Diarrhoea prevention in Bolivia through point-of-use water treatment and safe storage: a promising new strategy
A novel water quality intervention that consists of point-of-use water disinfection, safe storage and community education was field tested in Bolivia. A total of 127 households in two periurban communities were randomized into intervention and control groups, surveyed and the intervention was distri...
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Veröffentlicht in: | Epidemiology and infection 1999-02, Vol.122 (1), p.83-90 |
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creator | QUICK, R. E. VENCZEL, L. V. MINTZ, E. D. SOLETO, L. APARICIO, J. GIRONAZ, M. HUTWAGNER, L. GREENE, K. BOPP, C. MALONEY, K. CHAVEZ, D. SOBSEY, M. TAUXE, R. V. |
description | A novel water quality intervention that consists of point-of-use
water disinfection, safe storage
and community education was field tested in Bolivia. A total of 127 households
in two
periurban communities were randomized into intervention and control groups,
surveyed and
the intervention was distributed. Monthly water quality testing and weekly
diarrhoea
surveillance were conducted. Over a 5-month period, intervention households
had 44% fewer
diarrhoea episodes than control households (P=0·002).
Infants |
doi_str_mv | 10.1017/S0950268898001782 |
format | Article |
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water disinfection, safe storage
and community education was field tested in Bolivia. A total of 127 households
in two
periurban communities were randomized into intervention and control groups,
surveyed and
the intervention was distributed. Monthly water quality testing and weekly
diarrhoea
surveillance were conducted. Over a 5-month period, intervention households
had 44% fewer
diarrhoea episodes than control households (P=0·002).
Infants <1 year old (P=0·05) and
children 5–14 years old (P=0·01) in intervention
households had significantly less diarrhoea
than control children. Campylobacter was less commonly isolated from intervention
than
control patients (P=0·02). Stored water in intervention
households was less contaminated with
Escherichia coli than stored water in control households (P<0·0001).
Intervention households
exhibited less E. coli contamination of stored water and less
diarrhoea than control households.
This promising new strategy may have broad applicability for waterborne
disease prevention.</description><identifier>ISSN: 0950-2688</identifier><identifier>EISSN: 1469-4409</identifier><identifier>DOI: 10.1017/S0950268898001782</identifier><identifier>PMID: 10098789</identifier><identifier>CODEN: EPINEU</identifier><language>eng</language><publisher>Cambridge: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Analysis of Variance ; Antiseptics ; Bacterial diseases ; Bacterial diseases of the digestive system and abdomen ; Bacteriology ; Biological and medical sciences ; Bolivia ; Campylobacter ; Child ; Child, Preschool ; Communities ; Community Participation ; Diarrhea ; Diarrhea - etiology ; Diarrhea - prevention & control ; Disinfectants ; Epidemiology ; Escherichia coli ; Female ; Fundamental and applied biological sciences. Psychology ; Health Education - methods ; Human bacterial diseases ; Humans ; Infant ; Infectious diseases ; Male ; Medical sciences ; Microbiology ; Middle Aged ; Population Surveillance ; Potable water ; Preventive medicine ; Risk Factors ; Tropical medicine ; Water Microbiology ; Water pollution ; Water Purification - methods ; Water quality ; Water treatment</subject><ispartof>Epidemiology and infection, 1999-02, Vol.122 (1), p.83-90</ispartof><rights>1999 Cambridge University Press</rights><rights>Copyright 1999 Cambridge University Press</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c558t-a9a59b32f548a3228e99a559c4eb15f9505ce08311560384f0b276ed8e6961b43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3865238$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3865238$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,314,723,776,780,799,881,27901,27902,53766,53768,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1719388$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10098789$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>QUICK, R. E.</creatorcontrib><creatorcontrib>VENCZEL, L. V.</creatorcontrib><creatorcontrib>MINTZ, E. D.</creatorcontrib><creatorcontrib>SOLETO, L.</creatorcontrib><creatorcontrib>APARICIO, J.</creatorcontrib><creatorcontrib>GIRONAZ, M.</creatorcontrib><creatorcontrib>HUTWAGNER, L.</creatorcontrib><creatorcontrib>GREENE, K.</creatorcontrib><creatorcontrib>BOPP, C.</creatorcontrib><creatorcontrib>MALONEY, K.</creatorcontrib><creatorcontrib>CHAVEZ, D.</creatorcontrib><creatorcontrib>SOBSEY, M.</creatorcontrib><creatorcontrib>TAUXE, R. V.</creatorcontrib><title>Diarrhoea prevention in Bolivia through point-of-use water treatment and safe storage: a promising new strategy</title><title>Epidemiology and infection</title><addtitle>Epidemiol. Infect</addtitle><description>A novel water quality intervention that consists of point-of-use
water disinfection, safe storage
and community education was field tested in Bolivia. A total of 127 households
in two
periurban communities were randomized into intervention and control groups,
surveyed and
the intervention was distributed. Monthly water quality testing and weekly
diarrhoea
surveillance were conducted. Over a 5-month period, intervention households
had 44% fewer
diarrhoea episodes than control households (P=0·002).
