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首页> 外文期刊>International Journal of Environmental Research and Public Health >Monitoring of Selected Health Indicators in Children Living in a Copper Mine Development Area in Northwestern Zambia
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Monitoring of Selected Health Indicators in Children Living in a Copper Mine Development Area in Northwestern Zambia

机译：监测赞比亚西北部铜矿开发区儿童的部分健康指标

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The epidemiology of malaria, anaemia and malnutrition in children is potentially altered in mining development areas. In a copper extraction project in northwestern Zambia, a health impact assessment (HIA) was commissioned to predict, manage and monitor health impacts. Two cross-sectional surveys were conducted: at baseline prior to project development (2011) and at four years into development (2015). Prevalence of Plasmodium falciparum , anaemia and stunting were assessed in under-five-year-old children, while hookworm infection was assessed in children aged 9–14 years in communities impacted and comparison communities not impacted by the project. P . falciparum prevalence was significantly higher in 2015 compared to 2011 in both impacted and comparison communities (odds ratio (OR) = 2.51 and OR = 6.97, respectively). Stunting was significantly lower in 2015 in impacted communities only (OR = 0.63). Anaemia was slightly lower in 2015 compared to baseline in both impacted and comparison communities. Resettlement due to the project and migration background (i.e., moving into the area within the past five years) were generally associated with better health outcomes in 2015. We conclude that repeated cross-sectional surveys to monitor health in communities impacted by projects should become an integral part of HIA to deepen the understanding of changing patterns of health and support implementation of setting-specific public health measures.
机译：在采矿开发区，儿童疟疾，贫血和营养不良的流行病学可能会改变。在赞比亚西北部的一个铜矿开采项目中，委托进行了健康影响评估（HIA）以预测，管理和监视健康影响。进行了两次横断面调查：在项目开发之前的基线（2011年）和开发四年（2015年）。在受影响的社区和未受到该项目影响的社区中，评估了5岁以下儿童的恶性疟原虫，贫血和发育迟缓的患病率，而钩虫感染的评估对象是9-14岁的儿童。 。在受影响和比较的社区中，2015年恶性疟的患病率均高于2011年（优势比（OR）= 2.51和OR = 6.97）。仅在受影响的社区中，2015年的发育迟缓显着降低（OR = 0.63）。与受影响和比较社区的基线相比，2015年的贫血水平略低于基线。由于项目和移民背景（即过去五年内迁入该地区）而进行的移民通常与2015年的健康状况有所改善有关。我们得出结论，为监测受项目影响的社区的健康状况而进行的反复横断面调查应成为一项HIA的组成部分，以加深对不断变化的健康模式的理解，并支持实施针对特定环境的公共卫生措施。

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