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Optimizing machine learning for water safety: A comparative analysis with dimensionality reduction and classifier performance in potability prediction 优化机器学习,促进水安全:可饮用性预测中的降维与分类器性能比较分析
Pub Date : 2024-08-08 DOI: 10.1371/journal.pwat.0000259
Debashis Chatterjee, Prithwish Ghosh, Amlan Banerjee, S. S. Das
In this study, we investigated the effectiveness of machine learning techniques in predicting water potability based on water quality attributes. Initially, we applied seven classification-based methods directly to the original dataset, yielding varying accuracy scores. Notably, the Support Vector Machine (SVM) achieved the highest accuracy of 69%, while other methods such as XGBoost, k-Nearest Neighbors, Gaussian Naive Bayes, and Random Forest demonstrated competitive performance with scores ranging from 62% to 68%. Subsequently, we employed Principal Component Analysis (PCA) to reduce the dataset’s dimensionality to six principal components, followed by reapplication of the machine learning techniques. The results showed an increase in accuracy across all classifiers, increasing to nearly 100%. This study provides insights into the impact of dimensionality reduction on predictive accuracy and underscores the importance of selecting appropriate techniques for water potability prediction.
在本研究中,我们调查了机器学习技术在根据水质属性预测水的可饮用性方面的有效性。最初,我们将七种基于分类的方法直接应用于原始数据集,得到了不同的准确率。值得注意的是,支持向量机(SVM)的准确率最高,达到了 69%,而 XGBoost、k-Nearest Neighbors、高斯直觉贝叶斯和随机森林等其他方法的准确率在 62% 到 68% 之间,表现出了很强的竞争力。随后,我们采用主成分分析法(PCA)将数据集的维度降低到六个主成分,然后重新应用机器学习技术。结果显示,所有分类器的准确率都有所提高,接近 100%。这项研究深入揭示了降维对预测准确性的影响,并强调了选择适当技术进行水的可饮用性预测的重要性。
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引用次数: 0
Assessing state partner use of the Model Aquatic Health Code (MAHC): A cross comparison of five states with varying degrees of self-reported adoption status 评估各州合作伙伴对《水产健康示范法规》(MAHC)的使用情况:对五个州不同程度的自报采用情况进行交叉比较
Pub Date : 2024-08-08 DOI: 10.1371/journal.pwat.0000276
Patrick Vander Kelen, Joseph P. Laco, Shannon McClenahan, Christopher Fletcher, Brian Hubbard
Despite the development of the Model Aquatic Health Code (MAHC), U.S. public health departments and aquatics agencies face obstacles in incorporating this guidance into their pool codes. A cross comparison of five state pool codes with the MAHC was conducted to quantify MAHC incorporation into these state codes. The proportion of MAHC code agreement with state codes in this study had a range of 14%–86%. Only 2% of all the MAHC codes available were present in all five state codes, conversely, 12% of the MAHC codes were not found in any state. These differences in code agreement highlight the challenge of measuring MAHC effectiveness at the national level. To improve aquatic safety at a national level, a potential solution is development and use of common core elements in state and local pool codes. Once there is a basis for code comparisons across states, public health programs can investigate whether core MAHC codes result in reduced waterborne illness outbreaks, drowning incidents, injuries from pool chemicals, health outcomes from exposure to disinfection by-products, and swimming-related emergency department visits.
