Factors Affecting the Prevalence of Fecal Pathogen Infections: Approaches for Health Risk Protection 10.32526/ennrj/19/2020243
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Abstract
Septic tank sludge or fecal sludge (FS) is often discharged on public areas without any treatment, causing environmental and adverse public health effects. Millennium Development Goal 7c (MDG 7c) targets improved access to water and sanitation because 85% of the world’s total FS is often discharged on public areas. Like other countries, Thailand faces fecal slugde management (FSM) problems leading to significant fecal pathogen infections, especially in the north and northeastern regions. This study assessed the effects of unsafely-managed FS on human health risks in two cities, Natan City and Tham Lod City in Thailand, that have relatively high liver fluke and diarrhea infections, and identified the factors relating to FSM practices that affect the prevalence of liver fluke and diarrhea infections due to FS. Specific measures were proposed in delivering integrated FSM solutions and health risk protection toward the Sustainable Development Goal No. 6 (SDG6) targets of safely managed sanitation and hygiene services. Based on data collected from these cities from February to May 2019, factors relating to FSM practices that affect the prevalence of liver fluke and diarrhea infections were identified and analysed using multiple regression analysis. Based on the findings, specific measures in delivering integrated FSM solutions and health risk protection toward the Sustainable Development Goals 6 (SDG 6) are proposed. Because no FS treatment facilities operate in Natan City and Tham Lod City, almost 100% of FS is discharged directly into open drains, resulting in diarrhea and liver fluke infections among local people. The findings identified the factors relating to FSM practices that affect the prevalence of liver fluke and diarrhea infections and proposed specific measures in delivering integrated FSM solutions and health risk protection, such as promoting education programmes, avoiding direct FS discharges into open drains and nearby streams, and providing innovative FSM technologies to eradicate fecal pathogen infections.
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References
Aggarwal D, McGregor A. Protozoal gastrointestinal infections. Medicine 2017;45:695-98.
Al-Mohammed HI, Amin TT, Aboulmagd E, Hablus HR, Zaza BO. Prevalence of intestinal parasitic infections and its relationship with socio-demographics and hygienic habits among male primary schoolchildren in Al-Ahsa, Saudi Arabia. Asian Pacific Journal of Tropical Medicine 2010;3:906-12.
Bdir S, Adwan G. Prevalence of intestinal parasitic infections in Jenin Governorate, Palestine: A 10-year retrospective study. Asian Pacific Journal of Tropical Medicine 2010;3:745-7.
Bisung E, Elliott SJ, Schuster-Wallace CJ, Karanja DM, Bernard A. Dreaming of toilets: Using photo voice to explore knowledge, attitudes and practices around water-health linkages in rural Kenya. Health and Place 2015;31:208-15.
Brown J, Cairncross S, Ensink JH. Water, sanitation, hygiene and enteric infections in children. Archives of Disease in Childhood 2013;8:629-34.
Chudthaisong N, Promthet S, Bradshaw P. Risk factors for Opisthorchis viverrini infection in Nong Khai Province, Thailand. Asian Pacific Journal of Cancer Prevention 2015;16:4593-6.
Department of Disease Control. Parasitic and Diarrhea Infection in Thailand During Period 2013-2017. Thailand: Ministry of Public Health in Thailand; 2017.
Dufour A, Bartram J, Gannon V. Animal Waste, Water Quality and Human Health. Geneva, Switzerland: World Health Organization; 2012.
Ferrer A, Nguyen-Viet H, Zinsstag J. Quantification of diarrhea risk related to wastewater contact in Thailand. Ecohealth 2012;9:49-59.
Freeman MC, Garn JV, Sclar GD, Boisson S, Medlicott K, Alexander KT, et al. The impact of sanitation on infectious disease and nutritional status: a systematic review and meta-analysis. International Journal of Hygiene and Environmental Health 2017;220:928-49.
Frenoux C, Tsitsikalis A. Domestic private fecal sludge emptying services in Cambodia: Between market efficiency and regulation needs for sustainable management. Journal of Water, Sanitation and Hygiene for Development 2014;5:143-55.
Grundy-Warr C, Andrews RH, Sithithaworn P, Petney TN, Sripa B, Laithavewat L, et al. Raw attitudes, wetland cultures, life-cycles: Socio-cultural dynamics relating to Opisthorchis viverrini in the Mekong Basin. Parasitology International 2012;61:65-70.
