Volume 89, Issue 3
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



When water supplies are compromised during an emergency, responders often recommend household water treatment and safe storage (HWTS) methods, such as boiling or chlorination. We evaluated the near- and longer-term impact of chlorine and filter products distributed shortly after the 2010 earthquake in Haiti. HWTS products were deemed as effective to use if they actually improved unsafe household drinking water to internationally accepted microbiological water quality standards. The acute emergency survey (442 households) was conducted within 8 weeks of emergency onset; the recovery survey (218 households) was conducted 10 months after onset. Effective use varied by HWTS product (from 8% to 63% of recipients in the acute phase and from 0% to 46% of recipients in the recovery phase). Higher rates of effective use were associated with programs that were underway in Haiti before the emergency, had a plan at initial distribution for program continuation, and distributed products with community health worker support and a safe storage container.


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  1. USGS, 2010. Haiti Estimated Population Exposed to Earthquake Shaking. Reston, VA: United States Geological Survey. [Google Scholar]
  2. OCHA, 2010. Haiti Earthquake Situation Report #29—15 March 2010. New York, NY: United Nations Office for the Coordination of Humanitarian Affairs. [Google Scholar]
  3. CDEMA, 2010. Haiti Earthquake Sit Rep #12. St. Michael: Caribbean Disaster Emergency Management Agency. [Google Scholar]
  4. Lantagne D, Rainey R, , 2008. Household Water Treatment and Safe Storage Options in Haiti. Atlanta, GA: Centers for Disease Control and Prevention/United States Agency for International Development. [Google Scholar]
  5. MSPP, 2007. Haïti: Enquête Mortalité, Morbidité et Utilisation des Services 2005–2006. Pétion-Ville, Haïti: Ministére de la Santé Publique et de la Population/Macro International, Inc. [Google Scholar]
  6. Clasen T, Schmidt WP, Rabie T, Roberts I, Cairncross S, , 2007. Interventions to improve water quality for preventing diarrhoea: systematic review and meta-analysis. BMJ 334: 782.[Crossref] [Google Scholar]
  7. Fewtrell L, Colford JM, Jr, 2005. Water, sanitation and hygiene in developing countries: interventions and diarrhoea—a review. Water Sci Technol 52: 133142. [Google Scholar]
  8. UNICEF/WHO, 2009. Diarrrhoea: Why Children Are Still Dying and What Can Be Done. Geneva: World Health Organization/United Nations Children's Fund. [Google Scholar]
  9. SPHERE, 2004. Humanitarian Charter and Minimum Standards in Disaster Response. Geneva: The Sphere Project. [Google Scholar]
  10. Noji EK, , 1997. Public Health Consequences of Disasters. New York, NY: Oxford University Press. [Google Scholar]
  11. Gaffga NH, Tauxe RV, Mintz ED, , 2007. Cholera: a new homeland in Africa? Am J Trop Med Hyg 77: 705713. [Google Scholar]
  12. Toole M, Waldman RJ, , 1990. Prevention of excess mortality in refugee and displaced populations in developing countries. JAMA 263: 32963302.[Crossref] [Google Scholar]
  13. Watson JT, Gayer M, Connolly MA, , 2007. Epidemics after natural disasters. Emerg Infect Dis 13: 15.[Crossref] [Google Scholar]
  14. de Ville de Goyet C, , 2000. Stop propagating disaster myths. Lancet 356: 762764.[Crossref] [Google Scholar]
  15. Lantagne D, Clasen T, , 2012. Point-of-use water treatment in emergencies. Waterlines 31: 3052.[Crossref] [Google Scholar]
  16. Clasen T, Boisson S, , 2006. Household-based ceramic water filters for the treatment of drinking water in disaster response: an assessment of a pilot programme in the Dominican Republic. Water Pract Technol 1: 2.[Crossref] [Google Scholar]
  17. Casanova LM, Walters A, Naghawatte A, Sobsey MD, , 2012. A post-implementation evaluation of ceramic water filters distributed to tsunami-affected communities in Sri Lanka. J Water Health 10: 209220.[Crossref] [Google Scholar]
  18. WHO, 2011. Guidelines for Drinking-Water Quality, 4th Ed. Geneva: World Health Organization. [Google Scholar]
  19. APHA/AWWA/WEF, 1998. Standard Methods for the Examination of Water and Wastewater, 20th Ed. Washington, DC: APHA/AWWA/WEF. [Google Scholar]
  20. Lantagne D, Clasen T, , 2012. Use of household water treatment and safe storage methods in acute emergency response: case study results from Nepal, Indonesia, Kenya, and Haiti. Environ Sci Technol 46: 1135211360.[Crossref] [Google Scholar]
  21. WHO, 1993. Guidelines for Drinking-Water Quality. Volume 1: Recommendations, 2nd Ed. Geneva: World Health Organization. [Google Scholar]
  22. Crump JA, Okoth GO, Slutsker L, Ogaja DO, Keswick BH, Luby SP, , 2004. Effect of point-of-use disinfection, flocculation and combined flocculation-disinfection on drinking water quality in western Kenya. J Appl Microbiol 97: 225231.[Crossref] [Google Scholar]
  23. Lantagne D, , 2008. Sodium hypochlorite dosage for household and emergency water treatment. J Am Water Works Assoc 100: 106119. [Google Scholar]
  24. Clasen T, Smith L, , 2005. The Drinking Water Response to the Indian Ocean Tsunami, Including the Role of Household Water Treatment. Geneva: World Health Organization. [Google Scholar]
  25. Parker AA, Stephenson R, Riley PL, Ombeki S, Komolleh C, Sibley L, Quick RE, , 2006. Sustained high levels of stored drinking water treatment and retention of hand-washing knowledge in rural Kenyan households following a clinic-based intervention. Epidemiol Infect 134: 10291036.[Crossref] [Google Scholar]
  26. Ritter M, , 2007. Determinants of Adoption of Household Water Treatment in Haiti Jolivert Safe Water for Families (JSWF) Program. Atlanta, GA: Emory University. [Google Scholar]
  27. Lantagne D, Clasen T, , 2011. Assessing the Sustained Uptake of Selected Point-of-Use Water Treatment (PoUWT) Methods in Emergency Settings. London, UK: LSHTM. [Google Scholar]

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  • Received : 05 Apr 2013
  • Accepted : 20 May 2013
  • Published online : 04 Sep 2013

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