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- Malawi (12)
- Sanitation (8)
- Developing countries (7)
- Pit latrine (5)
- COVID-19 (4)
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- Fecal sludge management (4)
- Groundwater (3)
- Pit emptying (3)
- SARS-CoV-2 (3)
- Wastewater (3)
- Water (3)
- Community health (2)
- Drinking water (2)
- Faecal sludge (2)
- Faecal sludge management (2)
- Low-income countries (2)
- Private sector (2)
- Public health (2)
- Reuse (2)
- Rural (2)
- Sanitation and hygiene (2)
- Sewer (2)
- Sub-Saharan Africa (2)
- Wastewater based epidemiology (2)
- Water quality (2)
- African water quality project (1)
- Agent-based modelling (1)
- Agriculture (1)
- Auger (1)
- Behavior change (1)
Articles 1 - 30 of 32
Full-Text Articles in Environmental Health
Surveillance Of Rnase P, Pmmov, And Crassphage In Wastewater As Indicators Of Human Fecal Concentration Across Urban Sewer Neighborhoods, Louisville, Kentucky, R. H. Holm, M. Nagarkar, R. A. Yeager, D. Talley, A. C. Chaney, J. P. Rai, A. Mukherjee, S. N. Rai, A. Bhatnagar, T. Smith
Surveillance Of Rnase P, Pmmov, And Crassphage In Wastewater As Indicators Of Human Fecal Concentration Across Urban Sewer Neighborhoods, Louisville, Kentucky, R. H. Holm, M. Nagarkar, R. A. Yeager, D. Talley, A. C. Chaney, J. P. Rai, A. Mukherjee, S. N. Rai, A. Bhatnagar, T. Smith
Faculty Scholarship
Wastewater surveillance has been widely used as a supplemental method to track the community infection levels of severe acute respiratory syndrome coronavirus 2. A gap exists in standardized reporting for fecal indicator concentrations, which can be used to calibrate the primary outcome concentrations from wastewater monitoring for use in epidemiological models. To address this, measurements of fecal indicator concentration among wastewater samples collected from sewers and treatment centers in four counties of Kentucky (N = 650) were examined. Results from the untransformed wastewater data over 4 months of sampling indicated that the fecal indicator concentration of human ribonuclease P (RNase …
Combining Community Wastewater Genomic Surveillance With State Clinical Surveillance: A Framework For Sars-Cov-2 Public Health Practice, Ted Smith, Rochelle H. Holm, Ray Yeager, Joseph B. Moore Iv, Eric C. Rouchka, Kevin J. Sokoloski, Daymond Talley, Vaneet Arora, Sarah Moyer, Aruni Bhatnagar
Combining Community Wastewater Genomic Surveillance With State Clinical Surveillance: A Framework For Sars-Cov-2 Public Health Practice, Ted Smith, Rochelle H. Holm, Ray Yeager, Joseph B. Moore Iv, Eric C. Rouchka, Kevin J. Sokoloski, Daymond Talley, Vaneet Arora, Sarah Moyer, Aruni Bhatnagar
Faculty Scholarship
Study objective: To garner a framework for combining community wastewater surveillance with state clinical surveillance that influence confirmation of SARS-CoV-2 variants within the community, and recommend how the flow of such research evidence could be expanded and employed for public health response. Design, setting, and participants: This work involved analyzing wastewater samples collected weekly from 17 geographically resolved locations in Louisville/Jefferson County, Kentucky from February 10 to November 29, 2021. Genomic surveillance and RT-qPCR platforms were used as screening to identify SARS-CoV-2 in wastewater, and state clinical surveillance was used for confirmation. Main results: The results demonstrate increased epidemiological value …
Public Awareness And Support For Use Of Wastewater For Sars-Cov-2 Monitoring: A Community Survey In Louisville, Kentucky, Rochelle H. Holm, J. Michael Brick, Alok R. Amraotkar, Joy L. Hart, Anish Mukherjee, Jacob Zeigler, Adrienne M. Bushau-Sprinkle, Lauren B. Anderson, Kandi L. Walker, Daymond Talley, Rachel J. Keith, Shesh N. Rai, Kenneth E. Palmer, Aruni Bhatnagar, Ted Smith
Public Awareness And Support For Use Of Wastewater For Sars-Cov-2 Monitoring: A Community Survey In Louisville, Kentucky, Rochelle H. Holm, J. Michael Brick, Alok R. Amraotkar, Joy L. Hart, Anish Mukherjee, Jacob Zeigler, Adrienne M. Bushau-Sprinkle, Lauren B. Anderson, Kandi L. Walker, Daymond Talley, Rachel J. Keith, Shesh N. Rai, Kenneth E. Palmer, Aruni Bhatnagar, Ted Smith
Faculty Scholarship
The majority of sewer systems in the United States and other countries, are operated by public utilities. In the absence of any regulation, public perception of monitoring wastewater for population health biomarkers is an important consideration for a public utility commission when allocating resources for this purpose. In August 2021, we conducted a survey as part of an ongoing COVID-19 community prevalence study in Louisville/Jefferson County, KY. The survey comprised of seven questions about awareness of and privacy concerns and was sent to 32,000 households randomly distributed within the county. A total of 1,220 sampled adults participated in the probability …
