Infections by Extended-Spectrum Beta-Lactamase producing Escherichia coli (ESBL-Ec) are on the increase in Ghana, but the level of environmental contamination with this organism, which may contribute to growing Antimicrobial Resistance (AMR), is unknown. Using the WHO OneHealth Tricycle Protocol, we investigated the contamination of E. coli (Ec) and ESBL-Ec in two rivers in Ghana (Odaw in Accra and Okurudu in Kasoa) that receive effluents from human and animal wastewater hotspots over a 12-month period. Concentrations of Ec, ESBL-Ec and percent ESBL-Ec/Ec were determined per 100 mL sample. Of 96 samples, 94 (98%) were positive for ESBL-Ec. concentrations per 100 mL (MCs100) of ESBL-Ec and %ESBL-Ec from both rivers were 4.2 × 10⁴ (IQR, 3.1 × 10³–2.3 × 10⁵) and 2.79 (IQR, 0.96–6.03), respectively. MCs100 were significantly lower in upstream waters: 1.8 × 10⁴ (IQR, 9.0 × 10³–3.9 × 10⁴) as compared to downstream waters: 1.9 × 10⁶ (IQR, 3.7 × 10⁵–5.4 × 10⁶). Both human and animal wastewater effluents contributed to the increased contamination downstream. This study revealed high levels of ESBL-Ec in rivers flowing through two cities in Ghana. There is a need to manage the sources of contamination as they may contribute to the acquisition and spread of ESBL-Ec in humans and animals, thereby contributing to AMR.

With safely managed water accessible to only 19% of the population in Ghana, the majority of its residents are at risk of drinking contaminated water. Furthermore, this water could be a potential vehicle for the transmission of antimicrobial-resistant bacteria. This study assessed the presence of bacteria and the antibiotic resistance profile of Escherichia coli and Pseudomonas aeruginosa in drinking-water sources using membrane filtration and Kirby–Bauer disc diffusion methods. A total of 524 water samples were analyzed for total coliforms, total heterotrophic bacteria, E. coli and P. aeruginosa. Samples included sachets, bottled water, tap water, borehole and well water. Most of the sachet and bottled water samples were within the limits of Ghana’s standards for safe drinking water for the parameters tested. Over 50% of tap and borehole water was also free of E. coli and P. aeruginosa. Overall, of 115 E. coli isolates from tap and ground water samples, most were resistant to cefuroxime (88.7%), trimethoprim–sulfamethoxazole (62.6%) and amoxicillin–clavulanate (52.2%). P. aeruginosa isolates were most resistant to aztreonam (48%). Multidrug resistance was predominantly seen among E. coli isolates (58%). Evidence from this study calls for routine antimicrobial resistance surveillance in drinking water across the country and additional treatment of water sources at household levels.

Introduction: Safety of the environment in which vegetables are grown, marketed and consumed is paramount as most are eaten raw. Irrigation sources include open drains and streams, which are often contaminated with human and animal waste due to poor sanitation infrastructure. In irrigated vegetable farms using such sources in Ghana, we assessed Escherichia coli counts, antibiotic resistance patterns and resistant genes on irrigated lettuce. Methods: A cross-sectional study was conducted between January–May 2022, involving five major vegetable farms in Ghana. Results: Escherichia coli was found in all 25 composite lettuce samples analyzed. Counts expressed in CFU/g ranged from 186 to 3000, with the highest counts found in lettuce irrigated from open drains (1670) and tap water using hose pipes (3000). Among all bacterial isolates, resistance ranged between 49% and 70% for the Watch group of antibiotics, 59% for the Reserved group and 82% were multidrug-resistant. Of 125 isolates, 60 (48%) were extended-spectrum beta-lactamase-producing, of which five (8%) had the bla_TEM-resistant gene. Conclusions: Lettuce was contaminated with Escherichia coli with high levels of antibiotic resistance. We call on the Ghana Ministry of Food and Agriculture, Food and Drugs Authority and other stakeholders to support farmers to implement measures for improving vegetable safety.

