Assessment of solid and liquid wastes management and health impacts along the failed sewerage systems in capital cities of African countries: case of Abidjan, Côte d'Ivoire

The management of domestic wastewater and rainwater is a major concern for the population of Yopougon. The study presents the causes of wastewater discharge from dysfunctional sewers and their health impacts on the population. It also highlights the environmental and health risk associated with poor solid and liquid waste management. This was based on literature search, semi-participatory workshop, physicochemical and bacteriological characterization of wastewater and finally through a household survey. The field survey was conducted on 245 household heads obtained using the Canadian statistical guidelines. The results obtained indicated that all main pollution indicators were; total nitrogen (TN, 525 ± 0.02 to 3077 ± 0.3 mg/l), nitrates (NO 3 , 146 ± 0.01 to 1347 ± 0.12 mg/l), biochemical oxygen demand (BOD, 278 ± 195.16 to 645 ± 391.74 mg/l), chemical oxygen demand (COD, 940 ± 650.54 to 4050.5 ± 71.42 mg/l) and total dissolved solids (TDS, 151 ± 9.9 to 766 ± 237.59 mg/l) which were above the values recommended by the World Health Organization (WHO) and Cote d'Ivoire national policy guidelines standards for the discharge of effluents into the environment. The analysis of the bacterial flora of the effluents revealed that the concentrations of Total Coliforms and fecal streptococci exceeded the values recommended by the WHO and national policy guidelines standards. This means that the populations of this area are prone to infectious diseases. Diseases such as malaria (84.53%), respiratory infections (61%), diarrhea (48.66%), intestinal diseases (44.5%), and typhoid fever (28.84%) were prevalent in the surveyed households.