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Water- & Excreta-related
Communicable Diseases
Microsoft Producer presentations

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               Part 1     Transcript of Part 1 (includes slides)

               Part 2     Transcript of Part 2 (includes slides)

               Part 3     Transcript of Part 3 (includes slides)

               Part 4     Transcript of Part 4 (includes slides)

               Part 5     Transcript of Part 5 (includes slides)

               Presentation downloads


         Supporting material:

               Environmental classification of water- and excreta-related diseases  [JEE, ASCE, 1999]

               Parasite life cycles    Scabies   Trachoma

Ascaris worms Ascaris lumbricoides worms recovered
from a five-year old Bangladeshi child



Courtesy of Dr Andrew Hall
University of Westminster
Deworming
[DCPP, 2008]
See also: Action Against Worms (WHO newsletters)
 
     Sanitation and Disease  [John Wiley & Sons, 1983]
               
               Drawers of Water: Domestic Water Use in East Africa [Chicago UP, 1972]  −  the
               book that
introduced the concept of water-washed disease.
University of Leeds
               Library catalogue entry

               Manson's Tropical Diseases, 22nd ed. (Saunders, 2009)  Univ.of Leeds Library catalogue entry.

               A Short Textbook of Public Health Medicine for the Tropics, 4th ed. (Arnold, 2003) − link to 
               free download.

     A Community Guide to Environmental Health (Hesperian Foundation, 2008)       

     Dynamics and control of infections transmitted from person to person through the environment
     (American Journal of Epidemiology, 2009)

     Video: Can we domesticate germs? (Ted Talks, 2007) − Professor Paul Ewald on the
     evolutionary control of diarrhoeal disease pathogens and more.

     Waterborne Disease [in industrialized countries] ([SEPA, 2006] − free-access links to
     papers in the Journal of Water and Health (
vol. 4, suppl. #2) “Estimating Disease Risks
     Associated With Drinking Water Microbial Exposures”, 2006.

     The Global Burden of Disease: 2004 Update [WHO, 2008]

               Estimating the burden of disease from water, sanitation, and hygiene at a global level
               [EHP, 2002]
               
               Diarrhoea: why children are still dying and what can be done [UNICEF/WHO, 2009]

     Diarrhoea kills over a million over-fives each year [Science and Development Network, 2009] 


               The global burden of diarrhoeal disease  [Bull. WHO, 2003]

     Practical guidance for assessment of disease burden at national and local levels [WHO webpage,
     with links to all reports in the
Environmental Burden of Disease Series − see Report #15: Water,
     sanitation and hygiene: Quantifying the health impact at national and local levels in countries with
     incomplete water supply and sanitation coverage]

     Etiology and epidemiology of diarrhea in children in Hanoi, Vietnam [International Journal of
     Infectious Diseases
, 2006] Conclusions: “Group A rotavirus, diarrheagenic
     Escherichia
 coli, Shigella spp, and enterotoxigenic Bacteroides fragilis play an
     important role in causing diarrhea in children in Hanoi, Vietnam. Epidemiological
     factors such as lack of fresh water supply, unhygienic septic tank, low family
     income, lack of health information, and low educational level of parents could
     contribute to the morbidity
of diarrhea in children.”

     Estimating child mortality due to diarrhoea in developing countries [Bull. WHO, 2008]
     “Findings:
Global deaths from diarrhoea of children aged less than five were
     estimated at 1.87 million (95% confidence interval, CI: 1.56–2.19), approx
     imately 19% of total child deaths. WHO African and South-East Asia
regions
     combined contain 78% (1.46 million) of all diarrhoea deaths occurring
among
     children in the
developing world; 73% of these deaths are concentrated in just 
     15 developing
countries.”

     Water, Sanitation, and Hygiene Improvement Training Package for the Prevention of Diarrheal
     Disease (USAID, 2009)
− this Training Package consists of three separate parts: 
     (1) a step-by-step Guide for Training Outreach Workers, (2) an Outreach
     Worker's Handbook
for community outreach workers to use during and after
     training, and (3) a Collection of Resource Materials to use as a source for visual
     aids.

