Public health and safe water in Latin America: Sustainable solutions to climate change
DOI:
https://doi.org/10.33448/rsd-v14i6.49088Keywords:
Water pollution, Climate change, Public health, Drinking water.Abstract
Growing population demand and anthropogenic pollution, which introduces microplastics, heavy metals, pesticides and bacterial pathogens into bodies of water, exacerbate the water crisis, reducing the availability and quality of drinking water. This scenario increases the incidence of gastrointestinal diseases, such as hepatitis, cholera and diarrhea, responsible for millions of deaths annually. In Latin America, and particularly in Ecuador, the problem is exacerbated by prolonged droughts and the lack of updated data on the relationship between public health and access to safe water, making it difficult to formulate effective policies. The objective of this article is to present a study on public health and safe water in Latin America. Helicobacter pylori, a gram-negative bacterium associated with severe gastric pathologies, affects up to 70% of the Ecuadorian population, reflecting the high vulnerability of the region. This study suggests that the low quality of drinking water significantly increases the prevalence of waterborne diseases. Therefore, it emphasizes the need to develop and implement sustainable purification technologies, along with comprehensive policies to ensure equitable and continuous access to safe drinking water.
References
Afshari, A., Rezaee, R.,& Shakeri, G. (2024). Foodborne pathogens and their association with well-known enteric infections and emerging non-communicable disorders. In CAB Reviews: Perspectives in Agriculture, Veterinary Science, Nutrition and Natural Resources (Vol. 19, Issue 1). CABI International. https://doi.org/10.1079/cabireviews.2024.0009
Aroca, J. M., & Vélez, L. (2021). Prevalencia de Helicobacter pylori en pacientes asintomáticos en Ecuador. Revista Vive, 4(11), 193–202. https://doi.org/10.33996/revistavive.v4i11.87
Avilés, G., Beltrán, L. F., Miranda, A., & Troyo, E. (2024). Water Scarcity and Risk of Acute Gastrointestinal Infections in Mexican Households: A Latent Class Analysis. Water (Switzerland), 16(13), 1884. https://doi.org/10.3390/w16131884
Azanza, E. V., & Remache, Á. M. (2022). Ósmosis inversa y destilación : análisis comparativo de la integración en plantas de potencia. Revista Científica y Tecnológica UPSE, 9(2), 1–18. https://doi.org/https://doi.org/10.26423/rctu.v9i2.700
Baj, J., Forma, A., Sitarz, M., Portincasa, P., Garruti, G., Krasowska, D., & Maciejewski, R. (2021). Helicobacter pylori virulence factors—mechanisms of bacterial pathogenicity in the gastric microenvironment. In Cells (Vol. 10, Issue 1, pp. 1–37). Multidisciplinary Digital Publishing Institute. https://doi.org/10.3390/cells10010027
Bell, R., Kase, J., Harrison, L., Balan, K., Babu, U., Chen, Y., Macarisin, D., Kwon, H. J., Zheng, J., Stevens, E., Meng, J., & Brown, E. (2021). The Persistence of Bacterial Pathogens in Surface Water and Its Impact on Global Food Safety. Pathogens, 10(11), 1391. https://doi.org/10.3390/PATHOGENS10111391
Bendezú, M., Bendezú, C., Villanueva, W., & Valenzuela, E. (2021). Estudios sobre la fitorremediación basada en alga wakame (undaria pinnatifida) en la rizoextracción para remover metales pesados de la zona ribereña de la cuenca del río grande-palpa. South Florida Journal of Development, 2(5), 6669–6681. https://doi.org/10.46932/sfjdv2n5-026
Brito, M., Méndez, P., Alvarado, R., & Cazorla, X. (2022). Evaluation of contamination by heavy metals in the Cuchipamba River, Morona Santiago. Polo Del Conocimiento, 7(7), 1987–2013. https://doi.org/10.23857/pc.v7i7
Cabezas, C. (2018). Infectious diseases related to water in Peru. Revista Peruana de Medicina Experimental y Salud Publica, 35(2), 309–316. https://doi.org/10.17843/rpmesp.2018.352.3761
