1921
Volume 89, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Water, sanitation, and hygiene information was collected during a matched case-control study of moderate and severe diarrhea (MSD) among 4,096 children < 5 years of age in Bamako, Mali. Primary use of piped water (conditional odds ratio [cOR] = 0.45; 0.34–0.62), continuous water access (cOR = 0.30; 0.20–0.43), fetching water daily (cOR = 0.77; 0.63–0.96), and breastfeeding (cOR = 0.65; 0.49–0.88) significantly reduced the likelihood of MSD. Fetching water in > 30 minutes (cOR = 2.56; 1.55–4.23) was associated with MSD. Piped tap water and courier-delivered water contained high (> 2 mg/L) concentrations of free residual chlorine and no detectable . However, many households stored water overnight, resulting in inadequate free residual chlorine (< 0.2 mg/L) for preventing microbial contamination. Coliforms and were detected in 48% and 8% of stored household water samples, respectively. Although most of Bamako's population enjoys access to an improved water source, water quality is often compromised during household storage.

[open-access] This is an Open Access article distributed under the terms of the American Society of Tropical Medicine and Hygiene's Re-use License which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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References

  1. Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, Jha P, Campbell H, Walker CF, Cibulskis R, Eisele T, Liu L, Mathers C, , 2010. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet 375: 19691987.[Crossref] [Google Scholar]
  2. UNICEF AND WHO, 2012. Progress on Drinking Water and Sanitation: 2012 Update. New York: UNICEF, and Geneva: World Health Organization. [Google Scholar]
  3. Clasen T, Schmidt WP, Rabie T, Roberts I, Cairncross S, , 2007. Interventions to improve water quality for preventing diarrhea: systematic review and meta-analysis. BMJ 334: 782.[Crossref] [Google Scholar]
  4. Esrey SA, Feachem RG, Hughes JM, , 1985. Interventions for the control of diarrheal diseases among young children: improving water supplies and excreta disposal facilities. Bull World Health Organ 63: 757772. [Google Scholar]
  5. Clasen T, Haller L, Walker D, Bartram J, Cairncross S, , 2007. Cost-effectiveness of water quality interventions for preventing diarrheal disease in developing countries. J Water Health 5: 599608.[Crossref] [Google Scholar]
  6. Hutton G, Haller L, Bartram J, , 2007. Global cost-benefit analysis of water supply and sanitation interventions. J Water Health 5: 481502.[Crossref] [Google Scholar]
  7. Haller L, Hutton G, Bartram J, , 2007. Estimating the costs and health benefits of water and sanitation improvements at global level. J Water Health 5: 467480.[Crossref] [Google Scholar]
  8. Massoud MA, Al-Abady A, Jurdi M, Nuwayhid I, , 2010. The challenges of sustainable access to safe drinking water in rural areas of developing countries: case of Zawtar El-Charkieh, southern Lebanon. J Environ Health 72: 2430. [Google Scholar]
  9. Lee EJ, Schwab KJ, , 2005. Deficiencies in drinking water distribution systems in developing countries. J Water Health 3: 109127. [Google Scholar]
  10. Maurer AM, Sturchler D, , 2000. A waterborne outbreak of small round structured virus, Campylobacter and Shigella co-infections in La Neuveville, Switzerland, 1998. Epidemiol Infect 125: 325332.[Crossref] [Google Scholar]
