The combination of rapid urbanization, industrialization, population growth, and low environmental awareness poses a major threat to worldwide valuable freshwater resources, which provide important ecosystem services to humans. There is an urgent need to monitor and assess these resources, as this information is indispensable for sustainable decision-making and management. In this context, we analyzed the chemical and ecological water quality of the riverine environment of a fast growing city in Southwest Ethiopia for which we proposed possible remediation options that were evaluated with an empirical model. The chemical and ecological water quality was assessed at 53 sampling locations using the oxygen Prati index and the ETHbios, which is a biotic index based on macroinvertebrates. In addition, a microbiological analysis was performed to estimate the degree of fecal contamination. Finally, we analyzed the relationship between the oxygen content and the organic pollution to simulate the effect of organics removal from waste streams on the chemical water quality. Our results showed that the average values for dissolved oxygen (4.2 mg DO·L⁻¹) and nutrients (0.9 mg oPO₄³⁻·L⁻¹ and 12.8 mg TAN·L⁻¹) exceeded international standards. Moreover, high turbidity levels revealed that land erosion is a severe problem in the region. Along the rivers, a significant increase in oxygen consumption and in nutrient concentrations was observed, indicating organic pollution originating from different diffuse and point sources of pollution. The lack of proper sanitation also led to exceedingly high abundances of fecal coliforms in the surface water (>320 MPN·mL⁻¹). However, fecal contamination was strongly reduced (>92%) after the polluted river water passed Boye wetland, indicating the purification potential of natural wetlands and the importance of conserving and protecting those ecosystems. The simulation results of the model showed that water quality could be substantially improved if municipal, industrial, and institutional wastewater was efficiently collected and transported to a treatment facility. Waste stabilization ponds and constructed wetlands are highly promising techniques, as they provide a cheap, effective, reliable, and sustainable way to purify wastewater. It is advised that the environmental awareness of the people via sensitization, education, and law enforcement is increased, as this is essential for sustainable development.

Background: Childhood acute lower respiratory infection in the form of pneumonia is recognized as the single largest cause of childhood death globally accounting for 16% of the overall deaths. Some studies also reported a higher prevalence of childhood acute respiratory infection in Ethiopia, which ranges from 16% up to 33.5%. Concerning the risk factors, there are limited community-based studies in Ethiopia in general, and in the current study region in particular. Therefore, the present study was conducted to investigate the prevalence of childhood acute respiratory infection and associated factors in Northwest Ethiopia. Methods: As part of the wider stove trial project, a cross-sectional study was conducted in May 2018 among a total of 5830 children aged less than 4 years old in randomly selected clusters. Binary logistic regression was applied to identify factors linked with childhood acute lower respiratory infection and adjusted odds ratios were used as measures of effect with a 95% confidence interval. Results: A total of 5830 children were included in the study within 100 clusters. Out of which 51.7% were male and 48.3% female. The prevalence of childhood lower acute respiratory infection was 19.2% (95% CI: 18.2–20.2) and found to decrease among children living in homes with chimney, eaves space and improved cookstove than children living in households with no chimney, eaves space and improved cookstove with estimated AOR of 0.60 (95% CI: 0.51–0.70), 0.70 (95% CI: 0.60–0.84) and 0.43 (95% CI: 0.28–0.67) respectively. It was also associated with other cooking-related factors such as cow dung fuel use [AOR = 1.54 (95% CI: 1.02–2.33)], child spending time near stove during cooking [AOR = 1.41 (95% CI: 1.06–1.88), presence of extra indoor burning events [AOR = 2.19 (95% CI: 1.41–3.40)] and with frequent cooking of meals [AOR = 1.55 (95% CI: 1.13–2.13)]. Conclusion: High prevalence of childhood acute lower respiratory infection was demonstrated by this study and it was found to be associated with household ventilation, cooking technology, and behavioral factors. Therefore, we recommend a transition in household ventilation, cooking technologies as well as in child handling and in the peculiar local extra indoor burning practices.

Determination of infection rates of snail populations is one of the basic tools for epidemiological studies of snail borne diseases. In this study, we opted to determine the trematode infection of freshwater snails in the Omo-Gibe River Basin, southwest Ethiopia. We collected snail samples from 130 observation sites in lakes, wetlands, rivers, reservoirs and irrigation canals surveyed during the dry season (March to May) in 2016. The snail samples were examined for trematode infections by cercarial shedding immediately after collection. Habitat conditions, water quality, human water contact practices and other human activities were assessed at each survey site. A redundancy analysis (RDA) was used to examine the relationship between cercarial infection and environmental variables. The statistical significance of eigenvalues and cercariae-environment correlations generated by the RDA were tested using Monte Carlo permutations at 499 permutations. A total of 3107 snails belonging to five species were collected. The most abundant species was Biomphalaria pfeifferi, representing 66% of the total collection. Overall, 109 (3.6%) of the snails were found infected with trematodes (cercariae). Biomphalaria pfeifferi was found to be the most highly infected, accounting 85% of all infected snails. A total of eight morphologically different types of cercariae were recorded, which included: Echinostoma cercariae, brevifurcate apharyngeate distome cercariae, amphistome cercariae, brevifurcate apharyngeate monostome cercariae, xiphidiocercariae, longifurcate pharyngeate distome cercariae, strigea cercariae and unidentified cercariae. Brevifurcate apharyngeate distome cercariae, and Echinostoma cercariae were the most abundant cercariae, accounting for 36 and 34% of all infection, respectively. The mean concentration of water conductivity and 5 days biological oxygen demand were higher in irrigation canals and lake sampling points. Human activities such as open field defecation, urination, livestock grazing, farming, and swimming were highly correlated with trematode infection. The abundance, occurrence and infection rates of snail species were largely influenced by water physicochemical quality, sanitation and water contact behaviour of the inhabitants. Human activities, such as open field defecation and urination, livestock grazing, farming, and swimming were important predictors of the abundance of cercariae. Therefore, awareness creation should be implemented for proper containment of excreta (urine and faeces) and reducing human and animal contacts with surface waters to reduce snail-borne disease transmission.

The present study aimed to determine the prevalence of occupational injuries and associated factors among building construction workers. A cross-sectional study was conducted in 15 licensed building construction companies in Addis Ababa, the capital city of Ethiopia. A multi-stage sampling was used to recruit 809 study participants. Data was collected using face to face interview and observational checklist. The data were analyzed using SPSS version 20 statistical software. Bivariate and multivariate logistic regression analyses were performed. A total of 683 (84.7%) respondents reported occupational injuries during the past 12 months giving an overall annual prevalence rate of 847 injuries per 1000 construction workers. Of the total 683 injured respondents, 74 (10.8%) were hospitalized. The odds of injuries were two times higher among males when compared with females (OR=2.17, 95%CI (1.47-3.19). Not having job satisfaction increased the odds of occupational injuries by about four folds as compared to those who are satisfied with their job (OR = 4.82, 95% CI (2.75-8.46). Working for more than 48 h per week, lack of vocational trainings, not using of personal protective equipment had significantly contributed to the higher risks of occupational injuries. Key words: Construction, injury, health, occupational safety, prevalence.