Huong LQ, Forslund A, Madsen H, Dalsgaard A. Survival of Salmonella spp. and fecal indicator bacteria in Vietnamese biogas digesters receiving pig slurry. International Journal of Hygiene and Environmental Health 2014;217:785-95.
Jeff S, Prasad M, Agamuthu P. Asia Waste Management Outlook. UNEP Asian Waste Management Outlook. Nairobi, Kenya: United Nations Environment Programme; 2017.
Jung YT, Hum RJ, Lou W, Cheng Y-L. Effects of neighbourhood and household sanitation conditions on diarrhea morbidity: Systematic review and meta-analysis. PLoS ONE 2017; 12:e0173808.
Koottatep T, Phuphisith S, Pussayanavin T, Panuvatvanich A, Polprasert C. Modeling of pathogen inactivation in thermal septic tanks. Journal of Water, Sanitation and Hygiene for Development 2014;4:81-8.
Lindahl JF, Grace D. The consequences of human actions on risks for infectious diseases: A review. Infection Ecology and Epidemiology 2015;5:e300485.
Molla NA, Mollah KA, Fungladda W, Ramasoota P. Multidisciplinary household environmental factors: Influence on DALYs lost in climate refugees community. Environmental Development 2014;9:1-11.
Penakalapati G, Anderson D, Mahtani AG, Grimes JET, Rehfuess EA, ClasenTF. The impact of sanitation on infectious disease and nutritional status: A systematic review and meta-analysis. International Journal of Hygiene and Environmental Health 2017;220:928-49.
Pham-Duc P, Nguyen-Viet H, Hattendorf J, Zinsstag J, Cam PD, Odermatt P. Risk factors for Entamoeba histolytica infection in an agricultural community in Hanam Province, Vietnam. Parasites and Vectors 2011;4:102.
Prasongwatana J, Laummaunwai P, Boonmars T, Pinlaor S. Viable metacercariae of Opisthorchis viverrini in northeastern Thai cyprinid fish dishes-as part of a rational program for control of O. viverrini-associated cholangiocarcinoma. Parasitology Research 2013;112:1323-7.
Sithithaworn P, Andrews RH, Nguyen VD, Wongsaroj T, Sinuon M, Odermatt P, et al. The status of opisthorchiasis and clonorchiasis in the Mekong Basin. Parasitology International 2012;61:10-6.
Sripa B, Kaewkes S, Intapan PM, Maleewong W, Brindley PJ. Food-borne trematodiases in Southeast Asia epidemiology, pathology, clinical manifestation and control. Advance in Parasitology 2010;72:305-50.
Taweesan A, Koottatep T, Polprasert C. Effective faecal sludge management measures for on-site sanitation systems. Journal of Water, Sanitation and Hygiene for Development 2015; 5:483-92.
Torgerson PR, Macpherson CN. The Socioeconomic burden of parasitic zoonoses: Global trends. Veterinary Parasitology 2011;182:79-95.
United Nations World Water Assessment Programme. The United Nations World Water Development Report 2015: Water for a Sustainable World. Paris, France: United Nations Educational, Scientific and Cultural Organization; 2015.
Wolf J, Johnston R, Hunter PR, Gordon B, Medlicott K, Prüss-Ustün A. A fecal contamination index for interpreting heterogeneous diarrhea impacts of water, sanitation, and hygiene interventions and overall, regional and country estimates of community sanitation coverage with a focus on low- and middle-income countries. International Journal of Hygiene and Environmental Health 2019;222:270-82.
World Health Organization and United Nations International Children's Emergency Fund. Progress on Drinking Water, Sanitation and Hygiene: 2017 Update and SDG Baselines. Geneva, Switzerland: World Health Organization; 2017.
Yoshida I, Horie O, Akkhavong K. Predictors of hookworm and Opisthorchis viverrini infection among adolescents in urban Laos: A cross-sectional study. Research and Report in Tropical Medicine 2019;10:31-41.
Ziegler AD, Andrews RH, Grundy-Warr C, Sithithaworn P, Petney TN. Fighting liver-flukes with food safety education. Science 2011;331:2823.