{"title":"Heavy Metal Contamination in Omo River, Ethiopia: Environmental and Human Health Risks.","authors":"Kotacho Abiy Andemo, Yimer Girma Tilahun, Sota Solomon Sorsa, Berego Yohannes Seifu","doi":"10.1177/11786302241290068","DOIUrl":"10.1177/11786302241290068","url":null,"abstract":"<p><p>The Omo River flows through the town of Omorate, where domestic, municipal, and industrial wastes from the town and its surroundings, including agrochemicals, are discharged into the river. The present study was conducted to determine the levels of heavy metals and associated environmental and human health impacts from the Lower Omo River freshwater ecosystem (water and sediment) of the Lower Omo River. The mean concentrations of heavy metals detected in the river water were 0.439 mg/l for (Mn), 0.1 (Zn), 0.168 (Cu), 0.393 (Cr), 0.318 (Pb), 0.007 (Ni), 8.926 (Fe), and 0.06 (Co).The order for the mean concentrations of the heavy metals in the water was Fe > Mn > Cr > Pb > Cu > Zn > Cu > Co > Ni. The HPI value indicates that all water sampling sites were highly contaminated. Oral and dermal HQs for both children and adults were in the order of Cr > Pb > Mn > Fe > Cu > Co > Ni > Zn. The HQ value greater than 1 was investigated for Cr, Pb, and Mn in both children and adults by ingestion and dermal routes from the river water. The CRs for both children and adults by ingestion of the river water followed the order Cr > Pb. According to the CRI value, the river water could be classified as a very high environmental risk. The EI results for the heavy metals detected in the sediments also followed the order: Fe > Cr > Cu > Pb > Mn > Co > Zn > Ni.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241290068"},"PeriodicalIF":2.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11503875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Long Lasting Insecticide-Treated Nets Utilization and Associated Factors Among Pregnant Women in Shebel Berenta District, Northwest Ethiopia.","authors":"Yeshitla Getnet, Abraham Teym, Moges Wubie, Sintayehu Shiferaw, Bayou Tilahun Assaye, Zelalem Aneley, Habitamu Mekonen Abera, Habtamu Temesgen","doi":"10.1177/11786302241291957","DOIUrl":"10.1177/11786302241291957","url":null,"abstract":"<p><strong>Background: </strong>Insecticide-treated bed nets are cost-effective vector control methods for malaria prevention. Malaria during pregnancy poses a significant health problem in Ethiopia. This study aimed to assess insecticide-treated nets utilization and associated factors among pregnant women in Shebel Berenta District, Northwest Ethiopia.</p><p><strong>Objective: </strong>To assess insecticide-treated bed nets utilization and associated factors among pregnant women in Shebel Berenta District, Northwest Ethiopia, in 2023.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from March 15 to April 30, 2023, on 505 randomly selected pregnant women. Data were collected using a pre-tested structured questionnaire and observational checklist, analyzed with EpiData 3.1 and SPSS 25. Significant factors associated with long-lasting insecticide-treated nets were identified (P < .05, 95% CI) and were reported as statistically significant factors associated with the utilization of insecticide-treated bed nets.</p><p><strong>Results: </strong>The utilization of long-lasting insecticide-treated nets was 45.10% [95% CI: 40.5%-49.2%]. Mothers who had antenatal care follow-up (AOR = 3.359; 95%CI: 1.829, 6.166), mothers with illiterate educational status (AOR = 0.196; 95%CI: 0.064-0.603), and mothers who had received information (message) (AOR = 8.102; 95%CI: 3.942-16.653) were significantly associated with long lasting insecticide-treated net utilization.</p><p><strong>Conclusion: </strong>Utilization of long lasting insecticide-treated nets by pregnant women was 45.1%, which was lower than the WHO standard. Attending antenatal care, receiving information (messages) about malaria and long lasting insecticide-treated net, and mother's being literate had a substantial impact on long lasting insecticide-treated net utilization. Therefore, efforts should be made to strengthen ANC service, health information and women's educational status to increase utilization of long lasting insecticide-treated nets.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241291957"},"PeriodicalIF":2.3,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11528622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142567429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Corrigendum to \"Thomas CR, Kelley TR. A Brief Review of Silicosis in the United States. Environmental Health Insights. 2010;4. doi:10.4137/EHI.S4628\".","authors":"","doi":"10.1177/11786302241272277","DOIUrl":"https://doi.org/10.1177/11786302241272277","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.4137/EHI.S4628.].</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241272277"},"PeriodicalIF":2.3,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11497506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rotavirus in Water Environments: A Systematic Review and Meta-Analysis.","authors":"Aaron Awere-Duodu, Eric S Donkor","doi":"10.1177/11786302241276667","DOIUrl":"https://doi.org/10.1177/11786302241276667","url":null,"abstract":"<p><strong>Background: </strong>Despite the adoption of rotavirus vaccines, sporadic outbreaks of the virus have been reported in many parts of the world. These outbreaks are facilitated by several factors including the ease of transmission of rotavirus through water environments. This systematic review aimed to determine the global prevalence of rotavirus in water environments.</p><p><strong>Methodology: </strong>Comprehensive Boolean searches were conducted in PubMed, SCOPUS, and Web of Science. A total of 75 eligible studies were included in the study, from which data was extracted for both systematic review and meta-analysis. Extracted prevalence data was grouped according to six water categories: drinking water, untreated sewage, treated sewage, surface water, groundwater, and others. A single-group prevalence meta-analysis was conducted in RStudio version 4.3.3 subjecting the data to the random-effects model.</p><p><strong>Results: </strong>The included studies were conducted in 32 countries that span 5 continents: Africa, Asia, Europe, North America, and South America. The pooled prevalence of rotavirus in water environments was 40.86%. Among the individual water environments, untreated sewage had the highest prevalence (68.27%), followed by treated sewage (53.07%), surface water (33.40%), groundwater (25.64%) and drinking water (9.46%). Continental stratification of the prevalence data was as follows: Africa (51.75%), Asia (32.48%), Europe (55.90%), North America (41.80%), and South America (28.51%).</p><p><strong>Conclusion: </strong>There is a high prevalence of rotavirus in water environments, especially in untreated sewage, and in Europe. Further research is needed to find more efficient methods that can effectively eliminate rotavirus to insignificant levels in water environments.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241276667"},"PeriodicalIF":2.3,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11494518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dynamics of Spatiotemporal Variation of Groundwater Arsenic in Central Rift Vally of Ethiopia: A Serial Cross-Sectional Study.","authors":"Solomon Demissie, Seblework Mekonen, Tadesse Awoke, Bezatu Mengistie","doi":"10.1177/11786302241285391","DOIUrl":"10.1177/11786302241285391","url":null,"abstract":"<p><strong>Background: </strong>Arsenic is a well-known, highly poisonous metalloid that affects human health and ecosystems and is widely distributed in the environment. Nevertheless, data on the spatiotemporal distribution of arsenic in groundwater sources in Ethiopia are scarce.</p><p><strong>Objective: </strong>The principal aim of this study was to assess the extent of arsenic in groundwater sources and analyze the spatiotemporal variations in the central rift valley of Ethiopia.</p><p><strong>Methods: </strong>The study employed a serial cross-sectional study design and census sampling methods. The concentrations of arsenic in the groundwater samples were determined using inductively coupled plasma mass spectrometry (ICP-MS) at the Ethiopian Food and Drug Authority laboratory. Descriptive statistical analyses were performed using IBM SPSS version 29 software. Additionally, ArcGIS software was utilized to map the spatiotemporal distribution of arsenic. Furthermore, Minitab statistical software version 21.4 was employed to assess the correlation between spatiotemporal variations of arsenic concentrations in groundwater sources.</p><p><strong>Results: </strong>The mean values of arsenic in the groundwater samples were 11.2 µg/L during the dry season and 10.7 µg/L during the rainy season. The study results showed that 18 wells (42.2%) and 22 wells (48.8%) had higher arsenic concentrations (>10 µg/L) during the dry and rainy seasons, respectively. Thus, arsenic levels in 42.2% and 48.8% of the samples exceeded the maximum threshold limit set by WHO, USEPA, and Ethiopian standards (10 µg/L), respectively, during the dry and rainy seasons. Furthermore, our analysis revealed a significant positive correlation between arsenic in groundwater and well depth (<i>r</i> = .75, <i>P</i> < .001), indicating a strong association between higher arsenic concentrations and deeper wells. Similarly, we observed a substantial positive correlation between arsenic concentration in groundwater and season (<i>r</i> = .9, <i>P</i> < .001), suggesting notable variations in arsenic levels between dry and rainy seasons.</p><p><strong>Conclusions: </strong>The majority of the groundwater sources in the studied area are unfit for human consumption because they contain high amounts of arsenic, which poses a significant risk to human health. Moreover, the arsenic concentration varied spatially and temporally. Therefore, special attention is needed to reduce arsenic exposure and associated health risks.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241285391"},"PeriodicalIF":2.3,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11465313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Wastewater Management in Africa: Challenges and Recommendations.","authors":"Ejovwokeoghene Joseph Omohwovo","doi":"10.1177/11786302241289681","DOIUrl":"https://doi.org/10.1177/11786302241289681","url":null,"abstract":"<p><p>In Africa, the growing population and industrial growth have resulted in a notable increase in wastewater generation, affecting the quality of water in the region. Wastewater treatment plays a crucial role in safeguarding the environment, public health, aquatic organisms, and water resources, reducing environmental impact, and adhering to regulations. However, the current methods for treating wastewater in Africa fall short of these goals, resulting in substantially poor environmental and health outcomes and inadequate provision of safe water and essential sanitation. Poor wastewater management in several African countries has led to severe health risks for humans, animals, and aquatic ecosystems. This poses a particular