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Antibiotic use among children in an urban Brazilian slum: a risk factor for diarrhea?

Among a cohort of children in a poor urban setting in Brazil, the relative risk for the occurrence of a new episode of diarrhea in the two weeks following antibiotic use vs all other weeks was 1.44 (95% confidence interval (CI) = 1.33, 2.45). Among children ever [corrected] exposed to antibiotics, the odds ratio was 1.34 (95% CI = 0.84, 2.16) after stratifying by individual child and controlling for previous diarrhea. Further research is needed to confirm whether antibiotics are a risk factor for diarrhea in such settings.

Age Factors↗

Re-infection estimation of soil-transmitted helminths among slum school children in Visakhapatnam, Andhra Pradesh.

Prevalence and intensity study of soil-transmitted helminths was carried out in a primary municipal corporation school in Relliveedhi, Visakhapatnam, Andhra Pradesh. All subjects (n = 217) belonged to low socio-economic status with an age distribution of 7-13 years. Reinfection study was estimated over a nine month period following treatment with albendazole administered at a single oral dose of 400 mg/child. Parasites identified were Ascaris lumbricoides, Trichuris trichiura and hookworm. Post-treatment prevalence reached pre-intervention level but the intensity of infection remained appreciably low (p < 0.05).

Adolescent↗

A small pit emptying machine: an appropriate solution for a Nairobi slum.

This article describes the results of the trial period of a pedestrian-controlled pit emptying machine. This 'vacutug' has been tested for UNCHS (Habitat) in a low-income settlement in Nairobi, Kenya, through a local NGO. The trial confirmed the viability of the principle of the vacutug as the machine has been in operation for two and a half years. Repairs have been made locally out of income from the service, spare parts can be obtained and demand for the service is high. Although the cost of the service has already been raised, demand has not been reduced. The technical improvements which need to be made can be incorporated in the design, and the next batch of machines is being constructed for further trials. Management of the service is critical for financial sustainability and even during the trial of the technology, the management aspects have been the most difficult of the service.

Developing Countries↗