Contribution of water pollution from inadequate sanitation and housing quality to diarrheal disease in low-cost housing settlements of Cape Town, South Africa
T. Govender,
J.M. Barnes and
C.H. Pieper
American Journal of Public Health, 2011, vol. 101, issue 7, e4-e9
Abstract:
Objectives: We investigated the effects of failing sanitation, poor housing conditions, and fecal pollution in runoff water on the health-particularly the incidence of diarrheal disease-of residents of low-cost housing settlements in Cape Town, South Africa. Methods: In November 2009, we conducted a cross-sectional survey with structured interviews in 4 communities (n=336 dwellings; 1080 persons). We used Colilert defined-substrate technology to determine Escherichia coli levels in runoff water samples taken from the study communities. Results: Almost 15% of households disposed of soiled products in storm water drains and 6% disposed of soiled products in the street. In only 26% of the dwellings were toilets washed daily. Approximately 59% of dwellings lacked a tap near the toilet for hand washing, and 14% of respondents suffered 1 or more attacks of diarrhea in the 2 weeks preceding their interview. E.coli counts of runoff environmental water samples ranged from 750 to 1580000000 per 100 milliliters. Conclusions: A holistic and integrated approach is needed to improve housing quality and sanitation among Cape Town's low-income citizens.
Date: 2011
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2010.300107_7
DOI: 10.2105/AJPH.2010.300107
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