threat to vulnerable groups like children, women, and the disabled residing in rural and remote areas with limited access to healthcare. Hence, this article aims to shine a spotlight on the difficulties in managing wastewater in Africa and to recommend several plausible strategies to tackle this issue. A literature search to find the most recent and relevant research papers from various databases, such as Scopus, Web of Science, PubMed, and Google Scholar, along with resources from the World Health Organization, was conducted. The selection criteria focused on including the most recent and relevant publications published in English to facilitate comprehension, analysis, and interpretation of the secondary data. Essentially, addressing the challenge of wastewater management in Africa requires developing indigenous innovative technologies, transitioning to a sustainable economy, establishing wastewater treatment infrastructures in rural and remote areas, enhancing operation and maintenance practices, training treatment facility workers, improving electricity supply, strengthening government participation and support, encouraging public involvement, setting local water quality benchmarks, and international financial and technical support. By tackling the problem of insufficient wastewater treatment in Africa, it is possible to achieve Sustainable Development Goal 6, which centers on ensuring clean water and sanitation for all.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241289681"},"PeriodicalIF":2.3,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467993/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Foodborne Bacterial Pathogens in Animal, Food, and Environmental Samples Collected From the Physical Exposure of Children With Diarrhea in Ethiopia: A One Health Approach.","authors":"Tesfaye Gobena, Dinaol Belina, Ameha Kebede, Meseret Chimdessa, Abduleziz Jemal, Chafe Husen, Tine Hald","doi":"10.1177/11786302241288167","DOIUrl":"https://doi.org/10.1177/11786302241288167","url":null,"abstract":"<p><p>Foodborne pathogens (FBPs) are transmitted principally through the consumption of contaminated food or drinking water and pose a remarkable public health risk, particularly in low-income countries. A cross-sectional study was conducted between November 2021 and January 2023 to estimate the prevalence, co-occurrence, and monthly patterns of FBPs in the physical exposures of children with diarrhea in Harar town and Kersa district, Ethiopia. Animal, food, and environmental samples were collected from direct or indirect contact sites of children with diarrhea. The isolation and identification of FBPs, including nontyphoidal <i>Salmonella</i> (NTS), diarrheagenic <i>E. coli</i> (DEC), and <i>Shigella</i>, was performed using selective and deferential culture media and a series of biochemical tests. Among the 438 analyzed samples, the overall prevalence of these pathogens was 18.3%, with 3.9% co-occurrence and 14.4% single pathogen occurrence rates. The highest prevalence was observed in wastewater (40.9%; AOR = 3.3; 95% CI: 1.1-10.1). The pathogen detection rate in food was 17.9% (AOR = 1.2; 95% CI: 0.4-3.6), with no significant difference between animal-sourced and other food categories. The occurrence rates of NTS, DEC, and <i>Shigella</i> in the meat samples were 13.9%, 5.4%, and 6.5%, respectively. Interestingly, DEC and <i>Shigella</i> were detected in cooked food. Moreover, <i>Shigella</i> was detected in drinking water (5%) and other water sources (10%). A significantly higher prevalence of FBPs was detected in poultry than in cattle and camel feces. This study revealed fluctuations in the monthly occurrence patterns of FBPs, with a peak of 37.1% during the dry season. In conclusion, the study revealed a high prevalence of FBPs, with no significant differences between rural and urban areas or food and water sources, highlighting the need for food safety measures in both settings. Further studies with larger sample sizes and advanced diagnostics are recommended to determine the relative contribution of each source.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241288167"},"PeriodicalIF":2.3,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hospital-Based Preparedness Measures for CBRNE Disasters: A Systematic Review.","authors":"Eman S Qzih, Muayyad M Ahmad","doi":"10.1177/11786302241288859","DOIUrl":"https://doi.org/10.1177/11786302241288859","url":null,"abstract":"<p><p>Chemical, Biological, Radiological or Nuclear and Explosive (CBRNe) disasters have historically caused significant fatalities and posed global threats. The inadequate preparedness of hospital equipment for CBRNe incidents underscores the urgent need for hospitals to modernize and standardize their equipment to effectively manage these high-risk situations. The purpose of this systematic review was to examine hospital-based preparedness measures for CBRNe incidents. The PRISMA guidelines were followed for this review. A comprehensive search of English-language peer-reviewed literature from January 2010 to 2023 was conducted, identifying 2191 items from PubMed, ScienceDirect, EBSCO, and Google Scholar. The modified ROBINS-I instrument was used to assess bias, ensuring the reliability and validity of the studies. Data synthesis was conducted jointly by both authors. After eliminating duplicates and reviewing abstracts, 124 studies remained. Upon full-text examination, only 20 studies met the criteria for inclusion in this review. The review identified three key interrelated domains of preparedness: personal, technological, and structural measures. Most studies emphasized decontamination, Personal Protective Equipment (PPE), and detection, while the management of deceased bodies, transportation, and Points of Dispensing (PODs) were largely overlooked. These findings may assist hospital administrators and policymakers in enhancing their facilities' readiness for CBRNe emergencies.