<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article">
 <front>
  <journal-meta>
   <journal-id journal-id-type="publisher-id">
    gep
   </journal-id>
   <journal-title-group>
    <journal-title>
     Journal of Geoscience and Environment Protection
    </journal-title>
   </journal-title-group>
   <issn pub-type="epub">
    2327-4336
   </issn>
   <issn publication-format="print">
    2327-4344
   </issn>
   <publisher>
    <publisher-name>
     Scientific Research Publishing
    </publisher-name>
   </publisher>
  </journal-meta>
  <article-meta>
   <article-id pub-id-type="doi">
    10.4236/gep.2025.135001
   </article-id>
   <article-id pub-id-type="publisher-id">
    gep-142455
   </article-id>
   <article-categories>
    <subj-group subj-group-type="heading">
     <subject>
      Articles
     </subject>
    </subj-group>
    <subj-group subj-group-type="Discipline-v2">
     <subject>
      Earth 
     </subject>
     <subject>
       Environmental Sciences
     </subject>
    </subj-group>
   </article-categories>
   <title-group>
    Seasonal Variations of Microbial Water Quality from Shallow Wells and Prevalence of Water-Related Diseases
   </title-group>
   <contrib-group>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Sarah
      </surname>
      <given-names>
       Ng’andwe
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref> 
     <xref ref-type="aff" rid="aff2"> 
      <sup>2</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       George M.
      </surname>
      <given-names>
       Ogendi
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Elizabeth
      </surname>
      <given-names>
       Muoria
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff1"> 
      <sup>1</sup>
     </xref>
    </contrib>
    <contrib contrib-type="author" xlink:type="simple">
     <name name-style="western">
      <surname>
       Justine
      </surname>
      <given-names>
       Ngoma
      </given-names>
     </name> 
     <xref ref-type="aff" rid="aff3"> 
      <sup>3</sup>
     </xref>
    </contrib>
   </contrib-group> 
   <aff id="aff1">
    <addr-line>
     aDepartment of Environmental Science, Egerton University, Egerton, Kenya
    </addr-line> 
   </aff> 
   <aff id="aff2">
    <addr-line>
     aDepartment of Agriculture and Aquatic Science, Kapasa Makasa University, Chinsali, Zambia
    </addr-line> 
   </aff> 
   <aff id="aff3">
    <addr-line>
     aDepartment of Biomaterial Science and Technology, Copperbelt University, Kitwe, Zambia
    </addr-line> 
   </aff> 
   <pub-date pub-type="epub">
    <day>
     06
    </day> 
    <month>
     05
    </month>
    <year>
     2025
    </year>
   </pub-date> 
   <volume>
    13
   </volume> 
   <issue>
    05
   </issue>
   <fpage>
    1
   </fpage>
   <lpage>
    19
   </lpage>
   <history>
    <date date-type="received">
     <day>
      18,
     </day>
     <month>
      March
     </month>
     <year>
      2025
     </year>
    </date>
    <date date-type="published">
     <day>
      3,
     </day>
     <month>
      March
     </month>
     <year>
      2025
     </year> 
    </date> 
    <date date-type="accepted">
     <day>
      3,
     </day>
     <month>
      May
     </month>
     <year>
      2025
     </year> 
    </date>
   </history>
   <permissions>
    <copyright-statement>
     © Copyright 2014 by authors and Scientific Research Publishing Inc. 
    </copyright-statement>
    <copyright-year>
     2014
    </copyright-year>
    <license>
     <license-p>
      This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/
     </license-p>
    </license>
   </permissions>
   <abstract>
    Microbiological contamination of drinking water remains a critical global health concern, contributing to approximately five million deaths annually. In Sub-Saharan Africa, inadequate access to safe drinking water sources results in over one million deaths each year, with nearly 90% occurring among children. This study investigated the seasonal variation of microbial water quality from shallow wells and the prevalence of water-related diseases. Water samples were collected during the dry and wet seasons and analyzed for total coliforms and Escherichia coli using the membrane filtration method. Additionally, water temperature and pH were measured onsite. The mean total coliform count increased from 79 CFU/100 mL in the dry season to 124 CFU/100 mL in the wet season, while the mean E. coli count increased from 26 CFU/100 mL to 55 CFU/100 mL. In both seasons, total coliform and E. coli counts exceeded the World Health Organization’s zero threshold for coliforms in drinking water. The prevalence of water-related diseases was higher during the wet season, aligning with the increased microbial contamination. The bacteriological contamination of shallow wells indicates that these water sources are contaminated and unsuitable for human consumption. The findings underscore the need for point-of-use water treatment using various methods, including chlorination and slow sand filtration to safeguard public health.