Infants <1 year old (P=0·05) and
children 5–14 years old (P=0·01) in intervention
households had significantly less diarrhoea
than control children. Campylobacter was less commonly isolated from intervention
than
control patients (P=0·02). Stored water in intervention
households was less contaminated with
Escherichia coli than stored water in control households (P<0·0001).
Intervention households
exhibited less E. coli contamination of stored water and less
diarrhoea than control households.
This promising new strategy may have broad applicability for waterborne
disease prevention.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis of Variance</subject><subject>Antiseptics</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the digestive system and abdomen</subject><subject>Bacteriology</subject><subject>Biological and medical sciences</subject><subject>Bolivia</subject><subject>Campylobacter</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Communities</subject><subject>Community Participation</subject><subject>Diarrhea</subject><subject>Diarrhea - etiology</subject><subject>Diarrhea - prevention & control</subject><subject>Disinfectants</subject><subject>Epidemiology</subject><subject>Escherichia coli</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Health Education - methods</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Population Surveillance</subject><subject>Potable water</subject><subject>Preventive medicine</subject><subject>Risk Factors</subject><subject>Tropical medicine</subject><subject>Water Microbiology</subject><subject>Water pollution</subject><subject>Water Purification - methods</subject><subject>Water quality</subject><subject>Water treatment</subject><issn>0950-2688</issn><issn>1469-4409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUVuL1DAYLaK4s6s_QBDJg-xbNUmbNvFhQVddhRERL6_ha-drJ2MnGZN01v33pnQYVwR9yuVc8p2cLHvE6DNGWf38M1WC8kpKJWk6S34nW7CyUnlZUnU3W0xwPuEn2WkIG0qp4rK-n52wtJO1VIvMvTbg_dohkJ3HPdponCXGklduMHsDJK69G_s12TljY-66fAxIriGiJ9EjxG2SELArEqBDEqLz0OMLMtm5rQnG9sTidQJ80vQ3D7J7HQwBHx7Ws-zr2zdfLt_ly49X7y9fLvNWCBlzUCBUU_BOlBIKziWqdCNUW2LDRJdyiRapLBgTFS1k2dGG1xWuJFaqYk1ZnGUXs-9ubLa4atOUHga982YL_kY7MPpPxJq17t1ec5l-TbFkcH4w8O7HiCHqlKbFYQCLbgw6vSNKIev_ElnNhSr5NBKbia13IXjsjtMwqqc-9V99Js2T2zFuKeYCE-HpgQChhaHzYFsTfvNqpgopE-3xTNtMDR3hQlaCFxOcz7AJEX8eYfDfdVUXtdDV1SetPnAmluqbFolfHKLAtvFm1aPeuNHb1Og_wvwCoTXRGw</recordid><startdate>19990201</startdate><enddate>19990201</enddate><creator>QUICK, R. E.</creator><creator>VENCZEL, L. V.</creator><creator>MINTZ, E. D.</creator><creator>SOLETO, L.</creator><creator>APARICIO, J.</creator><creator>GIRONAZ, M.</creator><creator>HUTWAGNER, L.</creator><creator>GREENE, K.</creator><creator>BOPP, C.</creator><creator>MALONEY, K.</creator><creator>CHAVEZ, D.</creator><creator>SOBSEY, M.</creator><creator>TAUXE, R. V.</creator><general>Cambridge University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7T7</scope><scope>7TV</scope><scope>7U2</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19990201</creationdate><title>Diarrhoea prevention in Bolivia through point-of-use water treatment and safe storage: a promising new strategy</title><author>QUICK, R. E. ; VENCZEL, L. V. ; MINTZ, E. D. ; SOLETO, L. ; APARICIO, J. ; GIRONAZ, M. ; HUTWAGNER, L. ; GREENE, K. ; BOPP, C. ; MALONEY, K. ; CHAVEZ, D. ; SOBSEY, M. ; TAUXE, R. 