Cited by 118Child Nutrition and Water AccessWater Resource Management and QualityFecal contamination and water quality

Diarrhoea prevention in a high-risk rural Kenyan population through point-of-use chlorination, safe water storage, sanitation, and rainwater harvesting

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GARRETT, V., OGUTU, P., MABONGA, P., OMBEKI, S., MWAKI, A., ALUOCH, G., PHELAN, M., QUICK, R. E.·2008·Epidemiology and Infection

Abstract

Lack of access to safe water and sanitation contributes to diarrhoea moribidity and mortality in developing countries. We evaluated the impact of household water treatment, latrines, shallow wells, and rainwater harvesting on diarrhoea incidence in rural Kenyan children. We compared diarrhoea rates in 960 children aged <5 years in 556 households in 12 randomly selected intervention villages and six randomly selected comparison villages during weekly home visits over an 8-week period. On multivariate analysis, chlorinating stored water [relative risk (RR) 0.44, 95% confidence interval (CI) 0.28-0.69], latrine presence (RR 0.71, 95% CI 0.54-0.92), rainwater use (RR 0.70, 95% CI 0.52-0.95), and living in an intervention village (RR 0.31, 95% CI 0.23-0.41), were independently associated with lower diarrhoea risk. Diarrhoea risk was higher among shallow well users (RR 1.78, 95% CI 1.12-2.83). Chlorinating stored water, latrines, and rainwater use all decreased diarrhoea risk; combined interventions may have increased health impact.

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  1. WHO, United Nations Children's Fund (UNICEF), Water Supply and Sanitation Council. Global Water Supply and Sanitation Assessment 2000 Report. New York, NY : UNICEF, 2000, pp. 1-6, 77-79.
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  6. Stockman LJ, et al. Awareness and use of WaterGuard among mothers in Malawi : lessons learned from a national survey, 2005. Emerging Infectious Diseases 2007 ; 13 : 1077-1080.

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Authors
GARRETT, V., OGUTU, P., MABONGA, P., OMBEKI, S., MWAKI, A., ALUOCH, G., PHELAN, M., & QUICK, R. E.
Affiliations
Centers for Disease Control and Prevention (US)
Corresponding author
QUICK, R. E.
Venue
Epidemiology and Infection
Published
2008-01-21
Volume
136
Issue
11
Pages
1463-1471
ISSN
  • 0950-2688 (ISSN-L)
  • 1469-4409
OpenAlex
W1998313988
Cited by
117
References
34
Citations by year
2025: 4 · 2024: 7 · 2023: 7 · 2022: 5 · 2021: 11 · 2020: 4 · 2019: 11 · 2018: 5 · 2017: 12 · 2016: 6 · 2015: 5 · 2014: 11 · 2013: 8 · 2012: 4
FWCI
5.07
Type
journal article
Language
en
Open access
Locations
  • Epidemiology and Infection (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Woodruff Foundation
  • Centers for Disease Control and Prevention
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
  • Physical Sciences › Environmental Science › Water Science and Technology › Water Resource Management and Quality
  • Physical Sciences › Environmental Science › Water Science and Technology › Fecal contamination and water quality
Keywords
diarrhea prevention, household water treatment, safe water storage, latrines, sanitation, rainwater harvesting, shallow wells, childhood diarrhea, rural Kenya, waterborne diseases
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Child, Preschool, Chlorine, Diarrhea, Disinfectants, Disinfection, Female, Humans, Infant, Kenya, Male, Middle Aged, Rural Population, Sanitation, Incidence, Water Purification

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