Skip to main content

Ascaris lumbricoides egg die-off in an experimental excreta storage system and public health implication in Vietnam

Abstract

Objectives

We studied the influence of different additive materials (lime, and rice husk) and aeration conditions on Ascaris lumbricoides egg die-off in 24 vaults of an experimental excreta storage unit.

Methods

Excreta samples were collected once every two weeks over a 181-day period. Temperature, pH, and moisture content were recorded. A. lumbricoides eggs were quantitatively analyzed by the Romanenko method, which identified and counted live and dead eggs.

Results

From the first sampling (0 storage day) to the final sampling (181 storage days) the average percentage of viable A. lumbricoides eggs decreased gradually from 76.72 ± 11.23% (mean ± SD) to 8.26 ± 5.20%. The storage time and the high pH value significantly increased the die-off of helminth eggs. Over 181 storage days, all vaults option effectively reduced A. lumbricoides eggs die-off.

Conclusions

The best vault option, with aeration and 10% lime per total weight, met the WHO standard for excreta treatment on the 111th storage day.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2

References

  • Anand CK, Apul DS (2014) Composting toilets as a sustainable alternative to urban sanitation—a review. Waste Manag 34:329–343. doi:10.1016/j.wasman.2013.10.006

    Article  PubMed  Google Scholar 

  • Centers for Disease C, Prevention (2013) Parasites—soil-transmitted helminths (STHs). CDC. http://www.cdc.gov/parasites/sth/index.html. Assessed 7 September 2016

  • Feachem RG, Bradley DJ, Garelick H, Mara DD (1983) Sanitation and disease: health aspects of excreta and wastewater management. Vol 1. World Bank studies in water supply and sanitation, no. 3, New York, NY

  • Gantzer C, Gaspard P, Galvez L, Huyard A, Dumouthier N, Schwartzbrod J (2001) Monitoring of bacterial and parasitological contamination during various treatment of sludge. Water Res 35:3763–3770. doi:10.1016/S0043-1354(01)00105-1

    Article  CAS  PubMed  Google Scholar 

  • Gulliver F, Jeandron A, Nguyen VA, Do HA, Ensink JH (2014) Transmission of helminth eggs through hands in a high-risk community. Trans R Soc Trop Med Hyg 108:670–672. doi:10.1093/trstmh/tru115

    Article  PubMed  Google Scholar 

  • Hawksworth D, Archer C, Rajcoomar K, Buckley C, Stenström T-A (2010) The effect of temperature and relative humidity on the viability of Ascaris ova in urine diversion waste. http://www.ewisa.co.za/literature/literature_details.aspx?id=9df54fe9-4cbc-40f9-9319-9304652140a0. Assessed 7 September 2016

  • Jensen PK, Phuc DP, Knudsen LG, Dalsgaard A, Konradsen F (2008) Hygiene versus fertilizer: the use of human excreta in agriculture—a Vietnamese example. Int J Hyg Environ Health 211:432–439. doi:10.1016/j.ijheh.2007.08.011

    Article  PubMed  Google Scholar 

  • Jensen PKM, Phuc PD, Konradsen F, Klank LT, Dalsgaard A (2009) Survival of Ascaris eggs and hygienic quality of human excreta in Vietnamese composting latrines. Environ Health 8:57–57. doi:10.1186/1476-069X-8-57

    Article  PubMed  PubMed Central  Google Scholar 

  • Jensen PKM, Phuc PD, West LGK (2010) How do we sell the hygiene message? With dollars, dong or excreta? Environ Health 9:27. doi:10.1186/1476-069X-9-27

    Article  PubMed  PubMed Central  Google Scholar 

  • Karagiannis-Voules DA et al (2015) Spatial and temporal distribution of soil-transmitted helminth infection in sub-Saharan Africa: a systematic review and geostatistical meta-analysis. Lancet Infect Dis 15:74–84. doi:10.1016/S1473-3099(14)71004-7

    Article  PubMed  Google Scholar 

  • Knudsen LG et al (2008) The fear of awful smell: risk perceptions among farmers in Vietnam using wastewate and human excreta in agriculture. S E Asia J Trop Med Pub Health 39:341–352

    Google Scholar 

  • Ministry of Health (2005) Decision No. 08/2005/QD-BYT regarding issuing the sector standards: Hygiene standards for various types of latrines, vol 08. Ministry of Health, Hanoi, Vietnam

  • Pham Duc P (2008) Health risks related with the use of wastewater and excreta in agriculture and aquaculture in Northern Vietnam. Department of public health and epidemiology, Swiss Tropical Institute and Sandec/Eawag (WP3-NCCR North-South), Switzerland National Institute of Hygiene and Epidemiology, Hanoi, Vietnam

