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Billions of litres of raw sewage in rivers and dams a national security issue

02 March 2022 | Story Prof Anthony Turton | Photo Supplied

Prof Turton — Prof Anthony Turton, Affiliated Professor in the Centre for Environmental Management at the University of the Free State (UFS), writes that in the face of the typhoid outbreak, we need to renew our trust in science, but also wake up and smell the coffee.

Opinion article by Prof Anthony Turton from the Centre for Environmental Management, University of the Free State .

The recent news has been dominated by so many things that an important signal has been drowned out by the noise. That small signal is the announcement by the NICD that typhoid has been identified in parts of the country, so the prudent approach is to boil the water coming from taps. While this is an important development, it needs to be placed into context. For starters, the NICD is a credible institution, so anything they say must be taken seriously. This issue brings three important factors into clear focus. Let us unpack each of these in order to gain greater perspective.

The issue of trust

The first is the issue of trust. This is a global phenomenon, most notably associated with social media that has enabled each person to theoretically have access to the entire quantum of our cumulative knowledge as an apex species on planet earth. In an instant, each person has the capacity to become an expert on a given topic. We have seen this playing out in the COVID-19 space, most notably as the efficacy of the vaccination programme has been questioned. While it is great that so much information is available to everyone instantly, it is also a problem, because unless the individual is trained to filter out the noise, they are rapidly overloaded with stuff that causes them to panic. In South Africa this has an added dimension, driven by the findings of the Zondo Commission, which in general indicate a severe trust deficit between government and the general population. Seen in this light, it is highly likely that the typhoid issue will fall directly into that chasm of trust and serve to widen it even further. This needs to be dealt with in our collective best interest, because panic serves nobody in a constructive way. Therefore, the first part of my core message is that we must avoid the urge to become instant experts by deferring the scientific facts to the scientific professionals. Sadly, science has been a victim of this trust deficit, so my voice might be lost in the howling gale of discontentment.

The problem of deteriorating water quality

The second is the problem of deteriorating water quality. In this regard, we are on absolutely solid ground, because we know – without fear of contradiction – that our water quality has been on a downward trajectory for some time. If we are looking for a pivotal moment, we might consider the acid mine drainage decant that first hit the public attention in 2002. Amid a flurry of activism and a media frenzy, we have the sad reality, two decades later, that absolutely nothing has been done about this matter. Highly acidic mine water, rich in a dissolved cocktail of metals that include uranium, arsenic, cadmium, and mercury, have continued to flow into our rivers and dams in mining areas of the country. But more importantly, we have also witnessed the systematic collapse of our wastewater infrastructure, which has accelerated over the past decade; this is best epitomised by the unsuccessful attempt of the SANDF to prevent the flow of raw sewage into the Vaal River at Emfuleni. Two billion rand later, we are no closer today to finding a solution than we were a decade ago. The numbers are staggering. As a nation, we produce over five billion litres of raw sewage every day. The latest credible calculation of that flow indicated that about 4,2 billion litres were being discharged daily into our rivers in an untreated format. That represents a tsunami of human waste inundating our rivers and dams, without respite, for more than a decade.

This is probably our biggest single challenge as a nation. In my professional opinion, this is a national security issue, because it impacts negatively on the lives of each citizen daily. It is destroying the economy from within by damaging the health of the individual, without them even knowing about it. You see, in sewage return flows, we find every substance that is ever dispensed in the retail sector. Think of the pharmaceutical industry. Imagine how much medication is sold each day by major pharmacies countrywide. Every item sold ends up in the sewage stream in a partially metabolised format. These include antibiotics, antiretrovirals, antidepressants, oestrogen used for contraception, and Viagra used to keep an aging population happy. So, we need to think of the sewage streams being discharged into our rivers and dams as thousands of tons of medication, still viable even in its partially metabolised form, to which we are exposing trillions of pathogenic microbes that are flourishing in the warm nutrient-rich waters. Think of this as a boot camp for microbes, because lazy and weak ones are destroyed by the low concentration of antibiotics, leaving only the stronger ones to flourish. In short, our boot camp for microbes is producing the next generation of multidrug-resistant pathogens. It is happening right before our eyes. Simply think about this logically and draw your own conclusion if you choose to mistrust science for reasons of your own. Does it make sense to allow the discharge of more than four billion litres of sewage daily into our rivers and dams, without anticipating some form of unintended consequence?

