title: Health risk assessment along the wastewater and faecal sludge management and reuse chain of Kampala, Uganda: a visualization.
abstract: Reuse of wastewater in agriculture is a common feature in the developing world. While this strategy might contribute to the livelihood of farming communities, there are health risks associated with the management and reuse of wastewater and faecal sludge. We visualise here an assessment of health risks along the major wastewater channel in Kampala, Uganda. The visualization brings to bear the context of wastewater reuse activities in the Nakivubo wetlands and emphasises interconnections to disease transmission pathways. The contextual features are complemented with findings from environmental sampling and a cross-sectional epidemiological survey in selected exposure groups. Our documentation can serve as a case study for a step-by-step implementation of risk assessment and management as described in the World Health Organization's 2006 guidelines for the safe use of wastewater, greywater and excreta in light of the forthcoming sanitation safety planning approach.
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
authors.forename: Samuel
authors.initials: S
authors.lastname: Fuhrimann
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
authors.forename: Mirko S
authors.initials: MS
authors.lastname: Winkler
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
authors.forename: Pierre H H
authors.initials: PH
authors.lastname: Schneeberger
authors.affiliation: Department of Civil and Environmental Engineering, Makerere University, Kampala, Uganda.
authors.forename: Charles B
authors.initials: CB
authors.lastname: Niwagaba
authors.affiliation: Landmark Media Consultancy LTD, Kampala, Uganda.
authors.forename: Joseph
authors.initials: J
authors.lastname: Buwule
authors.affiliation: Department of Research and Development, National Water and Sewerage Corporation, Kampala, Uganda.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Babu
authors.affiliation: Department of Public Health and Environment, World Health Organization, Geneva, Switzerland.
authors.forename: Kate
authors.initials: K
authors.lastname: Medlicott
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
authors.forename: Jürg
authors.initials: J
authors.lastname: Utzinger
authors.affiliation: Department of Epidemiology and Public Health, Swiss Tropical and Public Health Institute, Basel, Switzerland.
authors.forename: Guéladio
authors.initials: G
authors.lastname: Cissé
mesh_terms: D000383:Agriculture / Q000379:methods; D003430:Cross-Sectional Studies; D060766:Drinking Water / Q000382:microbiology; D004777:Environment; D005243:Feces; D006801:Humans; D018570:Risk Assessment / Q000379:methods*; D012722:Sewage / Q000009:adverse effects*; D062206:Spatial Analysis; D014454:Uganda / Q000453:epidemiology; D014865:Waste Disposal, Fluid; D062065:Wastewater / Q000382:microbiology; D053833:Wetlands
chemical_list: D060766:Drinking Water; D012722:Sewage; D062065:Wastewater