Evidence map›Paper›PMID 33877857›Full record

ArticleEnvironmental health perspectives2021

Occurrence of Lead and Other Toxic Metals Derived from Drinking-Water Systems in Three West African Countries.

Michael B Fisher, Amy Z Guo, J Wren Tracy, Sridevi K Prasad, Ryan D Cronk, Emily G Browning, Kaida R Liang, Emma R Kelly, Jamie K Bartram

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
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

5 citing papers in PubMed, 37 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Adapting a safe water storage container to improve household stored water quality in rural Burkina Faso: a cluster randomized trial.Journal of water, sanitation, and hygiene for development : a journal of the International Water Association · 2021
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Michael B FisherWater Institute at the University of North Carolina at Chapel Hill (UNC), UNC, Chapel Hill, North Carolina, USA.
Amy Z GuoWater Institute at the University of North Carolina at Chapel Hill (UNC), UNC, Chapel Hill, North Carolina, USA.
J Wren TracyWater Institute at the University of North Carolina at Chapel Hill (UNC), UNC, Chapel Hill, North Carolina, USA.
Sridevi K PrasadDepartment of Global Health, Boston University School of Public Health, Boston, Massachusetts, USA.
Ryan D CronkWater Institute at the University of North Carolina at Chapel Hill (UNC), UNC, Chapel Hill, North Carolina, USA.
Emily G BrowningWater Institute at the University of North Carolina at Chapel Hill (UNC), UNC, Chapel Hill, North Carolina, USA.
Kaida R LiangWater Institute at the University of North Carolina at Chapel Hill (UNC), UNC, Chapel Hill, North Carolina, USA.
Emma R KellyWater Institute at the University of North Carolina at Chapel Hill (UNC), UNC, Chapel Hill, North Carolina, USA.
Jamie K BartramWater Institute at the University of North Carolina at Chapel Hill (UNC), UNC, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · USBoston University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExposure to toxic metals (TMs) such as lead can cause lifelong neurodevelopmental impairment and other adverse outcomes. TMs enter drinking water from human activity, geogenic contamination, and corrosion of water system components. Several studies report TM contamination in piped systems and private wells in high-income countries (HICs). However, few robust studies report on TM contamination in low- and middle-income countries (LMICs).

objectivesWe characterized the occurrence and investigated sources of TM contamination in 261 rural water systems in three West African LMICs to inform prevention and management.

methodsWater samples were collected from 261 community water systems (handpumps and public taps) across rural Ghana, Mali, and Niger. Scrapings were collected from accessible components of a subset of these systems using a drill with acid-washed diamond-tipped bits. Samples were analyzed by inductively coupled plasma (ICP) mass spectrometry or ICP optical emission spectroscopy.

resultsOf the TMs studied, lead most frequently occurred at levels of concern in sampled water system components and water samples. Lead mass fractions exceeded International Plumbing Code (IPC) recommended limits (0.25% wt/wt) for components in 82% (107/130) of systems tested; brass components proved most problematic, with 72% (26/36) exceeding IPC limits. Presence of a brass component in a water system increased expected lead concentrations in drinking-water samples by 3.8 times. Overall, lead exceeded World Health Organization (WHO) guideline values in 9% (24/261) of drinking-water samples across countries; these results are broadly comparable to results observed in many HICs. Results did not vary significantly by geography or system type. DISCUSSION: Ensuring use of lead-free (

Indexed as

Drinking WaterWater Pollutants, ChemicalHumansLeadSanitary EngineeringWater SupplyDrinking WaterLeadWater Pollutants, Chemical

Identifiers

PMID33877857
PMCPMC8057680
OpenAlexW3156974105

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.