Survey of School Direct-Drinking Water Access for Children and Youth in Shanghai, China

Background: Over the past decade, Shanghai primary and middle schools have installed and updated direct-drinking water facilities in compliance with local policies, but few studies have assessed the schools providing direct-drinking water access. Methods: A cross-sectional study was conducted with 167 public primary, middle, and high schools across Pudong New Area, Shanghai during Autumn 2024. The type, location, and working condition of all direct-drinking water facilities throughout each school were documented by trained research staff using a direct observation protocol. Information on school direct-drinking water quality was obtained from the routine monitoring program. Data were analyzed for comprehensive assessment of direct-drinking water facilities in the schools. Results: On average, each school had one faucet of direct-water facility per 41 students; 70% of the schools met the requirement for minimum direct-drinking water access, and >90% placed facilities in high-traffic areas. In addition, 83% of the schools selected water facilities with nanofiltration and a hot water system, and most only provided hot water (above 50 degrees Celsius). For school direct-drinking water quality, the concentrations of hardness, chemical oxygen demand (COD), and total dissolved solids (TDS), as well as pH values, were improved significantly, but the total bacteria count was prone to not meeting the requirement for standards in middle and high schools, which could be caused by insufficiency of chlorination in pumping stations or neglecting to clean facilities promptly. Conclusions: Wide usage of school direct-drinking water facilities could help most public schools to meet local policies for minimum student drinking water access in Shanghai, but microbial contamination was the potential threat. Water temperature is the key factor affecting students’ drinking water, providing an optional water temperature for students’ preferences and concerns. National sanitary standards of direct-drinking water quality and relevant additional regulations should be established and implemented in China.