Going Small When the City Grows Big
Abstract Actual development of water and wastewater systems in towns is an outcome of several interrelated factors such as physical, economic, and social environments. Demography is also an important factor to consider in the formulation of development strategies. Too often in policy papers, population increase only serves as an argument for urgent action, but rarely as a factor in its own right that affects chances of improving a grave situation. A model is developed to generate water management options in urban areas related to population growth. A hypothesis is that management should go small in periods when the city expands rapidly. A study is presented of the development of water and sanitation in the town of Kisumu in Kenya on the shore of Lake Victoria during last century. The aim is to describe and analyze actual development in the water sector and to foresee what prospective developments could be identified in light of continued rapid population growth. The slow growth of the town in the colonial period allowed towns to adequately meet the needs of all residents for water. The extremely rapid population growth after Independence in 1963 interacted with other factors to cause a successive deterioration of residents access to water and sewage disposal.
A spatial analysis of pit latrine density and groundwater source contamination
This study aims to assess the relationship between chemical and microbial contamination of groundwater sources and a range of potential hazards in two peri-urban areas of Kisumu, Kenya where shallow wells and pit latrines are widely used. From 1998 to 2004, 263 samples were taken from 61 groundwater sources and tested for thermotolerant coliforms. Eighteen of these sources were also tested for chemical contaminants, including nitrate, chloride and fluoride. The locations of all water sources, buildings and pit latrines in the study area were surveyed. Local pit latrine densities were calculated using a geographic information system. Ten out 18 samples were above the World Health Organization guideline values for nitrate, 236 out of 263 were positive for thermotolerant coliforms, and all were above the guideline values for fluoride. There was neither a relationship between thermotolerant coliform levels and daily rainfall patterns nor with sanitary risk inspection scores for samples from shallow wells (r = 0.01, p = 0.91, n = 191). The density of pit latrines within a 100-m radius was significantly correlated with nitrate and chloride levels (r = 0.64, p = 0.004 and r = 0.46, p = 0.05, respectively) but not with thermotolerant coliforms (r = 0.22, p = 0.11). These results illustrate both the public health risks associated with shallow groundwater sources, on-site sanitation and high population density. These findings have implications for current policies that promote latrine construction, especially in peri-urban areas of high population density. More comprehensive studies of larger communities should be commissioned to extend this analysis of the links between latrine density and groundwater contamination and so identify the contingent policy risks.
Exposure to violence in incarcerated youth from the city of São Paulo.
OBJECTIVE
This study aimed to determine the extent of exposure to community violence among delinquent Brazilian youth in the 12-month period prior to their incarceration and to identify factors associated with this exposure.


METHOD
With an oversampling of girls, a cross-section of youth under 18 years of age from juvenile detention units in the city of São Paulo, Brazil completed a structured interview. Key items related to exposure to violence (witnessed and experienced) were drawn from the Social and Health Assessment questionnaire to cover the 12-month period prior to incarceration.


RESULTS
Participants (n = 325, 89% boys) reported high rates of exposure to violence with largely similar levels for boys and girls. Being threatened with physical harm, being beaten or mugged and/or shot at were the most common forms of violence experienced. After controlling for demographic and family variables, the fact of having peers involved in risk behavior, easy access to guns and previous involvement with the justice system were associated with witnessed violence; whereas having slept on the street was the only variable associated with experienced violence.


CONCLUSION
This group of youth was exposed to high levels of violence and other adverse experiences. Future research should examine the effectiveness of strategies aimed at reducing the exposure to violence of high-risk youth.