Abstract：Objective To understand the status of rural environmental sanitation and summer diarrhea among rural residents in Zhejiang Province,and to provide evidence for improvement of rural environmental sanitation and prevention and control of summer diarrhea. Methods The stratified random sampling method was used. Five or six counties each were selected from the east,middle and west of Zhejiang Province;five townships（excluded Chengguan Town）were selected from each selected county;four villages were selected as field survey points from each township;five households were selected from each survey point;one family member（householder or housewife）was selected from each selected household. The information about the environmental sanitation status and prevalence of summer diarrhea were obtained by literature review,interviews,questionnaire suvey,field investigation and laboratory tests. Logistic regression model was used to analyze the influencing factors for occurrence of summer diarrhea among rural residents. Results There were 2 000 households surveyed. In the past two weeks,108 households had families with diarrhea and the prevalence of diarrhea was 5.40%. A total of 1 828 households disposed the household waste in the garbage bins or pools,accounting for 91.40%. There were 1 926 households with organized sewage discharge,accounting for 96.30%. There were 768 households with nymphs found in the kitchen,accounting for 38.40%;404 households with live egg sheaths found,accounting for 20.20%;592 households with cockroach traces found,accounting for 29.60%;564 households with rat traces found,accounting for 28.20%;and 1 206 households with flies found,accounted for 60.30%. There were 1 314 households with disease vectors around the house,accounting for 65.70%. There were 1 944 household with sanitary toilets,accounting for 97.20%. A total of 1 915 households had habits of drinking boiled water,accounting for 96.57%. The results of multivariate logistic regression analysis showed that rat traces found in the kitchen（OR=2.026,95%CI: 1.362-3.013）were a risk factor for summer diarrhea in rural residents,while drinking boiled water（OR=0.272,95%CI: 0.091-0.811）was a protective factor. Conclusion The sanitary environment and family health habits of rural residents were related to the prevalence of diarrhea in summer. Paying attention to kitchen hygiene and drinking boiled water could prevent summer diarrhea.
KOSEK M,BERN C,GUERRANT R L.The global burden of diarrhoeal disease,as estimated from studies published between 1992 and 2000[C]// Bull World Health Organ,2003:197-204.
WOLDU W,BITEW B D,GIZAW Z.Socioeconomic factors associated with diarrheal diseases among under-five children of the nomadic population in northeast Ethiopia[J]. Tropical Medicine & Health,2016,44(1):40.
BITEW B D,WOLDU W,GIZAW Z.Childhood diarrheal morbidity and sanitation predictors in a nomadic community[J]. Italian Journal of Pediatrics,2017,43(1):91.
KAPWATA T,MATHEE A,WRIGHT J,et al.Diarrhoeal disease in relation to possible household risk factors in South African villages[J]. International Journal of Environmental Research and Public Health ,2018,15(8):1665.
ESREY S A,FEACHEM R G,HUGHES J M.Interventions for the control of diarrhoeal diseases among young children:improving water supplies and excreta disposal facilities[J]. Bulletin of the World Health Organization,1985,63(4):757-772.