<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">Gates Open Res</journal-id>
            <journal-title-group>
                <journal-title>Gates Open Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2572-4754</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/gatesopenres.13138.1</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Research Article</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Decentralized solar-powered drinking water ozonation in Western Kenya: an evaluation of disinfection efficacy</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 1; peer review: 2 approved with reservations, 1 not approved]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Hendrickson</surname>
                        <given-names>Colin</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-8347-357X</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Oremo</surname>
                        <given-names>Jared</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Akello</surname>
                        <given-names>Oscar Oluoch</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Data Curation</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Bunde</surname>
                        <given-names>Simon</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Rayola</surname>
                        <given-names>Isaac</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Akello</surname>
                        <given-names>David</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <xref ref-type="aff" rid="a3">3</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Akwiri</surname>
                        <given-names>Daniel</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <xref ref-type="aff" rid="a3">3</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Park</surname>
                        <given-names>Sung-Jin</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-9260-0091</uri>
                    <xref ref-type="aff" rid="a4">4</xref>
                </contrib>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Dorevitch</surname>
                        <given-names>Samuel</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Funding Acquisition</role>
                    <role content-type="http://credit.niso.org/">Project Administration</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-1847-1316</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                    <xref ref-type="aff" rid="a5">5</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>School of Public Health, University of Illinois at Chicago, Chicago, IL, 60612, USA</aff>
                <aff id="a2">
                    <label>2</label>Safe Water and AIDS Project (SWAP), Kisumu, 3323-40100, Kenya</aff>
                <aff id="a3">
                    <label>3</label>Shemjen Engineering, Nairobi, 23697-00100, Kenya</aff>
                <aff id="a4">
                    <label>4</label>Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL, 61801, USA</aff>
                <aff id="a5">
                    <label>5</label>Institute for Environmental Science and Policy, University of Illinois at Chicago, Chicago, IL, 60612, USA</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:sdorevit@uic.edu">sdorevit@uic.edu</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>S. Dorevitch, C. Hendrickson, and S-J. Park are employed by the University of Illinois. The University holds patents for the microplasma ozone generator technology used in the study. An institutional conflict of interest is declared. S-J Park holds patents for the microplasma ozone generator used in the study, and a stake in the company that manufactures the devices. He did not play a role in data generation, data analysis or developing the manuscript. D. Akello has a financial interest in Shemjen Engineering, Ltd., which designed and built the water treatment system. D. Akwiri works for Shemjen Engineering. </p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>29</day>
                <month>5</month>
                <year>2020</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2020</year>
            </pub-date>
            <volume>4</volume>
            <elocation-id>56</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>20</day>
                    <month>5</month>
                    <year>2020</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2020 Hendrickson C et al.</copyright-statement>
                <copyright-year>2020</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://gatesopenresearch.org/articles/4-56/pdf"/>
            <abstract>
                <p>
                    <bold>Background:</bold> Decentralized drinking water treatment methods generally apply membrane-based treatment approaches. Ozonation of drinking water, which previously has only been possible at large centralized facilities, can now be accomplished on a small-scale using microplasma technology. The efficacy of decentralized solar-powered ozonation for drinking water treatment is not known.</p>
                <p>
                    <bold>Methods:</bold> We established a 1,000L decentralized solar-powered water treatment system located in Kisumu County, Kenya. Highly contaminated surface water is pumped to the treatment system, which includes flocculation and filtration steps prior to ozonation. Turbidity, total coliform bacteria, and 
                    <italic toggle="yes">E. coli</italic> were measured at various stages of water treatment, and bacterial log reduction values (LRVs) were calculated.</p>
                <p>
                    <bold>Results:</bold> Nine trials were conducted treating 1000L of water in three hours. Baseline turbidity and 
                    <italic toggle="yes">E. coli</italic> concentrations were reduced from a median of 238 nephelometric turbidity units (NTU) and 2,752 most probable number/100mL, respectively, in surface water to 1.0 NTU and undetectable 
                    <italic toggle="yes">E. coli</italic> per100mL in finished drinking water. The nine trials yielded a mean 
                    <italic toggle="yes">E. coli</italic> LRV of 3.36 (2.71&#x2013;4.00, 95% CI).</p>
                <p>
                    <bold>Conclusions:</bold> Based on the observed reduction of 
                    <italic toggle="yes">E. coli,</italic> the solar-powered system shows promise as a means for producing safe drinking water. Further research is needed to characterize limitations, scalability, economic viability, and community perspectives that could help determine the role for similar systems in other settings.</p>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Decentralized water treatment</kwd>
                <kwd>drinking water treatment</kwd>
                <kwd>ozonation</kwd>
                <kwd>solar-powered water treatment</kwd>
                <kwd>water quality</kwd>
                <kwd>sustainable water treatment</kwd>
                <kwd>microplasma technology</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1" xlink:href="http://dx.doi.org/10.13039/100000865">
                    <funding-source>Gates Foundation</funding-source>
                    <award-id>OPP1212304</award-id>
                </award-group>
                <funding-statement>This work was supported by the Gates Foundation [OPP1212304]. </funding-statement>
                <funding-statement>
                    <italic>The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</italic>
                </funding-statement>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec>
            <title>Abbreviations</title>
            <p>AC, Alternating current; CFU, colony forming units; DC, Direct current; Hz, Hertz; mL, Milliliters; L, Liter; LRV, Log reduction value; MPN, Most probable number; NTU, Nephelometric turbidity units; POU, Point of use; USEPA, United States Environmental Protection Agency; V, Volt; W, Watt; WHO, World Health Organization</p>
        </sec>
        <sec sec-type="intro">
            <title>Introduction</title>
            <p>In 2017, an estimated 357 million cases of diarrhea occurred among children under the age of five years in low- and middle-sociodemographic index countries, resulting in approximately 222,457 deaths (
                <xref ref-type="bibr" rid="ref-10">IHME, 2020</xref>). Of those deaths, 93.5% are attributable to unsafe water, sanitation, and handwashing.  Meeting Target 6.1 of the United Nations Sustainable Development Goals - universal and equitable access to safe and affordable drinking water by 2030 - should therefore substantially reduce the global burden of waterborne diarrheal disease in children. Meeting that target will require innovative and effective interventions, as an estimated 144 million people, more than half of whom live in Sub-Saharan Africa, collect drinking water directly from surface waters (
