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CLIMATE, WATER ECOLOGY & PUBLIC HEALTH IN KAMPALA, UGANDA Nora Sadik

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Page 1: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

CLIMATE, WATER ECOLOGY & PUBLIC HEALTHI N K A M PALA, U G ANDA

Nora Sadik

Page 2: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

MOTIVATION

Of total global deaths in 2013 , 2.3% were diarrhea related. Of total global deaths in children under 5, 9% were diarrhea related (IHME).

Climate-related outbreaks of waterborne disease­ Haiti, Bangladesh – Cholera outbreaks related to rise in sea temperature

Climate change projected to have the greatest impact on developing countries ­ Economic capacity, infrastructure resiliency, emergency response capacity

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Page 3: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

RESEARCH OBJECTIVESIt is widely accepted that heavy precipitation during the rainy season increases waterborne disease incidence. How does this relationship manifest in a changing climate?

1. Identify and quantify human enteric pathogens in environmental waters.

2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala.

3. Interpret how this model may help policymakers and designers develop climate change adaptation (CCA) strategies for Kampala.

Climate Change

Impact

Responses

Mitigation Adaptation

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Page 4: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLING– KAMPALA, UGANDADURING RAINY & DRY SEASONS

8 Protected Springs

1 Public Tap

7 Surface Waters

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Page 5: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLING– KAMPALA, UGANDADURING RAINY & DRY SEASONS

8 Protected Springs

1 Public Tap

7 Surface Waters

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Page 6: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLING– KAMPALA, UGANDADURING RAINY & DRY SEASONS

8 Protected Springs

1 Public Tap

7 Surface Waters

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Page 7: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLING– KAMPALA, UGANDADURING RAINY & DRY SEASONS

8 Protected Springs

1 Public Tap

7 Surface Waters

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Page 8: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLING– KAMPALA, UGANDADURING RAINY & DRY SEASONS

8 Protected Springs

1 Public Tap

7 Surface Waters

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Page 9: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLING– KAMPALA, UGANDADURING RAINY & DRY SEASONS

8 Protected Springs

1 Public Tap

7 Surface Waters

9

Page 10: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLING– KAMPALA, UGANDADURING RAINY & DRY SEASONS

8 Protected Springs

1 Public Tap

7 Surface Waters

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Page 11: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

1.6 um Trap

bacteria

0.45 umTrap

Viruses

Genome Sequencing and Quantitative PCR

2 filters per sample

WATER SAMPLE CONCENTRATIONTRAPPING BACTERIA AND VIRUSES FOR ENUMERATION

2 L Water

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Page 12: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLE CONCENTRATIONTRAPPING BACTERIA AND VIRUSES FOR ENUMERATION

Uses a small vacuum pump and is solar powered.

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Public Tap

Page 13: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

WATER SAMPLE ANALYSIS USING GENOME SEQUENCING AND QUANTITATIVE POLYMERASE CHAIN REACTION (QPCR)

Filter Extraction

• Extracts all the microorganisms stuck to the water filter

Genome Sequencing

• Shows all the microorganisms present in a water sample, and allows us to compare microbial composition in the rainy seasons compared to the dry season.

Quantitative Polymerase Chain Reaction (qPCR)

• Shows the number of specific enteric pathogens in a water sample (Salmonella Typhi, Rotavirus, Cryptosporidium, etc).

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Page 14: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

A1 A2 A3 A4

B1 B2 B3 B4

C1 C2 C3 C4

D1 D2 D3 D4

CURRENT & FUTURE WORKMETHODS FOR MICROFLUIDIC QPCR

Salmonella Test

E. coli Test

Rotavirus Test

Cryptosporidium Test

Page 15: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

BROADER IMPACTS We can use this data towards a disease outbreak prediction model that will consider inputs such as climate and water quality.

The mfqPCR system can be applied to a wide variety of environmental samples – water, soil, stool, surfaces – for rapid and precise detection of pathogens in the environment.

Long-term monitoring of climate, water quality and disease outbreak may reveal significant trends that lead to the redesign of water treatment systems and practices to promote climate resiliency.

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Disease Prediction

Model

Water Quality Data

Disease Outbreak

Data

Climate Data

Page 16: CLIMATE, WATER ECOLOGY & PUBLIC HEALTH Nora Sadik IN ... · 2. Use climate, water quality and disease incidence data to create a disease outbreak prediction model for Kampala. 3

ACKNOWLEDGEMENTS Dr. Helen Nguyen and the Global Water and Food Safety Research Group

Dr. Noble Banadda and Makerere University

Fulbright Institute of International Education

Warren Lavey & Dr. Holly Rosencranz Award in Climate Change and Public Health

AWWA & CH2M Hill Holly A. Cornell Scholarship

Illinois Section AWWA Safe Water Scholarship

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