SuSanA - Forum Kunena Site Syndication Fri, 30 Jan 2015 18:31:06 +0000 Kunena 1.6 SuSanA - Forum en-gb Re: Health survey verses health education of wastewater users in Mexico - by: jannaowens I always learn so much on the forum, but this well-written response above and the video were just the perfect fit. All the key elements are included, and to those that have not done this before it is logical.
Yes, some actions have been tried in the past, but not as part of an organized campaign that spread out to include other things. I convey the thanks also of the community we are advising. I will let you know how this evolves with bringing all stakeholders into the game!

Best wishes;
Health issues and connections with sanitation Wed, 28 Jan 2015 23:51:09 +0000
Re: Health survey verses health education of wastewater users in Mexico - by: KaiMikkel
Christoph recently posted a link to the following video in another post but it aligns, I think, beautifully with the challenges that you are facing in your community in Mexico:

The concept of the "social audit" is pretty much what I was advocating on behalf of although, admittedly, I hadn't heard the term before. Does this help?]]>
Health issues and connections with sanitation Tue, 27 Jan 2015 20:54:24 +0000
Grant funding from the Canadian Government’s Grand Challenge to Peepoople Kenya - by: martinanee Grand Challenges Canada, which is funded by the Canadian Government, has selected the Peepoo project in Kenya as a part of their programme of “Bold Ideas with Big Impact in Global Health”. The focus of the programme is ”Saving Every Woman, Every Child”. Peepoople Kenya has received funds to conduct a health impact study over 18 months with the aim to analyse the health impact of Peepoo when introduced in slum schools in Kibera, Nairobi. 3000 children in schools around Kibera slum will participate in the study and the health response will be monitored through questionnaires and stool samples.

Through the “Muskoka Initiative” agreed at the G8 meeting in 2010, Canada assumed a leading role in promoting the health of women and children in developing countries. In May of this year, Prime Minister Stephen Harper convened ‘Saving Every Woman Every Child: Within Arm’s Reach’, a high-level summit on maternal, newborn and child health. Dr. Peter A. Singer, Chief Executive Officer at Grand Challenges Canada, noted: “More and more children can celebrate their fifth birthday as a result of Canada’s commitment and leadership. Through supporting these innovative projects, we are further strengthening the global pipeline of maternal, newborn and child health innovations.”]]>
Health issues and connections with sanitation Mon, 19 Jan 2015 16:21:06 +0000
Re: Health survey verses health education of wastewater users in Mexico - by: KaiMikkel
This sounds like an organizing challenge to me. In other words, one that requires (not necessarily in this order) first, an educational component that focuses on the widespread dissemination of information critical to raising people's understanding of the problem - identifying the various players and the problems's causes and effects - and the various methods by which the problem can be overcome. Second, a capacity building exercise aimed at growing leaders young and old from amongst the population(s) most affected. Local people need to care about this issue and they need to step forward themselves and reach out with other affected people and groups, otherwise you're just yelling into the void. And they are there, likely already at work on this issue and simply in need of support. Third, meetings, meetings, meetings - all conducted in Spanish and all led by local Mexicanos/as. Fourth, locating and learning from people who have faced and overcome similar struggles in nearby communities (or, if no nearby examples exist, than further afield in other parts of Mexico). Fifth, a combination of letter writing, signature gathering (vis-a-vis a petition, etc.), street theater, marches, (and, if need be, direct action) coupled with media exposure and fundraising, all focused on applying increasing amounts of pressure onto local and state officials and onto area businesses (the really big ones) who are no doubt benefiting from the lax enforcement environment (and at least some of whom, I'm betting, are owned and operated by US or other western corporations). Is industrial agriculture at all in play here? They are a powerful but not entirely unresponsive sector of the economy in Mexico as they are often part- or fully-owned by foreign entities and can be shamed into action.

