1. Water quality, availability, and acute gastroenteritis on the Navajo Nation - a pilot case-control study
- Author
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Jan Vinjé, Robert Weatherholtz, Raymond Reid, Nicole Gregoricus, Chandra Schneeberger, Douglas H. Esposito, Laura L. Hammitt, Scott Grytdal, James W. Campbell, Cheryl A. Bopp, Vincent R. Hill, Katherine L. O'Brien, Lihua Xiao, Nancy Garrett, Tina S. Lusk, and Aron J. Hall
- Subjects
0301 basic medicine ,Microbiology (medical) ,030106 microbiology ,Water source ,Limited access ,03 medical and health sciences ,Water Supply ,Environmental health ,Water Quality ,Humans ,Waste Management and Disposal ,Water Science and Technology ,Public Health, Environmental and Occupational Health ,Case-control study ,Acute gastroenteritis ,language.human_language ,Coliform bacteria ,Gastroenteritis ,Infectious Diseases ,Geography ,Navajo ,Case-Control Studies ,language ,Indians, North American ,Water quality ,Water use - Abstract
The Navajo Nation includes approximately 250,000 American Indians living in a remote high desert environment with limited access to public water systems. We conducted a pilot case-control study to assess associations between acute gastroenteritis (AGE) and water availability, use patterns, and quality. Case patients with AGE and non-AGE controls who presented for care to two Indian Health Service hospitals were recruited. Data on demographics and water use practices were collected using a standard questionnaire. Household drinking water was tested for presence of pathogens, coliforms, and residual chlorine. Sixty-one subjects (32 cases and 29 controls) participated in the study. Cases and controls were not significantly different with respect to water sources, quality, or patterns of use. Twenty-one percent (n = 12) of study participants resided in dwellings not connected to a community water system. Eleven percent (n = 7) of subjects reported drinking hauled water from unregulated sources. Coliform bacteria were present in 44% (n = 27) of household water samples, and 68% (n = 40) of samples contained residual chlorine concentrations of
- Published
- 2018