Wastewater Management in the Malawian Cities and impacts on downstream communities: A case study of Blantyre City. Chaonamwene, G. C*1, Mwanuzi F.L2, Chipofya, V.3 1 Malawi Bureau of Standards, P O Box 946. Blantyre. MALAWI University of Dar es Salaam, Water Resources Engineering Department, P.O. Box 35131, TANZANIA 3 University of Malawi, The Malawi Polytechnic, P/Bag 303, Department of Civil Engineering, Blantyre, MALAWI 2 *Corresponding author email: gchaonamwene@gmail.com; chaonamwene@yahoo.co.uk ABSTRACT This study assessed the impact of wastewater management in Blantyre City on the downstream livelihoods of Mudi, Limbe and Naperi rivers as receiving bodies. The physico-chemical characteristics of effluents from main wastewater treatment plants and river waters at community abstraction points in Blantyre city were assessed and analysed for Total Solids, Sulphates, Nitrates, Chlorides, Lead, Iron, Dissolved Oxygen, Biological Oxygen Demand, Chemical Oxygen Demand and Faecal Coliform. Main treatment plants (Soche, Blantyre and Limbe) were assessed. Focus groups and key informant interviews with relevant personnel from City Assembly, Health centres and communities using the waters for domestic use were conducted respectively. Data was obtained from Health Management Information System office within the Blantyre District Health Office on prevalence of waterborne related diseases. Survey conducted in all four City Assemblies in Malawi revealed that there is generally poor wastewater management in all Malawian Cities. Assessment of the three main wastewater treatment plants in Blantyre City revealed that aging infrastructure and lack of maintenance together with poor operational and management issues contributes highly to poor wastewater management. Concentrations of BOD, COD, Lead, Chlorides, Sulphates, and Fecal coliform at abstraction points were as high as 242±106.4, 299±107.38, 0.665±0.11, 299±98.18, 391.33±39.30 mg/ℓ and 3126±2020.66 FC/100 mℓ. It has been revealed that poor wastewater management in the city and lack of safe water for domestic use has adverse impacts on the health of the downstream communities. It has been revealed from the assessment that river waters, at the present condition are not fit for any domestic use including irrigation. There is need for swift intervention by the Government and other stakeholders on awareness campaigns to the communities downstream on the use of river waters and provision of safe water for domestic use and also on the development of Water Resources Plan which should constitute Long-term wastewater Management Plan. Key Words: Blantyre City, Downstream livelihoods, Health impacts, Water borne disease prevalence, Wastewater management; Water Quality, Malawi and Malawian Cities 1 Introduction Increasing disposal of wastes in the water bodies means a great potential for environmental damage, and emphasize the need to monitor, protect and manage water resources. However, water quality should also be preserved from the view points of living environment for biota and the ecosystem. Impact of water pollution on these means direct and indirect adverse effects on human beings through the food chain and disturbances in the ecosystem. 2 Malawi is not an exception of challenges met by the developing countries in the areas of water supply and sanitation and she acknowledges that environmental protection must be a component of the management of aquatic resources. Like any other country of the world, Malawi strives to embark on the actions to protect, preserve and improve the quality of the environment. The Ministry of Irrigation and Water Development which is responsible for water and sanitation gives policy direction and regulates the water sector. It has developed sanitation policy to guide government and NGOs in the water and sanitation sector how to provide safe drinking water and disposal of industrial waste to avoid polluting the water. Malawian cities are faced with a critical problem of high rate of urbanization creating a challenge to local authorities in the provision of social amenities such as water and wastewater management. In the water sector, the principles of the United Nations Millennium Development Goals (MDGs) are reflected in the National Water Policy (2004) and in the Malawi Poverty Reduction Strategy Paper (MPRSP) (2002). Both the Malawi Poverty Reduction Strategy Paper and the National Water Policy seek to reduce poverty by increasing access to water for domestic and productive purposes. In particular, the MPRSP focuses on constructing and rehabilitating water facilities, extend water supply capacity, promote community-based management and improve water resources conservation and management (W Mulwafu et al 2005). Mulwafu argued that although Malawi has come up with very clear strategies and guidelines for promoting MDGs, a combination of human and financial resources, bedevil the successful implementation of these ideas. In addition, the strategies do not articulate water as a medium for poverty alleviation in a holistic manner i.e. the strategies in water sector for example do not tackle all the areas (economic, environmental, technical, social as well as cultural issues) of Integrated Water Resources Management practically. The key concept of the IWRM approach and the basis of its success are integration and balancing of different goals and views in an informed manner. This concept is an essential element that separates IWRM from other management practices. The population of the city of Blantyre has grown rapidly (through immigration) over the past few years without keeping pace with the national economy. The surface water sources in the city (rivers, streams and hand-dug wells) is very polluted hence unsafe and unsuitable for human consumption, mainly due to effluent discharges from industries, domestic and commercial sources; high level content of fecal contaminants; poor sanitation combined with seepage from pit latrines and rotting solid waste and suspended solids. The recent study by S Kuyeli, 2007 revealed levels of chromium (56.12 mg/ℓ), zinc (30.83 mg/ℓ), lead (2.60 mg/ℓ), Biochemical Oxygen Demand (1570.32 mg/ℓ), Chemical Oxygen Demand (26784.33 mg/ℓ), oil and grease (650.00 mg/ℓ) were observed to exceed the public sewer discharge limits in some of the industries. Sajidu et al, 2006, in their water quality inventory of Blantyre streams, revealed levels of lead from 0.027 to 0.118 mg/ℓ, cadmium from 0.002 to 0.015 mg/ℓ, zinc from 0.166 to 0.630 mg/ℓ with most values exceeding the acceptable limits. The continuous monthly monitoring of the streams being done by Blantyre City Assembly shows high levels of BOD as high as 40 mg/ℓ against the recommended 20 mg/ℓ standard set by both Malawi Bureau of Standards and World Health Organization (BCEPS 2000). Lakudzala et al (1999) reported iron concentrations of up to 1.86 mg/ℓ in Mudi River and lead concentrations of up to 1.0 mg/ℓ in Likhubula River. Despite numerous research studies being conducted on rivers in the City, there has been no study on the impacts of the pollution on the livelihoods of the downstream. This research therefore seeks to fill the gaps on knowledge regarding impacts of the pollution on downstream users. It also identifies the possible wastewater management options which could address the wastewater management problem. 