High-Throughput Sequencing Of Sars-Cov-2 In Wastewater Provides Insights Into Circulating Variants, Rafaela S. Fontenele, Simona Kraberger, James Hadfield, Erin M. Driver, Devin Bowes, La Rinda A. Holland, Temitope O.C. Faleye, Sangeet Adhikari, Rahul Kumar, Rosa Inchausti, Wydale K. Holmes, Stephanie Deitrick, Philip Brown, Darrell Duty, Ted Smith, Aruni Bhatnagar, Ray A. Yeager, Rochelle H. Holm, Natalia Hoogesteijn Von Reitzenstein, Elliott Wheeler, Kevin Dixon, Tim Constantine, Melissa A. Wilson, Efrem S. Lim, Xiaofang Jiang, Rolf U. Halden, Matthew Scotch, Arvind Varsani
High-Throughput Sequencing Of Sars-Cov-2 In Wastewater Provides Insights Into Circulating Variants, Rafaela S. Fontenele, Simona Kraberger, James Hadfield, Erin M. Driver, Devin Bowes, La Rinda A. Holland, Temitope O.C. Faleye, Sangeet Adhikari, Rahul Kumar, Rosa Inchausti, Wydale K. Holmes, Stephanie Deitrick, Philip Brown, Darrell Duty, Ted Smith, Aruni Bhatnagar, Ray A. Yeager, Rochelle H. Holm, Natalia Hoogesteijn Von Reitzenstein, Elliott Wheeler, Kevin Dixon, Tim Constantine, Melissa A. Wilson, Efrem S. Lim, Xiaofang Jiang, Rolf U. Halden, Matthew Scotch, Arvind Varsani
Faculty Scholarship
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) likely emerged from a zoonotic spill-over event and has led to a global pandemic. The public health response has been predominantly informed by surveillance of symptomatic individuals and contact tracing, with quarantine, and other preventive measures have then been applied to mitigate further spread. Non-traditional methods of surveillance such as genomic epidemiology and wastewater-based epidemiology (WBE) have also been leveraged during this pandemic. Genomic epidemiology uses high-throughput sequencing of SARS-CoV-2 genomes to inform local and international transmission events, as well as the diversity of circulating variants. WBE uses wastewater to analyse community spread, …
The Rapid Assessment Of Aggregated Wastewater Samples For Genomic Surveillance Of Sars-Cov-2 On A City-Wide Scale, Eric C. Rouchka, Julia H. Chariker, Kumar Saurabh, Sabine Waigel, Wolfgang Zacharias, Mei Zhang, Daymond Talley, Ian Santisteban, Madeline Puccio, Sarah Moyer, Rochelle H. Holm, Ray A. Yeager, Kevin J. Sokoloski, Joshua Fuqua, Aruni Bhatnagar, Ted Smith
The Rapid Assessment Of Aggregated Wastewater Samples For Genomic Surveillance Of Sars-Cov-2 On A City-Wide Scale, Eric C. Rouchka, Julia H. Chariker, Kumar Saurabh, Sabine Waigel, Wolfgang Zacharias, Mei Zhang, Daymond Talley, Ian Santisteban, Madeline Puccio, Sarah Moyer, Rochelle H. Holm, Ray A. Yeager, Kevin J. Sokoloski, Joshua Fuqua, Aruni Bhatnagar, Ted Smith
Faculty Scholarship
Throughout the course of the ongoing SARS-CoV-2 pandemic there has been a need for approaches that enable rapid monitoring of public health using an unbiased and minimally invasive means. A major way this has been accomplished is through the regular assessment of wastewater samples by qRT-PCR to detect the prevalence of viral nucleic acid with respect to time and location. Further expansion of SARS-CoV-2 wastewater monitoring efforts to include the detection of variants of interest/concern through next-generation sequencing has enhanced the understanding of the SARS-CoV-2 outbreak. In this report, we detail the results of a collaborative effort between public health …
Standardizing Data Reporting In The Research Community To Enhance The Utility Of Open Data For Sars-Cov-2 Wastewater Surveillance, Jill S. Mcclary-Gutierrez, Zachary T. Aanderud, Mitham Al-Faliti, Claire Duvallet, Raul Gonzalez, Joe Guzman, Rochelle H. Holm, Michael A. Jahne, Rose S. Kantor, Panagis Katsivelis, Katrin Gaardbo Kuhn, Laura M. Langan, Cresten Mansfeldt, Sandra L. Mclellan, Lorelay M. Mendoza Grijalva, Kevin S. Murnane, Colleen C. Naughton, Aaron I. Packman, Sotirios Paraskevopoulos, Tyler S. Radniecki, Fernando A. Roman, Abhilasha Shrestha, Lauren B. Stadler, Joshua A. Steele, Brian M. Swalla, Peter Vikesland, Brian Wartell, Carol J. Wilusz, Judith Chui Ching Wong, Alexandria B. Boehm, Rolf U. Halden, Kyle Bibby, Jeseth Delgado Vela
