Charles B. Niwagaba

Inactivation of bacteria and viruses in human urine depending on temperature and dilution rate.

Source separation and reuse of human urine can decrease the environmental pollution of recipient waters and reduce the need for artificial mineral fertilisers. However, the reuse of urine introduces another pathogen transmission route that needs to be managed. The inactivation of enteric pathogens and model organisms (Salmonella enterica subspecies 1 serovar Typhimurium (S. typhimurium), Enterococcus faecalis, bacteriophages S. typhimurium 28B, MS2 and Phi x 174) by urine storage was studied at dilutions (urine:water) 1:0, 1:1 and 1:3 at temperatures 4, 14, 24 and 34 degrees C. A threshold concentration of ammonia was found at approximately 40 mM NH(3) (e.g. 2.1 g NH(3)-NL(-1) and pH 8.9 at 24 degrees C), below which all studied organisms, except Salmonella, persisted considerably longer irrespective of treatment temperature, showing that urine dilution rate is of great importance for pathogen inactivation. For Salmonella spp. no threshold level was found in these studies (15 mM NH(3) lowest concentration studied). At temperatures below 20 degrees C, bacteriophage reduction was very slow. Therefore, urine stored at temperatures below 20 degrees C carries a high risk of containing viable viruses. The study indicated that the current recommended storage time for urine of 6 months at 20 degrees C or higher is safe for unrestricted use and could probably be shortened, especially for undiluted urine.

Sustainable sanitation technology options for urban slums

Poor sanitation in urban slums results in increased prevalence of diseases and pollution of the environment. Excreta, grey water and solid wastes are the major contributors to the pollution load into the slum environment and pose a risk to public health. The high rates of urbanization and population growth, poor accessibility and lack of legal status in urban slums make it difficult to improve their level of sanitation. New approaches may help to achieve the sanitation target of the Millennium Development Goal (MDG) 7; ensuring environmental sustainability. This paper reviews the characteristics of waste streams and the potential treatment processes and technologies that can be adopted and applied in urban slums in a sustainable way. Resource recovery oriented technologies minimise health risks and negative environmental impacts. In particular, there has been increasing recognition of the potential of anaerobic co-digestion for treatment of excreta and organic solid waste for energy recovery as an alternative to composting. Soil and sand filters have also been found suitable for removal of organic matter, pathogens, nutrients and micro-pollutants from grey water.

Selection of sustainable sanitation technologies for urban slums — A case of Bwaise III in Kampala, Uganda

Provision of sanitation solutions in the worlds urban slums is extremely challenging due to lack of money, space, access and sense of ownership. This paper presents a technology selection method that was used for the selection of appropriate sanitation solutions for urban slums. The method used in this paper takes into account sustainability criteria, including social acceptance, technological and physical applicability, economical and institutional aspects, and the need to protect and promote human health and the environment. The study was carried out in Bwaise III; a slum area in Kampala (Uganda). This was through administering of questionnaires and focus group discussions to obtain baseline data, developing a database to compare different sanitation options using technology selection criteria and then performing a multi-criteria analysis of the technology options. It was found that 15% of the population uses a public pit latrine; 75% uses a shared toilet; and 10% has private, non-shared sanitation facilities. Using the selection method, technologies such as Urine Diversion Dry Toilet (UDDT) and biogas latrines were identified to be potentially feasible sanitation solutions for Bwaise III. Sanitation challenges for further research are also presented.

Bench-scale composting of source-separated human faeces for sanitation

In urine-diverting toilets, urine and faeces are collected separately so that nutrient content can be recycled unmixed. Faeces should be sanitized before use in agriculture fields due to the presence of possible enteric pathogens. Composting of human faeces with food waste was evaluated as a possible method for this treatment. Temperatures were monitored in three 78-L wooden compost reactors fed with faeces-to-food waste substrates (F:FW) in wet weight ratios of 1:0, 3:1 and 1:1, which were observed for approximately 20 days. To achieve temperatures higher than 15 degrees C above ambient, insulation was required for the reactors. Use of 25-mm thick styrofoam insulation around the entire exterior of the compost reactors and turning of the compost twice a week resulted in sanitizing temperatures (>or=50 degrees C) to be maintained for 8 days in the F:FW=1:1 compost and for 4 days in the F:FW=3:1 compost. In these composts, a reduction of >3 log(10) for E. coli and >4 log(10) for Enterococcus spp. was achieved. The F:FW=1:0 compost, which did not maintain >or=50 degrees C for a sufficiently long period, was not sanitized, as the counts of E. coli and Enterococcus spp. increased between days 11 and 15. This research provides useful information on the design and operation of family-size compost units for the treatment of source-separated faeces and starchy food residues, most likely available amongst the less affluent rural/urban society in Uganda.

