Climate extremes in conjunction with some land use practices are expected
to have large impacts on water quality. However the impacts of land use and
climate change on fecal contamination of groundwater has not been well
characterized. This work quantifies the influences of extreme weather events and
land use practices on E. coli presence and concentration in
groundwater from 125 shallow wells, a dominant drinking water resource in rural
Bangladesh, monitored over a 17-month period. The results showed that E.
coli presence was significantly associated with the number of heavy
rain days, developed land and areas with more surface water. These variables
also had significant impacts on E. coli concentration, with
risk ratios of 1.38 (95% CI = 1.16, 1.65), 1.07 (95% CI: 1.05,
1.09), and 1.02 (95% CI = 1.01, 1.03), respectively. Significant
synergistic effects on E.coli presence and concentration were
observed when land use and weather variables were combined. The findings suggest
that climate extremes and land use practices, particularly urbanization, might
promote fecal contamination of shallow well water, thus increasing the risk of
diarrheal diseases.