  11. Swerdlow DL, Greene KD, Tauxe RV, Wells JG, Bean NH, Ries AA, Blake PA, Mintz ED, Pollack M, Rodriguez M, Tejada E, Seminario L, Ocampo C, Vertiz B, Espejo L, Saldana W, , 1992. Waterborne transmission of epidemic cholera in Trujillo, Peru: lessons for a continent at risk. Lancet 340: 2833.[Crossref] [Google Scholar]
  12. Bhunia R, Hutin Y, Ramakrishnan R, Pal N, Sen T, Murhekar M, , 2009. A typhoid fever outbreak in a slum of South Dumdum municipality, West Bengal, India, 2007: evidence for foodborne and waterborne transmission. BMC Public Health 9: 115.[Crossref] [Google Scholar]
  13. Bhunia R, Ramakrishnan R, Hutin Y, Gupte MD, , 2009. Cholera outbreak secondary to contaminated pipe water in an urban area, West Bengal, India, 2006. Indian J Gastroenterol 28: 6264.[Crossref] [Google Scholar]
  14. Miettinen IT, Zacheus O, von Bonsdorff CH, Vartiainen T, , 2001. Waterborne epidemics in Finland in 1998–1999. Water Sci Technol 43: 6771. [Google Scholar]
  15. Alamanos Y, Maipa V, Levidiotou S, Gessouli E, , 2000. A community waterborne outbreak of gastro-enteritis attributed to Shigella sonnei . Epidemiol Infect 125: 499503.[Crossref] [Google Scholar]
  16. Kuusi M, Klemets P, Miettinen I, Laaksonen I, Sarkkinen H, Hanninen ML, Rautelin H, Kela E, Nuorti JP, , 2004. An outbreak of gastroenteritis from a non-chlorinated community water supply. J Epidemiol Community Health 58: 273277.[Crossref] [Google Scholar]
  17. Abu Amr SS, Yassin MM, , 2008. Microbial contamination of the drinking water distribution system and its impact on human health in Khan Yunis Governorate, Gaza Strip: seven years of monitoring (2000–2006). Public Health 122: 12751283.[Crossref] [Google Scholar]
  18. Arias C, Sala MR, Dominguez A, Bartolome R, Benavente A, Veciana P, Pedrol A, Hoyo G, , 2006. Waterborne epidemic outbreak of Shigella sonnei gastroenteritis in Santa Maria de Palautordera, Catalonia, Spain. Epidemiol Infect 134: 598604.[Crossref] [Google Scholar]
  19. WHO, 2012. World Health Statistics 2012. Geneva: World Health Organization. [Google Scholar]
  20. Institut National de la Statistique du Mali M, 2009. 2009 Census, Provisional. [Google Scholar]
  21. UN-Habitat, 2010. The State of African Cities Report: Governance, Inequality and Urban Land Markets. Nairobi: United Nations Human Settlements Programme (UN-HABITAT). [Google Scholar]
  22. Encyclopedia NW, 2007. Available at: http://www.newworldencyclopedia.org/entry/Bamako. Accessed October 14, 2011.
  23. Kotloff KL, Blackwelder WC, Nasrin D, Nataro JP, Farag TH, van Eijk A, Adegbola RA, Alonso PL, Breiman RF, Golam Faruque AS, Saha D, Sow SO, Sur D, Zaidi AK, Biswas K, Panchalingam S, Clemens JD, Cohen D, Glass RI, Mintz ED, Sommerfelt H, Levine MM, , 2012. The Global Enteric Multicenter Study (GEMS) of diarrheal disease in infants and young children in developing countries: epidemiologic and clinical methods of the case/control study. Clin Infect Dis 55 (Suppl 4): S232S245.[Crossref] [Google Scholar]
  24. Levine MM, Kotloff KL, Nataro JP, Muhsen K, , 2012. The Global Enteric Multicenter Study (GEMS): impetus, rationale, and genesis. Clin Infect Dis 55 (Suppl 4): S215S224.[Crossref] [Google Scholar]
  25. Panchalingam S, Antonio M, Hossain A, Mandomando I, Ochieng B, Oundo J, Ramamurthy T, Tamboura B, Zaidi AK, Petri W, Houpt E, Murray P, Prado V, Vidal R, Steele D, Strockbine N, Sansonetti P, Glass RI, Robins-Browne RM, Tauschek M, Svennerholm AM, Kotloff K, Levine MM, Nataro JP, , 2012. Diagnostic microbiologic methods in the GEMS-1 case/control study. Clin Infect Dis 55 (Suppl 4): S294S302.[Crossref] [Google Scholar]
