Abstract
The incidence of eye infections in a community is generally accepted as an indicator of the adequacy of water supply for their needs. However, discrepancies in the published results from various studies seem to challenge this view. We have reanalysed the published data on trachoma in relation to the most relevant indicators of water accessibility, using prevalence ratios as the single parameter for risk assessment. A definite trend emerges from this review: the incidence of infectious conjunctivitis is not sensitive to differences in water accessibility; on the other hand, a reduction in the risk of trachoma is consistently associated with better access to water. This conclusion may support the efforts of WHO and other multilateral and bilateral agencies to sustain the commitment towards the water supply sector beyond the International Drinking Water Supply and Sanitation Decade.
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- Assaad F. A., Maxwell-Lyons F., Sundaresan T. Use of local variations in trachoma endemicity in depicting interplay between socio-economic conditions and disease. Bull World Health Organ. 1969;41(2):181–194. [PMC free article] [PubMed] [Google Scholar]
- Bobb A. A., Jr, Nichols R. L. Influence of environment on clinical trachoma in Saudi Arabia. Am J Ophthalmol. 1969 Feb;67(2):235–243. doi: 10.1016/0002-9394(69)93152-3. [DOI] [PubMed] [Google Scholar]
- Cairncross S., Cliff J. L. Water use and health in Mueda, Mozambique. Trans R Soc Trop Med Hyg. 1987;81(1):51–54. doi: 10.1016/0035-9203(87)90280-x. [DOI] [PubMed] [Google Scholar]
- Dawson C. R., Daghfous T., Messadi M., Hoshiwara I., Schachter J. Severe endemic trachoma in Tunisia. Br J Ophthalmol. 1976 Apr;60(4):245–252. doi: 10.1136/bjo.60.4.245. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Foster S. O. Trachoma in an American Indian village. Public Health Rep. 1965 Sep;80(9):829–832. [PMC free article] [PubMed] [Google Scholar]
- Mann I. Correlation of race and way of life in Australia and the Territory of Papua and New Guinea with incidence and severity of clinical trachoma. Am J Ophthalmol. 1967 May;63(5 Suppl):1302–1309. doi: 10.1016/0002-9394(67)94116-5. [DOI] [PubMed] [Google Scholar]
- Marshall C. L. The relationship between trachoma and piped water in a developing area. Arch Environ Health. 1968 Aug;17(2):215–220. doi: 10.1080/00039896.1968.10665216. [DOI] [PubMed] [Google Scholar]
- Mathur G. M., Sharma R. Influence of some socio-economic factors on the prevalence of trachoma. Indian J Med Sci. 1970 Jun;24(6):325–334. [PubMed] [Google Scholar]
- PRATT-JOHNSON J. A., WESSELS J. H. Investigation into the control of trachoma in Sekhukuniland. S Afr Med J. 1958 Feb 22;32(8):212–215. [PubMed] [Google Scholar]
- Portney G. L., Hoshiwara I. Prevalence of trachoma among Southwestern American Indian tribe. Am J Ophthalmol. 1970 Nov;70(5):843–848. doi: 10.1016/0002-9394(70)90510-6. [DOI] [PubMed] [Google Scholar]
- Salminen L., Pitkänen Y., Mattila L. Ophthalmia neonatorum - infektio pesuvedestä. Duodecim. 1980;96(14):964–967. [PubMed] [Google Scholar]
- Taylor H. R., Velasco F. M., Sommer A. The ecology of trachoma: an epidemiological study in southern Mexico. Bull World Health Organ. 1985;63(3):559–567. [PMC free article] [PubMed] [Google Scholar]
- Thacker S. B., Music S. I., Pollard R. A., Berggren G., Boulos C., Nagy T., Brutus M., Pamphile M., Ferdinand R. O., Joseph V. R. Acute water shortage and health problems in Haiti. Lancet. 1980 Mar 1;1(8166):471–473. doi: 10.1016/s0140-6736(80)91009-0. [DOI] [PubMed] [Google Scholar]