2 Description of the Study Area and Methodology 2.1 The study Area The study area is the area contained within Blantyre city boundary and within the catchments of Mudi, Limbe and Naperi rivers, see Fig 2.1. The Mudi river and its tributary, the Naperi streams form 3 the main drainage from Blantyre area. Downstream communities studied consist of sixteen villages under GVH Mpagaja located between and along Mudi and Naperi rivers over 2 km after wastewater discharge N Figure 2.1: Map of Blantyre City and its location in Malawi points and 10 villages under GVH Chemboma from 100 m to over 2 km downstream of wastewater discharge points along Limbe river. 3.0 The Methodology 3.1 Introduction Downstream communities studied consist of sixteen villages under GVH Mpagacha located between and along Mudi and Naperi rivers over 2 km after wastewater discharge points and 10 villages under 4 GVH Chemboma from 100 m to over 2 km downstream of wastewater discharge points along Limbe river. 3.2 Wastewater Treatment Plants The research study included assessment of the 3 main wastewater treatment plants, their current condition as well as their performance in meeting effluent standards as required by the WHO and the Malawi Bureau of Standards. This was achieved through a general inspection of the three wastewater treatment plants, through researcher’s observations, unstructured interviews with the plant operators and through the analysis of their effluents. 3.3 Design of the Study Data used in this research was collected from primary and secondary sources. The study adopted both qualitative and quantitative paradigm to achieve the highlighted objectives. The focus group discussions and the Investigative Survey Research Approach was the base research instrument for the study. The research instruments were: key informant interviews; transect walk, focus group discussions, documents review and laboratory tests for selected parameters based on health impacts and availability of test equipment. The study started with surveying the four Malawian cities to get an overview of wastewater management in all the cities and then focused on Blantyre City. 3.3.1 Sampling Design Water samples were collected from Limbe, Mudi and Naperi rivers: At the abstraction points by the communities for domestic purposes; Upstream in order to have a basis for analysis (except for Naperi river); Few km upstream discharged points after industrial activities before the effluent discharge points by the municipal wastewater treatment plants. Sampling was carried out once a week for 5 weeks 17thFebruary, 23rdFebruary, 27thFebruary, 2ndMarch and 6thMarch 2009. Eleven samples were collected per sampling trip. Sampling bottles consisted of plastic bottles washed adequately and rinsed with distilled water. Samples were refrigerated soon after collection preserved according to Malawi Standard 214. Fecal coliform test was being prepared at the site using membrane filtration method. 3.5 Data Collection Focus groups were conducted with the communities using the waters for domestic purposes downstream and also with the HSA responsible for the areas using guiding questions. Guiding questions for community focus groups were selected in such a way that information regarding use of the river waters by the community, the challenges or problems they face with potable water supply and the consequences they meet because of using river waters was obtained. 5 Figure 3.1: Map of Blantyre City showing location of sampling points and study communities Guiding questions were selected in such a way that information regarding water supply, waterborne diseases, and also wastewater management in the city was obtained. HSAs involved were mainly under Limbe Health Centre, Zingwangwa Health Centre, Mpemba Health Centre (though out of Blantyre City) and Ndirande Health Centre (control). The HSAs focus groups were conducted after the community focus groups. The choice of the Health centres was based on the outcome of the respective community groups regarding where they go for treatment. Key informant interviews were conducted with the HSAs, Blantyre City Assembly key personnel, and chiefs to get a general view by the City Assembly staff on wastewater management in the city. Five staffs were contacted from the department responsible for pollution control in the city. In order to assess the health impacts of wastewater management on the downstream communities and the link thereof, outcomes of the focus groups regarding uses of the river waters, physico-chemical data, 6 health data and the assessment of wastewater treatment plants. Consultations with Blantyre City Assembly personnel, outcomes of the survey of all Malawian cities combined with literature review were used to propose Best Management Options. The determination of water use was done by comparing the physico-chemical properties with standard quality of water designated for the particular use. Properties of water for different uses are available as indicated by Richard Helmer et al, 1997. 3.6 Data Analysis Laboratory results were analysed using excel. The means for each analyte were calculated. The means for stream water samples were compared with maximum limits set by Ministry of Irrigation and Water Development, Malawi Bureau of Standards and World Health Organisation guidelines on surface water and effluents. Key informant interviews conducted consisted of four different groups of communities i.e. Health key personnel, City Assembly key personnel and the chiefs, the kinds of questions asked were not the same. No special tool has been used for the analysis of this data. Conclusions drawn from community’s data were based on the raw data provided by the communities. The conclusions from health personnel and City Assembly were based on the linkages between their information and the information from the communities. Straight forward conclusions have been drawn especially on the disease prevalence and information from community and health personnel. 