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Water quality, availability, and acute gastroenteritis on the Navajo Nation - a pilot case-control study.
Grytdal, Scott P; Weatherholtz, Robert; Esposito, Douglas H; Campbell, James; Reid, Raymond; Gregoricus, Nicole; Schneeberger, Chandra; Lusk, Tina S; Xiao, Lihua; Garrett, Nancy; Bopp, Cheryl; Hammitt, Laura L; Vinjé, Jan; Hill, Vincent R; O'Brien, Katherine L; Hall, Aron J.
Afiliación
  • Grytdal SP; Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, Georgia 30029, USA E-mail: swg0@cdc.gov.
  • Weatherholtz R; Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 415 N. Washington Street, Baltimore, Maryland 21231, USA.
  • Esposito DH; Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, Georgia 30029, USA E-mail: swg0@cdc.gov.
  • Campbell J; Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 415 N. Washington Street, Baltimore, Maryland 21231, USA.
  • Reid R; Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 415 N. Washington Street, Baltimore, Maryland 21231, USA.
  • Gregoricus N; Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, Georgia 30029, USA E-mail: swg0@cdc.gov.
  • Schneeberger C; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30029, USA.
  • Lusk TS; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30029, USA.
  • Xiao L; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30029, USA.
  • Garrett N; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30029, USA.
  • Bopp C; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30029, USA.
  • Hammitt LL; Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 415 N. Washington Street, Baltimore, Maryland 21231, USA.
  • Vinjé J; Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, Georgia 30029, USA E-mail: swg0@cdc.gov.
  • Hill VR; Division of Foodborne, Waterborne, and Environmental Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia 30029, USA.
  • O'Brien KL; Center for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, 415 N. Washington Street, Baltimore, Maryland 21231, USA.
  • Hall AJ; Division of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, Georgia 30029, USA E-mail: swg0@cdc.gov.
J Water Health ; 16(6): 1018-1028, 2018 Dec.
Article en En | MEDLINE | ID: mdl-30540275
The Navajo Nation includes approximately 250,000 American Indians living in a remote high desert environment with limited access to public water systems. We conducted a pilot case-control study to assess associations between acute gastroenteritis (AGE) and water availability, use patterns, and quality. Case patients with AGE and non-AGE controls who presented for care to two Indian Health Service hospitals were recruited. Data on demographics and water use practices were collected using a standard questionnaire. Household drinking water was tested for presence of pathogens, coliforms, and residual chlorine. Sixty-one subjects (32 cases and 29 controls) participated in the study. Cases and controls were not significantly different with respect to water sources, quality, or patterns of use. Twenty-one percent (n = 12) of study participants resided in dwellings not connected to a community water system. Eleven percent (n = 7) of subjects reported drinking hauled water from unregulated sources. Coliform bacteria were present in 44% (n = 27) of household water samples, and 68% (n = 40) of samples contained residual chlorine concentrations of <0.2 mg/L. This study highlights issues with water availability, quality, and use patterns within the Navajo Nation, including sub-optimal access to community water systems, and use of water hauled from unregulated sources.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Abastecimiento de Agua / Calidad del Agua / Gastroenteritis Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Water Health Asunto de la revista: SAUDE AMBIENTAL Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Abastecimiento de Agua / Calidad del Agua / Gastroenteritis Tipo de estudio: Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: J Water Health Asunto de la revista: SAUDE AMBIENTAL Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido