Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2007 |
| Outros Autores: | , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da UFBA |
| Texto Completo: | http://www.repositorio.ufba.br/ri/handle/ri/1784 |
Resumo: | November 10, p. 1622- 1628. |
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Barreto, Mauricio LimaGenser, BerndStrina, AgostinoTeixeira, Maria da Glória Lima CruzAssis, Ana Marlucia de OliveiraRêgo, Rita de Cássia FrancoTeles, Carlos A.Prado, Matildes da SilvaMatos, Sheila Maria Alvim deSantos, Darci Neves dosSantos, Lenaldo Azevedo dosCairncross, SandyBarreto, Mauricio LimaGenser, BerndStrina, AgostinoTeixeira, Maria da Glória Lima CruzAssis, Ana Marlucia de OliveiraRêgo, Rita de Cássia FrancoTeles, Carlos A.Prado, Matildes da SilvaMatos, Sheila Maria Alvim deSantos, Darci Neves dosSantos, Lenaldo Azevedo dosCairncross, Sandy2011-07-09T16:25:27Z2011-07-09T16:25:27Z20071474-547Xhttp://www.repositorio.ufba.br/ri/handle/ri/1784370(9599)November 10, p. 1622- 1628.Background A city-wide sanitation intervention was started in Salvador, Brazil, in 1997 to improve sewerage coverage from 26% of households to 80%. Our aim was to investigate the epidemiological eff ect of this city-wide sanitation programme on diarrhoea morbidity in children less than 3 years of age. Methods The investigation was composed of two longitudinal studies done in 1997–98 before the intervention (the sanitation programme) and in 2003–04 after the intervention had been completed. Each study consisted of a cohort of children (841 in the preintervention study and 1007 in the postintervention study; age 0–36 months at baseline) who were followed up for a maximum of 8 months. Children were sampled from 24 sentinel areas that were randomly chosen to represent the range of environmental conditions in the study site. At the start of each study an individual or household questionnaire was applied by trained fi eldworkers; an environmental survey was done in each area before and after introduction of the sanitation programme to assess basic neighbourhood and household sanitation conditions. Daily diarrhoea data were obtained during home visits twice per week. The eff ect of the intervention was estimated by a hierarchical modelling approach fi tting a sequence of multivariate regression models. Findings Diarrhoea prevalence fell by 21% (95% CI 18–25%)—from 9·2 (9·0–9·5) days per child-year before the intervention to 7·3 (7·0–7·5) days per child-year afterwards. After adjustment for baseline sewerage coverage and potential confounding variables, we estimated an overall prevalence reduction of 22% (19–26%). Interpretation Our results show that urban sanitation is a highly eff ective health measure that can no longer be ignored, and they provide a timely support for the launch of 2008 as the International Year of Sanitation.Submitted by Rodrigo Meirelles (rodrigomei@ufba.br) on 2011-07-09T16:25:27Z No. of bitstreams: 1 artigo internac.7.livre 2007.pdf: 155425 bytes, checksum: 52d9245ee890e55ffa16e771da15cb9b (MD5)Made available in DSpace on 2011-07-09T16:25:27Z (GMT). No. of bitstreams: 1 artigo internac.7.livre 2007.pdf: 155425 bytes, checksum: 52d9245ee890e55ffa16e771da15cb9b (MD5) Previous issue date: 2007Elsevier LtdEffect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studiesLancetinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAinfo:eu-repo/semantics/openAccessORIGINALartigo internac.7.livre 2007.pdfartigo internac.7.livre 2007.pdfapplication/pdf155425https://repositorio.ufba.br/bitstream/ri/1784/1/artigo%20internac.7.livre%202007.pdf52d9245ee890e55ffa16e771da15cb9bMD51LICENSElicense.txtlicense.txttext/plain1900https://repositorio.ufba.br/bitstream/ri/1784/2/license.txt4e7b81517ff0e190e6f0d3b82b3fb4e9MD52TEXTartigo internac.7.livre 2007.pdf.txtartigo internac.7.livre 2007.pdf.txtExtracted texttext/plain40090https://repositorio.ufba.br/bitstream/ri/1784/3/artigo%20internac.7.livre%202007.pdf.txt11a70bbf5684429af1ff452b36b6b09fMD53ri/17842022-08-08 13:17:36.405oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-08T16:17:36Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false |
| dc.title.pt_BR.fl_str_mv |
Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies |
| dc.title.alternative.pt_BR.fl_str_mv |
Lancet |
| title |
Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies |
| spellingShingle |
Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies Barreto, Mauricio Lima |
| title_short |
Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies |
| title_full |
Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies |
| title_fullStr |
Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies |
| title_full_unstemmed |
Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies |
| title_sort |
Effect of city-wide sanitation programme on reduction in rate of childhood diarrhoea in northeast Brazil: assessment by two cohort studies |
| author |
Barreto, Mauricio Lima |
| author_facet |
Barreto, Mauricio Lima Genser, Bernd Strina, Agostino Teixeira, Maria da Glória Lima Cruz Assis, Ana Marlucia de Oliveira Rêgo, Rita de Cássia Franco Teles, Carlos A. Prado, Matildes da Silva Matos, Sheila Maria Alvim de Santos, Darci Neves dos Santos, Lenaldo Azevedo dos Cairncross, Sandy |
| author_role |
author |
| author2 |
Genser, Bernd Strina, Agostino Teixeira, Maria da Glória Lima Cruz Assis, Ana Marlucia de Oliveira Rêgo, Rita de Cássia Franco Teles, Carlos A. Prado, Matildes da Silva Matos, Sheila Maria Alvim de Santos, Darci Neves dos Santos, Lenaldo Azevedo dos Cairncross, Sandy |
| author2_role |
author author author author author author author author author author author |
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Barreto, Mauricio Lima Genser, Bernd Strina, Agostino Teixeira, Maria da Glória Lima Cruz Assis, Ana Marlucia de Oliveira Rêgo, Rita de Cássia Franco Teles, Carlos A. Prado, Matildes da Silva Matos, Sheila Maria Alvim de Santos, Darci Neves dos Santos, Lenaldo Azevedo dos Cairncross, Sandy Barreto, Mauricio Lima Genser, Bernd Strina, Agostino Teixeira, Maria da Glória Lima Cruz Assis, Ana Marlucia de Oliveira Rêgo, Rita de Cássia Franco Teles, Carlos A. Prado, Matildes da Silva Matos, Sheila Maria Alvim de Santos, Darci Neves dos Santos, Lenaldo Azevedo dos Cairncross, Sandy |
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November 10, p. 1622- 1628. |
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2007 |
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2007 |
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2011-07-09T16:25:27Z |
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