PLOS water最新文献

{"title":"Turning global water security research into policy and action","authors":"Evan A. Thomas","doi":"10.1371/journal.pwat.0000261","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000261","url":null,"abstract":"","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"48 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141689691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neglected second and third generation challenges of urban sanitation: A review of the marginality and exclusion dimensions of safely managed sanitation","authors":"Tanvi Bhatkal, Lyla Mehta, Roshni Sumitra","doi":"10.1371/journal.pwat.0000252","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000252","url":null,"abstract":"Sanitation is fundamental for health and wellbeing yet cities, especially in the global South, face challenges in providing safely managed sanitation systems. Global and national sanitation campaigns tend to focus on the visible aspects of being ‘on grid’ in terms of toilet construction and connections but rarely address the dangerous, invisible aspects of being ‘off grid’ such as poor or unsafe excreta disposal and inadequate faecal sludge management (often considered to be second or third generation sanitation challenges). These, however, tend to disproportionately affect poor and marginalised people in off-grid locations in rapidly urbanising areas. This review paper engages critically with the growing literature on the challenges of faecal sludge management and circular economy solutions. Through the lens of exclusion and marginality, we review debates regarding access to safely managed sanitation, the burden of sanitation workers and safely recovering value from shit. We argue that sanitation systems often reproduce and exacerbate existing societal hierarchies and discriminations in terms of unequal access to safely managed sanitation and the burden of maintaining sanitation infrastructures. It is thus important for future research on faecal sludge management and resource recovery from shit to focus on issues of marginality and exclusion.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"45 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141338383","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The paradox of production: Surface water supply drives agricultural productivity but not prosperity in California’s San Joaquin Valley","authors":"Vicky Espinoza, J. Viers","doi":"10.1371/journal.pwat.0000192","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000192","url":null,"abstract":"Societies globally are struggling to meet freshwater demands while agencies attempt to address water access inequities under a rapidly changing climate and growing population. An understanding of dynamic interactions between people and water, known as sociohydrology, regionally could provide approaches to addressing local water mismanagement and water access inequity. In semi-arid California, local water agencies, primarily agricultural irrigation districts, are at the intersection of rethinking approaches to balance freshwater demands. More than 150 years of complex water governance and management have defined San Joaquin Valley irrigation districts and the region’s water access inequities and sociohydrologic instability. Older irrigation districts have higher surface water allocations and less groundwater dependence. About 60% of irrigation districts with pre-1914 water rights have twice the crop water demand in surface water allocations. In contrast, 86% of irrigation districts depend on groundwater, of which 12% rely exclusively on groundwater to supply irrigation demands. This study found that disadvantaged communities within irrigation districts do not have increased water access or better environmental conditions than those outside irrigation district boundaries, which underscores the need for inclusive water management structures to address the multifaceted water and environmental inequities. Groundwater overdependence across irrigation districts shows that imbalanced surface water allocations and inflexible crops could imperil agriculture and impact agricultural disadvantaged communities, especially under California’s SGMA and prolonged drought events. It is imperative that underserved communities are prioritized communities in achieving equitable water rebalance in California in addition to developing and implementing essential infrastructure and policy changes.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"44 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141345179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Addressing water, sanitation and hygiene inequalities: A review of evidence, gaps, and recommendations for disability-inclusive WASH by 2030","authors":"Jane Wilbur, R. Dreibelbis, I. Mactaggart","doi":"10.1371/journal.pwat.0000257","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000257","url":null,"abstract":"One in six people worldwide experiences significant disability. Many of these people living in low-and middle-income countries (LMICs) are disproportionately affected by inadequate access to water, sanitation and hygiene (WASH) services, a fundamental necessity for health and well-being. This review aimed to examine the existing evidence on disability and WASH in LMICs, identify gaps and make recommendations to strengthen disability-inclusive WASH research, policies and practices to make significant progress by 2030. While evidence of WASH challenges faced by people with disabilities has grown in the last decade, revealing significant inequalities, there is a lack of controlled studies to assess the impact of disability-inclusive WASH interventions. This research gap makes it difficult to prioritise investments for scalable solutions. This review proposes three key recommendations: 1) Further expand research on WASH challenges faced by people with disabilities, prioritising climate risks, health impacts, and educational inequalities. 2) Design and test evidence-based disability-inclusive WASH interventions. 