The aim of the study was to investigate the social and gender determinants of the risk of exposure to Cryptosporidium from urban dairying in Dagoretti, Nairobi. Focus group discussions were held in six locations to obtain qualitative information on risk of exposure. A repeated cross-sectional descriptive study included participatory assessment and household questionnaires (300 randomly selected urban dairy farming households and 100 non-dairying neighbours). One-hundred dairy households randomly selected from the 300 dairy households participated in an additional economic survey along with 40 neighbouring non-dairy households. We found that exposure to Cryptosporidium was influenced by gender, age and role in the household. Farm workers and people aged 50 to 65 years had most contact with cattle, and women had greater contact with raw milk. However, children had relatively higher consumption of raw milk than other age groups. Adult women had more daily contact with cattle faeces than adult men, and older women had more contact than older men. Employees had greater contact with cattle than other groups and cattle faeces, and most (77 %) were male. Women took more care of sick people and were more at risk from exposure by this route. Poverty did not affect the level of exposure to cattle but did decrease consumption of milk. There was no significant difference between men and women as regards levels of knowledge on symptoms of cryptosporidiosis infections or other zoonotic diseases associated with dairy farming. Awareness of cryptosporidiosis and its transmission increased significantly with rising levels of education. Members of non-dairy households and children under the age of 12 years had significantly higher odds of reporting diarrhoea: gender, season and contact with cattle or cattle dung were not significantly linked with diarrhoea. In conclusion, social and gender factors are important determinants of exposure to zoonotic disease in Nairobi.

The effectiveness of ultrasonication as a pre-treatment method for the psychrophilic anaerobic treatment of aquaculture effluents was assessed using a 4 l solids digester. Ultrasonication of aquaculture wastewater was found to enhance the removal of chemical oxygen demand by anaerobic digestion by almost 10%. There was also a concurrent increase in total biogas production from 0.29 l day(-1) to 0.45 l day(-1) with a corresponding 10% increase in methane concentration. Furthermore, there was an increase of 60% in effluent total ammonia nitrogen concentration as a result of sonication in comparison with a 45% increase for untreated digester waste.

This paper characterises the dairy farming system in Dagoretti, Nairobi. Characterisation was part of a broader ecohealth project to estimate the prevalence and risk of cryptosporidiosis and develop risk mitigation strategies. In the project a trans-disciplinary team addressed epidemiological, socioeconomic, environmental and policy aspects of cryptosporidiosis, an emerging zoonosis. This paper also provides background and describes sampling methods for the wider project. Three hundred dairy households were probabilistically sampled from a sampling frame of all dairy households in five of the six locations of Dagoretti, one of the eight districts of Nairobi Province. Randomly selected households identified 100 non-dairy-keeping households who also took part in the study. A household questionnaire was developed, pre-tested and administered in the dry and wet seasons of 2006. An additional study on livelihood and economic benefits of dairying took place with 100 dairy farmers randomly selected from the 300 farms (as well as 40 non-dairy neighbours as a control group), and a risk-targeted survey of environmental contamination with Cryptosporidium was conducted with 20 farmers randomly selected from the 29 farmers in the wider survey who were considered at high risk because of farming system. We found that around 1 in 80 urban households kept dairy cattle with an average of three cattle per household. Cross-breeds of exotic and local cattle predominate. Heads of dairy-keeping households were significantly less educated than the heads of non-dairy neighbours, had lived in Dagoretti for significantly longer and had significantly larger households. There was a high turnover of 10 % of the cattle population in the 3-month period of the study. Cattle were zero grazed, but productivity parameters were sub-optimal as were hygiene and husbandry practices. In conclusion, dairy keeping is a minor activity in urban Nairobi but important to households involved and their community. Ecohealth approaches are well suited to tackling the complex problem of assessing and managing emerging zoonoses in urban settings.

This paper describes a trans-disciplinary process of co-generating and disseminating evidence-based messages for reducing the risk from cryptosporidiosis and other zoonoses in an urban community in Nairobi. Research findings about disease prevalence, risk factors and observed risky and risk-mitigating practices were analysed by a team comprising researchers, community members and local policy- and decision-makers. Using participatory planning, multiple strategies were developed for disseminating key information. We identified five vulnerable groups at higher risk of exposure to cryptosporidiosis and other cattle zoonoses with similar transmission pathways (women, children, elderly people, immunosuppressed people and male farm workers). For each group, targeted messages were developed. Good practices already in use, as were also practices as practices to improve environmental conditions. These messages were disseminated through printed material, in a workshop, through community campaigners and also an edutainment soap opera episode broadcast on Kenyan television. In conclusion, a participatory and trans-disciplinary process can help transform the findings of research into messages that are targeted, attractive and understandable.

Objective: To estimate the prevalence of E. coli 0157:H7 in milk and cattle faecal samples dairy and non dairy neighbouring households and to relate this prevalence to the risk to human health. Design: Cross sectional study. Setting: Urban and peri-urban households of Dagoretti, Division, Nairobi, Kenya. Subjects: Dairy farming households and non dairy farming neighbouring households. Results: E coli 0157:H7 was isolated from milk samples at three of 136 non-dairy neighbour households (2.2 % C.1. 0.5 % ,6.3 % ) but was not found in any of the milk samples from the 260 milk samples from dairy households (0% c.1. 0.0%,1.4%). E.coli 0157 :H7 was also found in fifteen of285 pooled household cattle faecal sample (5.2%, C.I. 3.1 %,8.7%). One of the faecal isolates was found to have the marker for the production ofVT1. Discussions with focus groups revealed that the participants had limited knowledge aboutE. coli 0157 :H7. Focus group discussions and household questionnaires revealed practices increasing risk of E. coli infections to humans are associated with milking hygiene, drinking water source and treatment, and manure handling. Conclusions: E. coli 0157:H7 exists in urban setting and continuous surveillance is needed in case conditions and practices change favoring an increase in its prevalence and transmission to people.