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Diarrhoea prevention in Bolivia through point-of-use water treatment and safe storage: a promising new strategy

Robert QuickNational Center for Infectious DiseasesLinda VenczelUniversity of North Carolina, Chapel Hill, NCEric D. MintzUnited States Department of Health and Human Services, Washington, United StatesLorena SoletoCentro Nacional de Enfermedades Tropicales, Santa Cruz, BoliviaJosé Carlos Marchena AparicioCentro Nacional de Enfermedades Tropicales, Santa Cruz, BoliviaM. GIRONAZCentro Nacional de Enfermedades Tropicales, Santa Cruz, BoliviaLori HutwagnerUnited States Department of Health and Human Services, Washington, United StatesK. D. GreeneUnited States Department of Health and Human Services, Washington, United StatesCheryl A. BoppNational Center for Infectious DiseasesKathleen MaloneyUnited States Department of Health and Human Services, Washington, United StatesDaniel Garzon ChavezMark D. SobseyUniversity of North Carolina, Chapel Hill, NCR. V. TauxeFoodborne and Diarrhoeal Diseases Branch, Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, Public Health Service, U.S. Department of Health and Human Services
1999en
ABI

Annotatsiya

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.

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