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. 2004 Aug;89(8):768–772. doi: 10.1136/adc.2003.037531

Hospitalisation for gastroenteritis in Western Australia

M Gracey 1, A Lee 1, K Yau 1
PMCID: PMC1720021  PMID: 15269080

Abstract

Aims: To document gastroenteritis hospitalisations of the 1995–96 cohort of infants born in Western Australia to mid-2002, and to assess factors associated with their hospitalisations and readmissions.

Methods: Retrospective analysis of the State's hospitalisation data, Midwives' Notification of Births data, the Australian Bureau of Statistics mortality data and clinical and demographic information.

Results: Aboriginal infants were hospitalised for gastroenteritis eight times more frequently than their non-Aboriginal peers, and were readmitted more frequently and sooner for diarrhoeal illnesses than the other group. They also stayed in hospital for twice as long and many Aboriginal patients were hospitalised on numerous occasions. Hospitalisation rates were higher in remote areas and were significantly associated with co-morbidities such as undernutrition, anaemia, co-existing infections, and intestinal carbohydrate intolerance.

Conclusions: Gastroenteritis is very prevalent in Australian Aboriginal infants and children and is a major cause of their hospitalisation in Western Australia. It is often associated with undernutrition, anaemia, intestinal parasitic infestations, other infections, intestinal carbohydrate intolerance, and, in some instances, with low birth weight. This is often due to unhygienic living conditions and behaviours and presents major challenges to public health, health promotion, and clinical personnel, particularly paediatric services. Childhood diarrhoeal diseases occur commonly in other indigenous groups but have not received the attention that they deserve.

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Figure 1.

Figure 1

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 Map of Western Australia showing its health service regions. The State covers the western third of the Australian Continent and has a land area of approximately 2.5 million square km. At its widest dimensions it measures about 2200 km from north to south and 1500 km from east to west.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Gracey M., Cullinane J. Gastroenteritis and environmental health among Aboriginal infants and children in Western Australia. J Paediatr Child Health. 2003 Aug;39(6):427–431. doi: 10.1046/j.1440-1754.2003.00182.x. [DOI] [PubMed] [Google Scholar]
  2. Gracey M. Diarrhea and malnutrition: a challenge for pediatricians. J Pediatr Gastroenterol Nutr. 1996 Jan;22(1):6–16. doi: 10.1097/00005176-199601000-00004. [DOI] [PubMed] [Google Scholar]
  3. Gracey M. Diarrhoea in Australian Aborigines. Aust J Public Health. 1992 Sep;16(3):216–225. doi: 10.1111/j.1753-6405.1992.tb00058.x. [DOI] [PubMed] [Google Scholar]
  4. Gracey M. Enteric disease in young Australian aborigines. Aust N Z J Med. 1973 Dec;3(6):576–579. doi: 10.1111/j.1445-5994.1973.tb04298.x. [DOI] [PubMed] [Google Scholar]
  5. Gracey M., Williams P., Houston S. Environmental health conditions in remote and rural aboriginal communities in western Australia. Aust N Z J Public Health. 1997 Aug;21(5):511–518. doi: 10.1111/j.1467-842x.1997.tb01744.x. [DOI] [PubMed] [Google Scholar]
  6. Granich R., Cantwell M. F., Long K., Maldonado Y., Parsonnet J. Patterns of health seeking behavior during episodes of childhood diarrhea: a study of Tzotzil-speaking Mayans in the highlands of Chiapas, Mexico. Soc Sci Med. 1999 Feb;48(4):489–495. doi: 10.1016/s0277-9536(98)00356-6. [DOI] [PubMed] [Google Scholar]
  7. Hirschhorn N., Cash R. A., Woodward W. E., Spivey G. H. Oral fluid therapy of Apache children with acute infectious diarrhoea. Lancet. 1972 Jul 1;2(7766):15–18. doi: 10.1016/s0140-6736(72)91277-9. [DOI] [PubMed] [Google Scholar]
  8. Jose D. G., Welch J. S. Growth retardation, anaemia and infection, with malabsorption and infestation of the bowel. The syndrome of protein-calorie malnutrition in Australian Aboriginal children. Med J Aust. 1970 Feb 21;1(8):349–356. [PubMed] [Google Scholar]
  9. Moodie P. M. Mortality and morbidity in Australian aboriginal children. Med J Aust. 1969 Jan 25;1(4):180–185. doi: 10.5694/j.1326-5377.1969.tb92093.x. [DOI] [PubMed] [Google Scholar]
  10. Moulton L. H., Staat M. A., Santosham M., Ward R. L. The protective effectiveness of natural rotavirus infection in an American Indian population. J Infect Dis. 1998 Dec;178(6):1562–1566. doi: 10.1086/314504. [DOI] [PubMed] [Google Scholar]
  11. Reading R. Poverty and the health of children and adolescents. Arch Dis Child. 1997 May;76(5):463–467. doi: 10.1136/adc.76.5.463. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Santosham M., Moulton L. H., Reid R., Croll J., Weatherholt R., Ward R., Forro J., Zito E., Mack M., Brenneman G. Efficacy and safety of high-dose rhesus-human reassortant rotavirus vaccine in Native American populations. J Pediatr. 1997 Oct;131(4):632–638. doi: 10.1016/s0022-3476(97)70076-3. [DOI] [PubMed] [Google Scholar]
  13. Segar J. Hard lives and evil winds: illness aetiology and the search for healing amongst Ciskeian villagers. Soc Sci Med. 1997 May;44(10):1585–1600. doi: 10.1016/s0277-9536(96)00390-5. [DOI] [PubMed] [Google Scholar]
  14. Tenssay Z. W., Mengistu A. Bacterial isolates from indigenous weaning foods in rural Ethiopian setting, Jimma Zone, south west Ethiopia. Ethiop Med J. 1997 Apr;35(2):93–102. [PubMed] [Google Scholar]

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