Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS)

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 = 0.3...

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Main Authors:	Baker, Kelly K., Sow, Samba O., Kotloff, Karen L., Nataro, James P., Farag, Tamer H., Tamboura, Boubou, Doumbia, Mama, Sanogo, Doh, Diarra, Drissa, O'Reilly, Ciara E., Mintz, Eric, Panchalingam, Sandra, Wu, Yukun, Blackwelder, William C., Levine, Myron M.
Format:	Online
Language:	English
Published:	The American Society of Tropical Medicine and Hygiene 2013
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3741239/

id	pubmed-3741239
recordtype	oai_dc
spelling	pubmed-37412392013-08-27 Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS) Baker, Kelly K. Sow, Samba O. Kotloff, Karen L. Nataro, James P. Farag, Tamer H. Tamboura, Boubou Doumbia, Mama Sanogo, Doh Diarra, Drissa O'Reilly, Ciara E. Mintz, Eric Panchalingam, Sandra Wu, Yukun Blackwelder, William C. Levine, Myron M. Articles 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 Escherichia coli. However, many households stored water overnight, resulting in inadequate free residual chlorine (< 0.2 mg/L) for preventing microbial contamination. Coliforms and E. coli 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. The American Society of Tropical Medicine and Hygiene 2013-08-07 /pmc/articles/PMC3741239/ /pubmed/23836570 http://dx.doi.org/10.4269/ajtmh.12-0256 Text en ©The American Society of Tropical Medicine and Hygiene 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.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Baker, Kelly K. Sow, Samba O. Kotloff, Karen L. Nataro, James P. Farag, Tamer H. Tamboura, Boubou Doumbia, Mama Sanogo, Doh Diarra, Drissa O'Reilly, Ciara E. Mintz, Eric Panchalingam, Sandra Wu, Yukun Blackwelder, William C. Levine, Myron M.
spellingShingle	Baker, Kelly K. Sow, Samba O. Kotloff, Karen L. Nataro, James P. Farag, Tamer H. Tamboura, Boubou Doumbia, Mama Sanogo, Doh Diarra, Drissa O'Reilly, Ciara E. Mintz, Eric Panchalingam, Sandra Wu, Yukun Blackwelder, William C. Levine, Myron M. Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS)
author_facet	Baker, Kelly K. Sow, Samba O. Kotloff, Karen L. Nataro, James P. Farag, Tamer H. Tamboura, Boubou Doumbia, Mama Sanogo, Doh Diarra, Drissa O'Reilly, Ciara E. Mintz, Eric Panchalingam, Sandra Wu, Yukun Blackwelder, William C. Levine, Myron M.
author_sort	Baker, Kelly K.
title	Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS)
title_short	Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS)
title_full	Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS)
title_fullStr	Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS)
title_full_unstemmed	Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS)
title_sort	quality of piped and stored water in households with children under five years of age enrolled in the mali site of the global enteric multi-center study (gems)
description	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 Escherichia coli. However, many households stored water overnight, resulting in inadequate free residual chlorine (< 0.2 mg/L) for preventing microbial contamination. Coliforms and E. coli 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.
publisher	The American Society of Tropical Medicine and Hygiene
publishDate	2013
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3741239/
_version_	1612002451970326528

Quality of Piped and Stored Water in Households with Children Under Five Years of Age Enrolled in the Mali Site of the Global Enteric Multi-Center Study (GEMS)

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