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Faecal contamination of water and fingertip-rinses as a method for evaluating the effect of low-cost water supply and sanitation activities on faeco-oral disease transmission. I. A case study in rural north-east Thailand

Published online by Cambridge University Press:  15 May 2009

J. V. Pinfold
J. V. Pinfold
Affiliation:
Department of Civil Engineering, University of Leeds, Leeds LS2 9JT, England
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Most villagers in north-east Thailand carry water to their homes and store it in separate containers depending on its subsequent use. In one village, information on water use was collated with the bacteriological quality of stored water, water sources and fingertip-rinses. Stored water quality was a function of water-related activities rather than quality at source (P<0·0001). Specifically water used for toilet, washing dishes and cooking-related activities was much more contaminated with faecal bacteria than that used for drinking and cooking. Salmonella spp. was significantly more common in water used for washing dishes than drinking (P<0·05). Escherichia coli contamination of fingertip-rinses was strongly associated with the individual's activity prior to testing (P<0·0001); child care, food and water-related activities produced much higher levels of fingertip contamination than others. Dirty utensils used for cooking and eating were usually left to soak and faecal bacterial growth occurred in this grossly contaminated soak-water. Cross-contamination via water handling was the main mechanism of stored water pollution. These results were used to develop a hygiene intervention study presented in a companion paper.

Type
Research Article
Information
Epidemiology & Infection , Volume 105 , Issue 2 , October 1990 , pp. 363 - 375
Copyright
Copyright © Cambridge University Press 1990

