Abstract:
:We estimated the disease burden from water, sanitation, and hygiene at the global level taking into account various disease outcomes, principally diarrheal diseases. The disability-adjusted life year (DALY) combines the burden from death and disability in a single index and permits the comparison of the burden from water, sanitation, and hygiene with the burden from other risk factors or diseases. We divided the world's population into typical exposure scenarios for 14 geographical regions. We then matched these scenarios with relative risk information obtained mainly from intervention studies. We estimated the disease burden from water, sanitation, and hygiene to be 4.0% of all deaths and 5.7% of the total disease burden (in DALYs) occurring worldwide, taking into account diarrheal diseases, schistosomiasis, trachoma, ascariasis, trichuriasis, and hookworm disease. Because we based these estimates mainly on intervention studies, this burden is largely preventable. Other water- and sanitation-related diseases remain to be evaluated. This preliminary estimation of the global disease burden caused by water, sanitation, and hygiene provides a basic model that could be further refined for national or regional assessments. This significant and avoidable burden suggests that it should be a priority for public health policy.
journal_name
Environ Health Perspectjournal_title
Environmental health perspectivesauthors
Prüss A,Kay D,Fewtrell L,Bartram Jdoi
10.1289/ehp.110-1240845subject
Has Abstractpub_date
2002-05-01 00:00:00pages
537-42issue
5eissn
0091-6765issn
1552-9924pii
sc271_5_1835journal_volume
110pub_type
杂志文章abstract::This paper examines behavioral changes in natural populations of wildlife associated with pollution. Although some changes such as lack of nest attentiveness and decreased nest defense have been noted, the results have not been consistent and have been difficult to relate to specific pollutants. Experimental studies i...
journal_title:Environmental health perspectives
pub_type: 杂志文章,评审
doi:10.1289/ehp.96104s2331
更新日期:1996-04-01 00:00:00
abstract:BACKGROUND:The incidence of asbestos-induced human cancers is increasing worldwide, and considerable evidence suggests that reactive oxygen species (ROS) are important mediators of these diseases. Our previous studies suggested that mitochondria might be involved in the initiation of oxidative stress in asbestos-expose...
journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.1104287
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.5936
更新日期:2003-09-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.94102s973
更新日期:1994-11-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.021100593
更新日期:2002-10-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.00108s2307
更新日期:2000-05-01 00:00:00
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journal_title:Environmental health perspectives
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doi:10.1289/ehp.9360
更新日期:2007-12-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.6560
更新日期:2004-02-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.95103574
更新日期:1995-06-01 00:00:00
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pub_type: 杂志文章
doi:10.1289/ehp.00108919
更新日期:2000-10-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.98106s41041
更新日期:1998-08-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.7646
更新日期:2005-05-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.7155
更新日期:2004-11-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章,评审
doi:10.1289/ehp.8772283
更新日期:1987-06-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 历史文章,杂志文章
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更新日期:1980-02-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.94-1567959
更新日期:1991-08-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.1409052
更新日期:2016-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1289/ehp.0211095
更新日期:2002-01-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章,评审
doi:10.1289/ehp.00108s4625
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journal_title:Environmental health perspectives
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pub_type: 杂志文章
doi:10.1289/ehp.803459
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更新日期:2000-12-01 00:00:00
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更新日期:2008-04-01 00:00:00
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更新日期:1979-02-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2017-01-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.94102s6109
更新日期:1994-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1289/ehp.101-1521147
更新日期:1993-10-01 00:00:00
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更新日期:2002-09-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.97105s51121
更新日期:1997-09-01 00:00:00
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journal_title:Environmental health perspectives
pub_type: 杂志文章
doi:10.1289/ehp.01109765
更新日期:2001-08-01 00:00:00