                <xref ref-type="bibr" rid="ref-23">UNICEF &amp; World Health Organization, 2019</xref>).</p>
            <p>The costs of constructing centralized drinking water treatment systems and water distribution systems, as well as the costs for operations and maintenance of such systems, are in the hundreds of millions of dollars (
                <xref ref-type="bibr" rid="ref-16">Plappally &amp; Lienhard, 2013</xref>), far beyond the reach of many low- and middle-income countries.  Point-of-use (POU) water treatment has been utilized as an alternative approach to centralized treatment in such settings. While certainly far less costly, the long-term adherence to POU water treatment is highly variable and often poor (
                <xref ref-type="bibr" rid="ref-17">Roma 
                    <italic toggle="yes">et al.</italic>, 2014</xref>; 
                <xref ref-type="bibr" rid="ref-18">Rosa &amp; Clasen, 2017</xref>; 
                <xref ref-type="bibr" rid="ref-19">Rothstein 
                    <italic toggle="yes">et al.</italic>, 2015</xref>), perhaps in part due to challenges in adherence. High-quality intervention studies have not reported consistent reductions of diarrhea occurrence in children in association with POU water treatments (
                <xref ref-type="bibr" rid="ref-3">Clasen 
                    <italic toggle="yes">et al.</italic>, 2015</xref>).</p>
            <p>Another type of alternative to centralized drinking water treatment is decentralized treatment (
                <xref ref-type="bibr" rid="ref-14">Peter-Varbanets 
                    <italic toggle="yes">et al.</italic>, 2009</xref>). Such systems produce water, typically using membrane-based ultrafiltration with or without chlorination or ultraviolet disinfection. At decentralized treatment stations, community members can refill containers - generally approximately 20L &#x2013; with treated water.  Refill kiosks at decentralized systems have become local businesses in both urban and rural areas of Southeast Asia (
                <xref ref-type="bibr" rid="ref-21">Sima &amp; Elimelech, 2013</xref>). In an evaluation of 10 decentralized membrane-based systems in rural healthcare facilities in rural Rwanda, the systems were found to consistently provide high-quality water without the need for technical expertise to operate (
                <xref ref-type="bibr" rid="ref-7">Huttinger 
                    <italic toggle="yes">et al.</italic>, 2015</xref>). However, the use of those systems was limited to areas with robust access to water and electricity.</p>
            <p>A strategy that has not be explored is to bring decentralized systems to areas without reliable access to electricity by deploying treatment systems that run solely on solar energy. New microplasma technology has made it possible to produce ozone using small, scalable units, with three times the efficiency of conventional dielectric barrier discharge or corona ozone reactors (
                <xref ref-type="bibr" rid="ref-11">Kim 
                    <italic toggle="yes">et al.</italic>, 2017</xref>; 
                <xref ref-type="bibr" rid="ref-22">Simek &amp; Clupek, 2002</xref>). We recently evaluated that technology as a POU water treatment in Kisian, Kenya (
                <xref ref-type="bibr" rid="ref-4">Dorevitch 
                    <italic toggle="yes">et al.</italic>, 2020</xref>). Ten families were asked to ozonate their household stored water in 20L containers for a two-hour period before using the water for drinking. Water quality was monitored weekly for eight weeks. The median (10
                <sup>th</sup>, 90
                <sup>th</sup> percentile) concentration of 
                <italic toggle="yes">E. coli</italic> in household-stored water was 203.7 (7.9, 2,419.7) most probable number (MPN) per 100mL water. Household drinking water (which was meant to have been ozonated) had median 
                <italic toggle="yes">E. coli</italic> concentrations of 11.4 (0.9, 369.7) MPN/100L. Thus, while 
                <italic toggle="yes">E. coli</italic> levels decreased as a result of ozonation, they were generally above safe levels (i.e., zero), perhaps in part due to the high median turbidity of household-stored water of 48.6 nephelometric turbidity units (NTU). While solar-powered ozonation showed promise as a POU method, the deployment of the technology would be more efficient if several ozone generators simultaneously disinfected larger volumes of water over longer periods of time. The addition of turbidity reduction steps would be expected to increase the efficacy of the disinfection process. </p>
            <p>The primary goals of this research are to: 1) describe a decentralized solar-powered drinking water treatment system using ozone disinfection, and 2) to evaluate the performance of that system in treating surface water.</p>
        </sec>
        <sec sec-type="methods">
            <title>Methods</title>
            <sec sec-type="materials">
                <title>Materials</title>
                <p>
                    <bold>
                        <italic toggle="yes">Water treatment system.</italic>
                    </bold> A schematic diagram (
                    <xref ref-type="fig" rid="f1">Figure 1</xref>) identifies key elements of the disinfection process. Approximately 5000L of river water were pumped from the River Nyando by a Pedrollo PKm100 1.1KW Pump. The raw water flowed through a PVC pipe and just before the settling tank, an inline dosing pump (22W Grundfos DDC 6-10 Dosing Pump (240V) injected the water with 935 gm of the flocculating agent alum (powder aluminum sulfate; Kurita Water Industries) from a 100L fiberglass tank. After suspended solids settled overnight, water was released from the settling tank and flowed by gravity to the balance tank through an outlet several cm above the bottom of the tank. Settled floc is removed via a clear-out valve below the outlet to the balance tank. Additional settling of solids took place in the balance tank. A 240V, 0.5 horsepower electric pump (Electric Filter (Pedrollo Linz Pump) moved water from the balance tank into a rapid glass filter containing Certikin glass media (3mm) and Jacobbi Activated carbon media chippings. Water was then pumped approximately 1.5 meters in elevation into the 1,000L PVC ozonation tank.  The process of water filtration and filling of the ozonation tank took approximately 45 minutes. Following ozonation (described next), the water flows through the So-Safe Triple Multibody 10&#x201d; Filter (8 bar) with an activated carbon and two sediment cartridges. After that step, the filtered water is considered to be &#x201c;finished water.&#x201d;  A 5,000L tank collects rooftop harvested rainwater, so that if, during wet weather, cloud cover is too heavy to power the system (this has yet to occur), low-turbidity rainwater can be pumped directly into the ozonation tank.  A utility housing (
                    <xref ref-type="fig" rid="f2">Figure 2</xref>) contained the filters, pumps, and ozone generators.  Finished water was available to the public and water vendors at the on-site water kiosk (
                    <xref ref-type="fig" rid="f3">Figure 3</xref>).</p>
                <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                    <label>Figure 1. </label>
                    <caption>
                        <title>Schematic diagram of the water treatment system.</title>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://gatesopenresearch-files.f1000.com/manuscripts/14326/793020f2-29d3-40e8-9820-a34edd9723ab_figure1.gif"/>
                </fig>
                <fig fig-type="figure" id="f2" orientation="portrait" position="float">
                    <label>Figure 2. </label>
                    <caption>
                        <title>Utility housing.</title>
                        <p>Upper right: The large black tank on the right is the settling tank; Right: The white tank is the balance tank; Left: The white tank is the ozonation tank. Tubing carrying ozone to the diffusers (not visible) can be seen entering the tank. Yellow container in the foreground contains alum.</p>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://gatesopenresearch-files.f1000.com/manuscripts/14326/793020f2-29d3-40e8-9820-a34edd9723ab_figure2.gif"/>
                </fig>
                <fig fig-type="figure" id="f3" orientation="portrait" position="float">
                    <label>Figure 3. </label>
                    <caption>
                        <title>Sales kiosk.</title>
                        <p>Jerrycans of water being prepared by kiosk staff for loading onto a water vendor&#x2019;s cart. The black tank on the upper right is the settling tank.</p>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://gatesopenresearch-files.f1000.com/manuscripts/14326/793020f2-29d3-40e8-9820-a34edd9723ab_figure3.gif"/>
                </fig>
