Photo-induced time-dependent controllable wettability of dual-responsive multi-functional electrospun MXene/polymer fibers.

Switchable wettability potential in smart fibers is of paramount importance in various applications. Light-induced controllable changes in surface wettability have a significant role in this area. Herein, smart waterborne homopolymer, functional copolymer with different polarity and flexibility, and multi-functional terpolymer particles containing a time-dependent dual-responsive acrylated spiropyran, as a polymerizable monomer, were successfully synthesized through eco-friendly single-step emulsifier-free emulsion polymerization. Presence of 10 wt% of butyl acrylate and dimethylaminoethyl methacrylate relative to methylmethacrylate as functional comonomers decreased the Tg of the samples almost 20 ℃ and increased their polarity. The optical properties of the particles were investigated, and the UV-vis and fluorescence spectroscopy results showed that not only polarity and flexibility of the polymer chains may have a positive effect on improving the optical properties, but also the simultaneous presence of functional groups has a synergistic effect. The smart polymer particles with flexibility and polarity features exhibited higher absorption and emission compared to other samples. Inspired by these findings, multi-functional smart polymer fibers were prepared using the electrospinning method. The smart multi-functional electrospun fibers containing few-layer Ti3C2 MXenes were synthesized to improve the fibers' properties and change the surface wettability due to the hydrophilic functional groups of MXene. Field-emission scanning electron microscopy images displayed the successful preparation of few-layer MXenes. Smooth and bead-free fibers with bright red fluorescence emission under UV irradiation were shown using fluorescence microscopy. The study on the surface wettability of fibers revealed that UV and visible light irradiation induced reversible time-dependent changes in the wettability of the smart multi-functional MXene/polymer electrospun fibers from hydrophobic to hydrophilic, reaching a water contact angle of 10° from an initial water contact angle of 100° under UV light and also changing to superhydrophilic state with passing time. Upon visible light exposure, the fibers returned to their original state. Furthermore, the fibers demonstrated a high stability over five alternating cycles of UV and visible light irradiation. This study shows that the fabrication of time-dependent smart fibers, utilizing the flexibility and polarity in the presence of MXenes, significantly improves and controls surface wettability changes. The outstanding dynamically photo-switchable wettability of these fibers may offer exciting opportunities in various applications, especially in the separation of oil from water contaminants.

Cross-linking manipulation of waterborne biodegradable polyurethane for constructing mechanically adaptable tissue engineering scaffolds.

Mechanical adaptation of tissue engineering scaffolds is critically important since natural tissue regeneration is highly regulated by mechanical signals. Herein, we report a facile and convenient strategy to tune the modulus of waterborne biodegradable polyurethanes (WBPU) via cross-linking manipulation of phase separation and water infiltration for constructing mechanically adaptable tissue engineering scaffolds. Amorphous aliphatic polycarbonate and trifunctional trimethylolpropane were introduced to polycaprolactone-based WBPUs to interrupt interchain hydrogen bonds in the polymer segments and suppress microphase separation, inhibiting the crystallization process and enhancing covalent cross-linking. Intriguingly, as the crosslinking density of WBPU increases and the extent of microphase separation decreases, the material exhibits a surprisingly soft modulus and enhanced water infiltration. Based on this strategy, we constructed WBPU scaffolds with a tunable modulus to adapt various cells for tissue regeneration and regulate the immune response. As a representative application of brain tissue regeneration model in vivo, it was demonstrated that the mechanically adaptable WBPU scaffolds can guide the migration and differentiation of endogenous neural progenitor cells into mature neurons and neuronal neurites and regulate immunostimulation with low inflammation. Therefore, the proposed strategy of tuning the modulus of WBPU can inspire the development of novel mechanically adaptable biomaterials, which has very broad application value.

The microbiome at the interface between environmental stress and animal health: an example from the most threatened vertebrate group.

