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Regional disparities in the burden of disease attributable to unsafe water and poor sanitation in China.

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  • المؤلفون: Carlton EJ;Carlton EJ; Liang S; McDowell JZ; Li H; Luo W; Remais JV
  • المصدر:
    Bulletin of the World Health Organization [Bull World Health Organ] 2012 Aug 01; Vol. 90 (8), pp. 578-87. Date of Electronic Publication: 2012 May 31.
  • نوع النشر :
    Journal Article; Research Support, American Recovery and Reinvestment Act; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: World Health Organization Country of Publication: Switzerland NLM ID: 7507052 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1564-0604 (Electronic) Linking ISSN: 00429686 NLM ISO Abbreviation: Bull World Health Organ Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Geneva : World Health Organization,
    • الموضوع:
    • نبذة مختصرة :
      Objective: To estimate the disease burden attributable to unsafe water and poor sanitation and hygiene in China, to identify high-burden groups and to inform improvement measures.
      Methods: The disease burden attributable to unsafe water and poor sanitation and hygiene in China was estimated for diseases resulting from exposure to biologically contaminated soil and water (diarrhoeal disease, helminthiases and schistosomiasis) and vector transmission resulting from inadequate management of water resources (malaria, dengue and Japanese encephalitis). The data were obtained from China's national infectious disease reporting system, national helminthiasis surveys and national water and sanitation surveys. The fraction of each health condition attributable to unsafe water and poor sanitation and hygiene in China was estimated from data in the Chinese and international literature.
      Findings: In 2008, 327 million people in China lacked access to piped drinking water and 535 million lacked access to improved sanitation. The same year, unsafe water and poor sanitation and hygiene accounted for 2.81 million disability-adjusted life years (DALYs) and 62,800 deaths in the country, and 83% of the attributable burden was found in children less than 5 years old. Per capita DALYs increased along an east-west gradient, with the highest burden in inland provinces having the lowest income per capita.
      Conclusion: Despite remarkable progress, China still needs to conduct infrastructural improvement projects targeting provinces that have experienced slower economic development. Improved monitoring, increased regulatory oversight and more government transparency are needed to better estimate the effects of microbiologically and chemically contaminated water and poor sanitation and hygiene on human health.
    • Comments:
      Erratum in: Bull World Health Organ. 2013 Sep 1;91(9):715-6.
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    • Grant Information:
      K01AI091864 United States AI NIAID NIH HHS; K01 AI091864 United States AI NIAID NIH HHS; R01AI068854-04S1 United States AI NIAID NIH HHS; R01 AI068854 United States AI NIAID NIH HHS; R01AI068854 United States AI NIAID NIH HHS; 0622743 United States PHS HHS
    • الموضوع:
      Date Created: 20120816 Date Completed: 20121206 Latest Revision: 20211021
    • الموضوع:
      20240829
    • الرقم المعرف:
      PMC3417791
    • الرقم المعرف:
      10.2471/BLT.11.098343
    • الرقم المعرف:
      22893741