Lack of piped water and sewage services is associated with pediatric lower respiratory tract infection in Alaska

The Journal of Pediatrics
B D Gessner

Abstract

To determine the association between the high incidence of lower respiratory tract infection (LRI) documented among young Alaskan children and the absence of modern water service (in-home piped water/septic system or water delivered by closed haul truck) found commonly in rural Alaskan communities. A community-level analysis was performed of all 108 Alaskan communities with at least 15 children <2 years of age enrolled in Medicaid during 1998-2003. Community LRI incidence rates were determined from a Medicaid database with standard LRI billing codes. Potentially confounding community-level demographic variables were obtained, as was availability of water service. During linear regression analysis, the percentage of households with modern water service in a community predicted community-level outpatient (beta = -0.53; P < .001) and inpatient (beta = -0.15; P = .088) LRI incidence rates when controlling for the degree of household crowding, unemployment, adult education, tobacco cigarette use, wood stove use, and poverty. Modest improvements in water service delivery were not shown to be associated with changes in LRI burden. Lack of modern water service in Alaska is associated with high pediatric LRI incidence. These communities...Continue Reading

References

Jun 3, 1999·The Journal of Infectious Diseases·R A KarronL H Harrison
Feb 11, 2000·The Journal of Infectious Diseases·R HarpazR B Wainwright
Feb 5, 2002·Pediatrics·Lisa R BulkowUNKNOWN Alaska RSV Study Group
Mar 17, 2004·Pediatric Pulmonology·Gregory ReddingCarol Jones
Jul 19, 2005·Lancet·Stephen P LubyRobert M Hoekstra
Mar 24, 2006·Tropical Medicine & International Health : TM & IH·Tamer Rabie, Valerie Curtis
Oct 24, 2006·Tropical Medicine & International Health : TM & IH·Isaac Chun-Hai Fung, Sandy Cairncross
Mar 1, 2007·Emerging Infectious Diseases·Pham Ngoc DinhUNKNOWN World Health Organization/Global Outbreak Alert and Response Network Avian Influenza Investigation Team in Vietnam

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Citations

May 23, 2009·American Journal of Public Health·Amy V GroomRalph T Bryan
Aug 29, 2013·International Journal of Circumpolar Health·Robert C HolmanMichael G Bruce
Apr 24, 2014·American Journal of Public Health·Amy V GroomJames E Cheek
Jun 1, 2014·Journal of the Pediatric Infectious Diseases Society·Jonathan ReismanThomas Hennessy
May 28, 2014·The Journal of Pediatrics·Bradford D GessnerDavid M Koeller
Nov 24, 2017·Environmental Science and Pollution Research International·Tingting WuAaron Dotson
Dec 28, 2018·International Journal of Environmental Research and Public Health·Nirmalla BarrosDaniel T Heggem
Sep 13, 2018·Reviews on Environmental Health·Nirmalla BarrosKen Bailey
May 21, 2017·Journal of Environmental Management·Henry J F PennWilliam E Schnabel
Jun 4, 2021·Environmental Engineering Science·Kaitlin J MattosKarl G Linden
Aug 23, 2021·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Michael G BruceRosalyn J Singleton
Oct 16, 2021·Scientific Reports·Kinley WangdiArchie C A Clements

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