Technical Report > Policy Brief
Baxter LM, Cowan K, Devine C, Guevara M, Kalub D, et al.
2022 October 27
As an independent international medical humanitarian organisation responding to health crises in more than 70 countries, Médecins Sans Frontières/Doctors Without Borders (MSF) is seeing first-hand the suffering caused or exacerbated by climate change and environmental degradation, most often experienced by the most vulnerable people. We are witnessing how climate change directly threatens health – for example, through death and injury due to extreme weather – and how climate change impacts health indirectly, through food insecurity and shifting patterns of climate-sensitive infectious diseases.
Recognising the role of the climate crisis in amplifying humanitarian needs, MSF is adapting its operations to be more responsive to the populations it serves while also facing up to the challenges of measuring and reducing its own environmental footprint.
Recognising the role of the climate crisis in amplifying humanitarian needs, MSF is adapting its operations to be more responsive to the populations it serves while also facing up to the challenges of measuring and reducing its own environmental footprint.
Journal Article > ResearchSubscription Only
Society. 2022 January 31; 103107.; DOI:10.1016/j.pce.2022.103107
Takavada I, Hoko Z, Gumindoga W, Mhiza A, Nuttinck JY, et al.
Society. 2022 January 31; 103107.; DOI:10.1016/j.pce.2022.103107
Zimbabwe is projected to suffer water stress by 2025. Water availability is decreasing in the capital Harare, particularly in high density settlements where people rely mainly on boreholes. Anthropogenic pollution and poorly constructed boreholes lead to high levels of bacteriological contamination of borehole water sources, posing an increased risk of diarrheal disease for beneficiaries. To mitigate the risk of recurrent diarrheal outbreaks, Médecins Sans Frontiers piloted the incorporation of borehole sanitary seal in accordance with the local geology while drilling new boreholes in Harare. This study compared physical, chemical and bacteriological parameters between boreholes with two different sanitary seal types and no sanitary seal in Harare's Mbare suburb. 14 boreholes were classified into three categories based on the installed sanitary seal. Water quality analysis were conducted to describe physical, chemical and bacteriological parameters across three categories. The three categories included 4 boreholes with no seal, 6 with 3–6 m seal (random seal) and 4 with 18–25 m seal (proper seal; done in accordance with local geology). Water samples were collected between February 2019 to January 2020 in 3 sampling periods and analysed according to APHA standards. Groundwater vulnerability assessment to map pollution risk of the study areas showed 80% of the study area had high vulnerability. Results of water quality analysis revealed that only boreholes with 18–25m sanitary seal satisfied the WHO guidelines for drinking water. This study suggests that local geology should be considered to install borehole sanitary seals for contaminated shallow water aquifers in urban settlements.