Hydro-chemical characteristics of biring and Tangting Rivers (Nepal) and evaluation of water quality for drinking and irrigation purposes.

Although river water is vital for drinking, irrigation and domestic needs, it faces threats from natural processes and human activities. Small and medium-sized rivers, especially in Nepal, remain understudied despite their vital importance in providing water to densely populated areas. This study evaluated the suitability for drinking and irrigation and the hydro-chemical characteristics of the Biring and Tangting rivers in Koshi province, Nepal. The results showed that turbidity, pH, EC, TDS, TH, NH4+, K+, Ca2+, Mg2+, Na+, Cl-, SO42-, HCO3- and NO3- values of all sampling sites in the Biring and Tangting rivers, except for the turbidity value of 10.39 NTU recorded in the PT9 site of the Tangting River, did not exceed maximum limit values set for drinking water. However, according to Water Quality Index results, the water of both rivers was in poor condition for drinking due to domestic wastewater discharges and cremation activities which caused high NH4+ levels. The major cations in both rivers were listed as Ca2⁺ > Na⁺ > K⁺ > Mg2⁺, while the major anions were listed as HCO3⁻ > Cl⁻ > SO42⁻ > NO3⁻. Gibbs and Piper diagrams showed that geogenic weathering of carbonate rocks prevailing in the region affected the hydrochemistry in both rivers. Evaluation based on seven different irrigation indices and US salinity laboratory diagram revealed that the water of both rivers was suitable for irrigation despite some magnesium-related limitations.

Analysing the interlinkage between diarrhoea and drinking water faecal contamination in India.

Diarrhoea is one of the major waterborne diseases spread through the faecal-oral route causing over 10 million cases and over 1,000 deaths per year in India. This study critically evaluates the interlinkage between bacteriological water quality, i.e. faecal coliforms and diarrhoea cases for the three pre-pandemic years 2017, 2018 and 2019 based on multiple sources. With around 17% of households tap water connectivity as of August 2019, the majority of the Indian population depends on raw groundwater (GW) and surface water sources. For this, faecal coliform (FC) levels in surface and GW have been mapped at district levels using data from India's National Water Quality Monitoring Programme. Health Management Information System's data on diarrhoea have been used to understand the monthly and district-wise variation of diarrhoea. The trends of FC, diarrhoea inpatient cases, and diarrhoea inpatient rates have been discussed. The analysis showed issues associated with the reliability and usefulness of these datasets with 43% of total India districts with no reported FC values for the study period. This study reveals a clear gap in the interlinkage between diarrhoea and bacteriological water quality with the unavailability of granular water quality data as a major challenge.

Point-of-use chlorine residuals and disinfection byproduct occurrences in rural households served by public water utilities in Appalachian Virginia.

We characterized concentrations of trihalomethanes (THMs), a measure of disinfection byproducts (DBPs), in tap water samples collected from households with utility-supplied water in two rural counties in Appalachian Virginia, and assessed associations with pH, free chlorine, and metal ions which can impact THM formation. Free chlorine concentrations in all samples (n = 27 homes) complied with EPA drinking water guidelines, though 7% (n = 2) of first draw samples and 11% (n = 3) of 5-min flushed-tap water samples exceeded the US Safe Drinking Water Act (SDWA) maximum contaminant level (MCL) for THM (80 ppb). Regression analyses showed that free chlorine and pH were positively associated with the formation of THM levels above SDWA MCLs (OR = 1.04, p = 0.97 and OR = 1.74, p = 0.79, respectively), while temperature was negatively associated (OR = 0.78, p = 0.38). Of the eight utilities serving study households, samples from water served by three different utilities exceeded the EPA MCL for THM. Overall, these findings do not indicate substantial exposures to DBPs for rural households with utility-supplied water in this region of southwest Virginia. However, given the observed variability in THM concentrations between and across utilities, and established adverse health impacts associated with chronic and acute DBP exposure, more research on DBPs in rural Central Appalachia is warranted.

Sustainable governance of drinking water conservation areas based on adaptive thresholds.

