Trihalomethanes and physicochemical quality of drinking water in Addis Ababa, Ethiopia.

Background: Trihalomethanes (THMs) are the most dominant fraction of all the byproducts formed during chlorination of water. Disinfection by product (DBP) formation in water is a function of numerous factors, including pH, temperature, residual chlorine, source water characteristics, and organic matter. No study has determined the THM level in the drinking water supply of Addis Ababa, Ethiopia. Methods: A cross-sectional design was conducted to collect water samples in the water supply distribution networks of Addis Ababa, Ethiopia. Twenty-one (21) sampling stations yielded a total of one hundred twenty (120) samples of drinking water. The sample handling and collection procedures were carried out in accordance with USEPA guidelines. A DB-5 capillary column was used to separate the THMs, which were detected using GC-ECD (gas chromatography-electron capture detector). Spectrophotometric and in situ methods were used for physicochemical parameters. Redundancy analysis (RDA) was used for data analysis of trihalomethanes and environmental variables using CANOCO 4.5. Results: The mean concentration of total trihalomethanes in drinking water in Addis Ababa was 76.3 µg/L. The concentration of chloroform in the drinking water supply in Addis Ababa, Ethiopia, ranged between 4.03 and 79.4 µg/L. The mean total THMs in the Legedadi and Gefersa water supply systems were 77.4 µg/L and 69.66 µg/L, respectively. The residual chlorine, phosphates, UV absorbance at 254 nm, and combined chlorine had positive correlations with THM formation. However, electron conductivity had a negative correlation with THM formation. Conclusions: Chloroform contributed the most to TTHMs in nearly all samples. The residual chlorine, UV absorbance, phosphate and hardness as calcium, and electron conductivity were found to be the main predictors determining the abundance and distribution of trihalomethanes. The monitoring and regulation of the THMs is required on a regular basis to analyse trends and guide the water treatment and distribution system.

Exposure and carcinogenic risk assessment of trihalomethanes (THMs) for water supply consumers in Addis Ababa, Ethiopia.

Background: Trihalomethanes (THMs), a class of DBPs (disinfection byproducts) that includes chloroform, bromodichloromethane (BDCM), chlorodibromomethane (CDBM), and bromoform. To the best of authors' knowledge, no study has addressed the relationship between the concentration of THMs and lifetime cancer risks (LCR) in drinking water supply system in Addis Ababa, Ethiopia. Therefore, this study aimed to determine the lifetime cancer risks of exposure to THMs in Addis Ababa, Ethiopia. Method: A total of 120 duplicate water samples were collected from 21 sampling points in Addis Ababa, Ethiopia. The THMs were separated by a DB-5 capillary column and detected by an electron capture detector (ECD). Cancer and non-cancer risk assessments were performed. Results: The average total THMs (TTHMs)concentration in Addis Ababa, Ethiopia, was 76.3 µg/L. Chloroform was the most dominant THM species identified. The total cancer risk for males was higher than that for females. The average LCR for TTHMs via ingestion in drinking water in this study was unacceptably high risk 93.4 × 10 - 2 . An average LCR through dermal routes was also of unacceptably high risk 4.3 × 10 - 2 . The LCR by chloroform contributes the highest (72%) of the total risk, followed by BDCM (14%), DBCM (10%) and bromoform (4%). Conclusions: The cancer risk of drinking water due to THMs in Addis Ababa was higher than the level recommended by the USEPA. The total LCR from the targeted THMs was higher via the three exposure routes. Males were at higher THM cancer risk than females. The hazard index (HI) indicated that the dermal route caused higher HI values than the ingestion route. It is essential to apply alternatives to chlorine, i.e., chlorine dioxide (ClO2), ozone and ultraviolet radiation, in Addis Ababa, Ethiopia. The monitoring and regulation of the THMs is required on a regular basis to analyse the trends and guide the water treatment and distribution system. Availability of data and materials: The datasets generated for this analysis are available from the corresponding author upon reasonable request.