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Psychology</topic><topic>Health Education - methods</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Population Surveillance</topic><topic>Potable water</topic><topic>Preventive medicine</topic><topic>Risk Factors</topic><topic>Tropical medicine</topic><topic>Water Microbiology</topic><topic>Water pollution</topic><topic>Water Purification - methods</topic><topic>Water quality</topic><topic>Water treatment</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>QUICK, R. E.</creatorcontrib><creatorcontrib>VENCZEL, L. V.</creatorcontrib><creatorcontrib>MINTZ, E. 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E.</au><au>VENCZEL, L. V.</au><au>MINTZ, E. D.</au><au>SOLETO, L.</au><au>APARICIO, J.</au><au>GIRONAZ, M.</au><au>HUTWAGNER, L.</au><au>GREENE, K.</au><au>BOPP, C.</au><au>MALONEY, K.</au><au>CHAVEZ, D.</au><au>SOBSEY, M.</au><au>TAUXE, R. V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diarrhoea prevention in Bolivia through point-of-use water treatment and safe storage: a promising new strategy</atitle><jtitle>Epidemiology and infection</jtitle><addtitle>Epidemiol. Infect</addtitle><date>1999-02-01</date><risdate>1999</risdate><volume>122</volume><issue>1</issue><spage>83</spage><epage>90</epage><pages>83-90</pages><issn>0950-2688</issn><eissn>1469-4409</eissn><coden>EPINEU</coden><abstract>A novel water quality intervention that consists of point-of-use
water disinfection, safe storage
and community education was field tested in Bolivia. A total of 127 households
in two
periurban communities were randomized into intervention and control groups,
surveyed and
the intervention was distributed. Monthly water quality testing and weekly
diarrhoea
surveillance were conducted. Over a 5-month period, intervention households
had 44% fewer
diarrhoea episodes than control households (P=0·002).
Infants <1 year old (P=0·05) and
children 5–14 years old (P=0·01) in intervention
households had significantly less diarrhoea
than control children. Campylobacter was less commonly isolated from intervention
than
control patients (P=0·02). Stored water in intervention
households was less contaminated with
Escherichia coli than stored water in control households (P<0·0001).
Intervention households
exhibited less E. coli contamination of stored water and less
diarrhoea than control households.
This promising new strategy may have broad applicability for waterborne
disease prevention.</abstract><cop>Cambridge</cop><pub>Cambridge University Press</pub><pmid>10098789</pmid><doi>10.1017/S0950268898001782</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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ispartof | Epidemiology and infection, 1999-02, Vol.122 (1), p.83-90 |
issn | 0950-2688 1469-4409 |
language | eng |
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source | Jstor Complete Legacy; MEDLINE; PubMed Central |
subjects | Adolescent Adult Aged Aged, 80 and over Analysis of Variance Antiseptics Bacterial diseases Bacterial diseases of the digestive system and abdomen Bacteriology Biological and medical sciences Bolivia Campylobacter Child Child, Preschool Communities Community Participation Diarrhea Diarrhea - etiology Diarrhea - prevention & control Disinfectants Epidemiology Escherichia coli Female Fundamental and applied biological sciences. Psychology Health Education - methods Human bacterial diseases Humans Infant Infectious diseases Male Medical sciences Microbiology Middle Aged Population Surveillance Potable water Preventive medicine Risk Factors Tropical medicine Water Microbiology Water pollution Water Purification - methods Water quality Water treatment |
title | Diarrhoea prevention in Bolivia through point-of-use water treatment and safe storage: a promising new strategy |
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