Cited by 152Child Nutrition and Water AccessWater Treatment and DisinfectionFecal contamination and water quality

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Local Drinking Water Filters Reduce Diarrheal Disease in Cambodia: A Randomized, Controlled Trial of the Ceramic Water Purifier

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Brown, Joe, Sobsey, Mark D., Loomis, Dana·2008·The American Journal of Tropical Medicine and Hygiene

DOI 10.4269/ajtmh.2008.79.394

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Abstract

A randomized, controlled intervention trial of two household-scale drinking water filters was conducted in a rural village in Cambodia. After collecting four weeks of baseline data on household water quality, diarrheal disease, and other data related to water use and handling practices, households were randomly assigned to one of three groups of 60 households: those receiving a ceramic water purifier (CWP), those receiving a second filter employing an iron-rich ceramic (CWP-Fe), and a control group receiving no intervention. Households were followed for 18 weeks post-baseline with biweekly follow-up. Households using either filter reported significantly less diarrheal disease during the study compared with a control group of households without filters as indicated by longitudinal prevalence ratios CWP: 0.51 (95% confidence interval [CI]: 0.41-0.63); CWP-Fe: 0.58 (95% CI: 0.47-0.71), an effect that was observed in all age groups and both sexes after controlling for clustering within households and within individuals over time.

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Authors: Brown, J., Sobsey, M. D., & Loomis, D.
Affiliations: University of Nevada, Reno (US)
Corresponding author: Brown, Joe
ORCID: Brown, Joe
Sobsey, Mark D.
Loomis, Dana
Venue: The American Journal of Tropical Medicine and Hygiene
Publisher: American Society of Tropical Medicine and Hygiene
Published: 2008-09
Volume: 79
Issue: 3
Pages: 394-400
ISSN: 0002-9637 (ISSN-L)
DOI: 10.4269/ajtmh.2008.79.394
OpenAlex: W2164819406
Cited by: 152
References: 33
Citations by year: 2026: 5 · 2025: 7 · 2024: 4 · 2023: 14 · 2022: 13 · 2021: 9 · 2020: 7 · 2019: 8 · 2018: 7 · 2017: 6 · 2016: 12 · 2015: 8 · 2014: 11 · 2013: 11 · 2012: 8
FWCI: 6.95
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: American Journal of Tropical Medicine and Hygiene (publishedVersion)
PubMed (publishedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
Topics: Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Water Treatment and Disinfection
Physical Sciences › Environmental Science › Water Science and Technology › Fecal contamination and water quality
Keywords: household water filters, diarrheal disease, drinking water quality, rural households, waterborne disease prevention, Cambodia
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Cambodia, Ceramics, Child, Child, Preschool, Diarrhea, Female, Filtration, Humans, Infant, Infant, Newborn, Iron, Longitudinal Studies, Male, Middle Aged, Rural Health, Water Microbiology, Water Supply, Cohort Studies, Prevalence, Water Purification

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Local Drinking Water Filters Reduce Diarrheal Disease in Cambodia: A Randomized, Controlled Trial of the Ceramic Water Purifier

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