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PubMed2002

The Flies and Eyes project: design and methods of a cluster-randomised intervention study to confirm the importance of flies as trachoma vectors in The Gambia and to test a sustainable method of fly control using pit latrines.

The Flies and Eyes project is a community-based, cluster-randomised, intervention trial based in a rural area of The Gambia. It was designed to prove whether flies are mechanical vectors of trachoma; to quantify the relative importance of flies as vectors of trachoma and to test the effectiveness of insecticide spraying and the provision of latrines in trachoma control. A total of 21 clusters, each composed of 300-550 people, are to be recruited in groups of three. One cluster from each group is randomly allocated to receive insecticide spraying, one to receive pit latrines and the remaining to act as a control. The seven groups of clusters are recruited on a step-wise basis separated by two months to aid logistics and allow all seasons to be covered. Standardised, validated trachoma surveys are conducted for people of all ages and both sexes at baseline and six months post intervention. The Muscid fly population is monitored using standard traps and fly-eye contact is measured with catches of flies direct from children's faces. The Flies and Eyes project has been designed to strengthen the evidence base for the 'E' component of the SAFE strategy for trachoma control. The results will assist programme planners and country co-ordinators to make informed decisions on the environmental aspects of trachoma control.

Animals↗
PubMed1996

Control of Culex quinquefasciatus in pit latrines, using shredded, waste polystyrene.

As an alternative to the use of commercially available, expanded-polystyrene beads, a study was made of the effectiveness of shredded, waste polystyrene (SWAP) for the control of Culex quinquefasciatus. The relevant physical properties of the SWAP were first investigated in the laboratory. Then, under field conditions in wet pit latrines, mosquito emergence rates were measured before and after application of the material. In the laboratory, when compared with the commercial product, the irregular shape of the SWAP particles greatly reduced their capacity to spread over the water surface and the interstitial air spaces also permitted respiration and development of mosquito larvae. Nevertheless, under field conditions, with careful application of the SWAP over the water surfaces in wet pit latrines, almost complete control of mosquito breeding was observed within a few days. This was sustained for 60 days, at which time observations were discontinued. SWAP appears to offer an effective, cheap and readily available alternative to the commercial product for the control of C. quinquefasciatus. The practicality of using it in community-based, mosquito-control programmes warrants further study.

Animals↗
PubMed1992

Excreta disposal behaviour and latrine ownership in relation to the risk of childhood diarrhoea in Sri Lanka.

A case-control study of environmental and behavioural risk factors for childhood diarrhoea was conducted in Kurunegala district, Sri Lanka. From five hospitals, 2458 children aged less than 5 years and suffering from diarrhoea were recruited as clinic cases, and a further 4140 reporting with complaints other than diarrhoea were recruited as clinic controls. Community-based cross-sectional surveys were also conducted in three of the five areas served by these hospitals, and from these a further 1659 children were recruited as community controls. Children from households where excreta were reported to be disposed of in a latrine were less likely to have diarrhoea than children whose families improperly disposed of excreta. The results obtained from comparisons of cases with clinic controls (adjusted odds ratio [OR] 1.42, 95% confidence interval [CI] : 1.01-1.98), and of cases with community controls (OR 1.35, 95% CI : 0.85-2.13) were in agreement, suggesting that no important selection bias operated on this association. If the observed proportion (91%) of improper excreta disposal among the population could be reduced to 50%, 12% of childhood diarrhoea episodes would be prevented. Although latrine ownership may be a necessary condition for safe excreta disposal behaviour, diarrhoeal morbidity may only be reduced in Sri Lanka if behavioural changes take place concomitant with the construction of sanitation facilities.

Case-Control Studies↗
PubMed2000

Volta watertight VIP latrine.

The Danish International Development Agency (DANIDA) is assisting the government of Ghana to provide potable water and improved sanitation facilities to about 50% of the Volta Region's population over a 10-year Community Water and Sanitation Programme (CWSP). Sanitation options include designs for household Ventilated Improved Pit (VIP) latrines. However, areas along the coastal belt of the region have a high water table, between 1-1.5 m (3.3-4.95 ft). In addition, about 80% of the inhabitants in these areas depend on shallow hand-dug wells for domestic purposes and irrigation of vegetable gardens. With the construction of these sanitation options under promotion, pollution of the groundwater is inevitable. Circumventing the problem by the programme led to the modification of the present designs into the "Volta Watertight VIP Latrine (VVIP)". The design considerations and the components that have been incorporated to enable it function effectively are presented in this paper for discussion. Five (5) demonstration units were built, and used for a year. Used pits were covered and pit contents examined after a period of six months. Observations made at the end of this fallow led to the conclusion that the VVIP could be adapted for high water table areas to prevent groundwater pollution, baring any constructional defects and inefficiencies.