                <p>
                    <bold>
                        <italic toggle="yes">Ozonation.</italic>
                    </bold> Four portable microplasma ozone generators were used (Purelife 1000, EP Purification, Champaign, IL, USA).  Each unit weighs 780 grams, and measures 5.4cm &#x00d7; 11.7cm &#x00d7; 18.4 cm, approximately the size of book, and were maintained in the utility housing (
                    <xref ref-type="fig" rid="f4">Figure 4</xref>). The ozone unit has a miniature diaphragm air pump that draws ambient air at the rate of 2 liters per minute into the array of 250 &#x00b5;m scale (width) channels fabricated in a nanoporous Al
                    <sub>2</sub>O
                    <sub>3</sub>/aluminum chip (reaction volume of 1.9 &#x00b5;L/channel).  In the microchannels, oxygen in ambient air (O
                    <sub>2</sub>) is converted to ozone (O
                    <sub>3</sub>) by a high frequency electric field applied across the top and bottom electrodes in the channel.  The power consumption of the chip is 10&#x2013;14 watts per hour. The unit has a built-in rechargeable battery of 7 amperes capacity to operate for 90 minutes if an external power failure were to occur. Each unit produces 0.2&#x2013;0.35 gm of ozone per hour (depending on relative humidity); thus approximately overall 1gram of ozone per hour was produced.  The ozone/air mixture flowed from each ozone generator, through tubing and was released into the disinfection tank via an AS150 6-inch fine pore with &#x00bc; inch barb ceramic aerator (diffuser) (Pentair Aquatic Eco-Systems, Apopka, FL, USA). Aerators were positioned at the bottom of the disinfection tank so that air/ozone bubbled up through the 1,000L water tank.  A covered vent at the top of the disinfection tank released air/ozone to prevent pressure build-up within the tank. The ozone tubing was Teflon
                    <sup>&#x00ae;</sup> and the ozonation tank was PVC because these are considered relatively resistant to oxidation by ozone.</p>
                <fig fig-type="figure" id="f4" orientation="portrait" position="float">
                    <label>Figure 4. </label>
                    <caption>
                        <title>Ozone generators in the utility housing.</title>
                    </caption>
                    <graphic orientation="portrait" position="float" xlink:href="https://gatesopenresearch-files.f1000.com/manuscripts/14326/793020f2-29d3-40e8-9820-a34edd9723ab_figure4.gif"/>
                </fig>
                <p>
                    <bold>
                        <italic toggle="yes">Electrical supply and controls.</italic>
                    </bold> Initially, the ozonation system and pumps were powered by 240V AC current from electrical outlets. Between Trial 5 and Trial 6, the solarization of the system was completed and from that point forward, the entire system operated exclusively on solar power. Two photovoltaic solar systems, each with its own modules (solar panels) were in place. To power the water treatment system, four roof-mounted 270W Polycrystalline Solar Modules (Yingli Solar) fed current to a Champion 200Ah 12V Sealed Solar Battery. An OPTI SC-PWM 60A 12/24V DC Charge Controller prevents the photovoltaic panels from overcharging battery. An Opti SP Effecto 2000 Hybrid Inverter (Input: 24VDC, Output: 230VAC/50Hz) was used to convert the stored voltage to AC to power pumps in the treatment system and the ozone generators.  A separate solar-powered electrical system powered the Pedrollo PKm100 pump 1.1KW that moved water 164 meters from the River Nyando to the treatment system with an elevation gain of 5 meters and a dynamic head of 20 meters. Ten 200W Topray Solar Modules (Shenzhen Topray Solar Co) fed current through a Dayliff 1.5Kw SV2 Sunverter Solar Controller. A Lorentz Pv Disconnect Switch 1000VDC/40A, a C/W earth rod and lightening arrestor were also installed.</p>
            </sec>
            <sec sec-type="methods">
                <title>Procedures</title>
                <p>
                    <bold>
                        <italic toggle="yes">Water sampling.</italic>
                    </bold> Water samples were collected in 120mL IDEXX sampling bottles, which were autoclaved between rounds of sampling. Water samples were collected from a minimum of two sampling ports: river water before it entered the settling tank and from the ozonation tank at 0, 60, 120, 180 and 240 minutes. In three trials, water was also sampled between the balance tank and the sand filter, and again, between the activated carbon filter and the ozonation tank.  Water samples were transported within 3&#x2013;5 hours of collection in a cooler on ice to the Safe Water &amp; AIDS Project (SWAP) laboratory in Kisumu, Kenya.</p>
                <p>
                    <bold>
                        <italic toggle="yes">Water analysis.</italic>
                    </bold> Turbidity was measured at the SWAP laboratory in Kisumu using the LaMotte 2020we (Chestertown, MD, USA) turbidity meter, which was calibrated daily up to 1,000 NTU. Concentrations of total coliform bacteria and 
                    <italic toggle="yes">E. coli</italic> were measured using the Colilert
                    <sup>&#x00ae;</sup> (Laboratories, Westbrook, ME, USA) defined substrate culture method, which quantifies bacteria levels in units of MPN per 100mL. This method is approved by the US Environmental Protection Agency for drinking water testing purposes (
                    <xref ref-type="bibr" rid="ref-24">USEPA, 2017</xref>). Surface water samples were generally, but not always, diluted with 25mL added to 75mL of distilled water and incubated for 24 hours at 35&#x00b0;C. Water samples collected elsewhere in the treatment process were not diluted. The upper limit of quantification of bacteria for undiluted water samples in 2,419.7 MPN/100mL; with the 25mL + 75mL dilution, the upper limit is 9,678.8 MPN/100mL. Generally, but not always, two separate laboratory technicians independently read the Colilert results (number of large and small positive wells).</p>
                <p>
                    <bold>
                        <italic toggle="yes">Time and place of the trails.</italic>
                    </bold> Data from all trials conducted once the system became operational in September 2019 through to April 2020 are reported here. The decentralized water treatment system was constructed at the site of a defunct water kiosk (0&#x00b0;10'19.7"S 34&#x00b0;55'21.6"E) that had been operated by SWAP in the town of Ahero, in Kisumu County, Kenya. The urban center of Ahero is located 22 km east of the city of Kisumu and has a population of 11,801 (
                    <xref ref-type="bibr" rid="ref-10">Kenya National Bureau of Statistics, 2019</xref>). The River Nyando flows through the center of Ahero.</p>
                <p>
                    <bold>
                        <italic toggle="yes">Independent laboratory analyses.</italic>
                    </bold> Between Trials 4 and 5, the Water Resources Authority, and separately, the Kenya Bureau of Standards independently analyzed water samples and evaluated whether the finished water met World Health Organization (WHO) and Kenya&#x2019;s Drinking Water Standards.</p>
                <p>
                    <bold>
                        <italic toggle="yes">Data analysis.</italic>
                    </bold> Turbidity, total coliform, and 
                    <italic toggle="yes">E. coli</italic> measures for each stage in the treatment process were analyzed for normality using the Kolmogorov-Smirnov test. Bacteria levels were not distributed normally and are summarized as the median and interquartile range (25
                    <sup>th</sup>&#x2013;75
                    <sup>th </sup>percentile); turbidity at each stage of treatment were normally distributed and were summarized as mean and standard deviation. Log reduction values (LRV) of bacteria were calculated as log10(raw water concentration)-log10(ozonated water concentration). Data were analyzed using MS Excel and SAS version 9.4 (SAS Institute, Cary, N.C., USA).</p>
                <p>
                    <bold>
                        <italic toggle="yes">Metals analysis.</italic>
                    </bold> While the disinfection system was undergoing initial testing (before Trial 1 was conducted) aluminum, manganese and iron were tested. Finished water samples were analyzed using the HACH Model DR 3900 Laboratory Spectrophotometer.  Reagents and methods used were HACH method 8012 for aluminum, Method 8034 for manganese, and FerroVer
                    <sup>&#x00ae;</sup> for iron.</p>
            </sec>
        </sec>
        <sec sec-type="results">
            <title>Results</title>
            <p>Once the decentralized system was built and tested, nine trails were conducted to evaluate system performance. 