4 Results and Discussion 4.1 An Overview of Impacts of Wastewater Management in the Malawian Cities on Downstream Livelihoods The results of the survey conducted in Mzuzu City Assembly, Lilongwe City Assembly and Zomba City Assembly revealed that there is generally poor wastewater management in all Malawian cities. Malawian cities are all challenged by the high rate of urbanization and aging infrastructure in some cases. Mzuzu City has no existing conventional sewerage but the city’s population is growing at an alarming rate. Mzuzu City having located on a high water table area, its wastewater management practices pose a high risk of ground water pollution and also on the water bodies surrounding the area which in turn has a negative impact on health of the downstream communities who depend on the water bodies. Wastewater management in Lilongwe City Assembly is poor. According to Population Statistics 2008, Lilongwe City population is growing at a rate of 5.1 % and the sewerage only covers 10 % of the population, this includes industries. It was clearly stated that many industries are not sewered with the view that they don’t produce much wastewater. With the increase in population and hence in socio economic activities this endangers the lives of the population downstream Lilongwe river who depend on it for domestic use. Kadewa, (2005) in his assessment of the impact of industrial effluents on water quality of receiving waters indicated that Lilongwe lacks information of river quality. With growing industrialization there is need for strict measures to be put in place to control and monitor the pollution. As regards monitoring it was revealed that WRB responsible for monitoring both industries and WWTP effluents lacks capacity to execute its responsibilities as such the monitoring is done on adhoc basis. It was also generally observed that infrastructure maintenance is a big challenge, this coupled with inefficient coverage is a health risk for the downstream. 4.2 Assessment of Municipal Wastewater Treatment Plants in Blantyre City 4.2.1 Blantyre Wastewater Treatment Plant Blantyre is the largest of the treatment plants with the most mechanical/electrical equipment. The serviceability of the plant is very low and the mechanical component of the treatment plant is not 7 working. According to the Blantyre City Master Plan by GoM, Ministry of Local Government (1995), during its survey in 1995, 26 main items of the plant out of 31 were unserviceable with the majority which appeared to be non operational due to breakdowns for a long periods with virtually no steps being taken to effect (Table 4.1). During the time of assessment, there was no single mechanical operation (see Fig 4.1 as an example). Table 4.1: Serviceability of Blantyre Wastewater Treatment Plant (Adapted from GoM, Ministry of Local Government 1995) Electrical Plant Main Pump Station MMCP Grit Plant MMCP Aerator Panel Grit Plant Bridge mounted panel PPST Bridge mounted Panel Screw Pump Panel Digester Building (3 panels) All ancillary items: Lighting, small power, lock-off-stop push button, local isolators Instruments Remarks Carl Bro International, 1995 In process of being renovated Could perhaps be renovated Damaged and deteorated beyond repair Would need replacement Remarks on current status (2009 March app 14 years downline) According to Mr Kuyeri, BCA is in the process of procuring a spare part which was said to be very expensive. Still in the process of being renovated Not working and damaged due to rust In the same condition Not replaced Would need replacement Not replaced Functional, but in very poor, dangerous condition Deteorated beyond repair Not functioning Not rehabilitated Should be replaced Not yet replaced With the exception of one item, the flow metering equipment, would need to be replaced Not yet replaced 8 Fig 4.1: Examples of unoperational equipment at BWWTP 4.2.2 Soche Wastewater Treatment Plant The plant is at the moment operating above its design capacity (flow last measured in 2000). Design flow of Soche wastewater treatment plant is 4100 m3/day, and its average flow was 5465 m3 as per 2000 (BCA). The inflow and outflow meters are all out of order. Grit removal is done manually by workers. One primary sedimentation tank and one humas tank is out of order for a long time. The sand filters are non functional, which means there is no sand filtration taking place as designed. The plant has 6 digesters all of which are out of order except one. All drying beds are now not functioning (see Figs 4.2a, b, c and d). Farmers collect manure straight from the tank. When the digester is full, it is supposed to stay for 6 months before emptying it and the solids are supposed to be dried on the drying beds. Since only one digester is working, there is no staying for 6 months and also no drying on beds. Fig 4.2: Un-operational infrastructure at Soche Wastewater Treatment Plant As the outflow goes into the Mlambalala river, farmers abstract the effluent to their farms. During heavy rainfall, all the tanks especially the sedimentation tanks overflow and the overflow is directed to the river. 4.2.3 Limbe Wastewater Treatment Plant 9 The treatment is not functional since August 2008 and the sewage goes straight into the river. It consist of 16 waste stabilization ponds in series of 4 ponds discharging at 4 different points. It is used by the communities from <100m from the discharge points, Fig 4.3 Fig 4.3: Vandalised pipe, Limbe river, community and WSP 4.3 Results of the Assessment From the assessment it was generally observed that sanitation and wastewater sector is given very low attention by the authorities. During the assessment the researcher managed to follow up some parts one of the sewer lines, it was observed that there were blockages that have lasted for more than a year unattended an example of which has been shown in Fig 4.4. According to the personnel consulted at Limbe WWTP, the overflow was said to be accounting for about half the flow that is supposed to reach the plant. Fig 4.4: An overflow from a manhole in Chiwembe eucalyptus forest. During the consultations with the Water Resources Board (WRB), Chief Water Resources Officer now Deputy Director General (Mr. M Mikuwa), it was highlighted that WRB is responsible for monitoring water resources quality in Malawi including issuing of licences (this includes for industries that discharge directly in water without pretreatment). Monitoring activity is supposed to be continuous and regular (monthly) but is on adhoc basis because of lack of resources. In Lilongwe for example, Lilongwe City Assembly indicated that they are monitored on a yearly basis by the WRB. The City Assembly according to Mr. Kwanjana, has laboratories but are not equipped and therefore only WRB through the Central Laboratories do the monitoring. On the other hand Mr. Peaches Phiri, the Central laboratory technician in Lilongwe indicated that lack of resources is a big challenge WRB is facing in terms of water quality monitoring. This in turn has a great impact on the quality of surface waters in Malawi which translates into health impacts on downstream livelihoods. According to the current plan for monitoring trade effluents, only BOD, oils grease and fatty matter are monitored and charges are based on the strength of the effluent. For example charges for BOD in trade effluents range from 53 USD (400 ppm) to 400 USD (Over 1200 ppm) per month @K150/$ (BCA Trade effluent by-laws, 1982). Heavy metals and other hazardous and toxic chemicals are not considered in trade effluent monitoring as such pollution of the Blantyre City rivers with metals like Lead is bound to continue until such strategies are put in place. WRB act as an independent 10 Regulatory Authority when it comes to water quality management but it is to a larger extent greatly influenced by Government. Lack of clear regulatory responsibility and conflict between the regulator and operator functions of the utility impacts the organizations’ performance negatively. A strong regulatory framework is developed when the utility (service provider) is isolated from political influence. 