The region of Puno, in Peru, is described as a region with some health conditions that may be associated with the water quality, such as a high index of anemia or cases of acute diarrhea in children. This study aimed at monitoring the drinking water quality of the city of Ilave, in Peru, and determining possible correlations between physical-chemical and microbiological parameters, and the water distribution conditions, such as the period of water availability. Physical-chemical parameters (turbidity, residual chlorine, temperature, conductivity, and pH), microbiological parameters (presence of coliforms), and heavy metals (Zn, Mn, Ni, Fe, and Cu) were determined. All the parameters quantified were within the maximum permissible limits according to Peruvian regulations, except for residual chlorine, which was, for all the treated water samples, below the recommended value of 0.5 mg/L. Coliforms that should be absent from drinking water were detected in all the household samples. These results demonstrate the need for the inclusion of additional steps of re-chlorination along the distribution system to guarantee the maintenance of residual levels of chlorine that assure the microbiological quality of water. The quality of the drinking water was not observed to correlate with the period of water availability.

The inorganic chemical parameters in drinking water that include heavy metals are substances that exist in nature very widespread, nevertheless toxic metals such as lead, cadmium, arsenic, mercury, are very harmful to human health and to all forms of life, these toxic metals are silents contaminants. Therefore, the present study aims to determine the presence of inorganic chemical parameters in the drinking water from districts of the province of Puno. The results were compared based on the parametric test T-student and the non-parametric tests Kolmogorov-Smirnov. Finding the highest values (mg/L) in districts as Capachica Ba (0.8458) and Pb (0.5255), Mañazo Al (3.08) and Pb (0.0185), San Antonio de Esquilache Fe (0.49) and Pb (0.9513), Vilque As (0.0193) and Pb (15.34), and Pichacani As (0.0193) and Pb (0.0215), as it is observed the samples do not comply with the regulation of the quality of drinking water in Peru, making it unsuitable for human consumption.

This study investigated the presence of antibiotic-resistance genes in drinking water consumed by the university community in the Peruvian Amazon. Water samples were collected from three primary sources: inflow from the distribution network, a storage cistern, and an underground intake. Conventional PCR was employed to detect genes associated with resistance to erythromycin (ermC), ampicillin (amp), ciprofloxacin (QEP), multidrug resistance (marA), and specific multidrug resistance in E. coli (qEmarA). Physicochemical analysis revealed compliance with most regulatory standards; however, groundwater samples showed lead concentrations exceeding legal limits (0.72 mg/L) and lacked residual chlorine. All sampling points tested positive for the evaluated resistance genes, demonstrating the widespread dissemination of resistance factors in drinking water. Contrary to initial expectations, resistance genes were also prevalent in treated sources. These findings reveal a critical public health risk for the university community, emphasising the need for effective disinfection systems and robust monitoring protocols to ensure water safety. The presence of these resistance genes in water is a critical public health concern as it can facilitate the spread of resistant bacteria, reducing the effectiveness of medical treatments and increasing the risk of infections that are difficult to control.

We assessed the prevalence of three helminthic zoonoses—echinococcosis, fasciolosis and the taeniosis/cysticercosis complex—among residents of the Chucuito Health Network (Puno Health Region, Peru) over four years (2018–2021). Sera (n = 910) were analysed by ELISA to detect pathogen-specific antibodies, following national protocols. Echinococcosis predominated, whereas fasciolosis and taeniosis/cysticercosis occurred at comparatively low levels. Prevalence ranged from 4.4–9.2% for echinococcosis, 1.1–4.9% for fasciolosis, and 1.1–2.7% for taeniosis/cysticercosis across the four years. Prevalence varied significantly between years, with a notable upsurge in echinococcosis in 2021. These findings underscore the need for integrated control and prevention measures grounded in a One Health framework that recognises the interconnections between human, animal and environmental health. Priority actions include strengthened health education programmes, improved hygiene and sanitation practices, and enhanced rural health infrastructure, alongside coordinated epidemiological surveillance and environmental management. Such measures are essential to mitigate the burden of zoonotic disease in vulnerable high-Andean communities.