Pan-Africa faces multifaceted water quality challenges, necessitating context-specific solutions. Reliable data and collaboration with local stakeholders are critical for effective interventions.1
Microbiologically contaminated drinking water can transmit diseases such as diarrhoea, cholera, dysentery, typhoid and polio and is estimated to cause approximately 505 000 diarrhoeal deaths each year.
In Douala, **70% of water sources** are contaminated with bacteria like E. coli. (Source: WHO)
Every year, **30% of children under 5** in Douala suffer from diarrheal diseases due to unsafe water. (Source: Journal of Water and Health)
Treating waterborne diseases costs families **50,000 XAF per episode**. (Source: Cameroon Ministry of Health)

- Microbial Contamination:
- Issue: Pathogens (bacteria, viruses, parasites) due to inadequate sanitation and sewage.
- Impact: Diseases like cholera, dysentery, and typhoid.
- Example: 2017-2018 Zambia cholera outbreak affected 5,905 people (WHO, 2018).2
- Heavy Metals (Mercury, Cyanide):
- Issue: Illegal gold mining (galamsey) in Ghana pollutes water.3
- Fluoride:
- Issue: High fluoride in groundwater causes dental/skeletal fluorosis.
- Regions: Ethiopia’s Rift Valley, Northern Tanzania. 4
- Agricultural Runoff
- Issue: Nitrates and pesticides from fertilizers contaminate water.
- Impact: Methemoglobinemia (e.g., in Kenya and Nigeria)5
- Salinity Intrusion
- Issue: Saltwater intrusion in coastal aquifers (Senegal, Mozambique).
- Cause: Over-extraction and sea-level rise.6
- Emerging Contaminants
- Microplastics: Found in Lake Victoria (2020 study in *Environmental Pollution*).
- Pharmaceuticals: Limited data but emerging concern in urban areas.
- Climate Change
- Issue: Droughts and erratic rainfall worsen water scarcity/quality.
- Impact: Sahel region faces intensified water stress.7
- Industrial Pollution
- Oil Spills: Niger Delta hydrocarbon contamination affects 30 million people.8
- Urbanization Challenges
- Issue: Untreated wastewater in cities like Lagos and Nairobi.9
- Conflict and Instability
- Issue: Damaged infrastructure in conflict zones (South Sudan, DRC).
- Impact: Reliance on unsafe water sources.10
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- Validation Source:
– Peer-Reviewed Studies: Journals like *Environmental Pollution* and *IJERPH*.
– International Organizations: WHO, UNICEF, UNEP, FAO, IPCC.
– NGOs/Government Reports: Amnesty International, Ghana EPA, AfDB. ↩︎ - Source: *WHO Cholera report*(https://www.who.int/cholera/publications/en/). ↩︎
- Source: Ghana EPA and [Friends of the Earth Report](https://friendsoftheearth.africa/). ↩︎
- Source: *International Journal of Environmental Research and Public Health* (2019 study). ↩︎
- Source: [FAO Report on Agricultural Pollution](https://www.fao.org/3/i7754e/i7754e.pdf) ↩︎
- Source: [UNEP Report on Coastal Salinity](https://www.unep.org/) ↩︎
- Source: [IPCC Sixth Assessment Report](https://www.ipcc.ch/assessment-report/ar6/) ↩︎
- Source: Amnesty International’s [*Nigeria: Oil Industry Pollution*](https://www.amnesty.org/en/) ↩︎
- Source: [African Development Bank (AfDB) Urban Water Report](https://www.afdb.org/) ↩︎
- Source: UNICEF’s [Water Under Fire Report](https://www.unicef.org/) ↩︎