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PATHOGENIC MICROBES AND ENDOCRINE DISRUPTING CHEMICALS IN WATER AND OREOCHROMIS NILOTICUS IN LAKE VICTORIA, KENYA Investigator: DR. PATRICK WAWERU KAMUNDIA (BVM, MSC, (UoN)) Supervisors PROF. P. M GICHOHI (BVM, MSc, FRVCS, PhD) PROF. LILLY C. BEBORA (BVM, MSc, PhD) DR. LUCY W. NJAGI (BVM, MSc, PhD) PROF. PHILIP N. NYAGA (BVM, MPVM, PhD) INTRODUCTION The worlds’ aquatic resources are undergoing continuous pollution Water in Lake Victoria is contaminated by various pollutants The microbes include bacteria, viruses and protozoa. Contaminated water and fish. Pathogenic bacteria and protozoa -cause infection in man and fish LITERATURE REVIEW Increased population - increased effluent loads (Oguttu et al., 2008) Microbiological and chemical contamination of aquatic environment Water contaminated - The aquatic products contaminated Water acts as a media for which bacteria, protozoa and viruses (Davis et al. 2005 ). Problems to be addressed What pathogenic microbes found in fish and water of Lake Victoria causing disease in man? What are the pathogenic microbes causing disease to fish in the Lake Victoria fish? What are the antimicrobial resistance profiles of the bacterial pathogens? What are the levels of endocrine disruptors in Lake Victoria? LITERATURE REVIEW cont. Water-borne bacterial infections: cholera, typhoid fever and bacillary dysentery are wide-spread (Cabral, 2010). Fish infections: Aeromonas, Streptococcus iniae, Fish live in the water environment, any contamination of water contaminate the fish Compromise in public health and food safety (Onyuka et al., 2011). LITERATURE REVIEW cont. Microbial quality of fish is determined by the quality of water (Fafioye, 2011) The quality of water is of paramount importance since the pathogens can be transmitted to man causing infections (Wandili, 2011) Enterobacteriaceae were recovered in fish from Lake Victoria which included Salmonella, E. coli, Proteus, Enterobacter and Shigella (Onyango et al., 2009) LITERATURE REVIEW cont. Antimicrobial resistance (AMR) and disinfectant resistance - an evolving phenomenon. Bacteria causing common infections - developed resistance to new antibiotic worldwide health threat. Common and affordable disinfectants - rendered ineffective LITERATURE REVIEW cont. Protozoan enteroparasites : Amoeba, Cryptosporidium and Giardia - major waterborne pathogens. Single-celled coccidian protozoan Found in lakes and rivers, when water is contaminated with sewage and animal waste. Mode of transmission – contaminated water & food (fish). LITERATURE REVIEW cont. Estrogenic/anti-androgenic compounds include: the natural estrogen, 17-β estradiol (E2); the synthetic estrogen originating in oral contraceptives, ethynylestradiol (EE2); Industrial EDC; Bisphenol-A (BPA) Endocrine Disrupting Chemicals (EDCs) have been reported in sewage and various methods to detect them have been developed. OBJECTIVES General objective To determine pathogenic microbes and endocrine disrupting chemicals in water and Oreochromis niloticus in Lake Victoria, Kenya The specific objectives of the study: To determine the prevalence of pathogenic microbes in the lake Victoria water and O. Niloticus, Determine the antibiotic and disinfectant sensitivity patterns, and disinfectant efficacy of the recovered isolates in water and fish. Determine and quantify the estrogenic endocrine disruptors in the lake Victoria water Determine pathological lesions in O. niloticus in lake Victoria JUSTIFICATION Fish and water are essential components of life in lake Victoria basin Winam gulf has high population and industrial intensity Microbial contamination: pathogens lead to infection and therefore ill health Domestic, sewage & chemical pollution are sources of pathogenic microbes and EDCs which are of public health importance Need to establish the extent the microbial and endocrine chemicals pollute the water and how it may affect man and fish Study site Kisumu, in Winam gulf part of Lake Victoria 1. WATER COLLECTION POINTS: 1. Targeted landing sites and 2. rivers and their inlets 2. FISH COLLECTION POINTS: 1. Dunga landing site 2. Tilapia beach landing site Study site Sample Sizes Formula used to determine sample sizes N = 4PQ / L2 N = [(4 × 0.5 × 0.5) / (0.1) 2] = 384 N =estimated sample size, P = prevalence estimated at 0.5, Q = (1-P), L =precision required (Martin et al., 1987). Fish for bacteriology = 100 samples x 6 organs = 600 samples Water for bacteriology= 160 samples Water for protozoology = 160 samples Water for EDCs = 90 samples Fish for histology = 100 samples Study animal PISCES Nile tilapia (Oreochromis niloticus) Herbivorous