integrated planning and resource allocation
Transcription
integrated planning and resource allocation
INTEGRATED PLANNING AND RESOURCE ALLOCATION Introduction Sound and effective integrated planning and allocation of resources are critical for the socioeconomic development and economic growth of any country. Service delivery in terms of expanding, improving and maintaining infrastructure such as houses, roads, rail networks, health facilities and other facilities is a national priority and must be planned and achieved without forfeiting environmental sustainability. In addition, the effective planning of the components, through effective management of these components, reduces the possibility of developing a silo mentality when planning. The provision of tools at both a district and municipal level would provide an opportunity for redressing a past and very dysfunctional and inequitable space economy. It would also offer a guide for investment decisions to achieve more sustainable human settlements. Infrastructure and associated operations are not only enablers of economic growth, but also stimulate growth by increasing the productive capacity of the economy. Social development, which is fundamental for any country, can take place only with proper provision South Africa’s road and rail network of basic amenities such as hospitals, schools and housing. Likewise, incorporates some 100 000 bridges, the provision of infrastructure for electricity supply, waste management, including rail bridges. The construction water and sanitation services and improved communication between of bridges requires a substantial financial all constituencies is imperative. investment; the average construction cost The CSIR conducts relevant research and development to find key the replacement value of a typical is currently close on R15 000 per m² − solutions to facilitate the planning of resourcing service delivery and 100-metre-long, 20-metre-wide bridge successfully transfers solutions to enable this to take place. Many is thus in the order of R30 million. of these technologies are used extensively locally and in a number of specific instances also internationally. Examples of such science, engineering and technology (SET) research listed in the publication include projects on systems to maintain bridges, models for waste collection, a geo-spatial analysis platform to facilitate planning, sustaining natural resources and a rural innovation and development model that guides and supports the establishment of primarily youthowned social enterprise networks that provide ICT access to rural communities. 4 National National Service Service Delivery Delivery Support Support A A PP RR II LL || 2 2 0 0 1 1 1 1 FACT FILE Bridge construction costs R15 000 per m2 is the average construction cost of a bridge R30 million is the replacement value of a 100-m-long bridge The CSIR’s Struman bridge management system (BMS) provides for structures to be maintained at acceptable levels of service and defects to be identified timeously and repaired economically. CSIR system contributes to well-maintained bridges T o assist with bridge management and maintenance, the CSIR Western Cape. Some very large bridges are also found on developed the Struman bridge management system (BMS) in the proposed Wild Coast section of the N2 in the Eastern Cape. collaboration with local consulting engineering firm Stewart The Bloukrans arch bridge near Nature’s Valley in the Western Cape Scott International in the 1990s. The CSIR Struman system comprises is the biggest bridge. With a height of 216 m above the Bloukrans customised and regularly updated software, manuals and training River, it is the highest single-span arch bridge in the world. The central programmes for clients, ensuring that qualified engineers who act as span is 272 m and the length, 451 m. It is believed to host the world’s bridge inspectors have a consistent approach in rating the condition highest commercially-operated bungee jump activity. of bridges. Locally, the South African National Roads Agency Ltd (SANRAL) has Bridges are a major infrastructural asset and need to be maintained implemented the Struman BMS, with all three toll operators using it. regularly – the CSIR recommends inspections every five years and The system is used in Mpumalanga, KwaZulu-Natal, the Western Cape a maintenance strategy over a five-year period, based on a priority and the Eastern Cape. The Taiwan Area National Freeway Bureau list of bridges in need of repair. This approach means structures can was the first major international client, while Namibia, Botswana and be maintained at acceptable levels of service and defects identified Swaziland have also implemented the BMS. timeously and repaired economically. The advantages of the Struman BMS for road authorities include that the system focuses on actual defects rather than trying to determine the overall condition of all bridge elements and that the system is able to prioritise bridges in need of repair in order of importance. Most of South Africa’s bridges are ‘short’, less than 20 m in length, with the five largest bridges being situated on the Garden Route in the Paul Nordengen • Tel: 012 841 3945 • E-mail: pnordengen@csir.co.za Enquiries... 