The pain of E. coli O157: Walkerton survivor ends his life

On Sunday, May 21, 2000, at 1:30 p.m., the Bruce Grey Owen Sound Health Unit in Ontario, Canada, posted a notice to hospitals and physicians on their web site to make them aware of a boil water advisory and that a suspected agent in the increase of diarrheal cases was E. coli O157:H7.

There had been a marked increase in illness in the town of about 5,000 people, and many were already saying the water was suspect. But the first public announcement was also the Sunday of the Victoria Day long weekend and received scant media coverage.

It wasn’t until Monday evening that local television and radio began reporting illnesses, stating that at least 300 people in Walkerton were ill.

At 11:00 a.m., on Tuesday May 23, the Walkerton hospital jointly held a media conference with the health unit to inform the public of outbreak, make the public aware of the potential complications of the E. coli O157:H7 infection, and to tell the public to take the necessary precautions. This generated a print report in the local paper the next day, which was picked up by the national wire service Tuesday evening, and subsequently appeared in papers across Canada on May 24.

Ultimately, 2,300 people in a town of 5,000 were sickened and seven died. All the gory details and mistakes and steps for improvement were outlined in the report of the Walkerton inquiry.

Paul Hunter of the Toronto Star writes it was a glorious, sun-warmed afternoon after a long winter. Robbie Schnurr’s blinds were closed. He was finalizing his plans to die.

“Pretty much where I’m laying right now, where I’ve been for years,” he said, reflexively patting the bedsheet between him and the half-finished bottles of water kept within easy reach.

“What does a person do when they know they’re going to die within hours? I mean, do you walk over and look out the window? I can’t walk anyways. I guess you just wait for the time to pass and then you miss the hors d’oeuvres.”

It’s been 18 years since a deadly E. coli outbreak devastated the rural town of Walkerton, 150 kilometres northwest of Toronto. Seven people perished. A further 2,500, half the population, took ill. Most eventually got better. Schnurr never did.

Poisoned like the others, his health declined slowly and painfully until he lived in a sort of limbo: a prisoner in his own body, in his own bed, here in his 11th-floor Mississauga condo, a 71-year-old alone and feeling largely forgotten.

The former OPP officer and investigator with Ontario’s Office of the Fire Marshal was in constant pain from a degenerative nerve disease. Doctors, he said, told him he would continue to decline. There was no hope of improvement.

His legs had wasted away. Numbness in his fingers made it impossible for him to write or button a shirt; he opened bottles of painkillers with his mouth. He was losing sight in his right eye; the hearing in one ear was already gone. He’d leave his home only every two weeks, strapped on a gurney to be transported to the Queensway Health Centre for an intravenous immunoglobulin treatment. He went for the last time in late April.

On May 1, a doctor came to him.

In the company of his younger sister, Barbara Ribey, her husband, Norm, and two friends, Schnurr fulfilled his wish for a physician-assisted death.

“I just won’t live like this anymore,” he explained the day before that final moment. “There’s nothing to look forward to, there’s no goals in life. There’s nothing.”

Before he took ill, Schnurr said he “had the world by the ass.” He wanted people to know that. He also didn’t want forgotten what happened at Walkerton and how it cheated him, and others from his hometown, in life and left a heartbreaking legacy.

Schnurr said he also recently spoke to two old friends from the OPP who’d had no idea of what became of him.

He wanted everyone to know. So he invited the Star to his home to share his story and explain his decision.

Schnurr was, as it would have been described in another era, a man’s man, living like he was the lead in a 1970s action movie.

Mustachioed and handsome, he drove fast cars (the last a black Corvette), lived for long stretches on his 35-foot boat (where the parties were frequent) and had a closet full of Armani and Hugo Boss suits and silk ties. He owned a condo in Mexico and, befitting a Hollywood star, he always seemed to have a beautiful date on his arm.

“Women loved Robbie,” said Ribey.

