CClinicalTrials.gg
CompletedNCT01306383SODISWATERUpdated Nov 10, 2011

Solar Disinfection (SODIS) of Drinking Water for Use in Developing Countries or in Emergency Situations

An interventional study of SODIS Bottle in Dysentery and Diarrhoea, sponsored by Royal College of Surgeons, Ireland. Completed at 3 sites in 3 countries. Open to participants aged 12 Months to 5 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2011-11-10.

Sponsored by Royal College of Surgeons, Ireland · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
2,400
Allocation
Randomized
Ages
12 Months to 5 Years
Sex
All
01

Study summary

SODISWATER was a health impact assessment study investigating the effect of sunlight to inactivate microbial pathogens in drinking water. This study was carried out by observing whether children younger than 5 years old who drink solar disinfected water were healthier than those who did not. Health was measured by how often the children had diarrhoea or dysentery.

Caregivers for the participants were given plastic bottles to place in the sun, water samples were then collected from these plastic bottles to be analyzed. They were also requested to fill in diarrhea diaries.

TESTABLE RESEARCH HYPOTHESES:

Health Impact Assessment: Children who use solar disinfected water will have:

(a) lower morbidity due to non-bloody diarrhoea and bloody diarrhoea (c) increased growth rates (d) lower mortality (e) increased family productivity (f) decreased care-giver burden (g) increased school attendance

Read the detailed description

The current evidence base for solar disinfection in the prevention of diarrhoeal disease in children rests on three published studies. All share two significant weaknesses: all were carried out in Kenya, in communities which have very high incidences of diarrhoeal disease and water characterised by high levels of both turbidity and microbial contamination. Furthermore, neither of the studies of diarrhoeal disease distinguished between dysentery (associated with significant risk of mortality) and other sorts of diarrhoea, which carry a far lower risk. The present study will extend the evidence base into communities at lower risk and with higher water quality. Furthermore, by using pictorial diaries, dysentery can be analysed as a specific health endpoint. Diarrhoea will be recorded consistent with the World Health organisation definition: three or more loose or watery stools in a 24-hour period and/or stools containing blood or mucus.

AIM OF THE PROJECT IN RELATION TO HEALTH IMPACT ASSESSMENT STUDIES:

The primary aim of the SODISWATER PROJECT is to demonstrate that SODIS is an appropriate intervention against diarrhoeal and waterborne disease among communities in developing countries and those affected by natural or man-made disasters by conducting multi-centred epidemiologically controlled Health Impact Assessments of the SODIS technique across the African Continent under a variety of social, geographical and climactic conditions.

SCIENTIFIC OBJECTIVES OF SODISWATER IN RELATION TO HEALTH IMPACT ASSESSMENT STUDIES:

  1. Assessment of the change in health reasonably attributed to the provision of solar disinfected drinking water at the point of use in 3 countries (Kenya, Zimbabwe and Cambodia).
  2. Assessment of the relationship between solar disinfected drinking water and selected health indicators (including morbidity due to non-bloody diarrhoea and dysentery, weight loss, mortality, growth rates, productivity, care-giver burden, and school attendance. Mortality will also be monitored but the sample sizes are of insufficient size to produce detailed information and scaling up, to account for this is not possible due to prohibitive costs).
  3. Demonstration of the effectiveness of SODIS at household level.
02

Conditions studied

  • Dysentery
  • Diarrhoea

Browse trials for

Keywords

  • SODIS
  • waterborne
  • Disease
  • Diarrhoea
  • dysentery
03

In context

Dysentery

64 studies on the registry are indexed under Dysentery; 9 are open to participants now.

This study's enrollment of 2,400 is above the median of 145 across 51 interventional studies indexed under Dysentery.