Standardizing Data Reporting In The Research Community To Enhance The Utility Of Open Data For Sars-Cov-2 Wastewater Surveillance, Jill S. Mcclary-Gutierrez, Zachary T. Aanderud, Mitham Al-Faliti, Claire Duvallet, Raul Gonzalez, Joe Guzman, Rochelle H. Holm, Michael A. Jahne, Rose S. Kantor, Panagis Katsivelis, Katrin Gaardbo Kuhn, Laura M. Langan, Cresten Mansfeldt, Sandra L. Mclellan, Lorelay M. Mendoza Grijalva, Kevin S. Murnane, Colleen C. Naughton, Aaron I. Packman, Sotirios Paraskevopoulos, Tyler S. Radniecki, Fernando A. Roman, Abhilasha Shrestha, Lauren B. Stadler, Joshua A. Steele, Brian M. Swalla, Peter Vikesland, Brian Wartell, Carol J. Wilusz, Judith Chui Ching Wong, Alexandria B. Boehm, Rolf U. Halden, Kyle Bibby, Jeseth Delgado Vela
Faculty Scholarship
SARS-CoV-2 RNA detection in wastewater is being rapidly developed and adopted as a public health monitoring tool worldwide. With wastewater surveillance programs being implemented across many different scales and by many different stakeholders, it is critical that data collected and shared are accompanied by an appropriate minimal amount of meta-information to enable meaningful interpretation and use of this new information source and intercomparison across datasets. While some databases are being developed for specific surveillance programs locally, regionally, nationally, and internationally, common globally-adopted data standards have not yet been established within the research community. Establishing such standards will require national and …
Geographic And Occupational Mobility Of Small-Scale Fishers Of Lake Malawi: An Exploratory Study Of Water, Sanitation, And Hygiene Access, Malawi, Rochelle H. Holm, Tikhala Chakalamba, Bwighane Ngasama, Fanuel Kapute
Geographic And Occupational Mobility Of Small-Scale Fishers Of Lake Malawi: An Exploratory Study Of Water, Sanitation, And Hygiene Access, Malawi, Rochelle H. Holm, Tikhala Chakalamba, Bwighane Ngasama, Fanuel Kapute
Faculty Scholarship
The livelihood of small-scale fishers on the world’s freshwater lakes cuts across the Sustainable Development Goal (SDG) 6, which covers water and sanitation, and SDG 8 on economic growth. The aim of this study was to examine the nature and extent of fishers’ mobility patterns and access to improved sanitation facilities, safe drinking water, and handwashing practices while at work and home for two fishing camps in Malawi. The study used key informant interviews, questionnaires, water quality testing, and an observational checklist, followed by interviews on fishers’ occupational migration. Many fishers (85%; 51/60) live and work in fishing camps with …
Wastewater Sample Site Selection To Estimate Geographically Resolved Community Prevalence Of Covid-19: A Sampling Protocol Perspective, R. Yeager, R. H. Holm, K. Saurabh, J. L. Fuqua, D. Talley, A. Bhatnagar, T. Smith
Wastewater Sample Site Selection To Estimate Geographically Resolved Community Prevalence Of Covid-19: A Sampling Protocol Perspective, R. Yeager, R. H. Holm, K. Saurabh, J. L. Fuqua, D. Talley, A. Bhatnagar, T. Smith
Faculty Scholarship
Wastewater monitoring for virus infections within communities can complement conventional clinical surveillance. Currently, most SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) clinical testing is voluntary and inconsistently available, except for a few occupational and educational settings, and therefore likely underrepresents actual population prevalence. Randomized testing on a regular basis to estimate accurate population-level infection rates is prohibitively costly and is hampered by a range of limitations and barriers associated with participation in clinical research. In comparison, community-level fecal monitoring can be performed through wastewater surveillance to effectively surveil communities. However, epidemiologically defined protocols for wastewater sample site selection are lacking. …
Impact Of Sampling Depth On Pathogen Detection In Pit Latrines, Drew Capone, Petros Chigwechokha, Francis L. De Los Reyes, Rochelle H. Holm, Benjamin B. Risk, Elizabeth Tilley, Joe Brown
Impact Of Sampling Depth On Pathogen Detection In Pit Latrines, Drew Capone, Petros Chigwechokha, Francis L. De Los Reyes, Rochelle H. Holm, Benjamin B. Risk, Elizabeth Tilley, Joe Brown
Faculty Scholarship
Wastewater based epidemiology (WBE) is increasingly used to provide decision makers with actionable data about community health. WBE efforts to date have primarily focused on sewer-transported wastewater in high-income countries, but at least 1.8 billion people in low-and middle-income countries (LMIC) use onsite sanitation systems such as pit latrines and septic tanks. Like wastewater, fecal sludges from such systems offer similar advantages in community pathogen monitoring and other epidemiological applications. To evaluate the distribution of enteric pathogens inside pit latrines–which could inform sampling methods for WBE in LMIC settings unserved by sewers–we collected fecal sludges from the surface, mid-point, and …