Our ability to cope as a nation

The third is the issue of our ability to cope as a nation. Here is where it gets really interesting, because at the very time when we are facing multiple risks to our economic well-being – COVID-19, unemployment, capital flight, energy crisis, corruption, to name but a few – we also need to be at our peak performance when it comes to finding solutions. We can say, with a high level of confidence, that our capacity to reach consensus on the way to solve the complex problems we are facing, is probably at an historic low (and deteriorating). In fact, we can say that there is an inverse relationship between our need to find consensus on a viable way ahead, and our capacity to generate the very consensus on which our survival as a species depends. This sounds a little dramatic, but I am using it to illustrate the point that globally, our capacity to unite in the face of a single common threat – climate change – is being eroded by many forces. These include the deficit of trust in government (point one noted above), the growing mistrust of science (exacerbated by the COVID-19 pandemic and the manifest as social pushback from the anti-vaxxers and the climate change denialists), and the increased sense of helplessness that each person is confronted with.

All of these are manifested in the typhoid issue. While typhoid is clearly a bad thing, we need to place it in context. Just as the COVID issue has shown us, the fatalities are relatively few, and while tragic to the individual families impacted, seen through the lens of logic and reason, this is not a show-stopper. What it does is highlight the issue of our failing sewage infrastructure. We can no longer simply accept that incompetent politicians can muddle their way through a growing crisis. We have to hold them accountable. We must convert the rising sense of rage into the high-octane rocket fuel of change. We need to say enough is enough. Now is the time that we demand technically competent people be appointed into specialist jobs, and then held fully accountable. We need to depoliticise the deployment of cadres, for that policy has brought us the failing infrastructure we see in Eskom, PRASA, municipal wastewater systems, and many other failed SOEs.

In the face of the typhoid outbreak, we need to renew our trust in science, but also wake up and smell the coffee by realising that we cannot simply discharge billions of litres of acidic mine water and raw sewage into our rivers and dams, without encountering unintended consequences. Those consequences might just be deadly.

News Archive

Inaugural lecture: Prof Robert Bragg, Dept. of Microbial, Biochemical and Food Biotechnology

2006-05-17

Attending the inaugural lecture were in front from the left Prof Robert Bragg (lecturer at the Department of Microbial, Biochemical and Food Biotechnology) and Frederick Fourie (Rector and Vice-Chancellor). At the back from the left were Prof James du Preez (Departmental Chairperson: Department of Microbial, Biochemical and Food Biotechnology) and Prof Herman van Schalkwyk (Dean: Faculty of Natural and Agricultural Sciences). Photo: Stephen Collett

A summary of an inaugural lecture delivered by Prof Robert Bragg at the University of the Free State:

CONTROL OF INFECTIOUS AVIAN DISEASES – LESSONS FOR MAN?

Prof Robert R Bragg
Department of Microbial, Biochemical and Food Biotechnology
University of the Free State

“Many of the lessons learnt in disease control in poultry will have application on human medicine,” said Prof Robert Bragg, lecturer at the University of the Free State’s (UFS) Department of Microbial, Biochemical and Food Biotechnology during his inaugural lecture.

Prof Bragg said the development of vaccines remains the main stay of disease control in humans as well as in avian species. Disease control can not rely on vaccination alone and other disease-control options must be examined.

“With the increasing problems of antibiotic resistance, the use of disinfection and bio security are becoming more important,” he said.

“Avian influenza (AI) is an example of a disease which can spread from birds to humans. Hopefully this virus will not develop human to human transmission,” said Prof Bragg.

According to Prof Bragg, South Africa is not on the migration route of water birds, which are the main transmitters of AI. “This makes South Africa one of the countries less likely to get the disease,” he said.