Introduced in to the lake in 1960 Economically important, Declining in numbers SAMPLE COLLECTION FISH SAMPLES FOR MICROBIAL MICROBIAL INVESTIGATION SKIN SWAB 1 INCH SQ STOMACH GILL SWAB 5GM FISH SPLEEN KIDNEY 5GM 5GM LIVER 5GM stored in saline and transport media at 4 ̊C until processing at a lab STUDY DESIGN: schematic of fish sampling Pathogenic Microbes: 10 Serial dilutions, Aerobic Plate Count in Nutrient Agar at 25ºC and 35ºC Bacteriology: Microbes of Public Health Importance: at 25 C& 35 C 6 organs: Skin, Gill, Liver, Kidney, Spleen, Intestine/Stomach Culture in BA, MacConkey Agar FISH Gram stain, Biochemical tests Sample Size: Bacteriology: Microbes of Public Health Importance: at 25 C & 35 C 200 Gross pathology Pathology 6 organs: Skin, Gill, Liver, Histopathology Kidney, Spleen, Intestine/Stomach CONT. MATERIAL AND METHODS GROSS AND HISTOPATHOLOGY GROSS PATHOLOGY: ALL THE FISH SAMPLED ASSESSED TISSUES PROCESSED FOR HISTOLOGY ACCORDING TO LUNA (1968) WATER SAMPLE COLLECTION POINTS LANDING SITE RIVERS • 0M ONSHORE • 100M OFFSHORE • 200M OFFSHORE • 100M BEFORE ONSHORE • 0M ONSHORE (INLET) • 100M OFFSHORE • 200M OFFSHORE Sample collection Water FOR MICROBIAL INVESTIGATION BACTERIOLOGY AND PROTOZOA INVESTIGATION COLLECTED 5ML BELOW WATER SURFACE WITH AUTOCLAVED 250 ML BOTTLES 3 samples at landing site (onshore, 100 offshore AND 200 OFFSHORE) 4 SAMPLES AT RIVERS: 100 BEFORE ONSHORE, ONSHORE, 100 offshore AND 200 OFFSHORE) WATER STORED AT 4̊C UNTIL PROCESSING AT A LAB Schematics of water sampling Mycology SDA, Potato Dextrose Agar 10 Serial dilutions, Aerobic Microbial pathogens Plate Count in Nutrient Agar at 25ºC and 35ºC Water Bacteriology At 4° C Culture in BA, MacConkey Endocrine Disrupting EDC extraction, Chemicals ELISA Agar Gram stain, Biochemical tests BACTERIOLOGY Bacteriology GRAM STAIN BIOCHEMICAL TESTS (e.g. IMViC) BLOOD AGAR SUB-CULTURE Anti-Microbial Resistance: Antibiotics & Disinfectants MAC-CONKEY SELENITE F NUTRIENT AGAR APC Anti-microbial resistance Modified controlled disk diffusion technique (Bebora (1987) on Mueller-Hinton agar Antibiotics Disinfectants • Ampicillin, Chloramphenicol, Cefuroxime, Ciprofloxacin, Erythromycin, Cetriazone, Cloxacillin, Co-trimaxazole/Trimethoprime, Nalidixic acid. • Omnicide®, Lysol®, and Jik®, Brompsept, Lavik® and Kleenol ®, and an antiseptics, Dettol ® or Savlon®. Sample collection Water FOR EDC INVESTIGATION WATER COLLECTED IN 2.5 LITRE WINCHESTER BOTTLES STORED AT 4 ̊ C UNTIL PROCESSING AT A LAB EXTRACTION USING SPE 18 COLOMNS ELISA EXTRACTION WITH SPECIFIC ESTROGEN KITS CONT. M&M Endocrine Disrupting Chemicals EDCs Procedure: Modified pool (2007) WATER COLLECTED 4 °C EXTRACTION SPE 18 ELISA ELISA KITS FOR COLOMNS EI, E2, EE2, BPA MATERIAL AND METHODS BACTERIOLOGY Water and fish organs (6)- transported at 4 degrees centigrade ice Water (10 serial dilutions) Fish organs (15 serial dilutions)–skin swabs (saline), gills, liver, kidney, spleen, intestine (5gms)- ground with mortar and pestle, in saline 0.1ml: 0.9 ml BACTERIOLOGY Total BACTERIAL COUNT- cfu/gm, cfu/ml or cfu/cm2 (nutrient agar) Blood agar, mac-conkey, selenite mac-conkey CHARACTERISATION (gram stain, biochemical tests) Biochemical tests: IMViC, urease, TSI, glucose string test (vibrio cholera), E. coli 0157; H7 (latex agglutination test) CONT. MATERIAL AND METHODS Protozoa: Species of interest: Cryptosporidium, Giardia & Amoeba Cryptosporidium: Safranin- Methylene Blue protocol Giardia: FLOATATION method Amoeba: STAINING WITH IODINE Done according to who manual of parasitology (WHO, 1991) Data collection and analysis Data will be entered into MS excel and later imported into the SAS v9.2 © 2008 (SAS institute Inc., Cary, NC, USA) for analysis. The proportions of bacteria resistant to various disinfectants will compared between the various disinfectant dilutions Difference in the mean total estrogenic endocrine disruptors will be analyzed by one way ANOVA and graphical presentations of the mean scores created with MS excel. 7.0 WORK PLAN Activity QUARTER 1 Proposal development Field work: Water and fish sample collection Lab work: Bacteria culture, EDC extraction and ELISA. Data analysis Thesis writing Thesis submission QUARTER 2 QUATER 3 QUARTER 4 QUARTER 5 QUARTER QUARTER QUARTER 8 QUARTER 6 7 9 QUARTER QUARTER 10 11 BUDGET Item 1. Boat hire 1. Ice 5,000.00 1. Local transport 9,000.00 1. Consumables 2,000.00 1. Purchase of fish 25,000.00 1. Transport 50,000.00 1. Per Diems 1. Gross & Histology Items 1. Bacteriology 1. EDC extraction and ELISA 1. Miscellaneous Expenses Totals 18,000.00 153,000.00 25,630.00 127, 210.00 200,800.00 40,000.00 528,430.00 Thank You For Listening