Fecal Contamination on the Household Compound and in Water Sources are Associated with Subsequent Diarrhea in Young Children in Urban Bangladesh (CHoBI7 Program)
| Autor: | Christine Marie George, Jamie Perin, Zillur Rahman, Shirajum Monira, Munirul Alam, Shwapon Biswas, Tasdik Hasan, Fatema Zohura, Indrajeet Barman, Sazzadul Islam Bhuyian, Anne Westin, David A. Sack, Jahed Masud, Ismat Minhaj Uddin, Fatema Tuz Johura, Marzia Sultana, Tahmina Parvin, Elizabeth D. Thomas |
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| Rok vydání: | 2020 |
| Předmět: |
Diarrhea
Male Sociodemographic Factors media_common.quotation_subject Odds Cohort Studies Feces Hygiene Risk Factors Virology Environmental health Poverty Areas medicine Escherichia coli Humans Prospective Studies Prospective cohort study media_common Bangladesh business.industry Drinking Water Infant Newborn Infant Odds ratio Articles Fecal coliform Infectious Diseases Child Preschool Population Surveillance Parasitology Female medicine.symptom business Slum |
| Zdroj: | Am J Trop Med Hyg |
| ISSN: | 1476-1645 |
| Popis: | We investigated the environmental and individual-level risk factors for diarrheal disease among young children in slum areas of Dhaka, Bangladesh. A prospective cohort study was conducted among 884 children under 5 years of age. Caregiver reports were collected on sociodemographic factors and hygiene behaviors. Diarrhea surveillance data was collected monthly based on caregiver-reported diarrhea for children in the past 2 weeks during the 12-month study period. Unannounced spot checks of the household compound were performed at 1, 3, 6, 9, and 12 months after enrollment to check for the presence of feces (animal or human) and the presence of animals in the child’s sleeping space, to assess child and caregiver hands for the presence of dirt, and to collect samples of the household’s source and stored drinking water. Children with feces found on the household compound during spot checks had a significantly higher odds of diarrhea (odds ratio: 1.71; 95% confidence interval: 1.23–2.38). Children residing in households with > 100 colony forming units/100 mL Escherichia coli in source drinking water had a significantly higher odds of diarrhea (OR: 1.43; 95% CI: 1.06–1.92). The presence of feces on the household compound and source drinking water with > 100 colony forming units/100 mL E. coli were significant risk factors for diarrheal disease for children < 5 years of age in slum areas of Dhaka, Bangladesh. These findings demonstrate the urgent need for comprehensive interventions to reduce fecal contamination on the household compound to protect the health of susceptible pediatric populations. |
| Databáze: | OpenAIRE |
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