks of Salmonella through ingestion contaminated soil associated with urine and compost were typical scenario: 9.04 × per-person-per-year (pppy) and 2.97 × pppy, respectively, are higher than the WHO benchmark (≤1.0 × pppy). Conversely, those contaminated from greywater were 6.83 × pppy are meet the WHO benchmark. On the other hand, annual risks through lettuce consumption fertilized with urine (1.20 × pppy) were less than the risks from compost (6.20 × pppy) and greywater (7.76 × pppy). Moreover, the annual risks of infection from greywater ingestion (1.77 × pppy) exhibits a much higher risk than that urine ingestion (6.20 × pppy) approximately two orders of magnitude, and which are higher than the WHO tolerable limit of risk. The risk assessment outcomes of using sanitation by-products to lettuce production should be promoted with proper awareness of the risk by farmers and consumers.

Performance of a Horizontal Flow Constructed Reed Bed Filter for Municipal Wastewater Treatment: The Case Study of the Prototype Installed at Gaston Berger University, Saint-Louis, Senegal

In Saint-Louis, Senegal, a constructed wetland with horizontal flow reed beds (FHa and FHb) has demonstrated significant efficacy in treating municipal wastewater. Analyzing various treatment stages, the system showed only a slight temperature variation, from an influent average of 26.3°C to an effluent of 24.7°C. Electrical conductivity decreased from 1331 mS/cm to 974.5 mS/cm post-primary treatment, with suspended solids (SS) dramatically reduced from 718.9 mg/L to 5.7 mg/L in the final effluent. Biochemical oxygen demand (BOD5) and chemical oxygen demand (COD) saw a notable decrease, from initial levels of 655.6 mg/L and 1240 mg/L to 2.3 mg/L and 71.3 mg/L, respectively. Nitrogenous compounds (N-TN) and phosphates () also decreased significantly, indicating the system’s nutrient removal capacity. Microbiological analysis revealed a reduction in fecal coliforms from 7.5 Ulog/100ml to 1.8 Ulog/100ml and a complete elimination of helminth eggs. The presence of Phragmites and Typha was instrumental in enhancing these reductions. The system’s compliance with the Senegalese standards for disposal into natural environments, WHO recommendations for unrestricted water reuse in irrigation, and the European legislation for water reuse was established. The effluent quality met the stringent criteria for various classes of agricultural reuse, illustrating the system’s potential for sustainable water management. This wetland model presents a robust solution for water-stressed regions, ensuring environmental protection while supporting agricultural needs. The study calls for ongoing research to further refine the system for optimal, reliable wastewater treatment and water resource sustainability.

Effects of improved sanitation on diarrheal reduction for children under five in Idiofa,DR Congo:a cluster randomized trial

Background:The lack of safe water and sanitation contributes to the rampancy of diarrhea in many developing countries.Methods:This study describes the design of a cluster-randomized trial in Idiofa,the Democratic Republic of the Congo,seeking evidence of the impact of improved sanitation on diarrhea for children under four.Of the 276 quartiers,18 quartiers were randomly allocated to the intervention or control arm.Seven hundred and-twenty households were sampled and the youngest under-four child in each household was registered for this study.The primary endpoint of the study is diarrheal incidence,prevalence and duration in children under five.Discussion:Material subsidies will be provided only to the households who complete pit digging plus superstructure and roof construction,regardless of their income level.This study employs a Sanitation Calendar so that the mother of each household can record the diarrheal episodes of her under-four child on a daily basis.The diary enables examination of the effect of the sanitation intervention on diarrhea duration and also resolves the limitation of the small number of clusters in the trial.In addition,the project will be monitored through the‘Sanitation Map’,on which all households in the study area,including both the control and intervention arms,are registered.To avoid information bias or courtesy bias,photos will be taken of the latrine during the household visit,and a supervisor will determine well-equipped latrine uptake based on the photos.This reduces the possibility of recall bias and under-or over-estimation of diarrhea,which was the main limitation of previous studies.Trial registration:The study was approved by the Institutional Review Board of the School of Public Health,Kinshasa University(ESP/CE/040/15;April 13,2015)and registered as an International Standard Randomized Controlled Trial(ISRCTN:10,419,317)on March 13,2015.

