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Groundwater impact of COVID-19 pandemic burials studied

30 April 2025 | Story Leonie Bolleurs | Photo Supplied

Dr Palesa Mohajane, a scientist production at the Department of Water and Sanitation in Hartbeespoort, was recently awarded her doctoral degree at the University of the Free State’s (UFS) autumn graduation ceremony. Her thesis, titled Modelling the effect of pandemic-induced burials on groundwater contamination: a hydrogeological and epidemiological assessment, looks at the impact of increased burial rates on groundwater quality.

Safeguarding groundwater resources

Dr Mohajane explains that witnessing the dramatic rise in burial rates during the COVID-19 pandemic – including instances of mass burials – and the resulting strain on cemeteries, raised concerns about the potential risk of groundwater contamination. This became a motivator for her research.

Her study bridges the gap between environmental science and epidemiology, developing tools to predict how disease outbreaks and related deaths can impact groundwater systems. “By focusing on this intersection, the study contributes knowledge that informs not only responsible cemetery management, but also the protection of groundwater resources important to public health,” she says.

Dr Mohajane highlights the environmental risks that come with an increase in burial activity during pandemics. “When death rates rise sharply, cemeteries experience a surge in burials, which accelerates decomposition within confined spaces. As bodies decompose, they release organic and inorganic pollutants, which can seep through geological layers and affect groundwater quality.”

She notes that if cemeteries are established without proper hydrogeological assessments, these substances can infiltrate the soil and contaminate water sources, posing a threat to both environmental and human health.

Using advanced tools to predict groundwater pollution

Dr Mohajane conducted her research during the post-pandemic period when the longer-term environmental effects of COVID-19-related burial practices began to surface. “Groundwater sampling and quality testing were conducted between September 2023 and January 2024. This period provided a suitable time frame to monitor contaminant release and assess the hydrochemical effects of the burial practices,” she explains.

Langberg Cemetery was selected as a case study due to its representative geological and human-made characteristics, making it a strong candidate for validating the research models. “This site allowed for real-world testing of the mathematical models and simulations, offering important insights into how contaminants move through soil and rock layers and impact groundwater,” says Dr Mohajane.

Her findings revealed that groundwater contamination is influenced by multiple interacting factors – including burial depth, body mass, and geological features. She explains that shallower burials allow pollutants to reach the water table more rapidly, while deeper burials may delay but not prevent eventual leaching. Larger body masses produce more decomposing material, increasing the number of pollutants released. Geological conditions such as fractures and varied rock formations also play a role in the spread of contaminants.

Dr Mohajane’s work has serious implications for both public health and water sustainability. The presence of elevated levels of total dissolved solids, electrical conductivity, specific ions, alkalinity, and mineralisation indicates potential health hazards. As groundwater is an important source of drinking water, she stresses the urgency of addressing these risks. “We need to use advanced tools to predict and prevent groundwater pollution before it occurs. With proper water management systems, we can reduce the environmental impact of pandemics,” she says.

She also emphasises the importance of continuous monitoring to detect pollutant levels that exceed safety limits. “Improving burial practices – including thorough geological assessments before establishing cemeteries and optimising burial depths – can help reduce contaminant migration. These measures are important to protect community water resources,” she adds.

Measures to protect groundwater and public health

Dr Mohajane’s research proposes a range of practical measures to safeguard groundwater and public health. Cemeteries should only be developed after detailed geological evaluations, and clear regulations must guide cemetery design to manage increased burial needs during pandemics. Regular water quality monitoring using modern detection tools is key, along with the inclusion of environmental assessments in public health planning.

“These policy measures, if adopted at both regional and national levels, can help to reduce the risk of groundwater pollution and support long-term public health,” she says.

Ultimately, this research supports South Africa’s efforts to protect its groundwater by encouraging collaboration between scientists and policy makers. It offers predictive tools, evidence-based guidelines for sustainable cemetery management, and highlights how scientific research can shape practical, effective policies. The goal is to ensure that groundwater remains a safe and secure resource during future public health and environmental crises.

News Archive

Higher than expected prevalence of dementia in South African urban black population

2010-09-22

Prof. Malan Heyns and Mr Rikus van der Poel

Pilot research done by University of the Free State (UFS) indicates that the prevalence of dementia, of which Alzheimer’s disease is only one of the causes, is considerably higher than initially estimated. Clinical tests are now underway to confirm these preliminary findings.

