scholarly journals A community outbreak of Campylobacter jejuni infection from a chlorinated public water supply

2007 ◽  
Vol 135 (7) ◽  
pp. 1151-1158 ◽  
Author(s):  
G. RICHARDSON ◽  
D. Rh. THOMAS ◽  
R. M. M. SMITH ◽  
L. NEHAUL ◽  
C. D. RIBEIRO ◽  
...  
Keyword(s):  
Rural Communities ◽  
Campylobacter Jejuni ◽  
Water Consumption ◽  
Tap Water ◽  
Population Attributable Risk ◽  
Public Water Supply ◽  
South Wales ◽  
Sporadic Cases ◽  
Maintenance And Inspection

SUMMARYAn outbreak of Campylobacter jejuni infection occurred in a South Wales Valleys housing estate. Illness in estate residents was associated with tap water consumption [population attributable risk (PAR) 50%, relative risk (RR) 2·53, 95% confidence interval (CI) 1·9–3·37] and residence in the upper estate (PAR 49%, RR 2·44, 95% CI 1·83–3·24). Amongst upper estate residents, rates of diarrhoeal illness increased with rates of water consumption (OR 18, 95% CI 3·5–92·4 for heaviest consumers, χ2 trend P<0·0001). The upper estate received mains water via a covered holding reservoir. A crack in the wall of the holding reservoir was identified. Contamination with surface water from nearby pasture land was the likely cause of this outbreak. Service reservoirs are common in rural communities and need regular maintenance and inspection. The role of water in sporadic cases of campylobacter enteritis may be underestimated.

scholarly journals Differences in water consumption choices in Canada: the role of socio-demographics, experiences, and perceptions of health risks

2010 ◽  
Vol 8 (4) ◽  
pp. 671-686 ◽  
Author(s):  
Diane Dupont ◽  
W. L. (Vic) Adamowicz ◽  
Alan Krupnick
Keyword(s):  
Water Consumption ◽  
Tap Water ◽  
Multinomial Logit Model ◽  
Bottled Water ◽  
Health Concerns ◽  
French Speaking ◽  
Key Variables ◽  
Tap Water Quality ◽  
Contamination Events

In 2000 and 2001 Canadians were shocked by water contamination events that took place in two provinces. In 2004 we undertook an internet-based survey across Canada that asked respondents to identify in percentage terms their total drinking water consumption according to one of three sources: tap water, bottled water, and home-filtered water (either some type of container or an in-tap filter device). In this paper we investigate the factors that influence these choices and whether choosing to either filter or purchase water is linked to perceptions of health concerns with respect to tap water. A series of one-way analysis of variance (ANOVA) tests suggest that the presence of children in a household and self-reported concern that tap water causes health problems lead to significantly greater consumption of bottled water or filtered water and significantly less tap water consumption. In order to examine these choices in a multivariate framework, we estimate a multinomial logit model. Factors yielding higher probabilities of a respondent being primarily a bottled water drinker (relative to the choice of tap water) include: higher income, unpleasant taste experiences with tap water, non-French-speaking, and being a male with children in one's household. Similar factors yield higher probabilities of a respondent being primarily a filtered tap water drinker. An important finding is that two key variables linking a person's health perceptions regarding tap water quality are significant factors leading to the choice of either filtered tap water or bottled water over tap water. They are: a variable showing the degree of health concerns a respondent has with respect to tap water and a second variable indicating whether the respondent believes bottled water is safer than tap water.

The role of filter media geometry in tap water biofilms

2020 ◽  
Author(s):  
Erifyli Tsagkari ◽  
Stephanie Connelly ◽  
Zhaowei Liu ◽  
Andrew McBride ◽  
William Sloan
Keyword(s):  
Rural Communities ◽  
Biofilm Formation ◽  
Tap Water ◽  
Oscillating Flow ◽  
Small Scale ◽  
Filter Media ◽  
Prototype Filter ◽  
Flow Through ◽  
D Model

