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Assessment of Health Risk and Detailed Evaluation of Causative Factors Associated with Use of Contaminated Groundwater in the Remote Atolls

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Abstract

Water availability is becoming a challenge at coral islands; exposure to unknown quality groundwater to meet water requirements may put local communities at risk of infection by pathogens. The current study determines integration of water quality data, and risk prioritization and impact quantification due to measures like having sewer network should be utilized towards sustainable water mitigation strategy. It utilizes statistical tools for understanding the degree of contamination; identification of critical sanitary risk factors and extent of access to sewer network affect groundwater quality. A total of 104 water samples were collected and analysed for Escherichia coli from 11 islands of Laamu Atoll. Alongside, an 11-point sanitary survey, with additional information about the presence of sewer network, was conducted at every sampling location to score risk of contamination (RoC). Nearly 87% samples showed the presence of E. coli. Stepwise multivariable linear regression model identified four significant sanitary factors concerning E. coli in water. Propensity score-matching concluded 9–11.1% reduction in E. coli counts on the existence of sewer network at islands. This study identifies an effective Water Safety Plan involving the assessment of an entire water system to identify hazards and associated risk to establish an effective monitoring and mitigation plan; therefore, it must be prepared at the island level to safeguard people from diseases.

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References

  • Adetunji, V., & Odetokun, I. (2011). Groundwater contamination in Agbowo community, Ibadan Nigeria: impact of septic tanks distances to wells. Malaysian Journal of Microbiology, 7, 159–166.

    Google Scholar 

  • Ashbolt NJ, Petterson SR, Roser DJ, et al (2006) Microbial risk assessment tool to aid in the selection of sustainable urban water systems. , 10, 187-195. In: 2nd IWA Leading-edge on sustainability in water-limited environments.

  • Bailey, R. T., & Kivi, S. T. (2017). Method for estimating available groundwater volume of small coral islands. Hydrological Sciences Journal, 62, 2381–2392. https://doi.org/10.1080/02626667.2017.1382703.

    Article  Google Scholar 

  • Bailey RT, Khalil A, Chatikavanij V (2014) Estimating current and future groundwater resources of the Maldives. https://doi.org/10.1111/jawr.12236.

  • Barthiban, S. (2012). Sanitary hazards and microbial quality of open dug wells in the maldives islands. Journal of Water Resource and Protection, 04, 474–486. https://doi.org/10.4236/jwarp.2012.47055.

    Article  Google Scholar 

  • Barthiban, S., & Lloyd, B. J. (2011). Validity of the application of open dug well sanitary survey methodology in the development of a water safety plan in the Maldives islands. Transactions on Ecology and the Environment, 148, 1743–3541. https://doi.org/10.2495/RAV110341.

    Article  Google Scholar 

  • Birawida, A., Selomo, M., Mallongi, I., & Uyuun Wiji, S. (2018). Health risk assessment of coliform bacteria contamination in the dug well water with QMRA to predict public health risk in small Island, Makassar. Indian Journal of Public Health Research & Development, 9, 786–791.

    Article  Google Scholar 

  • Bivins, A. W., Sumner, T., Kumpel, E., et al. (2017). Estimating Infection risks and the global burden of diarrheal disease attributable to intermittent water supply using QMRA. Environmental Science & Technology, 51, 26. https://doi.org/10.1021/acs.est.7b01014.

    Article  CAS  Google Scholar 

  • Chhipi-Shrestha, G., Hewage, K., & Sadiq, R. (2017). Microbial quality of reclaimed water for urban reuses: probabilistic risk-based investigation and recommendations Integrated Water Quality Monitoring System View project Energy efficient buildings-Performance evaluation and upgrades View project. Science of the Total Environment, 576, 738–751. https://doi.org/10.1016/j.scitotenv.2016.10.105.

    Article  CAS  Google Scholar 

  • Dupont, H. L., Formal, S. B., Hornick, R. B., et al. (1971). Pathogenesis of Escherichia coli diarrhea. The New England Journal of Medicine, 285, 1–9. https://doi.org/10.1056/NEJM197107012850101.

    Article  CAS  Google Scholar 

  • Ellis JB (2001) Sewer infiltration/exfiltration and interactions with sewer flows and groundwater quality. In: In 2nd International Conference Interactions between sewers, treatment plants and receiving waters in urban areas–Interurba II. pp 19–22.

  • Fink, G., Günther, I., & Hill, K. (2011). The effect of water and sanitation on child health: evidence from the demographic and health surveys 1986-2007. International Journal of Epidemiology, 40, 1196–1204. https://doi.org/10.1093/ije/dyr102.

    Article  Google Scholar 

  • Fulazzaky, M. (2014). Challenges of integrated water resources management in Indonesia. Water, 6, 2000–2020. https://doi.org/10.3390/w6072000.

    Article  Google Scholar 

  • Gerhard, W. A., Houck, K., Choi, W. S., et al. (2017). Water quality at points-of-use in the Galapagos Islands. International Journal of Hygiene and Environmental Health, 220, 485–493. https://doi.org/10.1016/j.ijheh.2017.01.010.

    Article  Google Scholar 

  • Goulding, R., Jayasuriya, N., & Horan, E. (2012). A Bayesian network model to assess the public health risk associated with wet weather sewer overflows discharging into waterways. Water Research, 46, 4933–4940. https://doi.org/10.1016/j.watres.2012.03.044.

    Article  CAS  Google Scholar 

  • Haas, C. N., Rose, J. B., & Gerba, C. P. (1999). Quantitative microbial risk assessment (1st ed.). Wiley.

  • Howard, G., Pedley, S., Barrett, M., et al. (2003). Risk factors contributing to microbiological contamination of shallow groundwater in Kampala. Uganda., 37, 3421–3429. https://doi.org/10.1016/S0043-1354(03)00235-5.