Schnurr skied, he rollerbladed, he had a black belt in karate. As a teen, he played every sport he could. He excelled at hockey and was never afraid to drop the gloves. In baseball, a fastball in the low to mid-90s caught a scout’s eye, and he went off to pitch in the minors in North Carolina.

“I know I could have made the big leagues, but I didn’t know how long it would take,” he said. “And there was this girl that wanted me to get married. When I got home she handed me an application for the OPP.”

The policing job idea stuck, but the thought of marriage didn’t. Schnurr became a cadet at 19, was sworn in and got his gun at 21. He said he was shot twice and stabbed twice. He lost hearing in one ear because of target shooting practice. He investigated motorcycle gangs — “We didn’t get along real well, the bikers and I” — and major crimes.

He moved from Owen Sound to Kenora to Manaki before landing in Orillia in the early 1980s shortly before a train derailed in nearby Medonte. The fire marshal’s office was impressed with how he handled that case and suggested he apply. Schnurr said he beat out 800 other candidates for the job and was soon sent off to train with the FBI to become an expert in explosions.

In newspapers during the ’80s and ’90s, Schnurr was frequently quoted standing among the ashes at one fire or another. He figured he investigated some 2,000 fires. At one point, he helped profile and hunt down an arsonist who was terrorizing Toronto’s west end. On another case, the torching of a church, he received death threats.

Through his working life, sports remained important, as he coached youth baseball and organized instructional clinics around the province.

Though single at the end, he had married twice, had a daughter, Samantha, whom he adored and a grandson, Kaiden, born in January.

Tough as he was, through a twist of fate Schnurr was exiled from the world he embraced so enthusiastically.

“Now, I can’t even get down the goddamned hall,” he said. “To make a long story short, I was screwed.”

Schnurr didn’t even live in Walkerton when he encountered his kryptonite there. He’d gone to his hometown for his mother’s memorial in mid-May of 2000. When he returned to Mississauga, he realized he’d forgotten his suit jacket. With Victoria Day weekend coming, he decided to make a quick return trip to Walkerton to pick it up and see a couple of friends on the Friday before the holiday traffic got heavy.

“It was a really hot and muggy day and when I got there, I took a pitcher of water and chugalugged it,” he said.

That began a weekend of hell that lasted 18 years.

“I had blood coming out of both ends,” he said of the next 48 hours, spent feeling groggy and on the floor of his condo. “It was almost two days before I could get any help because I wasn’t strong enough.”

Walkerton’s water supply had been contaminated. A heavy rainstorm washed cow manure carrying a strain of E. coli O157:H7 into a vulnerable town well and, because of improper chlorination, the lethal bacteria was not destroyed.

The poison was passed on through tainted tap water and made thousands sick with severe gastrointestinal issues, including bloody diarrhea, in one of the worst public health disasters in Canadian history. A landmark, seven-year study of those who fell ill, released in 2008, determined there were legacy illnesses from the tragedy. Patients who had confirmed gastroenteritis had a 30 per cent higher risk of high blood pressure or kidney damage.

The study found that 22 children who became sick in 2000 had permanent kidney damage, but treatment had stopped that illness from getting worse.

Dr. William Clark, a kidney specialist at London Health Sciences Centre who led the study, looked again three years ago at the victims of Walkerton, and found that although “there is no doubt some people have had significant long-term problems” when compared with similar small towns, Walkerton is actually doing “somewhat better” when it comes to kidney and heart issues.

That, he suggests, could be related to a post-crisis medical screening program involving about 4,000 residents. It not only identified health issues related to the contamination, but also picked up ailments such as diabetes and hypertension, allowing physicians to get those patients on proper medication.

Clark said the kidney and heart issues of Walkerton residents have improved, but “there’s no doubt they’re on more medication” than comparable groups.

