Project Regions North America
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Drinking Water Contamination & Health in Rural Appalachia

We are conducting a systematic review and meta analysis in order to better understand the nature and extent of drinking water contamination in the Appalachian region of the United States as well as associated health outcomes. Specifically, the objective of this work is to comprehensively evaluate published research (based on primary data collection) on drinking water contamination in the Appalachian region (with reference to national drinking water safety standards) and to evaluate the degree to which such exposures are associated with measured and self-reported negative health outcomes. Studies are considered eligible for inclusion in our review if they were situated in any part of the Appalachian region, data collection was completed on or after January 1, 2000, and drinking water was measured/assessed for indicators of microbiological and/or chemical contamination, and/or if health outcomes directly related to drinking water were measured/assessed. We pre-registered our study protocol and are now working on the data extraction and analysis stages of the project with the goal of submitting a manuscript for publication sometime in 2021.