Fluorosis has been prevalent in the great East African Rift Valley (EARV) since before this region was given a name. In the Tanganyika days, Germans reported elevated fluoride concentrations in natural waters. In the 1930s, the clear relationship between high fluoride level and mottling of teeth was established. Since then, the global research community has engaged in the battle to provide fluoride-free drinking water, and the battle is not yet won for low-income communities. An applicable concept for fluoride-free drinking water in the EARV was recently presented, using the Kilimanjaro as a rainwater harvesting park. The Kilimanjaro concept implies that rainwater is harvested, stored on the Kilimanjaro mountains, gravity-transported to the point of use, eventually blended with natural water and treated for distribution. This article provides a roadmap for the implementation of the Kilimanjaro concept in Tanzania. Specifically, the current paper addresses the following: (i) presents updated nationwide information on fluoride contaminated areas, (ii) discusses the quality and quantity of rainwater, and current rainwater harvesting practices in Tanzania, (iii) highlights how low-cost water filters based on Fe0/biochar can be integrating into rainwater harvesting (RWH) systems to provide clean drinking water, and (iv) discusses the need for strict regulation of RWH practices to optimize water collection and storage, while simplifying the water treatment chain, and recommends strict analytical monitoring of water quality and public education to sustain public health in the EARV. In summary, it is demonstrated that, by combining rainwater harvesting and low-cots water treatment methods, the Kilimanjaro concept has the potential to provide clean drinking water, and overcome fluorosis on a long-term basis. However, a detailed design process is required to determine: (i) institutional roles, and community contributions and participation, (ii) optimal location and sizing of conveyance and storage facilities to avoid excessive pumping costs, and (iii) project funding mechanisms, including prospects for government subsidy. By drawing attention to the Kilimanjaro concept, the article calls for African engineers and scientists to take the lead in translating this concept into reality for the benefit of public health, while simultaneously increasing their self-confidence to address other developmental challenges pervasive in Africa.
There is escalating salinity levels on small islands due to uncontrolled groundwater extraction. Conventionally, this challenge is addressed by adopting optimal groundwater pumping strategies. Currently, on Unguja Island (Zanzibar), urban freshwater is supplied by desalination, which is expensive and energy-intensive. Hence, desalinization cannot be afforded by rural communities. This study demonstrates that the innovative Kilimanjaro Concept (KC), based on rainwater harvesting (RWH) can remediate seawater intrusion in Unguja, while enabling a universal safe drinking water supply. The reasoning is rooted in the water balance of the whole island. It is shown that if rainwater is systematically harvested, quantitatively stored, and partly infiltrated, seawater intrusion will be reversed, and a universal safe drinking water supply will be secured. Water treatment with affordable technologies (e.g., filtration and adsorption) is suggested. The universality of KC and its suitability for small islands is demonstrated. Future research should focus on pilot testing of this concept on Unguja Island and other island nations.
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