Calcium-sensitive protein MLC1 as a possible modulator of the astrocyte functional state

Astrocytes,the main population of glial cells in the central nervous system(CNS),exert essential tasks for the control of brain tissue homeostasis,supporting neuron and other glial cell activity from the developmental stage to adult life.To maintain the optimal functionality of the brain,astroglial cells are particularly committed to reacting to every change in tissue homeostatic conditions,from mild modifications of the physiological environment,a process called astrocyte activation,to the more severe alterations occurring in pathological situations causing astrocyte reactivity or reactive astrogliosis(Escartin et al.,2021).During these reactive states,astrocytes mount an active,progressive response encompassing morphological,molecular,and interactional remodeling,leading to the acquisition of new functions and the loss of others,whose intensity,duration,and reversibility are dependent on the nature of the stimulus and regulated in a context-specific manner.

Disentangling brain PrP^(C)proteoforms and their roles in physiology and disease

The cellular prion protein(PrPC),a cell surface glycoprotein of 209 amino acids,has been considerably studied over the decades mainly due to its critical involvement in transmissible spongiform encephalopathies,or prion diseases.Indeed,it is the misfolding and aggregation of PrPC into pathological assemblies-named PrPSc-that constitute prions,the agents causing these unusual neurodegenerative diseases affecting humans and animals(Prusiner,1982).Furthermore,increasing evidence support its relevance also in other neurodegenerative diseases(NDDs),such as Alzheimer’s and Parkinson’s diseases(Corbett et al.,2020).

Protein glycation:a wolf in sweet sheep’s clothing behind neurodegeneration

At the beginning of the 16th century,Paracelsus coined the maxim:“the dose makes the poison”.This principle can be applied to all living organisms,including organs and cells.The brain and its glial and neuronal cells are no exception.Even small compounds that are essential for the life of brain cells can become truly toxic when overdosed.

Performance Evaluation of Two Series Vertical Flow Filters for Wastewater Treatment: A Case Study of the Prototype Installed at Gaston Berger University, Saint-Louis, Senegal

This paper evaluates the efficacy of two sequential vertical flow filters (VFF), FV1 and FV2, implanted with Typha, in a pilot-scale wastewater treatment system. FV1 comprises three cells (FV1a, FV1b, and FV1c), while FV2 consists of two cells (FV2a and FV2b), each designed to reduce various physicochemical and microbiological pollutants from wastewater. Quantitative analyses show significant reductions in electrical conductivity (from 1331 to 1061 μS/cm), biochemical oxygen demand (BOD5 from 655.6 to 2.3 mg/L), chemical oxygen demand (COD from 1240 to 82.2 mg/L), total nitrogen (from 188 to 37.3 mg/L), and phosphates (from 70.9 to 14.6 mg/L). Notably, FV2 outperforms FV1, particularly in decreasing dissolved salts and BOD5 to remarkably low levels. Microbiological assessments reveal a substantial reduction in fecal coliforms, from an initial concentration of 7.5 log CFU/100mL to 3.7 log CFU/100mL, and a complete elimination of helminth eggs, achieving a 100% reduction rate in FV2. The study highlights the impact of design parameters, such as filter material, media depth, and plant species selection, on treatment outcomes. The findings suggest that the judicious choice of these components is critical for optimizing pollutant removal. For instance, different filtration materials show varying efficacies, with silex plus river gravel in FV1c achieving superior pollutant reduction rates. In conclusion, VFFs emerge as a promising solution for wastewater treatment, underscoring the importance of design optimization to enhance system efficiency. Continuous monitoring and adaptation of treatment practices are imperative to ensure water quality, allowing for safe environmental discharge or water reuse. The research advocates for ongoing improvements in wastewater treatment technologies, considering the environmental challenges of the current era. The study concludes with a call for further research to maximize the effectiveness of VFFs in water management.

Intelligent Garbage Recycling: Design and Implementation Exploration of Automatic Classification System

This paper introduces an intelligent waste recycling automatic classification system,which integrates sensors,image recognition,and robotic arms to achieve automatic identification and classification of waste.The system monitors the composition and properties of waste in real time through sensors,and uses image recognition technology for precise classification,and the robotic arm is responsible for grabbing and disposing.The design and implementation of the system have important practical significance and application value,and help promote the popularization and standardization of waste classification.This paper details the system s architecture,module division,sensors and recognition technology,robotic arm and grabbing technology,data processing and control system,and testing and optimization process.Experimental results show that the system has efficient waste recycling efficiency and accuracy in practical applications,bringing new development opportunities to the waste recycling industry.

