Public Policy Makers Research Articles

Performance of a NLP Tool for Text Classification from Orthopaedic Operative Reports, Using Data from the Large Network of Clinical Data Warehouses of the West of France: The HACRO-HUGORTHO Project.

Electronic health data concerning implantable medical devices (IMD) opens opportunities for dynamic real-world monitoring to assess associated risks related to implanted materials. Due to population ageing and expanding demands, total hip, knee, and shoulder arthroplasties are increasing. Automating the collection and analysis of orthopedic device features could benefit physicians and public health policies enabling early issue detection, IMD monitoring and patient safety assessment. A machine learning tool using natural language processing (NLP) was developed for the automated extraction of operation information from medical reports in orthopedics. A corpus of 959 orthopaedic operative reports from 5 centres was manually annotated using the Prodigy software® with a strong inter-annotator agreement of 0.80. Data to extract concerned key clinical and procedure information (n= 9) selected by a multidisciplinary group based on the French health authority checklist. Performances parameters of the NLP model estimated an overall strong precision and recall of respectively 97.0 and 96.0 with a F1-score 96.3. Systematic monitoring of orthopedic devices could be ensured by an automated tool, leveraging clinical data warehouses. Traceability of medical devices with implantation modalities will allow detection of implant factors leading to complications. The evidence from real-world data could provide concrete and dynamic insights to surgeons and infectious disease specialists concerning implant follow-up, guiding therapeutic decision-making, and informing public health policymakers. The tool will be applied on clinical data warehouses to automate information extraction and presentation, providing feedback on mandatory information completion and contents of operative reports to support improvements, and thereafter implant research projects.

Occult Serologically Confirmed Cases of SARS-CoV-2 Coronavirus among the General Population in the Era of the Fourth Vaccination.

Background: Asymptomatic SARS-CoV-2 infection can significantly increase the spread of the COVID-19 pandemic. We aimed to investigate the epidemiological and clinical predictors of occult serologically confirmed SARS-CoV-2 cases among the general population during the fourth vaccination era in Israel. Methods: We conducted a cross-sectional study among individuals aged ≥18 years who had not been tested for COVID-19 in the preceding 5 months. Occult serologically confirmed cases were based on the presence of anti-N IgG antibodies. Potential risk factors were examined. Multivariable regression analysis identified independent predictors of subclinical SARS-CoV-2 infection. Results: This study included 504 participants. The prevalence of occult serologically confirmed SARS-CoV-2 was 12.5%. Chronic disease was found to be an independent predictor for the absence of occult disease (aOR) 0.4 [95% (CI): 0.18-0.87], p-value = 0.02). No significant differences were observed in age, sex, marital status, number of children, vaccination status, or exposure to COVID-19 infection between participants with and without SARS-CoV-2 sub-infection. Conclusions: We found a lower prevalence of occult serologically confirmed SARS-CoV-2 cases, compared to previous reports, and a negative correlation between chronic disease and occult SARS-CoV-2. Continued research, surveillance, and intervention strategies are needed to optimize long-term health outcomes and provide valuable insights for public health policymakers and clinicians.

The innovation and local culture in the production of specialty coffee in Short Food Supply Chains and their impacts on environmental sustainability

Coffee, popularly known as commodities, stimulates the farmer´s interest to innovate and to add value in products aiming for lucrative. One way to add value is through Short Food Supply Chains (SFSC), innovating and valorizing product processes, with basis on local culture. The main aim of this article was to analyze innovations developed by specialty coffee producers from Garça, Brazil, as they were introduced into SFSC and their impacts on environmentally sustainable production. This is a qualitative-quantitative research, with multiple case studies. Data was collected through semi-structured interview observation and documents, and analysis was carried out using Fisher's Exact Test. The main innovations verified for insertion in SFSC are the marketing skills, technical processes used in the harvesting, and machinery acquisitions for processing and packaging products without compromising the quality of the beverage. Although producers made a strenuous effort to promote the environmental sustainability, the statistical test has confirmed that there was no association between innovations and environmental sustainability. As practical implications, this paper seeks to contribute to farmers who want to change their production by selling specialty coffees through SFSC, demonstrating the innovations and their impacts on environmental sustainability, as well as public policymakers who wish to contribute to these farmers by promoting events that generate knowledge about innovations and sustainable environmental development.

