Search Results (6)

The Roma population is one of Europe’s largest ethnic minorities, often living in inadequate living conditions, worse than those of the majority population. They frequently lack access to essential services, even in high-income countries. This lack of basic services—particularly in combination with proximity to (stray) animals and human and solid waste—significantly increases environmental health risks, and leads to a higher rate of endoparasitic infections. Our study sheds light on the living conditions and health situation in Roma communities in Slovakia, focusing on the prevalence of intestinal endoparasitic infections across various settlement localisations. It highlights disparities and challenges in access to safe drinking water, sanitation, and hygiene (WASH) and other potentially disease-exposing factors among these marginalised populations. This study combines a comprehensive review of living conditions as per national data provided through the Atlas of Roma communities with an analysis of empirical data on parasitological infection rates in humans, animals, and the environment in settlements, applying descriptive statistical methods. It is the first study in Europe to provide detailed insights into how living conditions vary and cause health risks across Roma settlements, ranging from those integrated within villages (inside, urban), to those isolated on the outskirts (edge, sub-urban) or outside villages (natural/rural). Our study shows clear disparities in access to services, and in health outcomes, based on where people live. Our findings underscore the fact that (i) place—geographical centrality in particular—in an already challenged population group plays a major role in health inequalities and disease exposure, as well as (ii) the urgent need for more current and comprehensive data. Our study highlights persistent disparities in living conditions within high-income countries and stresses the need for greater attention and more sensitive targeted health-promoting approaches with marginalised communities in Europe that take into consideration any and all of the humans, ecology, and animals affected (=One Health). Full article

Poor management of organic waste is a key environmental and public health issue as it contributes to environmental contamination and the spread of diseases. Anaerobic digestion (AD) presents an efficient method for organic waste management while generating energy and nutrient-rich digestate. However, the AD process is limited by key factors, which include process inefficiencies from substrate-induced instability, poor quality digestate, and poor management of effluent and emissions. Lately, there has been more interest in the use of biochar for improving anaerobic digestion. Biochar can improve methane production by speeding up the methanogenesis stage, protecting microorganisms from toxic shocks, and reducing inhibition from ammonia and volatile fatty acids. It can be applied for in situ cleanup of biogas to remove carbon dioxide. Applying biochar in AD is undergoing intensive research and development; however, there are still unresolved factors and challenges, such as the influence of feedstock source and pyrolysis on the performance of biochar when it is added to the AD process. In light of these considerations, this review sheds more light on various potential uses of biochar to complement or improve the AD process. This review also considers the mechanisms through which biochar enhances methane production rate, biochar’s influence on the resulting digestate, and areas for future research. Full article

The study investigated the effect of turning frequency on survival of fecal indicator pathogens (E. coli, Enterococcus spp., Salmonella spp. and helminth eggs) during fecal sludge (FS) co-composting with sawdust. Dewatered FS was mixed with sawdust and composted on a pilot scale using different turning frequencies—i.e., 3 days (3TF), 7 days (7TF), and 14 days (14TF). Composting piles were monitored weekly for survival of fecal indicator microorganisms and evolution of selected physical and chemical characteristics for 14 weeks. Our results show that turning frequency has a statistically significant (p < 0.05) effect on pathogen inactivation in FS compost. The 3TF piles exhibited shorter pathogen inactivation periods (8 weeks) than 7TF and 14TF piles (10 weeks). Temperature-time was found to be the major factor responsible for the survival of pathogens in FS composting piles, followed by indigenous microbial activities and toxic by-products (monitored as NH₄⁺-N). Our study findings suggest that even at low composting temperatures, the high turning frequency can enhance pathogen inactivation. This is a significant finding for composting activities in some rural areas where suitable organic solid waste for co-composting with FS to attain the recommended high thermophilic conditions could be greatly lacking. Full article

Invasive fungal diseases (IFDs) are of huge concern in resource-limited settings, particularly in Africa, due to the unavailability of diagnostic armamentarium for IFDs, thus making definitive diagnosis challenging. IFDs have non-specific systemic manifestations overlapping with more frequent illnesses, such as tuberculosis, HIV, and HIV-related opportunistic infections and malignancies. Consequently, IFDs are often undiagnosed or misdiagnosed. We critically reviewed the available literature on IFDs in Africa to provide a better understanding of their epidemiology, disease burden to guide future research and interventions. Cryptococcosis is the most encountered IFD in Africa, accounting for most of the HIV-related deaths in sub-Saharan Africa. Invasive aspergillosis, though somewhat underdiagnosed and/or misdiagnosed as tuberculosis, is increasingly being reported with a similar predilection towards people living with HIV. More cases of histoplasmosis are also being reported with recent epidemiological studies, particularly from Western Africa, showing high prevalence rates amongst presumptive tuberculosis patients and patients living with HIV. The burden of pneumocystis pneumonia has reduced significantly probably due to increased uptake of anti-retroviral therapy among people living with HIV both in Africa, and globally. Mucormycosis, talaromycosis, emergomycosis, blastomycosis, and coccidiomycosis have also been reported but with very few studies from the literature. The emergence of resistance to most of the available antifungal drugs in Africa is yet of huge concern as reported in other regions. IFDs in Africa is much more common than it appears and contributes significantly to morbidity and mortality. Huge investment is needed to drive awareness and fungi related research especially in diagnostics and antifungal therapy. Full article

This study investigated the effect of locally available bulking agents on the faecal sludge (FS) composting process and quality of the final FS compost. Dewatered FS was mixed with sawdust, coffee husk and brewery waste, and composted on a pilot scale. The evolution of physical and chemical characteristics of the composting materials was monitored weekly. Results indicate that bulking agents have a statistically significant effect (p < 0.0001) on the evolution of composting temperatures, pH, electrical conductivity, nitrogen forms, organic matter mineralisation, total organic carbon, maturity indices, quality of the final compost and composting periods during FS composting. Our results suggest reliable maturity indices for mature and stable FS compost. From the resource recovery perspective, this study suggests sawdust as a suitable bulking agent for co-composting with FS—as it significantly reduced the organic matter losses and nitrogen losses (to 2.2%), and improved the plant growth index, thus improving the agronomic values of the final compost as a soil conditioner. FS co-composting can be considered a sustainable and decentralised treatment option for FS and other organic wastes in the rural and peri-urban communities, especially, where there is a strong practice of reusing organic waste in agriculture. Full article