Flood Risk Assessment in the Lower Valley of Ouémé, Benin

In response to the increased frequency of flood events in recent years, it has become crucial to enhance preparedness and anticipation through precise flood risk assessments. To this end, this study aims to produce updated and precise flood risk maps for the Lower Valley of Ouémé River Basin, located in the South of Benin. The methodology used consisted of a combination of geographical information systems (GIS) and multi-criteria analysis, including Analytical Hierarchy Process (AHP) methods to define and quantify criteria for flood risk assessment. Seven hydro-geomorphological indicators (elevation, rainfall, slope, distance from rivers, flow accumulation, soil type, and drainage density), four socio-economic vulnerability indicators (female population density, literacy rate, poverty index, and road network density), and two exposure indicators (population density and land use) were integrated to generate risk maps. The results indicate that approximately 21.5% of the Lower Valley is under high and very high flood risk, mainly in the south between Dangbo, So-Ava, and Aguégués. The study findings align with the historical flood pattern in the region, which confirms the suitability of the used method. The novelty of this work lies in its comprehensive approach, the incorporation of AHP for weighting factors, and the use of remote sensing data, GIS technology, and spatial analysis techniques which adds precision to the mapping process. This work advances the scientific understanding of flood risk assessment and offers practical insights and solutions for flood-prone regions. The detailed flood risk indicator maps obtained stand out from previous studies and provide valuable information for effective flood risk management and mitigation efforts in the Lower Valley of Ouémé.

Assessment of the Recent Hydromorphological Features of Nokoue Lake and Its Channels (South-East Benin)

Based on 2022 and 2023 hydrometric data and satellite images (Sentinel 2022, SPOT 2010), this study aims to present the Nokoué Lake and its channels’ re-cent hydromorphological characteristics. Integrating flow, tributary morphology, and topography data determined specific power values along the axes studied. The values obtained range from 2.69 to 12.92 W/m2 for Ouémé River and 2.46 to 10.99 W/m2 for Sô River. The resulting water erosion on banks and bottoms is of linear, areolar, or gully and claw types. Lake bathymetry varies from -0.5 to -2.6 m (low flow period) and -1 to -4 m;in the Ouémé, Sô, and Totchè rivers, it varies from -5 m to -7 m, reaching -10 m at the Cotonou channel entrance (flood period). Bathymetric profiles reveal varied “U”, “V” and “Intermediate” bottom morphologies, influenced by erosion/sedimentation processes and human activities. The flow facies identified are lentic in the northern tributaries and lotic in the Cotonou and Totchè canals. Spatial analysis identified nine (09) thematic classes. In 2022, the surface area of the water body has increased from 274 km2 at low water to 280 km2 at high water, whereas in 2010 (a recent year of exceptional flooding), the surface area was 270 km2 at low water and 277 km2 at high water. Significant changes in land use are observed between 2010 and 2022. The floodplain area decreased slightly, from 421 km2 in 2010 (year of exceptional flooding) to 419 km2 in 2022. The evolution of land use shows a progressive expansion of the urban environment to the detriment of the natural environment. In the medium to long term, this trend could threaten the hydromorphological balance and even the existence of this important lagoon ecosystem.

Agricultural Contamination of the Surface Waters of the Upper Ouémé in Benin: The Case of Heavy Metals and Pesticides

Objective: The main objective of this study was to assess the degree of contamination of surface waters by heavy metals and pesticides. Method: To this end, data were collected in December 2022 from four specific sampling stations: Okpara, Térou, Affon and Adjiro. Levels of heavy metals, including cadmium, chromium, copper, iron, mercury, nickel and lead, were measured and subjected to in-depth statistical analysis using graphical summation models. In addition, the concentrations of pesticide active ingredients present in the samples were interpreted and evaluated. The statistical data collected during this study were processed using R software, version 3.5.0. Results: The values obtained at the different stations Okpara, Térou, Affon and Adjiro are respectively Arsenic (2 × 10-4 mg/L;2.2 × 10-1 mg/L;1.2 × 10-4 mg/L;2 × 10-4 mg/L), Cadmium (4.4 × 10-5 mg/L;1.1 × 10-2 mg/L;10-4 mg/L;4 × 10-4 mg/L). Then Copper (7 × 10-4 mg/L;3 × 10-3 mg/L;7 × 10-4 mg/L;1 × 10-4 mg/L), Iron (1.51 mg/L;6.4 × 10-1 mg/L;2.0012 mg/L;2.9 × 10-1 mg/L), Lead (0 mg/L;0 mg/L;1.5 × 10-3 mg/L;1.5 × 10-3 mg/L). Mercury, nickel and chromium were not detected in surface waters. It is important to note that the values obtained for trace metals (Cadmium, Chromium, Copper, Iron, Mercury, nickel and chromium were not detected in surface waters. It is important to note that the values obtained for trace metals (cadmium, chromium, copper, iron, mercury, nickel and lead) were all below the guideline standards set by the WHO in 2006 for uncontaminated surface waters. This indicates that the surface waters of the Upper Ouémé were below acceptable contamination thresholds in terms of heavy metals. However, the presence of pesticide active ingredients such as cyfluthrin, endosulfan-alpha, endosulfan-beta, profenosfos, tihan, atrazine, gala super and glycel clearly indicates that these surface waters are subject to agricultural contamination.

