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Copper in drinking water: not a strong risk factor for diarrhoea among young children. A population-based study from
R Pettersson1, F Rasmussen, A Oskarsson
1Department of Paediatrics, Skaraborg Hospital, Skövde, Sweden. rolf.pettersson@vgregion.se
Insights
This study found no strong link between copper in drinking water and diarrhea or vomiting in young children. Copper intake levels studied did not significantly increase the risk of these common childhood illnesses.
Area of Science:
- Environmental Health
- Pediatric Gastroenterology
- Toxicology
Background:
- Diarrhea and vomiting are significant causes of morbidity in young children.
- Drinking water quality, including copper levels, is a potential environmental factor influencing child health.
- Understanding the relationship between copper exposure and gastrointestinal illness is crucial for public health.
Purpose of the Study:
- To investigate the association between mean daily copper intake from drinking water and the incidence of diarrhea and vomiting in young children.
- To determine if maximal copper concentration in drinking water correlates with the risk of acute gastrointestinal symptoms in pediatric populations.
Main Methods:
- A cohort of 430 children (9-21 months) had their mean daily copper intake from drinking water estimated.
- Tap water samples (4703) were collected, and copper concentrations were analyzed.
- The cumulative incidence of acute diarrhea and vomiting was monitored over a 12-week follow-up period.
Main Results:
- The median mean daily copper intake was 0.61 mg/L.
- No statistically significant associations were observed between copper intake or maximal copper concentration in drinking water and the risk of developing diarrhea or vomiting.
- Diarrhea occurred in 43 children, with 23 having no identified viral or bacterial cause; vomiting was reported in 95 children.
Conclusions:
- The study suggests that there is unlikely to be a strong association between copper levels in drinking water and the risk of diarrhea or vomiting in young children.
- The findings indicate that within the studied range of copper intake and concentration, these factors do not appear to be major contributors to acute gastrointestinal illness in this age group.
Aim:
To assess whether mean daily intake of copper or maximal concentration of copper in drinking water is related to the incidence of diarrhoea and vomiting among young children.
Methods:
Mean daily intake of copper from drinking water was estimated prior to episodes of diarrhoea among 430 children aged 9 to 21 mo. A total of 4703 samples of tap water were collected in the homes of the children. The mean daily intake of copper and the maximal concentration of copper in samples of consumed water were used as measures of exposure. The cumulative incidence of acute diarrhoea and vomiting was studied during 12 wk of follow-up. Cases of diarrhoea caused by viral and bacterial infections were identified.
Results:
The median copper level of the mean value for each child was 0.61 mg/L with 10th and 90th percentiles of 0.04 and 1.57 mg/L. Among the 430 children, 43 had episodes of acute diarrhoea, of which 23 had no identified viral or bacterial origin, and vomiting was reported in 95 children. No significant associations were found between daily intake of copper or maximal concentration of copper in drinking water and the risk of diarrhoea or vomiting.
Conclusion:
There is unlikely to be a strong association between daily intake of copper or maximal concentration of copper in drinking water and the risk of diarrhoea or vomiting within the range of copper intakes/concentrations studied.
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