5 National Service Delivery Support A P R I L | 2 0 1 1 FACT FILE INTEGRATED PLANNING AND RESOURCE ALLOCATION Availability of weekly refuge removal service to households: • 90% in major metros Developing optimisation models for municipal residential waste collection R • 60% in small to medium-sized municipalities • 20% in rural towns A total of 2.2 million households are without adequate waste management services. ecent government initiatives on research to improve models to provide decision municipalities’ existing waste aimed at improving waste municipalities’ service delivery support to local municipalities. collection and transportation management service through transportation scheduling Similar research conducted in resources. By providing decision delivery have included the draft for the removal of household Europe and the United States support to municipalities, critical White Paper on Integrated waste. The main objective is resulted in improved service skills and capacity are developed Pollution and Waste Management to improve the systems and delivery and significant savings. to run the service in an efficient for South Africa, the Action Plan processes of local government for General Waste Collection and to facilitate better utilisation of the National Waste Management resources, and in so doing to Strategy. While these initiatives reduce unnecessary expenditures are a step in the right direction, they fail to address one of the integral operational areas of waste management: the collection and transportation of solid waste The CSIR research is in the final budget restrictions, insufficient phase. The limitations of the and increase service delivery. skills development and lack of models and algorithms have in-house capacity. The CSIR- been determined and how to The highly-repetitive nature of developed algorithms can apply them to provide decision waste collection means that alleviate budget restrictions support to municipalities has been even a small improvement in the by optimising the use of established. by local municipalities. For this reason, CSIR industrial being conducted by the CSIR engineers have embarked is based on using optimisation National Service Delivery Support A P R I L | 2 0 1 1 and effective manner. faced by municipalities include process can lead to significant 6 Some of the key challenges savings in costs. The research Elias Willemse • Tel: 012 841 3934 • E-mail: ewillemse@csir.co.za Enquiries... Long-life ROADs possible with high-modulus asphalt A n initiative aimed at improving South African roads, more specifically increasing the design life of roads that carry heavy traffic, is the high-modulus asphalt (HiMA) project undertaken by the CSIR in collaboration with the Southern African Bitumen Association (SABITA). The objective of the initiative is to develop a pavement material that will decrease road user costs, last longer and reduce the need for maintenance and the resultant road user delays. Transport Minister Sibusiso Ndebele recently announced that the condition of 40% of the country’s provincial road network has reached crisis proportions. South Africa’s continued economic growth has seen large increases in the volume of heavy vehicles on the country’s roads. Road design methodologies and pavement material technology have to keep pace with the increase in demand placed on the infrastructure. Developed in France in the early 1990s, HiMA is now used extensively in that country on main routes, urban roads and at airports. HiMA technology combines superior permanent deformation resistance with high structural strength and good endurance. HiMA has a better resistance to deterioration than conventional asphalt mixes and is more cost-effective. It is a material that can provide longer pavement life with improved performance. To demonstrate the benefits of the material, the CSIR will construct a trial section of road with HiMA as a base layer and subject it to accelerated pavement testing (APT). The CSIR’s tests on HiMA feed into the revision of the South African pavement design method by the South African National Roads Agency Ltd (SANRAL). As part of the project, tentative performance criteria have been set for the South African equivalents of the French testing methods. A preliminary guideline for the design of HiMA mixes and pavement structures containing HiMa layers has been completed. In the next phase, locally-designed HiMa mixes will be tested to validate the design methods What is asphalt? Asphalt is a composite material, commonly used in the construction of road surfaces, airport pavements and parking lots. It consists of bitumen (used as a binder) and mineral aggregate mixed together, then laid down in layers and compacted. Asphalt roads are often wrongly referred to as ‘tar’ roads in South Africa. and gain further experience in this technology. Erik Denneman • Tel: 012 841 2933 E-mail: edenneman@csir.co.za Enquiries... 7 National National Service Service Delivery Delivery Support Support A A PP RR II LL || 2 2 0 0 1 1 1 1 INTEGRATED PLANNING AND RESOURCE ALLOCATION Spatial monitoring and evaluation of social facilities contribute to service delivery • Auditing impact of new they inform community decisions eradication; and and participation in determining • Providing support to local government in ensuring sufficient and sustainable social infrastructure for new housing and development projects. The results of the eThekwini accessibility modelling have proved to be useful in a number of ways. They serve to evaluate requests for new facilities and convinced the municipal rural area-based management unit to change the location of a new The geographic information systems analysis ensures that the evaluation of backlogs and the provision of facilities are based on factual data