   </abstract>
   <kwd-group> 
    <kwd>
     Escherichia coli
    </kwd> 
    <kwd>
      Shallow Wells
    </kwd> 
    <kwd>
      Microbiological Water Quality
    </kwd> 
    <kwd>
      Water-Related Diseases
    </kwd>
   </kwd-group>
  </article-meta>
 </front>
 <body>
  <sec id="s1">
   <title>1. Introduction</title>
   <p>Water quality, particularly the microbiological quality of groundwater, is a key determinant of public health (<xref ref-type="bibr" rid="scirp.142455-4">
     Atobatele &amp; Owoseni, 2023
    </xref>; <xref ref-type="bibr" rid="scirp.142455-21">
     Genter et al., 2023
    </xref>). In many low and middle-income countries, groundwater serves as a primary source of drinking and domestic use, yet it remains highly vulnerable to contamination (<xref ref-type="bibr" rid="scirp.142455-1">
     Abanyie et al., 2023
    </xref>; <xref ref-type="bibr" rid="scirp.142455-7">
     Bagordo et al., 2024
    </xref>; <xref ref-type="bibr" rid="scirp.142455-76">
     Wu et al., 2025
    </xref>; <xref ref-type="bibr" rid="scirp.142455-64">
     Syifa et al., 2025
    </xref>; <xref ref-type="bibr" rid="scirp.142455-65">
     Tadele &amp; Tekile, 2025
    </xref>). Globally, about 2.2 billion people cannot access safe drinking water (<xref ref-type="bibr" rid="scirp.142455-72">
     WHO, 2019
    </xref>; <xref ref-type="bibr" rid="scirp.142455-74">
     WHO/UNICEF, 2021
    </xref>), with the majority recorded in Sub-Saharan Africa. In this region, bacterial contamination of drinking water sources remains a major public health challenge, particularly in rural communities where many households depend on unimproved water sources, such as shallow wells (<xref ref-type="bibr" rid="scirp.142455-25">
     Gwimbi et al., 2019
    </xref>; <xref ref-type="bibr" rid="scirp.142455-38">
     Machona et al., 2025
    </xref>). These sources are highly susceptible to fecal contamination, increasing the risk of waterborne diseases if water from them is consumed without prior treatment (<xref ref-type="bibr" rid="scirp.142455-30">
     Javaid et al., 2022
    </xref>; <xref ref-type="bibr" rid="scirp.142455-34">
     Kwikima, 2024
    </xref>; <xref ref-type="bibr" rid="scirp.142455-13">
     Breternitz et al., 2024
    </xref>).</p>
   <p>Contamination of water sources affects water quality and threatens human health, economic development and social prosperity (<xref ref-type="bibr" rid="scirp.142455-55">
     Sahoo &amp; Goswami, 2024
    </xref>; <xref ref-type="bibr" rid="scirp.142455-10">
     Bazaanah &amp; Mothapo, 2024
    </xref>). In Zambia, out of a population of 13 million, approximately 6 million people, particularly those living in settlements, lack access to clean water and sanitation (<xref ref-type="bibr" rid="scirp.142455-68">
     UN-Habitat, 2023
    </xref>). This significant disparity puts these populations at high risk for diarrheal diseases linked to contaminated water. By 2019, it was estimated that 1.8 billion people still consumed contaminated water and 2.4 billion people lacked adequate sanitation worldwide (<xref ref-type="bibr" rid="scirp.142455-72">
     WHO, 2019
    </xref>). Ensuring the microbiological safety of groundwater sources remains a significant challenge, especially for vulnerable populations (<xref ref-type="bibr" rid="scirp.142455-37">
     Lund Schlamovitz &amp; Becker, 2021
    </xref>). The struggle to extend safe water services to impoverished communities increases their risk of exposure to contaminated drinking water.</p>
   <p>A wide range of pathogenic microorganisms can be found in groundwater, with bacteria being the primary cause of waterborne disease outbreaks (<xref ref-type="bibr" rid="scirp.142455-49">
     Njuguna, 2016
    </xref>). Notable bacterial pathogens include Salmonella spp., Shigella spp., Vibrio cholerae, and Escherichia coli (E. coli). Among these, Escherichia coli (E. coli) bacteria is widely recognized as a key indicator of fecal contamination in drinking water, its presence suggests potential contamination from human or animal waste. E. coli can persist in water for 4 to 12 weeks, depending on the environmental conditions (<xref ref-type="bibr" rid="scirp.142455-32">
     Khan &amp; Gupta, 2020
    </xref>; <xref ref-type="bibr" rid="scirp.142455-63">
     Suehr et al., 2020
    </xref>; <xref ref-type="bibr" rid="scirp.142455-77">
     Yang et al., 2025
    </xref>). Studies have shown that seasonal variations may significantly influence microbial water quality, affecting the transport, survival and concentration of pathogenic bacteria (<xref ref-type="bibr" rid="scirp.142455-17">
     Dongzagla et al., 2021
    </xref>; <xref ref-type="bibr" rid="scirp.142455-6">
     Ayeni et al., 2023
    </xref>; <xref ref-type="bibr" rid="scirp.142455-14">
     Caballero et al., 2024
    </xref>; <xref ref-type="bibr" rid="scirp.142455-66">
     Thilakarathna et al., 2025
    </xref>). During the wet season, increased rainfall and surface runoff introduce contaminants from surrounding areas into groundwater, leading to higher microbial loads. In contrast, the dry season can result in a concentration effect due to reduced water volume, potentially increasing the presence of harmful bacteria in stagnant water (<xref ref-type="bibr" rid="scirp.142455-12">
     Bouchaou et al., 2024
    </xref>; <xref ref-type="bibr" rid="scirp.142455-70">
     Water and Development, 2024
    </xref>). These seasonal fluctuations heighten public health risks, contributing to the spread of waterborne infections such as diarrhea, cholera, and typhoid (<xref ref-type="bibr" rid="scirp.142455-60">
     Siamalube et al., 2024
    </xref>). High contamination levels in groundwater sources are usually linked to the proximity of pit latrines, as well as flooding events during the wet season (<xref ref-type="bibr" rid="scirp.142455-3">
     Ashuro et al., 2021
    </xref>). In contexts where groundwater is the main source of water, the use of pit latrines is highly discouraged unless specific conditions such as a deep water table or soil characteristics that limit contaminant migration are met (<xref ref-type="bibr" rid="scirp.142455-29">
     Islam Farhan &amp; Alim Miah, 2024
    </xref>). While increasing the distance between wells and sanitation systems could help mitigate contamination, this solution is often impractical in informal settlements where space is limited and regulatory frameworks are weak (<xref ref-type="bibr" rid="scirp.142455-45">
