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A community-wide acute diarrheal disease outbreak associated with drinking contaminated water from shallow bore-wells in a tribal village, India, 2017.


ABSTRACT: BACKGROUND:In 2016, India reported 709 acute diarrheal disease (ADD) outbreaks (>?25% of all outbreaks). Tribal populations are at higher risk with 27% not having accessibility to safe drinking water and 75% households not having toilets. On June 26, 2017 Pedda-Gujjul-Thanda, a tribal village reported an acute diarrheal disease (ADD) outbreak. We investigated to describe the epidemiology, identify risk factors, and provide evidence-based recommendations. METHODS:We defined a case as ?3 loose stools within 24?h in Pedda-Gujjul-Thanda residents from June 24-30, 2017. We identified cases by reviewing hospital records and house-to-house survey. We conducted a retrospective cohort study and collected stool samples for culture. We assessed drinking water supply and sanitation practices and tested water samples for faecal-contamination. RESULTS:We identified 191 cases (65% females) with median age 36?years (range 4-80?years) and no deaths. The attack-rate (AR) was 37% (191/512). Downhill colonies (located on slope of hilly terrains of the village) reported higher ARs (56%[136/243], p 

SUBMITTER: Maramraj KK 

PROVIDER: S-EPMC7023695 | biostudies-literature | 2020 Feb

REPOSITORIES: biostudies-literature

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A community-wide acute diarrheal disease outbreak associated with drinking contaminated water from shallow bore-wells in a tribal village, India, 2017.

Maramraj Kiran Kumar KK   Subbalakshmi G G   Ali Mohammed Shahed MS   Dikid Tanzin T   Yadav Rajesh R   Sodha Samir V SV   Jain Sudhir Kumar SK   Singh Sujeet Kumar SK  

BMC public health 20200214 1


<h4>Background</h4>In 2016, India reported 709 acute diarrheal disease (ADD) outbreaks (> 25% of all outbreaks). Tribal populations are at higher risk with 27% not having accessibility to safe drinking water and 75% households not having toilets. On June 26, 2017 Pedda-Gujjul-Thanda, a tribal village reported an acute diarrheal disease (ADD) outbreak. We investigated to describe the epidemiology, identify risk factors, and provide evidence-based recommendations.<h4>Methods</h4>We defined a case  ...[more]

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