Health risks of exposure to air pollution in areas where coal-fired power plants are located: protocol for a scoping review.

INTRODUCTION: Coal-fired power plants are major sources of air pollution which impact human health. Coal combustion byproducts released into the air include particulate matter, nitrogen oxides and sulphur dioxide. Exposure to fine particulate matter is associated with increased risk of mortality. This scoping review will examine and summarise the current literature on the health risks of exposure to air pollution in areas in which coal-fired power plants exist. METHODS AND ANALYSIS: This scoping review will be conducted according to the Joanna Briggs Institute methodological framework and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Five electronic databases (PubMed, ScienceDirect, Scopus, Web of Science and Google Scholar) will be searched for relevant articles. Studies will be included up until 31 January 2024. There will be no restriction on geographical area. The searches will be limited to studies published in English. Title, abstract, full-text screening and data extraction of relevant articles will be done by two independent reviewers. Discrepancies will be resolved by group discussion. The findings will be presented in tables with a narrative summary. This review will consider epidemiological studies and grey literature that report on the health risks of exposure to air pollution in areas where coal-fired power plants exist. ETHICS AND DISSEMINATION: All data will be collected from published and grey literature. Ethics approval is therefore not required. We will submit our findings for publication in a peer-reviewed journal.

Wastewater-based SARS-CoV-2 airport surveillance: key trends at the Cape Town International Airport.

Monitoring of SARS-CoV-2 RNA in wastewater has revealed the role of mobility in the transmission of coronavirus disease (COVID-19), and the surveillance of airport wastewater in cities across the world has demonstrated how travel entry points can give an indication of trends in transmission. This study undertook wastewater surveillance at the Cape Town International Airport (CTIA) to assess the use of a WBE approach to provide supplementary information on the presence of COVID-19 at a key air travel entry point in South Africa. Grab wastewater samples (n = 55) were collected from the CTIA wastewater pump station and analysed using quantitative real-time polymerase chain reaction (qRT-PCR) method. The study found a correlation between the wastewater data and clinical cases reported in the City of Cape Town during various time periods and during the peak of a COVID-19 wave. Highly elevated viral loads in the wastewater were observed at times there was increased mobility through the airport. The study also revealed elevated viral load levels at the airport despite the stricter restrictions and through the lower restrictions. The study findings indicate wastewater surveillance and airports can provide supplementary information to airport authorities to assess the impacts of imposed travel restrictions.

Using Wastewater Surveillance to Compare COVID-19 Outbreaks during the Easter Holidays over a 2-Year Period in Cape Town, South Africa.

Wastewater surveillance of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has shown to be an important approach to determine early outbreaks of infections. Wastewater-based epidemiology (WBE) is regarded as a complementary tool for monitoring SARS-CoV-2 trends in communities. In this study, the changes in the SARS-CoV-2 RNA levels in wastewater during Easter holidays in 2021 and 2022 in the City of Cape Town were monitored over nine weeks. Our findings showed a statistically significant difference in the SARS-CoV-2 RNA viral load between the study weeks over the Easter period in 2021 and 2022, except for study week 1 and 4. During the Easter week, 52% of the wastewater treatment plants moved from the lower (low viral RNA) category in 2021 to the higher (medium to very high viral RNA) categories in 2022. As a result, the median SARS-CoV-2 viral loads where higher during the Easter week in 2022 than Easter week in 2021 (p = 0.0052). Mixed-effects model showed an association between the SARS-CoV-2 RNA viral loads and Easter week over the Easter period in 2021 only (p < 0.01). The study highlights the potential of WBE to track outbreaks during the holiday period.

Tracking the circulating SARS-CoV-2 variant of concern in South Africa using wastewater-based epidemiology.