3) Rigorously evaluate these interventions to determine what successfully reduces WASH disparities for people with disabilities and their caregivers cost-effectively. This review is the first to synthesise available evidence across disability and WASH and offer a roadmap for future efforts to drive improvements in disability-inclusive WASH by 2030.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"63 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141358469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate change, seasonality and household water security in rural Gambia: A qualitative exploration of the complex relationship between weather and water","authors":"Indira Bose, R. Dreibelbis, Rosemary Green, Kris A. Murray, Omar Ceesay, Sari Kovats","doi":"10.1371/journal.pwat.0000239","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000239","url":null,"abstract":"Climate change could pose a threat to water security for many communities, particularly in settings where rainfall patterns are becoming more varied and there is higher frequency of extreme events, such as heavy rainfall and droughts. Understanding how rainfall affects water security—including water access, water quality and water use behaviours—can inform investment in more climate-resilient infrastructure and safeguard against future health risks. This study aims to explore how households in rural Gambia experienced water security in relation to seasonal rainfall patterns and extreme weather events. Data collection focused on two communities (Kiang West and Basse) with differing access to water infrastructure, within which some villages had greater access to groundwater sources, such as solar-powered boreholes, and others primarily used uncovered wells. 46 participants were interviewed in Spring 2022 using multiple qualitative methods, including in-depth interviews and transect walks. We found that people’s experience of water security and rainfall (including seasonal rainfall, drought and heavy rainfall) was complex and varied according to the primary household water source. Both dry and rainy season posed challenges to household water security in terms of quality and quantity. Households with access to more resilient infrastructure, such as solar-powered boreholes, discussed a shift in the relationship between weather and water security, where they were less vulnerable to water shortages during dry conditions compared to those using wells. However, these sources did not fully resolve water security issues, as they experienced water shortages during cloudy conditions. Extreme weather events, such as heavy rainfall, heightened perceived water issues, as these events sometimes damaged water infrastructure and contaminated water sources. Seasonal workloads, that were higher in the rainy season, also jeopardised water security, as this limited time for water collection. Increased investment in infrastructure, maintenance, water-treatment and behavioural change is required to mitigate the risks.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"124 39","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141360595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Household water insecurity experience in the Upper West Region of Ghana: Insights for effective water resource management","authors":"Cornelius K. A. Pienaah, Sulemana Ansumah Saaka, E. Batung, Kamaldeen Mohammed, Isaac Luginaah","doi":"10.1371/journal.pwat.0000216","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000216","url":null,"abstract":"The global community is not on track to achieve Sustainable Development Goal 6 (SDG 6) by 2030. Many low- and middle-income countries like Ghana still struggle with water insecurity. In semi-arid regions like Ghana’s Upper West, climate change has worsened water insecurity, leading to health and livelihood consequences. In UWR, limited studies have explored water insecurity in rural areas. This study fills a knowledge gap by investigating the determinants of water insecurity in Ghana’s Upper West Region (UWR) from a political ecology of health (PEH) perspective. It comprehensively explores the interplay of social, economic, political, environmental, and health-related factors contributing to water insecurity in the UWR. The results from binary logistic regression show that households in the wealthier category (OR = 0.475, p<0.05) and those that spent less than thirty minutes on a roundtrip to fetch water (OR = 0.474, p<0.01) were less likely to experience water insecurity. On the other hand, households that did not use rainwater harvesting methods (OR = 2.117, p<0.01), had to travel over a kilometer to access water (OR = 3.249, p<0.01), had inadequate water storage systems (OR = 2.290, p<0.001), did not treat their water (OR = 2.601, p<0.001), were exposed to water-induced infections (OR = 3.473, p<0.001), did not receive any water, hygiene, and sanitation education (OR = 2.575, p<0.01), and faced water scarcity during the dry season (OR = 2.340, p<0.001) were at a higher risk of experiencing water insecurity. To mitigate the risks of water insecurity and adverse health impacts, policymakers and practitioners must work together to educate households on effective water conservation, storage, and treatment techniques. It is recommended that households harvest rainwater as a coping strategy, construct appropriate storage systems, and treat their water. Communal self-help water investments should be encouraged and supported. Given the significant aquifers and semi-arid landscape of the UWR, investing in groundwater development should be a top priority.