The study focused on the physicochemical and bacteriological quality of public swimming pools in the Tamale Metropolis. Physicochemical properties such as pH, temperature, and conductivity, and bacteria counts—including total coliform, faecal coliform, Escherichia coli (E. coli), Staphylococcus aureus, and total heterotrophic bacteria—were analyzed for their conformity with required health standards. The results obtained were analyzed using Student t test and compared with World Health Organization (WHO) and Environmental Protection Agency (EPA) standards for safe recreational and drinking water. The highest and the lowest temperatures were recorded in April (32.53 °C) and February (28.16 °C), respectively. The lowest and the highest mean pH values were 4.04 and 6.13, which were below acceptable standards. The conductivity level varied from 469.1563 µS cm⁻¹ to 928.1563 µS cm⁻¹. While the pH did not conform to acceptable standards, temperature and conductivity were within the EPA and/or the WHO acceptable limits. The total coliform (TC) expressed in colony-forming units per 100 mL ranged from 0 to 397 (cfu/100 mL), faecal coliform (FC) 0 to196 cfu/100 mL, E. coli 0 to 52 cfu/100 mL, Staphylococcus aureus (S. aureus) 8 to 27 cfu/100 mL, and Total Heterotrophic Bacteria (THB) 44 to 197 (cfu/mL). TC, FC, E. coli, S. aureus, and THB counts in most of the samples complied with the bacteriological standards. However, the bacterial loads increased and exceeded the WHO and/or EPA standards as the number of bathers increased. Besides, there were positive correlations between physicochemical parameters such as temperature, pH, and bacterial loads. Most parameters studied met the acceptable standards of recreational water stipulated by the WHO and EPA. However, the presence of pathogenic organisms in the recreational waters at any point in time should be treated as a public health concern, and hence a call for routine monitoring and inspection of public swimming pools in the Tamale Metropolis.

Introduction: Urban vegetable farmers in Ghana face multiple health risks, including soil-transmitted helminths (STHs), which may contribute to morbidities that threaten urban food security. Additionally, infected farmers may act as persistent sources of disease transmission within urban populations. There is the need to assess the burden of STH among these farmers using more sensitive molecular assays. Methods: This was a cross-sectional study involving 168 urban farmers from Accra and Tamale in Ghana’s Greater Accra and Northern regions, respectively. Participants completed semi-structured questionnaires, and stool samples were collected for analysis. A qualitative Polymerase Chain Reaction (QPCR) assay was employed to detect STH prevalence, targeting the ITS1, ITS2, and 18S genes of Ascaris lumbricoides, Ancylostoma duodenale and Strongyloides stercoralis, respectively. Results: While no positives were found in Tamale, 5.1%, 2.5%, and 0.8% of participants in Accra tested positive for A. lumbricoides, A. duodenale and S. stercoralis, respectively. Inadequate use of Personal Protective Equipment (PPEs) and STH infection status were strongly correlated among risk factors (Odds ratio; 4.3, 95% Cl: 1.03–18.00, p–value = 0.04). Overall, 72% of participants in Tamale wore PPEs, compared to 43% in Accra. Conclusions: Even though STH was not common, inadequate PPE use was a major factor in STH transmission in urban vegetable farms. Therefore, the key to drastically lowering the STH burden in urban farms is education and behaviour changes. Using more sensitive molecular diagnostic assays is crucial in low prevalence environments.

In Northern Ghana, reservoirs/dug-outs provide immeasurable services regardless of the season. A study was conducted in Kokoliguo and Nandom-Guo to evaluate health risks from exposure to surface waters. Samples were analyzed for pH, turbidity, conductivity, zinc (Zn), iron (Fe), manganese (Mn), copper (Cu), cadmium (Cd) and lead (Pb). Kokoliguo revealed mean levels of 7.52 pH units, 124 NTU, 89.6 µS/cm, 0.004 mg/L (Zn), 0.210 mg/L (Fe), 0.219 mg/L (Mn), 0.007 mg/L (Cu), 0.007 mg/L (Cd) and 0.001 mg/L (Pb). Nandom-Guo recorded mean levels of 7.72 pH units, 11.6 NTU, 240 µS/cm, 0.0375 mg/L (Zn), 0.601 mg/L (Fe), 0.220 mg/L (Mn), 0.009 mg/L (Cu), 0.003 mg/L (Cd) and 0.182 mg/L (Pb). The chronic daily intake_oral for Kokoliguo and Nandom-Guo users occurred in the order; Cu < Cd < Zn < Mn < Fe and Cu < Cd < Zn` < Mn < Fe, respectively. Dermal exposure for Kokoliguo and Nandom-Guo occurred in the order; Zn < Cu < Cd < Mn < Fe and Cd < Zn < Cu < Mn < Fe, respectively. Except for Kokoliguo, hazard index _derm/oral fell below 1. Cancer risk_oral level of Cd exceeded 10e−04 among users. On the contrary, cancer risk_oral levels of Pb ranged from 10e−04 to 10e−07 whereas dermal exposure levels ranged from 10e−09—10e−07. The cancer risk_oral values predict the risk of carcinogenesis due to Cd toxicity. This study recommends crop farmers desist from the use of synthetic fertilizers. Again, improved water sources should be developed for the communities for domestic uses.