Developing Countries↗
PubMed2004

Cost effectiveness of a latrine revision programme in Kabul, Afghanistan.

INTRODUCTION: We assessed a household latrine revision intervention implemented in Kabul, Afghanistan for evidence of a reduction in diarrhoeal disease. METHODS: A case-control design involving 1238 cases and 625 controls was used. Logistic regression modelling was performed both for children < 5 years and < or = 11 years, and the parameter estimates were later used with results from a stratified cluster sample survey. This survey used a verbal autopsy methodology to enable an estimation of the number of deaths averted over a 1-year period. A cost-effectiveness analysis using direct and indirect costs for the intervention was then conducted and the results compared with primary health care interventions identified from a Medline search. FINDINGS: Conditional logistic regression showed that patients were less likely than controls to live in households with revised latrines (odds ratio (OR) 0.57, 95% confidence interval (CI) = 0.42-0.77 for children < 5 years, and OR 0.53, 95% = CI 0.41-0.67 for children < or = 11 years). The results from the survey of cause-specific mortality by verbal autopsy enabled estimation of the number of deaths averted over a 1-year period due to the intervention; these estimations were 235 (95% CI = 109-360) for children < 5 years and 285 (95% CI = 180-397) for children < or = 11 years. Estimates of cost effectiveness ranged from approximately US dollars 1800 to US dollars 4100 per death averted depending on age and payer perspective. CONCLUSION: These estimates are conservative because only 1 year of effectiveness is considered, yet they compare favourably with a review of other paediatric interventions. These results are important because funding for sanitation interventions is often limited by the belief that the interventions are not cost-effective.

Afghanistan↗
PubMedDate not supplied

Control of Bancroftian filariasis by integrating therapy with vector control using polystyrene beads in wet pit latrines.

In the town of Makunduchi, Zanzibar, wet pit latrines provided breeding places for Culex quinquefasciatus and there were few other mosquito breeding places available. The adult mosquito population in bedrooms was monitored for a year and found to consist almost entirely of Cx quinquefasciatus of which 2.45% carried infective larvae of Wuchereria bancrofti. It was estimated that each person received about 24,993 bites per year, of which 612 were potentially infective. After a year of baseline data collection, polystyrene beads were expanded in boiling water and applied to form floating layers on all infested pits. Subsequently the adult mosquito population declined remarkably so that the estimated number of bites per person per year was only about 439. To retain control, surveillance for newly wet pits continued to be necessary. Initially the microfilarial rate in the human population was 49.5%, with many cases of filarial disease. The microfilarial rate was reduced to 10.3% by mass treatment with diethylcarbamazine, with no sign of resurgence a year after treatment. The infective rate among mosquitoes was reduced to 0.41% and the combined effect of the vector and microfilarial control was to reduce the number of infective bites per person per year by 99.7%.

Adolescent↗
PubMed1989

The risk of infection from Giardia lamblia due to drinking water supply, use of water, and latrines among preschool children in rural Lesotho.

Stool samples were collected from 267 rural, preschool children in four districts in Lesotho during October-November, 1984. Sixty-three children (23.6%) were tested positive for Giardia lamblia, the most commonly recovered parasite from stool samples. The use of low amounts of water for personal hygiene was associated significantly with having G. lamblia (OR = 2.42), but the use of traditional, non-improved drinking water sources (OR = 1.38) or lack of latrines (OR = 0.94) was not. Although G. lamblia may be primarily waterborne in developed countries, the amount of water that is used for personal and domestic hygiene may be more important than the quality of drinking water in developing countries. Other risk factors that were identified to be associated significantly with having or not having Giardia were child older than 24 months (OR = 6.79), mother less than 20 years of age (OR = 5.18), residing in Mohales Hoek district (OR = 2.33), and possessing several agricultural tools (OR = 0.70).

Adult↗
PubMed1988

The tropical African latrine blowfly, Chrysomya putoria (Wiedemann).

