Evidence map›Paper›PMID 25608522›Full record

ArticleEpidemiology and infection2015

Acute gastrointestinal illness following a prolonged community-wide water emergency.

J W Gargano, A L Freeland, M A Morrison, K Stevens, L Zajac, A Wolkon, A Hightower, M D Miller, J M Brunkard

Abstract read
In one paragraph

Article in Epidemiology and infection, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

J W GarganoEpidemic Intelligence Service,CDC,Atlanta,GA,USA.
A L FreelandEpidemic Intelligence Service,CDC,Atlanta,GA,USA.
M A MorrisonOffice of Public Health Preparedness and Response,CDC,Atlanta,GA,USA.
K StevensAlabama Department of Public Health,Montgomery,AL,USA.
L ZajacNational Center for Environmental Health,CDC,Atlanta,GA,USA.
A WolkonCenter for Global Health,CDC,Atlanta,GA,USA.
A HightowerCenter for Global Health,CDC,Atlanta,GA,USA.
M D MillerNational Center for Environmental Health,CDC,Atlanta,GA,USA.
J M BrunkardNational Center for Emerging and Zoonotic Diseases,CDC,Atlanta,GA,USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The drinking water infrastructure in the United States is ageing; extreme weather events place additional stress on water systems that can lead to interruptions in the delivery of safe drinking water. We investigated the association between household exposures to water service problems and acute gastrointestinal illness (AGI) and acute respiratory illness (ARI) in Alabama communities that experienced a freeze-related community-wide water emergency. Following the water emergency, investigators conducted a household survey. Logistic regression models were used to estimate adjusted prevalence ratios (aPR) and 95% confidence intervals (CI) for self-reported AGI and ARI by water exposures. AGI was higher in households that lost water service for ⩾7 days (aPR 2·4, 95% CI 1·1-5·2) and experienced low water pressure for ⩾7 days (aPR 3·6, 95% CI 1·4-9·0) compared to households that experienced normal service and pressure; prevalence of AGI increased with increasing duration of water service interruptions. Investments in the ageing drinking water infrastructure are needed to prevent future low-pressure events and to maintain uninterrupted access to the fundamental public health protection provided by safe water supplies. Households and communities need to increase their awareness of and preparedness for water emergencies to mitigate adverse health impacts.

Indexed as

Cold TemperatureDisease OutbreaksDrinking WaterEmergenciesFamily CharacteristicsAlabamaData CollectionFemaleGastroenteritisHumansMalePrevalenceRisk FactorsDrinking WaterInfectious disease epidemiologyinvestigationpublic healthwater-borne infections

Identifiers

PMID25608522
PMCPMC9151034

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.