EpiCandIn: An open online resource for epidemiology of Candida infections in India.

Background & objectives Candida spp. cause candidiasis in humans under conditions disrupting the host defence. While Candida albicans is the most reported cause of candidiasis, there is a surge in the incidence of infections by non-albicans Candida species (NACs), such as C. tropicalis, C. glabrata and C. auris. These species can infect all organs of the human body. To effectively manage these outbreaks, it is important to track the epidemiology of candidiasis. A consolidated resource describing the landscape of candidiasis in India is absent. Methods To address this gap, we have developed an online resource named Epidemiology of Candida Infections in India (EpiCandIn) by manually curating published literature on Candida infections in the Indian population obtained from PubMed and ScienceDirect databases. Results EpiCandIn contains data available since 1972 from 51 sites across 16 States and four Union Territories of India. It provides information on geographical location, Candida species, niche affected, disease characteristics and drug therapy details extracted from the publications. This resource is integrated with visualization tools. Interpretation & conclusions EpiCandIn will be useful for public health researchers and policymakers as it will help them gain insights into the emerging trends and management of Candida infections in India. It can be accessed at epicandin.bicnirrh.res.in.

Information Professionals’ Metaphorical Perceptions of Artificial Intelligence Concept

This study examines the metaphors used by 66 information professionals in Türkiye to conceptualize artificial intelligence (AI). Through qualitative metaphor analysis, rich insights emerged on perceptions of AI’s nature, functioning, relationships with humans, roles, and societal impacts. Some of the metaphors used are child, human, artist, human intelligence, robot, assistant, doctor, weapon, terminator, something scary, closed box, black hole, Pandora’s box, etc. Multiple, often contradictory metaphors like “child” and “uncontrollable power” indicate AI is viewed in a multidimensional way, evoking both promise and concern. Key findings suggest information professionals appreciate AI’s transformative potential in enhancing services but also harbor anxieties related to human relevance, technocracy, and social issues like privacy. Understanding these complex cognitive and emotional orientations can facilitate responsible AI adoption to augment information services. Gesturing at AI’s multifaceted connotations also foregrounds communication challenges complicating public debate and policymaking on emerging technologies. The value of this study lies in surfacing the nuanced perspectives of a stakeholder group positioned to mediate public understanding and direct integration of AI in information services. Mapping information professionals’ rich construals of AI also highlights the need for public communication attuned to metaphorical reasoning around new technologies.

Long-term impact of rotavirus vaccination on all-cause and rotavirus-specific gastroenteritis and strain distribution in Central Kenya: An 11-year interrupted time-series analysis