Nitrate pollution and global warming are ubiquitous stressors likely to interact and affect the health and survival of wildlife, particularly aquatic ectotherms. Animal health is largely influenced by its microbiome (commensal/symbiotic microorganisms), which responds to such stressors. We used a crossed experimental design including three nitrate levels and five temperature regimes to investigate their interactive and individual effects on an aquatic ectotherm, the European common frog. We associated health biomarkers in larvae with changes in gut bacteria diversity and composition. Larvae experienced higher stress levels and lower body condition under high temperatures and nitrate exposure. Developmental rate increased with temperature but decreased with nitrate pollution. Alterations in bacteria composition but not diversity are likely to correlate with the observed outcomes in larvae health. Leucine degradation decreased at higher temperatures corroborating accelerated development, nitrate degradation increased with nitrate level corroborating reduced body condition and an increase in lysine biosynthesis may have helped larvae deal with the combined effects of both stressors. These results reinforce the importance of associating traditional health biomarkers with underlying microbiome changes. Therefore, we urge studies to investigate the effects of environmental stressors on microbiome composition and consequences for host health in a world threatened by biodiversity loss.

In the Depths of Wash Water: Isolation of Opportunistic Bacteria from Fresh-Cut Processing Plants.

The fruit and vegetable industry in post-harvest processing plants is characterized by a substantial consumption of water resources. Wash waters may serve as an environment for the periodic or permanent habitation of microorganisms, particularly if biofilm forms on the inner walls of tanks and flushing channels. Despite the implementation of integrated food safety monitoring systems in numerous countries, foodborne pathogens remain a global public health and food safety concern, particularly for minimally processed food products such as vegetables and fruits. This necessitates the importance of studies that will explore wash water quality to safeguard minimally processed food against foodborne pathogen contamination. Therefore, the current study aimed to isolate and identify bacteria contaminating the wash waters of four fresh-cut processing plants (Poland) and to evaluate the phenotypic antibiotic resistance profiles in selected species. Bacteria were isolated using membrane filtration and identified through mass spectrometry, followed by antibiotic susceptibility testing according to EUCAST guidelines. The results revealed that the level of contamination with total aerobic bacteria in the water ranged from 1.30 × 106 cfu/mL to 2.54 × 108 cfu/mL. Among the isolates, opportunistic pathogens including Enterococcus faecalis, Pseudomonas aeruginosa, Klebsiella oxytoca, Klebsiella pneumoniae, Serratia marcescens, and Proteus vulgaris strains were identified. An especially noteworthy result was the identification of cefepime-resistant K. oxytoca isolates. These findings highlight the importance of monitoring the microbial microflora in minimally processed foods and the need for appropriate sanitary control procedures to minimize the risk of pathogen contamination, ensuring that products remain safe and of high quality throughout the supply chain.

Preparation and Characterization of Fluorinated Acrylate and Epoxy Co-Modified Waterborne Polyurethane.

Conventional waterborne polyurethane (WPU) has poor water resistance and poor overall performance, which limits its application in outdoor coatings. A solution to this problem is urgently needed. The introduction of fluorine-containing groups can effectively improve the water resistance of WPU. In this study, a new fluorinated chain extender (HFBMA-HPA) synthesized by free radical copolymerization and epoxy resin (E-44) were used to co-modify WPU, and five waterborne fluorinated polyurethane (WFPU) emulsions with different fluorine contents were prepared by the self-emulsification method. The effects of HFBMA-HPA content on the emulsion particle properties, coating surface properties, mechanical properties, water resistance, thermal stability, and corrosion resistance were investigated. The results showed that the WFPU coating had excellent thermal stability, corrosion resistance, and mechanical properties. As the content of HFBMA-HPA increased from 0 wt% to 14 wt%, the water resistance of the WFPU coating gradually increased, the water contact angle (WCA) increased from 73° to 98°, the water absorption decreased from 7.847% to 3.062%, and the surface energy decreased from 32.8 mN/m to 22.6 mN/m. The coatings also showed impressive performances in the adhesion and flexibility tests in extreme conditions. This study provides a waterborne fluorinated polyurethane material with excellent comprehensive performance that has potential application value in the field of outdoor waterproof and anticorrosion coatings.