Schnurr had no idea others were also poisoned as he floundered on his condominium floor in 2000. He didn’t know why he was sick, even as an ambulance eventually took him, in blood-soaked clothes, to the hospital. He also wondered why all the medical staff took such keen interest in his Walkerton roots. Then, on one of the muted televisions at the hospital, he started to see familiar faces from his hometown.

“I’m going, ‘What’s going on?’ (A hospital worker) said to me, ‘You haven’t heard about the E. coli epidemic in Walkerton?’ Bang. It all came together.”

Schnurr returned to work until 2002, but he got progressively weaker. His retirement plan had been to take a lucrative position investigating insurance fraud in the U.S., or set up his own business. Instead, he struggled with balance, falling often, and forgot things. At 55, he could no longer work.

Schnurr said the bacterial infection destroyed his immune system and that led to his current neurological disorder. Press reports, years after the Walkerton disaster, chronicled Schnurr’s struggles as a lingering victim.

Doctors eventually diagnosed Schnurr with chronic inflammatory demyelinating polyneuropathy (CIDP), a neurological disorder that causes the body’s immune system to attack and destroy the myelin sheath that envelops nerves. It’s comparable to stripping the insulation off electrical wires. Symptoms include tingling in the feet and hands as well as progressive weakness in the legs and arms. For Schnurr, it also brought debilitating pain.

“Anything too hot or too cold on him would almost be like tinfoil on a tooth filling,” Ribey said.

CIDP, a rare disorder, typically follows an infection in the body that messes up the immune system. There is always a suspected trigger, but the exact cause can’t be pinned down.

Clark, the lead health investigator at Walkerton, said research hasn’t shown a good correlation between E. coli O157:H7 and CIDP.

“But I’m not excluding it because the reality is any inflammatory event may … contribute to the onset of an autoimmune disorder, which CIDP really is,” he said.

At first, Schnurr could “furniture walk” around his condo, using a cane and clutching at various items to keep his balance. But there were too many tumbles, too many sutures and too many broken bones. Five times, he ended up in the hospital. Once he fell into his television, pushing it through the drywall.

“When I could get out of bed, I’d go down into the living room and sit there and stare,” he said. “I wouldn’t even answer the phone.”`

When his legs got weaker, Schnurr would crawl around his home, sometimes till his knees bled. For the past decade, even that was too much.

“I would often hope and pray I would get some kind of something to make me well,” he said. “I know now that’s not going to happen and …”

The rest of that thought preoccupied his mind, he said, for almost 10 years. He wanted out of a life that hurt to live. Before assisted death became legal in Canada in 2016, he considered going to Switzerland, where it was available.

“I’m not afraid. I’m not scared. I’m almost looking … I am looking forward to it because I’ll be gone,” he said.

“I think most people, well, I know most people, they don’t want to die. They want to live, but life is no fun for me. I can’t go anywhere. I can’t do anything. My body is breaking down more and more. So I discussed it with doctors and family. They agreed with me. So here I am.”

Schnurr was resolute in his decision, approaching his own death with an almost clinical detachment — “There was never a tear,” Ribey said — as he wondered about timing and process. He said he cleaned up any debts and other paperwork so his sister wouldn’t be burdened. He got someone to throw away all his pills and he said goodbye to those who mattered.

“I’m rational. I’m in pain, but I’m always in pain,” he said. “I gave it a lot of thought. It’s not something you decide overnight.”

On his birthday on July 14, 2017, he posted on Facebook that it would be his last.

“Going back a month ago up till present, I was ticking the days off,” he said. “I just didn’t want to suffer anymore. The pain and suffering and lack of friends, you know. I’m basically here alone with the exception of the people that come in and clean.”

On the first day of May, in the afternoon, Ribey lay down next to her brother. It was time. A doctor administered three injections.

“I was lying beside him and holding his hand and he just put his head down on mine and said, ‘How’s my little sister?’ And that’s when I started to cry. Then I said something like, thank you for being such a kind brother and a good brother to me. I’m going to miss you … I told him I loved him.”