Drinking water quality is integral to the Sustainable Development Goals framework. At the present, China's drinking water conservation faces a number of challenges that are partially brought on by strict conservation measures that don't fully take into account human-land conflict and sustainable development. Taking the idea of adaptive governance, this study seeks to identify adaptive thresholds and adaptive solutions for compatible drinking water conservation and local development. Pressure and resistance to drinking water quality in its status, future potential, and adaptive thresholds were explored to identify sustainable governance for the Baimei Conservation Area, Fujian Province. Field research, local governance forums, and the Soil and Water Assessment Tool (SWAT) model were utilized to explore the drinking water quality pressure and resistance to drinking water quality. In order to uncover potential future changes in pressure and resistance, suitability analyses and multi-scenario simulations were used to examine the status quo, pressure, and resistance scenarios. Adaptive thresholds were then identified through SWAT modeling of each scenario to guarantee the drinking water quality is greater than Class II in the Core Conservation Area and Class Ⅲ in 2nd-grade Conservation Area, respectively. The research finds that construction land development and farming are the key pressures on drinking water quality, and forests and wetlands are the primary resistances. The expansion of construction lands and the increased wetlands was centered on potential future scenarios because farming has no room for growth and forests are already heavily covered. The adaptive threshold of construction land expansion is identified to be 10% without new wetlands but can be 20% by adding 10% wetlands in subbasins, 5, 8, and 9. This study confirms the potential of adaptive sustainability for drinking water conservation areas. A similar analysis procedure can also be adapted to enhance adaptive governance for the sustainability of other conservation areas nationally and globally.

Predictions of Arsenic in Domestic Well Water Sourced from Alluvial Aquifers of the Western Great Basin, USA.

Chronic exposure to high levels of arsenic in drinking water can have wide-ranging health effects and is a global health concern. The domestic well population of the western Great Basin (WGB) is at increased risk of exposure to arsenic due to the hydrologic, geologic, and climatic setting of the region. A logistic regression (LR) model was developed to predict the probability of elevated arsenic (≥5 µg/L) in alluvial aquifers and assess the potential geologic hazard level posed to domestic well populations. Alluvial aquifers are susceptible to arsenic contamination, which is a concern because they are the primary source of water for domestic well users of the WGB. The probability of elevated arsenic at a domestic well is strongly influenced by tectonic and geothermal variables, including the total Quaternary fault length in the hydrographic basin and the distance between the sampled well and a geothermal system. The model had an overall accuracy of 81%, sensitivity of 92%, and specificity of 55%. Results show a >50% probability of elevated arsenic in untreated well water for approximately 49 thousand (64%) alluvial-aquifer domestic well users in northern Nevada, northeastern California, and western Utah.

Effects of High Temperature and Heavy Precipitation on Drinking Water Quality and Child Hand Contamination Levels in Rural Kenya.

Climate change may impact human health through the influence of weather on environmental transmission of diarrhea. Previous studies have found that high temperatures and heavy precipitation are associated with increased diarrhea prevalence, but the underlying causal mechanisms have not been tested and validated. We linked measurements of Escherichia coli in source water (n = 1673), stored drinking water (n = 9692), and hand rinses from children <2 years old (n = 2634) with publicly available gridded temperature and precipitation data (at ≤0.2 degree spatial resolution and daily temporal resolution) by the GPS coordinates and date of sample collection. Measurements were collected over a 3-year period across a 2500 km2 area in rural Kenya. In drinking water sources, high 7-day temperature was associated with a 0.16 increase in log10 E. coli levels (p < 0.001, 95% CI: 0.07, 0.24), while heavy 7-day total precipitation was associated with a 0.29 increase in log10 E. coli levels (p < 0.001, 95% CI: 0.13, 0.44). In household stored drinking water, heavy 7-day precipitation was associated with a 0.079 increase in log10 E. coli levels (p = 0.042, 95% CI: 0.07, 0.24). Heavy precipitation did not increase E. coli levels among respondents who treated their water, suggesting that water treatment can mitigate effects on water quality. On child hands, high 7-day temperature was associated with a 0.39 decrease in log10 E. coli levels (p < 0.001, 95% CI: -0.52, -0.27). Our findings provide insight on how climate change could impact environmental transmission of bacterial pathogens in Kenya. We suggest water treatment is especially important after heavy precipitation (particularly when preceded by dry periods) and high temperatures.