If the AI virus does develop human to human transmission, it could make the 1918 flu pandemic pale into insignificance. During the 1918 flu pandemic, the virus had a mortality rate of only 3%, yet more than 50 million people died.

Although the AI virus has not developed human-to-human transmission, all human cases have been related to direct contact with infected birds. The mortality rate in humans who have contracted this virus is 67%.

“Apart from the obvious fears for the human population, this virus is a very serious poultry pathogen and can cause 100% mortality in poultry populations. Poultry meat and egg production is the staple protein source in most countries around the world. The virus is currently devastating the poultry industry world-wide,” said Prof Bragg.

Prof Bragg’s research activities on avian diseases started off with the investigation of diseases in poultry. “The average life cycle of a broiler chicken is 42 days. After this short time, they are slaughtered. As a result of the short generation time in poultry, one can observe changes in microbial populations as a result of the use of vaccines, antibiotics and disinfectants,” said Prof Bragg.

“Much of my research effort has been directed towards the control of infectious coryza in layers, which is caused by the bacterium Avibacterium paragallinarum. This disease is a type of sinusitis in the layer chickens and can cause a drop in egg product of up to 40%,” said Prof Bragg.

The vaccines used around the world in an attempt to control this disease are all inactivated vaccines. One of the most important points is the selection of the correct strains of the bacterium to use in the vaccine.

Prof Bragg established that in South Africa, there are four different serovars of the bacterium and one of these, the serovar C-3 strain, was believed to be unique to Southern Africa. He also recently discovered this serovar for the first time in Israel, thus indicating that this serovar might have a wider distribution than originally believed.

Vaccines used in this country did not contain this serovar. Prof Bragg established that the long term use of vaccines not containing the local South African strain resulted in a shift in the population distribution of the pathogen.

Prof Bragg’s research activities also include disease control in parrots and pigeons. “One of the main research projects in my group is on the disease in parrots caused by the circovirus Beak and Feather Disease virus. This virus causes serious problems in the parrot breeding industry in this country. This virus is also threatening the highly endangered and endemic Cape Parrot,” said Prof Bragg.

Prof Bragg’s research group is currently working on the development of a DNA vaccine which will assist in the control of the disease, not only in the parrot breeding industry, but also to help the highly endangered Cape Parrot in its battle for survival.

“Not all of our research efforts are directed towards infectious coryza or the Beak and Feather Disease virus. One of my Masters students is currently investigating the cell receptors involved in the binding of Newcastle Disease virus to cancerous cells and normal cells of humans. This work will also eventually lead to a possible treatment of cancer in humans and will assist with the development of a recombinant vaccine for Newcastle disease virus,” said Prof Bragg.

We are also currently investigating an “unknown” virus which causes disease problems in poultry in the Western Cape,” said Prof Bragg.

“Although disinfection has been extensively used in the poultry industry, it has only been done at the pre-placement stage. In other words, disinfectants are used before the birds are placed into the house. Once the birds are placed, all use of disinfectants stops,” said Prof Bragg.

“Disinfection and bio security can be seen as the ‘Cinderella’ of disease control in poultry. This is also true for human medicine. One just has to look at the high numbers of people who die from hospital-acquired infections to realise that disinfection is not a concept which is really clear in human health care,” said Prof Bragg.

Much research has been done in the control of diseases through vaccination and through the use of antibiotics. “These pillars of disease control are, however, starting to crumble and more effort is needed on disinfection and bio security,” said Prof Bragg.

Prof Bragg has been working in close co-operation with a chemical manufacturing company in Stellenbosch to develop a unique disinfectant which his highly effective yet not toxic to the birds.

As a result of this unique product, he has developed the continual disinfection program for use in poultry. In this program the disinfectant is used throughout the production cycle of the birds. It is also used to ensure that there is excellent pre-placement disinfection.

“The program is extensively used for the control of infectious diseases in the parrot-breeding industry in South Africa and the product has been registered in 15 countries around the world with registration in the USA in the final process,” said Prof Bragg.

“Although the problem of plasmid mediated resistance to disinfectants is starting to rear its ugly head, this has allowed for the opening of a new research field which my group will hopefully exploit in the near future,” he said.

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