Child dysentery in the Limpopo Valley: a cohort study of water, sanitation and hygiene risk factors

Gundry, Stephen W., Wright, James A., Conroy, Ronán M., du Preez, Martella, Genthe, Bettina, Moyo, Sibonginkosi, Mutisi, Charles and Potgieter, Natasha (2009) Child dysentery in the Limpopo Valley: a cohort study of water, sanitation and hygiene risk factors. Journal of Water and Health, 7, (2), 259-266. (doi:10.2166/wh.2009.232). (PMID:19240352).


[img] PDF - Version of Record
Restricted to internal admin

Download (230Kb) | Request a copy


The objective of this cohort study was to assess risk factors for child dysentery and watery diarrhoea. The study participants consisted of 254 children aged 12–24 months in rural South
Africa and Zimbabwe in households where drinking water was collected from communal sources. The main outcome measure was the most severe diarrhoea episode: dysentery, watery diarrhoea or none. For dysentery, drinking water from sources other than standpipes had a relative risk ratio of 3.8 (95% CI 1.5–9.8). Poor source water quality, as indicated by Escherichia coli counts of 10 or more cfu 100 ml21, increased risk by 2.9 (1.5–5.7). There were no other significant risk factors for dysentery and none for watery diarrhoea. In this study, endemic dysentery is associated only with faecal contamination of source water. Sources other than standpipes, including improved groundwater, are of greater risk. Remediation of water quality by treatment at source or in the household will be required to achieve access to safe drinking water in accordance with the 7th Millennium Development Goal.

Item Type: Article
Digital Object Identifier (DOI): doi:10.2166/wh.2009.232
ISSNs: 1477-8920 (print)
Related URLs:
Keywords: diarrhoea, dysentery, risk factors, southern africa, water microbiology
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions : University Structure - Pre August 2011 > School of Geography > Remote Sensing and Spatial Analysis
ePrint ID: 65638
Accepted Date and Publication Date:
Date Deposited: 02 Mar 2009
Last Modified: 31 Mar 2016 12:51

Actions (login required)

View Item View Item

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics