PLOS water最新文献

{"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}

{"title":"Unregulated drinking water contaminants and adverse birth outcomes in Virginia","authors":"Holly A. Young, Korine N. Kolivras, L. H. Krometis, C. Marcillo, J. Gohlke","doi":"10.1371/journal.pwat.0000208","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000208","url":null,"abstract":"Through the Unregulated Contaminant Monitoring Rule (UCMR), the Environmental Protection Agency monitors selected unregulated drinking water contaminants of potential concern. While contaminants listed in the UCMR are monitored, they do not have associated health-based standards, so no action is required following detection. Given evolving understanding of incidence and the lack of numeric standards, previous examinations of health implications of drinking water generally only assess impacts of regulated contaminants. Little research has examined associations between unregulated contaminants and fetal health. This study individually assesses whether drinking water contaminants monitored under UCMR 2 and, with a separate analysis, UCMR 3, which occurred during the monitoring years 2008–2010 and 2013–2015 respectively, are associated with fetal health outcomes, including low birth weight (LBW), term-low birth weight (tLBW), and preterm birth (PTB) in Virginia. Singleton births (n = 435,449) that occurred in Virginia during UCMR 2 and UCMR 3 were assigned to corresponding estimated water service areas (n = 435,449). Contaminant occurrence data were acquired from the National Contaminant Occurrence Database, with exposure defined at the estimated service area level to limit exposure misclassification. Logistic regression models for each birth outcome assessed potential associations with unregulated drinking water contaminants. Within UCMR 2, N-Nitroso-dimethylamine was positively associated with PTB (OR = 1.08; 95% CI: 1.02, 1.14, P = 0.01). Molybdenum (OR = 0.92; 95% CI: 0.87, 0.97, P = 0.0) and vanadium (OR = 0.96; 95% CI: 0.92, 1.00, P = 0.04), monitored under UCMR 3, were negatively associated with LBW. Molybdenum was also negatively associated (OR = 0.90; 95% CI: 0.82, 0.99, P = 0.03) with tLBW, though chlorodifluoromethane (HCFC-22) was positively associated (OR 1.18; 95% CI: 1.01, 1.37, P = 0.03) with tLBW. These findings indicate that unregulated drinking water contaminants may pose risks to fetal health and demonstrate the potential to link existing health data with monitoring data when considering drinking water regulatory determinations at the national scale.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141053668","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":"Applying user-centered design to improve drinking water consumer confidence reports: A Baltimore case study","authors":"M. Fox, Vidisha Agarwalla, Kayla R. Iuliano, J. H. Munroe, K. Nachman, Thomas A. Burke","doi":"10.1371/journal.pwat.0000162","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000162","url":null,"abstract":"The US Environmental Protection Agency is revising its policy on drinking water quality reports for consumers. These reports are intended to enhance the public’s “right to know” and to spur action to protect and promote safe water. However, these reports are known to be highly technical and difficult to access compromising their communication value. This study engaged a 10-person focus group to gather evidence on how these reports can be improved. We applied user-centered design principles to understand public drinking water consumer information needs and preferences and to develop new communication tools and methods. Through a set of in-depth interviews, we learned that most participants were unaware of the report until introduced to it during the study. The focus group participants voiced preferences for: better ways to convey technical information; more health information; a clearer understanding of costs and billing; and neighborhood or household level water quality information. Following the interviews, we convened two rounds of small group meetings to create new report designs and to review and refine the designs. The focus group developed a one-page summary statement, water contaminant trend charts, an interactive map, and other recommendations on ways to improve dissemination of the report. The project results, focus group recommendations and designs were submitted to the US Environmental Protection Agency for consideration as the policy for these reports is finalized. We believe these findings provide valuable insights into water quality communication challenges and that this approach is widely applicable and can be informative for water utilities as they prepare future reports.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"27 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140657919","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":"Complex drivers of geomorphic response and habitat formation revealed in multiyear monitoring of Cosumnes River experimental floodplain reconnection","authors":"Britne Clifton, J. Viers","doi":"10.1371/journal.pwat.0000132","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000132","url":null,"abstract":"In this study, we examine a novel levee breach experiment that reconnected a floodplain along the Cosumnes River, California to determine the decadal impact of removing 250 meters of levee and assess the recruitment of large wood. This is the latest study in an ongoing series of investigations 40 years in the making along the largest river on the western slope of the Sierra Nevada without a major dam. We present the findings of this multi-modal investigation here by first measuring the geomorphic alteration of the floodplain surface to quantify the depletion and accretion of sediment across the excavated site. We then identify and quantify the deposition of large wood. Results indicate initiation of anastomosing channel formation and distinct areas of large wood recruitment supporting a naturally evolving lateral levee. Accretion resulted in more than 25,000 m3 of sediment deposition within the original excavation site, the development of multiple sand splays, and natural recruitment of native riparian tree species. We conclude by discussing implications following other approaches to floodplain restoration as a Nature-based Solution. In episodic flow regimes, like in California’s Mediterranean-montane hydroclimatic regime, restoring lateral hydrologic connectivity facilitates ecosystem function. Large flood pulse events drive sediment dynamics and geomorphic heterogeneity while enriching biodiversity through biogeochemical fluxes and habitat creation on reconnected floodplains that store floodwaters and reduce peak discharge. These findings support the importance of long-term monitoring efforts of floodplain restoration.