     Mwevura et al., 2021
    </xref>).</p>
   <p>The World Health Organization (WHO) emphasizes the need for routine monitoring of microbial indicators, such as E. coli, to assess water quality and minimize health risks (<xref ref-type="bibr" rid="scirp.142455-75">
     WHO/UNICEF, 2015
    </xref>). Additionally, physicochemical parameters including temperature and pH play a critical role in determining water safety (<xref ref-type="bibr" rid="scirp.142455-59">
     Shamsudin et al., 2017
    </xref>; <xref ref-type="bibr" rid="scirp.142455-33">
     Kothari et al., 2020
    </xref>; <xref ref-type="bibr" rid="scirp.142455-69">
     Volf et al., 2024
    </xref>). Understanding seasonal variations in microbial contamination is essential for developing effective water management strategies and improving water treatment practices, particularly in communities that depend on groundwater sources. The failure to monitor water resources and sanitation services could hinder the goal of improving water and sanitation as outlined in the Zambian 8<sup>th</sup> National Development Plan (<xref ref-type="bibr" rid="scirp.142455-42">
     MFNP, 2022
    </xref>). Therefore, the aim of this study was to investigate the seasonal variations in the microbiological quality of shallow well water and prevalence of water-related diseases, focusing on indicator bacteria and key physicochemical parameters in order to contribute to strategies for enhancing and monitoring water safety in affected communities.</p>
  </sec><sec id="s2">
   <title>2. Methods</title>
   <sec id="s2_1">
    <title>2.1. Study Area</title>
    <p>The study was conducted in the Copperbelt province in Kitwe district in Ipusukilo informal settlement in Zambia, located at latitude 12˚45' S and longitude 28˚20' E (<xref ref-type="fig" rid="fig1">
      Figure 1
     </xref>). The area has a population of 31,405 distributed in three distinct zones stretching along the Kafue River basin. The region experiences a mean annual temperature of 23˚C and an average annual precipitation of 1226 mm (<xref ref-type="bibr" rid="scirp.142455-8">
      Banda, 2023
     </xref>).</p>
   </sec>
   <sec id="s2_2">
    <title>2.2. Sampling Procedure</title>
    <p>Administratively, Ipusukilo settlement is divided into three distinct sections (<xref ref-type="bibr" rid="scirp.142455-39">
      Macwani et al., 2009
     </xref>). The areas of interest were the zones using shallow well water for their drinking use. Based on this criterion, Zones 1 (Southeast), 2 (Southwest), and 3 (Northwest) were purposively selected as strata. A total of 16 wells were then randomly selected from these zones for microbial water quality sampling. Water samples were collected in triplicate from each site in October (dry season) and December (wet season). Giving a total of 48 water source samples in the dry and wet season. GPS coordinates for the sampled shallow wells were collected and are presented in <xref ref-type="fig" rid="fig1">
      Figure 1
     </xref>.</p>
    <p>
     <xref ref-type="bibr" rid="scirp.142455-"></xref></p>
    <fig id="fig1" position="float">
     <label>Figure 1</label>
     <caption>
      <title>Figure 1. Location of Zambia in the African continent (a). Location map of the country Zambia (b). Sampled shallow wells in Ipusukilo settlement (c).</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/2173337-rId17.jpeg?20250506092239" />
    </fig>
   </sec>
   <sec id="s2_3">
    <title>2.3. Physicochemical Parameter Analysis</title>
    <p>The pH and temperature of water were measured on-site using a multi-parameter. This was done by dipping the electrode of the calibrated instrument into the sample and allowing it to stabilize to give a reading. It was then rinsed with deionized water before being used to measure other samples.</p>
   </sec>
   <sec id="s2_4">
    <title>2.4. Microbial Analysis</title>
    <p>The sample collection procedures were based on the American Public Health Association (<xref ref-type="bibr" rid="scirp.142455-2">
      APHA, 2005
     </xref>) standards. Water samples for microbial analysis were collected using sterilized 500 ml high-density polyethylene (HDPE) bottles to avoid contamination. Sterile gloves were worn, and care was taken to avoid contact with the bottle’s interior. The bottles were rinsed with the sampled water and sealed after filling. Samples were stored in a cool box at 4˚C and transported to the Department of Environmental Engineering Laboratory at Copperbelt University for analysis within six hours.</p>
    <p>The Membrane Filtration Technique was used to analyze water quality from shallow wells for total coliform and E. coli concentrations. The setup included a filter holder, a 0.45 µm sterile membrane filter, and a vacuum pump. A 100 mL water sample was drawn through the membrane filter, which collected coliform bacteria. This filter was then placed onto a selective growth medium using forceps (<xref ref-type="bibr" rid="scirp.142455-2">
      APHA, 2005
     </xref>). For total coliform detection, M-Endo Agar was used and incubated at a temperature range of 35˚C to 37˚C for 24 hours. E. coli was identified using HiChrome and incubated at 35˚C for 24 hours. After incubation, the petri dishes were removed and examined for bacterial growth. The colonies were then counted using a colony counter. On M-Endo Agar, total coliform colonies appeared as red or pink with a metallic sheen, while E. coli colonies displayed a blue color on HiChrome.</p>
    <p>The total bacterial count in every 100 mL was reported as Colony Forming Units (CFU) per 100 mL calculated using the formula:</p>
    <p>
     <math xmlns="http://www.w3.org/1998/Math/MathML"> <mrow> 
       <mfrac> 
        <mrow> 
         <mtext>
           CFU 
         </mtext> 
        </mrow> 
        <mrow> 
         <mn>
           100 
         </mn> 
         <mtext>
           mL 
         </mtext> 
        </mrow> 
       </mfrac> 
       <mo>
         = 
       </mo> 
       <mfrac> 
        <mrow> 
         <mtext>
           Number of CFU 
         </mtext> 
        </mrow> 
        <mrow> 
         <mtext>
           Volume of water filtered 
         </mtext> 
        </mrow> 
       </mfrac> 
       <mo>
         × 
       </mo> 
