IntroductionWest Africa is experiencing the largest ever reported Ebola outbreak. Over 20,000 people have been infected of which about 9000 have died. It is possible that lack of community understanding of the epidemic and lack of institutional memory and inexperienced health workers could have led to the rapid spread of the disease. In this paper, we share Uganda's experiences on how the capacity of health workers and other multidisciplinary teams can be improved in preparing and responding to Ebola outbreaks.MethodsMakerere University School of Public Health in collaboration with the Ministry of Health and the African Field Epidemiology Network (AFENET), trained health care workers and other multidisciplinary teams from six border districts of Uganda so as to increase their alertness and response capabilities towards Ebola. We used participatory training methods to impart knowledge and skills and guided participants to develop district epidemic response plans. Communities were sensitized about Ebola through mass media, IEC materials, and infection control and prevention materials were distributed in districts.ResultsWe trained 210 health workers and 120 other multidisciplinary team members on Ebola surveillance, preparedness and response. Evaluation results demonstrated a gain in knowledge and skills. Communities were sensitized about Ebola and Districts received person protective equipments and items for infection prevention. Epidemic Preparedness and Response plans were also developed.ConclusionTraining of multidisciplinary teams improves the country's preparedness, alertness and response capabilities in controlling Ebola. West African countries experiencing Ebola outbreaks could draw lessons from the Uganda experience to contain the outbreak.

Heavy metal pollution from untreated industrial wastewater has become a major concern to the environment and public health in many rapidly growing cities in low-income countries. Previous studies on heavy metals of urban wastewater systems have focused on long-term (weekly or seasonal) variations, while only few studies investigated short-term (daily) variation to capture potential bulk discharges. To monitor and enforce wastewater discharge regulations and reduce industrial pollution, a better understanding of the short-term variation of these pollutants and industrial discharge practices is needed. The aim of this study is to assess the daily variation of heavy metals and physicochemical parameters along the major urban wastewater system in Kampala, Uganda. Over 1 week, daily water samples were collected at 16 locations and analyzed for lead (Pb), mercury (Hg), copper (Cu), and chromium (Cr) and a range of physicochemical parameters. Additionally, 25 key informant interviews with industries were administered to investigate their potential to contaminate the environment. Among 78 water samples, 29 exceeded the national standards for Pb (> 0.1 mg/L) and one for Hg (> 0.01 mg/L). High daily variation and peak concentrations were detected which are likely due to industries retaining their effluents and discharging them irregularly. Although 24 industries used heavy metals in their manufacturing processes and are likely to discharge heavy metals, only ten industries had a wastewater treatment system in place. Our results show that repeated measurements of heavy metals over short time intervals are needed to capture their high daily variation in an urban wastewater system. Furthermore, there is an urgent need to register industries and to assess their effluent composition in order to select appropriate wastewater management measures.

IntroductionWater should comply with standard/regulatory physio-chemical and biological parameters to ensure that it is safe for domestic use. We therefore sought to assess the physico-chemical and biological quality of groundwater sources in Kadama subcounty, Kibuku district, Eastern Uganda.MethodsA cross-sectional quantitative study was conducted. We collected water samples from twenty-three functional water sources. We assessed the turbidity, pH and presence of Escherichia coli (E. coli) using the turbidity meter, pH meter and membrane filtration technique, respectively. Furthermore, physical sanitary inspection of the water sources was done using a standard pretested observational checklist to assess existing risk factors.ResultsThe majority, 69.5% of the water sources included in the study were boreholes, with about 43.5% of them from Nandere parish. Majority of the water sources 86.9% (20/23) had clogged/blocked drainage channels, about a third of water sources 60.9% (14/23) did not have fences/protection around them and majority of the water sources, 82.6% (19/23) had stagnated apron. Some water sources 8.7% (2/23) had open defecation around them. The water samples had a mean pH of 6.87 (SD 0.920) with 4.4% acidic, 86.9% normal/acceptable pH level and 8.6% in alkaline state. About two-thirds (65.3%) of these water sources had turbidity levels less than 5 NTUs. In addition, boreholes had a better turbidity score of 81.2% (13/16) compared to the water wells 71.4% (5/7). About half, 43.5% of the water sources were above the WHO recommended range of zero coliforms.ConclusionsSome ground water sources had sanitary risk factors and significant levels of E. coli which makes them unfit for human consumption, though they can be used for other domestic purposes including washing clothes. This calls for urgent need to keep surrounding water sources clean and continuously disinfect drinking water from groundwater sources before human consumption.

IntroductionWater should comply with standard/regulatory physio-chemical and biological parameters to ensure that it is safe for domestic use. We therefore sought to assess the physico-chemical and biological quality of groundwater sources in Kadama subcounty, Kibuku district, Eastern Uganda. MethodsA cross-sectional quantitative study was conducted. We collected water samples from twenty-three functional water sources. We assessed the turbidity, pH and presence of Escherichia coli (E. coli) using the turbidity meter, pH meter and membrane filtration technique, respectively. Furthermore, physical sanitary inspection of the water sources was done using a standard pretested observational checklist to assess existing risk factors.ResultsThe majority, 69.5% of the water sources included in the study were boreholes, with about 43.5% of them from Nandere parish. Majority of the water sources 86.9% (20/23) had clogged/blocked drainage channels, about a third of water sources 60.9% (14/23) did not have fences/protection around them and majority of the water sources, 82.6% (19/23) had stagnated apron. Some water sources 8.7% (2/23) had open defecation around them. The water samples had a mean pH of 6.87 (SD 0.920) with 4.4% acidic, 86.9% normal/acceptable pH level and 8.6% in alkaline state. About two-thirds (65.3%) of these water sources had turbidity levels less than 5 NTUs. In addition, boreholes had a better turbidity score of 81.2% (13/16) compared to the water wells 71.4% (5/7). About half, 43.5% of the water sources were above the WHO recommended range of zero coliforms. ConclusionsSome ground water sources had sanitary risk factors and significant levels of E. coli which makes them unfit for human consumption, though they can be used for other domestic purposes including washing clothes. This calls for urgent need to keep surrounding water sources clean and continuously disinfect drinking water from groundwater sources before human consumption.