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":" 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140691242","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":"Large scale water yield assessment for sparsely monitored river basins: A case study for Afghanistan","authors":"Fazlul Karim, David J. Penton, Santosh K. Aryal, Shahriar Wahid, Yun Chen, Peter Taylor, Susan M. Cuddy","doi":"10.1371/journal.pwat.0000165","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000165","url":null,"abstract":"This paper presents results from a study on water yield assessment across five major river basins of Afghanistan. The study was conducted using GR4J and GR4JSG precipitation-runoff models. The river basins were divided into 207 subcatchments and each subcatchment was divided into multiple functional units. The model was calibrated using observed streamflow data from 2008 to 2015 and validated over the 2016 to 2020 period. Model parameters were calibrated for an unregulated subcatchment in each basin and calibrated parameters from the best-performing subcatchment were transferred to other subcatchments. Results show that modelled water yield across the five basins varies from 0.3 mm in the Helmand basin to 248 mm in the Panj-Amu basin, with an average of 72.1 mm for the entire country. In the period of 2008 to 2020, area averaged water yield in the five basins varies from 36 to 174 mm. For the same period, mean annual precipitation for the entire country is 234.0 mm, indicating a water yield of 30.8%. The nation-wide average water yield of 72.1 mm is equivalent to 46.3 billion cubic meters (BCM) of surface water for the country. In addition, about 28.9 BCM generates annually in the neighbouring Tajikistan and Pakistan from snow and glaciers of the Hindu-Kush mountains. The elevated northern parts of Afghanistan, including parts of neighbouring Tajikistan are the primary water source. Water yield across the country varies between years but there is no consistent increasing or decreasing trends. About 60 to 70% of flow occurs between March to June. The study identified the high water yield areas and investigated variability at monthly, seasonal, and annual time scales. An importance finding is the large spatial and temporal variability of water yield across the basins. This information is crucial for long-term water resources planning and management for agricultural development.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"15 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696343","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":"Integrating data within watershed management and public health","authors":"Lars K. Hallstrom","doi":"10.1371/journal.pwat.0000237","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000237","url":null,"abstract":"","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"20 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140696318","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":"Stage and discharge prediction from documentary time-lapse imagery","authors":"Kenneth W. Chapman, T. Gilmore, M. Mehrubeoglu, Christian D. Chapman, A. Mittelstet, John E. Stranzl","doi":"10.1371/journal.pwat.0000106","DOIUrl":"https://doi.org/10.1371/journal.pwat.0000106","url":null,"abstract":"Imagery from fixed, ground-based cameras is rich in qualitative and quantitative information that can improve stream discharge monitoring. For instance, time-lapse imagery may be valuable for filling data gaps when sensors fail and/or during lapses in funding for monitoring programs. In this study, we used a large image archive (>40,000 images from 2012 to 2019) from a fixed, ground-based camera that is part of a documentary watershed imaging project (https://plattebasintimelapse.com/). Scalar image features were extracted from daylight images taken at one-hour intervals. The image features were fused with United States Geological Survey stage and discharge data as response variables from the site. Predictions of stage and discharge for simulated year-long data gaps (2015, 2016, and 2017 water years) were generated from Multi-layer Perceptron, Random Forest Regression, and Support Vector Regression models. A Kalman filter was applied to the predictions to remove noise. Error metrics were calculated, including Nash-Sutcliffe Efficiency (NSE) and an alternative threshold-based performance metric that accounted for seasonal runoff. NSE for the year-long gap predictions ranged from 0.63 to 0.90 for discharge and 0.47 to 0.90 for stage, with greater errors in 2016 when stream discharge during the gap period greatly exceeded discharge during the training periods. Importantly, and in contrast to gap-filling methods that do not use imagery, the high discharge conditions in 2016 could be visually (qualitatively) verified from the image data. Half-year test sets were created for 2016 to include higher discharges in the training sets, thus improving model performance. While additional machine learning algorithms and tuning parameters for selected models should be tested further, this study demonstrates the potential value of ground-based time-lapse images for filling large gaps in hydrologic time series data. Cameras dedicated for hydrologic sensing, including nighttime imagery, could further improve results.","PeriodicalId":93672,"journal":{"name":"PLOS water","volume":"4 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140695887","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}