&lt;p class=&quot;MDPI17abstract&quot;&gt;&lt;span lang=&quot;EN-US&quot;&gt;Biofilms are inextricably linked to the hydrodynamics of flow through a filter and yet engineers rarely explicitly engineer this interaction. We developed a system that links computer simulation and 3-D printing to optimize filter media geometry and biofilm function. The main objective is to prototype filter media to passively induce vortices that roll down a surface, imposing oscillating flow in the channel to enhance biofilm formation. Thus, a 2-D model was developed and linked to a 3-D printer. The model was solved to determine the wall shear stress distribution with time. The experiments showed that the thickest, densest and most extended biofilms were formed for the strongest oscillations in the channel due to the presence of a filter medium. This is a speeding-up innovation in the design and implementation of small-scale biofiltration systems for rural communities.&lt;/span&gt;&lt;/p&gt;

scholarly journals Investigating vomiting and/or bloody diarrhoea in Campylobacter jejuni infection

2006 ◽  
Vol 55 (6) ◽  
pp. 741-746 ◽  
Author(s):  
Iain A. Gillespie ◽  
Sarah J. O'Brien ◽  
Jennifer A. Frost ◽  
Clarence Tam ◽  
David Tompkins ◽  
...  
Keyword(s):  
Campylobacter Jejuni ◽  
Tap Water ◽  
Female Gender ◽  
Bloody Diarrhoea ◽  
Host Susceptibility ◽  
Daily Consumption ◽  
Explanatory Variables ◽  
Disease Spectrum ◽  
Clinical Presentations

Campylobacter jejuni infection frequently presents as acute enteritis with diarrhoea, malaise, fever and abdominal pain. Vomiting and bloody diarrhoea are reported less frequently. To investigate potential host, micro-organism or environmental factors that might explain the different clinical presentations, the features of laboratory-confirmed Campylobacter jejuni cases presenting with vomiting and/or bloody diarrhoea were compared with cases who did not report either clinical manifestation. Single variable analysis and logistic regression were employed. Explanatory variables included food, water and environmental risks. Cases who reported vomiting and/or bloody diarrhoea tended to suffer a longer illness and were more likely to require hospital admission. Independent risks identified were being a child, female gender, consumption of poultry other than chicken, pre-packed sandwiches and sausages, and reported engineering work or problems with drinking-water supply. A dose-response relationship with vomiting and/or bloody diarrhoea and increasing daily consumption of unboiled tap water was observed also. Vomiting and/or bloody diarrhoea characterized the more severe end of the disease spectrum and might relate to host susceptibility and/or infective dose. The role of unboiled tap water as a potential source of C. jejuni infection in England and Wales requires further investigation.

Power/Knowledge and Public Space: Policing the ‘Aboriginal Towns’

1997 ◽  
Vol 30 (3) ◽  
pp. 275-291 ◽  
Author(s):  
Jarrod White
Keyword(s):  
Rural Communities ◽  
Public Space ◽  
Aboriginal People ◽  
New South ◽  
Active Role ◽  
North West ◽  
South Wales ◽  
The Relationship ◽  
Police Practices

The over representation of Aboriginal people in the criminal justice system is very well established. Further, the role of the police as an organ playing a key role in this over representation — as distinct from essentially passive respondents to a presumably criminal Aboriginal population — has also been widely accepted within the field of criminology This article is an attempt to form an understanding of the interaction between Aboriginal people and police by analysing the manner in which knowledge of the Aboriginal subject is constructed through material police practices in a particular context — the rural communities of North-West New South Wales. The paper emphasises the relationship between the structural imperatives of policing and the specific conditions of particular policed spaces, and the active role played by Aboriginal people in the creation of policing outcomes.

PERAN KELUARGA DALAM MEMANTAU KEPATUHAN MINUM OBAT PENDERITA HIPERTENSI PADA MASYARAKAT

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Saiful Nurhidayat
Keyword(s):  
Blood Pressure ◽  
Medication Adherence ◽  
Rural Communities ◽  
Elementary Education ◽  
College Education ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Purposive Sampling ◽  
The Family