                   ► Early childhood diarrhoea and helminthiases associated with long-term linear growth faltering
                  [International Journal of Epidemiology, 2001]

                  ►
Effects of stunting, diarrhoeal disease, and parasitic infection during infancy on cognition in late
                 childhood: a follow-up study [The Lancet, 2002]

    Heavy schistosomiasis associated with poor short-term memory and slower reaction times in
        Tanzanian schoolchildren [TM&IH, 2002] 

                ► Hookworm, Ascaris lumbricoides infection and polyparasitism associated with poor cognitive
                 performance in Brazilian schoolchildren [Tropical Medicine & International Health, 2008]

               Oral rehydration [and more]

               The Global Burden of Disease [Executive Summary of Volume 1, Harvard University
               Press, 1996]

               Global Burden of Disease and Risk Factors  [World Bank, 2006] 
               
               Environmental Burden of Disease: Country Profiles [WHO, 2007]


     Short- and long-term effects of bacterial gastrointestinal infections (EID, 2008) − increased
     risk of aortic aneurysm within 12 months of Salmonella infection, elevated risk
     for ulcerative colitis within 12 months of Salmonella and Campylobacter
     infections, and increased risk for reactive arthritis within 12 months of Yersinia,
     Salmonella and Campylobacter infections.
 

               Preventing disease through healthy environments: Towards an estimate of the environmental
               burden of disease [WHO, 2006]

     Disease and Mortality in Sub-Saharan Africa (2nd edition) [World Bank, 2006] − Chapter 9:
     Diarrheal diseases; chapter 14: Malaria; chapter 15: Onchocerciasis

               The South African National Burden of Disease Study 2000: Estimates of Provincial
               Mortality  [SAMRC, 2006]  Summary Report

               Water, Sanitation and Hygiene: Interventions and Diarrhoea  [World Bank, 2004]

               Health, Environment and the Burden of Disease: A Guidance Note [DFID, 2003]

               Environmental Health and the Poor: Our Shared Responsibility [WELL, 2005]

               Environmental determinants of infectious and parasitic diseases [Mem. Inst. Oswaldo
               Cruz
, 1998]

     Perceptions of a literate community regarding causation, presentation and treatment practices of  
     intestinal worms among children [Journal of the College of Physicians and Surgeons of
     Pakistan
, 2007
]

               Interventions for the control of diarrhoeal diseases among young children: improving water supply
               and excreta disposal facilities [Bull. WHO, 1986]

               Disease Control Priorities in Developing Countries, 2nd ed. [World Bank, 2006]
                    DCP Home Page
                    Diarrheal diseases
                    Soil-transmitted helminth infections and schistosomiasis
                    Water supply, sanitation, and hygiene promotion

               Journal of Water and Health: homepage (free access in developing countries: details here)

               Progress against Neglected Tropical Diseases [Gates Foundation, 2009]

               Epidemics after natural disasters [EID, 2007]

               The SAFE strategy for trachoma control  [Bull. WHO, 2006]  "SAFE" = surgery, antibiotic
               therapy, facial cleanliness, and environmental improvements.  Water obviously important!

             
 The Top Ten Causes of Death 2002 [WHO, 2007]
             
               Growing problem of multidrug-resistant enteric pathogens in Africa  [EID, 2007]
                   
Partial abstract: “Control of fecal–orally transmitted pathogens is inadequate
               in many developing countries, in particular, in sub-Saharan Africa. Acquired
               resistance to antimicrobial drugs is becoming more prevalent among Vibrio
               cholerae, Salmonella enteritidis, diarrheagenic Escherichia coli, and other
               pathogens in this region. The poor, who experience most of the infections
               caused by these organisms, bear the brunt of extended illness and
               exacerbated
 proportion of deaths brought about by resistance.”  Prevention
               clearly better than cure − so water, sanitation & hygiene
education!

     Health and wealth: Improved health does not always make countries richer (The Economist,
     2008) [page 3 of the pdf file has links to the references given on page 2]   

     The Mills-Reincke phenomenon:
     Sedgwick, W. T. and Macnutt, S. (1908). An examination of the theorem of Allen Hazen that
     for every death from typhoid fever avoided by the purification of public water supplies, two
     or three deaths are avoided from other causes. Science 28 (711), 15–16.

      

       See also:  Hygiene and Hygiene Education

       Information on specific water- and excreta-related diseases:
                

                A-Z Index  [Centers for Disease Control and Prevention]

                Water- and sanitation-related diseases fact sheets [WHO, 2004]

                Map of global childhood diarrhoea, 2006

                Diarrhoea case management in low- and middle-income countries − an unfinished agenda
                [Bull. WHO, 2007]  (The data in this paper suggest that ‘cure’ is at best
                imperfect − so  why not go for ‘prevention’ by improved water supplies
                and sanitation?)

                Rotavirus  [EID, Oct.-Dec. 1998]

                Global illness and deaths caused by rotavirus disease in children  [EID, May 2003]

                Rotavirus and severe childhood diarrhea  [EID, Feb. 2006]
               
                Sapovirus in water, Japan [EID, 2007]

                Cholera
                On the Communication of Cholera [John Snow, 1854]  See also History.
                Map of global cholera cases, 2003                
      A Lion in Our Village – The Unconscionable Tragedy of Cholera in Africa (NEJM, 2009)
      Google Group on Cholera control [Environmental Health at USAID]
      Cholera, 2007 [WHO Weekly Epidemiological Record, 2008]
      Cholera: A new homeland in Africa? [American Journal of Tropical Medicine and Hygiene, 
      2007]
− the reported incidence of indigenous cholera in sub-Saharan Africa
      in 2005 was 166
cases per million population, compared with 1.74 cases per
      million in Asia and 0.01 cases per million in Latin America.      
      Endemic and epidemic dynamics of cholera: the role of the aquatic reservoir [2001]

                Human campylobacteriosis in developing countries  [EID, March 2002]
                Cryptosporidiosis: an emerging, highly infectious threat  [EID, Jan.-Mar. 1997] 

      Update on Cyclospora cayetanensis, a food-borne and waterborne parasite [Clinical
      Microbiology Reviews
, 2010] 

     Helminths
     Global Atlas of Helminth Infections (website, London School of Hygiene and Tropical Medicine
     and Partnership for Child Development)
− an open-access information resource on the
     distribution of soil-transmitted helminths and schistosomiasis

      Malaria
      Global Malaria Programme [WHO website]

      Malaria [The Global Fund, 2006]
      Malaria [Disease Control Priorities Project, 2006]
      Map of global malaria cases, 2003
      Engineers and malaria: part of the solution, or part of the problem?  [E&U, April 1999]
      Hitting malaria where it hurts: household and community responses in Africa [id21, 2006] 
      Malaria, mosquitoes and the legacy of Ronald Ross [Bull. WHO, 2007)] 

                Case Studies from Millions Saved: Proven Successes in Global Health [Center for Global
                Development, 2004]:
                              Controlling trachoma in Morocco
                              Preventing diarrheal deaths in Egypt
                              Controlling onchocerciasis in sub-Saharan Africa

       Soil-transmitted Helminthic Infections: Updating the Global Picture [DCPP, 2003]

       Prevalence and risk factors for soil-transmitted helminth [STH] infection in mothers and their
       infants in Butajira, Ethiopia: a population based study [
BMC Public Health, 2010] – “Daily
       use of soap and a safe supply of water are likely to reduce the risk of STH
       infection”.
 

                 ‘End in sight’ for elephantiasis [BBC News, 2008]

       Trachoma
       Epidemiology and control of trachoma: Systematic review [TMIH, 2010]

       Comparing the effectiveness of shared versus private latrines in preventing trachoma in rural
       Tanzania [
Am. J. Trop. Med. Hyg., 2010] – “Latrine use was associated with a
       decreased risk of trachoma and there was no difference in risk between
       households using shared compared with private latrines. This study
       emphasizes the need to promote latrine use, which can be facilitated through
       latrine sharing in resource scarce areas, for prevention of trachoma.”
     
       Zambia – Toilets save eyesight [Sanitation Updates, 2009]

       Trachoma [The Lancet, 2008]  Podcast: Focus on Trachoma [The Lancet , 2006, mp3 file]
       Evaluation of the prevalence of trachoma 12 years after baseline surveys in Kidal Region, Mali
       [Tropical Medicine & International Health, 2010]

       
       Tanzania
's fight against onchocerciasis [The Lancet, 2008]
       
       Distance to water source and altitude in relation to active trachoma in Rombo district, Tanzania
       [Tropical Medicine & International Health, 2006]

       Guinea Worm − the first waterborne and first parasitic disease to be very close
       to extinction: 3.5m cases in 20 countries in Sub-Saharan Africa and South Asia
       in 1986; <5000 cases in six countries in Africa in 2008.

       Guinea Worm Eradication Program [Carter Center webpage] watch the videoclip!
       Guinea worm wrap-up #177  [CDC, 2007]
       Foul Water / Fiery Serpent  − a film on guinea worm [
Cielo Productions, 2010]

See also: Climate change     


          Listen
                 Trouble on tap [Cryptosporidium(MicrobeWorld Radio, 2006)              
                 The ocean and cholera (MicrobeWorld Radio, 2006)
                 The Forgotten Plague: Malaria [four programmes] (The World, 2005)

                 River blindness in Sierra Leone
[onchocerciasis] (The World, 2007)
         
          Recreational Waters
                   Guidelines for Safe Recreational Waters: Vol. 1 Coastal & Fresh Waters [WHO,
                    2003]
                   Protecting public health from the impact of body-contact recreation [Water Science
                   and
 Technology, 2006]
                   A sea change ahead for recreational water quality criteria [JWH, 2009]  
                   See also:
Microbial source tracking
                   and listen to ... Poo-poo in the prawn
         
           Book (for purchase only):
                   Merde: Excursions in Scientific, Cultural, and Socio-Historical Coprology [Random
                   House, 1999]

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