Flexible Ti3C2Tx-Polyurethane Electrodes for Versatile Wearable Applications.

With the development of science and technology, wearable electronics are increasingly widely used in medical, environmental monitoring, and other fields. Thus, the demand for flexible electrodes is increasing. The two-dimensional material Ti3C2Tx has attracted much attention in the manufacture of flexible electrodes due to its excellent mechanical and electrical properties. However, the brittleness of pure Ti3C2Tx films has become a major obstacle for their use as flexible electrodes in wearable devices. Therefore, solving the brittleness problem of flexible electrodes based on Ti3C2Tx while maintaining the excellent performance of Ti3C2Tx has become an urgent problem. To solve this problem, Ti3C2Tx was compounded with waterborne polyurethane (WPU), and a Ti3C2Tx-WPU composite film with a hierarchical structure was constructed by evaporation-assisted self-assembly. The Ti3C2Tx-WPU composite film not only retains the excellent electrical conductivity of Ti3C2Tx (100 S m-1) but also has flexibility (20 MJ m-3). Furthermore, the Ti3C2Tx-WPU composite film is applied to functional devices such as contact pressure sensors and non-contact proximity sensors. Finally, the Ti3C2Tx-WPU composite film wearable device demonstrates its practical application potential in the field of wearable devices.

Preparation and Characterization of Graphene Oxide/Carbon Nanotube/Polyaniline Composite and Conductive and Anticorrosive Properties of Its Waterborne Epoxy Composite Coatings.

The organic coating on the surface is common and the most effective method to prevent metal materials from corrosion. However, the corrosive medium can penetrate the metal surface via micropores, and electrons cannot transfer in the pure resin coatings. In this paper, a new type of anticorrosive and electrically conductive composite coating filled with graphene oxide/carbon nanotube/polyaniline (GO/CNT/PANI) nanocomposites was successfully prepared by in situ polymerization of aniline (AN) on the surface of GO and CNT and using waterborne epoxy resin (WEP) as film-forming material. The structure and morphology of the composite were characterized using a series of characterization methods. The composite coatings were comparatively examined through resistivity, potentiodynamic polarization curves, electrochemical impedance spectroscopy (EIS), and salt spray tests. The results show that the GO/CNT/PANI/WEP composite coating exhibits excellent corrosion resistance for metal substrates and good conductivity when the mass fraction of GO/CNT/PANI is 3.5%. It exhibits a lower corrosion current density of 4.53 × 10-8 A·cm-2 and a higher electrochemical impedance of 3.84 × 106 Ω·cm2, while only slight corrosion occurred after 480 h in the salt spray test. The resistivity of composite coating is as low as 2.3 × 104 Ω·cm. The composite coating possesses anticorrosive and electrically conductive properties based on the synergistic effect of nanofillers and expands the application scope in grounding grids and oil storage tank protection fields.

Effects of Polymer-Curing Agent Ratio on Rheological, Mechanical Properties and Chemical Characterization of Epoxy-Modified Cement Composite Grouting Materials.

This study designs and uses water-borne epoxy resin (WBER) and curing agent (CA) to modify traditional cement-based grouting for tunnels. The purpose of this paper is to analyze the rheological and mechanical properties of composite grouting with different ratios of WBER and CA and analyze the modification mechanism by means of chemical characterization to explore the feasibility of WBER as a high-performance modifier for tunnel construction. The composite grouting is prepared by mixing cement paste with polymer emulsion. A series of experiments was carried out to investigate the effects of WBER and CA, including the slump test, viscosity, rheological curve, setting time, bleeding rate, grain size distribution, zeta potential, compressive and splitting tensile strength, X-ray diffraction(XRD), Fourier-transform infrared spectroscopy (FT-IR), and scanning electron microscopy (SEM), on the composite grout. The results show that WBER improves grout fluidity, which decreases in combination with CA, while also reducing the average particle size of the composite grout for a more rational size distribution. Optimal uniaxial (38.9%) and splitting tensile strength (48.7%) of the grout are achieved with a WBER to CA mass ratio of 2:1. WBER accelerates cement hydration, with the modification centered on the reaction between free Ca2+ and polymer-OH, significantly enhancing the strength, fluidity, and stability of the polymer-modified composite grout compared to traditional cement-based grouting.

Smart waterborne disease control for a scalable population using biodynamic model in IoT network.

We propose a biodynamic model for managing waterborne diseases over an Internet of Things (IoT) network, leveraging the scalability of LoRa IoT technology to accommodate a growing human population. The model, based on fractional order derivatives (FOD), enables smart prediction and control of pathogens that cause waterborne diseases using IoT infrastructure. The human-pathogen-based biodynamic FOD model utilises epidemic parameters (SVIRT: susceptibility, vaccination, infection, recovery, and treatment) transmitted over the IoT network to predict pathogenic contamination in water reservoirs and dumpsites in Iji-Nike, Enugu, the study community in Nigeria. These pathogens contribute to person-to-person, water-to-person, and dumpsite-to-person transmission of disease vectors. Five control measures are proposed: potable water supply, treatment, vaccination, adequate sanitation, and health education campaigns. A stable disease-free equilibrium point is found when the effective reproduction number of the pathogens, R0eff<1 and unstable if R0eff>1. While other studies showed a 98.2% reduction in infections when using IoT alone, this paper demonstrates that combining the SVIRT epidemic control parameters (such as potable water supply and health education campaign) with IoT achieves a 99.89% reduction in infected human populations and a 99.56% reduction in pathogen populations in water reservoirs. Furthermore, integrating treatment with sanitation results in a 99.97% reduction in infected populations. Finally, combining these five control strategies nearly eliminates infection and pathogen populations, demonstrating the effectiveness of multifaceted approaches in public health and environmental management. This study provides a blueprint for governments to plan sustainable smart cities for a growing population, ensuring potable water free from pathogenic contamination,in line with the United Nations Sustainable Development Goals #6 (Clean Water and Sanitation) and #11 (Sustainable Cities and Communities).

Children With Hepatitis in a Tertiary Care Center in Nepal: A Prospective Observational Study.

Objective. Viral hepatitis is a global problem leading to significant morbidity and mortality in adults as well as children. This study explores Hepatitis A among Nepalese children and their water habits. Methods. A prospective observational study was conducted over a period of 10 years among Nepalese children. We included 287 children with hepatitis in our study. Results. Among 287 children studied, 266 had Hepatitis A. There were 33 toddlers (11.5%), 121 pre-school children (42.2%), 102 school children (35.5%), and 31 adolescents (10.8%). Ninety-one (32%) children used filtered water, 55 (19%) used boiled water, 23 (8%) used boiled and filtered water, 53 (18%) used jar water and 65 (23%) used direct tap water. Five children had complications. One child died due to complications. The mortality rate in the study was 0.38%. Conclusion. Hepatitis A affected pre-school and school children most. Boiled and filtered is safest against transmission of Hepatitis A.

Waterborne polyurethane nanoparticles incorporating linoleic acid as a potential strategy for controlling antibiotic resistance spread in the mammalian intestine.

Plasmid-mediated conjugative transfer of antibiotic resistance genes (ARGs) within the human and animal intestine represents a substantial global health concern. linoleic acid (LA) has shown promise in inhibiting conjugation in vitro, but its in vivo effectiveness in the mammalian intestinal tract is constrained by challenges in efficiently reaching the target site. Recent advancements have led to the development of waterborne polyurethane nanoparticles for improved drug delivery. In this study, we synthesized four waterborne polyurethane nanoparticles incorporating LA (WPU@LA) using primary raw materials, including N-methyldiethanolamine, 2,2'-(piperazine-1,4-diyl) diethanol, isophorone diisocyanate, castor oil, and acetic acid. These nanoparticles, identified as WPU0.89@LA, WPU0.99@LA, WPU1.09@LA, and WPU1.19@LA, underwent assessment for their pH-responsive release property and biocompatibility. Among these, WPU0.99@LA displayed superior pH-responsive release properties and biocompatibility towards Caco-2 and IPEC-J2 cells. In a mouse model, a dosage of 10 mg/kg/day WPU0.99@LA effectively reduced the conjugation of IncX4 plasmids carrying the mobile colistin resistance gene (mcr-1) by more than 45.1-fold. In vivo toxicity assessment demonstrated that 10 mg/kg/day WPU0.99@LA maintains desirable biosafety and effectively preserves gut microbiota homeostasis. In conclusion, our study provides crucial proof-of-concept support, demonstrating that WPU0.99@LA holds significant potential in controlling the spread of antibiotic resistance within the mammalian intestine.

Enhancing corrosion resistance and self-healing of water-borne epoxy coatings using Ti3C2Tx-supported tannic acid on UIO-66-NH2.

In this study, we developed a composite material comprising UIO-66-NH2 encapsulated tannic acid (TA) loaded on Ti3C2Tx to improve the corrosion resistance of water borne epoxy (WEP) coatings. The successful synthesis of the material was determined by FT-IR, XRD, XPS, EDS, TGA, SEM and TEM characterization. Furthermore, ultraviolet (UV)tests were conducted to evaluate the release rate of TA at varying pH levels, revealing a release rate of approximately 95 % at pH 2. Electrochemical impedance spectroscopy (EIS) results over 60 d indicated that the Rc value of TU-T/WEP remained unchanged at 3.934 × 108, demonstrating a two-order magnitude increase compared to those of pure epoxy coatings, attributed to the synergistic active and passive protection of TU-T materials. The self-healing ability of the TU-T/WEP coating was validated through manual scratch experiments. Additionally, the EIS test showed that the Rc value of TU-T/WEP coating increased to 3.5 × 105 after 72 h, representing a two-order magnitude increase over that of the WEP coating alone. This study introduces a novel approach using green tannic acid as a corrosion inhibitor and amino-functionalized Ti3C2Tx with UIO-66-NH2 to enhance corrosion resistance and self-healing aproperties of coatings.

Influence of the airflow and humidity on the chain aggregation during the film-formation in a flexible waterborne polyurethane formulation.

STATEMENT OF OBJECTIVES: Soft, waterborne polyurethane dispersions are indispensable components in many state-of-the-art materials, with applications ranging from binders for coatings and adhesives to matrixes for flexible devices. While the static bulk nanostructure of such systems is widely studied, the influence that environmental conditions such as relative humidity and airflow have on their film formation and phase segregation behavior in supported films is unknown. EXPERIMENTS: Here, we elucidate the nanostructure evolution occurring during drying of an industrially relevant, soft polyurethane, utilizing real-time, non-destructive grazing incidence X-ray scattering analysis. Using an environmental-controlled casting cell, we highlight the differences between the drying mechanism under different conditions generated by tuning the airflow and the relative humidity. FINDINGS: Our results show how the environment's relative humidity strongly influences chain aggregation and chain interdiffusion due to extended plasticization of the hard segment at high humidities, while accelerated air flows are responsible for the occurrence of (partial) skinning. Interestingly, despite changes in the chain aggregation behavior and occurrence of skinning and skin breakup during drying resulting in higher roughness at the film surface, minor influence is registered on the bulk tensile properties of the films, revealing the resilient nature towards environmental conditions of these soft weakly phase segregating polyurethane systems.

Eco-Friendly Waterborne Polyurethane Coating Modified with Ethylenediamine-Functionalized Graphene Oxide for Enhanced Anticorrosion Performance.

