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Urban Water Disinfection and Mortality Decline in Developing Countries / Sonia R. Bhalotra, Alberto Diaz-Cayeros, Grant Miller, Alfonso Miranda, Atheendar S. Venkataramani.

By: Contributor(s): Material type: TextTextSeries: Working Paper Series (National Bureau of Economic Research) ; no. w23239.Publication details: Cambridge, Mass. National Bureau of Economic Research 2017.Description: 1 online resource: illustrations (black and white)Subject(s): Online resources: Available additional physical forms:
  • Hardcopy version available to institutional subscribers
Abstract: Historically, improvements in municipal water quality reduced mortality substantially in wealthy countries. However, water disinfection has not produced equivalent benefits in developing countries today. We investigate this puzzle by analyzing a large-scale municipal water disinfection program in Mexico that increased water chlorination coverage from 55% to 90% within 18 months. On average, the program reduced childhood diarrheal disease mortality rates by 50%. However, age (degradation) of water pipes and inadequate sanitation infrastructure attenuated these benefits substantially, ranging from no decline in cities with the worst infrastructure to 80% in those with the best - a decline consistent with historical experience.
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March 2017.

Historically, improvements in municipal water quality reduced mortality substantially in wealthy countries. However, water disinfection has not produced equivalent benefits in developing countries today. We investigate this puzzle by analyzing a large-scale municipal water disinfection program in Mexico that increased water chlorination coverage from 55% to 90% within 18 months. On average, the program reduced childhood diarrheal disease mortality rates by 50%. However, age (degradation) of water pipes and inadequate sanitation infrastructure attenuated these benefits substantially, ranging from no decline in cities with the worst infrastructure to 80% in those with the best - a decline consistent with historical experience.

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