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Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa
Recent work has estimated that sub-Saharan Africa could lose US$3.5 billion of economic productivity every year as a result of schistosomiasis and soil-transmitted helminthiasis. One of the main interventions to control schistosomiasis is the provision of safe water to limit the contact with infecte...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
eLife Sciences Publications, Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819946/ https://www.ncbi.nlm.nih.gov/pubmed/29460779 http://dx.doi.org/10.7554/eLife.33065 |
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author | Tanser, Frank Azongo, Daniel K Vandormael, Alain Bärnighausen, Till Appleton, Christopher |
author_facet | Tanser, Frank Azongo, Daniel K Vandormael, Alain Bärnighausen, Till Appleton, Christopher |
author_sort | Tanser, Frank |
collection | PubMed |
description | Recent work has estimated that sub-Saharan Africa could lose US$3.5 billion of economic productivity every year as a result of schistosomiasis and soil-transmitted helminthiasis. One of the main interventions to control schistosomiasis is the provision of safe water to limit the contact with infected water bodies and break the cycle of transmission. To date, a rigorous quantification of the impact of safe water supplies on schistosomiasis is lacking. Using data from one of Africa’s largest population-based cohorts, we establish the impact of the scale-up of piped water in a typical rural South African population over a seven-year time horizon. High coverage of piped water in the community decreased a child’s risk of urogenital schistosomiasis infection eight-fold (adjusted odds ratio = 0.12, 95% CI 0.06–0.26, p<0.001). The provision of safe water could drive levels of urogenital schistosomiasis infection to low levels of endemicity in rural African settings. |
format | Online Article Text |
id | pubmed-5819946 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | eLife Sciences Publications, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-58199462018-02-22 Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa Tanser, Frank Azongo, Daniel K Vandormael, Alain Bärnighausen, Till Appleton, Christopher eLife Epidemiology and Global Health Recent work has estimated that sub-Saharan Africa could lose US$3.5 billion of economic productivity every year as a result of schistosomiasis and soil-transmitted helminthiasis. One of the main interventions to control schistosomiasis is the provision of safe water to limit the contact with infected water bodies and break the cycle of transmission. To date, a rigorous quantification of the impact of safe water supplies on schistosomiasis is lacking. Using data from one of Africa’s largest population-based cohorts, we establish the impact of the scale-up of piped water in a typical rural South African population over a seven-year time horizon. High coverage of piped water in the community decreased a child’s risk of urogenital schistosomiasis infection eight-fold (adjusted odds ratio = 0.12, 95% CI 0.06–0.26, p<0.001). The provision of safe water could drive levels of urogenital schistosomiasis infection to low levels of endemicity in rural African settings. eLife Sciences Publications, Ltd 2018-02-20 /pmc/articles/PMC5819946/ /pubmed/29460779 http://dx.doi.org/10.7554/eLife.33065 Text en © 2018, Tanser et al http://creativecommons.org/licenses/by/4.0/ http://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Epidemiology and Global Health Tanser, Frank Azongo, Daniel K Vandormael, Alain Bärnighausen, Till Appleton, Christopher Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
title | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
title_full | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
title_fullStr | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
title_full_unstemmed | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
title_short | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
title_sort | impact of the scale-up of piped water on urogenital schistosomiasis infection in rural south africa |
topic | Epidemiology and Global Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5819946/ https://www.ncbi.nlm.nih.gov/pubmed/29460779 http://dx.doi.org/10.7554/eLife.33065 |
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