       <mn>
         100 
       </mn> 
       <mtext>
         mL 
       </mtext> 
      </mrow> 
     </math>(1)</p>
   </sec>
   <sec id="s2_5">
    <title>2.5. Sanitary Survey</title>
    <p>A sanitary survey was conducted at each sampling site during water sample collection process. The sanitary survey followed a standardized format that was adopted by <xref ref-type="bibr" rid="scirp.142455-35">
      Lloyd &amp; Bartram (1991)
     </xref>. The sanitary scores from shallow wells were plotted against E. coli counts to evaluate their relationship.</p>
   </sec>
   <sec id="s2_6">
    <title>2.6. Prevalence of Water-Related Diseases</title>
    <p>Clinical health records from the health facility in the settlement were reviewed to identify the most prevalent water-related diseases a year before the study period. The data collected included the age and the specific disease recorded during the dry and wet seasons. The prevalence rates of water-related diseases were calculated using the equation below:</p>
    <p>
     <math xmlns="http://www.w3.org/1998/Math/MathML"> <mrow> 
       <mi>
         P 
       </mi> 
       <mi>
         R 
       </mi> 
       <mo>
         = 
       </mo> 
       <mfrac> 
        <mi>
          P 
        </mi> 
        <mi>
          N 
        </mi> 
       </mfrac> 
       <mo>
         × 
       </mo> 
       <mn>
         100 
       </mn> 
      </mrow> 
     </math>(2)</p>
    <p>where PR denotes the prevalence rate, P denotes all persons with a specific condition at one point in time, and N means population in the target area.</p>
   </sec>
   <sec id="s2_7">
    <title>2.7. Data Analysis</title>
    <p>Descriptive statistics, including the mean and standard deviation, were used to summarize the data on microbial water quality. The Shapiro-Wilk test was performed to assess data normality. Furthermore, Pearson correlation tests were conducted to explore the relationships between total coliform and E. coli levels and the physicochemical parameters of water during both dry and wet seasons. A paired t-test was used to determine if there were any significant seasonal variations in microbial water quality. All statistical analyses were conducted using R Studio software.</p>
   </sec>
   <sec id="s2_8">
    <title>2.8. Ethical Consideration</title>
    <p>The study protocol was approved by the Ethics Committee of Egerton University EUISERC/APP/364/2024 and the Ethics Committee of the Tropical Diseases Research Centre TDREC237/10/24. Authorization to conduct the study was granted by the Zambia National Health Research Council NHRA-1612/05/10/2024 and the Zambia Provincial District Health Office.</p>
   </sec>
  </sec><sec id="s3">
   <title>3. Results and Discussion</title>
   <sec id="s3_1">
    <title>3.1. Physicochemical Water Quality</title>
    <p>Temperature varied slightly between seasons, measuring 27.2˚C ± 0.5˚C in the wet season and 27.5˚C ± 0.3˚C in the dry season <xref ref-type="table" rid="table1">
      Table 1
     </xref>. Shallow wells exhibited higher temperatures in both seasons, likely due to their proximity to the surface and direct exposure to the sun (<xref ref-type="bibr" rid="scirp.142455-44">
      Morris et al., 2003
     </xref>). Mean pH values remained within the WHO guideline range of 6.5 - 8.5. The pH increased from 6.6 ± 0.5 in the dry season to 7.2 ± 0.5 in the wet season. The high mean pH value recorded in the wet season is likely due to increased organic matter dissolution following rainfall events, as suggested by <xref ref-type="bibr" rid="scirp.142455-16">
      Chauque et al. (2021)
     </xref>.</p>
    <table-wrap id="table1">
     <label>
      <xref ref-type="table" rid="table1">
       Table 1
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.142455-"></xref>Table 1. Summary of physicochemical parameters of shallow wells.</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td class="custom-bottom-td acenter"><p style="text-align:center">Parameter</p></td> 
       <td class="custom-bottom-td acenter"><p style="text-align:center">Dry Season</p></td> 
       <td class="custom-bottom-td acenter"><p style="text-align:center">Wet Season</p></td> 
       <td class="custom-bottom-td acenter"><p style="text-align:center">WHO limit</p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td acenter"><p style="text-align:center">Temperature (˚C)</p></td> 
       <td class="custom-top-td acenter"><p style="text-align:center">27.5 ± 0.3</p></td> 
       <td class="custom-top-td acenter"><p style="text-align:center">27.2 ± 0.5</p></td> 
       <td class="custom-top-td acenter"><p style="text-align:center"></p></td> 
      </tr> 
      <tr> 
       <td class="acenter"><p style="text-align:center">pH</p></td> 
       <td class="acenter"><p style="text-align:center">6.6 ± 0.5</p></td> 
       <td class="acenter"><p style="text-align:center">7.2 ± 0.5</p></td> 
       <td class="acenter"><p style="text-align:center">6.5 - 8.5</p></td> 
      </tr> 
     </table>
    </table-wrap>
   </sec>
   <sec id="s3_2">
    <title>3.2. Microbiological Water Quality</title>
    <p>Total coliform counts were 79 ± 24 CFU/100 mL in the dry season and 124 ± 40 CFU/100 mL in the wet season. Escherichia coli, a key indicator of microbial contamination, measured 26 ± 16 CFU/100 mL in the dry season and 55 ± 20 CFU/100 mL in the wet season. Both exceeded the WHO guideline of 0 CFU/100 mL, indicating bacterial contamination (<xref ref-type="fig" rid="fig2">
      Figure 2
     </xref>).</p>
    <p>The presence of E. coli in a water source suggests fecal contamination and the potential presence of harmful pathogens and other bacteria that can cause water-related diseases. The results revealed that contamination of drinking water with E. coli was 87.5% and 100% during the dry and wet seasons, respectively. Shallow wells, particularly in informal settlement areas, are highly susceptible to contamination due to their limited depth (<xref ref-type="bibr" rid="scirp.142455-46">
      Nayebare et al., 2022
     </xref>). Several studies have reported fecal contamination of shallow wells. For instance, research conducted by <xref ref-type="bibr" rid="scirp.142455-26">
      Haramoto (2018)
     </xref> in Nepal found that 100% of the sampled shallow wells contained detectable levels of E. coli, a finding that aligns with the results of the current study. Similarly, <xref ref-type="bibr" rid="scirp.142455-58">
