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28 August 2024 | Story André Damons | Photo Supplied
Prof Patricks Voua Otomo
Prof Patricks Voua Otomo, Associate Professor and subject head of Department of Zoology and Entomology at the University of the Free State (UFS).

In an effort to alleviate the burden of water contamination, Prof Patricks Voua Otomo, Associate Professor in the Department of Zoology and Entomology at the University of the Free (UFS) is researching how mushrooms can be used to significantly reduce the toxicity of water.

The degradation of river systems in South Africa has been linked primarily to the inability of municipalities to properly treat wastewater. According to the 2022 Green Drop Report, out of the existing 850 wastewater systems across 90 municipalities, only 23 (or less than 3%) qualified for the Green Drop Certification. This underscores the depth and breadth of the wastewater treatment crisis in South Africa and its potential implications for human and environmental health.

In 2030, billions of people will still lack access to safe water, sanitation and hygiene services – the most basic human need for health and well-being. Target 6.1 of the United Nations (UN) Sustainable Development Goals (SDGs) – SDG 6 – aims to achieve universal and equitable access to safe and affordable drinking water for all, while target 6.3 is also looking to improve water quality by reducing pollution, eliminating dumping and minimising release of hazardous chemicals and materials, halving the proportion of untreated wastewater and substantially increasing recycling and safe re-use globally by 2030.

These challenges inform Prof Voua Otomo’s research, which focuses on the drivers of river pollution in the Qwaqwa region, ways to mitigate/remediate their effects, and the development of simple and quick methods to assess water quality. His research, which is part of the UFS 2023 Impact Report, has drawn attention to localised incidences of terrestrial and aquatic contamination linked to sewage sludge management by local wastewater treatment plants.

Using mycofiltration to reclaim the quality of contaminated water

In Qwaqwa, wastewater treatment plants, however, are not the only source of river pollution, as a significant amount of river pollutants emanates directly from the communities that often dispose of their household waste directly into the waterways. This has led to unacceptable levels of pharmaceuticals such as biphenyl-4-ylacetic acid (an anti-inflammatory), efavirenz (an HIV medicine), and carbamazepine (an epilepsy medicine) ending up in rivers.

To attempt to reclaim the quality of contaminated water, ongoing research in Prof Voua Otomo’s laboratory involves the use of ‘mycofiltration’, i.e., the use of fungal mycelia for the purpose of water filtration. This relatively untapped eco-friendly technology is attracting more attention, yet its real merits are only now being established and documented scientifically.

“Various species of fungi have been explored in bioremediation studies, and those belonging to the Pleurotus genus (edible mushrooms) have demonstrated an exceptional ability in the biosorption of contaminants,” says Prof Voua Otomo.

In his field of research, Prof Voua Otomo says snails can be used as bioindicators (i.e., organisms used to assess the health of an environment or ecosystem, particularly by indicating the presence and impact of pollutants or other environmental stressors) or biomonitors (i.e., organisms or a biological systems used to assess the health of an environment, particularly by detecting changes in the levels of pollutants or other harmful substances).

“We designed a mycofilter made of mycelia from the mushroom species Pleurotus ostreatus and filtrated water contaminated with the organic insecticide imidacloprid and the inorganic chemical iron (III). The results showed that mycofiltration could remove up to 94% of iron (III) and 31% of imidacloprid.

“Mycofiltration works through a process called adsorption, which is the process where molecules, ions, or particles from a gas, liquid, or dissolved solid, stick to a surface. This happens when the adsorbate (the substance being adsorbed) attaches to the adsorbent (the surface it adheres to),” Prof Voua Otomo explains.

Mycofiltration viable and affordable for water remediation

This research is the brainchild of Sanele Mnkandla, a final-year PhD student in Prof Voua Otomo’s laboratory. “A few years ago, she suggested looking at mycofiltration as a means to improve the quality of contaminated water. Freshwater snails were the most suitable organisms to help assess the improvement of the water quality after mycofiltration,” explains Prof Voua Otomo.

According to him, they are currently exploring ways to upscale the mycofilter to improve the quality of larger bodies of water, including rivers. The duration of the process depends on the size of the filter, the amount of water to be filtered and the targeted chemicals. Bigger filters, explains Prof Voua Otomo, will filter larger amounts of water over a relatively longer time whereas smaller ones will be saturated quickly. The process could last from minutes to days.