尽管制定了《示范水产健康规范》(MAHC),但美国公共卫生部门和水产机构在将该指南纳入其泳池规范时仍面临障碍。我们对五个州的泳池规范与 MAHC 进行了交叉比较,以量化 MAHC 纳入这些州规范的情况。在这项研究中,MAHC 法规与各州法规一致的比例在 14%-86% 之间。在所有 MAHC 代码中,只有 2% 的代码在所有五个州的代码中都有出现,相反,12% 的 MAHC 代码在任何州都没有出现。这些代码一致性的差异凸显了在全国范围内衡量 MAHC 有效性所面临的挑战。要在全国范围内提高水上安全,一个潜在的解决方案是在各州和地方泳池规范中制定和使用共同的核心要素。一旦有了对各州法规进行比较的基础,公共卫生项目就可以调查主要健康标准的核心法规是否能减少水传播疾病的爆发、溺水事件、泳池化学品造成的伤害、接触消毒副产品造成的健康后果以及与游泳有关的急诊就诊率。
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引用次数: 0
Virtual water flows in a real world 现实世界中的虚拟水流
Pub Date : 2024-08-08 DOI: 10.1371/journal.pwat.0000275
Xiawei Liao, Ao Liu, L. Chai
Virtual water was introduced by John Anthony Allan in 1998 as a measure of the amount of water required for the production of goods and services. Following the initiation of the Sustainable Development Goals in recent years, an intensified focus on environmental sustainability, particularly regarding water sustainability, has emerged. In this context, virtual water, as a crucial tool for water resources management, garnering attention from the academic community. Existing studies on virtual water have made significant contributions on quantifying the virtual water content embedded in commodities, delineating cross-regional patterns of virtual water flows, unveiling the temporal evolution and spatial distribution patterns of virtual water trade, assessing the economic valuation of virtual water through shadow pricing techniques, and analyzing the drivers influencing virtual water flows. However, there are still research gaps in the current literature on virtual water trade forecasting, virtual water accounting in different sectors (such as services and light industry), grey water footprint estimation and water scarcity indices. Moreover, virtual water research involves hydrology, economics and ecology. Multidisciplinary crossover will be an important trend in virtual water research in the future. This article seeks to comprehensively review current dialogues and investigations regarding virtual water and virtual water trade, assessing their impacts on a range of natural, social, and economic dimensions, and help scientists advance the frontiers of the field, as well as help policymakers adapt regional trade patterns and manage water resources more efficiently.
虚拟水是由约翰-安东尼-艾伦于 1998 年提出的,用来衡量生产商品和服务所需的水量。近年来,随着可持续发展目标的提出,人们开始更加关注环境的可持续发展,尤其是水资源的可持续发展。在此背景下,虚拟水作为水资源管理的重要工具,引起了学术界的关注。现有的虚拟水研究在量化商品中的虚拟水含量、描述虚拟水的跨区域流动模式、揭示虚拟水贸易的时间演变和空间分布模式、通过影子定价技术评估虚拟水的经济价值以及分析影响虚拟水流动的驱动因素等方面做出了重要贡献。然而,目前的文献在虚拟水贸易预测、不同行业(如服务业和轻工业)的虚拟水核算、灰色水足迹估算和缺水指数等方面仍存在研究空白。此外,虚拟水研究涉及水文学、经济学和生态学。多学科交叉将是未来虚拟水研究的重要趋势。本文旨在全面回顾当前有关虚拟水和虚拟水贸易的对话和研究,评估其对自然、社会和经济等方面的影响,帮助科学家推进该领域的前沿研究,帮助决策者调整区域贸易模式,更有效地管理水资源。
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引用次数: 0
Assessing the sustained effects of a water filter intervention: A 30-month longitudinal study in Rwamagana, Rwanda 评估滤水器干预措施的持续效果:卢旺达鲁瓦马加纳为期 30 个月的纵向研究
Pub Date : 2024-07-25 DOI: 10.1371/journal.pwat.0000161
Sabrina S Haque, M. Kirby, Laurien Iyakaremye, Alemayehu Gebremariam, Matthew C. Freeman, Howard H. Chang, Thomas F. Clasen
Household water treatment and safe storage interventions can improve microbiological water quality and reduce diarrheal disease in areas lacking access to safe water. However, with few studies evaluating effectiveness of interventions delivered programmatically for more than a year post-implementation, little is known about their sustainability. We aimed to assess the longer-term use and health effects of a household-based filter with a safe storage tank delivered through Rwanda’s Community based Environmental Health Promotion Programme (CBEHPP). We undertook a 30-month longitudinal study in Rwamagana district, following 608 households across 30 villages receiving the intervention. We conducted four unannounced follow-up visits and measured filter presence, condition and use as well as drinking water quality and child diarrhea prevalence approximately 6, 15, 24, and 30 months after the delivery of the intervention. Coverage of the water filter remained high throughout the follow-up period, with 94% of households observed to have the filter by the 30-month visit. Compared to the 6-month visit, the households with filters observed to be in good condition declined from 94.0% to 84.5% at the 30 month-visit. Reported use declined over this period from 96.9% to 84.3% of households, though presence of water in the storage tank of the filter fell from 81.4% to 59.4%. Fecal contamination of point-of-use drinking water did not get worse over the follow-ups compared to the 6-month visit. Child diarrhea prevalence in the study population varied over the follow up period, from 5.7% to 3.9%, 2.9% and 5.9% at 6, 15, 24 and 30 month visits, respectively. In summary, an intervention to promote uptake and use of water filters as part of the Rwandan national environmental health program was found to show that filters were still largely present, in good condition and in use after 30 months, meaning that the intervention effects were largely maintained.