An investigation of the seasonal relationships between meteorological factors, water quality, and sporadic cases of Legionnaires' disease in Washington, DC.

Since the discovery of Legionnaires' disease (LD), limited progress has been made in understanding the epidemiology of sporadic cases of LD. Outbreaks have confirmed that air conditioning and potable water systems can be sources of community-acquired LD. However, studying the association between water quality and LD incidence has been challenging due to the heterogeneity of water systems across large geographic areas. Furthermore, although seasonal trends in incidence have been linked to increased rainfall and temperatures, the large geographic units have posed similar difficulties. To address this issue, a retrospective ecological study was conducted in Washington, DC, from 2001 to 2019. The study identified aseasonal pattern of LD incidence, with the majority of cases occurring between June and December, peaking in August, October, and November. Increased temperature was found to be associated with LD incidence. In surface water, higher concentrations of manganese, iron, and strontium were positively associated with LD, while aluminum and orthophosphate showed a negative association. Intreatment plant water, higher concentrations of total organic carbon, aluminum, barium, and chlorine were positively associated with LD, while strontium, zinc, and orthophosphate showed a negative association. The results for orthophosphates and turbidity were inconclusive, indicating the need for further research.

Safe Today, Unsafe Tomorrow: Tanzanian Households Experience Variability in Drinking Water Quality.

Measuring Escherichia coli in a single-grab sample of stored drinking water is often used to characterize drinking water quality. However, if water quality exhibits variability temporally, then one-time measurement schemes may be insufficient to adequately characterize the quality of water that people consume. This study uses longitudinal data collected from 193 households in peri-urban Tanzania to assess variability in stored water quality and to characterize uncertainty with different data collection schemes. Households were visited 5 times over the course of a year. At each visit, information was collected on water management practices, and a sample of stored drinking water was collected for E. coli enumeration. Water quality was poor for households, with 80% having highly contaminated (>100 CFU per 100 mL) water during at least one visit. There was substantial variability of water quality for households, with only 3% of households having the same category (low, medium, or high) of water quality for all five visits. These data suggest a single sample would inaccurately characterize a household's drinking water quality over the course of a year and lead to misestimates of population level access to safe drinking water.

Derivation of subacute guidance values for chemical contaminants of drinking water quality standard in Japan.

The concentration of chemicals in drinking water may transiently and accidently exceed the Drinking Water Quality Standard (DWQS). If the level of a contaminant is not expected to cause adverse effects for a limited period of exposure, immediate suspension of the water supply may not be necessary. Assessments should be conducted using subacute guidance values (SGVs). In this study, we assessed 26 chemicals for the DWQS to establish the SGVs. Principally, a key study was selected from subacute studies to derive a Subacute Reference Dose (saRfD). The SGV was calculated from the saRfD for adults (drinking water intakes: 40 mL/kg/day) and children (drinking water intakes: 150 mL/kg/day). No allocation factor was applied to derive the SGV. We established the SGV for 20 chemicals, which were 2-38 times higher than the corresponding DWQS. However, SGVs for six chemicals were the same as the corresponding DWQS. Therefore, immediate action will be required for these six accidental contaminants. Our established SGVs are useful for assessing accidental contamination.

Human health risk assessment of Triclosan in water: spatial analysis of a drinking water system.

