scholarly journals Epidemiology of human cryptosporidiosis in Ireland, 2004-2006: analysis of national notification data

2009 ◽  
Vol 14 (8) ◽  
Author(s):  
P Garvey ◽  
P McKeown
Keyword(s):  
Drinking Water ◽  
Rural Areas ◽  
Burden Of Illness ◽  
Incidence Rates ◽  
Crude Incidence ◽  
Time Period ◽  
Gastrointestinal Pathogen ◽  
Protozoal Parasite ◽  
National Burden ◽  
Notification Data

Cryptosporidium is a protozoal parasite which is of public health interest primarily due to its frequent association with drinking water. Since cryptosporidiosis became a notifiable human disease in 2004 in Ireland, evidence has been growing as to the national burden of illness caused by this pathogen. Nationally, crude incidence rates of between 8.7 and 13.4 per 100,000 were reported annually in the period 2004-2006. Rural areas reported more cases, with regional incidence rates as high as 31.4/100,000 per year. Over this time period, there has consistently been a peak in the number of notifications in springtime, contrasting with the reported seasonal distribution of cases elsewhere in Europe. Outbreak surveillance data suggest that drinking water is an important transmission route for general outbreaks, with person-to-person spread more common in family outbreaks. Cryptosporidium is an important gastrointestinal pathogen in Ireland, with much still to be learned about its epidemiology here.

scholarly journals 1535. Impact of Defunding Family Planning Health Centers on Gonorrhea and Chlamydia Cases in Iowa: A Spatiotemporal Analysis

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S768-S768
Author(s):  
Megan L Srinivas ◽  
Eileen Yang ◽  
Weiming Tang ◽  
Joseph Tucker
Keyword(s):  
Family Planning ◽  
Low Income ◽  
Rural Areas ◽  
Spatiotemporal Analysis ◽  
Incidence Rates ◽  
Health Centers ◽  
Transmitted Infection ◽  
Missed Opportunities ◽  
Linear Regression Modeling ◽  
The Impact

Abstract Background Fifteen states have defunded family planning health centers (FPHCs), causing thousands to be left without health services. This has accelerated in the COVID-19 era. FPHCs provide low-income individuals in rural areas with essential primary care services, including sexually transmitted infection prevention, testing, and treatment. The purpose of this analysis is to use spatiotemporal methods to examine the impact of FPHC closures in Iowa on the reported number of gonorrhea and chlamydia cases at the county level. Methods This analysis investigates the association between FPHC closures and changes in the number of gonorrhea and chlamydia cases between 2016 and 2018. Iowa implemented defunding policies for family planning clinics, resulting in four FPHC closures in June 2017. 2016 pre-closure STI incidence rates were compared to 2018 post-closure rates. Gonorrhea and chlamydia rates in the four Iowa counties with clinic closures were compared to the 95 Iowa counties without closures. T tests were used to compare changes in reported gonorrhea and chlamydia rates in the two settings. Linear regression modeling was used to determine the relationship between clinic closures and changes in gonorrhea and chlamydia cases. Results The gonorrhea burden in Iowa increased from 83 cases per 100,000 people in 2016 to 153.8 cases per 100,000 people in 2018. The four counties with clinic closures experienced a significantly larger increase (absolute 217 cases per 100,000 population) in their gonorrhea rate compared to counties without FPHC closures (absolute 121 cases per 100,000 population). There was also a significant relationship between clinic closures and increasing gonorrhea rates (p = 0.0015). Over the three-year period, there was no change in chlamydia rates (p = 0.1182). However, there was a trend towards counties with more FPHC closures having a higher number of chlamydia cases (p = 0.057). Conclusion Despite the fact that many STI diagnoses are made and reported by FPHCs, our data suggest that clinic closures may have contributed to an increase in gonorrhea and chlamydia cases. This is consistent with delayed diagnoses and missed opportunities for providing essential STI services to vulnerable and under-served rural residents. Legislative action is urgently needed to curtail this trend. Disclosures All Authors: No reported disclosures

scholarly journals Bugs That Can Resist Antibiotics but Not Men: Gender-Specific Differences in Notified Infections and Colonisations in Germany, 2010–2019

2021 ◽  
Vol 9 (5) ◽  
pp. 894
Author(s):  
Michael Brandl ◽  
Alexandra Hoffmann ◽  
Niklas Willrich ◽  
Annicka Reuss ◽  
Felix Reichert ◽  
...  
Keyword(s):  
Methicillin Resistant Staphylococcus Aureus ◽  
Incidence Rates ◽  
Federal State ◽  
German Population ◽  
Hygiene Measures ◽  
Invasive Infections ◽  
Gender Specific Differences ◽  
Acinetobacter Spp ◽  
Notification Data ◽  
Gender Specific

