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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), pp. 259-266. (doi:10.2166/wh.2009.232). (PMID:19240352).

Record type: Article


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.

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Published date: 2009
Keywords: diarrhoea, dysentery, risk factors, southern africa, water microbiology
Organisations: PHEW – P (Population Health), Remote Sensing & Spatial Analysis


Local EPrints ID: 65638
ISSN: 1477-8920
PURE UUID: 44bbe41b-e3e5-4f40-a9d4-5a4b8a4a4a30

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Date deposited: 02 Mar 2009
Last modified: 19 Jul 2017 00:32

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Author: Stephen W. Gundry
Author: James A. Wright
Author: Ronán M. Conroy
Author: Martella du Preez
Author: Bettina Genthe
Author: Sibonginkosi Moyo
Author: Charles Mutisi
Author: Natasha Potgieter

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