This study explores the potential of graphene oxide (GO) as an additive in waterborne polyurethane (WPU) resins to create eco-friendly coatings with enhanced anticorrosive properties. Traditionally, WPU's hydrophilic nature has limited its use in corrosion-resistant coatings. We investigate the impact of incorporating various GO concentrations (0.01, 0.1, and 1.3 wt%) and functionalizing GO with ethylenediamine (EDA) on the development of anticorrosive coatings for carbon steel. It was observed, by potentiodynamic polarization analysis in a 3.5% NaCl solution, that the low GO content in the WPU matrix significantly improved anticorrosion properties, with the 0.01 wt% GO-EDA formulation showing exceptional performance, high Ecorr (-117.82 mV), low icorr (3.70 × 10-9 A cm-2), and an inhibition corrosion efficiency (η) of 99.60%. Raman imaging mappings revealed that excessive GO content led to agglomeration, creating pathways for corrosive species. In UV/condensation tests, the 0.01 wt% GO-EDA coating exhibited the most promising results, with minimal corrosion products compared to pristine WPU. The large lateral dimensions of GO sheets and the cross-linking facilitated by EDA enhanced the interfacial properties and dispersion within the WPU matrix, resulting in superior barrier properties and anticorrosion performance. This advancement underscores the potential of GO-based coatings for environmentally friendly corrosion protection.

The use of a solar simulator device to standardize microbiological decontamination of contaminated water by solar disinfection by the SODIS and MB/SODIS protocols.

Consuming microbiologically-contaminated water is the primary cause of many water-borne diseases and deaths worldwide. Governments aim at providing drinking water for vulnerable populations, especially through low-cost interventions. Therefore, the solar disinfection (SODIS) of such pathogens provides a simple and cost-effective way to obtain good quality water. In this procedure, PET bottles are filled with contaminated water and exposed to sunlight for 1-2 days. To accelerate decontamination, methylene blue (MB) dye added as a photocatalyst, boosts singlet oxygen generation upon absorbing red-band sunlight. This study explores the use of a Sunlight Simulator (SSL) device to research and standardize the SODIS method with a vital dye as MB. PET bottles were filled with artificially-contaminated water with Streptococcus epidermidis and Deinococcus radiodurans Gram-positive bacteria, Escherichia coli and Salmonella typhimurium Gram-negative bacteria, or bacteriophage λ as well. In all experiments, 50 ng/mL MB ensued a synergistic lethal effect after SSL exposure. The results indicate that bacterial and bacteriophage inactivation can be achieved in shorter times with MB-SSL treatment compared to SSL without MB. In this sense, when compared to previous sunlight-SODIS results, the SSL source is a reliable tool to study the parameters of both SODIS and MB-SODIS protocols, and also a feasible tool to afford assays whenever there are unfavorable climate conditions.

Enterocytozoon bieneusi, a human pathogen.

Although brought to the forefront in the 1980s with the AIDS pandemic, microsporidia infecting humans are still little known. Enterocytozoon bieneusi, by far the most frequent microsporidia species causing diseases in humans, is responsible for intestinal illness in both non- and immunocompromised patients. This species presents an astonishing genetic diversity with more than 500 genotypes described, some of which have a strong zoonotic potential. Indeed, E. bieneusi infects a broad array of hosts, from wild to domestic animals. This emerging eukaryotic pathogen has thus been associated with foodborne/waterborne outbreaks. Several molecular assays have been developed to enhance its diagnosis or for epidemiological purposes, providing valuable new data. Here, we propose an overview of the current knowledge on this major species among the microsporidia, so far rather neglected in human medicine.

The effect of anionic emulsifiers' diversity and manufacturing processes on the stability and mechanical properties of the water-based epoxy-emulsified asphalt.