To date it has been incorrectly assumed that dementia is less prevalent among urban black communities. This assumption is strongly disputed by the findings of the current study, which indicates a preliminary prevalence rate of approximately 6% for adults aged 65 years and older in this population group. Previous estimates for Southern Africa have been set at around 2,1%.

The research by the Unit for Professional Training and Services in the Behavioural Sciences (UNIBS) at the UFS and Alzheimer’s South Africa is part of the International 10/66 Dementia Research Group’s (10/66 DRG) initiative to establish the prevalence of dementia worldwide.

Mr Rikus van der Poel, coordinator of the local study, and Prof. Malan Heyns, Principal Investigator, say worldwide 66% of people with dementia live in low and middle income countries. It is expected that it will rise to more than 70% by 2040, and the socio-economic impact of dementia will increase accordingly within this period. 21 September marks World Alzheimer’s Day, and this year the focus is on the global economic impact of dementia. Currently, the world wide cost of dementia exceeds 1% of the total global GDP. If the global cost associated with dementia care was a company, it would be larger than Exxon-Mobil or Wal-Mart.

The researchers also say that of great concern is the fact that South Africa’s public healthcare system is essentially geared toward addressing primary healthcare needs, such as HIV/Aids and tuberculosis. The adult prevalence rate of HIV was 18,1% in 2007. According to UNAIDS figures more than 5,7 million people in South Africa are living with HIV/Aids, with an estimated annual mortality of 300 000. In many instances the deceased are young parents, with the result that the burden of childcare falls back on the elderly, and in many cases elderly grandparents suffering from dementia are left without children to take care of them. “These are but a few reasons that highlight the need for advocacy and awareness regarding dementia and care giving in a growing and increasingly urbanized population,” they say.

Low and middle income countries often lack epidemiological data to provide representative estimates of the regional prevalence of dementia. In general, epidemiological studies are challenging and expensive, especially in multi-cultural environments where the application of research protocols relies heavily on accurate language translations and successfully negotiated community access. Despite these challenges, the local researchers are keen to support advocacy and have joined the international effort to establish the prevalence of dementia through the 10/66 DRG.

The 10/66 DRG is a collective of researchers carrying out population-based research into dementia, non-communicable diseases and ageing in low and middle income countries. 10/66 refers to the two-thirds (66%) of people with dementia living in low and middle income countries, and the 10% or less of population-based research that has been carried out in those regions.

Since its inception in 1998, the 10/66 DRG has conducted population based surveys in 14 catchment areas in ten low and middle income countries, with a specific focus on the prevalence and impact of dementia. South Africa is one of seven LAMICs (low and medium income countries) where new studies have been conducted recently, the others being Puerto Rico, Peru, Mexico, Argentina, China and India.

Mr Van der Poel says participating researchers endeavour to conduct cross-sectional, comprehensive, one-phase surveys of all residents aged 65 and older within a geographically defined area. All centres share the same core minimum dataset with cross-culturally validated assessments (dementia diagnosis and subtypes, mental disorders, physical health, anthropometry, demographics, extensive non-communicable risk factor questionnaires, disability/functioning, health service utilization and caregiver strain).

The local pilot study, funded by Alzheimer’s South Africa, was rolled out through an existing community partnership, the Mangaung University of the Free State Community Partnership Programme (MUCPP).

According to Mr Van der Poel and Prof. Heyns, valuable insights have been gained into the myriad factors at play in establishing an epidemiological research project. The local community has responded positively and the pilot phase in and of itself has managed to promote awareness of the condition. The study has also managed to identify traditional and culture-specific views of dementia and dementia care. In addition, existing community-based networks are being strengthened, since part of the protocol will include the training and development of family caregivers within the local community in Mangaung.

“Like most developing economies, the South African population will experience continued urbanization during the next two decades, along with increased life expectancy. Community-based and residential care facilities for dementia are few and far between and government spending will in all probability continue to address the high demands associated with primary healthcare needs. These are only some of the reasons why epidemiological and related research is an important tool for assisting lobbyists, advocates and policymakers in promoting better care for those affected by dementia.”

Media Release
Issued by: Mangaliso Radebe
Assistant Director: Media Liaison
Tel: 051 401 2828
Cell: 078 460 3320
E-mail: radebemt@ufs.ac.za
21 September 2010

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