RESUMEN
This study aimed to describe: 1) soil-transmitted helminthiasis (STH) and schistosomiasis prevalence and intensity in preschool-age children (PSAC) and school-age children (SAC), 2) schistosomiasis seroprevalence in SAC, 3) undernutrition prevalence in SAC, 4) sanitary toilet coverage in households, and 5) association between STH, Schistosoma japonicum exposure, nutritional status, and sanitation. PSAC and SAC in two Haiyan-stricken provinces were examined using Kato-Katz technique and ELISA Antibody test. Anthropometric and hemoglobin measurements were also obtained. The reported sanitary toilet coverage was validated in a survey. The prevalence of any STH in PSAC and SAC was 50.2% and 41.3%, respectively. Moderate-heavy intensity (MHI) STH prevalence in PSAC and SAC was 20.8% and 5.9%, respectively. The prevalence of any STH, MHI STH, ascariasis, MHI ascariasis, and MHI trichuriasis was significantly higher in PSAC. Stunting, underweight, wasting, overweight/obesity, and anemia prevalence was 38.4%, 24.5%, 4.8%, 2.7%, and 34.7% in PSAC, while the prevalence was 34.3%, 21.6%, 8.7%, 3.0%, and 19.2% in SAC, respectively. Anemia and wasting prevalence were significantly higher in PSAC and SAC, respectively. There were five schistosomiasis cases found (0.8% prevalence), while schistosomiasis seroprevalence was 60.1%. Validated and reported sanitary toilet coverage was significantly different in eight out of 13 barangays. Stunting and anemia were associated with STH. STH and anemia prevalence were significantly higher in non-ZOD barangays. High STH burden in PSAC and SAC persists. A more coordinated response addressing STH, undernutrition, and WASH in disaster-stricken areas will require strengthening local health systems and promoting intersectoral collaboration.
Asunto(s)
Tormentas Ciclónicas , Helmintiasis , Helmintos , Desnutrición , Esquistosomiasis , Animales , Niño , Preescolar , Estudios Transversales , Heces , Helmintiasis/epidemiología , Humanos , Desnutrición/epidemiología , Filipinas/epidemiología , Prevalencia , Saneamiento , Esquistosomiasis/epidemiología , Estudios Seroepidemiológicos , SueloRESUMEN
This study aimed to demonstrate the use of geographic information systems (GIS) in identifying factors contributing to schistosomiasis endemicity and identifying high-risk areas in a schistosomiasis- endemic municipality in the Philippines, which was devastated by Typhoon Haiyan in 2013. Data on schistosomiasis determinants, obtained through literature review, the Philippine Department of Health, and concerned local government units, were standardized and incorporated into a GIS map using ArcGIS. Data gathered included modifiable [agriculture, poverty, sanitation, presence of intermediate and reservoir hosts, disease prevalence and mass drug administration (MDA) coverage] and nonmodifiable (geography and climate) determinants for schistosomiasis. Results showed that most barangays (villages) are characterized by favourable conditions for schistosomiasis transmission which include being located in flood-prone areas, presence of vegetation, low sanitary toilet coverage, presence of snail intermediate host, high carabao (water buffalo) population density, previously reported ≥1% prevalence using Kato-Katz technique, and low MDA coverage. Similarly, barangays not known to be endemic for schistosomiasis but also characterized by the same favourable conditions for schistosomiasis as listed above and may therefore be considered as potentially endemic, even if not being high-risk areas. This study demonstrated the importance of GIS technology in characterizing schistosomiasis transmission. Maps generated through application of GIS technology are useful in guiding program policy and planning at the local level for an effective and sustainable schistosomiasis control and prevention.
Asunto(s)
Sistemas de Información Geográfica , Esquistosomiasis , Agricultura , Clima , Humanos , Filipinas/epidemiología , Prevalencia , Esquistosomiasis/epidemiologíaRESUMEN
OBJECTIVES: The aim of the project is to develop water safety plan (WSP) guidelines specific for water refilling station (WRS) operators. The guidelines will serve as model for future formulation of WSP among WRS across the country. METHODS: A criteria was developed for selecting WRS. Site visits were initially done along with the selection of eight (8) water refilling stations from pre-identified areas across the country. The operators of the selected WRS together wih their respective local sanitary inspectors underwent a workshop where they were trained and guided on the step-by-step process of devising a WSP. Coaching and mentoring was then conducted for the improvement of the draft WSPs. A guideline manual on how to develop WSPs for WRS was drafted to serve as reference for other WRS in the country. RESULTS: The study developed a WSP model specifically made for WRS setting. Eight (8) final drafts of WSP were also accomplished. WRS operators and local sanitary inspectors were trained on how to develop WSP which will support and facilitate appropriate implementation of these functional WSPs.CONCLUSION: The formulation of WSPs among WRS ensures delivery of safe drinking-water among its consumers. It serves as an initial step in realizing the vision of DOH of institutionalizing WSPs among all water utilities in the country. The guidelines developed will be a useful tool for other WRS in the country for preparing their own WSPs.