Emulsified asphalt mixtures' cold mix and paving features facilitate asphalt pavements in fulfilling dual-carbon and energy-saving demands. Anionic emulsifiers can enhance emulsion stability, ensure uniform dispersion of oil and water, possess good decompression viscosity, thickening, and lubricating properties, and maintain good stability under acidic conditions. Nevertheless, anionic emulsified asphalt is restricted in engineering applications due to problems like its storage stability. In this paper, eight anionic emulsifiers and two preparation procedures were chosen for stability tests. Through static tests, storage tests, sieve residue tests, and laser particle size tests, the impacts of emulsifiers on the storage stability and dispersion of asphalt were analyzed. Waterborne epoxy resin exhibits excellent adhesive properties, mechanical properties, chemical resistance, and heat stability. A fluorescence microscope test, static and storage test, laser particle size test, and cementation test were employed to explore the effects of different preparation processes and waterborne epoxy mixing ratios on emulsified asphalt's storage stability, dispersion stability, and structural stability. The results showed that: (1) the emulsified asphalt prepared with the BWH-02 emulsifier exhibits the best storage stability, and blending with 20% of the waterborne epoxy modifier can notably enhance the bonding properties; (2) the shear strength of the BWH-02 waterborne epoxy emulsified asphalt prepared can reach 1.543 MPa, and the tensile viscosity can reach 0.848 MPa; (3), The emulsified asphalt prepared by the process of modification has better storage stability than that prepared by the side of the emulsification process. Moreover, the storage stability of emulsified asphalt prepared by emulsification and modification is superior to that of the emulsification and modification process. This research provides theoretical and technical support for popularizing and applying cold-mixed cold-paving asphalt mixtures.

Global associations between the use of basic drinking water and sanitation services with diarrhoeal disease incidence in 200 countries and territories from 2000 to 2019.

OBJECTIVES: Globally, billions of people do not have access to safely managed drinking water and sanitation services. Interventions to improve drinking water, sanitation and hygiene could reduce the incidence of diarrhoea in low- and middle-income countries. This study aimed to investigate the association between these services and the incidence of diarrhoea. STUDY DESIGN: Worldwide, ecological observational study, utilising cross-sectional data. METHODS: Data from the Global Burden of Disease Study 2019 and World Bank were used in this study. Diarrhoeal disease episodes were defined as three or more loose bowel movements within 24 h. Estimated Annual Percentage Change was used to quantify trends in disease incidence over a specific time interval. Quasi-Poisson Generalised Linear Model was introduced to analyse the influence of basic drinking water and sanitation services on the incidence of diarrhoea. Subgroup analyses were carried out to determine potential variations in the incidence of diarrhoeal diseases according to sex, age and sociodemographic index (SDI) region. RESULTS: Between 2000 and 2019, the incidence rate of global diarrhoea remained consistent, with regional variations linked to SDIs. A 1% increase in access to basic drinking water was associated with a 0.41% (95% confidence interval [CI], 0.33%-0.50%) increase in the age-standardised incidence rate of diarrhoea; meanwhile, a 1% increase in sanitation service usage was associated with a 0.47% (95% CI, 0.40%-0.54%) reduction in the age-standardised incidence rate of diarrhoea. The correlation differed across SDI regions. The use of safely managed drinking water was associated with a reduction in diarrhoeal disease rates, but the effect was non-significant in High SDI regions. Higher diarrhoeal disease incidence was seen in younger and older populations. Individuals in the age groups 55-59 years and 10-14 years showed the greatest association of water service usage with diarrhoea, while an increase in sanitation service usage was related to decreased diarrhoea rates in most age groups, excluding children aged 5-14 years. CONCLUSIONS: Emphasising initiatives to enhance water quality, elevate the standards of drinking water safety management, and strengthening related infrastructure development in global health policies and development plans could have a positive impact on overall global health. Such comprehensive interventions have the potential to not only prevent waterborne diseases but also elevate the general health status of societies worldwide.

Discovery of a new volcanic soil material, "Akahoya," as an adsorbent for bacterial and viral pathogens and its application to environmental purification.

