Drinking water quality is determined by the water's biological, chemical, and physical features. Water sampling was carried out in 20 villages in the Pune and Satara districts of Maharashtra, with 15 falling in a low rainfall zone. Samples were collected from rivers, open wells, and bore wells, four times in a period of a year covering all seasons. A total of 206 water samples were analyzed for their physical, chemical, and bacteriological properties. Physical and chemical properties were expressed in the form of a modified Water Quality Index (WQI). Additionally, the modified WQI was compared to an Overall Pollution Index (OIP) for rivers. The present investigation is an attempt to analyze the impact of seasonal changes on water quality of different water bodies using two different WQIs. To understand the degree to which water quality is affected by faecal bacteria, modified WQI with exclusion of faecal coliforms (FC) and OIP with inclusion of FC were compared with each other in river water bodies. Modified WQI values and bacterial counts were at a maximum during the onset of the monsoon. In terms of bacteriological contamination, the number of FC and intestinal enterococci (IE) in the water bodies was of major concern since it would impact human health.

Dear Editor:Ethnobotanical studies have shown use of decoction (hot aqueous extract) of local plants to be a preferred mode.1,2 In fact, preparation of plant-based remedies at the household level is often seen as a self-help measure. However, our recent field experiences with Psidium guajava (guava) leaf decoction (PGLD) as an antidiarrheal remedy revealed that preparation of a home-based remedy could be a limiting factor toward use of local medicinal plants. We had identified PGLD as an efficacious antidiarrheal plant through an ethnobotanical survey of Parinche valley, Pune, India 3 followed by laboratory studies.4 Subsequent to the popularization of PGLD in the valley through community health workers (CHW), patients with diarrhea willing to share their experiences (n = 23) were interviewed. A number of reasons for using and not using PGLD were identified (Box), most of which are similar to those reported elsewhere. These include dissatisfaction with other available treatments, 5-7 recommendations from relatives or friends, 5 financial constraints, 8,9 and a pluralistic approach for faster and/or better cure.5 To the best of our knowledge, the preparation of a decoction restricting the use of local medicinal plants has not been reported. Hence, this parameter was analyzed in detail.The CHW prepared PGLD on a kerosene stove and on a chulha (traditional earthen stove with wood as a fuel). Approximately 170 mL of kerosene was required to prepare PGLD for an adult per day, and time required was 38 minutes.

In the current study, ceftazidime- and ciprofloxacin-resistant—or dual drug-resistant (DDR)—E. coli were isolated from river Mula-Mutha, which flows through rural Pune district and Pune city. The DDR E. coli were further examined for antibiotic resistance to six additional antibiotics. The study also included detection of genes responsible for ceftazidime and ciprofloxacin resistance and vectors for horizontal gene transfer. Twenty-eight percent of the identified DDR E. coli were resistant to more than six antibiotics, with 12% being resistant to all eight antibiotics tested. Quinolone resistance was determined through the detection of qnrA, qnrB, qnrS and oqxA genes, whereas cephalosporin resistance was confirmed through detection of TEM, CTX-M-15, CTX-M-27 and SHV genes. Out of 219 DDR E. coli, 8.2% were qnrS positive and 0.4% were qnrB positive. Percentage of isolates positive for the TEM, CTX-M-15 and CTX-M-27 genes were 32%, 46% and 0.9%, respectively. None of the DDR E. coli tested carried the qnrA, SHV and oqxA genes. Percentage of DDR E. coli carrying Class 1 and 2 integrons (mobile genetic elements) were 47% and 8%, respectively. The results showed that antibiotic resistance genes (ARGs) and integrons were present in the E. coli isolated from the river at points adjoining and downstream of Pune city.

The majority of people in rural villages in Maharashtra, India, have access to improved drinking water sources. Nevertheless, the water quality at the point of consumption often does not satisfy the drinking water standard. In this study, we assess changes in water quality from its source to the point of consumption and explore the ties between water management practices and water quality. Water samples were collected at the water source and from 135 households' drinking water storage tanks, and analyzed for fecal coliforms. In parallel, a survey was done to find out water treatment and storage interventions, sanitation and hygiene practices, and households' perception of, and satisfaction with, drinking water quality. Our results show that even though 98% of the households in this study received their drinking water from an improved source, on average only 50% of sources, and even less during the monsoon, showed acceptable levels of fecal bacteria. Households' engagement in treatment and storage interventions varied, but was considered crucial due to unreliable centralized chlorination at the village level. Further work is warranted to understand to what extent the different factors influence variations in water quality at the point of consumption and thus to determine what are the most effective interventions.

The river Mula-Mutha in Pune District, India, is linked to a number of major drinking water sources in villages situated along its banks. This study assessed the seasonal variations in bacteriological water quality along the Mula-Mutha river using Thermotolerant Faecal Coliforms (TFC) as indicator bacteria for faecal contamination as per the WHO standard guidelines for drinking water. Eight points were chosen based on a survey carried out focusing on different sources of contamination which may influence water quality. Based on the survey of antibiotics used to treat routine diseases and ailments in villages, ceftazidime and ciprofloxacin were selected to screen and enumerate antibiotic-resistant (AR) TFC. The water samples were collected and analyzed along the Mula-Mutha riverbank in three seasons. The highest TFC load was recorded during the monsoon at all eight sampling points. The percentages of ciprofloxacin-resistant TFC among the TFC isolated in post-monsoon, pre-monsoon and monsoon were 21%, 2.3%, and 64%, to those resistant to ceftazidime 9%, 0.5%, and 36% and to the combination 38%, 0.7%, and 43%, respectively. Downstream from Manjari, at Khamgaontek, antibiotic-resistant TFC were detected in all three seasons though the number isolated was less. Still further downstream at Walki, the numbers decreased considerably. The findings highlighted the heavy load of AR TFC detected in the river Mula-Mutha at points adjoining Pune City. This was probably due to the release of domestic and hospital wastes from the city into the river.