Background: Kenya introduced a monovalent rotavirus vaccine administered orally at 6 and 10 weeks of age into her National Immunization Program in July 2014. The study evaluated the long-term impact of the vaccine on hospitalization for all-cause and rotavirus-specific acute gastroenteritis (AGE) and strain epidemiology in Kenya. Methods: Data on all-cause and rotavirus-specific AGE and strain distribution were derived from an eleven-year hospital-based surveillance of AGE among children aged <5 years at Kiambu County Teaching and Referral Hospital (KCTRH) in Central Kenya between 2009 and 2020. Fecal samples were screened for group A rotavirus using ELISA and genotyped using multiplex semi-nested RT-PCR. Trends in all-cause and rotavirus-related AGE and strain distribution were compared between the pre-vaccine (July 2009–June 2014), early post-vaccine (July 2014–June 2016) and late post-vaccine (February 2019–October 2020) periods. Results: Rotavirus-specific AGE was detected at 27.5% (429/1546, 95% CI: 25.5–30.1%) in the pre-vaccine period; 13.8% (91/658, 95% CI: 11.3–16.6%) in the early post-vaccine period (July 2014–June 2016); and 12.0% (229/1916, 95% CI: 10.6–13.5%) in the late post-vaccine period (February 2019–October 2020). This amounted to a decline of 49.8% (95% CI: 34.6%–63.7%) in rotavirus-specific AGE in the early post-vaccine period and 53.4% (95% CI: 41.5–70.3%) in the late post-vaccine period when compared to the pre-vaccine period. All-cause AGE hospitalizations declined by 40.2% (95% CI: 30.8%–50.2%) and 75.3% (95% CI: 65.9–83.1%) in the early post-vaccine and late post-vaccine periods, respectively, when compared to the pre-vaccine period. G3P [8] was the predominant strain in the late post-vaccine period, replacing G1P[8] which had predominated in the pre-vaccine and early post-vaccine periods. Additionally, we detected considerable proportions of uncommon strains G3P[6] (4.8%) and G12P[6] (3.5%) in the post-vaccine era. Conclusion: Rotavirus vaccination has resulted in a significant decline in all-cause and rotavirus-specific AGE, and thus, provides strong evidence for public health policy makers in Kenya to support the sustained use of the rotavirus vaccine in routine immunization. However, the shift in strain dominance and age distribution of rotavirus AGE in the post-vaccine era underscores the need for continued surveillance to assess any possible vaccine-induced selective pressure that could diminish the vaccine effectiveness over time.

Slow and steady or fast and furious: how movement speed in the digital medium impacts consumers’ risk judgments

PurposeFueled by the soaring popularity of the digital medium, consumers are increasingly relying on dynamic images to inform their decisions. However, little is known about how changes in the presentation of movement impacts these decisions. The purpose of this paper is to document whether and how movement speed–a fundamental characteristic of dynamic images in the digital medium–influences consumers' risk judgments and subsequent decisions.Design/methodology/approachThree experimental studies investigate the impact of movement speed displayed in the digital medium, focusing on different risk-laden domains including health (pilot study), gambling (Study 1) and stock market decisions (Study 2).FindingsThe authors find that faster movement speed displayed in the digital medium elevates consumers’ feelings of risk and elicits cautionary actions in response. The authors reveal a mechanism for this effect, showing that faster movement reduces feelings of control over outcomes, which predicts greater feelings of risk.Research limitations/implicationsFuture work could expand upon these findings by systematically examining whether certain individuals are more susceptible to movement speed effects in the digital medium. Research could also investigate whether different ways of experiencing movement speed (e.g. physical movement) similarly influence risk judgments and whether movement speed can have positive connotations outside of risky domains.Practical implicationsThe authors offer important insights to marketing practitioners and public policymakers seeking to guide consumers’ judgments and decisions in risk-laden contexts through the digital medium.Originality/valueBy showing how movement speed alters judgments in risk-laden contexts, the authors contribute to literature on risk perception and the growing body of literature examining how moving images shape consumers’ behaviors.

Collaborating in future states—Contextual instability, paradigmatic remaking, and public policy