And for some background, there's good history in contemporary Mexico of promoting and constructing sustainable alternatives to legacy water delivery and legacy wastewater management systems. I'd learn all I could about these successes and seek out the folks who are behind them.]]>
Health issues and connections with sanitation Fri, 16 Jan 2015 23:58:53 +0000
Re: Question re: latrine sludge temperatures and Ebola - by: Roslyn
I've updated the summary document that Elisabeth mentioned, to reflect discussions on Ebola and Sanitation on the Forum up to 10.01.2015, see post:

In the document, I can specifically point to the sections:
  • "What information is available around the persistence of the Ebola virus in human faeces" (p. 1 and links on p. 5)
  • "Which factors need to be considered regarding handling of excreta?" (p. 2-3)
And specifically on the forum, Point #6 in Somya's post, on Ebola survival outside of the host:

In addition to what Elisabeth has mentioned, on the platform Knowledge Point , there is also a short discussion about the survival of Ebola in the environment:

Health issues and connections with sanitation Sun, 11 Jan 2015 11:30:29 +0000
Re: Sanitation interventions during Ebola epidemic - by: Roslyn summary (see attached) of the discussions so far on Ebola and Sanitation on the SuSanA forum. This update includes:

- Update to include discussions from forum threads on the topic of Ebola up to 10.01.2015
- Restructuring and expansion of the headings
- Expansion of the links section

Thanks again Sowmya, Joe, and Arno for the several great links you’ve provided!

Health issues and connections with sanitation Sun, 11 Jan 2015 11:06:37 +0000
Re: Health survey verses health education of wastewater users in Mexico - by: jannaowens there is no enforcement. Three years of attempts have brought no actual relief for a city that does not process 50-70% of its municipal wastewater. Its just dumped into the river or networks into the fields through a dedicated system. No control by the people, no municipal concern despite numerous requests for meetings.

The poor ejido farmers are grateful for this untreated wastewater at no cost. However, there is also no practical instruction on protective strategies of its use, or regulation enforced as to the fate of the crops grown this way. I once watched a child pick a squash blossom drooping into the dirty water, a woman tucked it in her bag, and touched the child's face with contaminated hands. They simply don't know the full risk involved!

As to your reply, maybe an educational focus would instill them with some precautions to health risks, and bring this reclusive group into the larger stakeholders group. But what is a good protocol to follow in health risk education?]]>
Health issues and connections with sanitation Sat, 10 Jan 2015 22:05:07 +0000
Re: Health survey verses health education of wastewater users in Mexico - by: denniskl
My first question is whether the residents have any control on the outflows - is waste water management a centralised system or decentralised?

If they have control, then sure, behavioural change-directed awareness programmes are a good idea because they can decide, based on new knowledge, if the change is warranted (and what the changes can be)

But if they don't and can't control, how is educating the people of any help to the situation?

Unless that is a pre-cursor to gaining a groundswell of community support to pressure the authorities (which is ok too provided the strategy us clear:)]]>
Health issues and connections with sanitation Sat, 10 Jan 2015 21:36:28 +0000
Health survey verses health education of wastewater users in Mexico - by: jannaowens The NGOs are debating funding a survey of the affected populace to establish detrimental health affects because of this exposure. As that is not my area of expertise, I can only surmise the assets needed for this, as well as experienced surveyors. Our organization would prefer using those same assets to educate the affected community in measures that can be taken to reduce the impact of the exposure to the wastewater and its crops.
The primary goal is to open the entire community in conversation on managing wastewater, more appropriate irrigation options and reducing impairment of the local waters. Until that happens, I'd like to see the users of this untreated waste having a better chance! Please advise on approaches.
Best regards,
Janna Owens]]>
Health issues and connections with sanitation Sat, 10 Jan 2015 16:34:19 +0000
Re: Question re: latrine sludge temperatures and Ebola - by: muench
As there is only limited amount of composting going on in a pit latrine (if any at all!), I would guess that the temperature in the pit latrine is the same as ambient temperature. As it in the soil and not in direct sunlight, I would guess it is usually between 20-25 deg C, depending on the climate (max day time temperatures, minimum night time temperatures).

In any case, the Ebola virus is likely to die off within a matter of days. I say this because I recently looked for information about survival of the Ebola virus in urine when I edited the Wikipedia page on UDDTs with respect to treatment of urine for reuse in agriculture (see

I wrote there:
The Ebola virus may also be found in urine from an infected person. The exact survival time of this virus in human urine outside of the human body is unclear but probably "up to several days" like with other body fluids at room temperature.[27]

Reference 27 is:
"Ebola (Ebola Virus Disease)Transmission, Q&As on Transmission". CDC (Centres for Disease Control and Prevention). 20 November 2014. Retrieved 5 January 2015.

Where it says:

How long does Ebola live outside the body?
Ebola is killed with hospital-grade disinfectants (such as household bleach). Ebola on dry surfaces, such as doorknobs and countertops, can survive for several hours; however, virus in body fluids (such as blood) can survive up to several days at room temperature.

