Community water service and incidence of respiratory, skin, and gastrointestinal infections in rural Alaska, 2013–2015

Mosites, Emily; Lefferts, Brian; Seeman, Sara; January, Gerald; Dobson, Jennifer; Fuente, David; Bruce, Michael G.; Thomas, Timothy K.; Hennessy, Thomas W.

doi:10.1016/j.ijheh.2020.113475

Cited by 11 publications

(6 citation statements)

References 14 publications

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“…Many studies have examined water infrastructure from various perspectives. ,, Such studies have evaluated planning, design, and resilience of water utilities . Many studies focus on urban infrastructure, assessing deteriorating water networks and health impacts on communities. − This study departs from existing literature by focusing on professionals supporting water provision in rural Alaska communities. Understanding water infrastructure here is especially important due to the populations’ vulnerability, and the subsequent impact of water services. ,, …”

Section: Points Of Departurementioning

confidence: 99%

A Stakeholder-Systems Analysis of Water Provision in Rural Alaska

LaPatin,

Ritsch,

Armanios

et al. 2024

ACS EST Water

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People are paramount in the operations of water infrastructure systems. While such processes are similar throughout most communities in the United States, including treatment and distribution, each community encounters localized challenges. In the Yukon−Kuskokwim (YK) Delta of Alaska, specifically, water sector professionals (e.g., water plant operators and water haulers) encounter unique and extreme challenges. The harsh arctic weather makes road navigation dangerous for water haulers, and water plant operators must contend with a precarious supply chain when ordering supplies for maintenance. Such challenges can disrupt water provision for communities. In this study, we analyze semistructured interviews with 24 Alaska water sector professionals, using qualitative content analysis and semicognitive mapping. We built a conceptual integration of systems and stakeholder theory to identify barriers to water provision and leverage points for improvement. We examine three components of the water provision process in rural Alaska communities: water treatment, hauled water distribution, and piped water distribution. We show that to increase workforce retention, limit worker burnout, and ensure reliable water provision, practices including training and certification need to become more localized. Moreover, working conditions and operating environment around the worker need to be more central in water system considerations, especially for water hauling, where workers play a critical role in water distribution. This analysis reveals a key conclusion that underlies all our propositions: people are a leverage point for water provision improvement. In so doing, we contribute to the literature in public administration and bureaucracy, sociotechnical systems, and stakeholder theory as applied to infrastructure systems, more generally, and water systems, more specifically.

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Section: Points Of Departurementioning

confidence: 99%

A Stakeholder-Systems Analysis of Water Provision in Rural Alaska

LaPatin,

Ritsch,

Armanios

et al. 2024

ACS EST Water

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“…Research has shown that access to modern water services and plumbing decreases the risk of developing gastrointestinal infections such as helicobacter pylori (H. pylori), [37]. Alaska Native gastric cancer patients who live in rural areas frequently live in multigenerational homes that are often crowded and lack running water, increasing transmission of communicable diseases, H. pylori included [7].…”

Section: H Pylorimentioning

confidence: 99%

“…Figure 2.Issues Indigenous patients face in regards to access to cancer prevention and control for all types of cancer (yellow), gastric cancer alone (purple) and both (grey)[7,13,[15][16][17]21,23,[26][27][28]37,[44][45][46][47][48][49].…”

mentioning

confidence: 99%

Native and Indigenous Populations and Gastric Cancer: A Worldwide Review

Cordova

Carson

Monetathchi

et al. 2022

IJERPH

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Gastric cancer is a worldwide concern, particularly for Indigenous populations who face greater disparities in healthcare. With decreased access to screening and critical treatment delays, this group is experiencing adverse health effects. To determine what factors drive these disparities, a systematic review was performed in PubMed. This revealed a lack of research on gastric cancer specific to this population. The literature primarily focused on subset analyses and biological aspects with sparse focus on determinants of health. The results informed this presentation on factors related to Indigenous gastric cancer, which are influenced by colonialism. Indigenous populations encounter high rates of food shortage, exposure to harmful environmental agents, structural racism in the built environment, H. pylori, and compromised healthcare quality as an effect of colonialism, which all contribute to the gastric cancer burden. Putting gastric cancer into a cultural context is a potential means to respond to colonial perspectives and their negative impact on Indigenous patients. The objective of this manuscript is to examine the current state of gastric cancer literature from a global perspective, describe what is currently known based on this literature review, supplemented with additional resources due to lack of published works in PubMed, and to present a model of gastric cancer through the lens of a modified medicine wheel as a potential tool to counter colonial healthcare perspectives and to honor Indigenous culture.

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“…(9) Kondisi sanitasi lingkungan yang tidak sehat dapat menjadi pemicu timbulnya masalah kesehatan kulit. Komponen lingkungan tersebut antara lain; sumber air bersih dan air minum, jamban rumah tangga, saluran pembuangan air limbah (SPAL), (10)(11)(12) Copyright © 2022 The Author. JKLI, ISSN: 1412-4939 -e-ISSN: 2502-7085. kondisi rumah (jenis lantai rumah, ventilasi udara, dll) dan keberadaan binatang dan vektor pembawa penyakit di rumah (13) merupakan faktor yang terbukti menyebabkan timbulnya masalah kesehatan kulit.…”

Section: Pendahuluanunclassified

“…Hasil ini sejalan dengan penelitian lainnya, dimana air yang tercemar akibat pengelolaan SPAL yang tidak baik menyebabkan gangguan kesehatan kulit terutama pada usia rentan yaitu usia lanjut dan anak -anak. (10,11) Air limbah rumah tangga yang tidak dikelola secara optimal/saniter berpotensi menimbulkan terjadinya pencemaran tanah dan berkembang biaknya vektor serta binatang pembawa penyakit seperti kecoa, tikus, lalat dan lain sebagainya. Pencemaran tanah berpotensi menyebabkan terjadinya pencemaran air baik untuk keperluan air bersih maupun air minum.…”

