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TL;DR
This comment critiques a systematic review, arguing its conclusions about household water treatment adoption should not inform humanitarian policy because the review analyzed development-context trials, not real-world emergency adoption.
Environmental Health Perspectives · 7 authors, 8 centres
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This comment critiques a systematic review, arguing its conclusions about household water treatment adoption should not inform humanitarian policy because the review analyzed development-context trials, not real-world emergency adoption.
This narrative comment critiques a systematic review by Crider et al. on chlorine-based household water treatment (HWT) adoption. The authors agree that widespread public health benefits are unlikely from individual adoption but argue the review's focus on development-context controlled trials makes its conclusions unsuitable for informing humanitarian response policy. They note the review excluded relevant studies on humanitarian HWT adoption and used unstated exclusion criteria. The authors conclude that outdated recommendations from development-context trials should not guide humanitarian efforts.