A Qualitative Study Of Nimbyism For Waste In Smaller Urban Areas Of A Low-Income Country, Mzuzu, Malawi, Rochelle H. Holm, Brighton A. Chunga, Adrian Mallory, Paul Hutchings, Alison Parker
A Qualitative Study Of Nimbyism For Waste In Smaller Urban Areas Of A Low-Income Country, Mzuzu, Malawi, Rochelle H. Holm, Brighton A. Chunga, Adrian Mallory, Paul Hutchings, Alison Parker
Faculty Scholarship
When waste management infrastructure is built, there can be resistance from the local affected populations, often termed the Not in My Backyard (NIMBY) phenomenon. This study aims to understand the forms of resistance that may develop in such contexts, focusing on 2 solid waste and 1 liquid waste management site within Mzuzu City, Malawi. At the newest solid waste site, community resistance had grown to the extent that the site was reportedly destroyed by the local community. Interviews and observations of the sites are complemented by examining historic and recent satellite images. It was found that, at the new solid …
A Review Of The Financial Value Of Faecal Sludge Reuse In Low-Income Countries, Adrian Mallory, Rochelle Holm, Alison Parker
A Review Of The Financial Value Of Faecal Sludge Reuse In Low-Income Countries, Adrian Mallory, Rochelle Holm, Alison Parker
Faculty Scholarship
Faecal sludge reuse could promote responsible waste management and alleviate resource shortages. However, for this reuse to be carried out at scale, it needs to be financially viable. This paper reviews the financial values of resource recovery from 112 data points from 43 publications from academic and grey literature. The results found 65% of the existing literature is projected rather than being based on observed data from products in practice, with limited studies providing actual experiences of revenue in practice. Some of the estimates of the potential value were ten times those observed in data from operating businesses. Reasons for …
Re-Evaluating The Strength Of Pit-Latrine Faecal Sludge From Dynamic Cone Penetrometer Test Data, Yasmine Shafiq, Stuart Haigh, Rochelle Holm, Alison Parker
Re-Evaluating The Strength Of Pit-Latrine Faecal Sludge From Dynamic Cone Penetrometer Test Data, Yasmine Shafiq, Stuart Haigh, Rochelle Holm, Alison Parker
Faculty Scholarship
In 2017, 55% of the global population were without safely managed sanitation services. On-site sanitation solutions, such as pit latrines, provide the majority of sanitation coverage across developing countries. Appropriate technologies are required in order to safely empty these latrines without damage to people or the environment. The design of appropriate emptying technologies can be hampered by a lack of knowledge of the mechanical properties of the waste, such as its strength. This paper will develop a calibration for a dynamic cone penetrometer to give accurate measurements of faecal sludge strength against a standard scale, rendering existing data comparable. It …
Drinking Water Quality And Human Dimensions Of Cholera Patients To Inform Evidence-Based Prevention Investment In Karonga District, Malawi, Prince Kaponda, Suresh Muthukrishnan, Rory Barber, Rochelle H. Holm
Drinking Water Quality And Human Dimensions Of Cholera Patients To Inform Evidence-Based Prevention Investment In Karonga District, Malawi, Prince Kaponda, Suresh Muthukrishnan, Rory Barber, Rochelle H. Holm
Faculty Scholarship
Cholera remains a problem in sub-Saharan Africa, especially in Malawi. Our aim was to investigate drinking water source quality compared with water treatment, risk perception and cholera knowledge for patients who had reported to a health center for treatment in the 2017-2018 outbreak in Karonga District, Malawi. The study analyzed 120 drinking water samples linked to 236 cholera patients. Nearly 82% of the samples met the national criteria for thermotolerant coliforms of 50 cfu/100 ml, while 50% met the more stringent World Health Organization criteria of 0 cfu/100 ml. In terms of the human dimensions, 68% of survey respondents reported …
Food Safety Policies And Practices In Public Spaces: The Urban Water, Sanitation, And Hygiene Environment For Fresh Fish Sold From Individual Vendors In Mzuzu, Malawi, Jazimoni Lazaro, Fanuel Kapute, Rochelle H. Holm