                <xref ref-type="table" rid="T1">Table 1</xref> describes water quality, as measured by bacteria concentration and turbidity, at each stage of testing. Neither the bacteria nor turbidity were measured at all steps in all trials. Nevertheless, it is clear that substantial reductions in 
                <italic toggle="yes">E. coli</italic>, total coliforms, and turbidity occurred, mainly as a result of flocculation and filtration. 
                <xref ref-type="table" rid="T2">Table 2</xref> presents LRV for 
                <italic toggle="yes">E. coli</italic> and total coliforms, showing a mean LRV reductions greater than 3.0. In Trial 2 the LRV was only 2.24, which was the maximum possible for that trial, given a raw water 
                <italic toggle="yes">E. coli</italic> concentration (baseline) was 171 MPN/100mL.</p>
            <table-wrap id="T1" orientation="portrait" position="anchor">
                <label>Table 1. </label>
                <caption>
                    <title>Water quality through the water treatment process.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="center" colspan="1" rowspan="1" valign="top"/>
                            <th align="center" colspan="1" rowspan="1" valign="top">Trials: Bact.</th>
                            <th align="center" colspan="1" rowspan="1" valign="top">EC (MPN/100mL)
                                <break/>Median
                                <break/>(25
                                <sup>th</sup>, 75
                                <sup>th</sup> %iles)</th>
                            <th align="center" colspan="1" rowspan="1" valign="top">TC (MPN/100mL)
                                <break/>Median
                                <break/>(25
                                <sup>th</sup>, 75
                                <sup>th</sup> %iles)</th>
                            <th align="center" colspan="1" rowspan="1" valign="top">Trials: Turb</th>
                            <th align="center" colspan="1" rowspan="1" valign="top">Turbidity (NTU)
                                <break/>Mean (std. dev)</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Raw water</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">6</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">2,752.6
                                <break/>(1,554.1, 9,682.8)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">6,576.2
                                <break/>(2420.7, 9,682.8)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">7</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">322.1 (228.0)</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Post-flocculation</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">0.0
                                <break/>(0.0, 7.3)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">50.6
                                <break/>(2.0, 58.6)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">4</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">1.3 (1.0)</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Post-filtration</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">0.0
                                <break/>(0.0, 10.7)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">48.9
                                <break/>(4.1, 49.7)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">4</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">0.8 (0.4)</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Ozonation</bold>
                                <break/>
                                <bold>0 minutes</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">8</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">0.0
                                <break/>(0.0, 0.0)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">15.2
                                <break/>(7.9, 71.1)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">2.3 (2.0)</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Ozonation</bold>
                                <break/>
                                <bold>60 minutes</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">0.0
                                <break/>(0.0, 0.0)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">11.9
                                <break/>(5.1, 125.6)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">1.9 (1.4)</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Ozonation</bold>
                                <break/>
                                <bold>120 minutes</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">0.0
                                <break/>(0.0, 0.0)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">7.3
                                <break/>(0.0, 21.3)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">2.2 (1.4)</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Ozonation</bold>
                                <break/>
                                <bold>180 minutes</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">0.0
                                <break/>(0.0, 0.0)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">4.1
                                <break/>(0.0, 6.2)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">9</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">1.5 (1.2)</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Ozonation</bold>
                                <break/>
                                <bold>240 minutes</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">6</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">0.0
                                <break/>(0.0, 0.0)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">1.5
                                <break/>(0.0, 19.1)</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">4</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">2.4 (3.5)</td>
                        </tr>
                    </tbody>
                </table>
                <table-wrap-foot>
                    <fn id="TFN1">
                        <p>EC: 
                            <italic toggle="yes">E. coli</italic>; TC: Total coliforms; MPN, mean probable number; NTU, nephelometric turbidity units.</p>
                    </fn>
                </table-wrap-foot>
            </table-wrap>
            <table-wrap id="T2" orientation="portrait" position="anchor">
                <label>Table 2. </label>
                <caption>
                    <title>Log removal values (LRV) of 
                        <italic toggle="yes">E. coli</italic> and total coliforms, by trial.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="center" colspan="1" rowspan="1" valign="top">Trial</th>
                            <th align="center" colspan="1" rowspan="1" valign="top">
                                <italic toggle="yes">E. coli</italic> LRV</th>
                            <th align="center" colspan="1" rowspan="1" valign="top">Total coliform LRV</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">1</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.99</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">1.81</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">2</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">2.24</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">1.81</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">3</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.49</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.19</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">4</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.99</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.99</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">5</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="other" rid="TFN2">*</xref>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="other" rid="TFN2">*</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">6</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.38</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">2.77</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">7
                                <xref ref-type="other" rid="TFN3">**</xref>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.38</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">2.68</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">8</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.19</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.38</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">9
                                <xref ref-type="other" rid="TFN3">**</xref>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.19</td>
                            <td align="center" colspan="1" rowspan="1" valign="top">3.38</td>
                        </tr>
                        <tr>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>Mean (standard deviation)</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>3.36 (0.55)</bold>
                            </td>
                            <td align="center" colspan="1" rowspan="1" valign="top">
                                <bold>3.02 (0.77)</bold>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table-wrap-foot>
                    <fn id="TFN2">
                        <label>*</label>
                        <p>No baseline sample was taken in Trial 5. No LRV could be determined without a baseline.</p>
                    </fn>
                    <fn id="TFN3">
                        <label>**</label>
                        <p>Of the 5000L pumped into the system for Trial 6, 1000L of it was disinfected in Trial 6 and 1000L of it was disinfected the next day in Trial 7. Similarly, Trial 9 was conducted the day after Trial 8 using the same water in the settling tank.</p>
                    </fn>
                </table-wrap-foot>
            </table-wrap>
            <sec>
                <title>Independent laboratory testing</title>
                <p>The Kenya Bureau of Standards analyzed finished water from the decentralized system and reported that 
                    <italic toggle="yes">E. coli</italic> and coliform concentrations were reported as 0 colony forming units/100mL. The Water Resources Authority tested River Nyando water and found that turbidity was &gt;1,000 NTU (WHO and Kenyan standard: &lt;5 NTU). 