Identifying the impediments and enablers of ecohealth for a case study on health and environmental sanitation in Hà Nam, Vietnam

Background:To date,research has shown an increasing use of the term“ecohealth”in literature,but few researchers have explicitly described how it has been used.We investigated a project on health and environmental sanitation(the conceptual framework of which included the pillars of ecohealth)to identify the impediments and enablers of ecohealth and investigate how it can move from concept to practice.Methods:A case study approach was used.The interview questions were centred on the nature of interactions and the sharing of information between stakeholders.Results:The analysis identified nine impediments and 15 enablers of ecohealth.Three themes relating to impediments,in particular-integration is not clear,don’t understand,and limited participation-related more directly to the challenges in applying the ecohealth pillars of transdisciplinarity and participation.The themes relating to enablers-awareness and understanding,capacity development,and interactions-facilitated usage of the research results.By extracting information on the environmental,social,economic,and health aspects of environmental sanitation,we found that the issue spanned multiple scales and sectors.Conclusion:The challenge of how to integrate these aspects should be considered at the design stage and throughout the research process.We recommend that ecohealth research teams include a self-investigation of their processes in order to facilitate a comparison of moving from concept to practice,which may offer insights into how to evaluate the process.

COVID-19 vaccination and diabetic ketoacidosis

An efficient coronavirus disease 2019(COVID-19)vaccine is urgently required to fight the pandemic due to its high transmission rate and quick dissemination.There have been numerous reports on the side effects of the COVID-19 immunization,with a focus on its negative effects.Clinical endocrinology is extremely interested in the endocrine issue that arises after receiving the COVID-19 vaccine.As was already mentioned,after receiving the COVID-19 vaccine,many clinical problems could occur.Additionally,there are some compelling reports on diabetes.After receiving the COVID-19 vaccine,a patient experienced hyperosmolar hyperglycemia state,a case of newly-onset type 2 diabetes.There has also been information on a potential connection between the COVID-19 vaccine and diabetic ketoacidosis.Common symptoms include thirst,polydipsia,polyuria,palpitations,a lack of appetite,and weariness.In extremely rare clinical circumstances,a COVID-19 vaccine recipient may develop diabetes complications such as hyperglycemia and ketoacidosis.In these circumstances,routine clinical care has a successful track record.It is advised to give vaccine recipients who are vulnerable to problems,such as those with type 1 diabetes as an underlying illness,extra attention.

Effect of SARS-CoV-2 infection on trauma throughput to alternative elective care approaches

In response to the paper on coronavirus disease 2019's effects on trauma throughput,elective care models should be modified.Concerns about the relevant factors and their potential therapeutic applications are brought up and looked into.

Hospital Stakeholders’ Perception on Environmental Effects Related to Biomedical Waste in Togo’s University Hospitals (UHC) in 2021

Introduction: Given its effects, hospital waste is an environmental concern and a threat to health personnel, users of health services and neighboring populations. Our objective was to assess the perception of health care stakeholders on the environmental effects related to biomedical waste produced in Teaching Hospitals (CHU) in Togo in 2021. Methods: This was a cross-sectional study held from June 24 to August 28, 2021. It targeted three university hospitals, 340 health care providers and services selected by a probabilistic method with a simple random technique in 25 services, 72 directors, deputy directors, supervisors and heads of services, 27 collection and incineration agents selected by a non-probabilistic method with a reasoned choice technique, 44 patients and attendants and 36 householders of neighboring residents selected by a non-probabilistic method with an accidental choice technique. Variables such as the spreading of disease vectors, soil, air and water contamination, the presence of unpleasant odors and unsightly living conditions were assessed. Results: According to the respondents, biomedical waste causes the proliferation of vectors (55.3%), an unsightly environment inside the hospital (47.1%), and unpleasant odors (61.2%). Incineration operations disturb hospital residents (52.8%), according to the householders of the residents. During observation, we note deposits of waste that have not been destroyed and wastewater flowing in some places. Conclusion: Biomedical waste in Togo’s university hospitals generates environmental effects and therefore potentially high risks for human health. Improving their management should be a concern for all hospital actors.