  26. Association APH, 1992. Standard Methods for the Examination of Water and Wastewater. Washington, DC: American Public Health Association. [Google Scholar]
  27. Breslow NE, Day NE, , 1980. Statistical Methods in Cancer Research, Volume 1: The Analysis of Case-Control Studies. Lyon, France: International Agency for Research on Cancer. [Google Scholar]
  28. WHO, 2004. Guidelines for Drinking Water Quality. Third edition. Geneva: World Health Organization. [Google Scholar]
  29. Moe CL, Sobsey MD, Samsa GP, Mesolo V, , 1991. Bacterial indicators of risk of diarrheal disease from drinking-water in the Philippines. Bull World Health Organ 69: 305317. [Google Scholar]
  30. Giao MS, Azevedo NF, Wilks SA, Vieira MJ, Keevil CW, , 2010. Effect of chlorine on incorporation of Helicobacter pylori into drinking water biofilms. Appl Environ Microbiol 76: 16691673.[Crossref] [Google Scholar]
  31. Ridgway HF, Olson BH, , 1982. Chlorine resistance patterns of bacteria from two drinking water distribution systems. Appl Environ Microbiol 44: 972987. [Google Scholar]
  32. Simoes LC, Simoes M, Vieira MJ, , 2010. Influence of the diversity of bacterial isolates from drinking water on resistance of biofilms to disinfection. Appl Environ Microbiol 76: 66736679.[Crossref] [Google Scholar]
  33. Wang X, Hunter PR, , 2010. A systematic review and meta-analysis of the association between self-reported diarrheal disease and distance from home to water source. Am J Trop Med Hyg 83: 582584.[Crossref] [Google Scholar]
  34. Tumwine JK, Thompson J, Katua-Katua M, Mujwajuzi M, Johnstone N, Porras I, , 2002. Diarrhea and effects of different water sources, sanitation and hygiene behaviour in East Africa. Trop Med Int Health 7: 750756.[Crossref] [Google Scholar]
  35. Pickering AJ, Davis J, , 2012. Freshwater availability and water fetching distance affect child health in sub-Saharan Africa. Environ Sci Technol 46: 23912397.[Crossref] [Google Scholar]
  36. White GF, Bradley DJ, White AU, , 2002. Drawers of water: domestic water use in East Africa, 1972. Bull World Health Organ 80: 6373, discussion 61–62. [Google Scholar]
  37. Esrey SA, Potash JB, Roberts L, Shiff C, , 1991. Effects of improved water supply and sanitation on ascariasis, diarrhea, dracunculiasis, hookworm infection, schistosomiasis, and trachoma. Bull World Health Organ 69: 609621. [Google Scholar]
  38. Badowski N, Castro CM, Montgomery M, Pickering AJ, Mamuya S, Davis J, , 2011. Understanding household behavioral risk factors for diarrheal disease in Dar es Salaam: a photovoice community assessment. J Environ Public Health 2011: 130467.[Crossref] [Google Scholar]
  39. Wright J, Gundry S, Conroy R, , 2004. Household drinking water in developing countries: a systematic review of microbiological contamination between source and point-of-use. Trop Med Int Health 9: 106117.[Crossref] [Google Scholar]
  40. Arnold BF, Colford JM, Jr, 2007. Treating water with chlorine at point-of-use to improve water quality and reduce child diarrhea in developing countries: a systematic review and meta-analysis. Am J Trop Med Hyg 76: 354364. [Google Scholar]
  41. Quick RE, Kimura A, Thevos A, Tembo M, Shamputa I, Hutwagner L, Mintz E, , 2002. Diarrhea prevention through household-level water disinfection and safe storage in Zambia. Am J Trop Med Hyg 66: 584589. [Google Scholar]
  42. Sobsey MD, Handzel T, Venczel L, , 2003. Chlorination and safe storage of household drinking water in developing countries to reduce waterborne disease. Water Sci Technol 47: 221228. [Google Scholar]