Prevalence and Trends of Drinking Water Disinfection Byproducts-Related Cancers in Addis Ababa, Ethiopia.

Background: Disinfection byproducts (DBPs) from chlorinated drinking water have been linked to an increased risk of cancer in the bladder, stomach, colon, and rectum. No studies showed the independent trends and prevalence of these cancers in Ethiopia. Therefore, this study aimed to determine the prevalence and trends of disinfection byproducts-related cancers in Addis Ababa, Ethiopia. Methods: Data were collected from the Addis Ababa Cancer Registry. Spatial data sets were produced and classified into households receiving chlorinated surface water and less chlorinated groundwater. The Cochran-Armitage trend test was used to evaluate whether there was a disinfection byproducts-related cancers (DBRCs) trend among communities receiving chlorinated water. Negative binomial regression was used to analyze the incidence rate. Results: A total of 11, 438 cancer cases were registered between 2012 and 2016, and DBRCs accounted for approximately 17%. The majority of the total cancer cases were female; 7,706 (67%). The prevalence of DBRCs was found to be higher in communities supplied with chlorinated water. From 2012 to 2016, the trend of colon cancer increased (ß = 10.3, P value = .034); however, esophageal cancer decreased (ß = -6.5, P value = .018). Approximately 56% of colorectal cancer patients and 53% of stomach cancer patients are known to be using chlorinated surface water for drinking regularly. In addition, approximately 57.1% and 54% of kidney and bladder cancer patients, respectively, used chlorinated surface water. Conclusion: The prevalence of DBRCs in this study was found to be high. The colon cancer trend increased substantially from 2012 to 2016. The prevalence of DBRCs was higher in communities supplied with chlorinated surface water. Similarly, the prevalence of DBRCs was higher among males than females. Further study is required to validate the association between DBRCs and water chlorination.

Drinking Water Source, Chlorinated Water, and Colorectal Cancer: A Matched Case-Control Study in Ethiopia.

BACKGROUND: There is no study conducted on the association between disinfection byproducts (DBPs) in chlorinated drinking water and colorectal cancer (CRC) in Ethiopia. Therefore, this study aimed to determine the relation between chlorine based DBPs in drinking water and CRC in Addis Ababa, Ethiopia. METHODS: A facility based matched case control study was conducted involving 224 cases and 448 population controls from June 2020 to May 2021. Cases were defined as histologically confirmed CRC cases. Cases were matched with controls by residence, age, and sex using frequency and individual matching. Geocoding of cases, health facility, and georeferencing of controls were carried out. Data was collected using a pretested structured questionnaire. Pearson Chi square and Fisher's exact tests were employed to assess associations. Stratified analysis was used to detect confounding factors and effect modification. A multivariable conditional logistic regression was used to identify risk factors of CRC. RESULTS: Of 214 CRC cases, 148 (69.2%) used chlorinated water whereas out of 428 controls 161 (37.6%) used chlorinated water. In the final regression model, drinking chlorinated surface water (adjusted matched odds ratio [adjusted mOR] = 2.6; 95% CI 1.7-4.0), history of swimming (adjusted mOR = 2.4; 95% CI 1.4-4.1), years at the place of current residence (adjusted mOR = 1.5; 95% CI 1.1-2.2), hot tap water use for showering (adjusted mOR; 3.8 = 95% CI 2.5-5.9) were significantly associated with CRC. The stratified analysis confirmed that smoking and meat ingestion were not effect modifiers and confounders. CONCLUSION: Drinking chlorinated water for extended years is a significant risk factor for CRC in Addis Ababa, Ethiopia. In addition, hot tap water use for showering, and swimming history are risk factors for CRC. This information is essential to design integrated interventions that consider chlorination by-products and exposure routes toward the prevention and control of CRC in Ethiopia. Initiating alternative methods to chlorine disinfection of drinking water is also essential.