Asunto(s)
Humanos , Masculino , Femenino , Diarrea , Gastroenteritis , Seguridad , Modelos Teóricos , Vehículos a Motor , Agua , Abastecimiento de Agua , Gestión de RiesgosRESUMEN
OBJECTIVES: This study was conducted to determine the cadmium (Cd) concentration in brown and polished rice collected from the 9 farms in Barangay Real, Calamba City. This study also assessed the non-cancer health risk to adults (?20 years old) of long-term consumption of rice with Cd using the non-cancer hazard quotient (NHQ). METHODS: Rice grains with hull were collected in November-December 2013. Both rice types were analyzed for Cd using a graphite furnace atomic absorption spectrophotometer (GFAAS). The NHQ was calculated by dividing the estimated daily intake of Cd via rice consumption by the oral reference dose (RfD) for Cd.RESULTS: Mean Cd concentrations in brown and polished rice collected from the 9 farms in Barangay Real ranged from 0.0062 to 0.0725 mg/kg and 0.0047 to 0.0778 mg/kg, respectively. The NHQ values of Cd in both rice types were less than 1.0 for adults (?20 years old). CONCLUSION: Cd concentrations in brown and polished rice from the 9 farms did not exceed the 0.4 mg/kg maximum allowable Cd concentration in rice set by FAO/WHO. Since the NHQ did not exceed 1.0, long-term exposure to Cd through consumption of brown and polished rice from these farms is unlikely to cause non-cancer health effects in adults (?20 years old). It is unlikely for adults to develop kidney diseases such as tubular proteinuria, decreased glomerular filtration rates, and itai-itai disease.
Asunto(s)
Humanos , Masculino , Femenino , Anciano , Persona de Mediana Edad , Adulto , Adulto Joven , Oryza , Cadmio , NeoplasiasRESUMEN
OBJECTIVE: The main objective of this study is to provide an assessment of the risks to human health associated with the exposure to heavy metal bioaccumulation in Manila Catfish (Arius dispar) from Laguna Lake. METHODS: Manila Catfish (common name Kanduli) samples were collected in eight sampling stations in three major areas of the lake during the dry and wet seasons. Dry season samples were collected from May to June 2010 and wet season samples from September to November 2010. Coordinates of sampling locations were recorded using Global Positioning System to facilitate re-sampling activities and ensured that subsequent samples for the wet season were collected in the area as that of the wet season samples. Heavy metals analyses for cadmium, lead, arsenic, and chromium were conducted using Atomic Absorption Spectrophotometer and Mercury Analyzer for mercury. Estimates of health risks associated with Kanduli consumption were estimated based on non-carcinogenic health effects of heavy metals. RESULTS: Non-carcinogenic Health Quotient (NHQ) values of the five heavy metals showed that lead is the most significant pollutant of concern in terms of adverse health effects from risks associated with Kanduli consumption from the lake. CONCLUSION: From the point of view of disease prevention and control, long term consumption of Kanduli from Laguna Lake is expected to increase health risk due to lead contamination.
Asunto(s)
Humanos , Arsénico , Mercurio , Cadmio , Lagos , Cromo , Bagres , Estaciones del Año , Sistemas de Información Geográfica , Metales Pesados , Espectrofotometría AtómicaRESUMEN
This article describes the partnership between the College of Public Health, University of the Philippines Manila and the province of Laguna in the context of implementation of the field practice course. This partnership paved the way for the development and implementation of projects in seven field practice sites. Projects concentrated mainly on improving quality of data and health information system, development of educational materials, and addressing health problems such as tuberculosis, hypertension and rabies. After the implementation of the various activities, there is a need for both parties (the College of Public Health and the Provincial Health Office of Laguna) to monitor and evaluate if projects have been sustained. Moreover, successful projects must also be fully documented which can serve as models for other areas in the province of Laguna.
Asunto(s)
Humanos , Rabia , Sistemas de Información en Salud , Salud Pública , Tuberculosis , Mejoramiento de la Calidad , Universidades , Materiales de Enseñanza , HipertensiónRESUMEN
OBJECTIVE: This paper examines the potential carcinogenic risk to human health associated with arsenic levels in five commercially important fish products from Laguna de Bay.METHODS: Fish samples were collected in eight sampling stations in three major areas of the lake during the dry and wet seasons. Coordinates of sampling locations were recorded using Global Positioning System and plotted in Geographic Information System digital maps. Analysis of arsenic was conducted using Atomic Absorption Spectrophotometer.RESULTS: The highest life time cancer risk for arsenic was computed for tilapia from sampling station 2B during the dry season with risk value of 8.51x10-5 or about 85 excess cancer cases per 1,000,000 populations. Calculated cancer risks showed seasonal variations that were distinct among the five fish species. Excess life time cancer risks associated with fish consumption during dry season showed the following order of magnitude: Tilapia > Bighead carp > Kanduli >Bangus > Dalag. For wet season, the order of magnitude was: Bighead carp > Bangus > Kanduli >Tilapia > Dalag. Correlation analyses showed that fish mean standard size do not have significant effect on the levels of arsenic in fish samples for both dry and wet seasons.CONCLUSION: This study concludes from the point of view of disease prevention that long-term consumption of five commercially important fish species from Laguna de Bay may cause significant carcinogenic health risk.
Asunto(s)
Animales , Lagos , Estaciones del Año , Arsénico , Tilapia , Sistemas de Información Geográfica , Bahías , Espectrofotometría Atómica , Productos Pesqueros , Carcinógenos , Neoplasias , CarpasRESUMEN
A retrospective cohort study was conducted to compare pregnancy outcomes in farming households that used pesticides conventionally with those that practiced integrated pest management (IPM) in Nueva Ecija, Philippines, in the period 1998-1999. Conventional pesticide users (CPUs) were defined as pesticide appliers who used pesticides routinely and regularly, whereas users of IPM were those who used pesticides as necessary, and on economically injured crop areas only. The data sets were subjected to the chi-square test of association, Fisher's exact probability test, and logistic regression analysis. At a significance level at 0.05, spontaneous abortion occurred significantly more often among the 345 CPU households than among the 331 IPM households (adjusted risk ratio 6.17). Likewise, birth defects were significantly more common in the CPU group (adjusted risk ratio 4.56). Thus, people of reproductive age who plan to have children should avoid any use of pesticides.