Waterborne exposure during non-consumptive domestic use of surface water: a population study across WASH service levels in rural India

Exposure to pathogens from domestic use of surface water is understudied. In many low- and middle-income countries, surface water is used for hygiene, sanitation, amenity, and recreational purposes. In this study, self-reported use of and structured observations at community ponds were collected to...

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Main Authors: Miles E. Daniels, Ashirbad Pradhan, Mitsunori Odagiri, Marion W. Jenkins
Format: Article
Language:English
Published: IWA Publishing 2023-06-01
Series:Journal of Water and Health
Subjects:
Online Access:http://jwh.iwaponline.com/content/21/6/751
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author Miles E. Daniels
Ashirbad Pradhan
Mitsunori Odagiri
Marion W. Jenkins
author_facet Miles E. Daniels
Ashirbad Pradhan
Mitsunori Odagiri
Marion W. Jenkins
author_sort Miles E. Daniels
collection DOAJ
description Exposure to pathogens from domestic use of surface water is understudied. In many low- and middle-income countries, surface water is used for hygiene, sanitation, amenity, and recreational purposes. In this study, self-reported use of and structured observations at community ponds were collected to measure waterborne exposure across water and sanitation service levels in a rural population of Khorda District, India. Overall, 86% of households (n = 200) reported using ponds on a regular basis. Among observed people (n = 765), 82% put water into their mouth at least once, with a median frequency of five occurrences per visit. Reported and observation data were combined to estimate the proportion (p) of the population that put water in their mouth at least once per day, and their mean daily rate of oral exposure (OE). These were highest for individuals with neither safely managed water nor basic sanitation access (p = 93%, OE = 14 day−1), but still high among those with both (p = 67%, OE = 6 day−1). The results suggest widespread exposure to waterborne pathogens in settings where non-potable surface water bodies continue to be used for domestic purposes, even among households with access to safely managed drinking water. HIGHLIGHTS Structured observations and household survey data were combined to examine domestic use of surface water bodies in rural India.; Results suggest domestic use of surface water may be widespread in rural areas of low- and middle-income countries despite improved access to water.; Exposure to pathogens in surface water from domestic use represents an understudied health risk.;
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spelling doaj.art-894ba77f2ed741528065d909f2a79e682023-07-11T16:08:44ZengIWA PublishingJournal of Water and Health1477-89201996-78292023-06-0121675176210.2166/wh.2023.309309Waterborne exposure during non-consumptive domestic use of surface water: a population study across WASH service levels in rural IndiaMiles E. Daniels0Ashirbad Pradhan1Mitsunori Odagiri2Marion W. Jenkins3 Institute of Marine Sciences, Fisheries Collaborative Program, University of California, Santa Cruz, CA 95060, USA Regional Resource Centre for RMNCH + A, Saheed Laxman Nayak Medical College and Hospital, Koraput, Odisha, India United Nations Children's Fund (UNICEF), Jakarta 12920, Indonesia Department of Civil and Environmental Engineering, University of California, Davis, CA 95616, USA Exposure to pathogens from domestic use of surface water is understudied. In many low- and middle-income countries, surface water is used for hygiene, sanitation, amenity, and recreational purposes. In this study, self-reported use of and structured observations at community ponds were collected to measure waterborne exposure across water and sanitation service levels in a rural population of Khorda District, India. Overall, 86% of households (n = 200) reported using ponds on a regular basis. Among observed people (n = 765), 82% put water into their mouth at least once, with a median frequency of five occurrences per visit. Reported and observation data were combined to estimate the proportion (p) of the population that put water in their mouth at least once per day, and their mean daily rate of oral exposure (OE). These were highest for individuals with neither safely managed water nor basic sanitation access (p = 93%, OE = 14 day−1), but still high among those with both (p = 67%, OE = 6 day−1). The results suggest widespread exposure to waterborne pathogens in settings where non-potable surface water bodies continue to be used for domestic purposes, even among households with access to safely managed drinking water. HIGHLIGHTS Structured observations and household survey data were combined to examine domestic use of surface water bodies in rural India.; Results suggest domestic use of surface water may be widespread in rural areas of low- and middle-income countries despite improved access to water.; Exposure to pathogens in surface water from domestic use represents an understudied health risk.;http://jwh.iwaponline.com/content/21/6/751domestic useexposurepathogensruralsurface waterwash
spellingShingle Miles E. Daniels
Ashirbad Pradhan
Mitsunori Odagiri
Marion W. Jenkins
Waterborne exposure during non-consumptive domestic use of surface water: a population study across WASH service levels in rural India
Journal of Water and Health
domestic use
exposure
pathogens
rural
surface water
wash
title Waterborne exposure during non-consumptive domestic use of surface water: a population study across WASH service levels in rural India
title_full Waterborne exposure during non-consumptive domestic use of surface water: a population study across WASH service levels in rural India
title_fullStr Waterborne exposure during non-consumptive domestic use of surface water: a population study across WASH service levels in rural India
title_full_unstemmed Waterborne exposure during non-consumptive domestic use of surface water: a population study across WASH service levels in rural India
title_short Waterborne exposure during non-consumptive domestic use of surface water: a population study across WASH service levels in rural India
title_sort waterborne exposure during non consumptive domestic use of surface water a population study across wash service levels in rural india
topic domestic use
exposure
pathogens
rural
surface water
wash
url http://jwh.iwaponline.com/content/21/6/751
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AT mitsunoriodagiri waterborneexposureduringnonconsumptivedomesticuseofsurfacewaterapopulationstudyacrosswashservicelevelsinruralindia
AT marionwjenkins waterborneexposureduringnonconsumptivedomesticuseofsurfacewaterapopulationstudyacrosswashservicelevelsinruralindia