Data from surveillance networks show that men have a higher incidence rate of infections with anti-microbial-resistant (AMR) pathogens than women. We systematically analysed data of infections and colonisations with AMR pathogens under mandatory surveillance in Germany to quantify gender-specific differences. We calculated incidence-rates (IR) per 100,000 person–years for invasive infections with Methicillin-resistant Staphylococcus aureus (MRSA), and for infections or colonisations with carbapenem-non-susceptible Acinetobacter spp. (CRA), and Enterobacterales (CRE), using the entire German population as a denominator. We limited the study periods to years with complete notification data (MRSA: 2010–2019, CRA/CRE: 2017–2019). We used Poisson regression to adjust for gender, age group, federal state, and year of notification. In the study periods, IR for all notifications were 4.2 for MRSA, 0.90 for CRA, and 4.8 for CRE per 100,000 person-–years. The adjusted IR ratio for infections of men compared to women was 2.3 (95% confidence interval [CI]: 2.2–2.3) for MRSA, 2.2 (95%CI: 1.9–2.7) for CRA, and 1.7 (95%CI: 1.6–1.8) for CRE. Men in Germany show about double the risk for infection with AMR pathogens than women. This was also true for colonisations, where data were available. Screening procedures and associated hygiene measures may profit from a gender-stratified approach.

scholarly journals A Comparative Analysis of the Government and NGOs in Delivering Quality Services for the Rural People of Pakistan: Community Perspectives

2020 ◽  
Vol 30 (1-2) ◽  
pp. 203-225
Author(s):  
Mohsin Khan ◽  
Jetnor Kasmi ◽  
Abdul Saboor ◽  
Iftikhar Ali
Keyword(s):  
Drinking Water ◽  
Service Delivery ◽  
Rural Areas ◽  
Public Health Education ◽  
Road Transport ◽  
Extension Services ◽  
Rural People ◽  
Basic Services ◽  
The Government ◽  
The Impact

Often the government and the non-governmental organisations (NGOs) are criticised for their poor performances in delivering services particularly in rural areas. However, there has been limited research on the assessment of their relative performances in service delivery as well as on the perceptions of people on the quality of such service delivery. This study examines the relative performances of NGOs and the governmental development interventions that provide basic services including public health, education, drinking water and sanitation. The study explains the impact of agricultural extension services and infrastructure such as access to roads and markets on the rural people and measures the satisfaction level of the rural community. For this purpose, 225 households (HHs) in 8 villages of Phalia Tehsil, district Mandi Bahauddin, Punjab, Pakistan were first surveyed in 2010 and then in 2014 using a structured questionnaire. The findings reveal different satisfaction levels of HHs, with most of them expressing less satisfaction on government service delivery compared with NGOs. They reveal satisfaction over the performance of NGOs in health, drinking water supplies and agriculture extension services. Further, the study shows an increasing satisfaction of people on access to road, transport, agri-market and price of agri-commodities by the government.

scholarly journals Urban–rural disparity in cancer incidence in China, 2008–2012: a cross-sectional analysis of data from 36 cancer registers

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e042762
Author(s):  
Shuai Yuan ◽  
Shao-Hua Xie
Keyword(s):  
Cancer Incidence ◽  
Rural Areas ◽  
Urban Areas ◽  
Incidence Rates ◽  
Cancer Type ◽  
Anatomic Site ◽  
Cross Sectional ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Urban Rural

ObjectiveThe substantial differences in socioeconomic and lifestyle exposures between urban and rural areas in China may lead to urban–rural disparity in cancer risk. This study aimed to assess the urban–rural disparity in cancer incidence in China.MethodsUsing data from 36 regional cancer registries in China in 2008–2012, we compared the age-standardised incidence rates of cancer by sex and anatomic site between rural and urban areas. We calculated the rate difference and rate ratio comparing rates in rural versus urban areas by sex and cancer type.ResultsThe incidence rate of all cancers in women was slightly lower in rural areas than in urban areas, but the total cancer rate in men was higher in rural areas than in urban areas. The incidence rates in women were higher in rural areas than in urban areas for cancers of the oesophagus, stomach, and liver and biliary passages, but lower for cancers of thyroid and breast. Men residing in rural areas had higher incidence rates for cancers of the oesophagus, stomach, and liver and biliary passages, but lower rates for prostate cancer, lip, oral cavity and pharynx cancer, and colorectal cancer.ConclusionsOur findings suggest substantial urban–rural disparity in cancer incidence in China, which varies across cancer types and the sexes. Cancer prevention strategies should be tailored for common cancers in rural and urban areas.

