AccScience Publishing / GHES / Online First / DOI: 10.36922/ghes.1984
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REVIEW

Enhancing quality of life, public health, and economic development in the Global South through waterborne disease prevention with ultraviolet C light-emitting diode technology

Jamie M. Reedy1 Dana Pousty2 Beldeen W. Waliaula3 Josephat Maniga4 Hadas Mamane2 Richard M. Mariita5*
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1 Department of Health Policy, Management, and Behavior, School of Public Health, State University of New York at Albany, New York, United States of America
2 Water-Tech Laboratory, School of Mechanical Engineering, Tel-Aviv University, Tel-Aviv, Israel
3 KTN Television/Standard Media Group, Nairobi, Kenya
4 Department of Microbiology and Immunology, School of Health Sciences, Kampala International University, Kampala, Uganda
5 Crystal IS Inc., an Asahi Kasei Company, New York, United States of America
Submitted: 9 October 2023 | Accepted: 1 December 2023 | Published: 20 February 2024
© 2024 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Waterborne diseases pose a significant public health challenge in the Global South, attributed to inadequate access to clean water, insufficient sanitation infrastructure, and poor water treatment systems. These factors contribute to the contamination of water sources with microbial pathogens, placing individuals at a heightened risk of contracting waterborne diseases. Waterborne diseases in the Global South are caused by various bacterial pathogens, parasites, and viruses, with factors such as climate change, water scarcity, and human pollution influencing their proliferation. Vulnerable populations, including children, pregnant women, and immunocompromised individuals, bear the brunt of these diseases, resulting in preventable deaths and hindering socioeconomic development due to health-care costs. Traditional methods for combating these diseases have limitations, leading to the need for alternative water disinfection strategies, such as ultraviolet C light-emitting diodes (UVC LEDs). This review examines both the current state of waterborne diseases in the Global South (i.e., disease prevalence, causes, and public/systemic impacts) and the current landscape of UVC LED technology for water disinfection. Through the lens of this multi-focus review, we also explore the potential widespread implementation of UVC LED technology for water disinfection as a method of combating waterborne diseases to improve public health outcomes. Regulatory frameworks for UVC LED water treatment systems in the Global South remain limited. To address this limitation, we recommend an essential implementation framework that includes legislation, partnerships, sustainability, affordability, industrial and environmental standards, and robust evaluation protocols. Finally, we provide a substantial overview of the future directions and research opportunities in UVC LED technology and water treatment mechanisms aiming for promising public health outcomes. Embracing UVC LED technology can help address persistent disease challenges and improve public health in regions with limited infrastructure, thereby moving closer to achieving the United Nation’s Sustainable Development Goals and emphasizing the significance of universal access to improved WASH (safe water, sanitation, and hygiene) conditions.

Keywords
Diarrhea
Disinfection
Economic impact
Global South
Ultraviolet C light-emitting diode technology
Waterborne diseases
Funding
None.
Conflict of interest
Jamie M. Reedy, Dana Pousty, Beldeen W. Waliaula, Josephat Maniga, and Hadas Mamane declare no conflict of interest. Richard M. Mariita receives a salary from Crystal IS Inc., an Asahi Kasei Company, New York, United States of America that manufactures UVC-LEDs.
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