She said it was “very, very peaceful and very quick.”

For Schnurr, a man broken beyond repair, the pain stopped.

Melboune beware: Shit with dangerous E. coli can survive a long time in river sediment

Bed sediment resuspension is a potential source of faecal microorganisms in the water column of estuaries. As such, it is important to identify the survival of faecal microorganisms in these bed sediments and understand how bed sediment resuspension impacts the quality of estuarine waters.

This study explores the effect of bed sediment resuspension on Escherichia coli on concentrations in the water column and the persistence of E. coli in the water column and bed sediments of the Yarra River estuary in South‐Eastern Australia. Using sediment cores, we identified that the resuspension of both surficial sediments (e.g., by tidal movements) and deeper bed sediments (e.g., by large storm events) can increase E. coli concentrations in the water column by up to 20 times in estuaries in oceanic climates. Bed sediment resuspension can result in increased E. coli concentrations in the water column even up to 24 days after E. coli first enters the estuarine water.

This study demonstrates that faecal microorganisms, such as E. coli, can persist for extended periods in estuarine bed sediments, which may then be re‐entrained into the water column via recreational activities, high flow events, or tidal fluctuations. If the survival and resuspension processes observed here hold true for pathogenic microorganisms, the resuspension of bed sediments may indeed represent an increased public health risk.

Escherichia coli survival and transfer in estuarine bed sediments

C. Schang, A. Lintern, P. L. M. Cook, G. Rooney, R. Coleman, H. M. Murphy, A. Deletic, D. McCarthy

https://doi.org/10.1002/rra.3281

https://onlinelibrary.wiley.com/doi/full/10.1002/rra.3281

Dutch food inspectors to get tough on water in meat product labeling

AArrgghh, the Dutch.

The Dutch food safety board has given the meat industry until July 10 to come clean about how much water it adds to packs of meat and fish sold in supermarkets, the Volkskrant reported on Friday.

European meat firms have been required by law to include ‘water’ on the ingredients list since December 2014 and add the percentage of water in the total weight of the product. But checks by the Volkskrant newspaper found a number of products on sale in Dutch supermarkets do not meet the rules.

For example, a pack of pangasius fish fillets sold by Jumbo are labeled as 78% fish, but do not say how much of their weight is water. The NVWA told the Volkskrant it had found faulty labels in the past but declined to say how many. The body now says it will get tough on food processors who do not comply with the rules in the second half of this year.

You got water problems? These are water problems: Food production in arid regions

Climate change is one of the major challenges of our time that pose unprecedented stress to the environment and threats to human health. The global impacts of climate change are vast, spanning from extreme weather events to changes in patterns and distribution of infectious diseases.

Lack of rainfall associated with higher temperatures has a direct influence on agricultural production. This is compounded by a growing population forecasted to expand further with increasing needs for food and water. All this has led to the increasing use of wastewater worldwide.

In this review, we more specifically discuss the use of untreated wastewater in agriculture in the Middle East and North Africa (MENA) countries, the most arid region in the world. This presents challenges for agriculture with respect to water availability and increasing wastewater use in agri-food chain. This in turn exerts pressures on the safety of food raised from such irrigated crops.

Current practices in the MENA region indicate that ineffective water resource management, lack of water quality policies, and slow-paced wastewater management strategies continue to contribute to a decline in water resources and an increased unplanned use of black and graywater in agriculture. Radical actions are needed in the region to improve water and wastewater management to adapt to these impacts.

In this regard, the 2006 WHO guidelines for the use of wastewater contain recommendations for the most effective solutions. They provide a step-by-step guide for series of appropriate health protection measures for microbial reduction targets of 6 log units for viral, bacterial, and protozoan pathogens, but these need to be combined with new varieties of crops that are drought and pest resistant. More research into economic local treatment procedures for wastewater in the region is warranted.