      Segut et al. (2024)
     </xref> reported that 80.6% of shallow wells in Kenya were contaminated with fecal coliforms, which is notably higher than the 60% contamination rate observed in shallow wells in Ethiopia (<xref ref-type="bibr" rid="scirp.142455-22">
      Gizachew et al., 2020
     </xref>).</p>
   </sec>
   <sec id="s3_3">
    <title>3.3. Seasonal Variation</title>
    <p>The World Health Organization (WHO) provides guidelines to help assess the safety of drinking water based on classified risk levels of E. coli contamination (<xref ref-type="bibr" rid="scirp.142455-71">
      WHO, 2017
     </xref>). Water that falls into the high-risk category is considered unsafe and has a higher chance of causing waterborne diseases (<xref ref-type="bibr" rid="scirp.142455-56">
      Saima et al., 2023
     </xref>; <xref ref-type="bibr" rid="scirp.142455-77">
      Yang et al., 2025
     </xref>). In this study, 75% of shallow wells during the dry season fell within the high-risk category (11 - 100 CFU/100 mL). Contamination levels worsened in the wet season, where all sampled shallow wells (100%) exceeded the WHO zero threshold for safe drinking water, placing them in the high-risk category (<xref ref-type="table" rid="table2">
      Table 2
     </xref>).</p>
    <fig id="fig2" position="float">
     <label>Figure 2</label>
     <caption>
      <title>Figure 2. Box plots displaying total coliforms (upper panel) and E. coli (lower panel) for shallow wells during the dry and wet seasons. The red dot represents the mean counts for each category.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/2173337-rId22.jpeg?20250506092242" />
    </fig>
    <table-wrap id="table2">
     <label>
      <xref ref-type="table" rid="table2">
       Table 2
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.142455-"></xref>Table 2. Percentage distribution of E. coli contamination risk levels in shallow wells.</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td class="custom-bottom-td acenter" width="25.22%"><p style="text-align:center">E. coli counts (CFU/100 mL)</p></td> 
       <td class="custom-bottom-td acenter" width="32.05%"><p style="text-align:center">Percentage (Dry season)</p></td> 
       <td class="custom-bottom-td acenter" width="19.23%"><p style="text-align:center">Percentage (Wet season)</p></td> 
       <td class="custom-bottom-td acenter" width="23.50%"><p style="text-align:center">Risk</p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td acenter" width="25.22%"><p style="text-align:center">0</p></td> 
       <td class="custom-top-td acenter" width="32.05%"><p style="text-align:center">12.5%</p></td> 
       <td class="custom-top-td acenter" width="19.23%"><p style="text-align:center">-</p></td> 
       <td class="custom-top-td acenter" width="23.50%"><p style="text-align:center">Low risk/safe</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="25.22%"><p style="text-align:center">1 - 10</p></td> 
       <td class="acenter" width="32.05%"><p style="text-align:center">12.5%</p></td> 
       <td class="acenter" width="19.23%"><p style="text-align:center">-</p></td> 
       <td class="acenter" width="23.50%"><p style="text-align:center">Intermediate risk</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="25.22%"><p style="text-align:center">11 - 100</p></td> 
       <td class="acenter" width="32.05%"><p style="text-align:center">75%</p></td> 
       <td class="acenter" width="19.23%"><p style="text-align:center">100%</p></td> 
       <td class="acenter" width="23.50%"><p style="text-align:center">High risk</p></td> 
      </tr> 
     </table>
    </table-wrap>
    <p>A paired t-test revealed significant seasonal variation of bacteria counts in water sources. Total coliform counts were lower during the dry season than the wet season (p &lt; 0.001) and E. coli counts were lower during the dry season than during the wet season (p &lt; 0.001) (<xref ref-type="table" rid="table3">
      Table 3
     </xref>).</p>
    <table-wrap id="table3">
     <label>
      <xref ref-type="table" rid="table3">
       Table 3
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.142455-"></xref>Table 3. Paired t-test comparing total coliform and E. coli concentrations between the dry and wet seasons.</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td class="custom-bottom-td acenter" width="38.45%"><p style="text-align:center">Parameter </p></td> 
       <td class="custom-bottom-td acenter" width="20.18%"><p style="text-align:center">Pair</p></td> 
       <td class="custom-bottom-td acenter"><p style="text-align:center">t</p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td acenter" width="38.45%"><p style="text-align:center">Total coliforms (CFU/100 mL)</p></td> 
       <td class="custom-top-td acenter" width="20.18%"><p style="text-align:center">Dry/Wet</p></td> 
       <td class="custom-top-td acenter"><p style="text-align:center">−14.38**</p></td> 
      </tr> 
      <tr> 
       <td class="acenter" width="38.45%"><p style="text-align:center">E. coli (CFU/100 mL)</p></td> 
       <td class="acenter" width="20.18%"><p style="text-align:center">Dry/Wet</p></td> 
       <td class="acenter"><p style="text-align:center">−9.69**</p></td> 
      </tr> 
     </table>
    </table-wrap>
    <p>**Significant at p &lt; 0.001.</p>
    <p>The seasonal fluctuation observed underscores the heightened vulnerability of drinking water sources to microbial contamination during the wet season, thereby posing significant public health risks (<xref ref-type="bibr" rid="scirp.142455-11">
      Berihun et al., 2023
     </xref>). The relationship between rainfall patterns and water quality deterioration has been observed in several regions including, Ghana, Nigeria, Guatemala, and Sri Lanka. Studies have shown that the wet season significantly increases microbial contamination in water sources (<xref ref-type="bibr" rid="scirp.142455-17">
      Dongzagla et al., 2021
     </xref>; <xref ref-type="bibr" rid="scirp.142455-6">
      Ayeni et al., 2023
     </xref>; <xref ref-type="bibr" rid="scirp.142455-14">
      Caballero et al., 2024
     </xref>; <xref ref-type="bibr" rid="scirp.142455-66">
      Thilakarathna et al., 2025
     </xref>). This trend suggests that increased rainfall not only facilitates the transport of pathogens but also creates favorable conditions for bacterial proliferation, further compromising water quality.</p>
