Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa

• Verfasst von: Tanser, Frank [VerfasserIn]
• Verfasst von: Bärnighausen, Till [VerfasserIn]
• Titel: Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa
• Verf.angabe: Frank Tanser, Daniel K Azongo, Alain Vandormael, Till Bärnighausen, Christopher Appleton
• E-Jahr: 2018
• Jahr: Feb 20, 2018
• Umfang: 24 S.
• Fussnoten: Gesehen am 08.05.2019
• Titel Quelle: Enthalten in: eLife
• Ort Quelle: Cambridge : eLife Sciences Publications, 2012
• Jahr Quelle: 2018
• Band/Heft Quelle: 7(2018) Artikel-Nummer e33065, 24 Seiten
• ISSN Quelle: 2050-084X
• DOI: doi:10.7554/eLife.33065
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Africa
• Sach-SW: sanitation
• Sach-SW: spatial analysis
• Sach-SW: urogenital schistosomiasis
• Sach-SW: water
• K10plus-PPN: 1664981950

Abstract

Recent work has estimated that sub-Saharan Africa could lose US$3.5 billion of economic productivity every year as a result of schistosomiasis and soil-transmitted helminthiasis. One of the main interventions to control schistosomiasis is the provision of safe water to limit the contact with infected water bodies and break the cycle of transmission. To date, a rigorous quantification of the impact of safe water supplies on schistosomiasis is lacking. Using data from one of Africa’s largest population-based cohorts, we establish the impact of the scale-up of piped water in a typical rural South African population over a seven-year time horizon. High coverage of piped water in the community decreased a child’s risk of urogenital schistosomiasis infection eight-fold (adjusted odds ratio = 0.12, 95% CI 0.06-0.26, p<0.001). The provision of safe water could drive levels of urogenital schistosomiasis infection to low levels of endemicity in rural African settings.