This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (76)  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

A Practical New Strategy to Prevent Waterborne Disease

Eric D. Mintz, MD; Fred M. Reiff; Robert V. Tauxe, MD

JAMA. 1995;273(12):948-953.

Abstract
In many parts of the developing world, drinking water is collected from unsafe surface sources outside the home and is then held in household storage vessels. Drinking water may be contaminated at the source or during storage; strategies to reduce waterborne disease transmission must safeguard against both events. We describe a two-component prevention strategy, which allows an individual to disinfect drinking water immediately after collection (point-of-use disinfection) and then to store the water in narrow-mouthed, closed vessels designed to prevent recontamination (safe storage). New disinfectant generators and better storage vessel designs make this strategy practical and inexpensive. This approach empowers households and communities that lack potable water to protect themselves against a variety of waterborne pathogens and has the potential to decrease the incidence of waterborne diarrheal disease.

(JAMA. 1995;273:948-953)

Author Affiliations
From the Foodborne and Diarrheal Diseases Branch, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, Ga (Drs Mintz and Tauxe), and Pan American Health Organization, Washington, DC (Mr Reiff).

Footnotes
Reprint requests to Foodborne and Diarrheal Diseases Branch, Mailstop A-38, Division of Bacterial and Mycotic Diseases, Centers for Disease Control and Prevention, Atlanta, GA 30333 (Dr Mintz).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Rapid Spread of Vibrio cholerae O1 Throughout Kenya, 2005
Mugoya et al.
Am J Trop Med Hyg 2008;78:527-533.
ABSTRACT | FULL TEXT  

Fecal Contamination of Drinking Water within Peri-Urban Households, Lima, Peru
Oswald et al.
Am J Trop Med Hyg 2007;77:699-704.
ABSTRACT | FULL TEXT  

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
ARNOLD and COLFORD
Am J Trop Med Hyg 2007;76:354-364.
ABSTRACT | FULL TEXT  

COST-EFFECTIVENESS OF HOME-BASED CHLORINATION AND SAFE WATER STORAGE IN REDUCING DIARRHEA AMONG HIV-AFFECTED HOUSEHOLDS IN RURAL UGANDA.
SHRESTHA et al.
Am J Trop Med Hyg 2006;74:884-890.
ABSTRACT | FULL TEXT  

EFFECT OF HOME-BASED WATER CHLORINATION AND SAFE STORAGE ON DIARRHEA AMONG PERSONS WITH HUMAN IMMUNODEFICIENCY VIRUS IN UGANDA
LULE et al.
Am J Trop Med Hyg 2005;73:926-933.
ABSTRACT | FULL TEXT  

Clean drinking water for homes in Africa and other less developed countries
Tumwine
BMJ 2005;331:468-469.
FULL TEXT  

Household based treatment of drinking water with flocculant-disinfectant for preventing diarrhoea in areas with turbid source water in rural western Kenya: cluster randomised controlled trial
Crump et al.
BMJ 2005;331:478.
ABSTRACT | FULL TEXT  

FACTORS ASSOCIATED WITH HEMOGLOBIN CONCENTRATIONS IN PRE-SCHOOL CHILDREN IN WESTERN KENYA: CROSS-SECTIONAL STUDIES
DESAI et al.
Am J Trop Med Hyg 2005;72:47-59.
ABSTRACT | FULL TEXT  

A RANDOMIZED CONTROLLED TRIAL OF HOUSEHOLD-BASED FLOCCULANT-DISINFECTANT DRINKING WATER TREATMENT FOR DIARRHEA PREVENTION IN RURAL GUATEMALA
RELLER et al.
Am J Trop Med Hyg 2003;69:411-419.
ABSTRACT | FULL TEXT  

Not Just a Drop in the Bucket: Expanding Access to Point-of-Use Water Treatment Systems
Mintz et al.
AJPH 2001;91:1565-1570.
ABSTRACT | FULL TEXT  

Seeking Safe Storage: A Comparison of Drinking Water Quality in Clay and Plastic Vessels
Ogutu et al.
AJPH 2001;91:1610-1611.
FULL TEXT  

Motivational Interviewing enhances the adoption of water disinfection practices in Zambia
Thevos et al.
HEALTH PROMOT INT 2000;15:207-214.
ABSTRACT | FULL TEXT