Calvopiña, J., & Satuquinga, J. (2024). Comparación de la Calidad del Agua Subterránea y Superficial Mediante la Presencia de Metales Pesados en la Parroquia Juan Montalvo Cantón Latacunga Provincia Cotopaxi-Ecuador. Ciencia Latina: Revista Multidisciplinar, 8(5), 4374–4392. https://doi.org/10.37811/cl_rcm.v8i5.13903
Casas, J., Repullo, J., & Donado, J. (2003). La encuesta como técnica de investigación. Elaboración de cuestionarios y tratamiento estadístico de los datos (I). Atención Primaria, 31(8), 527–538. https://www.elsevier.es/es-revista-atencion-primaria-27-articulo-la-encuesta-como-tecnica-investigacion--13047738
Castro, N., & Rajadel, O. (2021). Otra Cara De La Problemática Del Agua Y El Cambio Climático; Dos Realidades Sinérgicas Yuxtapuestas. Revista Cientifica de La Universidad de Cienfuegos, 13(4), 351–360. https://orcid.org/0000-0002-6939-9473
Chen, J., Shi, Y., Cheng, D., Jin, Y., Hutchins, W., & Liu, J. (2019). Survey of pathogenic bacteria of biofilms in a metropolitan drinking water distribution system. FEMS Microbiology Letters, 366(20). https://doi.org/10.1093/femsle/fnz225
Chui, K., Jagai, J., Griffiths, J.,& Naumova, E. (2011). Hospitalization of the elderly in the United States for nonspecific gastrointestinal diseases: A search for etiological clues. American Journal of Public Health, 101(11), 2082–2086. https://doi.org/10.2105/AJPH.2010.300096
Conesa, M. D. C., & Ros, M. I. (2024). Efficient water supply management: a sustainable approach. European Public and Social Innovation Review, 9, 1–19. https://doi.org/10.31637/epsir-2024-528
de Aguilar, D., de Queiroz, M. M., Pinto, C. C., Rodrigues, C., Drumond, G. P., Rezende, V., & Santos, M. C. (2025). Co-occurrence of arsenic and sewage pollutants in surface and groundwater and its implications for water treatment using membrane technology. In Water Research (Vol. 273). Pergamon. https://doi.org/10.1016/j.watres.2024.122994
Di Cicco, M., Tabilio, A., Di Marzio, W., Sáenz, M. E., Galassi, D. M. P., Pieraccini, G., Galante, A., Di Censo, D., & Di Lorenzo, T. (2024). Subchronic Effects of Tetrachloroethylene on Two Freshwater Copepod Species: Implications for Groundwater Risk Assessment. Environmental Toxicology and Chemistry, 43(12), 2515–2527. https://doi.org/10.1002/etc.5977
Duany, S., Arias, T., Bessy, T., & Rodríguez, D. (2022). Bioadsorbentes no convencionales empleados en la remoción de metales pesados. Revisión. Tecnología Química, 42(1), 94–113. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2224-61852022000100094
Earle, M., Stoddart, A., & Gagnon, G. (2023). Raw water biofiltration for surface water manganese control. Scientific Reports, 13(1), 1–11. https://doi.org/10.1038/s41598-023-36348-1
Estupiñán, G. E., Jaramillo, C. G., & Pérez, C. J. (2025). Estudios de nuevas tecnologías para una gestión sostenible en los procesos de purificación del agua. RECIMUNDO, 9(1), 308–314. https://doi.org/10.26820/recimundo/9.(1).enero.2025.308-314
Fernández, F., López, F., Prócoro, G., Luna, S., Aguilera, E. N., Martínez, A., García, M. del S., Hernández, G., Herrera, R., Álvarez, M., & Pérez, I. R. (2013). Heavy metal pollution in drinking water-a global risk for human health: A review. African Journal of Environmental Science and Technology. https://doi.org/10.5897/AJEST12.197
Figueroa, L. F., Torres, K. E., Macas, D. R., & Lara, R. M. (2023). Diseño y construcción de una planta de tratamiento de agua por osmosis inversa. Ibero-American Journal of Engineering & Technology Studies, 3(1), 98–120. https://doi.org/10.56183/iberotecs.v3i1.591
Fragoso, T., Rivas, D., Trujillo, M. E., Cárdenas, M., Revilla, F., & Milán, R. (2018). Caracterización de la infección por Helicobacter pylori en niños y adolescentes en un servicio ambulatorio. Revista Cubana de Pediatría, 90(3), 1–10.