So in summary, don't rely on any raised temperatures in the pit latrine, rely on the fact that the virus outside of the human body survives only for up to several days.

Kind regards,

P.S. Also useful might be the summary post about Ebola and sanitation that Roslyn did here on 5 November 2014:]]>
Health issues and connections with sanitation Fri, 09 Jan 2015 20:50:20 +0000
Question re: latrine sludge temperatures and Ebola - by: campbelldb
Many thanks,
Dan Campbell

Do you know of any research on what temperature the sludge in a pit latrine in an African context gets to during normal use? If not do you know anybody who may. We are trying to estimate the survival of Ebola in pit latrines.

In not is there a group to which you could circulate the question?]]>
Health issues and connections with sanitation Fri, 09 Jan 2015 14:40:48 +0000
Requesting for suggestions - by: Yogish
Presently am doing my research in low resource setting. so i want to know
1. Have any standard questionnaire to measure WASH and Under five
Morbidity pattern.
2. It’s difficult to measure both chemical and biological
contamination of water, have any suggestions for this how to
proceed further?
3. What all the things to be consider while measuring the morbidity
4. How clinically measure helminth infection?
4. As Geographic information system is new to me Where can i get Resource person

Thank you
Health issues and connections with sanitation Wed, 17 Dec 2014 17:00:06 +0000
Links between WASH and maternal and newborn health - by: F H Mughal
High profile institutions, like DFID, WHO, LSHTM, SoapBox and WaterAid, will launch today (15 Dec 2014) the PLOS Medicine paper “From joint thinking to joint action: A call to action on improving water, sanitation and hygiene for maternal and newborn health;” and a discussion on how water, sanitation and hygiene (WASH) can accelerate progress on maternal and newborn health, at the John Snow Lecture Theatre, London School of Hygiene & Tropical Medicine, Keppel Street, London, WC1E 7HT.

While the event will be chaired by Oliver Cumming (LSHTM), there will be renowed speakers like:

Ms Jane Edmondson (Head of Human Development, UK DFID)
Dr Maria Neira (Director of Public Health and Environment, WHO)
Professor Oona Campbell (LSHTM)
Professor Wendy Graham (University of Aberdeen, & SoapBox)
Dr Paul Simpson (Deputy Editor, PLOS Medicine)
Ms Yael Velleman (Senior Policy Analyst, WaterAid)

Like other professionals, I look forward to their outcomes and presentations.

F H Mughal]]>
Health issues and connections with sanitation Mon, 15 Dec 2014 11:11:35 +0000
Re: Ebola KnowledgePoint - by: muench
Now that the panic around Ebola has quietened down a bit and much progress been made to contain the disease which is great (at least this is what I assume, unless media attention has simply weaned off and is now focussing on other things...), it could be time to reflect what we can learn about all this?

What has irked me right from the start is that Ebola got so much attention even though it kills far fewer people than diarrhoea does...

As one colleague put it:
"... Ebola is getting more attention than it deserves. This is partly because it is new and makes for good TV footage."

Comes back to the age old question, how to attract media attention (and the attention of decision makers) to WASH-related diseases (diarrhoea, worm infections, malnutrition, stunting) that are quiet and kills silently (our children)... Is there anything we can learn from the Ebola case?

One thing that I found interesting is that the Wikipedia page on Ebola developed into the most accurate, up-to-date source of information of all websites
(see "Wikipedia Emerges as Trusted Internet Source for Ebola Information" here: )

A related thread is here on the forum, started by Giacomo about "your brain on climate change" ( - also how to get attention and action for something that is easy to put at the back of your mind and try to forget about as it's slow and long-term.

Health issues and connections with sanitation Fri, 12 Dec 2014 10:55:59 +0000
Re: Articles warning that "Antibiotic resistance sweeping developing world" - lack of sanitation one likely culprit! - by: arno
Tsunami yes but it has been very slow in its development. The evidence was out and in publications 3-4 years ago as I wrote a few years back. See

Good to see there is better understanding about the need for containment and treatment of sewage. Could be that doctors and pharmaceutical companies will understand now that overzealous use of antibiotics can have global impacts at a scale of a Tsunami wave of incurable inestinal infection. And that medicine needs to start including sanitation systems in its realm of central concerns.

Health issues and connections with sanitation Mon, 08 Dec 2014 10:02:26 +0000