The impact on health and risk factors of the diarrhoea epidemics in the 1998 Bangladesh floods
The impact on health and risk factors of the diarrhoea epidemics in the 1998 Bangladesh floods
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DOI：
10.1016/s0033-3506(02)00506-1
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发表时间：
2002-03-01
期刊：
影响因子：
5.2
通讯作者：
Wakai, S
中科院分区：
文献类型：
--
作者：
Kunii, O;Nakamura, S;Wakai, S
1998年孟加拉国的洪水摧毁了大约60%的土地，影响了3000多万人。本研究的目的是研究洪水对受影响社区的健康的影响，并探讨与腹泻发作相关的因素。我们对1998年10月洪水水位达到顶峰时受到影响的两个地区的517人进行了结构化访谈。在517名受访者中，98.3%的人出现了健康问题或现有健康问题恶化。许多人认为他们的一般健康状况“差得多”（16.9%）或“差”（64.3%）。最常见的情况是发烧（63.6%），其次是呼吸系统问题（46.8%），腹泻（44.3%）和皮肤问题（41.0%）。虽然从管井取水，但只有1.0%和6.7%的受访者在饮用前分别通过煮沸和氯化处理水（93.2%）和河流75.0%的受访者认为受污染的食物为腹泻（6.0%）。家庭成员人数、经济状况差、没有分发净水药片、储水容器的类型、没有盖上盖子、没有使用厕所、饮用水的变化、粮食短缺和对未来的担忧。在逻辑回归分析中，男性、贫穷的经济状况、缺乏水净化药片的分发以及储水容器的类型与腹泻有着显著的关联，1998年孟加拉国洪水对社区的健康产生了重大影响。腹泻与社会经济地位、水处理和家庭卫生有关。应当更加重视灾前时期的卫生教育，以增强社区抵御洪水的能力。
The 1998 flood in Bangladesh ravaged approximately 60% of the land and affected over 30 million people. The aim of this study is to examine the impact of the flood on the health of the communities affected and to explore factors associated with episodes of diarrhoea.We conducted structured interviews with 517 people in two districts that had been affected in October 1998, when the flood water level was at its peak. Of the 5 17 respondents, 98.3% developed health problems or round that existing health problems were exacerbated. Many perceived that their general health condition was 'much worse' (16.9%) or 'worse' (64.3%). The most prevalent condition was fever (63.6%), followed by respiratory problems (46.8%), diarrhoea (44.3%), and skin problems (41.0%). Only 1.0% and 6.7% of the respondents treated water before drinking, by boiling and chlorination, respectively, although water collected from tube-wells (93.2%) and rivers (6.0%) was perceived by 75.0% of the respondents to be contaminated.Factors associated with developing or worsening diarrhoea were as follows; the number of family members, poor economic status, a lack of distribution of water purification tablets, the type of water storage vessels, not putting a lid on the vessel, no use of latrines, perceived change of drinking water, food scarcity, and worries about the future. In logistic regression analysis, men, poor economic status, lack of distribution of water purification tablets, and the type of water storage vessels had a significant association with diarrhoea.The 1998 Bangladesh flood had a substantial impact on the health of communities. Diarrhoea was associated with socioeconomic status, water handling and household sanitation. There ought to be more emphasis on health education in the pre-disaster period in order to empower communities against floods.