scholarly journals Could age increase the strength of inverse association between ultraviolet B exposure and colorectal cancer?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vidya Lakshmi Purushothaman ◽  
Raphael E. Cuomo ◽  
Cedric F. Garland ◽  
Timothy K. Mackey
Keyword(s):  
Colorectal Cancer ◽  
Vitamin D ◽  
Vitamin D Deficiency ◽  
Age Groups ◽  
Incidence Rates ◽  
Ultraviolet B ◽  
Inverse Association ◽  
Crude Incidence ◽  
Age Dependent ◽  
Uvb Exposure

Abstract Background Vitamin D has been identified as a potential protective factor in the development of colorectal cancer (CRC). We expect to see a stronger association of ultraviolet B (UVB) exposure and CRC crude rates with increasing age since chronic vitamin D deficiency leads to sustained molecular changes that increase cancer risk. The DINOMIT (disjunction, initiation, natural selection, overgrowth, metastasis, involution, and transition) model postulates various stages of cancer development due to vitamin D deficiency and the associated latency period. The purpose of this study is to examine this age-dependent inverse relationship globally. Methods In this ecological study, a series of linear and polynomial regression tests were performed between country-specific UVB estimates adjusted for cloud cover and crude incidence rates of CRC for different age groups. Multiple linear regression was used to investigate the association between crude incidence rates of colorectal cancer and UVB estimate adjusting for urbanization, skin pigmentation, smoking, animal consumption, per capita GDP, and life expectancy. Statistical analysis was followed by geospatial visualization by producing choropleth maps. Results The inverse relationship between UVB exposure and CRC crude rates was stronger in older age groups at the country level. Quadratic curve fitting was preferred, and these models were statistically significant for all age groups. The inverse association between crude incidence rates of CRC and UVB exposure was statistically significant for age groups above 45 years, after controlling for covariates. Conclusion The age-dependent inverse association between UVB exposure and incidence of colorectal cancer exhibits a greater effect size among older age groups in global analyses. Studying the effect of chronic vitamin D deficiency on colorectal cancer etiology will help in understanding the necessity for population-wide screening programs for vitamin D deficiency, especially in regions with inadequate UVB exposure. Further studies are required to assess the need for adequate public health programs such as selective supplementation and food fortification.

scholarly journals The Extent of Heat on Health and Sustainable Farming in Ghana –Bawku East

2014 ◽  
Vol 3 (3) ◽  
pp. 56 ◽  
Author(s):  
Frimpong Kwasi ◽  
Jacque Oosthuizen ◽  
Eddie Van Etten
Keyword(s):  
Developing Countries ◽  
Health Effects ◽  
Rural Areas ◽  
High Heat ◽  
Northern Ghana ◽  
Tropical Regions ◽  
Wet Bulb Globe Temperature ◽  
Time Period ◽  
Outdoor Work ◽  
Globe Temperature

<p>Little is known about the health effects of heat in outdoor work and appropriate work and rest schedules for farmers working in developing countries. As temperatures continue to increase in tropical regions, such as Northern Ghana, it is necessary to evaluate how farmers experience and respond to high heat exposures. In this study, WBGT (Wet Bulb Globe Temperature) estimates and the ISO work / rest standards were applied to a cohort of farmers in the rural areas of Bawku East, Northern Ghana, to assess how farmers respond to high heat and how much they rest to protect their health, as well as the level of heat on their productivity. WBGT data was recorded over a period of 6 months among vegetable, cereals, and legume farmers. The ISO proposed and actual rest regimes observed by farmers in the same time period were evaluated. In the dry season the dry bulb temperature rose as high as 45 ºC, while during the humid months of March and April WBGT rose to levels as high as 34 ºC. Farmers worked for nine hours a day during these hot periods with insufficient rest, which has adverse consequences on their health and productivity.</p>

Institutional variations in practice of demand responsive approach: evidence from rural water supply in India

Water Policy ◽  
2014 ◽  
Vol 16 (4) ◽  
pp. 650-668 ◽  
Author(s):  
Satyapriya Rout
Keyword(s):  
Drinking Water ◽  
Water Supply ◽  
Rural Areas ◽  
The State ◽  
Indian Society ◽  
Institution Building ◽  
Rural Water Supply ◽  
Long Run ◽  
Rural Water ◽  
Village Communities

The paper reports the main findings of a study, designed to develop a better understanding of institutional variations in working with the demand responsive approach (DRA) in rural water supply in the state of Odisha in India. Data for the paper were collected from twelve village communities, where water is being supplied either through their community based institution or through the local government institution of the Gram Panchayat. The findings suggest that the two types of institutions performed differently in implementing the DRA. It depicted that the DRA under the broader rubric of institutional reforms in the water sector has failed to address the question of social inequality, and rather had reinforced and extended the already existing inequity of Indian society to access to safe and secure drinking water in rural areas. The study highlights that participation, cost recovery, full operation and management transfer may be an efficient proposition, but not sustainable in the long run without proper investment in institution building and support from the state, especially in provisioning of basic services like drinking water to rural poor.