such as population distribution and facility shortages and not on political motives. priorities. Other positive outcomes of the study include creating a central database of facilities; contributing to the Quality Living Environment Strategy by improving service coverage in the most effective manner; limiting the construction of under-utilised facilities; providing added relevance in the planning for integrated service delivery and assisting in informing budgetary processes. local library. Initially planned for The geographic information a low-density rural area where systems analysis ensures that it would have been accessible the evaluation of backlogs and to only some 20 000 people, the provision of facilities are the location was at a late stage based on factual data such as changed to a more accessible population distribution and facility spot where the regional facility shortages and not on political could be reached within 30 motives. minutes by 30 000 people and 60 000 people lived within 60 minutes’ travel. As a result of the modelling, eThekwini is now establishing a formal system of T service backlogs. In addition, facilities on the backlog The use of geographic information systems to spatially evaluate access to and availability of public facilities, based on agreed standards he Presidency has placed support to the eThekwini evaluating all new development major emphasis on (Durban) and Cape Town local applications. of provision, has led to monitoring and evaluation – authorities. Five specific areas The results also serve capital has – by and large – directed budget strategic planning in capital investment to the areas that they indicate which services of greatest need. Used together, are well placed for maximum facilities planning standards and accessibility and which not, GIS accessibility analyses have thus facilitating wise choices. enabled more effective provision, The results are used to motivate management and monitoring of for additional grant funding publicly-provided facilities and at national level to alleviate services. particularly of health, education, of planning support were safety, economic growth and job provided: creation – in order to facilitate • Developing and documenting service delivery in terms of the standards (number, size Local Government Turnaround and access requirements) Strategy (LGTAS). The aim is to for delivery of social facility determine whether basic services infrastructure; are sufficiently and equitably accessible to the public. The CSIR has for some time been • Evaluating compliance of the standards within spatial parameters; supporting local government in • Developing location plans its service delivery objectives. for new facilities within The Stellenbosch office in need, desirability and capital particular has provided sustained constraints; 8 National National Service Service Delivery Delivery Support Support A A PP RR II LL || 2 2 0 0 1 1 1 1 improvements in governance and Cheri Green • Tel: 021 888 2657 • E-mail: cgreen@csir.co.za Enquiries... I n South Africa, where there is a huge need but limited resources to provide housing, it is imperative to make well-informed and justifiable investment decisions that will promote the development of sustainable human settlements. To this end, the Department of Human Settlements (DHS) commissioned the CSIR to update research contained in the Human Settlements Atlas 2009. The purpose of the atlas published by the DHS is to provide a spatial interpretation of settlement localities established in terms of current policies regarding sustainable human settlements. The main spatial challenge in the country remains the spatial exclusion of the poor from the main socioeconomic facilities of cities and regions. Locations close to employment areas, opportunities and services are not accessible to all people because of issues such as high land costs, limits to Human settlement research enables well-informed decision-making planning instruments and subsidies, and limited bulk infrastructure in appropriate places. The atlas includes a conceptual framework, spatial analyses and recommendations for investment in housing and support services. It features a comprehensive set of maps of the country as part of the analysis, showing different aspects and potentials of provinces and regions. Individual spatial maps are provided on various matters such as access to job opportunities, population trends, social issues such as grant dependencies and health, and environmental suitability. The atlas is an invaluable tool to provide a spatial dimension to the national housing policy, provide input to national integrated settlement planning and to place provincial and district settlement planning in a national context. Department of Human Settlements • E-mail: info@dhs.gov.za CSIR: Maria Coetzee • Tel: 012 841 2552 • E-mail: mjcoetze@csir.co.za Enquiries... 9 National National Service Service Delivery Delivery Support Support A A PP RR II LL || 2 2 0 0 1 1 1 1 INTEGRATED PLANNING AND RESOURCE ALLOCATION Infopreneurs® put rural communities ® inTouch with the world B eing ‘off-grid’ or on the wrong side of several ‘divides’ haunts The Infopreneur® model utilises a layered, franchise-like approach to many rural communities in southern Africa and has resulted in ensure sustainability as well as scalability of the networks. The model these communities: was initiated in Limpopo and is now being put into operation in the Makhado Local Municipality to cover the rest of the Vhembe District. • Not having sufficient access to government service delivery; • Not having effective access to extensive trade opportunities into, as well as out of these communities; and The network will enable the Vhembe District Municipality to plan and deliver appropriate socioeconomic development services to all its constituent rural communities through the services rendered by young • Not having access to modern technology, connectivity and the social information entrepreneurs in the network. information which such connectivity would provide. Science and technology institutions have for a number of years tried to address these shortcomings primarily through technology responses. During the past five years, the CSIR adopted a different approach by addressing the people aspect of development, particularly as far as information and communications technology (ICT) for development is concerned. The Infopreneur® network is enabled, supported and managed by another rural-focused innovation of the CSIR – the inTouch Africa® service delivery support system. This is a system used by development practitioners to manage aspects of their interventions in the development contexts they are serving. The software platform developed by the CSIR is currently used by the The CSIR’s Infopreneur approach is a rural innovation and National Development Agency in its national and provincial offices, development model that guides and supports the establishment of the National Youth Development Agency in support of its voucher primarily youth-owned social enterprise networks that provide ICT programme in all its offices; Investec’s Business Place network in South access to rural communities. This is done through the provision of data, Africa as well as Botswana and the Real Enterprise Development (RED) information, learning opportunities and a range of socioeconomic Door network in the Western Cape at 17 outlets and the provincial development services in a development-through-enterprise approach. head office in Cape Town. ® “BACK OFFICE” Supporting Service Provider Warehouses Network Providers Banking Services National Government National Wholesalers (Private) Enabling Context Service Provider Regional Infopreneurs Development Partnerships National Delivery Agencies (NGO & Public) ® Warehouses Local Government Area Retailers (Private) Infopreneurs Community Support Context Technology Partnerships ® Development Agencies Area Delivery Agencies (NPO & Public) Johann van Rensburg • Tel: 012 841 2970 Delivery Context Micro Enterprises CBOs E-mail: jvrensbu@csir.co.za Citizens Enquiries... 10 National National Service Service Delivery Delivery Support Support A A PP RR II LL || 2 2 0 0 1 1 1 1 Strategic planning cannot be removed from place and information about what is where and how it contributes to a better quality of life. Geo-spatial analysis platform facilitates strategic planning Strategic planning is a primary concern of service important administrative and physiographic boundaries, and are delivery at all levels and in all spheres of government. connected to a strategic digital road network. Strategic planning cannot be removed from place. In other words, how much of what is where; or what must be done where to establish improvement. W hile there are many data sources available, this still does not allow decision-makers to clearly identify where exactly to focus their efforts. A major problem is the widely-differing analysis units and scales used for different sectors or scientific disciplines upon which these datasets are based. The South African Geospatial Analysis Platform (GAP) was developed specifically to address this problem and to provide a basis for profiling places both in terms of their local or intra-locational attributes (such as population density) and their relational or inter-locational attributes (such as relative position, accessibility or remoteness). GAP can be described as a geospatial platform for the assembly, analysis and sharing of strategic geospatial information, that is, information about what is where; how much is where; where the main concentrations/hot spots are to be targeted and what can be reached from where. GAP consists of: Application and impact During the past two years, GAP has contributed towards strategic, relational spatial analysis in support of strategic development planning in South Africa. Recent prominent projects, which were based on and also illustrate the value of relational spatial analysis, include: the update of the National Spatial Development Perspective (NSDP) of The Presidency (2006); the development of the draft Regional Industrial Development Strategy (RIDS) by the Department of Trade and Industry (2006); the contextualisation of the NSDP in 13 districts by The Presidency (2007); the recent Overview of National Spatial Trends and Settlement Dynamics (2009) done for the South African Cities Network; and developing an index for the Department of Social Development indicating geographical areas in which social workers qualify for an allowance – the allowance aims to retain social workers in areas where resources may be insufficient. The outcomes of these applications illustrated: • The benefits of addressing the problem of spatially incompatible statistical area boundaries; and • The value of enabling practitioners and policy-makers to move from the prevailing ‘container approach’ to a much more relational • 25 000 so-called mesozones with an average size of 50 km2; approach to spatial analysis. This means that instead of only • A geo-referenced dataset of about 1 000 central places (villages, measuring and mapping what is in each territorial area (e.g. a towns, cities, etc.) ranked in terms of their relative weight to other South African centres based on economic activity and public services; • A strategic road network; and local municipality), attention can also be given to measuring and mapping the relative positions, cross-border influences and other inter-locational attributes that places have in relation to surrounding areas and regions. • A range of geospatial analysis tools and methods. GAP overcomes the problem of spatially incompatible ‘large area Gerbrand Mans • Tel: 021 888 2546 • E-mail: gmans@csir.co.za statistics’ by re-scaling and assembling a variety of census statistics, Elsona van Huyssteen • Tel: 012 841 2018 • E-mail: evanhuyssteen@csir.co.za satellite imagery and other data sources in terms of a common set of mesozones − demarcated in such a way that they all nest within Enquiries... 11 National Service Delivery Support A P R I L | 2 0 1 1 INTEGRATED PLANNING AND RESOURCE ALLOCATION Monitoring informal settlements using remote sensing Informal settlements are increasing in size and numbers within the South African landscape. These settlements have grown from 1 049 million dwellings (in 1994) to 1 376 million (in 2004) and reached some 2 400 million in 2008. 12 National National Service Service Delivery Delivery Support Support A A PP RR II LL || 2 2 0 0 1 1 1 1 FACT FILE Growth of informal dwellings 1 049 million in 1994 1 376 million in 2004 Approximately 2 400 million in 2008 T he existence of informal non-functional layout and do not – to the extent that the erection The first step was to use the settlements is fast becoming adhere to local building codes. or removal of structures often QuickBird imagery to delineate happens overnight. Shifts in homogeneous areas manually, municipal boundaries and from which urban settlement overlapping administrative attributes were identified. responsibilities contribute to the The next step was to develop an confusion. automated settlement classification a serious problem since they accommodate a large proportion of the urban population in substandard living conditions. The housing backlog means that for many South Africans there is no One of the fundamental difficulties that authorities face when planning a response to the formation and growth of informal settlements is the lack of procedure, in collaboration spatial and temporal data. Such Additional challenges include housing and shack settlements. data provide an understanding deficits in manpower, funding of settlement morphology, and equipment. All these factors The rising trend in migration to population distribution and contribute to the difficulty of urban areas inevitably leads to a emerging settlement patterns obtaining the data required for shortage of basic infrastructural and allow authorities to identify effective planning in and around services such as water, sewerage and quantify services and informal settlements. and solid waste removal. infrastructure required to improve Rapid urbanisation also places conditions in the settlements. To overcome some of these algorithms that describe difficulties, the CSIR is settlements more effectively. There are several reasons for investigating the use of satellite education. the scarcity of data on informal images to obtain spatial data. The ultimate goal is to build settlements. The dysfunctional The goal is to use QuickBird a system that can identify Informal settlements have either structure and high building imagery as a primary data source changes in settlement patterns low or no levels of infrastructure, density of the settlements make it to map the extent of informal automatically over time using are poorly serviced or not difficult to conduct surveys. The settlements, simultaneously satellite images, thereby alerting serviced at all, have no security settlements are dynamic, with determining the specific settlement officials of potentially significant of tenure, are characterised by a frequent population fluctuations type in each area. changes on the ground. alternative but to live in informal increased pressure on essential services such as health and with the CSIR Meraka Institute. Researchers have already developed a prototype of such an automated settlement mapping system. Current research is focused on the development of automated feature extraction Dr Frans van den Bergh • Tel: 012 841 4486 • E-mail: fvdbergh@csir.co.za Enquiries... 13 National Service Delivery Support A P R I L | 2 0 1 1 INTEGRATED PLANNING AND RESOURCE ALLOCATION Developing ecological indicators for the Waterberg A CSIR study of the ecological status of rivers and wetlands in the Waterberg will provide the basis for guidelines to inform and direct management actions to ensure the long-term sustainability of the Waterberg rivers and their aquatic ecosystems, thus contributing to service delivery in terms of the provision of safe and clean water in this region. Managing ecosystems for sustainable service delivery the tributaries in the basin have understanding of the current been exploited to the limit through ecological situation and the The study aims to minimise the the building of dams and weirs, cause-effect relationships that while society’s water demands for link atmospheric deposition and domestic, irrigation, mining and land use patterns to water quality industrial purposes have caused changes and the ecological progressive