Decreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants?
Abstract Background We assessed the possible impact of provision of reverse osmosis (RO) water on the incidence of hospital diagnosed CKD/CKDu in North Central Province (NCP) of Sri Lanka. Methods An ecological study was conducted on data from 2010–2020 on the incidence of hospital diagnosed CKD/CKD...
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BMC
2024-03-01
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Series: | BMC Nephrology |
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Online Access: | https://doi.org/10.1186/s12882-024-03534-w |
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author | Asanga Venura Ranasinghe Lakshmi C. Somatunga Gardiye Weligamage Gamini Priyantha Kumara Ranamuka Henayage Karunarathna Ambepitiyawaduge Pubudu De Silva Jayaprakara Mudiyanselage Chathurika Nayani Gunawardena Sembu Kuttige Champika Ruwan Kumari Mohamed Shali Fathima Sarjana Mannikawadumesthri Vipula Chandu De Silva |
author_facet | Asanga Venura Ranasinghe Lakshmi C. Somatunga Gardiye Weligamage Gamini Priyantha Kumara Ranamuka Henayage Karunarathna Ambepitiyawaduge Pubudu De Silva Jayaprakara Mudiyanselage Chathurika Nayani Gunawardena Sembu Kuttige Champika Ruwan Kumari Mohamed Shali Fathima Sarjana Mannikawadumesthri Vipula Chandu De Silva |
author_sort | Asanga Venura Ranasinghe |
collection | DOAJ |
description | Abstract Background We assessed the possible impact of provision of reverse osmosis (RO) water on the incidence of hospital diagnosed CKD/CKDu in North Central Province (NCP) of Sri Lanka. Methods An ecological study was conducted on data from 2010–2020 on the incidence of hospital diagnosed CKD/CKDu, CKD/CKDu screening and provision of drinking water RO plants in NCP. Analysis was conducted using descriptive statistics, ANOVA and chi-square test. Results The annual incidence of hospital diagnosed CKD/CKDu (per 100 000 population) in 2010–2013, 2014–2016 and 2017–2020 periods in Anuradhapura district were 129.07, 331.06 and 185.57 (p = 0.002) while in Polonnaruwa district these were 149.29, 326.12 and 296.73 (p = 0.04) respectively. In NCP provision of RO plants commenced after 2011 and the decline in the incidence of hospital diagnosed CKD/CKDu was seen in 25 of the 29 Divisional Secretary Divisions when more than 20% of the families received access to drinking RO water projects. Conclusions The annual incidence of hospital diagnosed CKD/CKDu increased in NCP from 2010 to 2016 and continuously decreased thereafter. Continuous declining of CKD/CKDu incidence was seen after more than 20% of the families received access to drinking water RO plants. |
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format | Article |
id | doaj.art-499502fc17b14c4d9ec0d4b01de5bdf0 |
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language | English |
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spelling | doaj.art-499502fc17b14c4d9ec0d4b01de5bdf02024-03-17T12:18:09ZengBMCBMC Nephrology1471-23692024-03-0125111310.1186/s12882-024-03534-wDecreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants?Asanga Venura Ranasinghe0Lakshmi C. Somatunga1Gardiye Weligamage Gamini Priyantha Kumara2Ranamuka Henayage Karunarathna3Ambepitiyawaduge Pubudu De Silva4Jayaprakara Mudiyanselage Chathurika Nayani Gunawardena5Sembu Kuttige Champika Ruwan Kumari6Mohamed Shali Fathima Sarjana7Mannikawadumesthri Vipula Chandu De Silva8National Renal Disease Prevention and Research Unit, Ministry of HealthOffice of Additional Secretary, Ministry of HealthNational Renal Disease Prevention and Research Unit, Ministry of HealthNational Renal Disease Prevention and Research Unit, Ministry of HealthNational Renal Disease Prevention and Research Unit, Ministry of HealthNational Renal Disease Prevention and Research Unit, Ministry of HealthNational Renal Disease Prevention and Research Unit, Ministry of HealthNational Renal Disease Prevention and Research Unit, Ministry of HealthDepartment of Pathology, Faculty of Medicine, University of ColomboAbstract Background We assessed the possible impact of provision of reverse osmosis (RO) water on the incidence of hospital diagnosed CKD/CKDu in North Central Province (NCP) of Sri Lanka. Methods An ecological study was conducted on data from 2010–2020 on the incidence of hospital diagnosed CKD/CKDu, CKD/CKDu screening and provision of drinking water RO plants in NCP. Analysis was conducted using descriptive statistics, ANOVA and chi-square test. Results The annual incidence of hospital diagnosed CKD/CKDu (per 100 000 population) in 2010–2013, 2014–2016 and 2017–2020 periods in Anuradhapura district were 129.07, 331.06 and 185.57 (p = 0.002) while in Polonnaruwa district these were 149.29, 326.12 and 296.73 (p = 0.04) respectively. In NCP provision of RO plants commenced after 2011 and the decline in the incidence of hospital diagnosed CKD/CKDu was seen in 25 of the 29 Divisional Secretary Divisions when more than 20% of the families received access to drinking RO water projects. Conclusions The annual incidence of hospital diagnosed CKD/CKDu increased in NCP from 2010 to 2016 and continuously decreased thereafter. Continuous declining of CKD/CKDu incidence was seen after more than 20% of the families received access to drinking water RO plants.https://doi.org/10.1186/s12882-024-03534-w(CKDu) Chronic Kidney Disease of uncertain originDecreasing incidence of CKD/CKDuProvision of safe drinking water |
spellingShingle | Asanga Venura Ranasinghe Lakshmi C. Somatunga Gardiye Weligamage Gamini Priyantha Kumara Ranamuka Henayage Karunarathna Ambepitiyawaduge Pubudu De Silva Jayaprakara Mudiyanselage Chathurika Nayani Gunawardena Sembu Kuttige Champika Ruwan Kumari Mohamed Shali Fathima Sarjana Mannikawadumesthri Vipula Chandu De Silva Decreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants? BMC Nephrology (CKDu) Chronic Kidney Disease of uncertain origin Decreasing incidence of CKD/CKDu Provision of safe drinking water |
title | Decreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants? |
title_full | Decreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants? |
title_fullStr | Decreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants? |
title_full_unstemmed | Decreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants? |
title_short | Decreasing incidence of hospital diagnosed CKD/CKDu in North Central Province of Sri Lanka: is it related to provision of drinking water reverse osmosis plants? |
title_sort | decreasing incidence of hospital diagnosed ckd ckdu in north central province of sri lanka is it related to provision of drinking water reverse osmosis plants |
topic | (CKDu) Chronic Kidney Disease of uncertain origin Decreasing incidence of CKD/CKDu Provision of safe drinking water |
url | https://doi.org/10.1186/s12882-024-03534-w |
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