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...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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eLife Sciences Publications Ltd
2018-02-01
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| Series: | eLife |
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| Online Access: | https://elifesciences.org/articles/33065 |
| _version_ | 1811180367844999168 |
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| author | Frank Tanser Daniel K Azongo Alain Vandormael Till Bärnighausen Christopher Appleton |
| author_facet | Frank Tanser Daniel K Azongo Alain Vandormael Till Bärnighausen Christopher Appleton |
| author_sort | Frank Tanser |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-11T09:02:08Z |
| format | Article |
| id | doaj.art-b13b0892f26e4cb9a7a26918f0c619a4 |
| institution | Directory Open Access Journal |
| issn | 2050-084X |
| language | English |
| last_indexed | 2024-04-11T09:02:08Z |
| publishDate | 2018-02-01 |
| publisher | eLife Sciences Publications Ltd |
| record_format | Article |
| series | eLife |
| spelling | doaj.art-b13b0892f26e4cb9a7a26918f0c619a42022-12-22T04:32:45ZengeLife Sciences Publications LtdeLife2050-084X2018-02-01710.7554/eLife.33065Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South AfricaFrank Tanser0https://orcid.org/0000-0001-9797-0000Daniel K Azongo1Alain Vandormael2https://orcid.org/0000-0002-5742-0511Till Bärnighausen3Christopher Appleton4Africa Health Research Institute, KwaZulu-Natal, South Africa; School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa; Centre for the AIDS Programme of Research in South Africa (CAPRISA), University of KwaZulu-Natal, Durban, South Africa; Institute of Epidemiology and Health Care, University College London, London, United KingdomNavrongo Health Research Centre, Ghana Health Service, Navrongo, Upper East Region, GhanaAfrica Health Research Institute, KwaZulu-Natal, South Africa; School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa; KwaZulu-Natal Research Innovation and Sequencing Platform (KRISP), College of Health Sciences, University of KwaZulu-Natal, Durban, South AfricaAfrica Health Research Institute, KwaZulu-Natal, South Africa; Institute of Epidemiology and Health Care, University College London, London, United Kingdom; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, United States; Institute for Public Health, University of Heidelberg, Heidelberg, GermanySchool of Life Sciences, University of KwaZulu-Natal, Durban, South AfricaRecent 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.https://elifesciences.org/articles/33065urogenital schistosomiasiswatersanitationAfricaspatial analysis |
| spellingShingle | Frank Tanser Daniel K Azongo Alain Vandormael Till Bärnighausen Christopher Appleton Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa eLife urogenital schistosomiasis water sanitation Africa spatial analysis |
| title | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
| title_full | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
| title_fullStr | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
| title_full_unstemmed | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
| title_short | Impact of the scale-up of piped water on urogenital schistosomiasis infection in rural South Africa |
| title_sort | impact of the scale up of piped water on urogenital schistosomiasis infection in rural south africa |
| topic | urogenital schistosomiasis water sanitation Africa spatial analysis |
| url | https://elifesciences.org/articles/33065 |
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