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Determinants of drinking water quality in rural Nicaragua

Published online by Cambridge University Press:  15 May 2009

P. Sandiford
Affiliation:
Instituto Nicaraguense de Acueductos y Alcantarillados, Managua, Nicaragua
A. C. Gorter
Affiliation:
Centro de Investigaciones y Estudios de la Salud, Managua, Nicaragua
G. Davey Smith*
Affiliation:
Department of Community Medicine, University College, London
J. P. C. Pauw
Affiliation:
Departamento de Higiene Ambiental, Universidad Nacional de Ingeneria, Managua, Nicaragua
*
Dr G. Davey Smith, Department of Community Medicine, 66-72 Gower St, London WC1E 6AE.
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One hundred and fifty-three water samples from rural Nicaragua were examined for the presence of faecal coliforms during both wet and dry periods. A linear model as fitted by analysis of covariance with the logarithm of the faecal coliform count as the dependant variable. As expected, traditional water sources were grossly contaminated at all times whereas piped water sources were much cleaner. Hand-dug protected wells had significantly higher levels of faecal contamination than unprotected riverside wells and springs during the dry season. The possible reasons for this unexpected finding are discussed. A close association between rainfall and faecal contamination was demonstrated but the effect of rainfall depended on the type of water source. An association between water quality and the size of the community served by the source was also detected. The finding that stored water was usually more contaminated than fresh water samples is consistent with the results from other studies. Since it is unusual for water quality to be inversely correlated wth accessibility, this study site would be suitable for investigating the relative importance of water-borne versus waterwashed transmission mechanisms in childhood diarrhoea.

Type
Special Article
Copyright
Copyright © Cambridge University Press 1989

References

REFERENCES

Apha, (1981). Standard Methods for the Examination of Water and Waste-water. Washington: American Public Health Association. American Water Works Association and Water Pollution Control Federation.Google Scholar
Barrell, R. A. E. & Rowland, M. G. M. (1979). The relationship between rainfall and well water pollution in a West African (Gambian) village. Journal of Hygiene 83, 143150.CrossRefGoogle Scholar
Blum, D. & Feachem, R. G. (1983). Measuring the impact of water supply and sanitation investments on diarrhoeal diseases: Problems of methodology. International Journal of Epidemiology 12, 357365.CrossRefGoogle ScholarPubMed
Blum, D., Huttly, S. R. A., Okoro, J. I., Akujobi, C., Kirkwood, B. R. & Feachem, R. G. (1987). The bacteriological quality of traditional water sources in northeastern Imo State. Nigeria. Epidemiology and Infection 99, 429437.CrossRefGoogle ScholarPubMed
Bradley, D. J. & Emurwon, P. (1968). Predicting the epidemiological affects of changing water sources. Part 1. A quantitative approach. East African Medical Journal 45, 285291.Google Scholar
Briscoe, J. (1978). Role of water supply in improving health in poor countries (with special reference to Bangladesh). American Journal of Clinical Nutrition 31, 21002113.CrossRefGoogle Scholar
Cairncross, S. & Feachem, R. G. (1983) Environmental Health Engineering in the Tropics: An Introductory Text. pp. 49. Chichester: Wiley & Sons.Google Scholar
Einot, I. & Gabriel, K. R. (1975). A study of the powers of several methods of multiple comparisons. Journal of the American Statistical Association 70, 574.Google Scholar
Esrey, S. A., Feachem, R. G. & Hughes, J. M. (1985). Interventions for the control of diarrhoeal diseases among young children: improving water supplies and excreta disposal facilities. Bulletin of the World Health Organization 63, 757772.Google ScholarPubMed
Esrey, S. A. & Habicht, J. (1986). Epidemiologic evidence for health benefits from improved water and sanitation in developing countries. Epidemiologic Reviews 8, 117128.CrossRefGoogle ScholarPubMed
Feachem, R. G., Burns, E., Cairncross, A. M., Cronin, A., Cross, P., Curtis, D., Khalid Khan, M., Lamb, D. & Southall, H. (1978). Water, Health and Development: An Interdisciplinary Evaluation. London: Trimed.Google Scholar
Freij, L., Sterky, G., Wadstrom, T. & Wall, S. (1978). Child Health and diarrhoeal disease in relation to supply and use of water in African Communities. Progress in Water Technology 11, 4955.Google Scholar
Herbert, J. R. (1984). Water quality and water quantity and wasting in South India. Tropical and Geographic Medicine 36, 375381.Google Scholar
Isley, R. B. (1978). A community organization approach to clean water and waste disposal in Cameroonian villages. Progress in Water Technology 11, 109116.Google Scholar
Lehmusluoto, P. (1987). Survey on Contamination of Water Sources and Household Waters as an Integrated Part of Impact Management. pp. 3739. University of Tampere. Finland.Google Scholar
Moore, H. A., De La Cruz, E. & Vargas-Mendez, O. (1966). Diarrhoeal disease studies in Costa Rica. IV. The influence of sanitation upon the prevalence of intestinal infection and diarrhoeal disease. American Journal of Public Health 56, 276286.CrossRefGoogle Scholar
Muhammed, S. I. & Morrison, S. M. (1975). Water quality in Kiambu District. Kenya. East African Medical Journal 52, 269276.Google ScholarPubMed
Schliessman, J. (1959). Diarrhoeal disease and environment. Bulletin of the World Health Organization 21, 381386.Google Scholar
Schneider, R. E., Shiffman, M. A. & Faigenblum, J. M. (1978). The potential effect of water on gastrointestinal infections prevalent in developing countries. American Journal of Clinical Nutrition 31, 20892099.CrossRefGoogle ScholarPubMed
Shiffman, M. A., Schneider, R. E., Faigenblum, J. M., Helms, R. & Turner, A. (1978). Field studies on water sanitation and health education in relation to health status in Central America. Progress in Water Technology 11, 143150.Google Scholar
Tomkins, A. M., Drasar, B. S., Bradley, A. K. & Williamson, W. A. (1978). Water supply and nutritional status in rural Northern Nigeria. Transactions of the Royal Society of Tropical Medicine and Hygiene 72, 239243.CrossRefGoogle ScholarPubMed
Torun, B. (1982). Environmental and educational interventions against diarrhea in Guatemala. In Diarrhea and malnutrition: interactions management and interventions (ed. Chen, L. C.Scrimshaw, N. S.). pp. 235266. New York: Plenum Press.Google Scholar
Voelker, R. A. & Heukelekian, H. (1960). Seasonal coliform variations in well waters. American Journal of Public Health 50, 18731881.CrossRefGoogle ScholarPubMed
Walsh, J. A. & Warren, K. S. (1979). Selective primary health Care: An interim strategy for disease control in developing countries. New England Journal of Medicine 301, 967974.CrossRefGoogle ScholarPubMed
Wright, R. C. (1982) A comparison of the levels of faecal indicator bacteria in water and human faeces in a rural area of a tropical developing country (Sierra Leone). Journal of Hygiene 89, 6978.CrossRefGoogle Scholar
Young, B. & Briscoe, J. (1987). A case-control study of the effect of environmental sanitation on diarrhoea morbidity in Malawi. Journal of Epidemiology and Community Health 42, 3388.Google Scholar