FACTORS ASSOCIATED WITH E. COLI CONTAMINATION OF HOUSEHOLD DRINKING WATER AMONG TSUNAMI AND EARTHQUAKE SURVIVORS, INDONESIA

SUNDEEP K. GUPTA Epidemic Intelligence Service, Foodborne and Diarrheal Disease Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Safe Water, Emory University Rollins School of Public Health, Atlanta, Georgia; Yale University School of Public Health, New Haven, Connecticut; CARE International Indonesia, Jakarta, Indonesia; International Medical Corps, Indonesia

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ASTRID SUANTIO Epidemic Intelligence Service, Foodborne and Diarrheal Disease Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Safe Water, Emory University Rollins School of Public Health, Atlanta, Georgia; Yale University School of Public Health, New Haven, Connecticut; CARE International Indonesia, Jakarta, Indonesia; International Medical Corps, Indonesia

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ALICIA GRAY Epidemic Intelligence Service, Foodborne and Diarrheal Disease Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Safe Water, Emory University Rollins School of Public Health, Atlanta, Georgia; Yale University School of Public Health, New Haven, Connecticut; CARE International Indonesia, Jakarta, Indonesia; International Medical Corps, Indonesia

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ENDANG WIDYASTUTI Epidemic Intelligence Service, Foodborne and Diarrheal Disease Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Safe Water, Emory University Rollins School of Public Health, Atlanta, Georgia; Yale University School of Public Health, New Haven, Connecticut; CARE International Indonesia, Jakarta, Indonesia; International Medical Corps, Indonesia

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NEENA JAIN Epidemic Intelligence Service, Foodborne and Diarrheal Disease Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Safe Water, Emory University Rollins School of Public Health, Atlanta, Georgia; Yale University School of Public Health, New Haven, Connecticut; CARE International Indonesia, Jakarta, Indonesia; International Medical Corps, Indonesia

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REINEKE ROLOS Epidemic Intelligence Service, Foodborne and Diarrheal Disease Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Safe Water, Emory University Rollins School of Public Health, Atlanta, Georgia; Yale University School of Public Health, New Haven, Connecticut; CARE International Indonesia, Jakarta, Indonesia; International Medical Corps, Indonesia

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ROBERT M. HOEKSTRA Epidemic Intelligence Service, Foodborne and Diarrheal Disease Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Safe Water, Emory University Rollins School of Public Health, Atlanta, Georgia; Yale University School of Public Health, New Haven, Connecticut; CARE International Indonesia, Jakarta, Indonesia; International Medical Corps, Indonesia

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ROB QUICK Epidemic Intelligence Service, Foodborne and Diarrheal Disease Branch, Centers for Disease Control and Prevention, Atlanta, Georgia; Center for Global Safe Water, Emory University Rollins School of Public Health, Atlanta, Georgia; Yale University School of Public Health, New Haven, Connecticut; CARE International Indonesia, Jakarta, Indonesia; International Medical Corps, Indonesia

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The December 2004 tsunami in Sumatra, Indonesia, destroyed drinking water infrastructure, placing over 500,000 displaced persons at increased risk of waterborne disease. In June 2005, we assessed the relationship of water handling behaviors to household water quality in three districts: Aceh Besar, Simeulue, and Nias. We surveyed 1,127 households from 21 communities and tested stored drinking water. Factors associated with a reduced likelihood of having contaminated stored drinking water included obtaining water from improved sources (Aceh Besar, adjusted odds ratio (aOR) 0.41, P < 0.01; Simeulue, aOR 0.48, P = 0.02), using chlorine solution (Simeulue, aOR 0.41, P < 0.01), and having free chlorine in stored water (Aceh Besar, aOR 0.42, P < 0.01; Nias, aOR 0.28, P < 0.01). Reported boiling, even among those who could describe correct practice, was not associated with improved water quality. Water source improvement and household water chlorination appear to be useful strategies to improve household stored drinking water quality in post-disaster situations.

Author Notes

Reprint requests: Sundeep K. Gupta, Foodborne and Diarrheal Diseases Branch, National Center for Infectious Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road, MS A38, Atlanta, GA 30333, Telephone: +1 (404) 639-2206, Fax: +1 (404) 639-2205, E-mail: sgupta2@cdc.gov.
  • 1

    World Health Organization, 2005. Moving beyond the tsunami: the WHO story. Geneva: WHO, 12.

    • PubMed
    • Export Citation
  • 2

    World Health Organization, 2005. Epidemic-prone disease surveillance and response after the tsunami in Aceh Province, Indonesia. Wkly Epidemiol Rec 80 :160.

  • 3

    Clasen T, Smith L, Albert J, Bastable A, Fesselet J, 2006. The drinking water response to the Indian Ocean tsunami, including the role of household water treatment. Disaster Prev Manag 15 :190–201.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Gupta SK, Quick R, 2006. Inadequate drinking water quality from tanker trucks following a tsunami disaster, Aceh, Indonesia, June 2005. Disaster Prev Manag 15 :213–215.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Rolos R, 2005. Rapid development of information, education and communication material to promote hygiene, sanitation and safe drinking water following an earthquake and tsunami: Aceh Province, Indonesia, 2005. Presented at 2005 International Symposium on Household Water Management, Thailand. Abstract available at: http://www.who.int/household_water/bangkok2005_presentations/en/index1.html

    • PubMed
    • Export Citation
  • 6

    Centers for Disease Control and Prevention, 2003. Safe Water Systems for the Developing World: A Handbook for Implementing Household-Based Water Treatment and Safe Storage Projects. Atlanta, GA: CDC.

