Article Text

Download PDFPDF
Drinking water and endemic gastrointestinal illness
  1. MARTHA I SINCLAIR,
  2. CHRISTOPHER K FAIRLEY
  1. Cooperative Research Centre for Water Quality and Treatment, Department of Epidemiology and Preventive Medicine, Monash University Medical School, Alfred Hospital, Prahran VIC 3181, Australia
  1. Dr Sinclair (martha.sinclair{at}med.monash.edu.au)

Statistics from Altmetric.com

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

We consider that the strength of the evidence linking drinking water to endemic gastrointestinal illness in developed nations has been overstated in the recent paper in this journal by Schwartzet al 1 and the accompanying editorial.2

As noted in the editorial, there have been a number of documented waterborne outbreaks in countries with good water treatment practices. In such outbreaks the association between drinking water and disease has been supported by a substantial amount of evidence including very large effect size, evidence of water treatment failures, robust epidemiological study designs, or identification of the responsible microorganisms in both water and stool specimens. In contrast, the existing body of evidence linking drinking water to endemic gastrointestinal illness is not of an equivalent standard.

The paper by Schwartz et al presents a complex analysis of the relation between variations in drinking water turbidity and hospital admissions for gastrointestinal illness among …

View Full Text