                    <italic toggle="yes">E. coli</italic> and coliform bacteria were &#x201c;too numerous to count.&#x201d;  Finished water met WHO and Kenyan drinking water standards: turbidity was 4.5 NTU, and 0 CFU/100mL of 
                    <italic toggle="yes">E. coli</italic> and coliforms were detected.</p>
                <p>Metals analysis of finished water (prior to Trial 1) showed concentrations of metals that were well within Kenyan Drinking Water Standards: aluminum: 0.01mg/L, iron 0.005 mg/L, and manganese 0.7 mg/L.</p>
            </sec>
        </sec>
        <sec sec-type="discussion">
            <title>Discussion</title>
            <p>The use of solar energy for drinking water treatment has been promoted, in part because regions of the world with little access to safe drinking water tend be in equatorial regions, where sunlight is plentiful (
                <xref ref-type="bibr" rid="ref-1">Chu 
                    <italic toggle="yes">et al.</italic>, 2019</xref>; 
                <xref ref-type="bibr" rid="ref-15">Pichel 
                    <italic toggle="yes">et al.</italic>, 2019</xref>). To the best of our knowledge, this is the first report of a decentralized drinking water treatment system that uses ozone disinfection. The water treatment system was able to consistently process extremely turbid water with high levels of fecal indicator bacteria, and to produce 1,000 L of water with turbidity levels and 
                <italic toggle="yes">E. coli</italic> levels that met WHO drinking water guideline values (
                <xref ref-type="bibr" rid="ref-24">WHO, 2017</xref>). WHO&#x2019;s Technology Non-Specific Harmonized Testing Protocol established performance standards for POU methods (
                <xref ref-type="bibr" rid="ref-27">World Health Organization, 2014</xref>). The evaluation process should assess performance with &#x201c;pre-treatment&#x201d; concentration of bacteria of 100,000/100mL and turbidity is set at 40&#x00b1;10 NTU. In our &#x2018;real-world&#x2019; setting, the water sample dilution method resulted in a maximal measurable bacterial concentration of 9,682.8.  Thus, the observed LRVs likely underestimate actual LRVs. The extremely high pre-treatment water turbidity exceeded by a wide margin WHO test protocol requirements. Nevertheless, the treatment system was successful in meeting the final turbidity goal of &lt;1 NTU in four of the nine trials and &lt;5 NTU in all trials.</p>
            <p>Ozone disinfection has been largely limited to Europe and North America, in part because of the high costs of constructing and powering centralized ozone generation on a large scale (
                <xref ref-type="bibr" rid="ref-12">Loeb 
                    <italic toggle="yes">et al.</italic>, 2012</xref>; 
                <xref ref-type="bibr" rid="ref-13">Mundy 
                    <italic toggle="yes">et al.</italic>, 2018</xref>). A disadvantage of ozonation is that, unlike chlorination, it does not leave a residual level of a disinfectant in treated water. For that reason, education about safe water storage, such as the use of improved vessel containers with tap, lid and narrow neck, will be important when providing disinfected drinking water from the Ahero system. Ozonation of bromide can produce bromates (
                <xref ref-type="bibr" rid="ref-25">von Gunten, 2003</xref>; 
                <xref ref-type="bibr" rid="ref-28">Yang 
                    <italic toggle="yes">et al.</italic>, 2019</xref>), which are possible carcinogens (
                <xref ref-type="bibr" rid="ref-8">IARC, 1999</xref>). For that reason, ozonation of groundwater should be done only after ensuring that bromide is not present. It should be noted that very large reductions in turbidity and fecal indicator bacteria took place prior to ozonation. Thus, other disinfection methods could be implemented at that point. However, because we have demonstrated significant reduction in viral indicators using ozone, and because the taste of the finished water has been found to be very good by users, we intend to continue using ozone as the disinfection method (
                <xref ref-type="bibr" rid="ref-4">Dorevitch 
                    <italic toggle="yes">et al.</italic>, 2020</xref>). The generation of electricity and ozone on-site also opens the door to the possibility of treating wastewater on-site as well.</p>
            <p>The role of all-solar decentralized ozonation systems in the global effort toward achieving UN Sustainable Development Goal target 6.1 (safe and accessible drinking water for all by 2030) remains to be determined.  Membrane filtration methods have been the focus of decentralized water treatment studies (
                <xref ref-type="bibr" rid="ref-6">Francis 
                    <italic toggle="yes">et al.</italic>, 2016</xref>; 
                <xref ref-type="bibr" rid="ref-7">Huttinger 
                    <italic toggle="yes">et al.</italic>, 2015</xref>; 
                <xref ref-type="bibr" rid="ref-20">Sima 
                    <italic toggle="yes">et al.</italic>, 2012</xref>). Before systems, such as the one we described, could be widely deployed, research will be needed to determine the relative effectiveness, costs, impacts on health, and community acceptance of the ozonation and membrane filtration. By operating the system on solar power, this approach does not release particulate matter, carbon monoxide, and other air pollutants. This addresses concerns that arise when water treatment and air quality are not considered jointly (
                <xref ref-type="bibr" rid="ref-2">Clasen &amp; Smith, 2019</xref>).</p>
            <p>The cost of materials and construction was approximately $24,000, though several tanks and kiosk structures were available at the defunct site when work began. Though in the trials reported here we treated 1,000L per day, two treatment cycles per day can be run, doubling output to 2,000 L with only a marginal increase in cost (primarily the time of the system operator and the cost of alum). The ozonation units are modular, and with several ozonation tanks, each linked to larger ozone generators, the cost per cubic meter of water produced can be decreased substantially. By assembling ozone generators and other system elements in Kenya, costs would decrease further. If future sites like this are developed, systems can be simplified, bringing down costs. Two modifications we intend to make are the elimination of the &#x201c;balance tank&#x201d; and directing ozone exhaust from the disinfection tank back to the settling tank for water pre-treatment.</p>
            <p>The findings of this research are subject to several limitations. The number of trials was relatively small, and they took place over a six-month period. It is possible that system performance will decrease over longer time periods.  The dilution of raw water samples was 25mL in 75mL of distilled water, and dilution was only done in the first four trials, limiting the upper limit of bacterial quantification.  As a result, the reported LRVs likely under-estimate actual system performance. The research did include measures of ozone concentration in the disinfection process, though this has been measured during laboratory trials (
                <xref ref-type="bibr" rid="ref-4">Dorevitch 
                    <italic toggle="yes">et al.</italic>, 2020</xref>).  This research did not address community perspectives. However, the earlier work of POU ozonation (without turbidity reduction) found the taste of the water &#x2013; but not the cloudiness of the water &#x2013; to be acceptable.</p>
        </sec>
        <sec sec-type="conclusions">
            <title>Conclusion</title>
            <p>Based on the substantial reduction in enteric bacteria and turbidity, we conclude that a solar-powered decentralized water system with microplasma ozone generating units can effectively treat highly contaminated surface waters. We believe this approach has several favorable features: 1) it is entirely solar-powered, 2) it is scalable, 3) it is effective in treating highly turbid water, 4) it is relatively simple to operate with training, and 5) the capital costs are small compared to those of a centralized treatment system. Further research will be needed to optimize this approach and characterize its limits.</p>
