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Contaminated Small Drinking Water Supplies and Risk of Infectious Intestinal Disease TANYA WHARTON What is Infectious Intestinal Disease? Viruses, bacteria, parasites, or other pathogens, microscopic organisms that cause disease) can cause infections in the stomach and small and large intestines, which often lead to gastroenteritis. Intestinal infections affect the gastrointestinal * tract, often causing diarrhea. Gastroenteritis, an inflammation of the stomach and intestines frequently accompanies such infections. Aim This study was conducted to find out whether there is a higher risk of intestinal infectious disease (IID) that exists in small water supplies. Small water supply in this study were private water supply such as well water. Focus The study was conducted in two rural areas in England, Norfolk and Suffolk. A random sample of 2359 households were sent questionnaires that were believed to have private water supply. Method & Data Exposure was measured through collection of two 500ml samples from the main drinking water source at the time of recruitment and 12 weeks post. Household visits were carried out by two field researchers who conducted interviews and questionnaires. Participants also completed a daily diary for 12 weeks to write down any symptoms they were experiencing. (diarrhea, vomiting , fever, stomach pains and nausea) Defined A defined case of IID was vomiting or/and diarrhea once or more in a 24hr period. Findings In households who were exposed the prevalence was 3-9 days. Incidence was 1-2 episodes per person year. Strong relation between age and contracting IID. children under age 10 are at higher risk than those 10-59.