Examining the influence of urban definition when assessing relative safety of drinking-water in Nigeria Elizabeth 1 Christenson , 1The Robert 1 Bain , Jim 2 Wright , Stephen 3 Aondoakaa , and Jamie 1 Bartram Water Institute at UNC, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, USA 2Geography and Environment, University of Southampton, Southampton, UK 3Geography and Environmental Management, University of Abuja, Abuja, Nigeria 4World Health Organization, Geneva, Switzerland Objectives (i) Examine the influence of urban extent definition on water safety in Nigeria Urban Definition Urban dataset Globcover (ii) Compare the frequency of thermotolerant coliform (TTC) contamination and prevalence of sanitary risks between rural and urban water sources of a given type Globcover2 e-Geopolis3 (iii) Investigate differences in exposure to contaminated drinkingwater in rural and urban areas. e-Geopolis Results Data Spatial Source Resolution Year 10 minute grid (~0.3 km) 10 minute grid (~0.3 km) ~200 m precision MODIS MODIS4 Introduction Reducing inequalities is a priority from a human rights perspective and in water and public health initiatives. ~500 m 2006 Afripop5 – 3 minute grid UN threshold (~0.1 km) LandScan 2008 1. Balk D, Pozzi F, Yetman G, Deichmann U, Nelson A. The distribution of people and the dimension of place: methodologies to improve the global estimation of urban extents. Proc Urban Remote Sens Conf. Tempe, AZ: International Society for Photogrammetry and Remote Sensing. 2005. 2. Bicheron P, P. D, Brockmann C, Schouten L, Vancutsem C, Huc M, et al. GLOBCOVER Products Description and Validation Report. 2008 p. 47. 3. Moriconi-Ebrard F, Borne F, Cao H, Chatel C, Denis E, Douay N, et al. Africopolis Urbanization Trends 1950-2020: A Geo-statistical Approach West Africa. 2010. – 3 minute grid national (NAT) (~0.1 km) LandScan8,9 - 30 minute grid (~1km) UN threshold LandScan8,9 – 30 minute grid (~1km) national (NAT) Figure 1: Comparing spatial extent of each urban definition • Nigeria RADWQ study10 n=1768 2004-2005 national randomized sample survey Water Quality 5. Linard C, Gilbert M, Snow RW, Noor AM, Tatem AJ. Population distribution, settlement patterns and accessibility across Africa in 2010. PLoS One. 2012. Binary TTC contamination 7. Christenson E, Elliott M, Banerjee O, Hamrick L, Bartram J. Climate-related hazards: a method for global assessment of urban and rural population exposure to cyclone, drought, and flood. Int J Environ Res Public Health. 2014;11(2):2169–92, in press. 8. Dobson JE, Bright EA, Coleman PR, Durfee RC, Worley BA. LandScan: A Global Population Database for Estimating Populations at Risk. Photogramm Eng Remote Sensing. 2000. 9. Bright EA, Coleman PR, King AL, Rose AN, Urban ML. LandScan. 2008. Oak Ridge, TN: Oak Ridge National Laboratory SE. 10. Ince M, Bashire D, Oni OOO, Awe EO, Ogbechie V, Korve K, et al. Rapid assessment of drinking-water quality in the Federal Republic of Nigeria: country report of the pilot project implementation in 2004-2005. Geneva: World Health Organization and UNICEF; 2010. 11. Bain R, Cronk R, Hossain R, Bonjour S, Onda K, Wright J, et al. Global assessment of exposure to fecal contamination through drinking-water based on a systematic review. 2014 a, in press. 12. Williams M, Moran P, Nhandara C, Hove I, Charimari L, Katito C, et al. Contamination of traditional drinking water sources during a period of extreme drought in the Zvimba Communal Lands, Zimbabwe. Cent Afr J Med. 1997;43(11):316–21. 13. Wright J a, Cronin A, Okotto-Okotto J, Yang H, Pedley S, Gundry SW. A spatial analysis of pit latrine density and groundwater source contamination. Environ Monit Assess. 2013 May;185(5):4261–72. night time lights time-series satellite imagery; Land Use Classification System (artificial surfaces) C5 MODIS 500m resolution Dec. 2004 - satellite imagery by assessing Jun 2006 the level of built area compared to vegetative area 2006 a AP-UN LS-UN AP-NAT LS-NAT MODIS E-GEO Figure 3: Risk level classification for levels of TTC in rural and urban areas, by improved source type using the GRUMP definition of urban extent 2006 a 2008 2008 a a Sanitary Risk Observational checklist of 10 contamination hazards • Unimproved Water Source Quality 90% TTC contamination Systematic review11,12,13 • Urban-Rural Water Source Type Coverage 2006 Core Welfare Indicator Questionnaire in Nigeria14 GLOB Household container OR (p-value) 1.02 (0.965) 1.46 (0.442) 3.50 (-) 3.00 (0.003) 0.57 (0.075) 0.82 (0.623) 1.82 (0.174) 1.11 (-) 1.98 (0.043) 0.43 (0.003) 0.56 (0.179) 1.19 (0.666) 3.50 (-) 1.98 (0.043) 0.57 (0.075) 0.82 (0.623) 1.82 (0.174) 1.11 (-) 1.98 (0.043) 0.44 (0.007) 0.73 (0.490) 1.04 (0.939) 3.50 (-) 1.77 (0.089) 0.62 (0.122) 0.70 (0.254) 0.46 (0.001) 3.50 (-) 1.36 (0.350) 1.33 (0.507) 0.67 (0.413) 1.76 (0.060) 2.67 (-) 1.64 (0.260) 0.36 (0.014) 1.50 (0.532) 0.93 (0.903) 3.50 (-) 1.91 (0.072) Urban definition Utility Piped