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High Compliance Randomized Controlled Field Trial of Solar Disinfection of Drinking Water and Its Impact on Childhood Diarrhea in Rural Cambodia

机译:柬埔寨农村地区饮用水太阳能消毒的高顺应性随机对照试验及其对儿童腹泻的影响

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摘要

Recent solar disinfection (SODIS) studies in Bolivia and South Africa have reported compliance rates below 35% resulting in no overall statistically significant benefit associated with disease rates. In this study, we report the results of a 1 year randomized controlled trial investigating the effect of SODIS of drinking water on the incidence of dysentery and nondysentery diarrhea among children of age 6 months to 5 years living in rural communities in Cambodia. We compared 426 children in 375 households using SODIS with 502 children in 407 households with no intervention. Study compliance was greater than 90% with only 5% of children having less than 10 months of follow-up and 2.3% having less than 6 months. Adjusted for water source type, children in the SODIS group had a reduced incidence of dysentery, with an incidence rate ratio (IRR) of 0.50 (95% CI 0.27-0.93, p - 0.029). SODIS also had a protective effect against nondysentery diarrhea, with an IRR of 0.37 (95% CI 0.29-0.48, p < 0.001). This study suggests strongly that SODIS is an effective and culturally acceptable point-of-use water treatment method in the culture of rural Cambodia and may be of benefit among similar communities in neighboring South East Asian countries.
机译:最近在玻利维亚和南非进行的太阳能消毒(SODIS)研究报告,达标率低于35%,因此与疾病发生率无关,总体上没有统计学上的显着益处。在这项研究中,我们报告了一项为期1年的随机对照试验的结果,该研究调查了饮用水SODIS对居住在柬埔寨农村社区的6个月至5岁儿童痢疾和非痢疾腹泻的发生率的影响。我们比较了使用SODIS的375户家庭中的426名儿童与没有干预的407户中的502名儿童。研究的依从性大于90%,只有5%的儿童少于10个月的随访,而2.3%的儿童少于6个月。根据水源类型进行调整后,SODIS组的儿童患痢疾的几率降低了,发生率比(IRR)为0.50(95%CI 0.27-0.93,p-0.029)。 SODIS还对非痢疾性腹泻具有保护作用,IRR为0.37(95%CI 0.29-0.48,p <0.001)。这项研究强烈表明,SODIS是柬埔寨农村文化中一种有效且在文化上可以接受的使用点式水处理方法,并且可能在邻近的东南亚国家的类似社区中受益。

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  • 来源
    《Environmental Science & Technology》 |2011年第18期|p.7862-7867|共6页
  • 作者单位

    Department of Physiology & Medical Physics, Royal College of Surgeons in Ireland, 123 St Stephens Green, Dublin 2, Ireland;

    CARE International in Cambodia (CIC), P.O. Box 537, House 52 Street 352, Phnom Penh, Cambodia;

    Natural Resources and the Environment, CSIR, P.O. Box 395, Pretoria, South Africa;

    Division of Population Health Sciences, Royal College of Surgeons in Ireland, 123 St Stephens Green, Dublin 2, Ireland;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);美国《生物学医学文摘》(MEDLINE);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
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