252745 Access and Sanitation of Drinking Water and Diarrheal Disease in the Department of Yoro, Honduras

Wednesday, November 2, 2011

Gabriela E. Halder, MPH , School of Medicine, Virginia Commonwealth University, Richmond, VA
Gonzalo Bearman, MD, MPH , Department of Internal Medicine, Division of Infections Diseases, Virginia Commonwealth University, Richmond, VA
Michael P. Stevens, MD, MPH , Department of Internal Medicine, Division of Infections Diseases, Virginia Commonwealth University, Richmond, VA
INTRODUCTION: Honduras has recently focused on increasing the availability of clean water in order to lower the incidence of diarrheal diseases, which are currently among the top three leading causes of disease in children up to five years of age. We examine and compare drinking water access and sanitation, as well as self-reported diarrheal disease incidence among the Lomitas, La Hicaca, and Coyoles communities of the Department of Yoro area of Honduras.

METHODS: In June 2011, 263 randomly selected participants receiving care from a medical brigade completed a 20-item language-specific, interviewer-administered, anonymous water sanitation questionnaire. We documented and analyzed data on drinking water sources and sanitation methods, in addition to diarrheal disease rates, at both the individual and community level.

RESULTS: Over half of the participants obtained their drinking water from a private faucet, 20.9% purchased bottled water, and 12.5% obtained water from a river. Nearly one-third identified using filters to sanitize their water, 19% purchased bottled water and 19% used no sanitation method. Only 14.8% identified using chlorine. In the community of Lomitas, 60% of participants used no sanitation method. In this community over a quarter of its participants had experienced diarrhea within the last 30 days, which was the highest incidence rate reported among all three communities (p=0.03).

CONCLUSION: The surveyed communities of Yoro vary in terms of water access and sanitation and self-reported diarrheal incidence, reflecting the need for area-specific aid.

Learning Areas:
Assessment of individual and community needs for health education
Public health or related research

Learning Objectives:
1.Describe water access and sanitation, and self-reported incidence of diarrheal disease in three distinct communities in the department of Yoro area of Honduras. 2.Identify differences in the above variables between 3 communities in the Department of Yoro.

Keywords: Epidemiology, Water

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The author has an MPH and has been responsible for the conduct of the research presented in the abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.