02137nas a2200373 4500000000100000008004100001260001000042653004300052653003300095653002000128653001200148653001500160653003900175653001400214653001300228653002000241100001200261700001400273700001300287700001500300700001500315700001500330700001600345700001500361700001600376700001300392700001300405700001300418245007900431856007400510300000900584520114500593022002501738 2023 d bWiley10aManagement, Monitoring, Policy and Law10aWater Science and Technology10aAquatic Science10aEcology10amicrobiome10aNeglected tropical diseases (NDTs)10anutrition10aviolence10awater pollution1 aRhue SJ1 aTorrico G1 aAmuzie C1 aCollins SM1 aLemaitre A1 aWorkman CL1 aRosinger AY1 aPearson AL1 aPiperata BA1 aWutich A1 aBrewis A1 aStoler J00aThe effects of household water insecurity on child health and well‐being uhttps://wires.onlinelibrary.wiley.com/doi/pdfdirect/10.1002/wat2.1666 a1-193 a
We extend the conceptualization of the social and health burdens of household water insecurity on children beyond the traditional narrow lens of microbiological pathogens and diarrhea. The global burden of disease associated with water insecurity has traditionally focused on diarrheal disease as the most significant driver of infant and child mortality. However, there are many other pathways through which children experience adverse health and social consequences from inadequate or unsafe household water. We synthesize evidence of a broad range of health impacts, affecting children from infancy to late adolescence, across four domains: exposure to unsafe water; interruptions to growth and development through poor nutrition and hydration; negative social effects such as school absenteeism and interpersonal violence; and other noncommunicable health issues such as mental health, injuries, and reproductive health. The growing burden and urgency of these issues is implicated by forecasted increases in climate- and conflict-induced water scarcity, human displacement, and environmental contamination in the decades ahead
a2049-1948, 2049-1948