Spatial and temporal variations in the atmospheric concentrations of "Stockholm Convention" organochlorine pesticides in Kuwait.

The study reports fortnightly atmospheric concentrations of organochlorine pesticides concomitantly measured at an urban, "industrial" and a remote location over a twelve month period in Kuwait to examine seasonal variability and urban-rural concentration gradients. The average±SD (and range) of the ΣOC concentrations measured throughout the study period in decreasing order were urban, 505±305 (range, 33-1352) pgm-3, remote, 204±124 (4.5-556) pgm-3, and "industrial" 155±103 (8.8-533) pgm-3. The concentrations of most OCs measured in this study, except for DDT and its metabolites, were higher at urban locations relative to their concentrations at remote location, in line with the literature on POPs regarding urban conurbations being sources of industrial chemicals. The most abundant pesticides measured throughout this study were dieldrin, pentachlorobenzene, hexachlorobenzene, ΣDDTs, ΣHCHs, and oxychlordane. Hexachlorobenzene concentrations were generally higher than those of pentachlorobenzene and are both strongly negatively correlated with temperature (p<0.05) at all sampling locations. Mean summertime concentrations were higher for hexachlorocyclohexanes, chlordanes, dieldrin, and DDT isomers, except for pp-DDT. This may suggest that concentrations of these compounds may be driven by temperature.

Seasonal variations in the atmospheric concentrations of polychlorinated biphenyls in Kuwait.

The spatial and temporal variations in the atmospheric concentrations of PCBs were concomitantly measured at several sites over a twelve-month period in Kuwait to examine seasonal variability and urban-rural concentration gradients using two sampling methods. The annual mean (and range) of ∑PCB concentrations measured using high volume samplers was 10.8 (1.2-32) pg m-3 at the remote site and 39.4 (1.1-128) pg m-3 at the urban site. The median concentrations of ΣPCBs at the urban location (30.3 pg m-3) was significantly higher (p < 0.001) than that measured at the remote location (8.6 pg m-3) consistent with the view that urban centers are an important net source of these compounds to the environment. Passive sampler derived concentrations across the country showed a uniform distribution except at a few locations in the vicinity of suspected sources where elevated concentrations were measured. As with active sampling data, the concentrations measured using passive samplers were higher in urban areas (range, 4-78 pg/m3) compared to remote sites (range, 2.2-17 pg/m3). The concentrations measured at some urban sites correlated extremely well with mean temperature during the deployment period whereas temperature correlations with measured concentrations were negative at remote and semi-rural sites suggesting that air-surface exchange maybe a key driving mechanism of the current levels of PCBs in Kuwait.

Seasonal variations in the atmospheric concentrations of polybrominated diphenyl ethers in Kuwait.

The study reports fortnightly atmospheric concentrations of PBDEs concomitantly measured at an urban and a remote location over a twelve-month period in Kuwait to examine seasonal variability and urban-rural concentration gradients. The annual mean (and range) of ∑PBDE concentrations was 32 (3-208) pgm(-3) at the remote site and 57 (0.3-445) pgm(-3) at the urban site. Although not statistically significant, the median (29 pg m(-3)) and mean (57 pg m(-3)) concentrations at the urban location were higher than those measured at the remote location (18 and 29 pg m(-3) respectively), consistent with the view that urban centers are an important net source of these compounds to the environment. Although Clausius-Clapeyron plots showed statistically significant correlations (p<0.05) with temperature for low molecular weight congeners (BDEs 28, 47, 100), correlations with the ΣPBDE concentrations were not significant at both urban and remote sites. The seasonal variations in ΣPBDE concentrations were not markedly different at the urban location, but the median summer ΣPBDE concentration at the remote location was significantly higher than winter median ΣPBDE concentrations. The absence in seasonality at the urban location may be due to ongoing primary emissions in urban areas.