Hostname: page-component-76fb5796d-25wd4 Total loading time: 0 Render date: 2024-04-26T16:19:07.563Z Has data issue: false hasContentIssue false

Environmental sanitation, food and water contamination and diarrhoea in rural Bangladesh

Published online by Cambridge University Press:  15 May 2009

F. J. Henry*
Affiliation:
International Centre for Diarrhoeal Disease Research, Bangladesh
S. R. A. Huttly
Affiliation:
Department of Epidemiology and Population Sciences, London School of Hygiene and Tropical Medicine
Y. Patwary
Affiliation:
International Centre for Diarrhoeal Disease Research, Bangladesh
K. M. A. Aziz
Affiliation:
International Centre for Diarrhoeal Disease Research, Bangladesh
*
*Address for correspondence and reprints: Dr Fitzroy Henry, HIID, 1 Eliot Street, Cambridge, MA 02138, USA.
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This study examined the role of food and water contamination in a health impact evaluation of a water and sanitation intervention project. Although lower diarrhoea rates were found in the improved area no consistent difference in food and water contamination was observed between areas. Furthermore, no relationship was found between contamination and diarrhoea in either area, even after controlling for the nutritional status of children. These results imply that other vehicles of transmission might be more important than food and water in diarrhoeal transmission. The focus of interventions should therefore be on changing behaviours to improve overall hygiene.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1990

References

REFERENCES

Blum, D, Feachem, RG. Measuring the impact of water supply and sanitation investments on diarrhoeal diseases: problems of methodology. Int J Epidemiol 1983; 12: 357–65.CrossRefGoogle ScholarPubMed
Briscoe, J, Feachem, RG, Rahaman, MM. Measuring the impact of water supply and sanitation facilities on diarrhoea morbidity: prospects for case-control methods. WHO document, WHO/CWS/85.3,Geneva 1985.Google Scholar
Barrell, RaeRowland, MGM. Infant foods as a potential source of diarrhoeal illness in rural West Africa. Trans R Soc Trop Med Hyg 1979; 73: 8590.CrossRefGoogle ScholarPubMed
Guerrant, RL, Kirchhoff, LV, Sheilds, DS, et al. Prospective study of diarrhoea illnesses in Northeastern Brazil: patterns of disease, nutritional impact, etiologies and risk factors. J Inf Dis 1983; 148: 986–97.CrossRefGoogle ScholarPubMed
Mata, LJ, Kronmal, RA, Garcia, B, Butler, W, Urrutia, JJ, Murillo, S. Breastfeeding, weaning and the diarrhoea syndrome in a Guatemalan Indian village.In: CIBA Foundation 42,Elsevier, 1976.Google Scholar
Rowland, MgmBarrell, RaeWhitehead, RG. Bacterial contamination of traditional Gambian weaning foods. Lancet 1978; i: 136–8.CrossRefGoogle Scholar
Blum, givenD, Huttly, SRA, Okoro, J, Akujobi, CI, Kirkwood, BR, Feachem, RG. The bacteriological quality of traditional water sources in northeastern Imo State, Nigeria. Epidemiol Infect 1987; 99: 429–37.CrossRefGoogle ScholarPubMed
Black, RE, Brown, KH, Becker, S, Alim, ARMA, Merson, MH. Contamination of weaning foods and transmission of enterotoxigenic Escherichia coli diarrhoea in children in rural Bangladesh. Trans R Soc Trop Med Hyg 1982; 76: 259–64.CrossRefGoogle ScholarPubMed
Aziz, KmaHoque, BAHuttly, SRA, et al. Mirzapur Handpump Project. Final report,Dhaka: World Bank & International Centre for Diarrhoeal Disease Research, Bangladesh. 1989.Google Scholar
Henry, FJ, Patwary, Y, Huttly, SRA, Aziz, KMA. Bacterial contamination of weaning foods and drinking water in rural Bangladesh. Epidemiol Infect 1990; 104: 7985.CrossRefGoogle ScholarPubMed
APHA. Standard methods for the examination of water and waste-water. Washington:American Public Health Association, American Water Works Association and Water Pollution Control Federation, 1981.Google Scholar
Thatcher, FS, Clark, DS. Micro-organisms in foods, Vol. 1,Their significance and methods of enumeration. Canada:University of Toronto Press. 1968.Google Scholar
Lloyd-Evans, N, Pickering, HA, Goh, SGJ, Rowland, MCM. Food and water hygiene and diarrhoea in young Gambian children: a limited case control study. Trans R Soc Trop Med Hyg 1984; 78: 209–11.CrossRefGoogle ScholarPubMed
Rothman, KJ, Poole, CA.Strengthening programme for weak associations. Int J Epidemiol 1988; 17 (4) suppl: 955–9.CrossRefGoogle ScholarPubMed
Feachem, RG. Environmental and behavioural approaches to diarrhoeal disease control. In: Holme, T, Holmgren, J, Merson, MH, Molby, R eds. Acute enteric infections in children. New prospects for treatment and prevention. Amsterdam:Elsevier/North Holland Biomedical, 1981: 289–94.Google Scholar
Feachem, RG. Environmental aspects of cholera epidemiology III. Transmission and control. Trop Dis Bull 1982; 79: 147.Google ScholarPubMed
Feachem, RG, Bradley, DJ, Garelick, H, Mara, DD. Sanitation and disease.Health aspects of excreta and wastewater management. Chichester:John Wiley & Sons, 1983.Google Scholar
Khan, MU. Interruption of shigellosis by handwashing. Trans R Soc Trop Med Hyg 1982; 76: 164–8.CrossRefGoogle Scholar
Echeverria, P, Taylor, D, Seriwatana, J, et al. Potential sources of enerotoxigenic Eschericha coli in homes of children with diarrhoea in Thailand. Bull WHO 1987; 65: 207–15.Google Scholar
Cairncross, S. The benefits of water supply. In: Pickford J ed. Developing world water,II. London:Grosvenor Press, 1987.Google Scholar
Huttly, SRA, Blum, D, Kirkwood, BR et al. . Imo State (Nigeria) drinking water supply and sanitation. Project II: Impact on dracunculiasis, diarrhoea and nutritional status. In press.Google Scholar
Henry, FJ, Rahim, Z. Transmission of diarrhoea in two crowded areas with different sanitary facilities in Dhaka, Bangladesh. J Trop Med Hyg. In press.Google Scholar
Martinez, C, Chavez, A.XI Congresso Internacional de Nutricao. Rio de Janeiro. Abstracts, p. 275.Google Scholar
Hibbert, JM, Golden, HMN. What is the weanling's dilemma? Dietary faecal bacterial ingestion of normal children in Jamaica. J Trop Paediatr 1981; 27: 255–8.CrossRefGoogle Scholar
Black, RE, Dykes, AC, Anderson, KE, et al. Handwashing to prevent diarrhoea in day-care centres. Am J Epidemiol 1981; 113: 445–51.CrossRefGoogle Scholar
Feachem, RG. Interventions for the control of diarrhoeal diseases among young children: promotion of personal and domestic hygiene. Bull WHO 1984; 62: 467–76.Google ScholarPubMed
Sircar, BK, Sengupta, PG, Mondal, SK, et al. Effect of handwashing on the incidence of diarrhoea in a Calcutta slum. J Dia Dis Res 1987; 5: 122–4.Google Scholar