Akahoya is a volcanic soil rich in alumina, primarily deposited in Kyushu, Japan. We have found that Akahoya adsorbs bacteria in the water surrounding cattle grazing areas, suggesting a potential for environmental purification. This study investigated the spectrum of microorganisms adsorbed by Akahoya using a column filled with Akahoya through which a suspension of microorganisms was passed. Shirasu soil, another volcanic soil with a different chemical composition, was used as a control. Akahoya effectively adsorbed a diverse range of microorganisms including Escherichia coli, Campylobacter jejuni, Vibrio parahaemolyticus, Salmonella Enteritidis, Staphylococcus aureus, Clostridium perfringens, spores of Bacillus subtilis and Bacillus anthracis, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), murine norovirus, and avian influenza virus (H3N2), whereas Shirasu soil did not adsorb any of the organisms examined. Moreover, bacteria naturally present in river water, such as aerobic bacteria, total coliforms, and Enterobacteriaceae as indicators of river contamination, as well as E. coli added artificially to sterilized river water, were reduced to below the detection limit (<1 CFU/mL) after being passed through Akahoya. Additionally, the number of viable E. coli continued to decrease after contact with Akahoya for 1 month, suggesting bactericidal effects. Notably, the adsorption of E. coli to Akahoya was influenced by the concentration of phosphate and the pH of the suspension due to the interaction between the surface phosphorylation of organisms and Al2O3, the major chemical component of Akahoya. The present results demonstrate the remarkable ability of Akahoya to remove phosphate and microbes, suggesting that Akahoya could be used for water purification processes.IMPORTANCEAlthough a safe and sufficient water supply is essential for the maintenance of hygienic conditions, a major challenge is to develop a comprehensive effective, sustainable, and cost-effective technological approach for the treatment and purification of contaminated water. In this study, we demonstrated that a novel volcanic soil, Akahoya, which has unlimited availability, is a highly effective adsorbent for a wide range of bacterial and viral pathogens, suggesting its potential as a sustainable resource for this purpose. It was suggested that the adsorption of microorganisms on Akahoya was mediated by phosphate groups present on the surface structures of microorganisms, which bind to the alumina component of Akahoya according to the phosphate concentration and pH of the liquid phase. The present findings highlight the exceptional ability of Akahoya to eliminate or reduce phosphate and microorganisms effectively in water purification processes, thus contributing to the development of efficient and sustainable solutions for addressing water pollution challenges.

Investigation of an Acute Gastrointestinal Illness Outbreak Linked to Drinking Water in a Higher Educational Institute in East Sikkim, India.

Introduction An acute gastrointestinal illness outbreak was reported in a higher educational institution among students and faculties in East Sikkim, India, from January to February 2023. The investigation was conducted to identify the source of the infection and causative pathogens and prevent the spread of the outbreak. Methods We defined a case as three or more loose stools in 24 hours, abdominal pain, or vomiting with the onset of symptoms between January 16 and February 16, 2023. Active surveillance was conducted by reviewing the affected individuals at the campus and patient registers at the dispensary, where cases were treated. Stool samples, rectal swabs, water samples, and suspected food samples were collected for microbiological testing using conventional culture, multiplex polymerase chain reaction (PCR), and kit-based real-time PCR methods. Results Out of 1,850 residents, 106 (5.7%) were affected by gastrointestinal symptoms like diarrhea, vomiting, etc. The attack rate for females was 23 (1.24%) and for males was 83 (4.49%). The most affected individual median age was 21 years (range: 2-51 years). From the laboratory investigations, most of the cases demonstrated polymicrobial etiologies. Gastroenteritis pathogens like Campylobacter, astrovirus, androtavirusdiarrheagenic Escherichia coli (DEC) (EAEC, EIEC, ETEC, EPEC, and EAEC), Shigella,etc., were detected in the suspected samples. The environmental investigation indicated the presence of rusted and leaky water pipes and sewage pipelines, along with ineffective chlorination of the water plant. Conclusions Based on epidemiological and laboratory investigations, it is conjectured that sewage and fecal contamination of drinking water and poor maintenance of the water distribution system most likely caused the outbreak described in this study. Basic treatment modalities, adequate chlorination, and periodic inspection of the water system were suggested, which controlled the outbreak to a greater extent.