skip to main content
US FlagAn official website of the United States government
dot gov icon
Official websites use .gov
A .gov website belongs to an official government organization in the United States.
https lock icon
Secure .gov websites use HTTPS
A lock ( lock ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Explore Research Products in the PAR
It may take a few hours for recently added research products to appear in PAR search results.


  • NSF Public Access
  • Search Results
  • Micro-Space Complexity and Context in the Space-Time Variation in Enteric Disease Risk for Three Informal Settlements of Port au Prince, Haiti
Title: Micro-Space Complexity and Context in the Space-Time Variation in Enteric Disease Risk for Three Informal Settlements of Port au Prince, Haiti
Diffusion of cholera and other diarrheal diseases in an informal settlement is a product of multiple behavioral, environmental and spatial risk factors. One of the most important components is the spatial interconnections among water points, drainage ditches, toilets and the intervening environment. This risk is also longitudinal and variable as water points fluctuate in relation to bacterial contamination. In this paper we consider part of this micro space complexity for three informal settlements in Port au Prince, Haiti. We expand on more typical epidemiological analysis of fecal coliforms at water points, drainage ditches and ocean sites by considering the importance of single point location fluctuation coupled with recording micro-space environmental conditions around each sample site. Results show that spatial variation in enteric disease risk occurs within neighborhoods, and that while certain trends are evident, the degree of individual site fluctuation should question the utility of both cross-sectional and more aggregate analysis. Various factors increase the counts of fecal coliform present, including the type of water point, how water was stored at that water point, and the proximity of the water point to local drainage. Some locations fluctuated considerably between being safe and unsafe on a monthly basis. Next steps to form a more comprehensive contextualized understanding of enteric disease risk in these environments should include the addition of behavioral factors and local insight.  more » « less
Award ID(s):
1739491
PAR ID:
10109680
Author(s) / Creator(s):
; ; ; ; ; ; ; ; ; ;
Date Published:
Journal Name:
International Journal of Environmental Research and Public Health
Volume:
16
Issue:
5
ISSN:
1660-4601
Page Range / eLocation ID:
807
Format(s):
Medium: X
Sponsoring Org:
National Science Foundation
More Like this
  1. ; ; ; ; ; ; ; ; ; (, Microbiology Spectrum)
    Gralnick, Jeffrey A. (Ed.)
    ABSTRACT The use of enterococci as a fecal indicator bacterial group for public health risk assessment has been brought into question by recent studies showing that “naturalized” populations of Enterococcus faecalis exist in the extraenteric environment. The extent to which these naturalized E. faecalis organisms can confound water quality monitoring is unclear. To determine if strains isolated from different habitats display different survival strategies and responses, we compared the decay patterns of three E. faecalis isolates from the natural environment (environmental strains) against three human gut isolates (enteric strains) in laboratory mesocosms that simulate an oligotrophic, aerobic freshwater environment. Our results showed similar overall decay rates between enteric and environmental isolates based on viable plate and quantitative PCR (qPCR) counts. However, the enteric isolates exhibited a spike in copy number ratios of 16S rRNA gene transcripts to 16S rRNA gene DNA copies (rRNA:rDNA ratios) between days 1 and 3 of the mesocosm incubations that was not observed in environmental isolates, which could indicate a different stress response. Nevertheless, there was no strong evidence of differential gene expression between environmental and enteric isolates related to habitat adaptation in the accompanying mesocosm metatranscriptomes. Overall, our results provide novel information on how rRNA levels may vary over different growth conditions (e.g., standard lab versus oligotrophic) for this important indicator bacteria. We also observed some evidence for habitat adaptation in E. faecalis ; however, this adaptation may not be substantial or consistent enough for integration in water quality monitoring. IMPORTANCE Enterococci are commonly used worldwide to monitor environmental fecal contamination and public health risk for waterborne diseases. However, closely related enterococci strains adapted to living in the extraenteric environment may represent a lower public health risk and confound water quality estimates. We developed an rRNA:rDNA viability assay for E. faecalis (a predominant species within this fecal group) and tested it against both enteric and environmental isolates in freshwater mesocosms to assess whether this approach can serve as a more sensitive water quality monitoring tool. We were unable to reliably distinguish the different isolate types using this assay under the conditions tested; thus, environmental strains should continue to be counted during routine water monitoring. However, this assay could be useful for distinguishing more recent (i.e., higher-risk) fecal pollution because rRNA levels significantly decreased after 1 week in all isolates. 
    more » « less
  2. ; ; ; ; ; ; (, Water Resources Research)
    Abstract Various researchers have studied fluctuations in pore‐scale phase occupancy during multiphase flow in porous media using synchrotron‐based X‐ray microcomputed tomography (micro‐CT). However, the impact of these fluctuations on the concept of a representative volume is not yet fully understood. In this study, we performed spatial and temporal averaging of multiphase flow experiments visualized with synchrotron‐based micro‐CT, focusing on oil saturation as the key parameter to determine a representative time‐and‐space average. Our findings revealed that a saturation value representative of both time and space was achieved during fractional flow experiments in drainage mode with fractional flows of 0.8, 0.5, and 0.3. Furthermore, we computed a range of relative permeabilities on the basis of whether momentaneous saturation or time‐and‐space averaged saturation was utilized for direct simulation. Our results highlighted the importance of time‐and‐space averaging in determining a representative relative permeability and indicated that the temporal and spatial scales covered in a typical micro‐CT flow experiment were sufficient to obtain a representative saturation value for sandstone rock under intermittent flow conditions. 