“We have published a technical note on the topic and a proof of concept. We are currently testing this technology using wastewater effluent in the Qwaqwa region. We are also exploring local applications in rainwater harvesting.

“Mycofiltration is certainly a viable and affordable option for water remediation, which can find a wide range of applications in South Africa,” he says. 

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News Archive

Heart diseases a time bomb in Africa, says UFS expert
2010-05-17

 Prof. Francis Smit

There are a lot of cardiac problems in Africa. Sub-Saharan Africa is home to the largest population of rheumatic heart disease patients in the world and therefore hosts the largest rheumatic heart valve population in the world. They are more than one million, compared to 33 000 in the whole of the industrialised world, says Prof. Francis Smit, Head of the Department of Cardiothoracic Surgery at the Faculty of Health Sciences at the University of the Free State (UFS).

He delivered an inaugural lecture on the topic Cardiothoracic Surgery: Complex simplicity, or simple complexity?

“We are also sitting on a time bomb of ischemic heart disease with the WHO (World Health Organisation) estimating that CAD (coronary artery disease) will become the number-one killer in our region by 2020. HIV/Aids is expected to go down to number 7.”

Very little is done about it. There is neither a clear nor coordinated programme to address this expected epidemic and CAD is regarded as an expensive disease, confined to Caucasians in the industrialised world. “We are ignoring alarming statistics about incidences of adult obesity, diabetes and endemic hypertension in our black population and a rising incidence of coronary artery interventions and incidents in our indigenous population,” Prof. Smit says.

Outside South Africa – with 44 units – very few units (about seven) perform low volumes of basic cardiac surgery. The South African units at all academic institutions are under severe threat and about 70% of cardiac procedures are performed in the private sector.

He says the main challenge in Africa has become sustainability, which needs to be addressed through education. Cardiothoracic surgery must become part of everyday surgery in Africa through alternative education programmes. That will make this specialty relevant at all levels of healthcare and it must be involved in resource allocation to medicine in general and cardiothoracic surgery specifically.

The African surgeon should make the maximum impact at the lowest possible cost to as many people in a society as possible. “Our training in fields like intensive care and insight into pulmonology, gastroenterology and cardiology give us the possibility of expanding our roles in African medicine. We must also remember that we are trained physicians as well.

“Should people die or suffer tremendously while we can train a group of surgical specialists or retraining general surgeons to expand our impact on cardiothoracic disease in Africa using available technology maybe more creatively? We have made great progress in establishing an African School for Cardiothoracic Surgery.”

Prof. Smit also highlighted the role of the annual Hannes Meyer National Registrar Symposium that culminated in having an eight-strong international panel sponsored by the ICC of EACTS to present a scientific course as well as advanced surgical techniques in conjunction with the Hannes Meyer Symposium in 2010.

Prof. Smit says South Africa is fast becoming the driving force in cardiothoracic surgery in Africa. South Africa is the only country that has the knowledge, technology and skills base to act as the springboard for the development of cardiothoracic surgery in Africa.

South Africa, however, is experiencing its own problems. Mortality has doubled in the years from 1997 to 2005 and half the population in the Free State dies between 40 to 44 years of age.

“If we do not need health professionals to determine the quality and quantity of service delivery to the population and do not want to involve them in this process, we can get rid of them, but then the political leaders making that decision must accept responsibility for the clinical outcomes and life expectancies of their fellow citizens.

“We surely cannot expect to impose the same medical legal principles on professionals working in unsafe hospitals and who have complained and made authorities aware of these conditions than upon those working in functional institutions. Either fixes the institutions or indemnifies medical personnel working in these conditions and defends the decision publicly.

“Why do I have to choose the three out of four patients that cannot have a lifesaving operation and will have to die on their own while the system pretends to deliver treatment to all?”

Prof. Smit says developing a service package with guidelines in the public domain will go a long way towards addressing this issue. It is also about time that we have to admit that things are simply not the same. Standards are deteriorating and training outcomes are or will be affected.

The people who make decisions that affect healthcare service delivery and outcomes, the quality of training platforms and research, in a word, the future of South African medicine, firstly need rules and boundaries. He also suggested that maybe the government should develop health policy in the public domain and then outsource healthcare delivery to people who can actually deliver including thousands of experts employed but ignored by the State at present.

“It is time that we all have to accept our responsibilities at all levels… and act decisively on matters that will determine the quality and quantity of medical care for this and future generations in South Africa and Africa. Time is running out,” Prof. Smit says.
 

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