    Article  CAS  Google Scholar 

  • Humphrey, C., Weber, M., Lott, C., et al. (2008). Effects of suspended sediments, dissolved inorganic nutrients and salinity on fertilization and embryo development in the coral Acropora millepora (Ehrenberg, 1834). Coral Reefs, 27, 837–850. https://doi.org/10.1007/s00338-008-0408-1.

    Article  Google Scholar 

  • Kirisits, M. J., Snoeyink, V. L., Inan, H., et al. (2001). Water quality factors affecting bromate reduction in biologically active carbon filters. Water Research, 35, 891–900. https://doi.org/10.1016/S0043-1354(00)00334-1.

    Article  CAS  Google Scholar 

  • Lloyd, B. J., & Helmer R (1991) Surveillance of drinking water quality in rural areas.

  • Matthias, M. (2012). Sanitary hazards and microbial quality of open dug wells in the Maldives Islands sanitary hazards and microbial quality of open dug wells in the Maldives Islands. https://doi.org/10.4236/jwarp.2012.47055.

  • Misati, A. G., Ogendi, G., Peletz, R., et al. (2017). Can sanitary surveys replace water quality testing? Evidence from Kisii, Kenya. International Journal of Environmental Research and Public Health, 14. https://doi.org/10.3390/ijerph14020152.

  • National Bureau of Statistics. (2015). Maldives - Population and Housing Census 2014. Published by National Bureau of Statistics, Ministry of Finance and Treasury. http://statisticsmaldives.gov.mv/nbs/wp-content/uploads/2015/10/Census-Summary-Tables1.pdf.

  • NRMMC/EPHC/AHMC, (2008). AHMC. Australian guidelines for water recycling: managing health and environmental risks (Phase 2): augmentation of drinking water supplies. Natural Resource Management and Ministerial Council and Environment Protection and Heritage Council. Biotext Pty Ltd, Canberra.

  • Oluwasanya G, Smith J, Carter R (2011). Towards appropriate sanitary inspection tools for self supply systems in developing countries. In: The Future of Water, Sanitation and Hygiene in Low-Income Countries: Innovation, Adaptation and Engagement in a Changing World - Proceedings of the 35th WEDC International Conference.

  • Shamsudduha, M., Joseph, G., Haque, S. S., et al. (2019). Multi-hazard groundwater risks to water supply from shallow depths: challenges to achieving the sustainable development goals in Bangladesh. Expo Health. https://doi.org/10.1007/s12403-019-00325-9.

  • Sovacool, B. K. (2012). Perceptions of climate change risks and resilient island planning in the Maldives. Mitigation and Adaptation Strategies for Global Change, 17, 731–752. https://doi.org/10.1007/s11027-011-9341-7.

    Article  Google Scholar 

  • Umar Kura, N., Firuz Ramli, M., Azmin Sulaiman, W. N., et al. (2013). Evaluation of factors influencing the groundwater chemistry in a small tropical Island of Malaysia. International Journal of Environmental Research and Public Health, 10, 1861–1881. https://doi.org/10.3390/ijerph10051861.

    Article  CAS  Google Scholar 

  • WHO. (1997). Guidelines for drinking-water quality: surveillance and control of community supplies. World Health Organization, 1, 104–108. https://doi.org/10.1016/S1462-0758(00)00006-6.

    Article  Google Scholar 

  • WHO GDWQ (2011). Guidelines for drinking-water quality. World Health Organization, 216, 303–304.

  • WHO. (2006). Protecting groundwater for health: Managing the quality of drinking-water sources. In Schmoll, O., Howard, G., Chilton, G., & Chorus, I. (eds.), Geneva: World Health Organization (p. 697). London, England: IWA Publishing.

  • Xie, Z., Sun, L., Zhang, P., et al. (2005). Preliminary geochemical evidence of groundwater contamination in coral islands of Xi-Sha, South China Sea. Applied Geochemistry, 20, 1848–1856. https://doi.org/10.1016/j.apgeochem.2005.05.002.

    Article  CAS  Google Scholar 

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Acknowledgements

The following study was sponsored by the WHO Country Office, the Republic of Maldives, to assess the potentiality of groundwater water for drinking purpose. It was a part of a joint UN project to develop Low Emission Climate Resilient in Laamu Atoll. The authors would like to thank all the staff from WHO Country office for Maldives and colleagues from NEERI especially Dr. Gajanan Khadse, Er. Subash Andey and Dr. Leena Deshpande for their support and guidance to conduct the study.

Funding

This study was funded by WHO Country Office, The Republic of Maldives (G-5-2155) to evaluate its groundwater water quality to augment drinking water source.

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Authors

Contributions

RH drafted the manuscript and performed data analysis. PN edited and reviewed the manuscript. PL edited the manuscript and headed the project study. All the authors contributed equally in conducting the study including water sampling and sanitary surveillance.

Corresponding author

Correspondence to Pranav Nagarnaik.

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All authors approve for publication (Institute KRC No. 63791111).

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The authors declare no competing interests.

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Highlights

• Water availability is becoming a challenge at coral islands

• 86% dug well water samples show E. coli

• Latrine distance, cracked drainage-channel and dug well cover impact water quality

• Access to sewer network intervention show reduced E. coli counts

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Hajare, R., Labhasetwar, P. & Nagarnaik, P. Assessment of Health Risk and Detailed Evaluation of Causative Factors Associated with Use of Contaminated Groundwater in the Remote Atolls. Water Air Soil Pollut 232, 210 (2021). https://doi.org/10.1007/s11270-021-05149-5

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  • DOI: https://doi.org/10.1007/s11270-021-05149-5

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