AbstractCollaboration is ubiquitous in public policy life, with its presence and profile determined by prevailing governance conditions. Commitments to globalisation and marketisation in the latter part of the 20th century marked the onset of an era defined by collaboration, between and across tiers and spheres of government, with non‐state actors, and through market and network instruments. Current contextual instability poses questions for dominant public policy paradigms and the existing collaborative settlement. This article explores the challenges presented in the current moment and how policymakers and scholars might navigate them. It focuses on how ideas about economics and security shape public policy, illustrating the paradigm‐shifting impact of economism and securitisation. It argues for the replacement of economism and securitisation by sustainability, sovereignty, and justice and demonstrates the latter's engagement with economics and security and their accounting for what have hitherto been ‘subaltern voices’ in public policy. It discusses the implications for collaboration in relation to future collective action problems, more diverse and disconnected ‘publics’, and a more congested and lower trust policy environment. It highlights the need for collaborative plasticity and pluralistic agency.Points for practitioners Public policymaking is shaped by dominant ideas about economics and security; ideas that become ‘taken for granted’ in policy practice. The prevailing ideas of economism and securitisation are being challenged by contextual changes, globally, regionally, and nationally. This creates space for new ideas to shape future public policy. Ideas of sustainability, sovereignty, and justice offer an alternative framework for public policymaking. These ideas can engage productively with economics and security, and they are also inclusive of a wider variety of ‘voices’ particularly those previously marginalised. Collaboration will remain integral to the success of public policy. However, it will need to adapt to new circumstances. This will include defining new purposes, reassessing its appropriateness, reshaping collaborative scope, scale, and form, and refining collaborative activities. A paradigmatic shift in public policy that highlights sustainability, sovereignty, and justice will require the active involvement of a plurality of actors enabled to contribute new knowledge and contest the status quo.

Navigating the city: Role of property-market intelligence channels in urban governance networks

This study presents a novel perspective on the impact of market-intelligence channels on property markets and the subsequent effects on the formation of alliances among public- and private-sector actors in urban governance. I argue and demonstrate that property actors, especially investors, collaborate through knowledge coalitions by utilizing the market-intelligence channels they created, not only to navigate property markets but also to establish the mode of regulation in urban development. By using a strategic-relational perspective, it is possible to analyze the underlying institutional infrastructure of the property market as a dynamic system shaped by the relationships and interactions among various social and economic actors. In addition to forming various marketing or lobbying coalitions, property actors forge alliances by converting pertinent information—such as locational analysis, socioeconomic data, policy and land-use forecasts, permit conditions, and planning strategies—into advanced market intelligence. This process allows them to define the norms, rules, and principles to be negotiated with public policymakers and enhance their positions in knowledge-based governance networks. To obtain empirical evidence about Amsterdam’s property market, a comprehensive data set was created to identify the influential actors. Extensive deskwork was conducted to map the diverse channels and connections of market intelligence. Key players in the property market were also interviewed to provide a comprehensive view of the active market-intelligence channels in governance networks.

Recreational Physical Activity and the Mediterranean Diet: Their Effects on Obesity-Related Body Image Dissatisfaction and Eating Disorders.

Obesity is a non-communicable disease that is associated with a number of serious physical and mental health conditions. The present study examines the effect of recreational physical activity and the Mediterranean diet on body image dissatisfaction and propensity for eating disorders. It is based on 1311 participants categorized by body mass index (BMI) into a normal ΒΜΙ group (NBG; N = 513), an overweight and obese ΒΜΙ group (OBG; N = 492), and a control group (CG; N = 309). All participants completed the Multidimensional Body-Self Relations Questionnaire-Appearance Scale (MBSRQ-AS), Rosenberg Self-esteem Scale (RSES), Eating Attitudes Test-26 (EAT-26), Mediterranean Diet Score (MedDietScore), and Fitness Evaluation and Fitness Orientation subscales from the original Multidimensional Body-Self Relations Questionnaire (MBSRQ). The results of the multiple regression analysis indicated that the overall prediction of the variables was statistically significant. A multivariate analysis of variance (MANOVA) demonstrated the existence of significant interactions between groups and gender across a range of scales. Despite higher body image dissatisfaction in the OBG group, they maintained positive self-esteem and did not exhibit eating disorder tendencies. Notably, women reported greater dissatisfaction than men across all three groups. Our findings have practical implications for public health promotion strategies, policymaking, future research, and clinical practice. Encouraging regular exercise and adherence to the Mediterranean diet could improve body satisfaction and reduce eating disorder risk. Policymakers can advocate for community-based policies promoting physical activity and healthy eating habits.

Assessing the Impact of Spatial and Temporal Variability in Fine Particulate Matter Pollution on Respiratory Health Outcomes in Asthma and COPD Patients.