    • PubMed
    • Export Citation
  • 7

    Semenza J, Roberts L, Henderson A, Bogan J, Rubin C, 1998. Water distribution system and diarrheal disease transmission: a case evaluation in Uzbekistan. Am J Trop Med Hyg 59 :941–946.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Quick R, 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 :584–589.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9

    Quick R, Venczel L, Mintz E, Soleto L, Aparicio J, Gironaz M, Hutwagner L, Greene K, Bopp C, Maloney K, Chavez D, Sobsey M, Tauxe R, 1999. Diarrhea prevention in Bolivia through point-of-use disinfection and safe storage: a promising new strategy. Epidemiol Infect 122 :83–90.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Luby SP, Agboatwalla M, Hoekstra RM, Rahbar MH, Billhimer MH, Keswisk BH, 2004. Delayed effectiveness of home-based interventions in reducing childhood diarrhea, Karachi, Pakistan. Am J Trop Med Hyg 71 :420–427.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    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 :221–228.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12

    Macy JT, Dunne EF, Angoran-Benie YH, Kamelan-Tano Y, Kouadio L, Djai KA, Luby SP, 2005. Comparison of two methods for evaluating the quality of stored drinking water in Abidjan, Cote d’Ivoire, and review of other comparisons in the literature. J Water Health 3 :221–228.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13

    WHO, 2005. Water for Life: Making It Happen. Geneva: World Health Organization and UNICEF, 6.

    • PubMed
    • Export Citation
  • 14

    Quick R, Venczel L, Gonzalez O, Mintz E, Highsmith A, Espada A, Damiani E, Bean N, De Hannover R, Tauxe R, 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 :511–516.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15

    Sobel J, Mahon B, Mendoza C, Passaro D, Cano F, Baier K, Racioppi F, Hutwagner L, Mintz E, 1998. Reduction of fecal contamination of street-vended beverages in Guatemala by a simple system for water purification and storage, handwashing, and beverage storage. Am J Trop Med Hyg 59 :380–387.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16

    Luby S, Agboatwalla M, Razz A, Sobel J, 2001. A low-cost intervention for cleaner drinking water in Karachi, Pakistan. Int J Infect Dis 5 :144–150.

  • 17

    Water and Sanitation Committee, Aceh Provincial Government, and UNICEF, 2005. Summary of WatSan coordination meeting, June 6, 2005, Banda Aceh, Indonesia: Humanitarian info—Sumatra. Available at: www.humanitarianinfo.org/sumatra/reliefrecovery/watsan/docs/minutes/WatSan-060605.pdf

    • PubMed
    • Export Citation
  • 18

    Dunston C, McAfee D, Kaiser R, Rakotoarison D, Rambeloson L, Hoang A, Quick R, 2001. Collaboration, cholera, and cyclones: improving point-of-use water quality in Madagascar. Am J Public Health 91 :1574–1576.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19

    Makutsa P, Nzaku K, Ogutu P, Barasa P, Ombeki S, Mwaki A, Quick R, 2001. Challenges in implementing a point-of-use water quality intervention in Rural Kenya. Am J Public Health 91 :1571–1573.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    The Sphere Project, 2004. The Sphere Handbook: The Humanitarian Charter and Minimum Standards in Disaster Response. Geneva: The Sphere Project, 54–75. Available at: http://www.sphereproject.org/handbook/hdbkpdf/hdbk_c2.pdf

    • PubMed
    • Export Citation
  • 21

    United States Agency for International Development, 2005. Indian Ocean: earthquake and tsunamis fact sheet #24 (FY 2005), January 21, 2005. Washington, DC: United States Agency for International Development.

    • PubMed
    • Export Citation
  • 22

    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 :106–117.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23

    Trevett A, 2002. Household water security—the quality component. Waterlines 21 :2–4.

  • 24

    Swerdlow DL, Malenga G, Begkoyian G, Nyangulu D, Toole M, Waldman R, Puhr D, Tauxe RV, 1997. Epidemic cholera among refugees in Malawi, Africa: treatment and transmission. Epidemiol Infect 118 :207–214.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25

    Ries AA, Vugia DJ, Beingolea L, Palacios AM, Vasquez E, Wells JG, Garcia Baca N, Swerdlow DL, Pollack M, Bean NH, 1992. Cholera in Piura, Peru: a modern urban epidemic. J Infect Dis 166 :1429–1433.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26

    Tuttle J, Ries AA, Chimba RM, Perera CU, Bean NH, Griffin PM, 1995. Antimicrobial-resistant epidemic Shigella dysenteriae type 1 in Zambia: modes of transmission. J Infect Dis 171 :371–375.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27

    Swerdlow DL, Mintz ED, Rodriguez M, Tejada E, Ocampo C, Espejo L, Greene KD, Saldana W, Seminario L, Tauxe RV, 1992. Waterborne transmission of epidemic cholera in Trujillo, Peru: lessons for a continent at risk. Lancet 340 :28–33.

    • PubMed
    • Search Google Scholar
    • Export Citation
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