2000
DOI: 10.4314/cajm.v46i6.8547
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An outbreak of dysentery in a rural district of Zimbabwe: the role of personal hygiene at public gatherings

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Cited by 8 publications
(8 citation statements)
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“…A large wave started in Zambia in 1990–1991 [39-41] and then spread to central, eastern and southern Africa in the following years: in 1992, Zimbabwe [42], Swaziland [43], and Burundi [44]; in 1993, Zimbabwe [45], Mozambique [46], Rwanda [47], Sudan [48], Sao Tome [49], Uganda [49] and Burundi [44]; in 1994, South Africa [50-52], Mozambique [46], Kenya [53], Rwanda [54], Zimbabwe [55] and DRC [56-59]; in 1995, Kenya [60,61], South Africa [62], Zimbabwe, Mozambique, and Malawi [55]. In 1997, the last epidemics in that region were reported in South Africa [63], Kenya [55], Zimbabwe [64] and Somalia [55]. …”
Section: Resultsmentioning
confidence: 99%
“…A large wave started in Zambia in 1990–1991 [39-41] and then spread to central, eastern and southern Africa in the following years: in 1992, Zimbabwe [42], Swaziland [43], and Burundi [44]; in 1993, Zimbabwe [45], Mozambique [46], Rwanda [47], Sudan [48], Sao Tome [49], Uganda [49] and Burundi [44]; in 1994, South Africa [50-52], Mozambique [46], Kenya [53], Rwanda [54], Zimbabwe [55] and DRC [56-59]; in 1995, Kenya [60,61], South Africa [62], Zimbabwe, Mozambique, and Malawi [55]. In 1997, the last epidemics in that region were reported in South Africa [63], Kenya [55], Zimbabwe [64] and Somalia [55]. …”
Section: Resultsmentioning
confidence: 99%
“…Poor toilet and hand hygiene practices play an important role in facilitating Shigella transmission in industrialized and developing countries. Shigellae are also effectively transmitted through contaminated water and survival in water appears to vary by subgroup: S. dysenteriae (2-3 days), S. flexneri (6-47 days), and S. sonnei (35-39 days) [83,[86][87][88][89]. Foods, particularly contaminated produce, are wellrecognized as vehicles for Shigella transmission [52,83,90].…”
Section: Pathogen-specific Preventive Measuresmentioning
confidence: 99%
“…Safe and adequate water supply is a major challenge in low-income countries; approximately 80% of disease cases are caused by a lack of adequate and quality water, sanitation, and hygiene 8 , 9 . According to a study conducted in Zimbabwe [ 10 ], hand washing with contaminated water increases the risk of re-contamination with disease-causing agents. Another study found that E. coli levels on hands after washing are significantly related to contaminated handwashing water [ 11 ].…”
Section: Introductionmentioning
confidence: 99%