The final point-of-drinking water (FPODW) exposure to Vibrio and waterborne pathogens remains a misaim surveillance target. Therefore, the current study purposed to estimate the global and regional prevalence of Vibrio pathogens in FPODW. Vibrio-FPODW data derived from integrated databases per PRISMA protocol were fitted to a random-intercept-logistic mixed-effects and meta-regression models. The global FPODW Vibrio prevalence was 5.13% (95%CI: 2.24–11.30) with 7.76% (6.84–8.78) cross-validated value. Vibrio prevalence in different FPODW varied with the highest in unclassified (13.98%, 3.98–38.95), household stored (6.42%, 1.16–28.69), municipal (4.39%, 1.54–11.90), and bottled (1.06%, 0.00–98.57) FPODW. Regionally, FPODW Vibrio prevalence varied significantly with highest in Africa (6.31%, 0.49–47.88), then Asia (4.83%, 2.01–11.18). Similarly, it varied significantly among income classification with the highest from low-income (8.77%, 0.91–50.05), then lower-middle-income (6.16%, 2.75–13.20), upper-middle-income (0.23%, 0.00–82.04), and 0.94% (0.19–2.72) in high-income economies. Among the WHO region, it varied significantly from 1.41% (0.17–10.45) in Eastern Mediterranean, 6.31% (0.49–47.88) in Africa to 8.86% (3.85–19.06) in South-East Asia and declining among SDI-quintiles from 11.64% (3.29–33.83) in Low-SDI, 10.59% (4.58–22.61) in High-middle-SDI to 0.26% (0.01–9.09) in Middle-SDI. FPODW Vibrio prevalence was 7.31% (2.94–17.03) in the low-GHSIG, followed by 4.55% (0.00–100.00) in the upper-GHSIG, and 2.21% (0.31–14.24) in middle-GHSIG; rural (4.18%, 0.06–76.17) and urban (5.28%, 2.35–11.44) settings. Also, sample size, SDI, SDI-quintiles, and nation significantly explained 14.12%, 10.91%, 30.35%, and 87.65% variance in FPODW Vibrio prevalence, respectively as a univariate influence. Additionally, 11.90% variance in FPODW Vibrio prevalence explained mortality rate attributed to unsafe WASH services. In conclusion, the study revealed a substantial high FPODW prevalence of Vibrio calling for initiative-taking and intentional surveillances of waterborne pathogens at the neglected stage across nations in order to achieve sustainably the SDG 3.
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