Evidence map›Paper›PMID 41953468›Full record

ArticleChina CDC weekly2026

Investigation of an Infectious Diarrhea Outbreak Associated with Direct Drinking Water in a High School - Baisha County, Hainan Province, China, November 2024.

Faren Li, Li Qiu, Yan Jin, Huiwen Gao, Jianhua Dong, Meirong Huang, Shennv Xue, Yunhui Su, Xianglin Huang, Ren Qiu and 1 more

Abstract read
In one paragraph

Article in China CDC weekly, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Faren Li *Baisha County Center for Disease Control and Prevention, Baisha County, Hainan Province, China.
Li Qiu *Hainan Provincial Center for Disease Control and Prevention, Haikou City, Hainan Province, China.
Yan JinHainan Provincial Center for Disease Control and Prevention, Haikou City, Hainan Province, China.
Huiwen GaoBaisha County Center for Disease Control and Prevention, Baisha County, Hainan Province, China.
Jianhua DongBaisha County Center for Disease Control and Prevention, Baisha County, Hainan Province, China.
Meirong HuangBaisha County Center for Disease Control and Prevention, Baisha County, Hainan Province, China.
Shennv XueBaisha County Center for Disease Control and Prevention, Baisha County, Hainan Province, China.
Yunhui SuBaisha County Center for Disease Control and Prevention, Baisha County, Hainan Province, China.
Xianglin HuangHainan Provincial Center for Disease Control and Prevention, Haikou City, Hainan Province, China.
Ren QiuHainan Provincial Center for Disease Control and Prevention, Haikou City, Hainan Province, China.
Shuyun XieHainan Provincial Center for Disease Control and Prevention, Haikou City, Hainan Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

What is already known about this topic?: Diarrheagenic What is added by this report?: Between November 6 and 20, 2024, an outbreak of infectious diarrhea affected 344 students at a high school in Baisha County, Hainan Province. Comprehensive field epidemiological and environmental investigations, combined with laboratory testing, identified DEC as the causative agent. This outbreak was primarily attributed to consumption of direct drinking water supplied by substandard water dispensers that inadequately filtered contaminated municipal water. What are the implications for public health practice?: Substandard direct drinking water dispensers equipped only with polypropylene (PP) cotton and activated carbon filters cannot effectively remove microorganisms. When source water is contaminated, the warm water produced by mixing cold and hot water outputs from such dispensers fails to meet required hygienic standards. Ensuring municipal drinking water compliance and strict implementation of quality and safety management regulations for direct drinking water dispensers are therefore essential for drinking water safety. The public and all relevant sectors should be reminded to purchase and use only qualified direct drinking water dispensers, particularly in schools, collective establishments, and public venues.

Indexed as

Diarrheagenic Escherichia coli infectionDirect drinking water dispenserOutbreak investigationWater pollution

Identifiers

PMID41953468
PMCPMC13054703

What OpenQuestion holds

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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.