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A total of 144 studies were analysed to assess the impact of improved water supply and sanitation facilities on ascariasis, diarrhoea, dracunculiasis, hookworm infection, schistosomiasis, and trachoma.

TitleEffects of improved water supply and sanitation on ascariasis, diarrhoea, dracunculiasis, hookworm infection, schistosomiasis, and trachoma
Publication TypeJournal Article
Year of Publication1991
AuthorsEsrey, SA, Potash, JB, Roberts, L, Shiff, C
Paginationp. 609-621: tab.
Date Published1991-01-01
Keywordsascariasis, diarrhoeal diseases, disease control, dracontiasis, helminthic infections, hygiene, morbidity, safe water supply, sanitation, schistosomiasis, trachoma
Abstract

A total of 144 studies were analysed to assess the impact of improved water supply and sanitation facilities on ascariasis, diarrhoea, dracunculiasis, hookworm infection, schistosomiasis, and trachoma. These diseases all illustrate the variety of mechanisms through which improved water and sanitation can protect people. Disease-specific median reduction levels were calculated for all studies. For the methodologically more rigourous studies, the median reduction in morbidity for diarrhoea, trachoma, and ascariasis induced by water supplies and/or sanitation was 26%, 27% and 29% respectively; the median reduction for schistosomiasis and dracunculiasis was higher, at 77% and 78%, repectively. Water for personal and domestic hygiene was important in reducing the rates of ascariasis, diarrhoea, schistosomiasis, and trachoma. Sanitation facilities decreased diarrhoea morbidity and mortality and the severity of hookworm infection.

NotesBibliography: p. 618-621
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