Abstract : Hypertension or high blood pressure is an abnormal increase in blood pressure in the arteries continuously over a period. The dangers of hypertension can lead to damage to various organs including kidneys, brain, heart, eye, causing vascular resistance and stroke. Hypertension takes care of the old and continuously. One effective way to lower blood pressure is to obediently take medicine so that it takes the role of families in monitoring patients taking the medication. With the participation of the family are expected to hypertension sufferers can be controlled. This study aims to determine the family's role in monitoring the adherence of hypertensive patients. The study was conducted in rural communities Slahung Ponorogo, a representative sample of 53 respondents taken by purposive sampling. Quantitative design with cross sectional design of the study the family's role in monitoring the adherence of hypertensive patients. Instruments in this study using questionnaires and observation sheets. The results of 53 respondents obtained the majority of the 29 respondents (55%) has the role of both families and 24 respondents (45%) families have a bad role in monitoring medication adherence. Age and education contribute to determining the role family. Intermediate (41-60 years old) and college education contribute to determining the role well. Conversely > 61 years of elementary education and contribute in a bad role.Keywords : the role of the family, medication adherence, hypertension. Abstrak : Hipertensi atau tekanan darah tinggi adalah suatu peningkatan abnormal tekanan darah dalam pembuluh darah arteri secara terus-menerus lebih dari suatu periode. Bahaya hipertensi dapat memicu rusaknya berbagai organ tubuh diantaranya: ginjal, otak, jantung, mata, menyebabkan resistensi pembuluh darah dan stroke. Penyakit hipertensi membutuhkan perawatan yang lama dan terus menerus. Salah satu cara yang efektif untuk menurunkan tekanan darah adalah dengan patuh minum obat sehingga dibutuhkan peran keluarga dalam memantau minum obat penderita. Dengan adanya peran serta keluarga diharapkan penyakit hipertensi penderita dapat terkontrol. Penelitian ini bertujuan untuk mengetahui peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Penelitian dilakukan pada masyarakat desa Slahung Ponorogo,sampel representatif sejumlah 53 responden diambil secara Purposive Sampling. Desain kuantitatif dengan rancangan Cross sectional yang mempelajari peran keluarga dalam memantau kepatuhan minum obat penderita hipertensi. Instrumen pada penelitian ini menggunakan kuesioner dan lembar observasi. Hasil penelitian dari 53 responden didapatkan sebagian besar 29 responden (55 %) keluarga mempunyai peran baik dan 24 responden (45 %) keluarga mempunyai peran buruk dalam memantau kepatuhan minum obat. Faktor usia dan pendidikan berkontribusi dalam menentukan peran keluarga. Usia madya (41-60 tahun) dan jenjang pendidikan perguruan tinggi berkontribusi dalam menentukan peran baik. Sebaliknya > 61 tahun dan jenjang pendidikan SD berkontribusi dalam peran buruk.Kata Kunci : peran keluarga, kepatuhan minum obat, penyakit hipertensi.

scholarly journals Challenging the State: Devolutionary Tenure Transitions for Saving and Expanding Forests

Human Ecology ◽  
2021 ◽  
Author(s):  
Liz Alden Wily
Keyword(s):  
Rural Communities ◽  
Property Rights ◽  
Protected Areas ◽  
Forest Cover ◽  
Biological Diversity ◽  
Convention On Biological Diversity ◽  
Property Relations ◽  
The Will ◽  
Customary Land

AbstractI address a contentious element in forest property relations to illustrate the role of ownership in protecting and expanding of forest cover by examining the extent to which rural communities may legally own forests. The premise is that whilst state-owned protected areas have contributed enormously to forest survival, this has been insufficiently successful to justify the mass dispossession of customary land-owning communities this has entailed. Further, I argue that state co-option of community lands is unwarranted. Rural communities on all continents ably demonstrate the will and capacity to conserve forests – provided their customary ownership is legally recognized. I explore the property rights reforms now enabling this. The replication potential of community protected forestlands is great enough to deserve flagship status in global commitments to expand forest including in the upcoming new Convention on Biological Diversity (CBD).

scholarly journals Examining Recent Trends in the Racial Disparity Gap in Tap Water Consumption: NHANES 2011–2018

2021 ◽  
pp. 1-20
Author(s):  
Asher Y. Rosinger ◽  
Anisha I. Patel ◽  
Francesca Weaks
Keyword(s):  
Water Consumption ◽  
Tap Water ◽  
Ethnic Disparities ◽  
Prevalence Ratio ◽  
Bottled Water ◽  
Water Crisis ◽  
Cross Sectional ◽  
The Us ◽  
Recent Trends ◽  
Nationally Representative

