Abstract

The reuse of domestic and industrial wastewater in urban settings of the developing world may harm the health of people through direct contact or via contaminated urban agricultural products and drinking water. We assessed chemical and microbial pollutants in 23 sentinel sites along the wastewater and faecal sludge management and reuse chain of Kampala, Uganda. Water samples were examined for bacteria (thermotolerant coliforms (TTCs), Escherichia coli and Salmonella spp.) and helminth eggs. Physico-chemical parameters were determined. Water, sediment and soil samples and edible plants (yams and sugar cane) were tested for heavy metals. Water samples derived from the Nakivubo wetland showed mean concentrations of TTCs of 2.9 × 105 colony-forming units (CFU)/100 mL. Mean E. coli was 9.9 × 104 CFU/100 mL. Hookworm eggs were found in 13.5 % of the water samples. Mean concentrations of iron (Fe), copper (Cu) and cadmium (Cd) were 21.5, 3.3 and 0.14 mg/L, respectively. In soil samples, we found a mean lead (Pb) concentration of 132.7 mg/L. In yams, concentrations of Cd, chromium (Cr) and Pb were 4.4, 4.0 and 0.2 mg/L, while the respective concentrations in sugar cane were 8.4, 4.3 and 0.2 mg/L. TTCs and E. coli in the water, Pb in soil, and Cd, Cr and Pb in the plants were above national thresholds. We conclude that there is considerable environmental pollution in the Nakivubo wetland and the Lake Victoria ecosystem in Kampala. Our findings have important public health implications, and we suggest that a system of sentinel surveillance is being implemented that, in turn, can guide adequate responses.

Highlights

  • Humans have reused wastewater to enhance agricultural production (Drechsel et al 2010)

  • The highest values of the investigated physico-chemical parameters were found in the Nakivubo channel, while the lowest values were obtained from the samples taken in the Inner Murchison Bay

  • In the Nakivubo wetland, World Health Organization (WHO) thresholds for unrestricted irrigation were exceeded, as we found that values were above the recommended verification limits of 103–104 CFUE. coli/100 mL (Table 2, Fig. 3)

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Summary

Introduction

Humans have reused wastewater to enhance agricultural production (Drechsel et al 2010). In view of population growth, increasing scarcity of fresh water and the demand to boost food production, reuse of wastewater in agriculture and aquaculture has gained traction in the 21st century (WHO 2006). Contact with untreated wastewater is associated with microbial and chemical hazards and can negatively impact human health (Cissé et al 2002; Matthys et al 2006). Chronic diseases and cancer are associated with the ingestion and bioaccumulation of heavy metals such as cadmium (Cd) and lead (Pb) or toxic chemicals (e.g. pesticides) discharged in industrial effluents (Jarup 2003; Marcussen et al 2008; Ackah et al 2013)

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