4.4 Physico-Chemical Properties of Effluents and River Waters Table 4.1: SAMPLING POINT Limbe river Mpingwe (L1) Mboma (L2) Mtambo (L3) Nasolo Mudi river (M1) Golf club (M2) Mkoka (M3) Naperi river Mibawa (N1) Stella Malis (N2) Mitomoni (N3) BWWTP Effluents SWWTP TDS 173.19 Chlorides Sulphates 11.237 37.062 Iron 0.03 Lead 0.0138 FC 121.6 Nitrates 1.538 BOD 69.4 COD 133 DO 5.1 844.34 488.01 397.009 0.018 0.806 34174 17.504 255 327 3.1 447.04 55.922 349.24 0.056 0.546 2840 12.57 160 252.6 4.48 120.6 19.2054 38.868 0.0158 0.0028 342 3.39 140 252 5.64 1198 304.04 411.13 0.2 0.848 27404 3.17 418 630 2.66 422 299.788 293.326 0.046 0.4282 1138 2.56 242 299 4.78 475.26 339.054 205.398 0.04 0.296 16800 10.84 190 388.4 4.34 760 227.67 419.122 0.218 0.588 3126 3.59 236 330 4.58 282.92 157.112 363.547 0.04 0.742 176 4.172 192 220.6 4.84 442.92 367.03 516.275 610.42 455.532 0.464 1.256 24274 449.211 0.028 0.792 14470 STANDARDS GUIDELINES 50.99 13.716 604 220 860 299 0.54 2.38 Malawi Standard (MS 214:2005) WHO 450-1000 100-200 200-400 0.01-0.2 0.01-0.05 0/100mℓ 6-10.0 NS NS NS NS 600 NS NS NS NS NS NS NS NS MoWD 2000 750 800 0.3 50 NS NS NS NS Malawi Standard (MS 539) 500 NS 800 NS NS 50 60 20 NS 0.05 MoWD : Ministry of Water Development Interim Guidelines (untreated rural water supplies) MS 214 and 539: Malawi Standards for potable water and Industrial effluent maximum limits for discharge into inland waters respectively NS: Not Specified The laboratory results generated high levels of concentration in most of the parameters analyzed especially at the community abstraction points. Charts 1a to 1i show the levels in each sampling. Chlorides 700 1400 Concentration mg/ℓ 1200 1000 800 600 400 200 600 500 400 300 200 100 0 0 Sampling Points Sampling Points Fig 4.5a: Total Solids Concentration Nitrates 60 100 10 50 0 0 Sampling Points Sampling Points 13.716 20 4.172 150 30 10.84 200 40 3.59 250 2.56 300 50 3.39 350 3.17 Concentration mg/ℓ 400 17.504 450 Concentration mg/ℓ 50.99 Sulphates 12.57 500 Fig 4.5b: Chlorides Concentration 1.538 Concentration mg/ℓ Total Solids 11 Fig 4.5c: Sulphates Concentration Fig 4.5d: Nitrates Concentration Limbe source (L1) and Mudi river source (M1) registered low concentrations within the Malawi and WHO maximum limits in all the parameters except in BOD, COD, and Fecal Coliform. These high levels are attributed to some human activities happening upstream e.g farming. Concentrations of Total solids were found all within the maximum limit as set by the Malawi Bureau of Standards (Table 4.1) except at M2 which registered above the standard limits. Golf Club is located just after the industrial activities and before the community abstraction points for domestic purposes. High levels are attributed to numerous activities along the river in the City. Concentrations of Chlorides and Sulphates were found very high at the abstraction points Mboma (Limbe river, 488 mg/ℓ), Mkoka (Mudi river, 299.788 mg/ℓ), and Stella Malis (Naperi river, 419.122 mg/ℓ) respectively. Nitrates also registered high levels above the standard limit at Mboma Village (17.504 mg/ℓ), Mtambo village (12.57 mg/ℓ) and Naperi Mibawa (10.84 mg/ℓ) (Figs 4.5a, b, c and d). Dissolved Oxygen 5 Biological Oxygen Demand 700 5.64 5.1 4.78 4.48 4.58 4.84 Concentration mg/ℓ Concentration mg/ℓ 6 4.34 4 3.1 3 2.66 2.38 2 1 0.54 604 600 500 418 400 255 300 100 0 242 160 140 200 190 236 220 192 69.4 0 Sampling Points Points Fig 4.1 Sampling f: Levels of BOD Fig 4.1 e: Levels of Dissolevd Oxygen 1000 900 800 700 600 500 400 300 200 100 0 Chemical Oxygen Demand 40000 860 35000 630 388.4 327 252.6 252 299 133 330 299 220.6 Counts of FC/100 mℓ Concentration mg/ℓ High concentrations at Mboma are partly attributed to raw sewage discharged just 500 m upstream the abstraction point and also to the blocked manholes discharging raw sewage in the Limbe river upstream. Excess nitrate concentrations have a potential of causing methaemoglobinaemia on the human health and eutrophication in aquatic environment Blantyre Wastewater Treatment Plant registered as high as 50.99 mg/ℓ above the Malawi standard for wastewater effluents (MS 539). Levels of BOD and COD were also very high in all the sampling points including the controls (Figs 4.5f and 4.5g). This has an impact on the level of oxygen. Increase in nitrated results in decrease in oxygen levels and the levels of nitrates in the rivers are slowly increasing if compared from levels of past studies as highlighted by Kuyeli, 2007. This increase slowly leads to proliferation of algae blooms in the long run and is a threat to water resources. Levels of dissolved oxygen in all rivers (at abstraction points) were found lower than the marginal level i.e 5 mg/ℓ below which water life especially fish is under stress (Fig 4.5e). This means that aquatic life in the rivers is at the moment under stress. Assuming that in the dry season the flow is half the wet season, it clearly backs up the information from the communities under study that in the dry season the villagers harvest dead fish especially from Mudi river which could be translated into levels of DO below 2 mg/ℓ. Fecal Coliform 34174 27404 30000 24274 25000 20000 16800 10000 5000 121.6 2840 342 1138 0 Sampling Points 14470 15000 Sampling Points 3126 176 12 Fig 4.5 g: Levels of COD Fig 4.5 h: Levels of Fecal coliform 0.2 0.0028 0.6 0.792 0.742 0.588 0.4282 0.546 0.8 0.4 0.848 0.806 1 0.0138 Concentration mg/ℓ 0.028 Sampling Points Fig 4.5 i: Concentration of iron 1.2 1.256 Lead 1.4 0.218 0.04 0.04 0.2 0.046 0.056 0.0158 0.03 0.018 Concentration mg/ℓ Iron 0.5 0.45 0.4 0.35 0.3 0.25 0.2 0.15 0.1 0.05 0 0.296 0.464 Levels of Fecal Coliform were as high as 34174 FC/100 mℓ, which is deadly if the water is used for domestic purposes (Fig 4.5 h). Malawi and WHO standards stipulates that Fecal Coliform should not be detected in any 100 mℓ of water sampled for drinking purposes. 0 Sampling Points Chart Fig 4.5 j: Concentration of Lead According to Sheila Murphy, 2007, if Fecal coliform bacteria (over 200 colonies/100 mililitres (mℓ) of water sample are found in water, it is possible that pathogenic (disease-or illness-causing) organisms are also present in the water. Diseases and illnesses that can be contracted in water with high Fecal coliform counts include typhoid fever, hepatitis, gastroenteritis, dysentery and ear infections. This contributes highly to the presence of waterborne diseases as been stated by the health personnel. This endangers greatly the health and living conditions of communities living downstream and this cannot be overemphasized. Levels of iron were within the limits as in the WHO and Malawi Standard (MS 214), 0.2 mg/ℓ except in Blantyre Wastewater Treatment Plant and Naperi river, Stella Malis which registered 0.464 and 0.218 mg/ℓ. Lead levels were as high as 0.806 mg/ℓ and 0.546 mg/ℓ at Mboma and Mtambo village in Limbe river respectively where as 0.746 and 0.588 at Mpagacha village (Naperi river) and Stella Malis (Naperi river) respectively. In