Boreholes Protected dug wells Tanker truck Household container Coeff. (pvalue) Coeff. (pvalue) Coeff. (pvalue) Coeff. (pvalue) Coeff. (pvalue) -0.19 (0.860) -1.04 (0.056) 0.00 (0.993) 1.70 (<0.001) -0.39 (0.487) AP-UN 0.59 (0.097) -0.60 (0.234) 0.60 (0.472) -0.62 (0.282) -0.19 (0.498) LS-UN 0.95 (0.014) -0.56 (0.210) -0.77 (0.286) -1.04 (0.056) 0.27 (0.333) AP-NAT 0.59 (0.097) -0.60 (0.234) 0.60 (0.472) -0.62 (0.282) -0.19 (0.498) LS-NAT 0.98 (0.012) -0.73 (0.130) -0.73 (0.375) -1.04 (0.056) 0.27 (0.331) MODIS 0.79 (0.006) -0.92 (0.040) -1.06 (0.153) -1.04 (0.056) -0.13 (0.642) E-GEO 1.59 (<0.001) -0.85 (0.029) -0.26 (0.768) -0.55 (0.331) -0.40 (0.302) Figure 4: Sanitary risk score (the total GLOB number of observed contamination 0.31 (0.562) -0.59 (0.260) 0.68 (0.640) -1.04 (0.056) 0.05 (0.871) hazards) for samples from a given improved In bold if p<=0.01. OR: odds ratio, Coef: Coefficient; A value greater than one indicates that compliance is higher in urban areas. p-values were not source type using the GRUMP urban calculated for tanker trucks since these were from one single cluster. definition Improved and Unimproved Sources As with Afripop but using LandScan population density data Figure 5: Estimated proportion of households using improved or unimproved water sources that contain fecal contamination by urban definition. Based on water quality data for improved sources from this study, for unimproved sources from a systematic review11 and source coverage Rural data from a contemporary household survey14. population estimates are based on either the 1991 census and/or the 2006 census Tanker truck 1.15 (0.801) As with Afripop but using LandScan population density data a Nigeria Boreholes Protected dug wells Table 3: Linear regression urban versus rural sanitary risk GRUMP UN statistics were used to create a national population density threshold set so that the percentage of urban population matched the UN 7 estimate A population density threshold matches UN 6,7 estimates and contiguous grid cells must exceed Nigerian national defiinition of 20,000 or more people Utility Piped OR (p-value) OR (p-value) OR (p-value) OR (p-value) Urban Water Quality and Sanitary Risk 4. Schneider A, Friedl M a., Potere D. Mapping global urban areas using MODIS 500-m data: New methods and datasets based on “urban ecoregions.”Remote Sens Environ. 2010. 114(8):1733–46. 6. UN DESA Population Division. World Urbanization Prospects The 2011 Revision. New York; 2012 p. 18. Urban definition General Method Satellite imagery identifies contiguous built up areas a 2001 - 2008 and census identifies satellite whether area has more than imagery the global population threshold of 10,000 people Afripop Afripop5 Table 2: Logistic regression of rural versus urban differences in microbial compliance by improved source GRUMP Rural dwellers are less likely to use an improved source of drinking water. References: Improved Sources 6 There are periodic calls for differential national and global standards for rural and urban areas often justified by the suggestion that safety is worse in urban areas. Our study discusses the implications of urban definition on microbial water quality, however identification of urban extent and allowing for an urban-rural gradient is important for assessing health disparities and equity in distribution of resources within and between the urban and rural environments as well as other environmental assessments of urban impact such as changes in precipitation patterns, air quality and climate, deforestation and loss of biodiversity. [email protected] Data Sources GRUMP1 14. WHO/UNICEF. Nigeria country file. 2013 a. Available from: www.wssinfo.org Rifat 4 Hossain , AP-NAT AP-UN E-GEO GLOB GRUMP LS-NAT LS-UN MODIS Conclusions Improved Water Source Types Sampled: BH – boreholes or tubewell PDW – protected dug wells UP – utility piped water systems TT – tanker truck Figure 2: Location of improved water sources sampled during the Nigeria RADWQ study There is little difference between urban and rural contamination for a given improved source type in TTC contamination and in sanitary risk Combining improved and unimproved source types, TTC contamination is 1.6 – 2.3 times more likely in rural compared to urban water sources Rural disadvantage primarily results from the greater proportion of rural households relying on unimproved sources (including surface water and unprotected groundwater) Urban-rural analyses should assess multiple definitions or indicators of urban to assess robustness of findings and to characterize a gradient that disaggregates the urban-rural dichotomy Acknowledgments: We would like to express our thanks to WHO for making available the RADWQ dataset, the entire RADWQ team in Nigeria, and Oliver Schmoll for answering questions regarding survey design and implementation. The authors declare no conflicts of interest.
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