    <p>The role of hydrogeological factors in influencing water quality cannot be overlooked. During the wet season, rising water tables, increased infiltration, surface runoff, and rapid recharge of shallow aquifers facilitate the transport of pathogens into groundwater. These wells, which often lack adequate casing or protective barriers, become highly susceptible to contamination from surrounding environments, particularly from sanitation facilities such as pit latrines (<xref ref-type="bibr" rid="scirp.142455-38">
      Machona et al., 2025
     </xref>). Rainwater infiltration can introduce fecal matter from human waste into groundwater supplies, significantly increasing bacterial loads. The absence of effective drainage systems in settlement areas further exacerbates the situation, allowing contaminated water to stagnate and seep into drinking water sources (<xref ref-type="bibr" rid="scirp.142455-41">
      McGill et al., 2019
     </xref>; <xref ref-type="bibr" rid="scirp.142455-5">
      Awuah, 2024
     </xref>).</p>
    <p>The complexities of groundwater quality dynamics have also been illustrated by <xref ref-type="bibr" rid="scirp.142455-31">
      Kanyerere et al. (2012)
     </xref>, who noted that in Malawi, variations in seasonal patterns of contamination can be attributed to localized environmental conditions and sanitation practices. However, the findings of this study contrast with results from Uganda (<xref ref-type="bibr" rid="scirp.142455-46">
      Nayebare et al., 2022
     </xref>), where higher microbial counts were reported during the dry season. The high E. coli counts during the dry season were attributed to the greater accumulation of fecal matter at the land surface and less-diluted, fecally contaminated recharge. In some arid and semi-arid regions, reduced availability of water during the dry season may lead to water stagnation and higher concentrations of contaminants, explaining the observed differences (<xref ref-type="bibr" rid="scirp.142455-12">
      Bouchaou et al., 2024
     </xref>; <xref ref-type="bibr" rid="scirp.142455-70">
      Water and Development, 2024
     </xref>).</p>
   </sec>
   <sec id="s3_4">
    <title>3.4. Relationship between Microbial and Physiochemical Parameters</title>
    <p>The relationship between microbial and physicochemical parameters was assessed using the Pearson correlation coefficient to evaluate the strength of association between E. coli, total coliforms, temperature, and pH. The correlation coefficient ranges between −1 and +1. A correlation coefficient of ±0.1 to ±0.39 represents a weak linear relationship, while a coefficient between ±0.4 and ±0.69 indicates a moderate correlation. A strong correlation is observed within the ±0.7 to ±0.89 range and coefficients from ±0.9 to ±1.0 reflect a very strong linear association (<xref ref-type="bibr" rid="scirp.142455-57">
      Schober &amp; Schwarte, 2018
     </xref>). The results of the statistical testing for the relationship between the variables are presented in <xref ref-type="fig" rid="fig3">
      Figure 3
     </xref>.</p>
    <fig id="fig3" position="float">
     <label>Figure 3</label>
     <caption>
      <title>Figure 3. Relationships between physicochemical parameters and E. coli (left), total coliform (right) across the dry and wet seasons. Significant results are marked with an asterisk: p &lt; 0.05 (*), p &lt; 0.01 (**).</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/2173337-rId23.jpeg?20250506092242" />
    </fig>
    <p>Temperature significantly influenced microbial proliferation more so than die-off, as evidenced by the positive correlation with coliform bacteria. Specifically, E. coli showed a significant positive correlation with temperature during the dry season (r = 0.72, p = 0.002; <xref ref-type="fig" rid="fig3(a)">
      Figure 3(a)
     </xref>) and the wet season (r = 0.86, p = 0.001). Additionally, pH was also positively correlated with E. coli during both the dry season (r = 0.54, p = 0.032) and the wet season (r = 0.66, p = 0.005; <xref ref-type="fig" rid="fig3(c)">
      Figure 3(c)
     </xref>). For total coliforms, a positive correlation was observed with temperature in the dry season (r = 0.55, p = 0.028; <xref ref-type="fig" rid="fig3(b)">
      Figure 3(b)
     </xref>) and wet season (r = 0.74, p = 0.001), and with pH in both the dry (r = 0.63, p = 0.009) and wet seasons (r = 0.52, p = 0.041; <xref ref-type="fig" rid="fig3(d)">
      Figure 3(d)
     </xref>). These findings are consistent with those of <xref ref-type="bibr" rid="scirp.142455-59">
      Shamsudin et al. (2017)
     </xref> in Malaysia, who reported a strong correlation between E. coli and both pH (r = 0.9) and temperature (r = 0.76), highlighting the role of these physicochemical parameters in supporting microbial growth when sufficient nutrients are present. Similarly, a mean temperature of 32˚C was associated with increased E. coli counts in Kenya (<xref ref-type="bibr" rid="scirp.142455-53">
      Powers et al., 2023
     </xref>), Bangladesh and Nepal, but decreased E. coli counts in Tanzania (<xref ref-type="bibr" rid="scirp.142455-15">
      Charles et al., 2022
     </xref>). The pH of water can influence the survival and growth of coliform bacteria in water (<xref ref-type="bibr" rid="scirp.142455-63">
      Suehr et al., 2020
     </xref>). In this study, the pH levels recorded from shallow wells fell within the World Health Organization accepted range of 6.5 to 8.5 for drinking water. Exceeding this range can negatively impact the survival and proliferation of coliform bacteria (<xref ref-type="bibr" rid="scirp.142455-28">
      Hong et al., 2010
     </xref>). The positive correlation identified in this study aligns with findings from Nigeria by <xref ref-type="bibr" rid="scirp.142455-52">
      Olalemi et al. (2021)
     </xref> who demonstrated a similar positive relationship between E. coli and pH levels in well water. Additionally, the results agree with the work of <xref ref-type="bibr" rid="scirp.142455-78">
      Youssef et al. (2014)
     </xref> in Morocco, who reported a comparable positive correlation.</p>
   </sec>
   <sec id="s3_5">
    <title>3.5. Sanitary Survey</title>