References

REFERENCES

1.Feachem, RG., McGarry, M., Mara, DD. Water, wastes and health in hot climates. London: John Wiley, 1977: 75–95.Google Scholar
2.Snyder, JD, Merson, MH. The magnitude of the global problem of acute diarrhoeal disease. Bull WHO 1982; 60: 605–13.Google ScholarPubMed
3.Blum, D, Feachem, RG. Measuring the impact of water supply and sanitation investments on diarrhoeal diseases: problems of methodology. Int J Epidemiol 1983; 12: 357–65.CrossRefGoogle ScholarPubMed
4.Esrey, SA, Feachem, RG, Hughes, JM. Interventions for the control of diarrhoeal disease among voung children: improving water supplies and excreta disposal facilities. Bull WHO 1985; 63: 757–72.Google Scholar
5.Agarwal, A, Kimondo, J, Moreno, G, Tinker, J. Water, sanitation, health for all? London: Earthscan, 1980: 3–17.Google Scholar
6.Cairncross, S. The benefits of water supply. In Pickford, J. ed. Developing world water. Hong Kong: Grosvenor Press International. 1987: 30–4.Google Scholar
7.Feaehem, RG., Burns, E., Cairncross, S. et al. Water health and development: An interdisciplinary evaluation. London: Tri-med. 1978: 121.Google Scholar
8.Khairy, AEM. Sebaie, OE. Gawad, AA. Attar, LE. The sanitary condition of rural drinking water is a Nile Delta village: I. Parasitological assessment of ‘sir’ stored and direct tap water. J Hyg 1982; 88: 57–61.CrossRefGoogle Scholar
9.Attar, LE. Gawad, AA, Khairy, AEM. Sebaie, OE. The sanitary condition of rural drinking water in a Nile Delta village: II. Bacterial contamination of drinking water in a Nile Delta village. J Hyg 1982; 88: 63–7.Google Scholar
10.Young, B. Briscoe, J. A case-control study of the effect of environmental sanitation on diarrhoea morbidity in Malawi. J Epidemiol Community Health 1987; 42: 83–8.Google Scholar
11.Sutton, S. Mubiana, D. Household water quality in rural Zambia. Waterlines 1989; 8: 20—2.Google Scholar
12.Black, RE. Brown, KH. Becker, S. Alim, ARM. Merson, MH. Contamination of weaning foods and transmission of enterotoxigenic Escherichia coli diarrhoea in children in rural Bangladesh. Trans R Soc Trop Med Hyg 1982; 76: 259–64.Google Scholar
13.Taylor, EW. Report on the results of the bacteriological, chemical and biological examination of London waters. 1969–1970. Report of the Metropolitan Water Board 1972: 44: 22–35.Google Scholar
14.Kirchhoff, LV. McClelland, KE. Pinho, MDC. Araujo, JB. DeSousa, MA. Guerrant, RL. Feasibility and efficacy of in-home water chlorination in rural North-eastern Brazil. J Hyg 1985: 94:173–80.CrossRefGoogle ScholarPubMed
15.Feaehem, RG, Mara, DD. A reappraisal of the role of faecal indicator organisms in tropical waste treatment processes. Public Health Engineer 1979; 7: 31–3.Google Scholar
16.Barrell, RAE, Rowland, MGM. Infant foods as a potential source of diarrhoeal illness in rural West Africa. Trans R Soc Trop Med Hyg 1979; 73: 85–90.Google Scholar
17.Lee, WH, Riemann, H. The inhibition and destruction of Enterobacteriaceae of pathogenic and public health significance. In Hugo, WB, ed. Inhibition and destruction of the microbial cell. London: Academic Press, 1971: 399–419.CrossRefGoogle Scholar
18.McJunkin, FE. Water and human health. Washington D.C.: United States Agency for International Development, 1982: 57–61.Google Scholar
19.Mara, DD. Oragui, J. Bacteriological methods for distinguishing between human and animal faecal pollution of water: results of fieldwork in Nigeria and Zimbabwe. Bull WHO 1985; 63: 773–83.Google ScholarPubMed
20.Moe, CL. Sobsey, MD, Samsa, GP, Briscoe, J. Bacterial indicators of risk of diarrhoeal disease from tropical drinking waters in the Philippines. Bull WHO, In press.Google Scholar
21.Dufour, AP. Strickland, ER, Cabelli, VJ. Membrane filter method for enumeration of Escherichia coli. Appl Microbiol 1981; 41: 1152–8.Google Scholar
22.Pinfold, JV. Faecal contamination of water and fingertip-rinses as a method for evaluating the effect of low-cost water supply and sanitation activities on faeco-oral disease transmission. II. A hygiene intervention study in rural northeast Thailand. Epidemiol Infect 1990: 105: 377–389.CrossRefGoogle Scholar
23. Report 71. The bacteriological examination of water supplies. London: HMSO Publications. 1984.Google Scholar
24.Vassiliadis, P. Trichopulos, D. Papadakis, J. Kalapothaki, V. Zavitsanos, X, Serie, C. Salmonella isolation with Rappaport's enrichment medium of different compositions. Zentralbl Bakteriol Mikrobiol Hyg [B] 1981; 173: 382–9.Google Scholar
25.Pinfold, JV, Horan, NJ. Mara, DD. The faecal coliform fingertip count: a potential method for evaluating the effectiveness of low cost water supply and sanitation initiatives. J Trop Med Hyg 1988; 91: 67–70.Google Scholar
26.Pinfold, J V. Assessment of the effects of low-cost water supply and sanitation initiatives on faeco-oral disease transmission [Dissertation]. Leeds, England: University of Leeds. 272 pp.Google Scholar
27.Pether, JVS. Gilbert, RJ. The survival of salmonellas on finger-tips and transfer of the organisms to foods. J Hyg 1971; 69: 673–81.Google ScholarPubMed
28.Hart, CA. Gibson, MF. Buckles, AM. Variation in skin and environmental survival of hospital genamicin-resistant enterobacteria. J Hyg 1981; 87: 277–84.CrossRefGoogle ScholarPubMed
29.Hutchinson, RI. Some observations on the method of spread of Sonne dysentery. Monthly Bulletin of the Ministry of Health and the Public Health Laboratory Service 1956; 15: 110–8.Google Scholar