Evidence map›Paper›PMID 40267339›Full record

ArticleEnvironmental health perspectives2025

Health Effects and Water Quality Following Low Pressure Events in Drinking Water Distribution Systems in the United States.

Mia C Mattioli, Katharine M Benedict, Shanna Miko, Catherine E Barrett, Alexis Roundtree, Sunkyung Kim, Sarah A Collier, Elizabeth Adam, Julia W Gargano, Jonathan S Yoder and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Environmental health perspectives, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Mia C MattioliWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0002-7318-5240
Katharine M BenedictWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Shanna MikoWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Catherine E BarrettWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Alexis RoundtreeWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sunkyung KimWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sarah A CollierWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Elizabeth AdamWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Julia W GarganoWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Jonathan S YoderWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Deborah A Vacs RenwickOffice of Ground Water and Drinking Water, US Environmental Protection Agency, Washington, District of Columbia, USA.
Kenneth RotertOffice of Ground Water and Drinking Water, US Environmental Protection Agency, Washington, District of Columbia, USA.
Mike SullivanOak Creek Water and Sewer, Oak Creek, Wisconsin, USA.
Sharon SweeneyCentral Arkansas Water, Little Rock, Arkansas, USA.
Michael BeachWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Vincent R HillWaterborne Disease Prevention Branch, Division of Foodborne, Waterborne, and Environmental Diseases, US Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow pressure events (LPEs), defined as a water service disruption that presumably lowers system water pressure, can cause drinking water contamination, resulting in increased illness risk to consumers.

objectivesThis study sought to examine whether LPEs increase the risk for highly credible acute gastrointestinal illness (HCGI) and acute respiratory illness (ARI) and to compare water quality in exposed and unexposed areas in the United States.

methodsA matched cohort study was conducted during the period 2015-2019. For each LPE, household survey exposed areas were matched 1:2 with unexposed areas based on water-main size and material at the point of repair, as well as the housing type and demographic characteristics of the local population from the most recent census tract data. Water samples were collected to monitor physicochemical and microbiological water quality parameters. Households (HHs) were surveyed about water use and illness during the 2 wk after the LPE. Multivariable log-binomial models clustered on utility and LPE number were used to investigate associations between LPE exposure and HCGI and ARI.

resultsFive water utilities reported 58 LPEs, including planned maintenance (76%) and emergency (24%) events. Controlling for livestock near home, private well presence, number of people in HH, and travel away from home, exposed HHs were at higher risk of HCGI in comparison with unexposed HHs (

conclusionsLPEs were associated with 20% higher risk of HCGI in HHs. Planned improvements to water distribution system infrastructure, adherence to industry standard distribution repair practices, and water monitoring following pipe repairs could supplement community alert systems to reduce illnesses from LPEs. https://doi.org/10.1289/EHP15564.

Indexed as

Drinking WaterGastrointestinal DiseasesRespiratory Tract DiseasesWater QualityWater SupplyCohort StudiesHumansUnited StatesDrinking Water

Identifiers

PMID40267339
PMCPMC12129304

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.