This study uses wastewater-based epidemiology (WBE) to rapidly and, through targeted surveillance, track the geographical distribution of SARS-CoV-2 variants of concern (Alpha, Beta and Delta) within 24 wastewater treatment plants (WWTPs) in the Western Cape of South Africa. Information obtained was used to identify the circulating variant of concern (VOC) within a population and retrospectively trace when the predominant variant was introduced. Genotyping analysis of SARS-CoV-2 showed that 50% of wastewater samples harbored signature mutations linked to the Beta variant before the third wave, with the Delta variant absent within the population. Over time, the prevalence of the beta variant decreased steadily. The onset of the third wave resulted in the Delta variant becoming the predominant variant, with a 100% prevalence supporting the theory that the Delta variant was driving the third wave. In silico molecular docking analysis showed that the signature mutations of the Delta variant increased binding to host proteins, suggesting a possible molecular mechanism that increased viral infectivity of the Delta variant.

Spatial and Temporal Trends of SARS-CoV-2 RNA from Wastewater Treatment Plants over 6 Weeks in Cape Town, South Africa.

Recent scientific trends have revealed that the collection and analysis of data on the occurrence and fate of SARS-CoV-2 in wastewater may serve as an early warning system for COVID-19. In South Africa, the first COVID-19 epicenter emerged in the Western Cape Province. The City of Cape Town, located in the Western Cape Province, has approximately 4 million inhabitants. This study reports on the monitoring of SARS-CoV-2 RNA in the wastewater of the City of Cape Town's wastewater treatment plants (WWTPs) during the peak of the epidemic. During this period, the highest overall median viral RNA signal was observed in week 1 (9200 RNA copies/mL) and declined to 127 copies/mL in week 6. The overall decrease in the amount of detected viral SARS-CoV-2 RNA over the 6-week study period was associated with a declining number of newly identified COVID-19 cases in the city. The SARS-CoV-2 early warning system has now been established to detect future waves of COVID-19.

Determination of heavy metals in selected fish species and seawater from the South Durban Industrial Basin, KwaZulu-Natal, South Africa.

The South Durban Industrial Basin (SDIB), South Africa, an economic hub that spans a long coastline, is a disaster management hotspot, which threatens the sustainability of the fishing industry in this region. This study investigated the elemental concentrations in fish and seawater from a mini-ecosystem in the SDIB, to determine if a direct relationship exists between these two matrices, and to assess for metal toxicities. The results showed As and Cr to be above the maximum permissible limits (MPLs) of the World Health Organization (WHO) for all fish species (blacktail, karanteen, five finger, mullet, and pompano), while fish from Isipingo Beach exceeded the WHO MPLs for Pb, As, and Cr. Fish did not display signs of metal toxicity indicating either a harmless form of metals or high tolerance levels. Typical concentrations of metals in seawater (mg L-1) at (Isipingo Beach, Cuttings Beach, and Amanzimtoti Beach) were found to be for Al (3, 2.7, and 16.4), As (0.17, 0.11, and 0.19), Cr (0.16, 0.17, and 0.23), Cu (0.15, 0.13, and 0.24), Fe (2.7, 3.45, and 33.9), and Zn (2, 2.1, and 2.12). Except for As, estimated daily intakes, target hazard quotients, and carcinogenic risks indicated no associated health risks due to consumption of the fish from the SDIB. However, due to target hazard quotients and carcinogenic risks for As being above 4 and 0.0001, respectively, fish from the SDIB should be consumed in moderation or not consumed to prevent long-term toxic effects of As.

Wastewater surveillance for Covid-19: An African perspective.

The COVID-19 pandemic has once again highlighted the importance of access to sufficient quantities of safe water and sanitation in public health. In the current COVID-19 pandemic, an early warning wastewater system has been proposed as a platform for SARS-CoV-2 surveillance, and a potentially important public health strategy to combat the disease. This short communication on wastewater surveillance in sub-Saharan Africa highlights challenges, opportunities and alternatives taken into account the local context.

Nutritional value, antioxidant and antidiabetic properties of nettles (Laportea alatipes and Obetia tenax).