Browse Dysentery studies →

Lead sponsor

Royal College of Surgeons, Ireland is the lead sponsor of 93 studies on the registry; 44 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
12 Months to 5 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Presence of one or more children aged less than 5 years in the household

Exclusion criteria

Exclusion Criteria:

  • Chlorinated piped water source available in household
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2,400 participants (actual)

Study arms

  • Active comparator
    SODIS Bottles given

    Caregivers in the intervention group were given two 2-litre plastic bottles. Bottle was filled with available water and placed in direct sunlight for a minimum of 6 hours. Water was consumed the next day while second bottle was being consumed.

    Other: SODIS Bottle

  • Active comparator
    Usual practices

    Caregivers in this group were asked to maintain their usual practices regarding drinking water so that disease rates could be compared with the SODIS arm

    Other: SODIS Bottle

Interventions

  • OtherSODIS Bottle

    SODIS Bottles used by SODIS group to treat their drinking water

    Also known as: Unused 2-litre PET bottles (e.g. Coca-Cola, Pepsi)

06

What researchers measure

Primary outcomes

  1. Dysentery disease rate

    Incidence of occurrence of blood or mucous in diarrhoeal stools was noted by caregivers and recorded in a pictorial diary which was collected every 2 weeks.

    Time frame: 12 month

  2. Diarrhoea disease rate

    Incidence of diarrhoea and numbers of diarrhoeal episodes was noted by caregivers and recorded in a pictorial diary which was collected every 2 weeks.

    Time frame: 12 months

Secondary outcomes

  1. Height and weight benefit

    Anthropometric measurements of height and weight were recorded at 3 month intervals across the 12 month study period.

    Time frame: 12 months

07

Study locations

3 sites
  • CIC
    Phnom Penh, Cambodia
  • ICROSS
    Nairobi, Ngong Hills POBox 507, Kenya
  • IWSD
    Harare, Mount Pleasant MO422, Zimbabwe
08

References and documents

Publications

  • Du Preez M, Mcguigan KG, Conroy RM. Solar disinfection of drinking water in the prevention of dysentery in South African children aged under 5 years: the role of participant motivation. Environ Sci Technol. 2010 Nov 15;44(22):8744-9. doi: 10.1021/es103328j. PubMed 20977257 ↗
  • Ubomba-Jaswa E, Fernandez-Ibanez P, McGuigan KG. A preliminary Ames fluctuation assay assessment of the genotoxicity of drinking water that has been solar disinfected in polyethylene terephthalate (PET) bottles. J Water Health. 2010 Dec;8(4):712-9. doi: 10.2166/wh.2010.136. Epub 2010 Apr 13. PubMed 20705982 ↗
  • Conroy RM, Meegan ME, Joyce T, McGuigan K, Barnes J. Solar disinfection of drinking water protects against cholera in children under 6 years of age. Arch Dis Child. 2001 Oct;85(4):293-5. doi: 10.1136/adc.85.4.293. PubMed 11567937 ↗
  • Conroy RM, Elmore-Meegan M, Joyce T, McGuigan KG, Barnes J. Solar disinfection of drinking water and diarrhoea in Maasai children: a controlled field trial. Lancet. 1996 Dec 21-28;348(9043):1695-7. doi: 10.1016/S0140-6736(96)02309-4. PubMed 8973432 ↗
  • du Preez M, Conroy RM, Ligondo S, Hennessy J, Elmore-Meegan M, Soita A, McGuigan KG. Randomized intervention study of solar disinfection of drinking water in the prevention of dysentery in Kenyan children aged under 5 years. Environ Sci Technol. 2011 Nov 1;45(21):9315-23. doi: 10.1021/es2018835. Epub 2011 Oct 5. PubMed 21936492 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 10, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01306383
Lead sponsor
Royal College of Surgeons, Ireland
Collaborators
ICROSS, Kenya, International Water and Sanitation Development (IWSD), Zimbabwe, CARE International - Cambodia (CIC), Cambodia
First posted
Mar 1, 2011
Start date
Jun 2008
Primary completion
Oct 2009
Completion
May 2010
Last update
Nov 10, 2011

Study contacts

Kevin G McGuigan, PhD
principal investigator · RCSI

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2011. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion