scholarly journals A pilot randomized, controlled trial of an in-home drinking water intervention among HIV+ persons

2005 ◽  
Vol 3 (2) ◽  
pp. 173-184 ◽  
Author(s):  
John M. Colford ◽  
Sona R. Saha ◽  
Catherine C. Wright ◽  
Alan Hubbard ◽  
Joseph N.S. Eisenberg ◽  
...  
Keyword(s):  
Drinking Water ◽  
Water Treatment ◽  
San Francisco ◽  
Tap Water ◽  
Controlled Trial ◽  
Drinking Water Treatment ◽  
Gastrointestinal Illness ◽  
Point Estimate ◽  
Adjusted Relative Risk ◽  
Increased Risk

Although immunocompromised persons may be at increased risk for gastrointestinal illnesses, no trials investigating drinking water treatment and gastrointestinal illness in such patients have been published. Earlier results from San Francisco suggested an association (OR 6.76) between tap water and cryptosporidiosis among HIV+ persons. The authors conducted a randomized, triple-blinded intervention trial of home water treatment in San Francisco, California, from April 2000 to May 2001. Fifty HIV-positive patients were randomized to externally identical active (N = 24) or sham (N = 26) treatment devices. The active device contained a filter and UV light; the sham provided no treatment. Forty-five (90%) of the participants completed the study and were successfully blinded. Illness was measured using ‘highly credible gastrointestinal illness’ (HCGI), a previously published measure. There were 31 episodes of HCGI during 1,797 person-days in the sham group and 16 episodes during 1,478 person-days in the active group. The adjusted relative risk was 3.34 (95% CI: 0.99–11.21) times greater in those with the sham device. The magnitude of the point estimate of the risk, its consistency with recently published observational data, and its relevance for drinking water choices by immunocompromised individuals support the need for larger trials.

Use of a stable carbon isotope to assess the efficiency of a drinking water treatment method with CO2

2012 ◽  
Vol 65 (6) ◽  
pp. 983-988 ◽  
Author(s):  
M. Poberžnik ◽  
A. Leis ◽  
A. Lobnik
Keyword(s):  
Drinking Water ◽  
Water Treatment ◽  
Dissolved Inorganic Carbon ◽  
Tap Water ◽  
Stable Carbon Isotope ◽  
Research Work ◽  
Drinking Water Treatment ◽  
Treatment Method ◽  
Water Supply Systems ◽  
Co2 Gas

CO2 gas with a special isotopic signature (δ13C = −35.2‰ vs. VPDB) was used as a marker to evaluate the efficiency of a drinking water treatment method and the effect of an ultrasonic (US) stirrer. This treatment was developed to prevent precipitation and corrosion effects in water–supply systems. The research work was performed using a laboratory-scale pilot plant that was filled with tap water. The stable isotope analyses of δ13C-DIC (Dissolved Inorganic Carbon) in the water samples indicated that the maximum content of added CO2 gas in DIC was in the range of 35 to 45%. The use of the US stirrer during the entire experiment decreased the method's overall efficiency by 10%, due to degassing at a late stage of the experiment but accelerated the dissolution process in the early experimental stage.

scholarly journals Associations between water-treatment methods and diarrhoea in HIV-positive individuals

2002 ◽  
Vol 129 (2) ◽  
pp. 315-323 ◽  
Author(s):  
J. N. S. EISENBERG ◽  
T. J. WADE ◽  
A. HUBBARD ◽  
D. I. ABRAMS ◽  
R. J. LEISER ◽  
...  
Keyword(s):  
Drinking Water ◽  
Water Treatment ◽  
San Francisco ◽  
Drinking Water Treatment ◽  
Diarrhoeal Disease ◽  
Treatment Modalities ◽  
Hiv Positive ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Boiled Water

