水源地和消费点的饮用水质量——水杯存在高再污染风险:玻利维亚的一项实地研究

Quality of drinking-water at source and point-of-consumption--drinking cup as a high potential recontamination risk: a field study in Bolivia.

作者信息

Rufener Simonne, Mäusezahl Daniel, Mosler Hans-Joachim, Weingartner Rolf

机构信息

Group of Hydrology, Geographical Institute, University of Bern, Hallerstrasse 12, 3012 Bern, Switzerland.

出版信息

J Health Popul Nutr. 2010 Feb;28(1):34-41. doi: 10.3329/jhpn.v28i1.4521.

Abstract

In-house contamination of drinking-water is a persistent problem in developing countries. This study aimed at identifying critical points of contamination and determining the extent of recontamination after water treatment. In total, 81 households were visited, and 347 water samples from their current sources of water, transport vessels, treated water, and drinking vessels were analyzed. The quality of water was assessed using Escherichia coli as an indicator for faecal contamination. The concentration of E. coli increased significantly from the water source [median=0 colony-forming unit (CFU)/100 mL, interquartile range (IQR: 0-13)] to the drinking cup (median=8 CFU/100 mL; IQR: 0-550; n=81, z=-3.7, p<0.001). About two-thirds (34/52) of drinking vessels were contaminated with E. coli. Although boiling and solar disinfection of water (SODIS) improved the quality of drinking-water (median=0 CFU/100 mL; IQR: 0-0.05), recontamination at the point-of-consumption significantly reduced the quality of water in the cups (median=8, IQR: 0-500; n=45, z=-2.4, p=0.015). Home-based interventions in disinfection of water may not guarantee health benefits without complementary hygiene education due to the risk of posttreatment contamination.

摘要

饮用水的家庭内部污染是发展中国家长期存在的问题。本研究旨在确定污染的关键点,并测定水处理后再污染的程度。总共走访了81户家庭,分析了来自其当前水源、运输容器、处理后的水和饮水容器的347份水样。以大肠杆菌作为粪便污染指标评估水质。大肠杆菌浓度从水源(中位数=0菌落形成单位(CFU)/100毫升,四分位间距(IQR:0 - 13))到饮水杯(中位数=8 CFU/100毫升;IQR:0 - 550;n = 81,z = -3.7,p < 0.001)显著增加。约三分之二(34/52)的饮水容器被大肠杆菌污染。尽管水的煮沸和太阳能消毒(SODIS)改善了饮用水质量(中位数=0 CFU/100毫升;IQR:0 - 0.05),但消费点的再污染显著降低了杯中水的质量(中位数=8,IQR:0 - 500;n = 45,z = -2.4,p = 0.015)。由于存在处理后污染的风险,在没有补充卫生教育的情况下,家庭层面的水消毒干预可能无法保证对健康有益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5698/2975844/44038992ce7a/jhpn0028-0034_f01.jpg

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