        </sec>
        <sec>
            <title>Data availability</title>
            <sec>
                <title>Underlying data</title>
                <p>Harvard Dataverse: Decentralized solar-powered drinking water ozonation in Western Kenya: An evaluation of disinfection efficacy, 
                    <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.7910/DVN/1FYFQ6">https://doi.org/10.7910/DVN/1FYFQ6</ext-link> (
                    <xref ref-type="bibr" rid="ref-4">Dorevitch, 2020</xref>).</p>
                <p>Data are available under the terms of the 
                    <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">Creative Commons Zero "No rights reserved" data waiver</ext-link> (CC0 1.0 Public domain dedication).</p>
            </sec>
        </sec>
    </body>
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            <article-id pub-id-type="doi">10.21956/gatesopenres.14326.r29432</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
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                    <name>
                        <surname>Brighu</surname>
                        <given-names>Urmila</given-names>
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                        <given-names>Ashish</given-names>
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                    <role>Co-referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-0629-827X</uri>
                </contrib>
                <aff id="r29432a1">
                    <label>1</label>Department of Civil Engineering, Malaviya National Institute of Technology Jaipur, Jaipur, Rajasthan, India</aff>
                <aff id="r29432a2">
                    <label>2</label>Department of Environmental Sciences, IIS (Deemed to be University), Jaipur, Rajasthan, India</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>10</day>
                <month>9</month>
                <year>2020</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2020 Brighu U and Tambi A</copyright-statement>
                <copyright-year>2020</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
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                <list list-type="order">
                    <list-item>
                        <p>The primary goal of this research is&#x00a0;to evaluate the efficiency of decentralized solar-powered drinking water treatment using Ozone disinfection. Ozonation as a disinfectant practice is well established and documented. It was not very clear as to what the whole paper is about or what is the novelty when the reliability of ozone production affecting the dosing and retention times (CT) in the context of decentralized solar powered ozonator were not discussed. Also, as shown in Table 1, the pre-ozonation treatment (flocculation process) has already reduced the&#x00a0;
                            <italic>E.coli</italic> concentration to zero and therefore, the effect of ozonation is not clear.&#x00a0;</p>
                    </list-item>
                    <list-item>
                        <p>The water treatment system defined in the text is not matching with the flow chart in Figure 1. &#x201c;Following ozonation (described next), the water flows through the So-Safe Triple Multibody 10&#x201d; Filter (8 bar) with an activated carbon and two sediment cartridges.&#x201d;</p>
                    </list-item>
                    <list-item>
                        <p>It was not very clear as to why turbidity should increase after ozonation as indicated in Table 1.</p>
                    </list-item>
                    <list-item>
                        <p>&#x201c;However, because we have demonstrated significant reduction in viral indicators using ozone, and because the taste of the finished water has been found to be very good by users, we intend to continue using ozone as the disinfection method (
                            <ext-link ext-link-type="uri" xlink:href="https://gatesopenresearch.org/articles/4-56/v1#ref-4">Dorevitch&#x00a0;
                                <italic>et al.</italic>, 2020</ext-link>)&#x201d;</p>
                        <p> Could not access the above reference.</p>
                    </list-item>
                    <list-item>
                        <p>The methods used in this study are not presented clearly.</p>
                    </list-item>
                    <list-item>
                        <p>Brief description of trials including the ozone dosage and sampling points in Table no. 2 would further help in understanding the actual log reductions of total coliforms and 
                            <italic>E.coli</italic>..</p>
                    </list-item>
                    <list-item>
                        <p>The number of trials is less (only 9) which is not sufficient enough for detailed assessment of the performance of the system.</p>
                    </list-item>
                    <list-item>
                        <p>Since ozone as a disinfectant has a major disadvantage of not leaving any residual disinfectant to guard against the possible contamination during storage, a detailed cost analysis&#x00a0;and its comparison with other methods like UV disinfection including arrangements for residual disinfectant and chlorination method can further improve this manuscript especially when it is proposed for rural settings.</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>No</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>Water Supply, Water and Sanitation, Waste Water Treatment</p>
            <p>We confirm that we have read this submission and believe that we have an appropriate level of expertise to state that we do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment3361-29432">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Dorevitch</surname>
                            <given-names>Samuel</given-names>
                        </name>
                        <aff/>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>1</day>
                    <month>10</month>
                    <year>2020</year>
                </pub-date>
            </front-stub>
            <body>
                <p>The authors wish to thank Prof. Brighu for the very helpful feedback. Responses to those comments follow.</p>
                <p>
                    <bold>1. The primary goal of this research is&#x00a0;to evaluate the efficiency of decentralized solar-powered drinking water treatment using Ozone disinfection. Ozonation as a disinfectant practice is well established and documented. </bold>
                </p>
                <p>We agree with Prof. Brighu that ozonation is certainly well-established and documented. However, the ozonation of drinking water and wastewater is conducted in large, centralized, treatment facilities, and generally produced using 100% oxygen or&#x00a0; dehumidified air. We are aware of no prior studies of the production, on-site, of ozone using ambient air, nor are we aware of studies of decentralized water disinfection using solar power. We have revised the end of the &#x2018;Introduction&#x2019; section to better convey the novelty of the way that ozone is generated and used.</p>
                <p>
                    <bold>2. It was not very clear as to what the whole paper is about or what is the novelty when the reliability of ozone production affecting the dosing and retention times (CT) in the context of decentralized solar powered ozonator were not discussed. Also, as shown in Table 1, the pre-ozonation treatment (flocculation process) has already reduced the&#x00a0;
                        <italic>E.coli</italic> concentration to zero and therefore, the effect of ozonation is not clear.&#x00a0;</bold>
                </p>
                <p>We did not measure aqueous ozone in Kenya. We have previously reported that in the laboratory in the US, we did measure concentrations of aqueous ozone (0.28-0.40ppm) produced using the (microplasma, small scale) process. This has been added to the last paragraph of the Discussion section.</p>
                <p>&#x00a0;
