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The use of wastewater and excreta in agriculture constitutes an important source of spread Salmonella strains and protozoan infections into the environment. This practice has been used in El Azzouzia (the wastewater-spreading area of Marrakesh city, Morocco) for several years. The available circumstantial evidence gained from epidemiological and microbiological investigations suggests that the use of untreated wastewater causes an excess of protozoan infections among children living in El Azzouzia (72%) compared with those from a control area (45%). The pathogenic protozoan infections observed were giardiasis (39%) and amoebiasis (28%). For Salmonella infection, 21.34% of the exposed children were infected, while this rate did not exceed 1.14% in the control group. The serogroups B and C were the most commonly isolated. The sewage farming children are therefore more exposed to detectable risk from pathogenic micro-organisms than the control children.

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