  43. Trevett AF, Carter R, Tyrrel S, , 2004. Water quality deterioration: a study of household drinking water quality in rural Honduras. Int J Environ Health Res 14: 273283.[Crossref] [Google Scholar]
  44. Ahmed SA, Hoque BA, Mahmud A, , 1998. Water management practices in rural and urban homes: a case study from Bangladesh on ingestion of polluted water. Public Health 112: 317321. [Google Scholar]
  45. Jensen PK, Ensink JH, Jayasinghe G, van der Hoek W, Cairncross S, Dalsgaard A, , 2002. Domestic transmission routes of pathogens: the problem of in-house contamination of drinking water during storage in developing countries. Trop Med Int Health 7: 604609.[Crossref] [Google Scholar]
  46. Mondal NC, Biswas R, Manna A, , 2001. Risk factors of diarrhea among flood victims: a controlled epidemiological study. Indian J Public Health 45: 122127. [Google Scholar]
  47. Rufener S, Mausezahl D, Mosler HJ, Weingartner R, , 2010. Quality of drinking-water at source and point-of-consumption-drinking cup as a high potential recontamination risk: a field study in Bolivia. J Health Popul Nutr 28: 3441.[Crossref] [Google Scholar]
  48. Quick RE, Venczel LV, Mintz ED, Soleto L, Aparicio J, Gironaz M, Hutwagner L, Greene K, Bopp C, Maloney K, Chavez D, Sobsey M, Tauxe RV, , 1999. Diarrhea prevention in Bolivia through point-of-use water treatment and safe storage: a promising new strategy. Epidemiol Infect 122: 8390.[Crossref] [Google Scholar]
  49. Barzilay EJ, Aghoghovbia TS, Blanton EM, Akinpelumi AA, Coldiron ME, Akinfolayan O, Adeleye OA, LaTrielle A, Hoekstra RM, Gilpin U, Quick R, , 2011. Diarrhea prevention in people living with HIV: an evaluation of a point-of-use water quality intervention in Lagos, Nigeria. AIDS Care 23: 330339.[Crossref] [Google Scholar]
  50. Quick RE, Venczel LV, Gonzalez O, Mintz ED, Highsmith AK, Espada A, Damiani E, Bean NH, De Hannover EH, Tauxe RV, , 1996. Narrow-mouthed water storage vessels and in situ chlorination in a Bolivian community: a simple method to improve drinking water quality. Am J Trop Med Hyg 54: 511516. [Google Scholar]
  51. Ogutu P, Garrett V, Barasa P, Ombeki S, Mwaki A, Quick RE, , 2001. Seeking safe storage: a comparison of drinking water quality in clay and plastic vessels. Am J Public Health 91: 16101611.[Crossref] [Google Scholar]
  52. Tumwine JK, International Institute for Environment and Development, , 2002. Drawers of Water II: 30 Years of Change in Domestic Use and Environmental Health in East Africa—Uganda Country Study. London, UK: International Institute for Environment and Development. [Google Scholar]
  53. White GF, Bradley DJ, White AU, , 1972. Drawers of Water: Domestic Water Use in East Africa. Chicago, IL: University of Chicago Press. [Google Scholar]
  54. Eisenberg JN, Trostle J, Sorensen RJ, Shields KF, , 2012. Toward a systems approach to enteric pathogen transmission: from individual independence to community interdependence. Annu Rev Public Health 33: 239257.[Crossref] [Google Scholar]
  55. Lamberti LM, Fischer Walker CL, Noiman A, Victora C, Black RE, , 2011. Breastfeeding and the risk for diarrhea morbidity and mortality. BMC Public Health 11 (Suppl 3): S15.[Crossref] [Google Scholar]
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  • Received : 23 Apr 2012
  • Accepted : 14 Apr 2013
  • Published online : 07 Aug 2013

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