Published Article / Studies were undertaken in the Limpopo and Free State Provinces of South Africa to understand the beliefs, perceptions and health implications associated with geophagia. Questionnaires administered to 225 geophagic females covered their demographic details, their reasons for ingesting geophagic clayey soils and their perceptions regarding associated health conditions and implications. Respondents ingested clayey soils for body cleansing, craving, nutrient supplementation and weight loss. Some respondents considered the soils harmful, and < 50% of respondents had some knowledge of the contents of soils they ingested. Medical reasons in support of geophagia included lack of knowledge on the health implications of the practice. Medical consequences associated with geophagia may have occurred as a result of a lack of knowledge of the health implications of the practice. A clear need for educating geophagic individuals regarding the health implications of geophagia is called for.

MESMEG / Department of Mining and Environmental Geology / Literature indicated that several mineralogical identification studies have been carried out on clays but few have focused on the characterisation of geophagic materials from South Africa. Large quantities of earth materials are consumed daily in Mashau Village, however, their mineral content and geochemical compositions had not been determined. Moreover, though the consumption of geophagic materials is very common in the village, the associated health implications had not been addressed. Thus, the main aim of the research was to mineralogically and geochemically characterise geophagic materials commonly ingested in Mashau Village and infer on possible health implications that could result from their consumption. Questionnaires were administered to geophagists in the study area with the aim of generating data on the prevalence of geophagia and the motivations for the practice. Geophagic soils and their parent rocks (for determination of provenance) were sampled and analysed for mineralogical and geochemical content. Geophagic soil samples were subjected to the following physicochemical analyses: colour, particle size distribution, pH, cation exchange capacity (CEC) and electrical conductivity (EC). An x-ray diffractometer (XRD) was used for mineralogical analysis while major oxides and trace elements abundances were determined using x-ray fluorescence (XRF) spectrometry and laser ablation inductively coupled mass spectrometry (LA-ICP-MS), respectively. Furthermore, provenance of the geophagic materials was determined using data obtained from mineralogical and geochemical analysis. Inferred health implications were based on the physico-chemical, mineralogical and geochemical data obtained. Outcomes of the questionnaire survey revealed craving to be the motivation for geophagia in Mashau Village. Although the practice seemed to be prevalent in females of certain ages, it was certainly not limited to gender, age, educational level or socio-economic status. Out of the 20 geophagic samples, 3 samples were brown, 2 had a strong brown colour and another 2 had a light olive brown colour. Other soil colours were less common, as each colour was only observed in one sample. The sand fraction dominated the samples; the clay content was low, giving the samples a sandy clay loamy texture. The pH of the soil ranged from being slightly acidic (5.4) to being slightly alkaline. The CEC values were very high ranging from 17 t0 109 meq/100 g. vii The EC values were also high (ranging from 11.2 to 245 μS/cm) indicating a high amount of soluble salts. Mineralogical analysis of geophagic soils identified quartz, microcline, plagioclase, hornblende, dolomite, muscovite, kaolinite, smectite, talc, anatase, hematite, ilmenite, chlorite and epidote with quartz and kaolinite being the dominant minerals. Actinolite, augite, chlorite, epidote, forsterite, magnetite, muscovite, plagioclase, quartz, sepiolite and microcline were the minerals identified in rock samples. Geochemical analysis for major oxides content (SiO2, TiO2, Al2O3, Fe2O3, MnO, MgO, CaO, Na2O, K2O, P2O5 and Cr2O3) indicated that both geophagic soils and parent rocks were mainly composed of silica and alumina. Trace elements geochemistry showed a depletion of LREEs and an enrichment of HREEs in geophagic soils. The results also revealed that the REEs were enriched in the bulk fraction than in the clay fraction. Relative to the Upper Continental Crust (UCC) compositions, the concentrations of trace elements in geophagic soils were generally low. Provenance determination results showed that geophagic soils in Mashau were derived from basalts and sandstones. Majority of the samples were formed as a result of intense weathering while some were as a result of intermediate weathering. The negative health implications of the studied materials could include perforation of the colon, damage of the dental enamel and anaemia. However, geophagic materials could also be a good source of mineral nutrients and beneficial for reduction of nausea during pregnancy. / NRF