Nettles are commonly consumed in South Africa, Europe and Asia and are used in traditional medicine to treat a variety of ailments. In this study, the nutritional value of the leaves of nettles (Laportea alatipes and Obetia tenax) was evaluated and compared, when cooked and uncooked. The results showed a decrease in the concentrations of crude protein, vitamin A, vitamin E and metals after cooking of nettles. Although cooking reduced the concentrations of essential elements in nettles, their contribution to the diet remained adequate. L. alatipes presented with reduced levels of Cd (from 1.86 to 0.810 mg kg-1) and Pb (from 2.87 to 1.88 mg kg-1) after cooking. Similarly, Cd (from 2.97 to 0.780 mg kg-1) and Pb (from 2.21 to 0.795 mg kg-1) levels in O. tenax decreased after cooking, demonstrating the significance of cooking. The antioxidant activity of the nettles was determined using the 2,2-diphenyl-l-picrylhydrazyl (DPPH) free radical and ferric reducing antioxidant power (FRAP) assays. The methanol extract of Obetia tenax showed high ferric reducing power whilst the radical scavenging activity was due to the presence of the bioactive molecule, ß-carotene, in the plants which exhibited higher DPPH radical scavenging ability relative to test samples and standards. The in vitro antidiabetic activity of the extracts and compounds from the nettles was better than or comparable to that of the known standard, acarbose, which underscores the prospective antidiabetic properties of nettles. Overall, our study provides scientific validation for the ethno-medicinal use of nettles and supports their consumption, which highlights their potential as nutraceuticals.

Heavy metal distribution in Laportea peduncularis and growth soil from the eastern parts of KwaZulu-Natal, South Africa.

Laportea peduncularis is a medicinal plant consumed by the native communities in South Africa. Due to its oral consumption, its potential for harming the human health and the distribution of metals in the leaves of L. peduncularis as a function of soil characteristics were evaluated. Broadly, the concentrations of metals in the soil were in decreasing order of Fe > Ca > Mg > Mn > Zn > Cr > Cu > Ni > As > Co > Cd > Pb. Low-molecular-weight organic acid, calcium chloride, and ethylenediaminetetraacetic acid extraction methods were employed to assess for exchangeable forms of metals in the soil. Geoaccumulation indices and enrichment factors showed no contamination or enrichment for most of the heavy metals studied except for Cd, which showed moderate contamination and significant enrichment at Mona, KwaZulu-Natal. Principal component and cluster analyses revealed that As, Cd, Fe, and Ni in the soil came from the same source, whilst Cu, Pb, and Zn in the soil were from a common origin. Correlation analysis showed significantly positive correlation between heavy metals As, Cd, Fe, and Ni in the soil, as well as between Cu, Pb, and Zn, confirming the metals' common origin. Concentrations of metals in plants and soil were influenced by site, but the availability and uptake of the metals solely depended on the plant's inherent controls.

The distribution of macronutrients, anti-nutrients and essential elements in nettles, Laportea peduncularis susp. peduncularis (River nettle) and Urtica dioica (Stinging nettle).

Laportea peduncularis and Urtica dioica, which are popularly known as "Nettles" belong to the plant family Urticaceae and are consumed as green vegetables or used for their medicinal benefit in many countries in Africa, Asia, Europe and America. This study aimed at investigating the effect of cooking on the macronutrient, anti-nutrient and elemental composition of L. peduncularis and U. dioica leaves. The results showed a decrease in the crude fat, ash, carbohydrate and vitamin C content with cooking, but an increase in the vitamin E content. The anti-nutrient content (cyanides, phytates and saponins) increased slightly with cooking, while the oxalate content has decreased. The concentration of essential elements in cooked L. peduncularis leaves were found to be in decreasing order of Ca > Mg > Fe > Mn > Zn > Cu > Cr > Ni > Co. Both raw and cooked leaves of nettles were found to be rich sources of macronutrients and essential elements and may be used as alternatives to commercially available nutrient supplements. Statistical analyses (principal component analysis and correlations) indicated that certain elements taken up by these plants were from common sources. Both positive and negative relationships between nutrients, anti-nutrients and elements were observed in the plant leaves.