Does Clean Water Actually Matter?

(Photo Credit: Julien Harneis)
Anywhere between 3-28% of childhood illness in the developing world is cause by lack of access to clean water. Diarrheal diseases kill kids, and dirty water spreads diarrhea. The obvious solution to this problem is technology to make water clean. Unfortunately, providing that technology is expensive and doesn't actually seem to improve kids' health.
A recent article in the Public Library of Science Journal of Medicine found that solar disinfection technology, one of the most commonly promoted methods of improving water quality, doesn't always reduce diarrhea in children. It's a really dense article, so be glad I read it and you don't have to. (unless you're a water and sanitation expert, in which case please read it and comment here if I am misunderstanding.) It looks at several recent studies on the use of solar disinfection.
They start by citing the following background data: Improving the water supply is an expensive way to improve health. Hand washing is a good, cheap, way to reduce diarrhea but it's very hard to get people to actually wash their hands. Once you stop promoting handwashing, people lose the habit. And studies of solar water disinfection in both India and Kenya found that it has a significant impact on reducing diarrhea in kids.
The article then looks at a recent study in rural Brazil of an intervention to promote solar water disinfection. It found no impact from the intervention on diarrhea. None. This could be because their promotion didn't work - only 32% of households actually used the solar water disinfection, despite the promotion. Or it could be because dirty water wasn't the cause of childhood diarrhea in Brazil.
Studies like this are frustrating. Even problems as simple as sick kids and dirty water turn out to have deeply complicated solutions.








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