This manuscript extends our previously published work (based on data from one clinic) on the association between three drinking water-treatment modalities (boiling, filtering, and bottling) and diarrhoeal disease in HIV-positive persons by incorporating data from two additional clinics collected in the following year. We conducted a cross-sectional survey of drinking water patterns, medication usage, and episodes of diarrhoea among HIV-positive persons attending clinics associated with the San Francisco Community Consortium. We present combined results from our previously published work in one clinic (n = 226) with data from these two additional clinics (n = 458). In this combined analysis we employed logistic regression and marginal structural modelling of the data. The relative risk of diarrhoea for ‘always’ vs. ‘never’ drinking boiled water was 0.68 (95% CI 0.45–1.04) and for ‘always’ vs. ‘never’ drinking bottled water was 1.22 (95% CI 0.82–1.82). Drinking filtered water was unrelated to diarrhoea [1.03 (95% CI 0.78, 1.35) for ‘always’ vs. ‘never’ drinking filtered water]. Adjustment for confounding did not have any notable effect on the point estimates (0.61, 1.35 and 0.98 for boiled, bottled, and filtered water respectively, as defined above). The risk of diarrhoea was lower among those consuming boiled water but this finding was not statistically significant. Because of these findings, the importance of diarrhoea in immunocompromised individuals, and the limitations of cross-sectional data further prospective investigations of water consumption and diarrhoea among HIV-positive individuals are needed.

scholarly journals Investigation on the fate of quinolone antibiotics in three drinking water treatment plants of China

2021 ◽  
Author(s):  
Zhiquan Liu ◽  
Yongpeng Xu ◽  
Yuan Wang ◽  
Fuyi Cui
Keyword(s):  
Drinking Water ◽  
Water Treatment ◽  
Tap Water ◽  
Drinking Water Treatment ◽  
Chemical Oxidation ◽  
Source Water ◽  
Water Treatment Plants ◽  
Detection Frequency ◽  
Quinolone Antibiotics ◽  
Carbon Filtration

Abstract Quinolone (QN) antibiotics are widely used all over the world and have been frequently detected in source water, but the occurrence in tap water and the treatment efficiencies of QNs by drinking-water treatment plants (DWTPs) were rarely reported. In the present study, the occurrence and distribution of six representative QNs in three urban DWTPs of China were investigated. The results showed that the concentrations of total QNs in the three source waters ranged from 26.4 ng/L to 313.8 ng/L and all of the six QNs were detectable with a detection frequency of 100% (4.6 to 121.7 ng/L). Enrofloxacin (ENR) and ofloxacin (OFL) were the dominant species of QNs and accounted for 40.1% to 79.5% of the total QNs. After the treatments, there were still considerable QNs in the finished water (total amounts of 74.9 ng/L to 148.4 ng/L). The adsorbed QNs could be readily treated with the removal of turbidity by DWTPs, but only a part of the dissolved QNs (13.6% to 68.5%) can be removed. This implies that the dissolved QNs were more hazardous in the source water. Pre-oxidation and disinfection could remove 15.8 ± 8.3% and 16.9 ± 10.8% of dissolved QNs, respectively, depending on the chemical structure of QNs and the types of oxidant. Chemical oxidation was more efficient than coagulation-sedimentation and filtration for the treatment of dissolved QNs. Ozone-granular activated carbon filtration may fail to remove dissolved QNs in the actual DWTPs, because of the insufficient dosage of oxidant and the competition effect of natural organic matter.

scholarly journals The Performance of Coconut Shell-based Activated Carbon (CSAC) in Treating Drinking Water

2013 ◽  
Vol 4 (3) ◽  
pp. 11-16 ◽  
Author(s):  
W. Chali ◽  
I. Yakub
Keyword(s):  
Drinking Water ◽  
Activated Carbon ◽  
Water Treatment ◽  
Lower Cost ◽  
Metal Removal ◽  
Tap Water ◽  
Drinking Water Treatment ◽  
Aesthetic Value ◽  
Market Growth ◽  
Inorganic Adsorbents

The demand and market growth of activated carbon (AC) in drinking water treatment have been increasing over the recent years. This is because of the better properties and relatively lower cost of AC compared to inorganic adsorbents like ceramics. However, there have been limited studies on the effects of AC preparation including type of cleansing agent on the adsorption of metal and the turbidity of treated tap water. Therefore, this research investigated the effect of types of cleansing agent and sorbent dosage on turbidity reduction and metal removal in drinking water treatment. The analysis showed that 200 g dosage of AC that has been cleansed with FeCl3 has the turbidity and metal removal improved the most. For aesthetic value of drinking water though, filtration by using AC cleansed with KOH gave better taste and increasing the sorbent dosage up to 300 g increased this performance.