The status of the tropical African latrine blowfly Chrysomya putoria (Wiedemann, 1830) is recognized as distinct from the sub-tropical African blowfly C.chloropyga (Wiedemann, 1818) (Diptera: Calliphoridae). The biology of C.putoria in laboratory culture is described briefly with emphasis on the differences in development found in three strains of this species from Tanzania, Liberia and Brazil. All three strains were reproductively compatible and there was no evidence of F1 hybrid sterility or hybrid breakdown in subsequent generations. Larval development was significantly faster in the Brazilian strain than in the strain from Tanzania. Sexual maturity was significantly faster in adults of the Liberian and Brazilian strains compared to that found in the strain from Tanzania. This latter strain was affected by the source of protein available as adult food. These differences between strains did not appear to be due to selection in laboratory culture, but rather evidence of the evolution of physiological divergence within a species occupying different geographical regions.

Animals↗
PubMed1991

Base-line susceptibility of the oriental latrine fly, Chrysomya megacephala (Diptera: Calliphoridae), to five insectides.

Susceptibility to five insecticides was assessed on seven colonies of the oriental latrine fly, Chrysomya megacephala (Fabricius), originating from Japan, Hong Kong, Philippines, Indonesia and Papua New Guinea, and on C. saffranèa (Bigot) from PNG. All the colonies were susceptible to fenitrothion, diazinon, dichlorvos, permethrin and gamma-HCH, although the Jakarta, Manila and Tokyo colonies of C.megacephala were least susceptible (most tolerant) to diazinon, dichlorvos and permethrin. Feral forms of both Chrysomya species were 4-5-fold more susceptible to permethrin at the LD50 level than were all six colonies of the synanthropic form of C.megacephala.

Animals↗
PubMed2002

Baylisascaris procyonis (Nematoda: Ascaridoidea) eggs in raccoon (Procyon lotol) latrine scats in Orange County, California.

Baylisascaris procyonis is the common intestinal nematode of the raccoon and is well-recognized as a cause of visceral, ocular, and neural larva migrans in many species of wild and domestic birds and mammals, including humans. To develop data on the prevalence of B. procyonis in Orange County, California, 800 distinct raccoon latrine sites were sampled in 4 spatial zones from 15 January to 31 December 2000. Counts of fecal eggs per gram (EPG) were determined and evaluated with reference to spatial zone and season of collection. No significant differences in EPG were noted among the spatial zones. However, EPG exhibited a significant rise (37,730 +/- 1,865) in the fall and a significant decline (26,204 +/- 1,446) in the winter (ANOVA, P = 0.045). The overall egg prevalence was 100%, and the overall mean EPG was 30,265 +/- 867.

Animals↗
PubMed2002

First recovery of Schistosoma mansoni eggs from a latrine in Europe (15-16th centuries).

Schistosoma mansoni eggs were found in a latrine dated AD 1450-1550 in Montbéliard, France. This is the first record of intestinal schistosomiasis in archaeological material. Because the parasite has an African origin, its presence in Europe at that time may be due to African slaves. However, intestinal schistosomiasis has never been established in Europe.

Animals↗
PubMed1991

Spread in South Africa of the Oriental latrine fly Chrysomya megacephala. (Fabricius) (Diptera: Calliphoridae), an introduced species closely resembling Chrysomya bezziana Villeneuve.

Chrysomya megacephala, also known as the Oriental latrine fly, is indigenous to south-east Asia. During the 1970's it successfully invaded Africa and South America, and more recently during the 1980's also established itself in the United States of America. Although the first specimens from South Africa were collected from the south-western Cape Province in 1978, no published data appears to exist on its subsequent spread or status in southern Africa. During May 1991 a specimen of C. megacephala was incidentally captured near Beaufort West, Cape Province, South Africa, which prompted re-examination of blow-flies captured in the Kruger National Park during 1984. In this way it was found that C. megacephala was already well established in the south-eastern Transvaal by mid-1984. Adult C. megacephala can easily be confused with C. bezziana and medical/veterinary entomologists and veterinarians should take note of the existence of this species and the fact that it is probably widespread throughout southern Africa at this state.

Animals↗
PubMedDate not supplied

[Economical and clean latrines].

The paper describes a processing system of excreta, which is technically and functionally suitable. It is easy and quick to build, requiring easy to find materials. Its cost, which is the essential advantage, gives way to implement any expanded program. This processing system is only a mid-term (5 to 10 years) solution in view of improved dwellings and to promote fecal hygiene. Such a solution can achieve its goal only if it is part of a sanitary education program. The processing system is made of latrines with an hydraulic trap and of a classical septic tank with three compartments made of second-hand drums around which a jacket of concrete is sunk, so that tightness of the whole is achieved meaning no possible pollution of the surroundings.

Feces↗