                    <bold>3. The water treatment system defined in the text is not matching with the flow chart in Figure 1. &#x201c;Following ozonation (described next), the water flows through the So-Safe Triple Multibody 10&#x201d; Filter (8 bar) with an activated carbon and two sediment cartridges.&#x201d;</bold>
                </p>
                <p>Thank you for pointing this out. Figure 1 in Version 2 of the manuscript includes the post-ozonation filters.</p>
                <p>
                    <bold>4. It was not very clear as to why turbidity should increase after ozonation as indicated in Table 1.</bold>
                </p>
                <p>In version 1 of the manuscript, only 4 measurements of turbidity at t=240 minutes were available. In version 2, with a much larger number of observations, no increase in turbidity over time is apparent.</p>
                <p>
                    <bold>5. &#x201c;However, because we have demonstrated significant reduction in viral indicators using ozone, and because the taste of the finished water has been found to be very good by users, we intend to continue using ozone as the disinfection method (
                        <ext-link ext-link-type="uri" xlink:href="https://gatesopenresearch.org/articles/4-56/v1#ref-4">Dorevitch&#x00a0;
                            <italic>et al.</italic>, 2020</ext-link>
                    </bold>
                    <bold>)&#x201d; Could not access the above reference.</bold>
                </p>
                <p>A link to the above-reference publication has been added to the list of citations.</p>
                <p>
                    <bold>6. The methods used in this study are not presented clearly.</bold>
                </p>
                <p>We have revised the &#x2018;Methods&#x2019; section with the aim of improving clarity.</p>
                <p>
                    <bold>7. Brief description of trials including the ozone dosage and sampling points in Table no. 2 would further help in understanding the actual log reductions of total coliforms and 
                        <italic>E.coli</italic>..</bold>
                </p>
                <p>Table 2 now makes clear that LRVs are based on initial (raw) water and final (post-ozonation but pre-final filtration) measurements. As noted, ozone concentrations were not measured in this study.&#x00a0; We note in the Methods section that each ozone generator produced approximately 0.25gm ozone/hour, so that the four ozone generators operating simultaneously produced approximately 1g ozone/hours. &#x00a0;</p>
                <p>
                    <bold>8. The number of trials is less (only 9) which is not sufficient enough for detailed assessment of the performance of the system.</bold>
                </p>
                <p>Since the time that Version 1 of the paper was submitted, we have conducted 38 additional trials. The results of all 47 trials are summarized in Version 2 of the manuscript, and the data from those trials have been uploaded to the Harvard Dataverse.</p>
                <p>
                    <bold>9. Since ozone as a disinfectant has a major disadvantage of not leaving any residual disinfectant to guard against the possible contamination during storage, a detailed cost analysis&#x00a0;and its comparison with other methods like UV disinfection including arrangements for residual disinfectant and chlorination method can further improve this manuscript especially when it is proposed for rural settings.</bold>
                </p>
                <p>We note in the Discussion section that the absence of a residual disinfectant is a disadvantage of ozonation. However, ozonation also has advantages relative to chlorination, such as efficacy against Cryptosporidium oocysts and the lack of a &#x2018;chemical taste&#x2019; in the finished water. This is also noted in &#x201c;Discussion.&#x201d;</p>
            </body>
        </sub-article>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report29434">
        <front-stub>
            <article-id pub-id-type="doi">10.21956/gatesopenres.14326.r29434</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Nakada</surname>
                        <given-names>Liane</given-names>
                    </name>
                    <xref ref-type="aff" rid="r29434a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0001-9733-4805</uri>
                </contrib>
                <aff id="r29434a1">
                    <label>1</label>School of Civil Engineering, Architecture and Urban Design - Department of Environment and Sanitation, University of Campinas, S&#x00e3;o Paulo, Brazil</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>8</day>
                <month>9</month>
                <year>2020</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2020 Nakada L</copyright-statement>
                <copyright-year>2020</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport29434" related-article-type="peer-reviewed-article" xlink:href="10.12688/gatesopenres.13138.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>This manuscript describes an interesting point-of-use drinking water treatment system using solar-powered ozonation.&#x00a0;Please find below my suggestions to improve the overall quality of the manuscript: 
                <list list-type="bullet">
                    <list-item>
                        <p>It is important to provide detailed information regarding the treatment system: 
                            <list list-type="bullet">
                                <list-item>
                                    <p>Why 935 g aluminum sulfate?&#x00a0;</p>
                                </list-item>
                                <list-item>
                                    <p>What is the final concentration of aluminum sulfate in mg/L considering raw water flow?&#x00a0;</p>
                                </list-item>
                                <list-item>
                                    <p>gm is not correct, the correct form is g (international system of units).</p>
                                </list-item>
                                <list-item>
                                    <p>Why glass media? Why not sand? The reasons may include efficiency, backwashing, and cost.</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                    <list-item>
                        <p>Turbidity of harvested rainwater is not always low. Please consider a first flush device if treating rainwater. &#x00a0;</p>
                    </list-item>
                    <list-item>
                        <p>Nine different trials were conducted. A summary of these trials indicating ozone dosage (mg/L), sampling points, and analyzed parameters would facilitate reading.</p>
                    </list-item>
                    <list-item>
                        <p>Table 1 is confusing. It would be better to present the results by trial, and not by sampling point.</p>
                    </list-item>
                    <list-item>
                        <p>The main conclusion is focused on the reduction of enteric bacteria following ozonation, however, the results show that E.coli standard is achieved following flocculation, therefore, credit should not be granted to ozonation. &#x00a0; &#x00a0;</p>
                    </list-item>
                </list>
            </p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Partly</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Yes</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>My research interests are focused on water treatment, giardia inactivation, ozonation, solar-driven disinfection, and rainwater harvesting.</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment3360-29434">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Dorevitch</surname>
                            <given-names>Samuel</given-names>
                        </name>
                        <aff/>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>1</day>
                    <month>10</month>
                    <year>2020</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Many thanks to Professor Nakada for the constructive comments, which have been addressed in the revised manuscript (Version 2).</p>
                <p>The reference and rationale for the alum dose been added to the first paragraph of the Methods section.</p>
                <p>The concentration of alum was not measured in the treatment process, though as noted at the end of the "Results" section, in initial trials, aluminum concentrations in finished water were 0.01mg/L.&#x00a0;&#x00a0;</p>
                <p>The following rationale and a reference for the use of glass media for filtration has been added to the 'Methods" section:</p>
                <p>Glass media is generally less costly than sand and in a laboratory evaluation of sand and glass filtration, was found to provide more rapid filtration without a loss of efficacy (Healy 
                    <italic>et al</italic>., 2010).</p>
                <p>In that paragraph, we no longer refer to rainwater as 'low turbidity.'</p>
                <p>The abbreviation 'g' has replaced 'gm' throughout the manuscript.</p>
                <p>We agree with the reviewer that flocculation and filtration (without disinfection) certainly did reduce E. coli concentrations substantially.&#x00a0; The second paragraph of the 'Discussion' section in Version 2 of the manuscript now reads:</p>
                <p>It should be noted that very large reductions in turbidity and fecal indicator bacteria took place prior to ozonation. Although bacterial concentrations decreased substantially, viruses may persist following filtration, and a disinfection step should further decrease concentrations of viruses.&#x00a0; We have demonstrated previously that ozonation eliminated coliphage viruses from sewage samples ( Dorevitch 
                    <italic>et al.</italic>, 2020), though chlorination is certainly effective in reducing viruses&#x00a0; (WHO, 2017).&#x00a0;&#x00a0; 
                    <italic>Cryptosporidium spp.</italic> oocysts are relatively chlorine-resistant ( WHO, 2017), though they are reduced significantly by ozonation (Donofrio 
                    <italic>et al</italic>., 2013). Thus, the ozonation step following filtration in the system we evaluated should have reduced waterborne virus and 
                    <italic>Cryptosporidium spp.</italic> concentrations.&#x00a0; Though chlorination following filtration would also be expected to reduce bacterial and viral concentrations as a disinfection step, the taste of chlorinated water is often unacceptable in low- and middle-income communities&#x00a0; (Roma 
                    <italic>et al.</italic>, 2014; Rosa &amp; Clasen, 2017; Rothstein 
                    <italic>et al.</italic>, 2015 ). By contrast, in a small study of&#x00a0; POU ozonation in Kenya, we found the taste of the finished water to be acceptable ( Dorevitch 
                    <italic>et al.</italic>, 2020).</p>
                <p>The reviewer pointed out the need to clarify information in Tables 1 and 2.</p>
                <p>The solar-powered treatment system has continued operation in the&#x00a0; months since Version 1 of the manuscript was submitted and data are available from 47, rather than 9 trials. We believe that Tables 1 and 2, which include data from those trials, are clearer.</p>
            </body>
        </sub-article>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report29232">
        <front-stub>
            <article-id pub-id-type="doi">10.21956/gatesopenres.14326.r29232</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Sahilu</surname>
                        <given-names>Geremew</given-names>
                    </name>
                    <xref ref-type="aff" rid="r29232a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r29232a1">
                    <label>1</label>Addis Ababa Institute of Technology, Addis Ababa University, Addis Ababa, Ethiopia</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>24</day>
                <month>8</month>
                <year>2020</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2020 Sahilu G</copyright-statement>
                <copyright-year>2020</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport29232" related-article-type="peer-reviewed-article" xlink:href="10.12688/gatesopenres.13138.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>In general the research shows the application of solar powered decentralized water treatment utilizing ozone. However, the method is not clearly presented since there are no clear dimensions except volumes. This makes it difficult to replicate. Pre-ozone treatments have already achieved the requirement for E. coli and turbidity hence it is not clear what the effect of ozone treatment is. Moreover general information such as specific cost of treatment per cubic meter is not presented to compare it with other methods.</p>
            <p>Is the work clearly and accurately presented and does it cite the current literature?</p>
            <p>Yes</p>
            <p>If applicable, is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>Are all the source data underlying the results available to ensure full reproducibility?</p>
            <p>Partly</p>
            <p>Is the study design appropriate and is the work technically sound?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results?</p>
            <p>Partly</p>
            <p>Are sufficient details of methods and analysis provided to allow replication by others?</p>
            <p>No</p>
            <p>Reviewer Expertise:</p>
            <p>My area of research is water supply, water treatment, sanitation, urban drainage in general water supply and sanitation thematic areas.</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however I have significant reservations, as outlined above.</p>
        </body>
        <sub-article article-type="response" id="comment3359-29232">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Dorevitch</surname>
                            <given-names>Samuel</given-names>
                        </name>
                        <aff/>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>1</day>
                    <month>10</month>
                    <year>2020</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Many thanks to Professor G. Sahilu for the helpful feedback.&#x00a0;</p>
                <p>Regarding system specifications: we added dimensions of the system to the first paragraph of the "Methods" section, which contains details&#x00a0; regarding treatment times, alum dosing, and the product/manufacturer information of system components. We did not measure aqueous ozone concentrations, which is&#x00a0; noted as a limitation of the study.</p>
                <p>We agree that the coagulation, flocculation, and filtration steps resulted in dramatic improvements in water quality before the ozonation step.&#x00a0; The second paragraph of the "Discussion" section now notes the following:</p>
                <p>It should be noted that very large reductions in turbidity and fecal indicator bacteria took place prior to ozonation. Although bacterial concentrations decreased substantially, viruses may persist following filtration, and a disinfection step should further decrease concentrations of viruses. &#x00a0;We have demonstrated previously that ozonation eliminated coliphage viruses from sewage samples ( Dorevitch 
                    <italic>et al.</italic>, 2020), though chlorination is certainly effective in reducing viruses&#x00a0; (WHO, 2017).&#x00a0; &#x00a0;
                    <italic>Cryptosporidium spp.</italic> oocysts are relatively chlorine-resistant ( WHO, 2017), though they are reduced significantly by ozonation (Donofrio 
                    <italic>et al</italic>., 2013). Thus, the ozonation step following filtration in the system we evaluated should have reduced waterborne virus and 
                    <italic>Cryptosporidium spp.</italic> concentrations. &#x00a0;Though chlorination following filtration would also be expected to reduce bacterial and viral concentrations as a disinfection step, the taste of chlorinated water is often unacceptable in low- and middle-income communities&#x00a0; (Roma 
                    <italic>et al.</italic>, 2014; Rosa &amp; Clasen, 2017; Rothstein 
                    <italic>et al.</italic>, 2015 ). By contrast, in a small study of &#x00a0;POU ozonation in Kenya, we found the taste of the finished water to be acceptable ( Dorevitch 
                    <italic>et al.</italic>, 2020).</p>
            </body>
        </sub-article>
    </sub-article>
</article>