Triclosan (TCS) has been increased in the water during the COVID-19 pandemic because it cannot remove by conventional water treatment. In addition, it can accumulate in the human body over time through long-term exposure. Therefore, the occurrence of TCS in the water treatment plant (WTP) and tap water, and its human health risk assessment through tap water ingestion, dermal absorption, and inhalation routes in Isfahan, Iran, were investigated. Moreover, spatial regression methods were used for the prediction of water quality parameters, TCS concentration, and total hazard quotient (HQ). The average TCS concentration in the influent and effluent of WTP and tap water was 1.6, 1.4, and 0.4 µg/L, respectively. Conventional WTP has low efficiency in the removal of TCS (12.6%) from water. The average values of total HQ for males were 7.79×10-5, 4.97×10-4, and 4.97×10-5 and for females were 3.31×10-5, 2.11×10-4, and 2.11×10-5 based on RfDEPA, RfDMDH, and RfDRodricks, respectively that were in the low-risk levels (HQ<1). Furthermore, TCS concentration in tap water and the ingestion rate of drinking water had the highest effect on the risk of TCS exposure from tap water. The non-carcinogenic health risk of TCS in water was low. The results of this study may be useful for promoting WTP processes to remove emerging pollutants.

Modeling Exposure to Fecal Contamination in Drinking Water due to Multiple Water Source Use.

The Joint Monitoring Programme estimated that 71% of people globally had access to "safely managed" drinking water in 2017. However, typical data collection practices focus only on a household's primary water source, yet some households in low- and middle-income countries (LMICs) engage in multiple water source use, including supplementing improved water supplies with unimproved water throughout the year. Monte Carlo simulations and previously published data were used to simulate exposure to fecal contamination (as measured by E. coli) along a range of supplemental unimproved source use rates (e.g., 0-100% improved water use, with the remainder made up with unimproved water). The model results revealed a statistically significant increase in annual exposure to E. coli when individuals supplement their improved water with unimproved water just 2 days annually. Additionally, our analysis identified scenarios-realistic for the data set study setting-where supplementing with unimproved water counterintuitively decreases exposure to E. coli. These results highlight the need for evaluating the temporal dynamics in water quality and availability of drinking water sources in LMICs as well as capturing the use of multiple water sources for monitoring global access to safe drinking water.

Assessment of Water Quality Parameters and their Seasonal Behaviour in a Portuguese Water Supply System: a 6-year Monitoring Study.

Water quality monitoring is a fundamental tool in the management of freshwater resources. The purpose of monitoring is to provide meaningful quality data for local action planning and catchment-wide decision making. The assessment of water quality is crucial to guarantee the efficient operation of the Water Treatment Plants (WTPs), promoting health conditions and contributing for a more sustainable urban water cycle. In accordance, the objective of this study was to evaluate key target chemical and microbiological water quality parameters, some of them already monitored within Portuguese/EU legal framework and others still not regulated, but with environmental and human heath relevance. A local monitoring database model, using a 6-year period (from 2014 to 2019) of water quality data, regarding water samples collected on representative sampling locations covering the freshwater abstraction sites, conventional WTPs and distribution network was assessed. This work provides new knowledge regarding occurrence and seasonal behaviour for both microbiological and chemical water quality parameters, essential to understand/manage the water supply system. Additionally, relationships between the target variables were also assessed. Particularly, strong correlations were identified between TOC and THMs formation at distribution network (r = 0.69; p ≤ 0.001); nitrates were the water quality parameter that revealed the best correlation between surface water source and treated water (r = 0.81; p ≤ 0.001), suggesting that treatment yield/performance is dependent on surface water load. The local and continuous monitoring of water systems are crucial to implement new approaches to guarantee the best quality of drinking water throughout the supply system.

Elements in potable groundwater in Rugao longevity area, China: Hydrogeochemical characteristics, enrichment patterns and health assessments.

Rugao city is a typical longevity area taking shallow groundwater as the primary drinking water source. To determine the relationship between longevity and groundwater conditions, the hydrogeochemical characteristics and related causes of potable groundwater were investigated. On this basis, the water quality index (WQI) and hazard index (HI) of groundwater were evaluated. Meanwhile, the nutrient indicators beneficial to human health, like Ca and Mg concentrations, were also considered to explore the relationship. The results were as following: (1) 91.3% of water samples fell under the Ca/Mg-HCO3 water type, which resulted from the dissolution of silicate rock. Na, Cl-, Br, B in groundwater emanated from seawater intrusion. The abnormal concentrations of NO3- and As also indicated that anthropogenic activities had exerted significant influences on groundwater quality. (2) The average WQI value was 30.19, which meant that the overall groundwater quality in Rugao city was pretty good. However, 8 water samples were found to have HI values above 1, which might be attributed to the high concentration of As (maximum value 0.0407 mg/L; mean value 0.0076 mg/L). In general, low WQI and HI values corresponded to towns with a high longevity population; what's more, WQI and HI values of Rugao city were lower than those of non-longevity areas. (3) Comparing with adjacent non-longevity areas, the potable groundwater in Rugao city had the characteristics of high Ca (mean value 123.57 mg/L), high Mg (mean value 50.33 mg/L) and high SO42- (mean value 525.19 mg/L). The daily intake of Ca and Mg from drinking water could meet 12.4% and 22.4% of daily Ca and Mg requirements, respectively. Also, the areas where the Sr and B concentrations were higher usually had higher life expectancy. The high concentrations of Ca, Mg, SO42-, Sr and B in drinking water, as well as low WQI and HI values, probably contribute to physical health and longevity. This research helps provide an insight into the relationship between groundwater quality and health and can serve as a reference for drinking water quality management.

Assessment of current status and geospatial analysis of compliance to bacteriological parameters: Tools to ensure access to safe water in Sri Lanka.

Compliance of drinking-water to bacteriological parameters serves as a surrogate measure of the risk of water-borne diseases. Understanding the risk of water-borne diseases could help promote healthy behaviors such as household water treatment and safe water storage practices and advocacy to increase access to centrally-managed piped water. The objective of this research was to assess the current status of compliance and to geospatially analyze the probability of compliance to bacteriological parameters in the Western Province of Sri Lanka. A drinking-water quality survey was conducted among 4508 households representing four water-source types: National Water Supply and Drainage Board (NWSDB), dug wells, Community Water Supply (CWS), and tube wells, and other sources. Besides, a detailed assessment of selected NWSDB and CWS supplies was done. Water samples were tested for the total coliform count, thermotolerant coliform count, and free residual chlorine levels against the Sri Lanka Standards. Indicator kriging was performed using the geospatial analyst tool of ArcGIS version 10.6 for different water source types to interpolate the probability of compliance for both total coliform count and thermotolerant coliform count. The bacteriological compliance decreased from NWSDB to tube wells and other sources to CWS to dug wells. The interpolation maps confirm the relatively higher compliance of NWSDB for bacteriological parameters compared to other sources. Areas with a high probability of compliance for both parameters show considerable overlap with urban areas with a supply of centrally managed water from the NWSDB. It is recommended to expand the coverage of NWSDB water, strengthen the drinking-water quality surveillance system and water safety plans, and promote household water treatment and safe storage practices in the Western Province of Sri Lanka.

Groundwater chemistry and demarcation of seawater intrusion zones in the Thamirabarani delta of south India based on geochemical signatures.

Sub-surface water samples from the delta of Thamirabarani River of south India were evaluated for human health risks and seawater intrusion using the geochemical signatures. Electrical conductivity (EC), total dissolved solids (TDS), pH and the concentrations of major cations and anions in 40 samples collected during the winter (January) and summer (July) of 2018 show comparable values. Subsequently, the results were verified with respect to the international drinking water quality standards. The piper trilinear diagram shows mixed Ca-Mg-Cl, Na-Cl, Ca-HCO3 and mixed Ca-Na-HCO3 facies in the samples. Similarly, the plenteous of cations are sequenced as Na+ > Ca2+ > Mg2+ > K+ and the plenteous of anions are sequenced as Cl- > SO42- > HCO3->Br- > NO3- > PO4-. Gibbs plots illustrate that rock-water interaction and evaporation control the geochemistry of sub-surface water. More than 40% of the samples are unsuitable for drinking, and their higher EC and TDS values reflected the seawater intrusion, in addition to the anthropogenic activities (salt panning). Interrelationship between ions of sub-surface water was used to get a better insight into the saline water intrusion in the study area. To mitigate the river water salinization and seawater incursion in the aquifers, engineering solution such as weir construction across the Thamirabarani River near Mukkani village has been proposed. After construction of the weir, freshwater in the river can be diverted to the salt-affected and seawater-intruded areas to improve the scenario.