Food Safety Policies And Practices In Public Spaces: The Urban Water, Sanitation, And Hygiene Environment For Fresh Fish Sold From Individual Vendors In Mzuzu, Malawi, Jazimoni Lazaro, Fanuel Kapute, Rochelle H. Holm
Faculty Scholarship
In sub-Saharan Africa, informal markets account for more than 80% of the total food selling. Fish is a major protein source for households in Malawi and is commonly purchased from individual vendors. The aim of this study was to review national acts and policies and local regulations focused on fresh fish sold at open-air markets or by mobile vendors and to further examine the water, sanitation, and hygiene environment that may impact food safety in Mzuzu City, Malawi. The study used interviews, an observational checklist, and sampling of water and fish skin. In general, there was limited oversight of food …
Do Rope And Washer Pumps Provide Safe Water And Satisfied Users? A Case Study Piloting New Rural Water Supply Technology In Rumphi District, Malawi, Jacob C. Mkandawire, Mavuto Tembo, Muthi Nhlema, Joel Luhanga, Rochelle H. Holm
Do Rope And Washer Pumps Provide Safe Water And Satisfied Users? A Case Study Piloting New Rural Water Supply Technology In Rumphi District, Malawi, Jacob C. Mkandawire, Mavuto Tembo, Muthi Nhlema, Joel Luhanga, Rochelle H. Holm
Faculty Scholarship
Innovation is needed to develop rural water supply to support sub-Saharan Africa communities that are hard to reach. The purpose of this study was to critically review rope and washer pumps that have been installed on manually drilled boreholes in 48 communities as part of a pilot project in Rumphi District, Malawi, and which serve as a sustainable source of drinking water from both technical (water quality and functionality) and social (user satisfaction) perspectives. At each water source, an infrastructure checklist was used (n = 48); 10 users were interviewed (n = 472); and, if the pump had water, water …
Agent-Based Modelling For Simulation-Based Design Of Sustainable Faecal Sludge Management Systems, Adrian Mallory, Martin Crapper, Rochelle H. Holm
Agent-Based Modelling For Simulation-Based Design Of Sustainable Faecal Sludge Management Systems, Adrian Mallory, Martin Crapper, Rochelle H. Holm
Faculty Scholarship
Re-using faecal sludge (FS) to generate value has the potential to contribute towards solving the issue of long term sanitation solutions in growing urban areas across sub-Saharan Africa; however, hitherto, no design tools have been available that are capable of simulating a system involving economic factors, complex social issues and environmental circumstances. We hypothesized that Agent-Based Modelling (ABM), when deployed with appropriate rigour, can provide such a tool. Extensive field work was carried out in a Malawian city, investigating the adoption of Skyloo above-ground composting toilets by households, and the operation of the municipal FS site. 65 semi-structured interviews and …
Can A Precast Pit Latrine Concrete Floor Withstand Emptying Operations? An Investigation From Malawi, Joshua Mchenga, Rochelle H. Holm
Can A Precast Pit Latrine Concrete Floor Withstand Emptying Operations? An Investigation From Malawi, Joshua Mchenga, Rochelle H. Holm
Faculty Scholarship
For fecal sludge from households in low- and middle-income countries to be treated offsite it needs to be removed, which can be greatly affected by the pit latrine floor design. However, it is unclear whether precast pit latrine concrete floors (latrine slabs) can withstand emptiers and their equipment. To investigate this issue, 28 prefabricated latrine slabs were purchased in two cities of Malawi. They were first visually evaluated, and then their compression strength was tested. Additionally, each seller was asked a series of questions to better understand their business, training, and construction practices. Results showed that households should perform due …
A Qualitative Assessment Of Disability Friendly Water And Sanitation Facilities In Primary Schools, Rumphi, Malawi, Harlod Zaunda, Rochelle H. Holm, Ambumulire Itimu-Phiri, Mphatso Malota, Sian White
A Qualitative Assessment Of Disability Friendly Water And Sanitation Facilities In Primary Schools, Rumphi, Malawi, Harlod Zaunda, Rochelle H. Holm, Ambumulire Itimu-Phiri, Mphatso Malota, Sian White
Faculty Scholarship