  • Pham-Duc P, Nguyen-Viet H, Hattendorf J, Zinsstag J, Phung-Dac C, Zurbrugg C, Odermatt P (2013) Ascaris lumbricoides and Trichuris trichiura infections associated with wastewater and human excreta use in agriculture in Vietnam. Parasitol Int 62:172–180. doi:10.1016/j.parint.2012.12.007

    Article  PubMed  Google Scholar 

  • Polprasert C, Valencia LG (1981) The inactivation of faecal coliforms and Ascaris ova in faeces by lime. Water Res 15:31–36

    Article  CAS  Google Scholar 

  • Pullan RL, Brooker SJ (2012) The global limits and population at risk of soil-transmitted helminth infections in 2010. Parasites Vectors 5:81. doi:10.1186/1756-3305-5-81

    Article  PubMed  PubMed Central  Google Scholar 

  • Pullan RL, Smith JL, Jasrasaria R, Brooker SJ (2014) Global numbers of infection and disease burden of soil transmitted helminth infections in 2010. Parasit Vectors 7:37. doi:10.1186/1756-3305-7-37

    Article  PubMed  PubMed Central  Google Scholar 

  • Romanenko NA (1968) Methods for the examination of soil and sediment of wastewater on helminth eggs (in Russian). Med Parazit Parazit Bolez 6:723–729

    Google Scholar 

  • Strauss M, Drescher S, Zurbrügg C, Montangero A, Cofie O, Drechsel P (2003) Co-composting of faecal sludge and municipal organic waste. EAWAG/SANDEC-IWMI, Duebendorf, Switzerland

  • The R project for statistical computing (2016). https://www.r-project.org/. Assessed 7 September 2016

  • World Health Organization (2006a) WHO Guidelines for the safe use of wastewater, excreta and greywater. In: Excreta and greywater use in agriculture, vol IV. vol SBN 92 4 154685 9. World Health Organization, p 86

  • World Health Organization (2006b) WHO Guidelines for the safe use of wastewater, excreta and greywater. In: Excreta and greywater use in agriculture, vol IV. vol SBN 92 4 154685 9. World Health Organization, p 90

  • World Health Organization (2016) Quantitative Microbial Risk Assessment: Application for Water Safety Management. vol SBN 978 92 4 156537 0. World Health Organization

  • Yajima A, Jouquet P, Trung DD, Cam TDT, Cong DT, Orange D, Montresor A (2009) High latrine coverage is not reducing the prevalence of soil-transmitted helminthiasis in Hoa Binh province, Vietnam. Trans R Soc Trop Med Hyg 103:237–241

    Article  PubMed  Google Scholar 

  • Yang L, Li X, Wu Q, Xu H, Nong C, Nong L (2002) Observation on the inactivation effect on eggs of Ascaris Suum in urine diverting toilets

  • Ziegelbauer K, Speich B, Mausezahl D, Bos R, Keiser J, Utzinger J (2012) Effect of sanitation on soil-transmitted helminth infection: systematic review and meta-analysis. PLoS Med 9:e1001162. doi:10.1371/journal.pmed.1001162

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We are grateful for the kind cooperation and participation of the health station staff and community members in Hoang Tay commune. We would like to thank Dr. Do Trung Dung and the staff of the Parasitology and Entomology Department at the National Institute of Malariology for performing the stool examinations for the helminth eggs, as well as Mr. Nguyen Xuan Huan and the staff of the Department of Pedology and Soil Environment at Hanoi National University for performing humidity analysis of excreta samples. Vi Nguyen edited the English of this paper. This work was supported by the Swiss National Science Foundation and the Swiss Agency for Development and Cooperation through the National Centre for Competences in Research (NCCR) North–South program.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tu Vu-Van.

Ethics declarations

Conflict of interest

The authors declare that there is no conflict of interest.

Ethics standards

This study was approved by the Ethics Review Board of the Hanoi University of Public Health (020/2012/YTCC-HĐ3).

Additional information

This article is part of the supplement “Health and social determinants of health in Vietnam: local evidence and international implications”.

Rights and permissions

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Vu-Van, T., Pham-Duc, P., Winkler, M.S. et al. Ascaris lumbricoides egg die-off in an experimental excreta storage system and public health implication in Vietnam. Int J Public Health 62 (Suppl 1), 103–111 (2017). https://doi.org/10.1007/s00038-016-0920-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00038-016-0920-y

Keywords

  • Ascaris lumbricoides
  • Helminth
  • Human excreta
  • Waste reuse
  • Vietnam