The association of drinking water treatment and distribution network disturbances with Health Call Centre contacts for gastrointestinal illness symptoms

2013 ◽  
Vol 47 (13) ◽  
pp. 4474-4484 ◽  
Author(s):  
Annika Malm ◽  
Gösta Axelsson ◽  
Lars Barregard ◽  
Jakob Ljungqvist ◽  
Bertil Forsberg ◽  
...  
Keyword(s):  
Drinking Water ◽  
Water Treatment ◽  
Distribution Network ◽  
Drinking Water Treatment ◽  
Gastrointestinal Illness ◽  
Call Centre

scholarly journals Estimating the number of cases of acute gastrointestinal illness (AGI) associated with Canadian municipal drinking water systems

2015 ◽  
Vol 144 (7) ◽  
pp. 1371-1385 ◽  
Author(s):  
H. M. MURPHY ◽  
M. K. THOMAS ◽  
D. T. MEDEIROS ◽  
S. McFADYEN ◽  
K. D. M. PINTAR
Keyword(s):  
Drinking Water ◽  
Water Treatment ◽  
Tap Water ◽  
Gastrointestinal Illness ◽  
Water Type ◽  
Source Water ◽  
Acute Gastrointestinal Illness ◽  
Municipal Water ◽  
Intervention Trials ◽  
Water Plants

SUMMARYThe estimated burden of endemic acute gastrointestinal illness (AGI) annually in Canada is 20·5 million cases. Approximately 4 million of these cases are domestically acquired and foodborne, yet the proportion of waterborne cases is unknown. A number of randomized controlled trials have been completed to estimate the influence of tap water from municipal drinking water plants on the burden of AGI. In Canada, 83% of the population (28 521 761 people) consumes tap water from municipal drinking water plants serving >1000 people. The drinking water-related AGI burden associated with the consumption of water from these systems in Canada is unknown. The objective of this research was to estimate the number of AGI cases attributable to consumption of drinking water from large municipal water supplies in Canada, using data from four household drinking water intervention trials. Canadian municipal water treatment systems were ranked into four categories based on source water type and quality, population size served, and treatment capability and barriers. The water treatment plants studied in the four household drinking water intervention trials were also ranked according to the aforementioned criteria, and the Canadian treatment plants were then scored against these criteria to develop four AGI risk groups. The proportion of illnesses attributed to distribution system events vs. source water quality/treatment failures was also estimated, to inform the focus of future intervention efforts. It is estimated that 334 966 cases (90% probability interval 183 006-501 026) of AGI per year are associated with the consumption of tap water from municipal systems that serve >1000 people in Canada. This study provides a framework for estimating the burden of waterborne illness at a national level and identifying existing knowledge gaps for future research and surveillance efforts, in Canada and abroad.

scholarly journals Prevalence of Antibiotic Resistance in Drinking Water Treatment and Distribution Systems

2009 ◽  
Vol 75 (17) ◽  
pp. 5714-5718 ◽  
Author(s):  
Chuanwu Xi ◽  
Yongli Zhang ◽  
Carl F. Marrs ◽  
Wen Ye ◽  
Carl Simon ◽  
...  
Keyword(s):  
Drinking Water ◽  
Antibiotic Resistance ◽  
Water Treatment ◽  
Distribution Systems ◽  
Water Distribution ◽  
Tap Water ◽  
Water Distribution Systems ◽  
Drinking Water Treatment ◽  
Molecular Techniques ◽  
Source Water

ABSTRACT The occurrence and spread of antibiotic-resistant bacteria (ARB) are pressing public health problems worldwide, and aquatic ecosystems are a recognized reservoir for ARB. We used culture-dependent methods and quantitative molecular techniques to detect and quantify ARB and antibiotic resistance genes (ARGs) in source waters, drinking water treatment plants, and tap water from several cities in Michigan and Ohio. We found ARGs and heterotrophic ARB in all finished water and tap water tested, although the amounts were small. The quantities of most ARGs were greater in tap water than in finished water and source water. In general, the levels of bacteria were higher in source water than in tap water, and the levels of ARB were higher in tap water than in finished water, indicating that there was regrowth of bacteria in drinking water distribution systems. Elevated resistance to some antibiotics was observed during water treatment and in tap water. Water treatment might increase the antibiotic resistance of surviving bacteria, and water distribution systems may serve as an important reservoir for the spread of antibiotic resistance to opportunistic pathogens.

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