Fuentes, A., Ponce, L., & Lucas, E. (2023). Infección por Helicobacter pylori en población infantil, factores de riesgo asociados y prevalencia. MQRInvestigar, 7(1), 1267–1282. https://doi.org/10.56048/MQR20225.7.1.2023.1267-1282
Gaspar, M. E., Suárez, M. F., & Merino, J. (2024). Desarrollo sostenible y el derecho al agua: Una perspectiva global. Iustitia Socialis. Revista Arbitrada de Ciencias Jurídicas y Criminalísticas, 9(17), 35–49. https://doi.org/10.35381/RACJI.V9I17.3930
Goddard, F. G. B., Pickering, A. J., Ercumen, A., Brown, J., Chang, H. H., & Clasen, T. (2020). Faecal contamination of the environment and child health: a systematic review and individual participant data meta-analysis. The Lancet Planetary Health, 4(9), e405–e415.
https://doi.org/10.1016/S2542-5196(20)30195-9
Hernández, K. (2024). La contaminación por nitratos y su impacto en el medio ambiente y el agua de consumo humano. In Ecologistas en Acción. https://www.ecologistasenaccion.org/311484
Ibarra, R., Bolaños, D., & Cumbal, L. (2024). Evaluation of Physicochemical Parameters, Carbamazepine and Diclofenac as Emerging Pollutants in the Machángara River, Quito, Ecuador. Water (Switzerland), 16(7), 1026. https://doi.org/10.3390/w16071026
Kotze, P. G., Steinwurz, F., Francisconi, C., Zaltman, C., Pinheiro, M., Salese, L.,& Ponce de Leon, D. (2020). Review of the epidemiology and burden of ulcerative colitis in Latin America. In Therapeutic Advances in Gastroenterology (Vol. 13, p. 1756284820931739). SAGE Publications Ltd. https://doi.org/10.1177/1756284820931739
Krishan, A., Yadav, S., & Srivastava, A. (2023). Water Pollution ’ s Global Threat to Public Health : A Mini-Review. International Journal of Scientific Research in Science, Engineering and Technology, 10(6), 321–334. https://doi.org/10.32628/IJSRSET2310643
Lin, L., Yang, H., & Xu, X. (2022). Effects of Water Pollution on Human Health and Disease Heterogeneity: A Review. In Frontiers in Environmental Science (Vol. 10). Frontiers Media S.A. https://doi.org/10.3389/fenvs.2022.880246
Liu, Q., Gao, J., Li, G., Tao, H., & Shi, B. (2019). Accumulation and re-release of metallic pollutants during drinking water distribution and health risk assessment. Environmental Science: Water Research & Technology, 5(8), 1371–1379. https://doi.org/10.1039/C9EW00291J
López, M. A., Castellanos, O. P., Lango, F., Castañeda, M. del R., Montoya, J., Sosa, C. A., & Ortiz, B. (2021). Oxidación avanzada como tratamiento alternativo para las aguas residuales. Una revisión. Enfoque UTE, 12(4), 76–87. https://doi.org/10.29019/enfoqueute.769
Lora, B., Piña, A.,& Donado, L. D. (2024). Assessment of groundwater quality for human consumption and its health risks in the Middle Magdalena Valley, Colombia. Scientific Reports, 14(1), 1–17. https://doi.org/10.1038/s41598-024-61259-0
Mahlknecht, J., Torres, J. A., Kumar, M., Mora, A., Kaown, D., & Loge, F. (2023). Nitrate prediction in groundwater of data scarce regions: The futuristic fresh-water management outlook. Science of the Total Environment, 905, 166863. https://doi.org/10.1016/j.scitotenv.2023.166863