Students with disabilities commonly face barriers when accessing water and using sanitation and hygiene facilities at school. International frameworks have prompted governments to enact local policies that enshrine these rights, guarantee equitable access to education and mandate inclusive infrastructure. This research was designed to explore whether Malawi has translated good policies into practice. Data were gathered in Rumphi district, Malawi, through structured field observations in ten schools and interviews with students with a disability (n = 23), teachers (n = 11) and government stakeholders (n = 2). No school had facilities that fully meet the needs of students with disabilities, …
A Cluster-Randomized Trial To Evaluate The Impact Of An Inclusive, Community-Led Total Sanitation Intervention On Sanitation Access For People With Disabilities In Malawi, Adam Biran, Lisa Danquah, Joseph Chunga, Wolf Peter Schmidt, Rochelle Holm, Ambumulire Itimu-Phiri, Wales Singini, Hazel Jones, Hannah Kuper, Sian White
A Cluster-Randomized Trial To Evaluate The Impact Of An Inclusive, Community-Led Total Sanitation Intervention On Sanitation Access For People With Disabilities In Malawi, Adam Biran, Lisa Danquah, Joseph Chunga, Wolf Peter Schmidt, Rochelle Holm, Ambumulire Itimu-Phiri, Wales Singini, Hazel Jones, Hannah Kuper, Sian White
Faculty Scholarship
Community-led total sanitation (CLTS) is a common method for promoting sanitation in low-income settings. This cluster-randomized trial evaluated an intervention to improve inclusion of people with disability in CLTS through training facilitators. A qualitative study examined intervention acceptability. The trial included 171 people with disabilities (78 control and 93 intervention) living in 15 intervention and 15 control communities. In the intervention arm, respondents were more likely to participate in a community meeting about sanitation (+18.7%, 95% confidence interval [CI]: 3.2, 34.2) and to have been visited to discuss sanitation (+19.7, 95% CI: 0.6, 37.8). More intervention households improved latrine access …
The Handpump Choice Is Yours: A Pilot Study In Rumphi District, Malawi, Rochelle Holm, Alinafe Kamangira, Victor Kasulo, Prince Kaponda, Edwin Hara, Channing Carney-Filmore, Muthi Nhlema
The Handpump Choice Is Yours: A Pilot Study In Rumphi District, Malawi, Rochelle Holm, Alinafe Kamangira, Victor Kasulo, Prince Kaponda, Edwin Hara, Channing Carney-Filmore, Muthi Nhlema
Faculty Scholarship
In sub-Saharan Africa, moving towards the Sustainable Development Goals will require an approach to water and sanitation service delivery for many rural communities where handpumps still dominate infrastructure. This paper reviews a case study of allowing users (local government and communities) in Rumphi District, Malawi, to choose a handpump model based on information about the life-cycle costs. The results indicate that there is some awareness within communities and within the local government of several handpump options for the rural water supply in the study area. Given a choice of different handpump models in the treatment communities, each community chose the …
Designing Local Solutions For Emptying Pit Latrines In Low-Income Urban Settlements (Malawi), W. C. Chipeta, R. H. Holm, J. F. Kamanula, W. E. Mtonga, F. L. De Los Reyes
Designing Local Solutions For Emptying Pit Latrines In Low-Income Urban Settlements (Malawi), W. C. Chipeta, R. H. Holm, J. F. Kamanula, W. E. Mtonga, F. L. De Los Reyes
Faculty Scholarship
A lack of effective options in local technology poses challenges when onsite household sanitation facilities are eventually filled to capacity in unplanned settlement areas within Mzuzu City, located in northern Malawi. Vacuum trucks currently dominate the market but focus on emptying septic tanks in the more easily accessible planned settlement areas, rather than servicing the pit latrines common in unplanned settlement areas. As a result, households in the unplanned settlement areas within Mzuzu rely primarily on manual pit emptying (i.e., shoveling by hand) or digging a new pit latrine. These practices have associated health risks and are limited by space …
Reducing The Burden Of Rural Water Supply Through Greywater Reuse: A Case Study From Northern Malawi, Evan Newcomer, Courtney Boyd, Laban Nyirenda, Emmanuel Opong, Shannon Marquez, Rochelle Holm
Reducing The Burden Of Rural Water Supply Through Greywater Reuse: A Case Study From Northern Malawi, Evan Newcomer, Courtney Boyd, Laban Nyirenda, Emmanuel Opong, Shannon Marquez, Rochelle Holm
Faculty Scholarship
Greywater reuse has potential for non-potable applications that conserve freshwater resources in water-stressed areas especially in sub-Saharan Africa. The feasibility of reusing greywater for domestic activities in a rural area of Malawi, Africa, was evaluated from microbiological and public acceptance perspectives. Median Escherichia coli concentrations for eight domestic greywater sources (handwashing, laundry, runoff from a tap apron, bathing, cleaning a home/kitchen, cleaning a water collection container, washing plates and soaking vegetables) ranged from 100 to >20, 000 colony forming units (cfu)/100 ml. Twenty-four of 47 greywater samples tested (51%) met the World Health Organization guideline for unrestricted use of greywater …
Characterization Of Pit Latrines To Support The Design And Selection Of Emptying Tools In Peri-Urban Mzuzu, Malawi, Rashid Chiposa, Rochelle H. Holm, Chimuleke Munthali, Russel C.G. Chidya, Francis L. De Los Reyes
Characterization Of Pit Latrines To Support The Design And Selection Of Emptying Tools In Peri-Urban Mzuzu, Malawi, Rashid Chiposa, Rochelle H. Holm, Chimuleke Munthali, Russel C.G. Chidya, Francis L. De Los Reyes
Faculty Scholarship
The urban areas of many low-income countries must balance a rising demand for pit latrines for household sanitation provision against limitations in space, resulting in a need for pit latrine emptying services. This study was undertaken in the peri-urban neighborhood of Area 1B in the city of Mzuzu, Malawi, to examine the characteristics of household pit latrines for designing and selecting pit latrine emptying tools. We used 150 structured household surveys and field observations. From this, a subset was selected and 30 manual cone penetrometer tests were conducted at full latrines. Chemical oxygen demand analysis was also performed for 14 …
Trash Removal Methods For Improved Mechanical Emptying Of Pit Latrines Using A Screw Auger, Tracey Sisco, Tate Rogers, Walt Beckwith, Willy Chipeta, Rochelle Holm, Christopher A. Buckley, Francis L. De Los Reyes
Trash Removal Methods For Improved Mechanical Emptying Of Pit Latrines Using A Screw Auger, Tracey Sisco, Tate Rogers, Walt Beckwith, Willy Chipeta, Rochelle Holm, Christopher A. Buckley, Francis L. De Los Reyes
Faculty Scholarship
Trash in pit latrines is one of the largest challenges facing pit emptying technologies, including the powered auger (the Excrevator), developed for improved emptying in lower- and lower-middle income countries. This study focused on two trash removal methods in conjunction with pit emptying by the Excrevator: (1) simultaneous removal of trash with sludge and (2) manual trash removal prior to sludge removal. Simultaneous removal was tested by adding to the inlet of the Excrevator system two cutting heads designed to reduce the size of trash particles before entering the pipe and auger. Laboratory testing indicated that the auger will not …
Pit Latrine Fecal Sludge Resistance Using A Dynamic Cone Penetrometer In Low Income Areas In Mzuzu City, Malawi, Charles F.C. Chirwa, Ralph P. Hall, Leigh Anne H. Krometis, Eric A. Vance, Adam Edwards, Ting Guan, Rochelle H. Holm
Pit Latrine Fecal Sludge Resistance Using A Dynamic Cone Penetrometer In Low Income Areas In Mzuzu City, Malawi, Charles F.C. Chirwa, Ralph P. Hall, Leigh Anne H. Krometis, Eric A. Vance, Adam Edwards, Ting Guan, Rochelle H. Holm
Faculty Scholarship
Pit latrines can provide improved household sanitation, but without effective and inexpensive emptying options, they are often abandoned once full and may pose a public health threat. Emptying techniques can be difficult, as the sludge contents of each pit latrine are different. The design of effective emptying techniques (e.g., pumps) is limited by a lack of data characterizing typical in situ latrine sludge resistance. This investigation aimed to better understand the community education and technical engineering needs necessary to improve pit latrine management. In low income areas within Mzuzu city, Malawi, 300 pit latrines from three distinct areas were assessed …
Adopters And Non-Adopters Of Low-Cost Household Latrines: A Study Of Corbelled Pit Latrines In 15 Districts Of Malawi, Rochelle Holm, Mavuto Tembo, Dalo Njera, Victor Kasulo, Mphatso Malota, Willy Chipeta, Wales Singini, Joshua Mchenga
Adopters And Non-Adopters Of Low-Cost Household Latrines: A Study Of Corbelled Pit Latrines In 15 Districts Of Malawi, Rochelle Holm, Mavuto Tembo, Dalo Njera, Victor Kasulo, Mphatso Malota, Willy Chipeta, Wales Singini, Joshua Mchenga
Faculty Scholarship