MESHWR / Department of Hydrology and Water Resources / Communities in South Africa have been noted to consume earthy materials such a soil among others. Geophagy is largely practised in the rural areas as opposed to urban places, and in these places the level of sanitation is low and people usual practice open defecation. The practice of Geophagia has been associated with cultural, medicinal, psychological, religious and nutritional deficiency among others. The aim of the study was to investigate the effects of open defecation on geophagic soils and water resources in Siloam village. The study also aimed to understand the reasons why people practice geophagia in Siloam village and the health effect associated with consumption of geophagic soils. To carry out the aim of the study, a questionnaire survey was conducted among women who practice geophagia between the ages of 18 and above in Siloam village. Two hundred and eighty-three (283) women were selected using snowball sampling method to take part in the study. From the (283) women, (200) women represent the geophagic group and (83) women represent the control group. The existing standard questionnaire adopted to generate data on human geophagia included aspects on demography, socio-economic, cultural, ecological, physicochemical aspects, indigenous knowledge and health effects of geophagic consumers. Participants were asked basic questions on why they practice geophagy, their geophagic material preferences, where they collect the geophagic material and other related questions. A total of twelve soil samples were collected from Siloam village, from the twelve soil samples collected eight were collected from sites known for geophagic practice and another four soil samples were collected from sites where geophagia is not practiced and the samples were used as control soil samples. All the twelve soil samples were analysed for the presence of geohelminths ova using Ammonium Bicarbonate Protocol (AMBIC protocol). The AMBIC protocol consists of four analytical procedures, namely, sample preparation, sample washing with AMBIC solution, geohelminths ova recovery through a modified zinc flotation method and microscopic analysis. vi Furthermore, a total of twelve water samples were collected from Nzhelele River and ponds water in Siloam village. From the twelve water samples, eight samples were collected close to where geophagic materials were collected and where open defecation is reported to be taking place and the remaining four water samples were collected randomly from Nzhelele river and water ponds in Siloam village and was recorded as a control group. A total of 12 water samples were analysed for total coliform and faecal coliform Escherichia Coli (E.coli) indicator using the membrane filter technique. The results from the administration of the questionnaire revealed there was prevalence in the practice of geophagia in the area. The study found that most of the villagers in Siloam consumed soil nearly on daily basis. According to the results, only women were involved in the geophagic practices in the area. Additionally, the study revealed that geophagic consumers were mainly in the age of child bearing age group and reddish and yellowish soils were the most preferred. Furthermore, the results showed that geophagic consumers in the area generally consumed soil commonly because of cravings and pregnancy, however, those who were not pregnant also consumed soil. The respondents reported that they mostly consumed clay and this material was consumed in its dry state and mostly unprocessed, if processed, it would be baked. This geophagic material was mainly found in the wild (riverbed, valley etc.); it was also found that most of the soil consumers did not know that the substances they consumed could be harmful to them. Among those who knew the consequences of consuming the material stated that soil consumption causes constipation, tooth decay, body poisoning, and abdominal pains. The results from the control group, 83 women who do not practice geophagia, aged between 18 and above, analysed using chi-square revealed a significant association of age with consuming soils (p<0.05), while there was no association of income source (p>0.05) and educational level (p>0.05) with consuming soils. Chi-square (χ2) analyses further revealed that there was no association of knowledge on the harmful nature of the substance (p>0.05), frequency of getting infections (p>0.05) and experiencing chronic illnesses (p>0.05) with frequency of consuming soils. vii The results of geophagic soils revealed the absence of geohelminths ova in the entire geophagic sample. Meaning geophagic consumers in Siloam village are not at risk of acquiring geohelminths infection which may be of potential risk to human health. However, geophagic consumers may be exposed to various other potentially hazardous biological and non-biological soil contents. The results of the water samples revealed that most of the water samples in the areas where open defection is reported to be practised had higher composition of faecal and total coliform bacteria. The composition was above the South African recommended standard for negligible risk of microbial infection. This has caused a great threat to those who consume soil collected near water resources, especially from riverbed and those who also use these water sources on their daily basis. The study recommends that geophagic consumers should continue to bake their materials before consumption as it might reduce the bacteria and toxic substances found in soils. The study also recommends that the residents of Siloam be made aware of the potential health hazards that might be posed to soil consumers and the effects of practicing open defecation near community water resources as high level of faecal coliform (E. coli) were found in the water. / NRF