The Impact of Climate Change on Raw and Untreated Wastewater Use for Agriculture, Especially in Arid Regions: A Review

01.feb.18

Foodborne Pathogens and Disease, Volume 15, No. 2

Faour-Klingbeil Dima  and Todd Ewen C.D.

https://doi.org/10.1089/fpd.2017.2389

 

Chlorine works: 12 dead, 87 sick from Legionnaires’ linked to Michigan water supply 2014-15

An outbreak of Legionnaires’ disease that killed 12 people and sickened at least 87 in Flint, Mich., in 2014 and 2015 was caused by low chlorine levels in the municipal water system, scientists have confirmed. It’s the most detailed evidence yet linking the bacterial disease to the city’s broader water crisis.

Rebecca Hersher of NPR reports that in April 2014, Flint’s water source switched from Lake Huron to the Flint River. Almost immediately, residents noticed tap water was discolored and acrid-smelling. By 2015, scientists uncovered that the water was contaminated with lead and other heavy metals.

Just months after the water source changed, hospitals were reporting large numbers of people with Legionnaires’ disease.

“It’s a pneumonia, but what’s different about it is, we don’t share it like we do the flu or common cold,” explains Michele Swanson of the University of Michigan, who has been studying Legionnaires’ for 25 years. “It’s caused by a bacterium,Legionella pneumophila, that grows in water.”

The bug can enter the lungs through tiny droplets, like ones dispersed by an outdoor fountain or sprinkler system, or accidentally inhaled if a person chokes while drinking.

“If you don’t have a robust immune system, the microbe can cause a lethal pneumonia,” she says. In a normal year, the disease is relatively rare — about six to 12 cases per year in the Flint area, according to Swanson. During the water crisis, that jumped up to about 45 cases per year.

Although the outbreak of Legionnaires’ happened at the same time as the Flint water crisis, it was initially unclear how the two were connected. After earlier research suggested that chlorine levels might be the key, Swanson and colleagues at the University of Michigan in Ann Arbor, Sammy Zahran of Colorado State University and a team of researchers at Wayne State University in Detroit, began analyzing detailed water and epidemiological data from the six-year period before, during and after the crisis.

“We know that Legionella is sensitive to chlorine in the laboratory,” says Swanson. The chlorine makes it difficult for the bacteria to replicate, which is one reason water companies often add chlorine to their systems. But when Flint’s water source changed, the chlorine level dropped and cases of Legionnaires’ disease spiked. “It was the change in water source that caused this Legionnaires’ outbreak,” Swanson says.

The new research was published in a pair of studies in the Proceedings of the National Academy of Sciences and the journal mBio on Monday. The conclusion may bolster parts of the case being brought against Nick Lyon, the former Michigan Department of Health and Human Services director, who is being tried for involuntary manslaughter in connection with the Legionnaires’ deaths.

From April 2014 to October 2015, the Flint River served as Flint’s water source. During the same period, cases of Legionnaires’ disease increased from less than a dozen per year to about 45 per year, and 12 people died of the waterborne disease.

The new studies also suggest that a complex set of factors may be responsible for low chlorine levels during the crisis. In addition to killing microbes, chlorine can react with heavy metals like lead and iron, and with organic matter from a river. That means lead and iron in the water may have decreased the amount of chlorine available to kill bacteria.

400 sick: Now the water is chlorinated in Nousis, Finland

(Something may be lost in translation; thanks to our Scandanavian correspondent for passing along these stories.)

About 400 people in Nousis, Finland — a town of 4,800 — fell as a result of contaminated drinking water.

The municipality’s health authorities state that the situation was worst 23-27 January when more than 50 cases were recorded every day. The number of new cases has decreased steadily.

Last weekend, a ban on drinking water was introduced.

A leakage has been found to be behind the epidemic; the leak caused sewage and drinking water to mix.