The Sustainable Development Goals will challenge low- and middle-income settings to look at new approaches for rural sanitation. In 2013, Mzuzu University, in partnership with United Nations Children's Fund (UNICEF) Malawi, started a low-cost latrine program in rural areas using the corbelled latrine design supported by locally owned sustainable businesses. The objective of this work was to trace customers (early household adopters) and non-customers through field observations and interviews in 15 districts of Malawi. The research team spent 193 personnel work days in data collection and found 21 households as adopters in 7 districts. Most respondents had a preference with …
Achieving The Sustainable Development Goals: A Case Study Of The Complexity Of Water Quality Health Risks In Malawi, Rochelle Holm, Philip Wandschneider, Allan Felsot, Golden Msilimba
Achieving The Sustainable Development Goals: A Case Study Of The Complexity Of Water Quality Health Risks In Malawi, Rochelle Holm, Philip Wandschneider, Allan Felsot, Golden Msilimba
Faculty Scholarship
RESULTS: The water quality data and human dimension questionnaire results were used to develop a household risk presentation. Sixty-seven percent and 50 % of well water and household drinking water samples, respectively, exceeded the WHO health guideline of zero detections of E. coli. Technology transfer was advanced by providing knowledge through household risk debriefing/education, establishing a water quality laboratory at the local university, and providing training to local technicians.
Access To Groundwater And Link To The Impact On Quality Of Life: A Look At The Past, Present And Future Public Health Needs In Mzimba District, Malawi, R. C.G. Chidya, R. H. Holm, M. Tembo, B. Cole, P. Workneh, J. Kanyama
Access To Groundwater And Link To The Impact On Quality Of Life: A Look At The Past, Present And Future Public Health Needs In Mzimba District, Malawi, R. C.G. Chidya, R. H. Holm, M. Tembo, B. Cole, P. Workneh, J. Kanyama
Faculty Scholarship
Imagine a world where you have to get up at 4am to walk for two hours in the dark to fetch water. This remains true in Malawi, where it is said that the Millennium Development Goals have been met. This research aimed at understanding the impact access to groundwater has on people's ‘Being’, ‘Belonging’ and ‘Becoming,’ as well as on people's capabilities and on their quality of life in Mzimba District, Malawi. Being, Belonging and Becoming define three life domains. Being reveals ‘who one is,’ Belonging reflects ‘connections with one's environments’ and Becoming relates to ‘achieving personal goals, hopes and …
A Qualitative Study Of Barriers To Accessing Water, Sanitation And Hygiene For Disabled People In Malawi, Sian White, Hannah Kuper, Ambumulire Itimu-Phiri, Rochelle Holm, Adam Biran
A Qualitative Study Of Barriers To Accessing Water, Sanitation And Hygiene For Disabled People In Malawi, Sian White, Hannah Kuper, Ambumulire Itimu-Phiri, Rochelle Holm, Adam Biran
Faculty Scholarship
Globally, millions of people lack access to improved water, sanitation and hygiene (WASH). Disabled people, disadvantaged both physically and socially, are likely to be among those facing the greatest inequities in WASH access. This study explores the WASH priorities of disabled people and uses the social model of disability and the World Health Organization's International Classification of Functioning, Disability and Health (ICF) framework to look at the relationships between impairments, contextual factors and barriers to WASH access. 36 disabled people and 15 carers from urban and rural Malawi were purposively selected through key informants. The study employed a range of …
A Comparative Study Of Faecal Sludge Management In Malawi And Zambia: Status, Challenges And Opportunities In Pit Latrine Emptying, Rochelle Holm, James Madalitso Tembo, Bernard Thole
A Comparative Study Of Faecal Sludge Management In Malawi And Zambia: Status, Challenges And Opportunities In Pit Latrine Emptying, Rochelle Holm, James Madalitso Tembo, Bernard Thole
Faculty Scholarship
This review paper covers the issues of pit latrine emptying national policies and regulations with a focus on Malawi and Zambia. With 2.4 billion people worldwide still lacking improved sanitation facilities, developing countries need to look at policy, regulation and practice for household sanitation service provision with a new lens. What happens “next,” when improved sanitation facilities eventually become full? An emphasis on faecal sludge management has multiplied this important issue in the past few years. The authors compare the pit latrine emptying situation in Malawi and Zambia with a focus on status, challenges and opportunities. To build this comparison, …