FECAL CONTAMINATION OF SHANTYTOWN TODDLERS IN HOUSEHOLDS WITH NONCORRALLED POULTRY, LIMA, PERU

被引:76
作者
MARQUIS, GS
VENTURA, G
GILMAN, RH
PORRAS, E
MIRANDA, E
CARBAJAL, L
PENTAFIEL, M
机构
[1] JOHNS HOPKINS UNIV,SCH HYG & PUBL HLTH,DEPT INT HLTH,615 N WOLFE ST,BALTIMORE,MD 21205
[2] INST INVEST NUTR,LIMA,PERU
[3] UNIV PERUANA CAYETANO HEREDIA,LIMA,PERU
关键词
D O I
10.2105/AJPH.80.2.146
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We used direct observer techniques to measure the frequency with which toddler-aged children were contaminated by poultry feces in homes in a peri-urban shanty town in Lima, Peru. The mean number of fowl was 5.4 (SD 3.1), with 10.0 (SD 10.7) poultry defecations per 12 hours. Toddlers' hand contant with poultry feces occurred a mean of 2.9 (SD 3.0) times/12 hours. A mean of 3.9 (SD 4.6) feces-to-mouth episodes per household/12 hours occurred both by direct hand-to-mouth contamination and indirectly by handling soiled objects which were then placed in the mouth. There was a strong correlation between feces-to-hand contamination and feces-to-mouth contamination (r = 0.94). There was also an association between feces-to-mouth contamination and the number of stools deposited in the house (r = 0.66). For each additional chicken stool deposited during the day, there was an average increase of 0.27 in feces-to-mouth episodes. We collected feces from 68 infected chickens and found viable Campylobacter jejuni for up to 48 hours after deposition. Yet, a survey of 108 families demonstrated that free-roaming poultry were often not thought of as a health risk for children. An intervention program to reduce oral-fecal contamination should emphasize that all poultry be corralled and not allowed access into the house.
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页码:146 / 149
页数:4
相关论文
共 16 条
  • [1] LONGITUDINAL-STUDIES OF INFECTIOUS-DISEASES AND PHYSICAL GROWTH OF CHILDREN IN RURAL BANGLADESH .2. INCIDENCE OF DIARRHEA AND ASSOCIATION WITH KNOWN PATHOGENS
    BLACK, RE
    BROWN, KH
    BECKER, S
    ALIM, ARMA
    HUQ, I
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1982, 115 (03) : 315 - 324
  • [2] INCIDENCE AND ETIOLOGY OF INFANTILE DIARRHEA AND MAJOR ROUTES OF TRANSMISSION IN HUASCAR, PERU
    BLACK, RE
    DEROMANA, GL
    BROWN, KH
    BRAVO, N
    BAZALAR, OG
    KANASHIRO, HC
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1989, 129 (04) : 785 - 799
  • [3] BUTZLER MP, 1982, APPL ENVIRON MICROB, V43, P1343
  • [4] RAPID REINFECTION BY GIARDIA-LAMBLIA AFTER TREATMENT IN A HYPERENDEMIC THIRD-WORLD COMMUNITY
    GILMAN, RH
    MIRANDA, E
    MARQUIS, GS
    VESTEGUI, M
    MARTINEZ, H
    [J]. LANCET, 1988, 1 (8581) : 343 - 345
  • [5] GRADOS O, 1988, B WORLD HEALTH ORGAN, V66, P369
  • [6] BROILER-CHICKENS AS POTENTIAL SOURCE OF CAMPYLOBACTER INFECTIONS IN HUMANS
    GRANT, IH
    RICHARDSON, NJ
    BOKKENHEUSER, VD
    [J]. JOURNAL OF CLINICAL MICROBIOLOGY, 1980, 11 (05) : 508 - 510
  • [7] HAUSTEIN AT, 1987, F23 FIN REP
  • [8] HUTCHINSON R. IRENE, 1956, MONTH BULL MED RES COUNC [GT BRIT], V15, P110
  • [9] PEREZ-PEREZ G I, 1986, Revista Latinoamericana de Microbiologia, V28, P37
  • [10] EARLY TREATMENT WITH ERYTHROMYCIN OF CAMPYLOBACTER-JEJUNI ASSOCIATED DYSENTERY IN CHILDREN
    SALAZARLINDO, E
    SACK, RB
    CHEAWOO, E
    KAY, BA
    PISCOYA, ZA
    LEONBARUA, R
    YI, A
    [J]. JOURNAL OF PEDIATRICS, 1986, 109 (02) : 355 - 360