Reducing health risks from wastewater use in urban and peri-urban sub-Saharan Africa: applying the 2006 WHO guidelines.

Where rapid urbanization is outpacing urban capacities to provide sound sanitation and wastewater treatment, most water sources in city vicinity are heavily polluted. This is of great concern as many of the leafy vegetables eaten raw in the cities are produced in these areas. Following the new WHO guidelines, different non-treatment options at farm, market, and kitchen level were field tested for health risk reduction with special consideration to efficiency and adoption potential. As most households are used to vegetable washing (although ineffectively), an important entry point for risk reduction is the increased emphasis of the new guidelines on food preparation measures. A combination of safer irrigation practices (water fetching, on-farm treatment, and application), the allocation of farmland with better water sources, and improved vegetable washing in kitchens appear to be able to reduce the potential risk of infections significantly, although it might not be possible to reach the ideal threshold without some kind of wastewater treatment. The on-farm trials carried out in Ghana also explored the limitation of other risk reduction measures, such as drip irrigation, crop restrictions and cessation of irrigation under local circumstances considering possible incentives for behaviour change.

Using on-farm sedimentation ponds to improve microbial quality of irrigation water in urban vegetable farming in Ghana.

This paper presents an assessment of the potential of using on-farm ponds to reduce levels of microbial contamination in wastewater--contaminated irrigation water. The study involved observations on the use of ponds in urban agriculture in Kumasi, Ghana, and more than 300 irrigation water samples were taken for physico-chemical and microbial laboratory analysis. The study shows that while on-farm ponds are commonly used, their potential to remove pathogens through sedimentation has not been fully optimized. Two-thirds of helminth eggs were in the sediments and careful collection of irrigation water without disturbing sediments reduced helminth eggs in irrigation water by about 70%. Helminth eggs reduced from about 5 to less than 1 egg per litre in three days in both dry and wet seasons while thermotolerant coliforms took six days in the dry season to reduce from about 8 to 4 log units per 100 ml, to meet the WHO guidelines. For optimal pathogen removal, better pond designs, farmers' training on collection of water with minimal disturbance and any other means to enhance sedimentation and pathogen die-off can be essential components of a multiple-barrier approach complementing farm-based measures like simple filtration techniques, better irrigation methods and post-harvest contamination.