Descending the sanitation ladder in urban Uganda: evidence from Kampala Slums

BackgroundWhile the sanitation ladder is useful in analysing progressive improvements in sanitation, studies in Uganda have not indicated the sanitation barriers faced by the urban poor. There are various challenges in shared latrine use, cleaning and maintenance. Results from Kampala city indicate that, failure to clean and maintain sanitation infrastructure can lead to a reversal of the potential benefits that come with various sanitation facilities.MethodsA cross sectional qualitative study was conducted between March and May 2013. Data were collected through 18 focus group discussions (FGDs) held separately; one with women, men and youth respectively. We also used pictorial methods; in addition, 16 key informant interviews were conducted. Data were analysed using content thematic approach. Relevant quotations per thematic area were identified and have been used in the presentation of the results.ResultsWhether a shared sanitation facility was improved or not, it was abandoned once it was not properly used and cleaned. The problem of using shared latrines began with the lack of proper latrine training when people do not know how to squat on the latrine hole. The constrained access and security concerns, obscure paths that were filthy especially at night, lack of light in the latrine cubicle, raised latrines sometimes up to two metres above the ground, coupled with lack of cleaning and emptying the shared facilities only made a bad situation worse. In this way, open defecation gradually substituted use of the available sanitation facilities. This paper argues that, filthy latrines have the same net effect as crude open defection.ConclusionWhereas most sanitation campaigns are geared towards provision of improved sanitation infrastructure, these findings show that mere provision of infrastructure (improved or not) without adequate emphasis on proper use, cleaning and maintenance triggers an involuntary descent off the sanitation ladder. Understanding this reversal movement is critical in sustainable sanitation services and should be a concern for all actors.

Water safety plans for piped urban supplies in developing countries: a case study from Kampala, Uganda

The World Health Organisation (WHO) promote the use of water safety plans (WSPs) in the 3rd edition of the Guidelines for Drinking-Water Quality (2004). WSPs place an emphasis on risk assessment coupled with risk management, with simple indicators to monitor process control and periodic verification through audit and microbial indicators. A WSP was developed for the Kampala piped water supply in Uganda by the National Water and Sewerage Corporation. The use of risk maps was found to greatly aid the identification of hazardous events in the distribution system. A validation exercise was performed that showed the WSP was properly designed. The study shows WSPs can be successfully developed for utilities in developing countries and offer significant cost savings in water quality control. Senior management endorsement was found to be essential to provide the authority to develop and implement the activities required for effective water safety management.

Are pit latrines in urban areas of Sub-Saharan Africa performing? A review of usage, filling, insects and odour nuisances

BackgroundA pit latrine is the most basic form of improved sanitation which is currently used by a number of people around the globe. In spite of the wide spread use, known successes and advantages associated with pit latrines, they have received little attention in form of research and development. This review focuses on the usage and performance (filling, smell and insect nuisance) of pit latrines in urban areas of sub-Saharan Africa (SSA) and proposes approaches for their improvements and sustainability.MethodsCurrent pit latrine usage within urban SSA was calculated from Joint Monitoring Programme (JMP) water and sanitation country-files. We conducted a literature search and review of documents on pit latrine usage, filling, smell and insect nuisances in urban areas of SSA. Findings of the review are presented and discussed in this paper.Results and DiscussionPit latrines are in use by more than half the urban population in SSA and especially among low income earners. An additional 36 million people in urban areas of SSA have adopted the pit latrine since 2007. However, their performance is unsatisfactory. Available literature shows that contributions have been made to address shortfalls related to pit latrine use in terms of science and technological innovations. However, further research is still needed.ConclusionAny technology and process management innovations to pit latrines should involve scientifically guided approaches. In addition, development, dissemination and enforcement of minimum pit latrine design standards are important while the importance of hygienic latrines should also be emphasized.