deterioration of the consequences. potentially adverse consequences of the establishment of the Medupi power plant near Lephalala (formerly Ellisras) and the subsequent increased mining activities in the area. When the Waterberg coalfield was discovered in the 1920s, it was considered too distant from the economic heartland of the country to develop. However, with the current energy crisis and the fact that the coal deposits there are believed to be sufficient to fire eight power stations for the next 150 to 200 years, the region is now set for dramatic change. The three-year CSIR research project is focusing on the current state of the aquatic ecosystems aquatic ecosystems. In this regard, the CSIR is already Without strategic planning, the partnering with the Department of additional atmospheric pollution Water and Environmental Affairs from the new mines and power and Eskom. stations in the area, combined with increasing agricultural activities and the development of infrastructure to accommodate the expected influx of employees, will further exacerbate water quality and the deterioration of the The CSIR’s Waterberg study aims to develop a set of ecological indicators that provide an accurate estimate of the ecological status of the river and wetland ecosystems in the study ecosystems. area. These will then be used to The anticipated adverse the aquatic ecosystems and to consequences in the Waterberg estimate the extent of changes could be minimised if decision- that increased atmospheric makers base their plans and deposition, water pollution and actions on a sound scientific water transfers will cause. detect processes of change in of the upper and middle reaches of the Mokolo and Lephalala rivers in the water stressed Limpopo River basin. Many of 14 National Service Delivery Support A P R I L | 2 0 1 1 Dr Paul Oberholster • Tel: 021 888 2591 • E-mail: poberholster@csir.co.za Enquiries... Improving wastewater management for service delivery Despite a system of laws, regulatory frameworks and agencies for controlling water pollution, the country’s freshwater resources are increasingly polluted. The White Paper on Integrated Pollution and Waste Management for South Africa identifies salinisation, nutrient enrichment, microbial degradation and sedimentation as key components of the total impact of pollution on freshwater resources. These pollutants, combined with poor pollution prevention measures, affect the environmental sustainability of water resources and formed the basis of research commissioned by the Water Research Commission and conducted by the CSIR in the Crocodile-West Marico and Olifants River catchment areas. The investigation was aimed at assessing the cost of water treatment FACT FILE Estimating the cost of polluted water resources burden on treatment facilities The South African wastewater treatment capacity has an estimated capital replacement value of R23 billion and operates at an estimated R3.5 billion per annum (DWA, 2009). It can be argued that the R3.5 billion operational expenditure equates to wasteful expenditure in light of the pollution potential of poor effluent quality being discharged. The cost of poor water quality on densely populated areas was estimated at R2.9 billion in 2000 (DWA, 2001) and the loss of storage capacity adds a further R1.3 billion (Sawadogo, 2008). at the point of discharge (wastewater treatment plant) versus the cost of water treatment at the point of use (water purification plant). In addition, the research highlights the inadequacies inherent in the current pollution control systems and the cost impact of pollution loads. The results further indicate that large industrial and densely populated Responsibilities for wastewater treatment from urban areas generally areas with insufficient wastewater treatment and sanitation systems, lie with municipalities. contribute significant pollution loads. Currently, the water and pollution management approach is geared South Africa cannot afford to continue polluting its water resources. at extensive and expensive upgrades of existing infrastructure, Current wastewater management systems will have to be developed, the construction of new wastewater treatment facilities and the maintained and where necessary upgraded to enforce treatment-at- improvement of the technology for downstream water purification. source principles. Serious attention is also required to rectify Little attention is given to pollution prevention measures, which may non-compliance regarding the operation and management of be more efficient and effective in the longer term. wastewater treatment works. The results of the study indicate that the high cost of wastewater The findings of studies such as this will assist local government to treatment does not appear to curb ongoing pollution of surface develop and maintain an integrated pollution and waste management water resources. It seems that the prevention of such pollution may system as required in terms of government’s service delivery aims be the only sustainable approach to preserving the quality of the regarding water supply and management. water necessary for the country’s economic growth. Indirect costs of increased pollution include the reduction in agricultural yields, the deterioration of human health due to microbial pollution and the loss of surface water storage capacity due to sedimentation. Dr Suzan Oelofse • Tel: 012 841 4333 • E-mail: soelofse@csir.co.za Enquiries... 