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Mycotoxigenic Aspergillus and Fusarium species that contaminate cereal crops with aflatoxins and fumonisins are a major threat to food security, human and animal health. Cases of mycotoxin contamination have been on the rise globally, with causes of such surges raising research interests. We conducted factorial experiments in the laboratory to test the hypothesis that some recently produced improved maize varieties that are not purposively bred for resistance to storage insect pests and mycotoxigenic fungi, require protection by synthetic insecticides, which in turn serve as nutrient sources to mycotoxigenic fungi, leading to invasive growth and enhanced toxin production by fungi, especially in conditions of high moisture. Flour from the improved white maize variety Western 505 that is not purposively bred for resistance to storage insect pests and mycotoxigenic fungi had the highest level of colonisation by A. flavus (6,633 CFU g-1) and Fusarium sp. (10,870 CFU g-1) with consequent elevated concentrations of aflatoxin (203 ppb) and fumonisin (2.23 ppm); while flour from the local yellow maize variety Spindi exhibited the least colonisation and mycotoxin production by A. flavus (4,133 CFU g-1) and Fusarium sp. (6,145 CFU g-1) with the local white Rachar being intermediate, at high moisture conditions. The synthetic insecticides Super Blue Cross (BC) and Actellic Super (AS) promoted growth and mycotoxin production by A. flavus and Fusarium sp.; while Ash promoted growth of A. flavus and Fusarium sp., but suppressed mycotoxin production by the two mycotoxigenic fungi (Aflatoxin and Fumonisin: control=114 ppb and 1.46 ppm; Ash=114 ppb and 1.46 ppm; AS=270 ppb and 2.31 ppm; BC=320 ppb and 3.55 ppm). It is concluded that flours from the local yellow Spindi and local white Rachar maize varieties are less susceptible to infection and mycotoxin contamination by A. flavus and Fusarium sp. compared to the improved white maize variety WH505, which accumulates higher levels of the mycotoxigenic fungi and their toxins, especially when treated with the synthetic insecticides Super Blue Cross and Actellic® Super that act as fungal nutrient sources under high moisture conditions. The implications of these findings are further discussed in the context of some relevant policies.

The high consumption and unconventional manner in which locally derived sorghum and millet beverages (Obushera) are processed in Uganda prompted the need to establish microbial safety of the beverages. Microbial contamination and its variation with storage time and temperature, antibiotic-susceptibility of pathogenic bacterial isolates, and nutritional content of Obushera (n = 96) were determined. Handling and hygiene practices of processors and vendors of Obushera (n = 28) were also determined. Among the four categories of Obushera found in Mbarara city, Ekitiribita had the highest total viable counts (TVC) with a median of 4.62 log CFU/ml, followed by Obwenkiga and Obutiire with a median of 4.31 and 4.25 log CFU/ml, respectively. Microbial contaminants isolated included: Providencia spp.7(7.3%), Coagulase-positive Staphylococci 23(24%), Pseudomonas spp.3(3.1%), Enterobacter cloacae 12 (12.5%), Enterobacter aerogens 3 (3.1%), Proteus vulgaris 15(15.6%), Klebsiella spp. 13(13.5%), Streptococcus spp. 7(7.3%), and Escherichia coli 11 (11.5%). Saccharomyces cerevisiae (65.6%), Candida spp. (28.1%), Mucor spp. and Aspergillus niger accounted for 52.1% contamination of all samples. The above microbial contaminants persisted with storage except Providencia spp., Proteus vulgaris, Mucor spp. and Aspergillus niger. Microbial and nutritional analyses showed a positive significant correlation between microbial counts and amino acid, carbohydrates, reducing sugar concentration and pH in Obushera (p-value 10 CFU/ml TVC. Overall, this study revealed that Obushera consumed in Mbarara City, Uganda, is a high-risk beverage due to the high rate of microbial contamination and antibiotic resistance.

