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DOI 10.1038/s41370-026-00911-5

Медицинская библиотека · Journal of exposure science & environmental epidemiology · 2026

Evaluating household reverse osmosis systems for microbial safety: A case study from Chennai, India.

Kagan Suzan, Hamilton Ben, Lichtman Timor, Skliarevskaia Aleksandra, Seth Sonali, Nayak Tanmayaa, Ben Giat Shakked, Izikson Tohar, Belykh Roman, Lonappan Mary Nellissery, Durai Tabitha, Gokul Devendran, Pradeep Thalappil, Mamane Hadas

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Аннотация

BACKGROUND

A combined approach for studying water quality, attitudes, and practices is presented, focusing on urban low- and middle-income households in Chennai, India using reverse osmosis (RO) systems. Challenging the common assumption that in-home water treatment particularly RO fully resolves drinking water safety issues, this article presents one of the first empirical evaluations of the effectiveness of household-level filtration methods.

OBJECTIVES

The study aims to assess the microbial safety of drinking water before and after household RO treatment and to understand how education and awareness influence household water and maintenance practices.

METHODS

The study involved surveys, water sampling, and data analysis, conducted by a multi-disciplinary team from Tel Aviv University, IIT Madras, and local partners. Water samples were collected before and after RO treatment from 216 households (262 samples total), and socio-demographic information, including education levels and water-use behavior, was analyzed.

RESULTS

The findings revealed that while RO systems reduce contamination, 31% of post-RO samples still contained E. coli, compared to 71% in untreated water. Furthermore, education levels were found to influence outcomes: 36% of post-RO samples from postgraduate respondents contained E. coli, versus 83% among those with lower education levels.

IMPACT STATEMENTS: Empirical evaluation of RO system effectiveness in urban Chennai households. 31% of post-RO household samples remained contaminated with E. coli. RO systems reduce contamination but offer limited protection without maintenance. Integrated survey and water testing reveal gaps in treatment efficacy perception. Post-RO contamination linked to respondent education level and user practices.

Для цитирования: Kagan Suzan, Hamilton Ben, Lichtman Timor, Skliarevskaia Aleksandra, Seth Sonali, Nayak Tanmayaa, Ben Giat Shakked, Izikson Tohar, Belykh Roman, Lonappan Mary Nellissery, Durai Tabitha, Gokul Devendran, Pradeep Thalappil, Mamane Hadas. Evaluating household reverse osmosis systems for microbial safety: A case study from Chennai, India.. Journal of exposure science & environmental epidemiology. 2026. DOI: 10.1038/s41370-026-00911-5.
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