scholarly journals Detection of Adenoviruses and Rotaviruses in Drinking Water Sources Used In Rural Areas of Benin, West Africa

2009 ◽  
Vol 75 (9) ◽  
pp. 2798-2801 ◽  
Author(s):  
Jens Verheyen ◽  
Monika Timmen-Wego ◽  
Rainer Laudien ◽  
Ibrahim Boussaad ◽  
Sibel Sen ◽  
...  
Keyword(s):  
Drinking Water ◽  
Rural Areas ◽  
Seasonal Pattern ◽  
Virus Detection ◽  
Test Site ◽  
Water Sources ◽  
Major Health ◽  
Viral Contamination ◽  
Drinking Water Sources ◽  
Surface Water Samples

ABSTRACT Diseases associated with viruses also found in environmental samples cause major health problems in developing countries. Little is known about the frequency and pattern of viral contamination of drinking water sources in these resource-poor settings. We established a method to analyze 10 liters of water from drinking water sources in a rural area of Benin for the presence of adenoviruses and rotaviruses. Overall, 541 samples from 287 drinking water sources were tested. A total of 12.9% of the sources were positive for adenoviruses and 2.1% of the sources were positive for rotaviruses at least once. Due to the temporary nature of viral contamination in drinking water sources, the probability of virus detection increased with the number of samples taken at one test site over time. No seasonal pattern for viral contaminations was found after samples obtained during the dry and wet seasons were compared. Overall, 3 of 15 surface water samples (20%) and 35 of 247 wells (14.2%) but also 2 of 25 pumps (8%) tested positive for adenoviruses or rotaviruses. The presence of latrines within a radius of 50 m in the vicinity of pumps or wells was identified as being a risk factor for virus detection. In summary, viral contamination was correlated with the presence of latrines in the vicinity of drinking water sources, indicating the importance of appropriate decision support systems in these socioeconomic prospering regions.

Analysis of Legal System and Public Policy on Rural Water Source in China

2012 ◽  
Vol 518-523 ◽  
pp. 4126-4129
Author(s):  
Zhen Hua Liu
Keyword(s):  
Public Policy ◽  
Drinking Water ◽  
Water Supply ◽  
Legal System ◽  
Rural Areas ◽  
Water Conservation ◽  
Water Source ◽  
Drinking Water Source ◽  
Rural Water ◽  
Laws And Regulations

Source of water is the beginning of rural drinking water projects, safe water source is the key to rural drinking water safety. Status of rural drinking water source in china and laws and regulations on rural water conservation were analyzed. The population of centralized water supply accounts for 51% of the total population in rural areas in 2008, centralized water supply 49%. Groundwater source accounts for 57% of the population of centralized water supply projects in rural areas in 2008, surface water sources 43%. China has a relatively sound legal system of drinking water source, including basic law, general law, administrative regulations, local regulations.The paper draws a conclusion that sources of drinking water in rural areas is mainly groundwater, water conservation is short of specific laws and regulations and not suitable for rural area,it is necessary to improve laws and regulations on rural water conservation, government must assume responsibility for rural water conservation, especially financial investment and public policy support.

MALABSORPTION OF FOOD IN RURAL COMMUNITIES

PEDIATRICS ◽  
1978 ◽  
Vol 62 (1) ◽  
pp. 53-53
Keyword(s):  
Drinking Water ◽  
Rural Communities ◽  
Intestinal Absorption ◽  
Rural Areas ◽  
Healthy Men ◽  
Adult Men ◽  
Definite Improvement ◽  
Experimental Introduction ◽  
Cash Cost ◽  
Better Than

The survey on malabsorption of food in rural communities of Guatemala indicated that the experimental introduction of drinking water in a community resulted in a definite decline in the incidence of diarrhoea in children from 3 to 7 years of age. Longitudinal evaluation of the capacity of healthy men to absorb d-xylose revealed malabsorption in 30% of individuals living under poor sanitation conditions, as compared with 9% among those living under sanitation conditions which were better than those in rural areas. A definite improvement in d-xylose absorption was observed in the community where drinking water was introduced. Findings of longitudinal studies on intestinal absorption indicated that between 50 and 60 per cent of all the adult men were losing about 350 calories per day, a loss which, expressed in economic terms, is equivalent to 5-7 per cent of the cash cost of the diet.

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