People living in rural areas still rely on the use of environmental water that is contaminated by human and animal activities. This study assessed the occurrence of human enteric pathogens in rivers that are used by rural communities Vhembe District of South Africa as a source of drinking water covering two seasons (winter and summer) over a one-year period. Water quality was assessed using physico characteristics and indicator organisms (total coliforms, E. coli, Clostridium perfringens). Pathogens tested included bacteria (Pathogenic E. coli, Salmonella-, Shigella- and Vibrio spp.), protozoa (Cryptosporidium- and Giardia spp.), and enteric viruses (Rota-, Noro-, Entero-, and Adenoviruses) while using published molecular protocols. The results showed that the indicator bacteria counts exceeded South African drinking water quality guideline limits and pathogenic E. coli was detected in the samples. No Shigella spp. were isolated, while Vibrio spp. and Salmonella spp. were present; parasites were detected in four rivers and Enteric viruses were predominantly detected in the winter season. The results indicated the poor condition of water and the potential health risks to consumers highlighting the need for implementing river catchment management strategies for continued sustainability in these rivers.

Infectious diarrhoea contributes to high morbidity and mortality in young children from sub-Saharan Africa. The aim of this study was to assess the prevalence of single and multiple diarrhoeal-causing pathogen combinations in children suffering from diarrhoea from rural and peri-urban communities in South Africa. A total of 275 diarrhoea stool specimens were collected between 2014 and 2016 from Hospitals and Primary Health Care clinics. The BioFire^® FilmArray^® Gastrointestinal panel was used to simultaneously detect 22 diarrhoea pathogens (viruses, bacteria, parasites) known to cause diarrhoea. A total of 82% (226/275) enteric pathogens were detected in the stool specimens. The two most detected bacterial, viral and parasitic pathogens each included: EAEC (42%), EPEC (32%), Adenovirus F40/41 (19%), Norovirus (15%), Giardia (8%) and Cryptosporidium (6%), respectively. Single enteric pathogen infections were recorded in 24% (65/275) specimens with EAEC, and Norovirus was found in 26% (17/65) and 14% (9/65) of the specimens, respectively. Multiple enteric pathogen combinations were recorded in 59% (161/275) of the stool specimens with 53% (85/161) containing two pathogens, 22% (35/161) containing three pathogens and 25% (41/161) containing four or more pathogens. The results from this study demonstrated the complex nature of pathogen co-infections in diarrhoeal episodes which could have an impact on treatment effectiveness.

Surface water has been a source of domestic water due to shortage of potable water in most rural areas. This study was carried out to evaluate the level of contamination of Mvudi River in South Africa by measuring turbidity, electrical conductivity (EC), pH, concentrations of nitrate, fluoride, chloride, and sulphate. E. coli and Enterococci were analysed using membrane filtration technique. Average pH, EC and Turbidity values were in the range of 7.2–7.7, 10.5–16.1 mS/m and 1.3–437.5 NTU, respectively. The mean concentrations of fluoride, chloride, nitrate and sulphate for both the wet and the dry seasons were 0.11 mg/L and 0.27 mg/L, 9.35 mg/L and 14.82 mg/L, 3.25 mg/L and 6.87 mg/L, 3.24 mg/L and 0.70 mg/L, respectively. E. coli and Enterococci counts for both the wet and the dry seasons were 4.81 × 10³ (log = 3.68) and 5.22 × 10³ (log = 3.72), 3.4 × 10³ (log = 3.53) and 1.22 × 10³ (log = 3.09), per 100 mL of water, respectively. The count of E. coli for both seasons did not vary significantly (p > 0.05) but Enterococci count varied significantly (p < 0.001). All the physico-chemical parameters obtained were within the recommended guidelines of the Department of Water Affairs and Forestry of South Africa and the World Health Organization for domestic and recreational water use for both seasons except turbidity and nitrates. The microbiological parameters exceeded the established guidelines. Mvudi River is contaminated with faecal organisms and should not be used for domestic purposes without proper treatment so as to mitigate the threat it poses to public health.

Assessment of the microbial quality of river water sources in rural Venda communities in South Africa