Section: Hubungan Pembuangan Air Limbah Dengan Keluhan Penyakit Kulitunclassified

Analisis Hubungan Sanitasi Lingkungan Terhadap Keluhan Penyakit Kulit

Zahtamal

Restila

Restuastuti

et al. 2021

Jurnal Kesehatan Lingkungan Indonesia

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Latar belakang: Masalah sanitasi lingkungan antara lain ketersediaan air bersih, kondisi fisik rumah, keberadaan vektor dan binatang pembawa penyakit masih menjadi pemicu tingginya penyakit kulit di masyarakat. Tujuan penelitian ini adalah mengetahui hubungan sanitasi lingkungan terhadap keluhan penyakit kulit di masyarakat.Metode: Jenis penelitian ini adalah analitik dengan desain cross sectional. Variabel dependen adalah keluhan penyakit kulit, sedangkan variabel independen antara lain sumber air bersih dan air minum, jamban, saluran pembuangan air limbah (SPAL), kondisi rumah (tata ruang, sekat pada dapur, dinding rumah, ventilasi ruang keluarga dan kamar tidur, lubang udara pada dapur, dan kepadatan hunian kamar tidur), tanda keberadaan binatang dan vektor pembawa penyakit (tikus, kecoa, nyamuk, serangga). Pengumpulan data variabel independen dilakukan dengan wawancara dan observasi, sedangkan variabel dependen dilakukan melalui variabel dependen (keluhan penyakit kulit) dilakukan melalui pemeriksaan klinis dan hasil diagnosis oleh dokter spesialis kulit dan kelamin. Populasi penelitian adalah seluruh masyarakat di desa Ranah. Jumlah sampel menggunakan rumus estimasi proporsi didapatkan jumlah sampel 245 orang. Teknik pengambilan sampel menggunakan purposive sampling. Data dianalisis dengan chi-square dan regresi logistik berganda.Hasil: Hasil penelitian ini menunjukkan 36,73% (95% CI: 30,69% - 42,76%) responden mengalami keluhan penyakit kulit. Analisis bivariat didapatkan hanya ventilasi tidak memenuhi syarat yang berhubungan signifikan terhadap masalah kesehatan kulit (p value 0,001). Sementara sumber air bersih dan air minum, jamban,SPAL), jenis lantai rumah, kondisi rumah lainnya dan keberadaan binatang dan vektor pembawa penyakit tidak berhubungan signifikan terhadap keluhan penyakit kulit (p value>0,05). Analisis multivariat diperoleh hasil faktor risiko yang paling berhubungan adalah ventilasi ruang keluarga (p value 0,0001, adjusted OR 6,34), kemudian SPAL (pvalue 0,02 adjusted OR 2,51), dan keberadaan vektor pembawa penyakit (serangga) (p value 0,007 adjusted OR 2,44)Simpulan: Penelitian ini membuktikan faktor lingkungan yang berpengaruh terhahap keluhan penyakit kulit adalah ventilasi, sumber air minum, SPAL, dan keberadaan serangga. ABSTRACT Title: Relationship of Environmental sanitation with Complaints of Skin DiseaseBackground: Environmental sanitation problems include the availability of clean water, the physical condition of the house, the presence of vectors and disease-carrying animals that still trigger high levels of skin disease in the community. The purpose of this study was to determine the relationship between environmental sanitation and complaints of skin diseases in the community.Method: This study used a quantitative approach with a sectional corss study design. Data collection for the independent variables was carried out by interview and observation, while the dependent variable was carried out through clinical interviews. The environmental aspects studied were sources of clean and drinking water, latrines, sewerage (SPAL), house conditions (layout, kitchen partition, walls of permanent houses, house and bedroom ventilation, air holes in the kitchen, and room density), and signs of the presence of animals and disease-carrying vectors (rats, cockroaches, mosquitoes, insects, and flies). The number of samples was 245 people taken by purposive sampling. Data were analyzed by chi-square and multiple logistic regression.Result: The results of this study showed that 36.73% (95% CI: 30.69% - 42.76%) of respondents had complaints of skin disease. Bivariate analysis found that only ventilation had a significant effect on skin health problems (Pvalue 0.001). Meanwhile, clean and drinking water sources, latrines, sewerage), types of house floors, other house conditions and the presence of animals and disease-carrying vectors did not have a significant relationship with skin problems (p value> 0.05). Multivatiate analysis showed that the most influential risk factors were house ventilation (p value 0.0001, adjusted OR 6.34), then SPAL (p value 0.02 adjusted OR 2.51), and the presence of disease-carrying vectors (insects) (p. value 0.007 adjusted OR 2.44)Conclusion: Environmental factors that affect symptoms of skin disease in the community are air ventilation, SPAL, and the presence of insects. The sanitation factor was not significantly related.

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Community water service and incidence of respiratory, skin, and gastrointestinal infections in rural Alaska, 2013–2015

Cited by 11 publications

References 14 publications

A Stakeholder-Systems Analysis of Water Provision in Rural Alaska

A Stakeholder-Systems Analysis of Water Provision in Rural Alaska

Native and Indigenous Populations and Gastric Cancer: A Worldwide Review

Analisis Hubungan Sanitasi Lingkungan Terhadap Keluhan Penyakit Kulit

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