Mudi river Lead concentration registered as high as 0.848 at Golf club and 0.4282 at Mkoka village. The maximun limit for the drinking water standard for lead is 0.05 mg/ℓ. This is an indication that the communities downstream receiving water bodies are directly exposed to high levels of toxic substances which directly or indirectly affect their livelihoods. Lead is a deadly heavy metal and are taking this heavy metal through drinking water, through plants whci are consumed raw and also through aquatic animals which are consumable. This not only affect the present generation but generations to come. From the results, it is a clear indication that the rivers are being managed poorly and without the consideration of other users of the waters. The Water Resources Act makes it an offence to pollute water. The regulation requires anyone who owns or operates certain facilities or anyone who is discharging liquid effluent into the environment to obtain consent to discharge. Dischargers of effluent have to obtain two permits-one from Environmental Affairs (EA) and one from the Water Resources Board. The EA works with the Board in controlling the pollution of water through the Discharge Consent process and through the imposition of fines for polluting water. 4.5 Data collected from the Focus Groups and Key Informant Interviews with relevant Health Personnel, Chiefs and Community 13 The target communities were water users only and the households were identified by their respective village headmen through Group Village Headmen. Communities from: Kanjanga, Likotima, Mtambo, Kafupa, Chilemba, Mponda, Kaipa and Mboma villages of Limbe river downstream and Mpagacha, Chiimire, Nzeru, Mkoka, Mlanga, Manyenje, Mwandika, Martin, Mbinda, Baruti, Chirunduka, Jumbe, Chimuwanga, Sumane, Kampala and Whiskes villages of Mudi and Naperi rivers downstream participated in the focus groups Table 4.2: Community Responses on use of river waters COMMUNITY RESPONSES ON RIVER NWATER USES Bathing After bathing, their skin turns scally and whitish. The skin itches and dries out and later on cracks. The body sometimes develops soles especially at the private parts. Men indicated that the penis swells at the tip and turns red and when they go to the hospital they are treated as Sexual Transmitted Diseases. While women indicated the same problem saying that their private areas especially the vaginal area gets infected and itches to the point that the scour with stones. Since most of them were elderly women they indicated that they feel shy to go the hospital because they are told that they have contacted STDs. Washing The communities indicated that they use a lot of soap in washing. Further to this clothes wear out very quickly and they wear out by breaching out and tearing out while the clothes are fairly still new. Clothes most of the times after washing produces foul smell and after wearing them they experience itching in their bodies. On contact with river water especially when washing in the river itself, the communities indicated that they are bit by small animals like snails and they stick to their skin and very painful to detach them (Called Sungu in venecular language). Irrigation After irrigating their crops most of the times the crops lose chlorophyll. People use the same water for cleaning vegetables for sale. The communities also indicated that at times after eating the vegetables they open bowels. Vegetables which are grown are also source of income because they sell them in big markets like Blantyre, Limbe etc Drinking Diarrhea very common in little kids after drinking the water Opening of bowels even by adults after drinking water from unprotected wells dug close to the rivers. They are sometimes provided with chlorine for drinking water treatment by through HSAs, the communities indicated that sometimes water turns black after adding chlorine. Changes of colour of teeth Cooking food The food usually tastes and smells bad. Food looks like uncooked especially maize flour hard porridge which is the staple food. Women from Mpagaja area also highlighted the issue of dead fish being carried by the river and people catch and sell them very cheap. While in Limbe women highlighted the issue of eating fish from waste stabilization ponds. In dry season there are very low flows and many times the water especially in Mudi river turns green and in both rivers Mudi and Naperi there is a very bad foul smell produced. On this GVH Mpagacha lamanted "I wish you came during dry season". The communitiesusing highlighted that they use rivers and also in theyTable harvest4.3. dambo sand forWWTP sale from Source of from food communities Responses the river waters are for as fishing summarized All the the rivers. and income assessed are not protected (fenced) except Soche as such communities find their way even to harvest products from the WSPs see Fig 4.6d. WWTP as such the communities have created paths through them. This is an indication that wastewater management is not given a priority by authorities as such health of many especially communities close to WWTP and poor communities downstream is at risk On the same, one of the women lamented that “we are being told to stop using the river waters but we don’t have any other source of water supply” On the issue of access to safe water, the communities from Mudi/Naperi indicated that only two MASAF stand pipes located in two villages which are closer to town exist and the rest either travel greater than 2 km to get water from the taps or use river water. In Limbe downstream communities, taps are available only in one village close to the township and the rest depend on unprotected wells (during rainy season) and Limbe river. 4.6 Determination of the use the river waters as per current status Criteria for different uses was used to compare with the quality of the receiving bodies to tentatively establish their uses as per current status. From the assessment in it is worth to conclude that the rivers under study are not fit at the present condition to be used by the community for any domestic use including irrigation. The levels indicated represent levels for the rainy season and during the dry season, the flow of the rivers is very low (approximately half of the rainy seasons flow). According to GVH Mpagacha who 14 lamented that “I wish you came during the dry season” the impacts are worse during the dry season where the rivers produce foul smell. It is during the dry season where the community harvest dead fish which die because of the pollution. River water quality is not complying with any of the uses as in Table 4.3. Table 4.3: Compliance of river quality with different criteria uses Malawi and other standards including Tanzanian temporary standards for different uses Drinking (swimming pools, food and beverage) animal husbandry, fisheries, shell cultures, recreation and water contact sports irrigation and for industrial activities which do not have to meet other previous categories MW WHO TZ MW WHO TZ MW WHO TZ BOD520 NS NS 5 NA NS 5 NA NS - COD NS NS NS NA NS NS NA DO NS NS 6 NA 6 to 11 5 Chloride 100-200 250 200 NA