Last night, chlorination of the water pipeline began. Day care centers, schools, retirement homes and health centers are in the first place in a hurry for redevelopment, and on Tuesday the chlorination of the water to households begins.

In tests taken by people who have fallen ill after drinking the municipality’s water pipeline, at least noro, sapo and astroviruses have been found.

Some of the patients had had two different viruses.

Individual cases of ETEC and EHEC bacteria and of the bacterium Plesiomonas shigelloides were also found in the patient samples.

In water analyzes only sapovirus has been found, and therefore it has not been possible to confirm that the other disease have come from the water.

“I contacted the municipality when the water was grayed out, but they then certified me that it was safe to drink,” said resident Jutta Holmevaara.

“Then it started coming out ‘from both ends.’ It continued as long as I drank the water.

“It took five days before I noticed that they had announced that it was worth boiling the water. I had fever for several days. I still do not feel completely healthy.”

Raw water: It’s a thing

In Australia, communities at the suburb level have the power to decide whether to fluoridate water or not.

Every time I go to the dentist, he tells me the same story: I can tell where you’re from by your teeth, no fluoride means more business for me.

In an America dominated by indulgence, privilege and the nonsensical, raw water is a thing.

Nellie Bowles of the New York Times writes at Rainbow Grocery, a cooperative in Culver, Oregon, one brand of water is so popular that it’s often out of stock. But one recent evening, there was a glittering rack of it: glass orbs containing 2.5 gallons of what is billed as “raw water” — unfiltered, untreated, unsterilized spring water, $36.99 each and $14.99 per refill, bottled and marketed by a small company called Live Water.

“It has a vaguely mild sweetness, a nice smooth mouth feel, nothing that overwhelms the flavor profile,” said Kevin Freeman, a shift manager at the store. “Bottled water’s controversial. We’ve curtailed our water selection. But this is totally outside that whole realm.”

Here on the West Coast and in other pockets around the country, many people are looking to get off the water grid.

Start-ups like Live Water in Oregon and Tourmaline Spring in Maine have emerged in the last few years to deliver untreated water on demand. An Arizona company, Zero Mass Water, which installs systems allowing people to collect water directly from the atmosphere around their homes, began taking orders in November from across the United States. It has raised $24 million in venture capital.

And Liquid Eden, a water store that opened in San Diego three years ago, offers a variety of options, including fluoride-free, chlorine-free and a “mineral electrolyte alkaline” drinking water that goes for $2.50 a gallon.

What adherents share is a wariness of tap water, particularly the fluoride added to it and the lead pipes that some of it passes through. They contend that the wrong kind of filtration removes beneficial minerals. Even traditional bottled spring water is treated with ultraviolet light or ozone gas and passed through filters to remove algae. That, they say, kills healthful bacteria — “probiotics” in raw-water parlance.

The quest for pure water is hardly new; people have been drinking from natural springs and collecting rainwater from time immemorial. The crusade against adding fluoride to public water began in the 1950s among Americans who saw danger in the protective measures that had been adopted over decades to protect the populace from disease and contamination.

But the off-grid water movement has become more than the fringe phenomenon it once was, with sophisticated marketing, cultural cachet, millions of dollars in funding and influential supporters from Silicon Valley.

Sounds like Walkerton: More than 750,000 in NZ exposed to potentially unsafe drinking water

Same old, same old.

Tracy Watkins of Stuff writes complacency, inept officials – a Government inquiry paints a frightening picture of the state of New Zealand’s drinking water, with at least 750,000 of New Zealanders drinking from supplies that are “not demonstrably safe” – a figure described as likely to be a “significant underestimate.”

The inquiry was sparked by the 2016 Havelock North gastro outbreak, which has now been linked to four deaths, and calls for a major overhaul of water supplies, including mandatory treatment.

The Government has now written urgently to all mayors and district health boards asking to check the water they are supplying meets current standards after the inquiry revealed 20 per cent of water supplies were not up to standard.