Potable water quality assessment of traditionally used springs in a hilly town of Bhaderwah, Jammu and Kashmir, India.

The quality of spring water and its suitability for human consumption is determined by examining its physicochemical and microbiological characteristics. Preliminary investigations were conducted to determine the potability of seven traditionally used springs in the highly populated hill town of Bhaderwah in Union Territory of Jammu and Kashmir, India. The water analysis was performed for various physico-chemical and microbial parameters during April 2019-March 2020. Water temperature, TDS, EC, pH, DO, free CO2, total alkalinity, total hardness, Ca2+, Mg2+, Na+, K+, CO32-, HCOֿ3, Cl‾, NOֿ3, PO43-, SO42-, total coliforms, and thermotolerant coliforms were all measured. Eleven physical and chemical characteristics were used to generate the Water Quality Index. The Piper diagram demonstrated the predominance of Ca2+-HCOֿ3 water types, whereas the Schoeller diagram indicated that all springs had a similar lithological origin. The chemical composition of springs tested met the required criteria for drinking water quality. The microbiological indicators, on the other hand, did not satisfy the criteria except for Eidgah spring, which lacked thermotolerant coliforms. Our results on spring water potability indicate that the town's most dependable springs are susceptible to anthropogenic contamination and therefore need treatment prior to use. Apart from frequent monitoring, the responsible municipal corporation is expected to develop comprehensive plans to rehabilitate and revitalise these vulnerable drinking water sources.

Geographic information system-based health risk assessment of rural drinking water in Central China: a case study of You County, Hunan.

This study assessed potential human health hazards posed by drinking water from centralized water supply systems in rural You County, along with its spatial distribution. While most previous studies have focused on source water or urban drinking water, this study evaluated the health risk posed by 20 common pollutants (arsenic, cadmium, chromium(VI), lead, mercury, selenium, cyanide, fluoride, nitrate nitrogen, trichloromethane, tetrachloromethane, chlorite, aluminum, iron, manganese, copper, zinc, ammonia nitrogen, chlorine dioxide, and volatile phenols) in rural terminal tap water. The assessment adopted the model recommended by the US Environmental Protection Agency (EPA) and was combined with the geographic information system (GIS) analysis to explore the spatial distribution of risk factors. Water samples were collected from 13 townships in You County across four quarters of 2019. The results indicated that the average carcinogenic risk of the rural drinking water was 2.45 × 10-5, ranging from 1.80 × 10-5 to 3.89 × 10-5, which never exceeded the maximum acceptable range recommended by the US EPA (1.0 × 10-4 ~ 1.0 × 10-6). The average hazard index (HI), which reflects noncarcinogenic risk levels, was 0.75 and ranged from 0.34 to 1.74. Throughout the year, some townships presented HI > 1, indicating a non-carcinogenic risk. The GIS analysis indicated that noncarcinogenic risks were mainly distributed in the north, followed by the east and west. This is generally consistent with the spatial distribution of chlorite concentrations, which contribute most strongly to noncarcinogenic risk levels. The northern You County should therefore be prioritized for health risk control, followed by the eastern and western regions. Chlorite is the priority pollutant for control.

Groundwater hydro-geochemistry, quality, microbiology and human health risk assessment in semi-arid area of Rajasthan, India: a chemometric approach.