As population increases in urban areas, the domestic and industrial activities increase resulting in an increase in the volumes of wastewater and anthropogenic pollution, hence posing a threat to public health and environment. This study assessed the physical chemical quality of two main sewage plant effluents discharging into River Rwizi. Effluent water samples were analyzed for dissolved oxygen, colour, turbidity, total suspended solid, total iron, phosphates, alkalinity, magnesium, calcium carbonate, temperature, pH, ammonium, electrical conductivity, chloride and nitrates. Parameters were analyzed following standard methods of APHA (1985). The values obtained were compared with EPA (2001), NWSC (2015) and NEMA (1999) standards for waste water. Results showed that the mean values most of the parameters tested were higher than the recommended EPA, NWSC and NEMA standards. The mean colour was 1627.67°C and 1414.33°C in Kakoba and Taso sewage effluents respectively compared to EPA (20-150), NWSC (500) and NEMA (300) standards (p > 0.05). The mean alkalinity was 1390.17 mg/l and 1308.33 mg/l for Kakoba and Taso respectively compared with EPA (400) and NWSC (800) standards. DO had a mean concentration of 68.27 mg/l and 63.03 mg/l in Taso and Kakoba respectively compared to EPA and NEMA standard of 5 mg/l. Mg was 243.29 mg/l and 246.49 mg/l in Kakoba and Taso sewage effluents respectively compared to NEMA standard for waste water of 100 mg/l (p > 0.05). The mean pH was 8.26 and 8.16 in Taso and Kakoba sewage effluents respectively compared to NWSC and NEMA standard of 6.0 - 8.0. Phosphate mean concentration levels were 32.2 mg/l and 27.11 mg/l for Taso and Kakoba respectively compared to standards of EPA (0.5 - 0.7 mg/l) and NEMA (10 mg/l). NO3 was 10 mg/l and 5.83 mg/l in Kakoba and Taso sewage effluents respectively compared to NWSC maximum permissible limit of 5 mg/l. The mean NH4 concentration was 385.33 mg/l (Kakoba) and 50.0 mg/l (Taso) compared to the EPA guideline range (0.2 - 4 mg/l). Chloride (Cl) had a mean of 833.33 mg/l in Kakoba compared to EPA (250 mg/l), NWSC and NEMA (500 mg/l) standards. Therefore the study recommends for effective treatment of waste effluents from Kakoba and Taso sewage treatment plants before recycling in order to avoid pollution of river Rwizi.

There is an increased human population along the catchment area of river Rwizi who are engaged in various activities with potential to contaminate river Rwizi especially along the streams. Studies have been done to examine the physico-chemical quality of the mainstream river Rwizi in Mbarara Municipality. However, the comprehensive source of contamination may be beyond the municipality and yet the streams have not been investigated to substantiate their contribution on quality degradation of the river and this formed the basis of the study. This study determined the physico-chemical parameters of streams draining into river Rwizi. Raw water was purposively selected from streams in the upstream, midstream and downstream sections of the river. Water samples were analyzed for 15 physico-chemical parameters including dissolved oxygen (DO), colour, turbidity, total suspended solid (TSS), total iron (Fe), phosphates (PO3-4), alkalinity, magnesium (Mg), calcium carbonate (CaCO3), temperature, pH, ammonium (NH+4), electrical conductivity (EC), chloride (Cl) and nitrates (NO3). The water samples were analyzed following the standard methods of American Public Health Association and standard operating manual (1985). The obtained values were also compared with the international Environmental Protection Agency (EPA, 2001) guidelines for water quality and the National Environment Management Authority (NEMA, 1999) standards for waste water. The results showed that most of the streams in the downstream generally recorded the highest levels (p i.e. bus park stream (temperature, 27.6°C; colour, 431.17 TCU; TSS, 99.33 mg/l; alkalinity, 468.33 mg/l; Mg, 121.89 mg/l; CaCO3, 588.67 mg/l; Cl, 333.33 mg/l), Kikutu stream (turbidity, 123.58 NTU; EC, 698 μs/cm; DO, 55.73 mg/l; PO3-4, 12.85 mg/l), Kakyeka upper (pH, 10.52; NH+4, 46.67 mg/l), Rwentondo (Fe, 3.44 mg/l) and Kakyeka GBK (NO3, 10.83 mg/l). Most of the parameters downstream were higher than the EPA guideline (temperature, 25°C; colour, 20 - 150 TCUs; TSS, 50 mg/l; alkalinity, 400 mg/l; Cl, 250 mg/l; DO, 5 mg/l; PO3-4, 0.5 - 0.7 mg/l; pH, 5.5 - 9.0; NH+4, 0.2 - 4 mg/l; Fe, 0.2 - 2.0 mg/l) and NEMA standards (colour, 300 TCUs; Mg, 100mg/l; DO, 5mg/l; PO3-4, 10 mg/l; pH, 6.0 - 8.0). On the other hand, the streams in the upstream registered the lowest values of the parameters i.e. Kibimba (temperature, 17.28°C; EC, 31 μs/cm; PO3-4, 0.24 mg/l), Kasharara (colour, 15.17 TCU; TSS, 2.5 mg/l; pH, 6.23; alkalinity, 19.67 mg/l; DO, 9.99 mg/l; Mg, 4.41 mg/l; CaCO3, 23.17 mg/l) and Karungu (turbidity, 7.02 mg/l; Fe, 0.12 mg/l). Calcium carbonate hardness of the waters ranged from soft to excessively hard across the stream. The variations of the parameters detected in the streams in the downstream could reach adverse conditions if no intensive measures are taken to regulate the different anthropogenic activities within the catchment of river Rwizi.

