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| Investigation on rural environmental sanitation and summer diarrhea among rural residents in Zhejiang Province |
| CHEN Yuan, WU Li-zhi, XU Pei-wei, CHEN Wei-zhong, HE Sheng-liang, CHEN Zhi-jian
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| Zhejiang Provincial Center for Disease Control and Prevention ,Hangzhou,Zhejiang 310051,China |
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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.
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Received: 06 July 2018
Revised: 21 September 2018
Published: 18 January 2019
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[1] 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.
[2] 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.
[3] 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.
[4] 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.
[5] 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.
[6] 陈燕梅,涂晓波,丁文杰,等. 腹泻患儿粪便轮状病毒检测结果分析[J]. 预防医学,2018,30(4):416-417.
[7] 洪程基,李毅,孙宝昌,等. 婴幼儿感染性腹泻病原微生物及耐药性分析[J]. 浙江预防医学,2016,28(5):453-457.
[8] 王金娜,徐若君,黄大锟,等. ARIMA乘积季节模型预测永嘉县其他感染性腹泻的流行[J]. 浙江预防医学,2017,29(2):150-154.
[9] 赵雪琴,商晓春,张睿,等. 杭州市2013年婴幼儿病毒性腹泻哨点医院监测结果分析[J]. 浙江预防医学,2015,27(9):949-951.
[10] 中华人民共和国国家卫生健康委员会. 关于印发《全国农村环境卫生监测工作方案(2018年版)》的通知[EB/OL].(2018- 04- 25)[2018-07-06]. http://www.moh.gov.cn/jkj/s7934td/ 201805/ 783b644408a8448ebcef390b75bc815d.shtml.
[11] YU J X,ZHU W P,YE C C,et al.A cross-sectional study of acute diarrhea in Pudong,Shanghai,China:prevalence,risk factors,and healthcare-seeking practices[J]. Epidemiology & Infection,2017,145(13):1.
[12] 黄利明,刘辉,沈利明,等. 2013年杭州市流动人口急性腹泻相关因素与疾病负担现场调查[J]. 疾病监测,2016,31(1):63-67.
[13] 任丽华,楼晓明,陈卫中,等. 浙江省农村卫生厕所现状调查分析[J]. 江苏预防医学,2008,19(4):45-46.
[14] 蔡建民,陈志健,楼晓明,等. 浙江省部分农村环境卫生现况调查[J]. 现代预防医学,2014,41(8):1380-1381.
[15] 王睿,赵亮,张磊,等. 2014—2016年天津市农村环境卫生健康危害因素调查[J]. 现代预防医学,2017,44(16):2916-2923.
[16] 于洋,郑浩,费娟,等. 2012年江苏省农村环境卫生调查[J]. 环境与健康杂志,2013,30(8):709-711.
[17] 王欣梅,黄涛,陈艳华. 2012—2014年湖南省农村环境卫生健康危害因素调查[J]. 环境与健康杂志,2016,33(10):878-902.
[18] 马李,王志强,冯晓亮,等. 2013年安徽省农村环境卫生健康危害影响因素调查[J]. 热带病与寄生虫学,2014,12(3):137-145.
[19] 李洪兴,陶勇,刘开泰. 我国改水与环境卫生干预控制腹泻病发病效果的Meta分析[J]. 环境与健康杂志,2014,31(5):438-441.
[20] 印悦,金立坚,秦岭,等. 四川省农村夏季腹泻发病的环境影响因素[J]. 环境与职业医学,2013,30(6):401-404. |
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