NS Sulphate 200-400 250 NS NA Nitrate (NO3-) 10 45 50 NA Parameter 4.7 Quality of waters in the rivers LIMBE NAPERI MUDI Remarks 10 114.7±64.06 214±31 242±106.4 No compliance NS NS 192.8±84.57 275.3±77.36 299±107.38 NA NS 3 4.79±0.44 4.71±0.18 4.78±0.94 DO levels complies for irrigation use 200 NA NS 400 285.23±387.57 192.39±50 299±98.18 Non compliance except Naperi which marginally complies NS NS NA NS NS 192.64±221.46 391.33±39.30 293.326±146.1 All rivers comply except Limbe NS 50 NA NS 100 10.035 3.88±0.4 2.858±0.43 All comply except Limbe river Iron 0.2 0.3 1 NA NS 1.2 NA NS 1.5 0.043±.018 0.129±.13 0.046±0.023 Compliance Lead 0.05 0.05 NS NA 0.01 NS NA NS NS 0.28±.38 0.665±.11 0.43±0.33 Non compliance FC 0 0 NS NA NS NS NA NS NS 1480.8±1922.2 3126±176 1138±732 very high for all the purposes NS Means not specified; NA Means Not Available Health Data and Linkage with Water Pollution Health data on cases of waterborne diseases (Diarrhoea, Schistosomiasis, Dysentery, Skin infections, and Cholera) was obtained from the Blantyre District Health Office. Disease cases Limbe Health Centre by year for under five children Disease cases Ndirande Health Centre by year for under five children 70,000 Cases 50,000 Diarrhoea 40,000 Skin infections 30,000 Cases 60,000 Dysentry 20,000 Schistomiasis 10,000 Cholera 0 1 2 3 4 5000 4500 4000 3500 3000 2500 2000 1500 1000 500 0 Skin infections Dysentry Schistomiasis Cholera 1 5 2 3 4 5 Year (2004-2008) Year (2004-2008) Disease cases Mpemba Health Centre by year for under five children Disease cases Zingwangwa Health Centre by year for under five children 10,000 9,000 8,000 7,000 6,000 5,000 4,000 3,000 2,000 1,000 0 2500 2000 Diarrhoea Skin infections Dysentry Schistomiasis Diarrhoea Cases Cases Diarrhoea 1500 1000 Skin infections Dysentry Schistomiasis 500 Cholera Cholera 0 1 2 3 4 5 1 2 3 4 5 Fig 4.7: Disease casesYear for under five children from 2004-2008 Source: District Health Office, (2004-2008) Year (2004-2008) HSA Office 15 It is important to note that information/data is referring to whole catchment and not to the respective areas using water from the concerned rivers. From the discussions with the health centers it was indicated that 90 % of water related cases e.g Cholera and diarrhoea come from areas close to the rivers except in Ndirande health center where it was indicated that high number of cases is mainly due to poor sanitation conditions and lack of general hygiene. This shows that Ndirande as a periurban community cannot stand as a reference or control for this particular research study since the communities downstream are all urban poor communities. As indicated earlier on, there is no direct link between disease prevalence and water quality to prove the hypothesis that the downstream are affected more than the upstream because of the differences of the communities between upstream and downstream. See Fig 4.7 showing cases of diarrhoea, skin infection, dysentery and cholera for under five children in respective health centres from 2005-2008. Schistosomiasis 2005 Schistosomiasis 2004 60 Disease Cases Disease Cases 50 40 30 20 10 0 Limbe Mpemba Ndirande 50 45 40 35 30 25 20 15 10 5 0 Zingwangwa Limbe Health Centre Ndirande Zingwangwa Health Centre Schistosomiasis 2007 50 45 40 35 30 25 20 15 10 5 0 Schistosomiasis 2008 40 35 Disease Cases Disease Cases Mpemba 30 25 20 15 10 5 0 Limbe Mpemba Ndirande Health Centre Zingwangwa Limbe Mpemba Ndirande Zingwangwa Health Centre Fig 4.7: Average Schistosomiasis urinary cases in 2004, 2004, 2007 and 2008 Source: District Health Office, HSA Office From the table and chart it is seen that in 2004, Mpemba had the highest Number of Schistosomiasis urinary followed by Limbe and then Zingwangwa while as in 2005 Ndirande registered the highest number of cases followed by Limbe, Zingwangwa then Mpemba and in 2007, Mpemba had the highest number of cases followed by Ndirande, Limbe then Mpemba then finally in 2008, Limbe registered the highest number of cases followed by Zingwangwa, Ndirande then Mpemba. Results obtained from the physico-chemical analysis showed inevitable pollution of river water waters used by the community for domestic purposes. Looking at the use of the river waters by the community it is a clear indication that the communities are directly exposed to polluted water in different ways 16 which have great negative impact on their socioeconomic lives. It has also been clearly indicated that 90 % of the water borne disease cases come from the communities using the river waters. The linkage provided in this research paper was based on the information obtained from health personnel of respective Health centers, communities using the river waters and the conclusions drawn from assessment and the problem of water pollution as evidenced by physico-chemical results. It is therefore an overview or a picture of a situation which is supposed to be investigated further through other quantitative research studies. Fig 4.8 provides a brief overview of the link between water quality, community data and disease prevalence. HEALTH PERSONNEL RESPONSES COMMUNITY RESPONSES Itching and dryness of skin after bathing and washing; skin diseases Private parts itching, paining and swelling both women and men (Very serious in men). Frequent cholera, diarrhoea and dysentry problems Small animals like snails bite them and are painfull to detach from skin LACK OF SAFE WATER 90% Water related disease cases from communities close to the rivers. Skin diseases high Genital diseases esp in men (highlighted by Mpemba Health Centre) but no information to relate it to water quality On problems of private parts, health personnel dont differentiate with STDs (Sexual Transmitted Diseases) UNDERLINE CONCERN: LACK OF SAFE WATER FOR DOMESTIC PURPOSES COMMUNITY WATER USES Washing clothes, drinking, cooking COMMUNITY CHALLENGES Harvesting dambo sand Bathing Irrigation even with wastewater straight from ponds RIVER WATER QUALITY INEVITABLY POLLUTED: High FC, High Lead: High Sulphates; Low DO etc No choice interms of access to safe water (No potable water supply) Very little (infact only MASAF) CBOs on provision of safe water in the areas studied Only activity that was said was taking place was administration of powdered Chlorne (..) for treatment of water to avoid cholera outbreaks . Communities complained that river water esp. Mudi river water turns black after adding chlorine (a sign of some kind of reaction) Fig 4.8: Simple Linkage of Data between the three sources (community, health and Physicochemical analysis 4.8 Causes of Poor Wastewater Management From the discussions above, numerous causes and their effects of poor wastewater management have been identified and have been summarized in Table 4.4. Table 4.4: Cause and Effects of poor Wastewater Management PROBLEM CAUSE EFFECTS 17 Water pollution Disposal of raw sewage; inefficient wastewater treatment plants Disposal of raw sewage and uncontrolled trade effluents; inadequate coverage Weak enforcement of regulations and standards Weak trade –effluent regulations Lack of safe water for domestic use Lack of control of water use by industries Lack of compliance by industries with available standards Lack of independent Regulatory Authority on Water Resources Management Public Health endangered; socioeconomic lives affected leading to poverty Heavy metal e.g. lead pollution Might lead to eutrophication of the water bodies, killing fish Water not fit for any use including agriculture Frequent cases of waterborne diseases such as schistosomiasis and cholera Increased costs by the Government on medical since almost all of them go to Government hospitals Increased cost on water treatment in the Liwonde township Weak Legal Framework Lack of implementation and enforcement capacity of legislation Uncoordinated regulations Lack of stakeholder participation guidelines Random economic development Political Interference Lack of supporting regulations Lack of monitoring capacity by the responsible organizations Lack of stakeholder participation (No guidelines for stakeholder participation in the sector) Poor enforcement of local regulations and bylaws leading to poor governance of the water resource Unmatching urbanisation with sewage infrastructure Public Health Endangered, Social economic lives affected leading to poverty Heavy metals loading in water bodies Lack of incentives for industries to venture into cleaner technologies Unsustainable use of the resource (Water resource) Deterioration of sewerage and sanitation infrastructure Growth of Industrial and socio-economic activities without matching with the water supply and sanitation activities Lack of infrastructure maintenance and repair Blockage of sewer pipes and manholes and their vandalism by the communities Adoption of inappropriate technology without proper assessment of the local environment as the case with BWWTP Poor planning leading to pollution of water bodies e.g MCA no conventional sewerage is available. Lack of control over the communities and this is aggravated by lack of protection (WWTP not fenced) Disposal of raw/partially treated sewage in the water bodies Increased load of pollution due to poor performance Increased contacts with the hazardous substances from the pollution loads by the communities Deterioration of water quality depriving access to safer water for irrigation by the communities. At the present state river waters under study are not fit for any use including irrigation. Increased pollution of ground water 18 Weak Government institutions Limited capacity (Human and financial) Weak Institutional Capacity in terms of technicity Lack of proper Institutional Arrangement. Department responsible for Sanitation issues is not the one responsible. Lack of coordination between Government Institutions Political interference Lack of well trained experienced staff e.g the case with Zomba City Assembly Natural Resource not protected Conflicting regulations leading to poor management of the natural resources Social economic lives affected leading to poverty Increased medical costs by Government on Waterborne related diseases. Several opportunities are available to facilitate Remedial measures to address the current situation: Regulations which are IWRM compliant have already been developed. Standards, codes and guidelines for most of the products and practices are available developed by the National Standards Body. Availability of Water Resources Board as a monitoring authority for monitoring water resources. The current Water Resources Act stipulates the transfer of the Sanitation responsibility to Water Boards only that the transfer itself is still under way; Malawi Water Management Strategy developed in 1994 contains strategies which address pollution problems National Water Policy, Decentralisation policy, private sector involvement policy, Sanitation Policy have already been developed and some revised to comply with IWRM. Institutions and organisations which have stake in natural resources management are available and are already executing their responsibilities and they only need to have clear responsibilities so that there are no conflicts. There is need for a strategy to restrict political interference. Several Stakeholders are available, there is need to develop a stakeholders participation guidelines to ensure effective participation. Several Community Based Organisations e.g MASAF are available. 4.9 Suggested Best Management Options Addressing wastewater pollution requires very substantial and long term investment. Basically preliquisite for wastewater management covers policy issues, management approaches, technology selection and financing mechanisms. The following Best Management Options have been suggested both at National level and local level. The suggested options have been based on the outcomes of the survey, assessment, physico-chemical analysis and on the community and health data. 4.9.1 a) b) c) d) National Level Expedite the introduction of an Independent Regulatory Authority on Water Resources Management. Plans are underway to integrate Water Resource Management into Malawi Energy Regulatory Authority. Translate the policies into action-oriented activities, and give priority to WQM by providing funds and technical expertise. Build capacity of Water Resources Board and Service provider is a must if performance is to be achieved. This should include an increase in the level of autonomy both financial and decision making. This is driver towards accountability for any performance by the service provider. Revise Trade effluent charges to reflect pollution load and water quantity usage. This will act as an incentive for industries to opt for cleaner technologies. 19 e) f) g) h) i) j) Encourage development of a common wastewater treatment plant by industries in the same area to reduce the pollution load (decentralisation of treatment plants). This should be an option by industries to reduce discharging costs either in rivers or in sewer lines. Facilitate the transfer of Municipal wastewater service provision to water supply together with necessary capacity. Linking wastewater management with other sectors like water supply would ensure faster cost-recovery, risk reduction, financial stability and sustainable implementation. Develop and implement a Water Resources Plan for rivers in the Cities. A plan is a process that defines the future desired situation and how to attain it. It constitutes the following aspects: Understanding the present; setting objectives; establishing strategies and defining implementation plan. The plan together with the situation analysis is very important in water resources management because it drives problem solving, phase out undesirable event (inevitable pollution and health impacts in this case), develop underutilised resources e.g. biogas production for energy etc. The strategies to be developed should integrate all aspects that have a stake in water resource quality and quantity and should constitute a long term wastewater management strategy. Develop integrated urban water supply and sanitation management systems also addressing environmental impacts. Government of Malawi to consider introduction of competition within and between utilities based on performance. This can be achieved through development of benchmarks which should integrate all issues e.g. environmental (this includes pollution, blockages, meeting water quality standards etc), economic, staff retention, public awareness, equity, stakeholders participation including out contracting etc Government of Malawi to create an enabling environment for Stakeholder involvement and public private partnerships in the water sector; a multi-stakeholders approach must be encouraged. 4.9.2 Local Level a) Stringent standards should be set for the polluted water bodies so as to prevent any further indiscriminate disposal of wastewater b) BCA in conjunction with other stakeholders to conduct an inventory of all industries available in the City with their potential pollutants c) All industries should pre-treat their wastewater to acceptable levels before discharging into the Municipal sewer or rivers. d) BCA to consider shifting the Sanitation Management service delivery to appropriate Department so as to enable prompt response on issues that affect public health. e) BCA to improve coordination and flow of information within and outside environment. 5 Conclusion and Recommendations 5.1 Conclusion From the analysis of the results obtained by this study the following conclusions can be drawn: 1) Generally without doubt there is poor water resources governance in Malawian Cities, more specifically in Blantyre City. Governance of water resources and water services functions more effectively within a system which enables broad participation by civil society, including Community Based Organizations, Non-Governmental Organizations, private enterprise and media. In Malawi participation of a broad range of stakeholders in water resources management is very poor and this needs to be strengthened because there are no guidelines for stakeholders participation to offer direction (Patrick Moriarty et al, 2007). Good Governance is the central instrument for reducing poverty and preliquisite for Sustainable Development. According to UN Declaration, good governance is a preliquisite for Sustainable Development and the achievement of MDGs (INWENT ,2007) 20 2) Without overemphasizing, Blantyre City river waters i.e. Limbe, Naperi and Mudi are inevitably polluted and this has undesirable health impacts on the communities living downstream. Concentrations of BOD, COD, Lead, Chlorides, Sulphates, and Fecal coliform at abstraction points were as high as 242±106.4, 299±107.38, 0.665±0.11, 299±98.18, 391.33±39.30 mg/ℓ and 3126±2020.66 FC/100 mℓ. 3) There is statistically no direct link established between disease prevalence and water quality and therefore detailed and quantitative research is required for establishing the statistical link between disease prevalence and water quality. This has been due to differences in communities under study (Urban-rural) and the control (peri-urban). Direct conclusions drawn from health personnel and community indicates that wastewater management in the city has got adverse and negative impacts on socio-economic lives of the downstream communities. The impacts are aggravated by lack of clean and safe water for domestic use. 4) From the assessment made, the river waters at the present state are not fit to be used by the community for any domestic use including irrigation. The river water quality does not comply with any of the criteria (for different uses). 5) In summary, development and implementation of a Water Resources Plan which constitutes a long-term wastewater management plan for rivers in the Cities could solve the situation. In terms of public health; urgent public awareness, civic education and provision of safe water to the downstream communities would reduce the cases of waterborne diseases. 5.2 Recommendations The following recommendations have been made: 1) Swift intervention by the Government and other stakeholders by putting in place strict control and monitoring measures on the effluent quality and wastewater infrastructures. 2) Government of Malawi to urgently consider providing potable water to the Blantyre-rural communities depending on rivers emanating from Blantyre City. 3) Materialize the integration of wastewater management services into Environmental and water resource monitoring. 4) An immediate take off on the development of Water Resources Plan is strongly recommended involving all the stakeholders. 5) An urgent sensitization awareness and training on water resources management to the general public and communities living downstream rivers that emanate from Blantyre City. 6) The fencing of all Wastewater Treatment Plants to avoid communities from converting it to free for all service. In the absence of the fence management of the utility is difficult due to intruders. In Limbe WWTP for example communities are cultivating up to pond boundaries. 7) The BCA through consultations to make a thorough assessment of the technology available at BWWTP and consider modifying to a more sustainable, efficient technology which could meet the Water Quality Objectives. 8) A similar study to be undertaken in other Malawian Cities 6 References Blantyre City Assembly (1982), Trade effluent by-law, Blantyre Malawi Blantyre City Assembly (2006), “Situation analysis of informal settlements – cities without slums initi-ative”, Final Report, Blantyre. GoM, Ministry of Local government (1995), Sanitation Master Plan Study for City of Blantyre. Existing Sanitation situation Vol. 111, Blantyre City Council June 1995. GoM, Ministry of Local government (2000), Blantyre City Environmental Profile, Accessed from http://www.serd.ait.ac.th/ump/htmℓ/ books%5Cbcep.pdf. On 17 October 2008. INWENT (2007), Good Governance-Incentive for reforming. Alumni-Journal of International Advancd Training and Development. 21 Kuyeli S.M, 2007 Assessment of Industrial Effluents and their impact on Water Quality in streams of Blantyre City, Malawi. Lakudzala, D, Tembo, K C, and Manda, I K., (1999), An investigation of chemical pollutants in Lower Shire River, Malawi. Malawi Journal of Science and Technology, volume 5, p 87-94. ISBN: 1019-7079 Moriarty P, Charles, B,Firas, T, Peter, L, and Hazem, F (2007). The EMPOWERS Approach to Water Governance Guidelines, Methods and Tools. (MEDA Water, UN), Mulwafu et al, Integrated Water Resources Management (IWRM) and the Millennium Development Goals: Managing Water for Peace and Prosperity. Physics and Chemistry of the Earth, Parts A/B/C Volume 30, Issues 11-16, 2005, Pages 961-967 Phiri, O, Kadewa, W, and Mumba, P (2005). Assessment of the impact of industrial effluents on water quality of receiving rivers in urban areas of Malawi. Int. J. Environ. Sci. Tech. © Autumn 2005, Vol. 2, No. 3, pp. 237-244 Richard, H and Ivanildo, H (1997). Water Pollution Control. A guide to the use of water quality Management principles, First Edition. Sajidu S.M.I, Henry E.M.T, Masamba W.R.L, Kuyeli S.M. (2006), Wastewater quality inventory compilation and distribution of heavy metals in streams and wastewater plants of Blantyre, Malawi, 7th WATERnet/WARFSA Symposium, 2006, Lilongwe, Malawi, November 2006.