Objectives The purpose and objective of this research was to explore the prevalence of antibodies against Brucella species in raw milk samples collected in Southwestern Uganda, one of the biggest milk producing regions in the Country. We hypothesized that there is a high level of antibodies in milk samples from this region. This builds more evidence to other studies in the region on the level contamination of raw milk. Results A total of 185 raw milk samples, collected from dairy farms and factories in southwestern region, were tested for antibodies to Brucella spp. using the milk ring test (MRT) and indirect Enzyme-Linked Immunosorbent Assay (i-ELISA).We found a prevalence of 26.5% (49/185) by the two methods. This is related to previous reports in the region and adds more evidence on the need for further investigations to confirm the source of these antibodies and their relationship with disease in milk producing animals.

Rwizi River, often called the life-line river, supports over five million people in Western Uganda and is a major contributor of freshwater to Lake Victoria. Surrounded by a large and rapidly growing population, the river has suffered anthropogenic disturbances whose impact on the integrity of the system is a subject of concern. Aquatic macroinvertebrates, used globally to monitor both short- and long-term environmental conditions, were thus used to assess the biological integrity of streams and channels draining into the river system. Macroinvertebrates were sampled for six months in 2017 encompassing the wet and dry seasons using the kick net sampling method. The macroinvertebrates were identified morphologically using peer reviewed identification keys and their pollution sensitivity scored using the Tanzanian River Scoring System (TARISS). The Shannon diversity index was computed per site and related to average score per taxon (ASPT). We collected a total of 5442 macroinvertebrates belonging to 54 families dominated by Chironomidae (29.1%). Macroinvertebrate diversity increased with ASPT (r = 0.57; N = 131; P = 0.000). The water quality was generally poor and was not affected by the season (t = 1.03; df = 64; P = 0.303) though sites had different water quality (F = 11.32; df = 20; P = 0.000) attributed the degree of anthropogenic disturbance. We concluded that river Rwizi system is highly degraded and thus recommend restoration of the entire catchment. Aquatic macroinvertebrates are good indicators of long-term conditions but less sensitive to short-term changes. Multiple approaches, biological and chemical, are encouraged during the restoration process.

Setting Although it is now widely used for tuberculosis (TB) diagnosis, Xpert(®) MTB/RIF availability remains inadequate in low-resource settings. Moreover, its accuracy in testing stored samples from non-expectorating patients has not been evaluated. Objective To assess the performance of Xpert in frozen samples of induced sputum (IS) and sputum from string test (ST) from non-expectorating individuals with presumed TB. Design This was a laboratory-based study of 377 ST and IS samples collected between March 2010 and March 2013 at a referral hospital in Uganda. Samples were decontaminated, centrifuged and cultured, and the resultant samples were frozen at -20°C before Xpert evaluation. Results TB was detected in ST and IS samples from 19/163 (11.7%) children and 63/201 (29.4%) adults using culture. Xpert sensitivity in frozen sediments from children was 37.5% (95%CI 8.5-75.5) in ST and 41.7% (95%CI 15.2-72.3) in IS samples, with specificities of respectively 100% (95%CI 94.9-100) and 98.6% (95%CI 92.7-100). In adults, sensitivity was respectively 50% (95%CI 31.3-68.7) and 48.5% (95%CI 30.8-66.4) in ST and IS samples, with specificities of respectively 100% (95%CI 95.5-100) and 98.6% (95%CI 92.4-100). Conclusion Given these results, and particularly the high specificity, the use of Xpert on frozen ST and IS sediment samples from both children and adults is promising.

Introduction While the laboratory represents more than 70% of clinical diagnosis and patient management, access to reliable and quality laboratory diagnostics in sub-Saharan Africa remains a challenge. To gain knowledge and suggest evidence based interventions towards laboratory improvement in Southwestern Uganda, we assessed the baseline laboratory quality standards in three medical and research laboratories in Southwestern Uganda. Methods We conducted a cross sectional survey from October, 2013 to April, 2014. Selected laboratories, including one private research, one private for profit and one public laboratory, were assessed using the WHO AFRO_SLIPTA checklist and baseline scores were determined. Results The three laboratories assessed met basic facility requirements, had trained personnel, and safety measures in place. Sample reception was properly designed and executed with a well designated chain of custody. All laboratories had sufficient equipment for the nature of work they were involved in. However, we found that standard operating procedures were incomplete in all three laboratories, lack of quality audit schemes by two laboratories and only one laboratory enrolled into external quality assurance schemes. The SLIPTA scores were one star for the research laboratory and no star for both the public and private-for-profit laboratories. Conclusion While most of the laboratory systems were in place, the low scores obtained by the assessed laboratories reflect the need for improvement to reach standards of quality assured diagnostics in the region. Therefore, routine mentorship and regional supportive supervision are necessary to increase the quality of laboratory services.