Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa
Recent work has estimated that sub-Saharan Africa could lose US$3.5 billion of economic productivity every year as a result of schistosomiasis and soil-transmitted helminthiasis. One of the main interventions to control schistosomiasis is the provision of safe water to limit the contact with infecte...
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| Main Authors: | , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
Feb 20, 2018
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| In: |
eLife
Year: 2018, Volume: 7, Pages: ? |
| ISSN: | 2050-084X |
| DOI: | 10.7554/eLife.33065 |
| Online Access: | Verlag, Volltext: https://doi.org/10.7554/eLife.33065
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| Author Notes: | Frank Tanser, Daniel K Azongo, Alain Vandormael, Till Bärnighausen, Christopher Appleton |
| Summary: | Recent work has estimated that sub-Saharan Africa could lose US$3.5 billion of economic productivity every year as a result of schistosomiasis and soil-transmitted helminthiasis. One of the main interventions to control schistosomiasis is the provision of safe water to limit the contact with infected water bodies and break the cycle of transmission. To date, a rigorous quantification of the impact of safe water supplies on schistosomiasis is lacking. Using data from one of Africa’s largest population-based cohorts, we establish the impact of the scale-up of piped water in a typical rural South African population over a seven-year time horizon. High coverage of piped water in the community decreased a child’s risk of urogenital schistosomiasis infection eight-fold (adjusted odds ratio = 0.12, 95% CI 0.06-0.26, p<0.001). The provision of safe water could drive levels of urogenital schistosomiasis infection to low levels of endemicity in rural African settings. |
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| Item Description: | Gesehen am 08.05.2019 |
| Physical Description: | Online Resource |
| ISSN: | 2050-084X |
| DOI: | 10.7554/eLife.33065 |