All rapid responses - Sixty seconds on . . . hydration stations - The BMJ

Dear Editor

We have read the aticle by Charlotte Rose Sixty seconds on . . . hydration stations in your journal (BMJ 2023;380:p164). Installation of hydration stations across campus makes free water accessible to all. Community members will be encouraged to drink more water and less beverages like soft drinks (1). Dehydration is common in nursing home residents and school children (2-4). Many schools do not have drinking water facilities and toilet facilities (2-4). A recent study shows that dehydration can affect cardiovascular health (5,6).

Hence providing hydration stations will be helpful to keep good hydration which is needed to maintain good health

Dr Suraj M Math, Senior Clinical Fellow, General Surgery, WWL NHS Trust, UK
Dr Mahantayya V Math mathmv@rediffmail.com Honorary Associate Professor in Physiology Navi Mumbai, India

References
1. Charlotte Rose.sixty seconds on.. hydration stations. BMJ 2023;380:p164
2. Paulis SJC, Everink IHJ, Halfens RJG, Lohrmann C, Schols JMGA. Prevalence and Risk Factors of Dehydration Among Nursing Home Residents: A Systematic Review. J Am Med Dir Assoc. 2018 Aug;19(8):646-657. doi: 10.1016/j.jamda.2018.05.009. Epub 2018 Jul 6. PMID: 30056949.
3. Sadam R. KG to PG, but no WC? Telangana has the most govt schools without toilets, 37% with no tap water The print 9 December 2022
4. Parliament Proceedings | over 42,000 government schools across the country do not have drinking water facilities, while more than 15,000 schools have no toilets https://www.thehindu.com/news/national/parliament-proceedings-over-42000... March 18, 2021
5. Burg MB, Ferraris JD, Dmitrieva NI. Cellular response to hyperosmotic stresses. Physiol Rev. 2007 Oct;87(4):1441-74. doi: 10.1152/physrev.00056.2006. PMID: 17928589
6. Dmitrieva NI, Liu D, Wu CO, Boehm M. Middle age serum sodium levels in the upper part of normal range and risk of heart failure. Eur Heart J. 2022 Sep 14;43(35):3335-3348. doi: 10.1093/eurheartj/ehac138. PMID: 35348651.

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