The present investigation focused on groundwater hydro-geochemistry of Alsisar block of Jhunjhunu district, India, aims on evaluating the quality of groundwater for drinking and irrigation purposes and assessing the human health risk from ingestion of groundwater. The groundwater of Alsisar block is neutral to alkaline, brackish and very hard in nature. Total dissolved solids, total hardness, Na+, Mg2+, HCO3-, F- and NO3- in majority of the groundwater samples were exceeding the World Health Organization and Bureau of Indian Standards recommended limits. The drinking water quality index ranged from 111.53 to 492.84. None of the sample belonged to excellent and good categories of drinking water quality. Fluoride varied from 0.018 to 4.176 mg L-1, and nitrate varied from 0.34 to 520.66 mg L-1 in groundwater. The non-carcinogenic risk assessment for children, men and women owing to ingestion of fluoride and nitrate-enriched groundwater indicates human health risks in the entire study area. Irrigation with groundwater of Alsisar block is liable to cause salinity and magnesium hazard to agricultural crops grown in the area. Source apportionment using principal component analysis suggests the geogenic origin of fluoride and anthropogenic origin of nitrate. Na+-Mg2+-Cl- followed by Na+-Mg2+-HCO3- are the predominant hydrochemical facies in the groundwater of Alsisar block. Silicate rock weathering, ion exchange and evaporation are the predominating processes governing ionic concentrations in the groundwater. Biochemical and molecular tests demonstrated the presence of Brevibacillus borstelensis strain DSM 6347 16s rRNA and Bacillus paramycoides strain MCCC 1A04098 16s rRNA in the groundwater of the area.

Seasonal variation of diarrheal diseases and drinking water quality in resettlement colony in Delhi, India: A community-based cross-sectional study.

Seasonal variation plays an important role in the occurrence of diarrheal diseases and distinct seasonal occurrence of diarrheal diseases, with bacterial diarrhea occurring more during the warm seasons and viral diarrhea occurring during the drier cool months, has been observed due to seasonal variation. Time-series cross-sectional study was conducted from January to December 2018 among 553 under-five children to assess seasonal variation of diarrheal diseases and its association with the drinking water quality in a resettlement colony of Delhi. The prevalence of diarrhea was 40.7% and was highest during the rainy season (67.6%). Majority of the water samples were found to be unsatisfactory for human consumption during the rainy and summer seasons. Significant and moderate relationship was found between the seasonal variation and occurrence of diarrhea (r = 0.728, P < 0.05) and most probable number count (r = 0.50, P < 0.05), respectively. Understanding the environmental factors that influences the occurrence of diarrheal diseases is warranted.

Age-sex specific and cause-specific health risk and burden of disease induced by exposure to trihalomethanes (THMs) and haloacetic acids (HAAs) from drinking water: An assessment in four urban communities of Bushehr Province, Iran, 2017.

Health risk and burden of disease induced by exposure to trihalomethanes (THMs, four compounds) and haloacetic acids (HAAs, 5 compounds) from drinking water through ingestion, dermal absorption, and inhalation routes were assessed based on one-year water quality monitoring in four urban communities (Bandar Deylam, Borazjan, Bushehr, and Choghadak) of Bushehr Province, Iran. The total average concentrations of THMs and HAAs at all the communities level were determined to be 92.9 ± 43.7 and 70.6 ± 26.5 µg/L, respectively. The dominant components of the THMs and HAAs were determined to be tribromomethane (TBM, 41.6%) and monobromoacetic acid (MBAA, 60.8%), respectively. The average contributions of ingestion, dermal absorption, and inhalation routes in exposure to the chlorination by-products (CBPs) were respectively 65.0, 15.4, and 19.6%. The total average non-carcinogenic risk as the hazard index (HI) and incremental lifetime cancer risk (ILCR) of the CBPs at all the communities level were found to be 4.03 × 10-1 and 3.16 × 10-4, respectively. The total attributable deaths, death rate (per 100,000 people), age-weighted disability-adjusted life years (DALYs), and age-weighted DALY rate for all ages both sexes combined at all the communities level were estimated to be 1.0 (uncertainty interval: UI 95% 0.3 to 2.8), 0.27 (0.08-0.75), 30.8 (11.3-100.1), and 8.1 (3.0-26.4), respectively. The average contribution of mortality (years of life lost due to premature mortality: YLLs) in the attributable burden of disease was 94.7% (94.4-95.6). Although in most of cases the average levels of the CBPs were in the permissible range of Iranian standards for drinking water quality, the average values of ILCRs as well as attributable burden of disease were not acceptable (the ILCRs were higher than the boundary limit of 10-5); therefore, implementation of interventions for reducing exposure to CBPs through drinking water especially in Kowsar Dam Water Treatment Plant is strictly recommended.