Sachet water was introduced in Ghana to provide safe, hygienic and affordable instant drinking water to the general public. The aim of the study was to examine the effect of storage on the quality of sachet-vended water produced in the Tamale Metropolis. Two brands of sachet water were sampled freshly after production (Six packs or bags), transported to the laboratory and analysed. Samples of freshly prepared sachet water were then stored at ambient room temperature (at 27°C), in a refrigerator (at 4°C) and in the sun (at 40°C). Samples from these three storage methods were collected and analysed on a weekly and monthly basis for a period of three months. The physico-chemical parameters were within World Health Organization limits regardless of the mode of storage. The pH of sachet water ranged from 6.69 to 7.89 with a mean of 7.38 ± 0.31. There was no significant difference (p > 0.05) in the physico-chemical parameters for the sachet water under the different storage conditions over the period. The concern however was the low concentration of these major ions, sodium, potassium, total hardness, calcium and magnesium which seem to pose direct health concerns. The counts of total heterotrophic bacteria ranged from 0.0 to 73 cfu/1ml with a mean of 19.16 (SD = 21.61) of the sachet water samples. Total heterotrophic bacteria regrowth was observed on the third week in all brands stored and gradually deceased numerically throughout the study period. Total coliform regrowth ranged from 0.0 to 5 cfu/100 ml. There was significant difference (p < 0.05) in total coliform counts for sachet water stored under refrigeration and in the sun. The observed regrowth and none or low microbial counts can be attributed to multiple factors such as the effect of temperature, low concentration of nutrients in sachet water, exposure to ultraviolet light rays and permeability of polythene sachet to gases such as carbon dioxide, oxygen and water vapour. Based on the findings of this study, it is recommended that Food and Drugs Authority and Ghana standard Board should ensure minerals concentrations of sachet water are improved to meet the general dietary requirement.

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.

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 blaTEM-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.

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Episodes of Cholera outbreaks are still common in most developing countries and children usually are at the greatest risk. This study assessed the importance of diarrhoea-related illnesses among children five years of age or less at the University Hospital, Legon and the importance of packaged water handling in the contamination of drinking water of preschool children. Diarrhea-related diseases (DRD) accounted for 6.3% of cases involving children five years and below reporting at the University Hospital, Legon during the period of the study. Generally, greater number of cases (DRD) were reported among males (6.9%) than among females (5.6%). High counts above recommended levels of either Total Heterotrophic Bacteria, Pseudomonas or Total Coliforms were observed in 88% of the water samples tested. Inadequate cleaning of water bottles and in some instances the use of inappropriate water bottles (reusing PET mineral water containers) contributed to the poor quality of the drinking water of the preschool children. A greater part of the contamination of the drinking water occurred at home and not at the schools. Parents therefore need to be targeted with water, sanitation and hygiene related health education.

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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.