Malfertheiner, P., Megraud, F., Rokkas, T., Gisbert, J., Liou, J. M., Schulz, C., Gasbarrini, A., Hunt, R., Leja, M., O’Morain, C., Rugge, M., Suerbaum, S., Tilg, H., Sugano, K., & El-Omar, E. (2022). Management of Helicobacter pylori infection: the Maastricht VI/Florence consensus report. Gut, 71(9), 1724–1762. https://doi.org/10.1136/gutjnl-2022-327745
Meftah, S., Meftah, K., Drissi, M., Radah, I., Malous, K., Amahrous, A., Chahid, A., Tamri, T., Rayyad, A., Darkaoui, B., Hanine, S., El-Hassan, O., & Bouyazza, L. (2025). Heavy metal polluted water: Effects and sustainable treatment solutions using bio-adsorbents aligned with the SDGs. Discover Sustainability 2025 6:1, 6(1), 1–20. https://doi.org/10.1007/S43621-025-00895-6
Moreno, A. R. (2022). Salud y medio ambiente revista medicina. Revista de La Facultad de Medicina de La UNAM, 89(4), 283–294. https://www.scielo.org.mx/scielo.php?pid=S0026-17422022000300008&script=sci_abstract
Nute, L., & Moreno, P. A. (2024). Emigrantes de Latinoamérica y enfermedad de Chagas ¿replantear la política de salud? Dilemas Contemporáneos: Educación, Política y Valores. https://doi.org/10.46377/dilemas.v12i1.4335
Ortega, I. S., Donatti, S., Cremades, C., & Garay, C. J. (2022). Anxiety and depression in patients with functional gastrointestinal disorders from a hospital of Buenos Aires City. Revista de Psicologia de La Salud, 10(1), 69–79. https://doi.org/10.21134/pssa.v10i1.814
Padilla, D., Dueñas, J., Mahlknecht, J., Mora, A., Kumar, M., Ornelas-Soto, N., Mejía-Avendaño, S., Navarro-Gómez, C. J., & Bhattacharya, P. (2024). Arsenic and fluoride in groundwater triggering a high risk: Probabilistic results using Monte Carlo simulation and species sensitivity distribution. Chemosphere, 359, 142305. https://doi.org/10.1016/j.chemosphere.2024.142305
Page, M., McKenzie, J., Bossuyt, P., Boutron, I., Hoffmann, T., Mulrow, C., Shamseer, L., Tetzlaff, J., Akl, E., Brennan, S., Chou, R., Glanville, J., Grimshaw, J., Hróbjartsson, A., Lalu, M., Li, T., Loder, E., Mayo-Wilson, E., McDonald, S., & Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. In The BMJ (Vol. 372). British Medical Journal Publishing Group. https://doi.org/10.1136/bmj.n71
Parrales, J. T., Soriano, M. A., & Mina, J. B. (2024). Interacciones moleculares de helicobacter pylori en la patogénesis de úlcera péptica. MQRInvestigar, 8(1), 5291–5318. https://doi.org/10.56048/mqr20225.8.1.2024.5291-5318
Paucar, C. D., González, V. H., Álvarez, H. D., Madrid, B. A., De Gracia, C. A., & Flores, A. R. (2023). Aplicación del índice de calidad del agua (ICA) caso de estudio: río jubones, Ecuador. Ciencia Latina Revista Científica Multidisciplinar, 7(4), 1264–1277. https://doi.org/10.37811/cl_rcm.v7i4.6953
Pavan, J. V., Masachessi, G., Prez, V. E., Di Cola, G., Re, V. E., & Nates, S. V. (2022). Evaluación de la calidad de aguas superficiales en espacios recreacionales, una propuesta integradora de marcadores químicos y microbiológicos. Revista de La Facultad de Ciencias Médicas de Córdoba, 79(2), 210–214. https://doi.org/10.31053/1853.0605.v79.n2.33403
Pereira, A. S., Shitsuka, D. M., Parreira, F. J., & Shitsuka, R. (2018). METODOLOGIA DA PESQUISA CIENTÍFICA (Vol. 1). UFSM. https://biblioteca.unisced.edu.mz/handle/123456789/1532
Perozo, J. R., & Abreu, L. R. (2017). Evaluación de la electrocoagulación en el tratamiento de agua potable. Química Viva, 16(1), 56–69.
Piña, E. (2019). Cambio climático, inseguridad alimentaria y obesidad infantil. In Revista Cubana de Salud Pública (Vol. 45, Issue 3). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662019000300014
Qadri, H., Bhat, R. A., Mehmood, M. A., & Dar, G. H. (2020). Fresh Water Pollution Dynamics and Remediation. In Fresh Water Pollution Dynamics and Remediation (Issue Julio). https://doi.org/10.1007/978-981-13-8277-2
Raghavendra, N. (2024). Drinking Water Contamination and its Solving Approaches: A Comprehensive Review of Current Knowledge and Future Directions. Water, Air, and Soil Pollution, 235(10), 1–27. https://doi.org/10.1007/s11270-024-07463-0
Ramos, A., Jácome, C., Sulbarán, M., & Paguay, L. (2024). La Parasitosis Intestinal como una de las Causas para el Desarrollo de Anemia en la Población Infantil en Zonas Rurales del Ecuador. Ciencia Latina: Revista Multidisciplinar, 8(5), 215–228. https://doi.org/10.37811/cl_rcm.v8i5.13290
Rodríguez, L., & Morales, J. (2017). Bacterial pollution in river waters and gastrointestinal diseases. International Journal of Environmental Research and Public Health, 14(5). https://doi.org/10.3390/ijerph14050479
Roldán, G., Pérez, C., De Blas, E., & Simal, J. (2024). Water quality indexes and water quality population perception in a rural area in Ecuador. Water Practice and Technology, 19(2), 580–593. https://doi.org/10.2166/wpt.2024.021
Salvador, J. A., Marco, G.,& Arquero, R. (2021). Evaluación de la investigación con encuestas en artículos publicados en revistas del área de Biblioteconomía y Documentación. Revista Española de Documentación Científica, 44(2), e295. https://doi.org/10.3989/redc.2021.2.1774
Santos, M., & Laranja, R. (2024). Influence of agriculture on surface water quality in three lentic environments in a conservation unit of Brazil. International Journal of Environmental Science and Technology, 21(4), 4295–4306. https://doi.org/10.1007/s13762-023-05296-8
Schaider, L., Swetschinski, L., Campbell, C., & Rudel, R. (2019). Environmental justice and drinking water quality: Are there socioeconomic disparities in nitrate levels in U.S. drinking water? Environmental Health: A Global Access Science Source, 18(3), 1–15. https://doi.org/10.1186/S12940-018-0442-6/TABLES/5
Scherer, C., Weber, A., Stock, F., Vurusic, S., Egerci, H., Kochleus, C., Arendt, N., Foeldi, C., Dierkes, G., Wagner, M., Brennholt, N., & Reifferscheid, G. (2020). Comparative assessment of microplastics in water and sediment of a large European river. Science of The Total Environment, 738, 139866. https://doi.org/10.1016/J.SCITOTENV.2020.139866
Torkaman, F., Rafati, L., Moeini, F., Khazaei, S., Taghi, T., Khodabakhshi, M., & Javaheri, M. (2023). Following WHO Guidelines to Respond to a Water Contamination Outbreak in the Edge of Hamadan, West of Iran. Avicenna Journal of Clinical Microbiology and Infection, 10(4), 137–144. https://doi.org/10.34172/ajcmi.3497
UN Water. (2020). The United Nations world water development report 2020: water and climate change. In United Nations World Water Development Report 2020: Water and Climate Change. UNESCO. https://unesdoc.unesco.org/ark:/48223/pf0000372985.locale=en
UN Water. (2022). UN World Water Development Report. In United Nations. https://www.google.com.ec/books/edition/The_United_Nations_World_Water_Developme/3lduEAAAQBAJ?hl=es-419&gbpv=1&dq=UN+Water.+(2022).+ UN+World+Water+Development+Report.+United+Nations.+https://www.unwater.org/publication_categories/world-water-development-r
United Nations Educational Scientific and Cultural Organization [UNESCO]. (2021). Informe mundial de las Naciones Unidas sobre el desarrollo de los recursos hídricos 2021. In Ecología Política (Issue 19). https://www.unesco.org/reports/wwdr/2021/es
Xu, R., Cai, Y., Wang, X., Li, C., Liu, Q., & Yang, Z. (2020). Agricultural nitrogen flow in a reservoir watershed and its implications for water pollution mitigation. Journal of Cleaner Production, 267, 122034. https://doi.org/10.1016/j.jclepro.2020.122034
Zambrano, J. D., Delgado, A. G., Zambrano, E. T., & Peñaherrera, S. L. (2022). Contaminantes biológicos presentes en fuentes de agua del centro-sur de la provincia de Manabí, Ecuador. Siembra, 9(2), e4011. https://doi.org/10.29166/siembra.v9i2.4011
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