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241288859"},"PeriodicalIF":2.3,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors Affecting Renewable Energy for Sustainable Development: The Case of the Philippines.","authors":"Vu Ngoc Xuan","doi":"10.1177/11786302241288856","DOIUrl":"https://doi.org/10.1177/11786302241288856","url":null,"abstract":"<p><p>This paper examines the nexus between carbon dioxide (CO<sub>2</sub>) emissions, electricity consumption, fossil fuels, foreign direct investment (FDI), gross domestic product (GDP), and renewable energy in the Philippines. This paper also explores the intricate relationships between carbon dioxide (CO<sub>2</sub>) emissions, electricity consumption, fossil fuel use, foreign direct investment (FDI), gross domestic product (GDP), and renewable energy in the Philippines. Utilizing time-series data from 1990 to 2022 and applying advanced econometric techniques such as vector error correction modeling (VECM) and Granger causality tests, the study reveals the significant impacts of economic growth and energy consumption on CO<sub>2</sub> emissions. The findings highlight the crucial role of renewable energy in mitigating environmental degradation. Policy implications are discussed in the context of the Philippines' commitment to sustainable development and climate change mitigation, emphasizing the need for integrated policies that promote renewable energy and energy efficiency alongside economic growth. We use a comprehensive econometric analysis to understand these variables' dynamic interactions and causal relationships. The study employs time-series data from 1990 to 2022 and applies advanced econometric techniques, including vector error correction modeling (VECM) and Granger causality tests. The results highlight the significant impact of economic growth and energy consumption on CO<sub>2</sub> emissions while also underscoring the critical role of renewable energy in mitigating environmental degradation. Policy implications are discussed considering the Philippines' commitment to sustainable development and climate change mitigation.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241288856"},"PeriodicalIF":2.3,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142388996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Food Safety Knowledge, Attitude, and Hygienic Practices of Food Handlers in Yeka Sub-city, Addis Ababa, Ethiopia: A Descriptive Cross-sectional Study.","authors":"Medina Mulat, Dagim Jirata Birri, Tilahun Kibret, Wongelawit Moges Alemu, Alene Geteneh, Wude Mihret","doi":"10.1177/11786302241288855","DOIUrl":"https://doi.org/10.1177/11786302241288855","url":null,"abstract":"<p><strong>Introduction: </strong>Foodborne diseases pose a significant global public health threat, often originating from improper food handling practices. Given the crucial role of food handlers in preventing transmission of foodborne diseases, this study assessed the food safety knowledge, attitudes, and hygiene practices related to foodborne diseases among food handlers in food service establishments in Yeka Sub-city, Addis Ababa, Ethiopia.</p><p><strong>Method: </strong>A descriptive cross-sectional study was conducted among 373 randomly selected food handlers. Data collection involved observing the kitchen hygiene practices and food handling practices through an observational checklist, and administering structured/standardized questionnaires. Statistical analysis was performed using SPSS version 20, with associations examined using the linear by linear association test. Spearman's correlation assessed relationships between knowledge, attitude, and practice cut points. Pre-testing and Cronbach's alpha were used to ensure the reproducibility, and reliability of the questionnaire.</p><p><strong>Results: </strong>Majority of food handlers (50.1%) were aged less than 25 years, with 78.8% being female, and attended secondary school (46.4%). The overall knowledge (65%), positive attitude (92.2%), and hygiene practices (44%) of the food handlers toward food safety were good. Regarding the knowledge perspective, gaps existed in understanding disease transmission, notably Hepatitis A and tuberculosis. Although positive attitudes toward food safety were reported, observed practices were inconsistent, with a significant proportion admitting to working while ill. Compliance with uniform and protective gear was lacking. Marital status, Experience in food safety, and Work satisfaction has been shown to affect the knowledge, attitude, and hygiene practices of food handlers in this study.</p><p><strong>Conclusion: </strong>This study highlights critical gaps in understanding disease transmission, and hygiene practices of food handlers in Yeka sub-city. Addressing these gaps will necessitate targeted interventions, including continuous education and training programs. Enhanced regulatory oversight is also needed to ensure compliance with food safety standards in public food establishments.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":"18 ","pages":"11786302241288855"},"PeriodicalIF":2.3,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11467998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142460931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}