That 20 per cent affects 759,000 people, of which 92,000 are at risk of bacterial infection, 681,000 of protozoal infection and 59,000 at risk from the long term effects of exposure to chemicals through their water supply.

But that figure was likely to understate the problem, as it did not include more than 600,000 people who drink water from self-suppliers or temporary suppliers, or tourists to places like Punakaiki on the West Coast, which is under a permanent “boil water” notice.

The inquiry found that complacency about the state of New Zealand’s drinking water was common, yet the evidence showed that in many cases it was safer to drink tap water overseas than here.

But its most damning findings related to the Ministry of Health, which it described as inept and negligent in its oversight of a system in which non-compliance with safe standards was high.

The risks for contamination of the water supplies were detailed by the inquiry including damaged pipes, a huge number of private and unknown bores, and the close proximity of sewerage to drinking water assets, a factor that caused surprise among overseas experts.

The second part of the inquiry looked at broader water quality issues.

It found that lessons from Havelock North appeared not to have been learned – compliance figures in the 2016-17 period were still “alarmingly low” and “do not appear to reflect any increased vigilance by suppliers in the aftermath of [that] outbreak”.

“The inquiry found the falling compliance levels with the bacteriological and chemical standards particularly concerning. The decrease in compliance with the bacteriological standards results from an increased number of transgressions, an increased number of supplies with ineffective, delayed or unknown remedial action following transgressions, and an increased number of supplies with inadequate monitoring.

“Twenty-seven supplies failed entirely to take any remedial action after a transgression. In the aftermath of the bacteriological outbreak in Havelock North, these failures to respond effectively to transgressions or to monitor adequately are surprising and unacceptable.”

50+sick: Norovirus in Sweden water

(Something may be lost in translation)

Thanks to our Swedish correspondent who forwarded the stories about a norovirus outbreak in Saxdalen linked to drinking water.

Anders Lindblom, Disease Prevention Officer in Dalarna, said, “Probably the cause of the stomach disorder in the Saxdalen winter calf virus (calicivirus). The virus that causes winter rheumatoid arthritis is highly contagious and spreads apart from water and food, even from person to person.”

It’s norovirus. But different countries call it different things.

Our correspondent adds, “In Saxdalen in middle Sweden, the drinking water is contaminated with norovirus. The contamination source is probably poorly maintained sewage pipe system. So far is at least 50 people (10% of the population) infected.”

Media reports note, “The stool sample we received indicates that it is calicivirus and unfortunately it will take some time to get the water approved,” says Göran Eriksson, environmental manager in Ludvika municipality.

“He tells us that the cause of the pollution is probably that a drainage pipe in very bad condition polluted the soil at a place where a drinking water pipeline had previously broken.

“Ludvika municipality still recommends people living in Saxdalen to boil the water you plan to drink and cook with.”

‘Look where some people poo’ Global citizen’s Taylor Swift parody

Yasmine Gray of Billboard writes  Global Citizen — a social action platform dedicated to solving the world’s biggest problems — released a Taylor Swift parody video for a cause. Bringing attention to one of the most pressing issues in global development, the “Look What You Made Me Do” spoof draws attention to sanitation and toilet access.

Worldwide, 4.5 billion people lack access to safe and working toilets and sanitation, while 892 million people are forced to defecate outside in the open or into bodies of water. Poor sanitation is linked to the transmission of many deadly diseases, including cholera, diarrhea, dysentery, hepatitis A, typhoid, and polio, and 3.4 million people — mostly children — die from water-related diseases each year, with one in nine child deaths caused by diarrhea.

“Look Where Some People Poo” is the latest in a series of musical parodies Global Citizen has created to educate and inspire people around the world to take action. Past videos have included an Adele parody about calling Congress and a Bruno Mars parody concerning women’s rights.

Ahead of World Toilet Day (Nov. 19), the organization is asking supporters to sign a petition calling on the World Bank to commit to prioritizing basic sanitation.