Professional Documents
Culture Documents
Early reports
Ronn M Conroy, Michael Elmore-Meegan, Tina Joyce, Kevin G McGuigan, Joseph Barnes
Summary
Background Solar radiation reduces the bacterial content
of water, and may therefore offer a method for disinfection
of drinking water that requires few resources and no
ex pertise.
Methods We distributed plastic water bottles to 206
Maasai children aged 516 years whose drinking water
was contaminated with faecal coliform bacteria. Children
were instructed to fill the bottle with water and leave it in
full sunlight on the roof of the hut (solar group), or to keep
their filled bottles indoors in the shade (control group). A
Maasai-speaking fieldworker who lived in the community
interviewed the mother of each child once every 2 weeks
for 12 weeks. Occurrence and severity of diarrhoea was
recorded at each follow-up visit.
Findings Among the 108 children in households allocated
solar treatment, diarrhoea was reported in 439 of the
2-week reporting periods during the 12-week trial (average
41 [SD 12] per child). By comparison, the 98 children in
the control households reported diarrhoea during 444
2-week reporting periods (average 45 [12] per child).
Diarrhoea severe enough to prevent performance of duties
occurred during 186 reporting periods in the solar group
and during 222 periods in the control group (average 17
[12] vs 23 [14]). After adjustment for age, solar
treatment of drinking water was associated with a
reduction in all diarrhoea episodes (odds ratio 066
[050087]) and in episodes of severe diarrhoea (065
[050086]).
Interpretation Our findings suggest that solar disinfection
of water may significantly reduce morbidity in communities
with no other means of disinfection of drinking water,
because of lack of resources or in the event of a disaster.
Introduction
Sunlight has been used to purify water for centuriesin
India, in about 2000 BC, water was filtered through
charcoal and exposed to the sun. In 1877, Downes and
Blunt1 established that the beneficial effect of sunlight was
bactericidal. Acra and colleagues studies24 of Escherichia
coli showed that this bactericidal effect was due mainly to
the long-wave ultraviolet component of sunlight. Morley5
has recommended the use of solar irradiation in areas
affected by disasters, since most disasters occur in tropical
and subtropical regions.
In-vitro studies carried out at the Royal College of
Surgeons in Ireland confirmed the bactericidal effect of
solar radiation and showed that transparent plastic bottles
allow passage of more ultraviolet light than do transparent
glass bottles. Although glass transmits ultraviolet light
more readily, the thinness of plastic bottles compensates
for plastics greater absorption of ultraviolet light. This
finding suggested that non-returnable plastic bottles,
which are widely available and even a source of pollution,
may be used for the disinfection of drinking water.
We have previously reported a significant reduction in
bacterial counts in turbid, contaminated water that is
exposed to sunlight for several hours.6 This reduction was
due to the pasteurising effect of the heat rather than to
penetration by ultraviolet light. When contaminated water
was heated to temperatures similar to those of the water
in plastic bottles left in full sunlight in Kenya (maximum
temperature 55C), full disinfection occurred in 7 h. We
carried out a pilot trial of solar disinfection among 200
Maasai children and found that the frequency of
diarrhoea was lower in children who used solar
disinfection than in those who drank normal domestic
water. We, therefore, designed a controlled trial to assess
the effect of solar disinfection on diarrhoeal disease in
Maasai children aged 516 years in the Kajiado province
of Kenya.
Methods
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THE LANCET
Results
108 in solar
treatment group
98 in control
group
98 followed-up every 2
weeks for 12 weeks
(total of 588 2-week periods)
Control
Discussion
4
Solar
3
Severe diarrhoea
2
0
Start
10
1696
12
THE LANCET
References
1 Downes A, Blunt TP. Researches on the effect of light upon bacteria
and other organisms. Proc R Soc 1877; 28: 488500.
2 Acra A, Jurdi Z, Mu'allem MM, Karahagopian Y, Raffoul Z. Water
disinfection by solar radiation: technical study 66e. Ottowa:
International Development Research Centre, Canada, 1989.
3 Anon. Solar disinfection of drinking water and oral rehydration. Beirut:
UNICEF, 1989.
4 Acra A, Karahgopian Y, Raffoul Z, Dajani R. Disinfection of oral
rehydration solutions by sunlight. Lancet 1980; ii: 125758.
5 Morley D. Sunlight and drinking water. Lancet 1988; ii: 686.
6 Joyce TM, McGuigan KG, Elmore-Meegan M, Conroy RM.
Inactivation of faecal bacteria in drinking water by solar heating.
Appl Environ Microbiol 1996; 62: 399402.
7 Binder DA. On the variances of asymptotically normal estimators from
complex surveys. Int Stat Rev 1983; 51: 27992.
8 Eltinge JL, Sribney WM. svy4: linear, logistic, and probit regressions
for survey data. Stat Tech Bull 1996; 31: 2631.
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