Antibacterial Properties of Crateva adansonii (Capparidaceae) on Strains Isolated from Chronic Wounds Diagnosed in the Commune of Ouinhi in 2021

Plants have always been used by people for therapeutic purposes. They are still the main source of therapeutic substances in developing countries. Crateva adansonii, a member of the Capparidaceae family, is a medicinal plant with antibacterial properties used in Benin. The aim of this study was to assess the efficacy of an aqueous extract of C. adansonii on bacterial strains isolated from chronic wounds in the Ouinhi population. To achieve this, the bacterial flora present in chronic wounds was identified using the Ikram method (2014) coupled with the API Remoel One method. The antibacterial properties of the aqueous extract of C. adansonii on the microbial strains isolated were then assessed by determining the Inhibition Diameters (ID), the Minimum Inhibitory Concentrations (MIC) and finally the Minimum Bactericidal Concentrations (MBC). A total of eighty (80) strains were isolated and identified on the basis of morphological, cultural and biochemical characteristics. The species S. Aureus species accounted for the largest proportion (67.5%). Other species such as Listeria sp, Pseudomonas proteus, S. epidermidis and Bacillus cereus, Citrobacter freundii, Steno maltophila;Axin calcoaceticus, E. coli, K. pneumonia, Lem. richardii, Salmonella paratyphi A, Salmonella sp, Shigella sp were determined in variable proportions. At a concentration of 10 mg/ml, only S. aureus was sensitive to contact with the extract. However, at 20 mg/ml, 89% of strains were sensitive and 11% very sensitive. The highly sensitive strains are Salmonella sp and E. coli. The Minimum Inhibitory Concentration (MIC) and Minimum Bactericidal Concentration (MBC) are 20 mg/ml and 40 mg/ml respectively. The MBC/MIC ratio of the aqueous mixture of Crateva adansonii (Capparidaceae) varied from 1.2 to 2, with a bactericidal effect on 100% of the strains tested.

Adipocytokine profile in children with Kawasaki disease

This letter to editor discusses on the publication on adipocytokine profile in children with Kawasaki disease.Concerns on confounding factors are raised and discussed.

Hydrogeological Investigations of Groundwater and Surface Water Interactions in the Berg River Catchment, Western Cape, South Africa

The Berg River Catchment based in the Western Cape Province,South Africa services the greater Cape Town area with water,subsequent to supplying the vast agricultural activities that exist in the middle and the lower reaches.This study thus investigates the hydrogeochemical interactions between surface and groundwater in the Berg River Catchment with the aim of establishing trends and transfer of constituents between the surface and groundwater systems,investigates the role that geology plays in water chemistry as well as identifies the geochemical processes controlling surface and groundwater chemistry in the catchment.This study was carried out using three types of research designs namely i)experimental research design;ii)field research design and meta-analysis research design.Furthermore,the study made use of hydrochemical data ranging from 2003 to 2013 obtained from the National Water Monitoring Database owned and maintained by the Department of Water and Sanitation and data that were sampled in 2016 by authors and analyzed using the ICP-MS Technique Ground Water Chart,Arc-GIS and Geosoft(Oasis Montaj)were further employed to model the data.The results indicated that:i)in the Upper Berg there is not much interaction and transfer of constituents between surface and groundwater;ii)the Middle Berg,however,indicated a degree of interaction with the sharing of constituents between the two water systems and iii)the Lower Berg indicated only NaCl water type also noting that the area situated near the river mouth whereby there is the mixing of river and seawater.

COVID-19 pandemic in the intensive care unit:Psychological implications and interventions,a systematic review

BACKGROUND The coronavirus disease 2019(COVID-19) pandemic produced changes in intensive care units(ICUs) in patient care and health organizations. The pandemic event increased patients’ risk of developing psychological symptoms during and after hospitalisation. These consequences also affected those family members who could not access the hospital. In addition, the initial lack of knowledge about the virus and its management, the climate of fear and uncertainty, the increased workload and the risk of becoming infected and being contagious, had a strong impact on healthcare staff and organizations. This highlighted the importance of interventions aimed at providing psychological support to ICUs, involving patients, their relatives, and the staff;this might involve the reorganisation of the daily routine and rearrangement of ICU staff duties.AIM To conduct a systematic review of psychological issues in ICUs during the COVID-19 pandemic involving patients, their relatives, and ICU staff.METHODS We investigated the PubMed and the ClinicalTrials.gov databases and found 65 eligible articles,upon which we commented.RESULTS Our results point to increased perceived stress and psychological distress in staff, patients and their relatives and increased worry for being infected with severe acute respiratory syndrome coronavirus-2 in patients and relatives. Furthermore, promising results were obtained for some psychological programmes aiming at improving psychological measures in all ICU categories.CONCLUSION As the pandemic limited direct inter-individual interactions, the role of interventions using digital tools and virtual reality is becoming increasingly important. All considered, our results indicate an essential role for psychologists in ICUs.