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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Main Authors: 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
Format: Article
Language:English
Published: BMC 2024-03-01
Series:BMC Nephrology
Subjects:
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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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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