Ambient air pollution's health impacts are well documented, yet the domestic environment remains underexplored. We aimed to compare indoor versus outdoor (I/O) air quality and estimate the association between indoor/ambient fine particulate matter (PM2.5) exposure and lung function in asthma and chronic obstructive pulmonary disease (COPD) patients. The study involved 24 h monitoring of PM2.5 levels indoors and outdoors, daily peak expiratory flow (PEF), and biweekly symptoms collection from five patients with asthma and COPD (average age of 50 years, 40% male) over a whole year. Data analysis was performed with linear mixed effect models for PEF and generalized estimating equations (GEE) for exacerbations. More than 5 million PM2.5 exposure and meteorological data were collected, demonstrating significant I/O PM2.5 ratio variability with an average ratio of 2.20 (±2.10). Identified indoor PM2.5 sources included tobacco use, open fireplaces, and cooking, resulting in average indoor PM2.5 concentrations of 63.89 μg/m3 (±68.41), significantly exceeding revised World Health Organization (WHO) guidelines. Analysis indicated a correlation between ambient PM2.5 levels and decreased PEF over 0-to-3-day lag, with autumn indoor exposure significantly impacting PEF and wheezing. The study underscores the need to incorporate domestic air quality into public health research and policy-making. A personalized approach is required depending on the living conditions, taking into account the exposure to particulate pollution.

Instability and inequality in the British state

Abstract The UK state has been through many periods of perceived crisis, but the instability of the last decade has shaken some of the foundational institutions of British politics. Our main argument is that the rise of political instability relates to the failure of British politics to respond to structural inequality in society and politics. This includes growing economic and geographic disparities, as well as destabilizing divisions over long-standing social injustices. The infusion of these trends into the political process is the subject of the ‘asymmetric power model (APM)’, which acts as the theoretical underpinning of this paper and the special issue it introduces. In this editorial to the Parliamentary Affairs Special Issue on ‘Instability and inequality in the British state’, we elaborate these arguments and provide a brief overview of the eight papers in the issue, which cover the APM, the constitution, the UK Union, the Conservative Party, public policymaking, gender inequalities, intersectional inequalities, and geographical inequalities. Together, the papers identify the causes and features of the UK’s troubling inequality-instability dialectic and offer various practical and theoretical ways forward.

¿No Hay Racismo?: application of the levels of racism framework to Latinx perspectives on barriers to health and wellbeing

Background The purpose of this study is to increase understanding of the forms of systemic racism experienced by Latinx communities in North Carolina during the COVID-19 pandemic as identified by Latinx community health workers (CHWs) and community-based organization (CBO) leaders.MethodsWe held three focus groups in July 2022 (N = 16) with CHWs and CBO leaders in Spanish to discuss policy and community interventions that improved access to resources during the COVID-19 pandemic; policy or community interventions needed to improve care of Latinx communities; and lessons learned to improve the health of Latinx communities in the future. We performed directed and summative qualitative content analysis of the data in the original language using the Levels of Racism Framework by Dr. Camara Jones to identify examples of implicitly and explicitly discussed forms of systemic racism.ResultsLatinx CHWs and CBO leaders implicitly discussed numerous examples of all levels of racism when seeking and receiving health services, such as lack of resources for undocumented individuals and negative interactions with non-Latinx individuals, but did not explicitly name racism. Themes related to institutionalized racism included: differential access to resources due to language barriers; uninsured or undocumented status; exclusionary policies not accounting for cultural or socioeconomic differences; lack of action despite need; and difficulties obtaining sustainable funding. Themes related to personally-mediated racism included: lack of cultural awareness or humility; fear-inciting misinformation targeting Latinx populations; and negative interactions with non-Latinx individuals, organizations, or institutions. Themes related to internalized racism included: fear of seeking information or medical care; resignation or hopelessness; and competition among Latinx CBOs. Similarly, CHWs and CBO leaders discussed several interventions with systems-level impact without explicitly mentioning policy or policy change.ConclusionOur research demonstrates community-identified examples of racism and confirms that Latinx populations often do not name racism explicitly. Such language gaps limit the ability of CHWs and CBOs to highlight injustices and limit the ability of communities to advocate for themselves. Although generally COVID-19 focused, themes identified represent long-standing, systemic barriers affecting Latinx communities. It is therefore critical that public and private policymakers consider these language gaps and engage with Latinx communities to develop community-informed anti-racist policies to sustainably reduce forms of racism experienced by this unique population.

What's Wrong With Family Diversity? Five Cultural Assumptions About the Standard North American Family

ABSTRACTAcceptance of family diversity has increased. However, families that differ from the standard North American family (SNAF) are still confidently portrayed as the cause of numerous social problems, even when evidence may be lacking or mixed. This article describes and critiques five assumptions that inform advocates' claims: the belief that the heterosexual nuclear family is the most (1) real, (2) divine, (3) natural, (4) longstanding, and (5) functional form of kinship. These ideas, though dubious, can exert harmful influence on Americans in their personal lives and in public policymaking.

Public and local policymaker preferences for large-scale energy project characteristics

Public and local policymaker preferences for large-scale energy project characteristics

A countrywide survey of hrp2/3 deletions and kelch13 mutation co-occurrence in Ethiopia.

Malaria elimination relies on detection of Plasmodium falciparum Histidine-Rich Proteins 2/3 (HRP2/3) through rapid diagnostic tests (RDTs) and treatment with artemisinin-combination therapies (ACTs). Data from the Horn of Africa suggest increasing hrp2/3 gene deletions and ACT partial resistance kelch13 (k13) mutations. To assess this, 233 samples collected during a national survey from 7 regions of Ethiopia were studied for hrp2/3 deletions by droplet digital dPCR and k13 mutations by DNA sequencing. Approximately 22% of the study population harbored complete hrp2/3 deletions by ddPCR. Thirty-two of 42 of k13 SNPs identified were R622I associated with ACT partial resistance. Both hrp2/3 deletions and k13 mutations associated with ACT partial resistance appear to be co-occurring especially in Northwest Ethiopia. Ongoing national surveillance relying on accurate laboratory methods are required to fully elaborate the genetic diversity of P. falciparum to inform public health policy makers.

Service Delivery of Hemodialysis Centers among Public Hospitals in Region III: An Evaluation

The affordability and accessibility of hemodialysis treatment in public hospitals have increased unlike decades before. While there is significant progress, constraining factors and problems exist in hemodialysis service delivery hindering this progress and health outcomes. This study aimed to evaluate the level and identify the problems of service delivery of hemodialysis centres to create evidence-based proposed measures and recommendations. The study used a descriptive quantitative research design wherein data was collected by surveying 93 hemodialysis staff in three tertiary hospitals using a Likert scale survey and multiple-choice questionnaire. The study determined that overall level of service delivery has a very satisfactory rating of 3.71. Therefore, the hospitals have sufficient knowledgeable staff, necessary materials and equipment that can deliver quality care and service to an increasing volume of patients while ensuring the patient’s satisfaction; however, the hospitals can further improve the availability, the quality, and the maintenance of the materials and equipment. Moreover, respondents identified these seven service delivery indicators to be the common service delivery problems they encountered. These findings indicate the need for better resource allocation and interagency collaboration to further assess the identified problems, undertake possible interventions, and strengthen local and public healthcare system policymaking.

Firms' engagement with sustainable development goals (SDGs): A scoping review of empirical works

AbstractThe United Nations Sustainable Development Goals (SDGs) have emerged as a relevant framework for Corporate Social Responsibility (CSR) at the firm level. Despite the recent proliferation of articles about firms' engagement with SDGs within a short span of time, empirical literature in this field is still in its early stages, and has not yet been organized. While a set of literature reviews have analyzed the impact of SDGs at the organizational or firm level, none have specifically focused on empirical works at the company level. To address this gap, this article aims to review the empirical studies on firms' engagement with SDGs. A total number of 29 studies published in the 2015 to 2024 period were reviewed based on the scoping review methodology, in order to identify key concepts and research gaps. In terms of the primary focus of the studies examined, although a wide array of topics were explored in the early stage of the SDG literature, a notable theme emerged: the analysis of the determinants or factors driving companies to engage with SDGs. The article delves into the implications of the findings for managers, public policymakers and various stakeholders.