15 National Service Delivery Support A P R I L | 2 0 1 1 INTEGRATED PLANNING AND RESOURCE ALLOCATION Improving health by understanding cholera epidemics in southern Africa Provision of safe water and sanitation is critical in reducing the impact of cholera and other waterborne diseases and as such is high on government’s list of service delivery priorities. According to the World Health Organization (WHO), Africa accounted for 94.2% and 98.2% of the total number of cholera cases contracted globally in 2008 and 2009 respectively. The total number of cases reported in Africa increased by 21.2% for the same period. While health and water supply authorities are working to contain cholera outbreaks in southern Africa, a multidisciplinary team of researchers, funded by the CSIR, conducted groundbreaking research on the environmental factors driving cholera outbreaks FACT FILE in the region. The project started in September 2005 and was concluded in February 2007. 1616 National National Service ServiceReport Delivery Delivery Support Support National Service Delivery A PP RR EIIRLL | 2||0 1 1 2 2 0 0 1 1 1 1 F IRST QA UART Cholera is an acute diarrhoeal infection caused by ingestion of food or water contaminated with the bacterium Vibrio cholerae. Every year, there are an estimated 3-5 million cholera cases and 100 000-120 000 deaths due to cholera worldwide. T he CSIR’s research is not aimed at the treatment of the disease − The study indicated that in Mozambique, the Vibrio cholerae bacteria are cholera is an easily treatable disease and up to 80% of people endemic − they are present year-round in the environment. It is only when can be treated successfully through prompt administration environmental conditions favour the amplification of the reservoir and the of oral rehydration salts. The research is aimed at obtaining an understanding of the key factors driving the persistence, growth and virulence of the bacterium to enable authorities to take appropriate exposure of humans to the bacteria that cholera epidemics will occur. Ongoing testing in areas in South Africa where cholera cases are preventive measures to mitigate the impact of future pandemics. reported is needed to determine whether the bacteria are present all The coastal city of Beira in central Mozambique was chosen as the The year-round presence of Vibrio cholerae has important implications research site as recurrent cholera outbreaks indicated the widespread for prevention and mitigation. The focus on safe water supply versus and continuous presence of cholera bacteria in the area. The CSIR sanitation will change depending on the endemicity of the bacteria. research team also analysed three years of cholera case data for Water supply should be prioritised in areas where the bacteria occur KwaZulu-Natal. throughout the year, whereas sanitation should be the focus in areas The team has made several discoveries pertaining specifically to the southern African region. This is the first study to record the presence of Vibrio cholerae 0139 in the coastal waters of East Africa. While there are 200 different serogroups of Vibrio cholerae, only 01 and 0139 can cause outbreaks. Until now, the presence of 0139 has been detected only in Southeast and East Asia, whereas 01 is regularly detected in different parts of the world, including Africa. In the past, changes in plankton concentrations in estuaries and the open ocean were used to predict cholera outbreaks as plankton has been shown to be a natural reservoir of cholera bacteria. However, the CSIR research team could not find a significant correlation between chlorophyll concentrations (plankton) and cholera cases year-round in natural water sources utilised by the communities. that are potentially vulnerable to outbreaks if the bacteria were to be introduced. Further research Following the initial research, the project has evolved to include remote sensing of the ecological drivers of the epidemic and is being funded by the European Union (EU). The CSIR leads the cholera research part of the project. Project partners include the University of KwaZulu-Natal and EU partners such as Fraunhofer Institute, European Commission Joint Research Centre, University of Dresden, SPOT IMAGE, Open Geospatial Consortium (Europe), ATOS Origin and other groups based in France, Belgium, the Netherlands and the United Kingdom. in Beira. The aim of the project is to develop a better understanding of the Using a new model, the Pienaar model, the CSIR research team found exposure and health impacts. The objective is the development of models a correlation between rainfall figures and the number of cholera cases that relate environmental changes to health exposure; the development of – suggesting that the accumulative effect of rainfall and its runoff are a geographic information system (GIS), risk mapping and alerts; and to the dominant factors in driving cholera epidemics. Cholera outbreaks be able to predict environmental conditions that are likely to increase the usually occur during the hot rainy season in the tropics and risk of adverse health outcomes within affected communities. The project subtropics. will continue until February 2013. complex relationships between environmental factors, population Martella du Preez • Tel: 012 841 3950 • E-mail: mdupreez@csir.co.za Marna van der Merwe • Tel: 012 841 3397 • E-mail: mvdmerwe2@csir.co.za Wouter le Roux • Tel: 012 841 2189 • E-mail: wleroux@csir.co.za Enquiries... 17 National National Service Service Delivery Delivery Support Support A A PP RR II LL || 2 2 0 0 1 1 1 1