title: Chlorine spot treatment of flooded tube wells, an efficacy trial.
abstract: OBJECTIVE
  To evaluate the water quality of recently flooded tube wells in Bangladesh and the effect of spot chlorination on improving bacteriological quality.
  
  
  RESULTS
  The study team identified and tested water samples from 127 tube wells that were flooded within the preceding 4 weeks. Twenty-six of the tube wells with the highest concentration of thermotolerant coliform bacteria were randomly assigned to spot chlorination vs control. On initial screening, water samples from 56 recently inundated tube wells (44%) were contaminated with thermotolerant coliforms. Among the 13 wells randomized to chlorination, there was no change in the proportion of water samples that had no detectable thermotolerant coliform bacteria immediately before chlorine treatment (n = 4, 23%) and 60 min following chlorine treatment (n = 4, 23%). Similarly, there was no difference in the proportion of water samples that had no detectable thermotolerant coliforms between chlorine spot treated and control tube wells 7-18 days later (31 vs 23%P = 0.66).
  
  
  CONCLUSIONS
  Spot chlorine treatment of inundated tube wells in Bangladesh three to 6 weeks after the flooding did not improve drinking water quality.
  
  
  CONCLUSIONS
  Unless modified methods improve effectiveness, resources should not be spent promoting spot chlorination of flooded tube wells.
authors.affiliation: Programme on Infectious Diseases and Vaccine Sciences, ICDDR, B Centre for Health and Population Research, Mohakhali, Dhaka, Bangladesh. sluby@icddrb.org
authors.forename: S
authors.initials: S
authors.lastname: Luby
authors.forename: Md S
authors.initials: MS
authors.lastname: Islam
authors.forename: R
authors.initials: R
authors.lastname: Johnston
mesh_terms: D001459:Bangladesh; D002713:Chlorine / Q000494:pharmacology*; D003906:Developing Countries; D004203:Disinfection / Q000379:methods; D004755:Enterobacteriaceae / Q000187:drug effects / Q000302:isolation & purification; D005243:Feces / Q000382:microbiology; D006801:Humans; D014871:Water Microbiology; D018508:Water Purification / Q000379:methods*; D014881:Water Supply
chemical_list: D002713:Chlorine