Sustainability, business strategy and innovation: a thematic literature review

Purpose Challenges related to sustainability have increasingly become pivotal in the realm of business strategy and innovation. Nevertheless, the incorporation of sustainability principles into business strategies and innovative practices remains a subject of ongoing scholarly debate. This paper aims to undertake a thematic literature review on this theme. Design/methodology/approach Data were gathered from the Scopus, Web of Science and Science Direct databases. The final sample comprised 85 papers. For analytical purposes, this study adopted topic modeling using Latent Dirichlet Allocation (LDA) methodology. Findings The authors identified five dominant topics concerning the relationship between sustainability, innovation and business strategy. Through a cross-analysis of these topics, the authors theorize that a sustainable innovation strategy encompasses three complementary and interdependent dimensions: capabilities, management and firm. Building on this analysis, the authors outline a research agenda aimed at further exploration and advancement of this theme. Practical implications This review enhances the synthesis of research on the theme, prompting reflections on how companies can initiate innovative sustainable actions that align with their business strategy. Additionally, the authors identify specific elements that require improvement to enhance each of the three dimensions of sustainable innovation strategies, such as eco-efficiency, circular economy and the adoption of innovative business models oriented toward services/servitization. Social implications By interweaving sustainability with innovation and business strategy, this study underscores the critical topics that companies and public policymakers should address to support sustainable development at the national level. Originality/value While previous literature reviews have focused on the dyadic relationships between sustainability and strategy, or sustainability and innovation, this study extends the boundaries of knowledge by integrating these three concepts into a hybrid theoretical stream.

Investigation and detection of multiple antibiotic-resistant pathogenic bacteria in municipal wastewater of Dhaka city

BackgroundWater pollution in densely populated urban areas, mainly from municipal wastewater, poses a significant threat. Pathogenic bacteria, such as Vibrio spp. and fecal coliform, endanger public health and the environment. Additionally, antibiotic-resistant bacteria in wastewater complicate treatment and heighten public health concerns.MethodsThe study sampled municipal wastewater from ten Dhaka neighborhoods, selecting treatment plants, sewage outlets, and various collection points using meticulous techniques for representative samples. Bacteriological and biochemical analyses were conducted using standardized methods. Antimicrobial susceptibility testing (AST) was performed with the disk diffusion method against 13 widely used antibiotics.ResultsAll sampled areas exhibited positive results for Vibrio spp., fecal coliform, E. coli, and Salmonella spp. Varying bacterial concentrations were observed, with the highest concentration of TVC, total vibrio spp., and total fecal coliform, total E. coli count, and total Salmonella spp. were found in Uttara (1.9 × 104 CFU/ml), Bangshal (1.8 × 102 CFU/ml), and Lalbag (2.1 × 103 CFU/ml), Mirpur (3.70 × 102 CFU/ml), and Lalbag (6 × 102 CFU/ml) respectively. AST results revealed significant resistance among all bacterial species to various antibiotics. Specifically, Vibrio spp. showed 100% resistance to cefuroxime, fecal coliform exhibited 90% resistance to cephradine, E. coli demonstrated 60% resistance to cephradine, and Salmonella spp. displayed 90% resistance to ampicillin.ConclusionThe study highlights the existence of multiple antibiotic-resistant bacteria in Dhaka's wastewater. Addressing antibiotic resistance is essential to manage the risks of multiple antibiotic-resistant infections and maintain antibiotic effectiveness. These implications are critical for various stakeholders, including public health officials, policymakers, environmentalists, and urban planners.