Background: In certain settings, the prevalence and severity of schistosoma infection do not lessen despite repeated rounds of preventative chemotherapy; these areas are known as hotspots. This study aimed to investigate the role of human practices, besides environmental and malacological factors, in the maintenance of the Schistosoma mansoni infection transmission chain in hotspot areas in Egypt. Methods: This cross-sectional study was conducted between July and November 2019 in Kafr El-Sheikh Governorate, Egypt. A pre-designed structured interviewing questionnaire was used to collect humanitarian data. Stool samples were collected from children aged 6–15 years on three successive days and examined using the Kato-Katz technique. Simultaneously, water and snail samples were taken from watercourses surrounding houses. Snails were identified based on their shell morphology and structure and tested for cercaria shedding. Water samples were analyzed for their physicochemical and biological characteristics. Results: A total of 2259 fecal samples (1113 in summer and 1146 in fall) were collected from 861 children. About 46.9% of the participants were males, and 31.8% were aged 6–10 years. The prevalence of S. mansoni infection was higher during the summer than during the fall (19.1% vs 7.2%, respectively, P < 0.01). The intensity of infection (light, moderate, and heavy) during summer versus fall was (93.55 vs 89.38%, 6.45 vs 8.85%, and 0.00% vs 1.77%), respectively (P < 0.05). A higher prevalence of human infection was observed among males than females [OR = 1.63, 95% confidence interval (CI):1.10–2.40, P = 0.015], children aged 11–15 years than among their counterparts aged 6–10 years (OR = 2.96, 95% CI: 1.72–5.06, P < 0.001), and mothers with a low level of education (OR = 3.33, 95% CI: 1.70–6.52, P < 0.001). The main identified risk factors were contacting the main body of water-canal for washing clothes (OR = 1.81, 95% CI: 1.12–2.49, P = 0.015), land irrigation (OR = 2.56, 95% CI: 1.32–4.96, P = 0.004), water collection (OR = 2.94, 95% CI: 1.82–4.73, P < 0.001), bathing (OR = 2.34, 95% CI: 1.21–4.31, P = 0.009), and garbage disposal (OR = 2.38, 95% CI:1.38–4.12, P < 0.001). The count of Biomphalaria alexandrina was distinct between seasons (P < 0.01) in consistent with statistically significant differences in water temperature, salinity, turbidity, the total concentration of coliforms, depth, velocity, and water level (P < 0.01). The presence of grasses and duckweeds was significantly associated with snail infection (P = 0.00 l). Significant effects of water depth, pH, temperature, and total dissolved solids on snail count were also observed (P < 0.05). Conclusions: The persistence of the infection is due to adoption of risky behaviors and environmental factors that enhance snail survival and infection. Schistosomiasis elimination in hotspots requires an integrated control approach that combines preventive chemotherapy with other complementary measures.

Grease, oil, hydrocarbon residues, heavy metals, and surfactants are all present in car wash wastewater (CWW), which all can have detrimental effects on the environment and human health. This study was designed to assess CWW treatment using an upgraded physical technique combined with a range of conventional and more sustainable coagulants. Physical treatment effectively lowered the oil and grease (O&G) and chemical oxygen demand (COD) of the CWW by 79 ± 15% and 97 ± 1.6%, respectively. Additional treatment was provided using chemical coagulation–flocculation–settling. In jar test studies, humic acid (HA) and alum were found to provide significantly higher turbidity removal, 79.2 ± 3.1% and 69.8 ± 8.0%, respectively, than anionic polyacrylamide (APA), 7.9 ± 5.6% under influent turbidity values from 89 to 1000 NTU. Overall physical/chemical treatment of CWW yielded 97.3 ± 0.8% COD removal, and 99.2 ± 0.4% O&G removal using HA and alum. Due to the numerous problems created when using synthetic coagulants, naturally occurring coagulants that have no impact on human health, such as HA, are highly desirable options. The findings of this study show that treating CWW provides several advantages for sustainable development, health and well-being, and raising public knowledge and support for water reuse.

Background: Currently, tap water consumption is not highly preferred in Egypt and around the world. People prefer to consume bottled water because they believe that it is much safer and tastes better than tap water. Unfortunately, this preference can create an economic burden for many people, especially in developing countries. Clay pots can be used to provide cool, alkaline drinking water because of their porous micro-texture, which traps pollutants. This study aimed to investigate the use of clay pots to store tap water and its impact on the requirements for drinking water quality. This is done with the intent to decrease the need for bottled water as a means of offering a more sustainable and economical option. Methods: In this study, the efficiency of clay pots as sustainable storage containers for drinking water was tested by measuring physicochemical parameters (pH, TDS, EC, turbidity, DO, ammonia, chloride, total hardness, Ca hardness, Mg hardness, chlorine, Zn, and CaCO₃) and biological parameters (TPC and Legionella). Results: After 7 days of storage, the quality of the water stored in clay pots met the standards set by the Egyptian law with a significant difference (p < 0.05) before and after the storage of water It was found that the dissolved oxygen increased from 6.17 ppm to 7.52 ppm after 7 days. As for total hardness, it declined from 195 to 178 ppm. There was also a significant drop in terms of TDS from 338 to 275 ppm. Furthermore, clay pots effectively filtered out both total viable bacteria and Legionella. Conclusion: This study proved the efficiency of using these containers with respect to some indicator values for tap water and tank water analysis. Clay pots are an excellent, cost-effective, and sustainable alternative for storing water.