Substrate composition and moisture in composting source‐separated human faeces and food waste

The composting of a faeces/ash mixture and food waste in relative proportions of 1:0, 1:1 and 1:3 was studied in three successive experiments conducted in Kampala, Uganda in 216 L reactors insulated with 75 mm styrofoam or not insulated. The faeces/ash mixture alone exceeded 50 °C for ≤12 days in insulated reactors, but did not reach or maintain 50 °C in non‐insulated reactors. Inclusion of food waste kept temperatures above 50 °C for over two weeks in insulated reactors except when the substrate was too wet. Escherichia coli and total coliform concentrations decreased below detection in material that exceeded 50 °C for at least six days. Enterococcus spp. decreased below detection in material that exceeded 50 °C for at least two weeks, but remained detectable after 1.5 months in material that exceeded 50 °C for less than two weeks, suggesting that a period of at least two weeks above 50 °C, combined with mixing, is needed to achieve sanitation. Initially substrates that were too wet proved a challenge to composting and ways of decreasing substrate moisture should be investigated. The results obtained are applicable to the management of small‐ to medium‐scale composting of faeces/ash and food waste at household and institution levels, e.g. schools and restaurants.

Comparing microbial die-off in separately collected faeces with ash and sawdust additives

In a urine diversion dry toilet (UDDT), the urine and faeces are collected separately in order to recycle their nutrient content unmixed. In a UDDT, an additive e.g. lime, wood ash, dry soil or sawdust, depending on which one is easily accessed by the users, is usually sprinkled to the faeces after each defecation. The purpose of the additive is primarily to keep away the flies and odours and to contribute to primary treatment of the faeces. In this paper, ash and sawdust were applied separately to source-separated faeces during the collection phase, and then the die-off of indicators and pathogens in the mixtures was studied. The die-off of E. coli in the faeces/ash mixture was faster initially (first 7 days) compared to that achieved in the faeces/sawdust mixture even though the die-off achieved after 30-50 days was nearly similar for both mixtures. E. coli was not detected in faeces/ash after about 2 months, but was detected after 2 months in the faeces/sawdust mixture. Enterococcus spp. did not decrease below detection in faeces/ash or faeces/sawdust mixture but higher numbers (difference of about 2 logs) were detected at all times in faeces/sawdust than in faeces/ash mixture. The difference in the die-off in the mixtures of faeces/ash and faeces/sawdust was attributed to the differences in the characteristics of the additives, namely, high alkaline mineral content (giving high pH) and lower moisture content of ash compared to sawdust. It is recommended to increase use of ash as additive over sawdust in urine diversion dry toilets.

Gender variations in access, choice to use and cleaning of shared latrines; experiences from Kampala Slums, Uganda

BackgroundSanitation is one of the most intimate issues that affect women, especially in slums of developing countries. There are few studies that have paid attention to the gender variations in access, choice to use and cleaning of shared latrines in slums.MethodsThis paper draws on qualitative data from a cross sectional study conducted between 2012 and 2013 in six slums of Kampala City, Uganda. The study involved both women and men. Data were collected from 12 Focus Group Discussions (FGDs), 15 Key informant interviews; community transects and photographs of shared latrines.ResultsLocation of a shared latrine facility, distance, filthy, narrow and irregular paths; the time when a facility is visited (day or night), privacy and steep inclines were gender ‘filters’ to accessing shared latrines. A full latrine pit was more likely to inhibit access to and choice of a facility for women than men. Results indicate that the available coping mechanisms turned out to be gendered, with fewer options available for women than men. On the whole, women sought for privacy, easy reach, self-respect and esteem, cleanliness and privacy than men. While men like women also wanted clean facilities for use; they (men) were not keen on cleaning these facilities. The cleaning of shared latrines was seen by both women and men as a role for women.ConclusionThe presence of sanitation facilities as the first step in the access, choice, use, and cleaning by both women and men has distinct motivations and limitations along gender lines. The study confirms that the use and cleaning of latrines is regulated by gender in daily living. Using a latrine for women was much more than relieving oneself: it involved security, intimacy and health concerns.