    <p>A sanitary survey was conducted for each of the selected shallow wells using the sanitary survey questionnaire (<xref ref-type="bibr" rid="scirp.142455-35">
      Lloyd &amp; Bartram, 1991
     </xref>). The total risk scores obtained were compared to the established risk categories (<xref ref-type="bibr" rid="scirp.142455-20">
      Etang, 2000
     </xref>; <xref ref-type="bibr" rid="scirp.142455-71">
      WHO, 2017
     </xref>) and are presented in <xref ref-type="table" rid="table4">
      Table 4
     </xref>. These scores remained unchanged throughout the study period. The results indicated that 50% of the wells were classified as high risk, while 12.5% were categorized as very high risk, with scores ranging from 9 to 10. Additionally, 18.75% of the wells fell into the intermediate risk category, whereas the remaining 18.75% were classified as low risk.</p>
    <table-wrap id="table4">
     <label>
      <xref ref-type="table" rid="table4">
       Table 4
      </xref></label>
     <caption>
      <title>
       <xref ref-type="bibr" rid="scirp.142455-"></xref>Table 4. Sanitary survey of the shallow wells in the study area.</title>
     </caption>
     <table class="MsoTableGrid custom-table" border="0" cellspacing="0" cellpadding="0"> 
      <tr> 
       <td class="custom-bottom-td acenter"><p style="text-align:center">Risk*</p></td> 
       <td class="custom-bottom-td acenter"><p style="text-align:center">Frequency (%) </p></td> 
       <td class="custom-bottom-td acenter"><p style="text-align:center">Remedial action</p></td> 
      </tr> 
      <tr> 
       <td class="custom-top-td acenter"><p style="text-align:center">Very high risk</p></td> 
       <td class="custom-top-td acenter"><p style="text-align:center">2 (12.5)</p></td> 
       <td class="custom-top-td acenter"><p style="text-align:center">Urgent action</p></td> 
      </tr> 
      <tr> 
       <td class="acenter"><p style="text-align:center">High risk</p></td> 
       <td class="acenter"><p style="text-align:center">8 (50)</p></td> 
       <td class="acenter"><p style="text-align:center">High action priority</p></td> 
      </tr> 
      <tr> 
       <td class="acenter"><p style="text-align:center">Intermediate risk</p></td> 
       <td class="acenter"><p style="text-align:center">3 (18.75)</p></td> 
       <td class="acenter"><p style="text-align:center">High action priority</p></td> 
      </tr> 
      <tr> 
       <td class="acenter"><p style="text-align:center">Low risk</p></td> 
       <td class="acenter"><p style="text-align:center">3 (18.75)</p></td> 
       <td class="acenter"><p style="text-align:center">Low action priority</p></td> 
      </tr> 
      <tr> 
       <td class="acenter"><p style="text-align:center">No risk</p></td> 
       <td class="acenter"><p style="text-align:center">0 (0)</p></td> 
       <td class="acenter"><p style="text-align:center">No action</p></td> 
      </tr> 
     </table>
    </table-wrap>
    <p>*Sanitary risk score: 9 - 13 = very high; 6 - 9 = high; 3 - 5 = intermediate; 0 - 2 = low (<xref ref-type="bibr" rid="scirp.142455-35">
      Lloyd &amp; Bartram, 1991
     </xref>).</p>
    <p>The sanitary risk scores from shallow wells were plotted against E. coli counts, revealing a positive non-significant correlation during the dry season (p = 0.106) and the wet season (p = 0.434) (<xref ref-type="fig" rid="fig4">
      Figure 4
     </xref>). The lack of statistical significance supports the limitation of sanitary surveys in predicting water quality as reported by <xref ref-type="bibr" rid="scirp.142455-62">
      Snoad et al. (2017)
     </xref> and <xref ref-type="bibr" rid="scirp.142455-43">
      Misati et al. (2017)
     </xref>. The findings of this study indicate that while the overall sanitary risk score did not correlate with E. coli presence, specific risk factors such as proximity of the well to the pit latrine (p = 0.025), exposed rope and bucket (p = 0.025) and poorly sealed well walls (p = 0.05) showed a significant association with E. coli presence. These findings contrast with those of <xref ref-type="bibr" rid="scirp.142455-36">
      Luby et al. (2008)
     </xref>, where individual risk factors did not show a significant association with microbial water quality, but agree with the findings of <xref ref-type="bibr" rid="scirp.142455-19">
      Ercumen et al. (2017)
     </xref> in Bangladesh, where individual components of the sanitary risk were associated with the presence of E. coli. Similarly, <xref ref-type="bibr" rid="scirp.142455-65">
      Tadele &amp; Tekile (2025)
     </xref> identified five risk factors associated with the presence of coliforms. This suggests that while the composite sanitary risk score may not correlate with E. coli presence, specific sanitary risk factors can significantly be associated with microbial water contamination.</p>
    <fig id="fig4" position="float">
     <label>Figure 4</label>
     <caption>
      <title>Figure 4. Scatter plot of E. coli counts versus sanitary risk scores.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/2173337-rId24.jpeg?20250506092242" />
    </fig>
    <p>The shallow wells in the study area are hand-dug, and water is drawn manually using a rope and a plastic bucket. The repeated use of the rope, which often comes into contact with the ground before being submerged back into the water, can introduce bacteria from contaminated surfaces, further compromising water quality (<xref ref-type="bibr" rid="scirp.142455-23">
      Gnimadi et al., 2024
     </xref>). Additionally, most wells in the study area are of the open type and lack protective brick or stone linings along the sides, a feature similarly observed by <xref ref-type="bibr" rid="scirp.142455-24">
      Grönwall et al. (2010)
     </xref>.</p>
    <p>Physical barriers, such as concrete covers and slabs for shallow wells, may provide protection against surface runoff contaminated with fecal matter. However, in areas with a high water table, the risk of well contamination is heightened by underground seepage, particularly when well walls are inadequately sealed. This risk is further exacerbated when wells are located near pit latrines, as the use of pit latrines has been recognized as a contributing factor to groundwater contamination (<xref ref-type="bibr" rid="scirp.142455-18">
      Elisante &amp; Muzuka, 2016
     </xref>; <xref ref-type="bibr" rid="scirp.142455-54">