Abstract Objective As tap water distrust has grown in the US with greater levels among Black and Hispanic households, we aimed to examine recent trends in not drinking tap water including the period covering the US Flint Water Crisis and racial/ethnic disparities in these trends. Design Cross-sectional analysis. We used log-binomial regressions and marginal predicted probabilities examined US nationally-representative trends in tap and bottled water consumption overall and by race/ethnicity. Setting The National Health and Nutrition Examination Survey data, 2011–2018. Participants Nationally-representative sample of 9,439 children aged 2-19 and 17,268 adults. Results Among US children and adults, respectively, in 2017-2018 there was a 63% (adjusted prevalence ratio [PR]:1.63, 95%CI: 1.25-2.12, p<0.001) and 40% (PR:1.40, 95%CI: 1.16-1.69, p=0.001) higher prevalence of not drinking tap water compared to 2013-2014 (pre-Flint Water Crisis). For Black children and adults, the probability of not drinking tap water increased significantly from 18.1% (95%CI: 13.4-22.8) and 24.6% (95%CI: 20.7-28.4) in 2013–14 to 29.3% (95%CI: 23.5-35.1) and 34.5% (95%CI: 29.4-39.6) in 2017–2018. Among Hispanic children and adults, not drinking tap water increased significantly from 24.5% (95%CI: 19.4-29.6) and 27.1% (95%CI: 23.0-31.2) in 2013-14 to 39.7% (95%CI: 32.7-46.8) and 38.1% (95%CI: 33.0-43.1) in 2017-2018. No significant increases were observed among Asian or white persons between 2013-14 and 2017-18. Similar trends were found in bottled water consumption. Conclusions This study found persistent disparities in the tap water consumption gap from 2011–2018. Black and Hispanics’ probability of not drinking tap water increased following the Flint Water Crisis.

scholarly journals Rural Emergency Medical Service Providers Perceptions on the Causes of and Solutions to the Opioid Crisis: A Qualitative Assessment

2021 ◽  
Vol 12 ◽  
pp. 215013272098771
Author(s):  
Heather Blue ◽  
Ashley Dahly ◽  
Susan Chhen ◽  
Julie Lee ◽  
Adam Shadiow ◽  
...  
Keyword(s):  
Pain Management ◽  
Rural Communities ◽  
Social Determinants Of Health ◽  
Emergency Medical Service ◽  
Social Determinants ◽  
Medical Service ◽  
Critical Role ◽  
Access To Treatment ◽  
Opioid Crisis

Introduction: The continuing opioid crisis poses unique challenges to remote and often under-resourced rural communities. Emergency medical service (EMS) providers serve a critical role in responding to opioid overdose for individuals living in rural or remote areas who experience opioid overdoses. They are often first at the scene of an overdose and are sometimes the only health care provider in contact with an overdose patient who either did not survive or refused additional care. As such, EMS providers have valuable perspectives to share on the causes and consequences of the opioid crisis in rural communities. Methods: EMS providers attending a statewide EMS conference serving those from greater Minnesota and surrounding states were invited to take a 2-question survey asking them to reflect upon what they believed to be the causes of the opioid crisis and what they saw as the solutions to the opioid crisis. Results were coded and categorized using a Consensual Qualitative Research approach. Results: EMS providers’ perceptions on causes of the opioid crisis were categorized into 5 main domains: overprescribing, ease of access, socioeconomic vulnerability, mental health concerns, and lack of resources and education. Responses focused on solutions to address the opioid crisis were categorized into 5 main domains: need for increased education, enhanced opioid oversight, increased access to treatment programs, alternative therapies for pain management, and addressing socioeconomic vulnerabilities. Conclusion: Along with the recognition that the opioid crisis was at least partially caused by overprescribing, rural EMS providers who participated in this study recognized the critical role of social determinants of health in perpetuating opioid-related harm. Participants in this study reported that education and increased access to treatment facilities and appropriate pain management, along with recognition of the role of social determinants of health in opioid dependency, were necessary steps to address the opioid crisis.

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