    more » « less
  3. ; ; (, The 25th International Conference on Miniaturized Systems for Chemistry and Life Sciences (MicroTAS 2021))
    A smartphone-integrated dielectrophoretic (SiDEP) platform is presented for on-site and real-time monitoring of fecal indicator bacteria (FIB) to examine the presence and concentration levels of fecal contamination in environmental water via loop-mediated isothermal amplification (LAMP) assays on a smartphone. Experimental demonstrations have verified the SiDEP’s capabilities for (1) on-chip water sample processing, (2) portable LAMP assays, and (3) colorimetric analysis of fecal water quality. The SiDEP truly offers a low-cost, portable, and fully-integrated system enabling rapid on-site detection of the presence of FIB and their associated pathogens in environmental water without the need for sophisticated laboratory equipment or skilled personnel. 
    more » « less
  4. ; ; ; (, Limnology and Oceanography: Methods)
    Abstract It is important to understand how point measurements across spatially heterogeneous ecosystems are scaled to represent these systems. Stream biogeochemistry presents an illustrative example because water quality concerns within stream networks and recipient water bodies motivate heterogeneous watershed studies. Measurements of the stream water‐groundwater (SW‐GW) interface (i.e., the shallow stream subsurface) are well‐documented for point‐scale sampling density measurements (i.e., cm2–m2features), but poorly characterized for network‐scale sampling density measurements (i.e., km2; stream reaches and networks). Sampling the SW‐GW interface is more time and labor intensive than surface water sampling, meaning sample point selection must be made with care for network‐scale analyses. In this study, we endeavor to determine which of two common spatial sampling schemes is appropriate for characterizing SW‐GW interface biogeochemistry across a third‐order stream network, focusing on dissolved organic carbon. The first scheme, called Local Sampling, focuses on characterizing small‐scale (< 10 m2) variability produced by the local physical and biogeochemical heterogeneity, with fewer points across the stream network. The second scheme, called Longitudinal Sampling, has approximately the same number of measurements distributed over many more points across the stream network with less local variability characterization. This comparison reveals that selection of a Local Sampling versus a Longitudinal Sampling scheme influences the biogeochemical pattern interpretation at the stream network scale. Additionally, this study found that increasing observation efforts at the local scale added limited information for reach‐ to network‐scale biogeochemical patterns, suggesting that emphasis should be placed on characterizing variability across broader spatial scales with the Longitudinal Sampling approach. 
    more » « less
  5. ; ; ; ; ; ; (, medRxiv)
    Abstract Cholera is a bacterial water-borne diarrheal disease transmitted via the fecal-oral route that causes high morbidity in sub-Saharan Africa and Asia. It is preventable with vaccination, and Water, Sanitation, and Hygiene (WASH) improvements. However, the impact of vaccination in endemic settings remains unclear. Cholera is endemic in the city of Kalemie, on the shore of Lake Tanganyika, in the Democratic Republic of Congo, where both seasonal mobility and the lake, a potential environmental reservoir, may promote transmission. Kalemie received a vaccination campaign and WASH improvements in 2013-2016. We assessed the impact of this intervention to inform future control strategies in endemic settings. We fit compartmental models considering seasonal mobility and environmentally-based transmission. We estimated the number of cases the intervention avoided, and the relative contributions of the elements promoting local cholera transmission. We estimated the intervention avoided 5,259 cases (95% credible interval: 1,576.6-11,337.8) over 118 weeks. Transmission did not rely on seasonal mobility and was primarily environmentally-driven. Removing environmental exposure or contamination could control local transmission. Repeated environmental exposure could maintain high population immunity and decrease the impact of vaccination in similar endemic areas. Addressing environmental exposure and contamination should be the primary target of interventions in such settings. Author summaryCholera is a major global health concern that causes high morbidity. It is a bacterial water-borne disease that can be transmitted via the fecal-oral route or the ingestion of contaminated water. Hence, both population mobility and environmental exposure can promote cholera persistence. The primary tools to prevent cholera include vaccination and Water, Sanitation, and Hygiene (WASH) improvements. The effectiveness of these interventions is well understood in epidemic settings, but their impact in endemic settings is unclear. Achieving cholera elimination requires disentangling the contributors to transmission, specifically population mobility and aquatic reservoirs, and assessing the impact of interventions performed in endemic settings.This study focuses on Kalemie, a cholera endemic city in the Democratic Republic of Congo, on shore of a lake that serves as a potential environmental reservoir. It quantifies the short-term impact of an intervention that used targeted vaccination and WASH. The study shows that the impact of vaccination was dampened by very high background immunity due to constant environmental exposure. This suggests that WASH improvements should be the primary intervention in such settings despite the time- and resource-intensive nature of implementation. 
    more » « less
  • Citation Formats
  • MLA
  • APA
  • Chicago
  • BibTeX
  • Save / Share this Record
  • Send to Email