      Rivett et al., 2022
     </xref>; <xref ref-type="bibr" rid="scirp.142455-27">
      Hinton et al., 2024
     </xref>; <xref ref-type="bibr" rid="scirp.142455-50">
      Odewade et al., 2025
     </xref>). It is recommended that wells should be located at least 30 meters or more, away from pit latrines (<xref ref-type="bibr" rid="scirp.142455-67">
      Tillett, 2013
     </xref>; <xref ref-type="bibr" rid="scirp.142455-48">
      Ngasala et al., 2021
     </xref>; <xref ref-type="bibr" rid="scirp.142455-47">
      Nenninger et al., 2023
     </xref>). In Ipusukilo, where the water table is high the proximity of wells to pit latrines may likely increase the risk of contamination from fecal matter. A study by <xref ref-type="bibr" rid="scirp.142455-3">
      Ashuro et al. (2021)
     </xref> in Ethiopia, found that the presence of latrines uphill from water sources was associated with fecal coliform contamination, likely due to the downward movement of contaminants through surface runoff or groundwater seepage. This implies that the landscape and hydrological dynamics play a critical role in the extent of fecal contamination.</p>
   </sec>
   <sec id="s3_6">
    <title>3.6. Prevalence of Water-Related Diseases</title>
    <p>The prevalence rates of water-related diseases based on the season are presented in <xref ref-type="fig" rid="fig5">
      Figure 5
     </xref>. The most prevalent water-related disease during the dry season was diarrhea, with 245 cases reported. The most prevalent diseases in the wet season were cholera and diarrhea. The seasonal fluctuation highlights the significant public health risks posed by waterborne diseases, particularly during the wet season when microbial contamination peaks (<xref ref-type="bibr" rid="scirp.142455-60">
      Siamalube &amp; Ehinmitan, 2024
     </xref>). Water-related diseases pose a major threat to public health in areas with limited access to safe drinking water, sanitation, and hygiene (<xref ref-type="bibr" rid="scirp.142455-9">
      Battersby et al., 2019
     </xref>; <xref ref-type="bibr" rid="scirp.142455-73">
      WHO, 2024
     </xref>). The consumption of contaminated drinking water is a major transmission route for pathogens responsible for diseases such as diarrhea, cholera, typhoid fever, and dysentery (<xref ref-type="bibr" rid="scirp.142455-40">
      Mapingure et al., 2024
     </xref>). E. coli, a fecal indicator bacterium, is strongly associated with gastrointestinal infections, which can lead to severe dehydration and in extreme cases, mortality, particularly among young children and older individuals (<xref ref-type="bibr" rid="scirp.142455-51">
      Okesanya et al., 2024
     </xref>). The increased prevalence of E. coli contamination in the wet season observed in this study is consistent with higher incidences of waterborne disease outbreaks during periods of heavy rainfall. This highlights the importance of implementing effective water treatment, improving sanitation, and implementing public health interventions to mitigate the risks associated with microbial contamination and ensure access to safe drinking water.</p>
    <fig id="fig5" position="float">
     <label>Figure 5</label>
     <caption>
      <title>Figure 5. Prevalence of water-related diseases in the study area during the dry and wet season.</title>
     </caption>
     <graphic mimetype="image" position="float" xlink:type="simple" xlink:href="https://html.scirp.org/file/2173337-rId25.jpeg?20250506092243" />
    </fig>
   </sec>
  </sec><sec id="s4">
   <title>4. Conclusion</title>
   <p>The high bacteriological contamination observed in the study area renders shallow well water unsuitable for human consumption without prior treatment. In both seasons, E. coli and total coliform levels exceeded WHO guidelines, underscoring the persistent microbial risks associated with these water sources. Seasonal variations played a role in microbial water quality, with higher contamination levels observed during the wet season. This seasonal influence suggests that increased surface runoff and rising groundwater levels may contribute to fecal contamination, further exacerbating the risk of waterborne diseases. Our findings reveal that the prevalence of water-related diseases was higher during the wet season, aligning with the elevated microbial contamination levels.</p>
   <p>To reduce the risks of water-related diseases and ensure safer drinking water, we recommend strengthening WASH (Water, Sanitation, and Hygiene) infrastructure by expanding access to piped water and enhancing well protection measures. Local authorities should establish clear guidelines for well construction to ensure wells are properly built and protected from contamination sources. Additionally, community education programs should emphasize the importance of concrete well covers to prevent surface runoff infiltration, and raise awareness on risks associated with well water contamination. Furthermore, regular microbial water quality monitoring is also crucial for identifying contamination trends between seasons and guiding targeted sanitation improvements.</p>
  </sec><sec id="s5">
   <title>Limitations</title>
   <p>The selected microbial indicators are essential for assessing microbial contamination in water. However, this study did not account for all potential pathogens that could pose significant health risks. This underscores the need for further research incorporating additional microorganisms, such as Vibrio cholerae, Salmonella spp., and Shigella spp., to improve the comprehensiveness of water quality assessments across various settlements.</p>
  </sec><sec id="s6">
   <title>Funding</title>
   <p>This research was funded by the Inter-University Council for East Africa (IUCEA).</p>
  </sec><sec id="s7">
   <title>Acknowledgements</title>
   <p>The authors acknowledge the Tropical Disease Research Center (TDRC) for providing ethical clearance. Our gratitude goes to Egerton University, Copperbelt University, the Zambia National Health Research Authority, Ndola Provincial Health Office, Kitwe District Health Office and Ipusukilo Main Clinic for their cooperation and support during data collection. Additionally, we appreciate the valuable feedback from the reviewers, which has helped improve the quality of this study.</p>
  </sec>
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