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"27 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141379760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public health policy impact evaluation: A potential use case for longitudinal monitoring of viruses in wastewater at small geographic scales","authors":"Elana M. G. Chan, A. Bidwell, Zongxi Li, S. Tilmans, A. Boehm","doi":"10.1371/journal.pwat.0000242","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000242","url":null,"abstract":"Public health policy impact evaluation is challenging to study because randomized controlled experiments are infeasible to conduct, and policy changes often coincide with non-policy events. Quasi-experiments do not use randomization and can provide useful knowledge for causal inference. Here we demonstrate how longitudinal wastewater monitoring of viruses at a small geographic scale may be used in a quasi-experimental design to evaluate the impact of COVID-19 public health policies on the spread of COVID-19 among a university population. We first evaluated the correlation between incident, reported COVID-19 cases and wastewater SARS-CoV-2 RNA concentrations and observed changes to the correlation over time, likely due to changes in testing requirements and testing options. Using a difference-in-differences approach, we then evaluated the association between university COVID-19 public health policy changes and levels of SARS-CoV-2 RNA concentrations in wastewater. We did not observe changes in SARS-CoV-2 RNA concentrations associated with most policy changes. Policy changes associated with a significant change in campus wastewater SARS-CoV-2 RNA concentrations included changes to face covering recommendations, indoor gathering bans, and routine surveillance testing requirements and availability.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"55 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141269766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The case for shared sanitation access in informal settlements: A dialogue on science, policy, and practice integration","authors":"Sarah Lebu, L. Sprouse, J. Akudago, Felix R. B. Twinomucunguzi, Ruthie Rosenberg, Yvonne Sanyu Lugali, B. Aine, Jackqueline Tu-uyen Nguyen, Chimdi C. Muoghalu, Swaib Semiyaga, Barbara Evans, M. Manga","doi":"10.1371/journal.pwat.0000243","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000243","url":null,"abstract":"","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":" 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140993454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Longitudinal changes in hand hygiene adherence among healthcare workers during the COVID-19 pandemic, Dominican Republic","authors":"C. D. Schnorr, Kathryn W. Roberts, E.C. Payano, Paloma Martínez Guzmán, M. De St. Aubin, Matthew Lozier, Salomé Garnier, D. Dumas, Kelsey McDavid, C. T. Then Paulino, R. Skewes-Ramm, C. Craig, E. Zielinski Gutiérrez, William Duke, E. Nilles","doi":"10.1371/journal.pwat.0000231","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000231","url":null,"abstract":"Hand hygiene (HH) can reduce transmission of healthcare-associated infections (HAIs) in healthcare facilities and is especially important in low- and middle-income countries where HH infrastructure may be insufficient and the burden of HAIs is highest. At baseline, we assessed HH infrastructure and practices among healthcare workers (HCWs) at two large hospitals in the Dominican Republic during the COVID-19 pandemic. HCWs were observed for HH adherence (HHA) (defined as the use of alcohol-based hand rub (ABHR) or handwashing with soap and water) before and after patient contact and donning new gloves before patient contact. The baseline assessment was repeated following implementation of local production and distribution of ABHR and a HH promotion campaign. Descriptive analyses and regression models evaluated predictors of HHA and glove use. Cumulative HHA was 18.9%. While patient-care areas with a functional HH resource increased from 47% at baseline to 92% after the intervention, HHA declined from 23.0% to 16.7%. HHA was higher after patient contact (aOR = 5.88; 95% CI = 4.17–8.33), during a period of increased COVID-19 risk (aOR = 1.69; 95% CI = 1.05–2.77), during invasive patient contacts (aOR = 1.64; 95% CI = 1.23–2.17) and when gloves were not used (aOR = 1.25; 95% CI = 1.01–1.56). The negative association between glove use and HHA diminished when access to HH resources increased. New gloves were donned before 39.6% of patient contacts. Glove use was higher among nurses (aOR = 7.12; 95% CI = 3.02–16.79) and during invasive contacts (aOR = 4.76; 95% CI = 2.27–10.0). While access to HH resources increased after the interventions, HHA did not increase. HHA was lower when COVID-19 risk was lower. Findings from this study may guide future efforts to increase HHA among HCWs.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":" 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140993878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate resilience of small-town water utilities in Eastern Ethiopia","authors":"Abraham Geremew, A. Nijhawan, B. Mengistie, Dinku Mekbib, Adrian Flint, Guy Howard","doi":"10.1371/journal.pwat.0000158","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000158","url":null,"abstract":"Climate change threatens the safety of water supplies globally, but small water supplies in rapidly growing and urbanizing towns in low- and middle-income countries are especially at risk. Despite the efforts of the Government of Ethiopia, research shows that that small-town water utilities in Ethiopia are poorly equipped to prioritize developing and maintaining climate-resilient water services. We applied the How tough is WASH framework for climate resilient water supplies to ten town water utilities in Eastern Ethiopia to identify their strengths and weaknesses in preparing for climate change. We found reports of weak institutional support from service authorities and exclusion of climate risk management from trainings, which cascades down to service providers in the form of lack of emergency response, inadequate staffing and financial mismanagement. This is consistent with previous studies on sustainability of town water utilities, and highlights the applicability of this tool into existing monitoring frameworks that have been proposed for town water utilities in Ethiopia. We also modified the How tough is WASH framework to capture these findings and better reflect the complexity of a utility-managed piped water supply.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"1 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141006259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}