在缺乏安全饮用水的地区,家庭水处理和安全储存干预措施可以改善微生物水质,减少腹泻疾病。然而,很少有研究对干预措施实施一年以上后的效果进行评估,因此人们对干预措施的可持续性知之甚少。我们的目标是评估通过卢旺达社区环境健康促进计划(CBEHPP)提供的带有安全储水箱的家用过滤器的长期使用情况和对健康的影响。我们在鲁瓦马加纳地区开展了一项为期 30 个月的纵向研究,对 30 个村庄的 608 户接受干预的家庭进行了跟踪调查。我们进行了四次不事先通知的随访,并在干预措施实施约 6 个月、15 个月、24 个月和 30 个月后测量了过滤器的存在、状况和使用情况,以及饮用水质量和儿童腹泻发病率。在整个随访期间,滤水器的覆盖率一直很高,在 30 个月的随访中,94% 的家庭都安装了滤水器。与 6 个月的访问相比,过滤器状况良好的家庭从 94.0% 下降到 30 个月访问时的 84.5%。在此期间,报告使用过滤器的家庭从 96.9% 下降到 84.3%,但过滤器储水箱中的水却从 81.4% 下降到 59.4%。与 6 个月的随访相比,使用点饮用水的粪便污染情况在随访期间并没有恶化。研究人群中的儿童腹泻率在随访期间有所变化,在 6 个月、15 个月、24 个月和 30 个月的随访中分别从 5.7% 降至 3.9%、2.9% 和 5.9%。总之,作为卢旺达国家环境健康计划的一部分,一项旨在促进滤水器摄入和使用的干预措施发现,滤水器在 30 个月后仍基本存在、状态良好并在使用,这意味着干预效果在很大程度上得以保持。
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引用次数: 0
222 nm causes greater protein damage and repair inhibition of E. coli than 254 nm for water disinfection 用于水消毒时,222 纳米比 254 纳米对大肠杆菌的蛋白质破坏和修复抑制作用更大
Pub Date : 2024-07-24 DOI: 10.1371/journal.pwat.0000238
David McDonald, Daniel Ma, Natalie M. Hull
Germicidal ultraviolet (UV) light has been widely used to inactivate pathogens in water. Emerging alternatives to conventional low pressure (LP) mercury lamps emitting at 254 nm, such as krypton chloride (KrCl) excimer lamps emitting at 222 nm, are gaining acceptance and popularity due to advantages in human safety and disinfection mechanisms. Cyclobutane pyrimidine dimer (CPD) formation kinetics and photolyase damage kinetics were quantified in E. coli for 222 nm and 254 nm UV. Molecular damage and cell regrowth were also quantified after UV irradiation under photorepair and dark repair incubation conditions using a standardized photorepair fluence response protocol. CPDs and photolyase were measured using enzyme linked immunosorbent assays (ELISA). A novel ELISA for photolyase was developed for this study. Culture-based log inactivation UV fluence responses were similar for 254 nm and 222 nm, with Geeraerd model estimates for rate constants of 1.18±0.09 and 1.24±0.08 cm2 mJ−1 for LP and KrCl lamps, respectively. Molecular UV fluence kinetics showed that the rate of CPD formation was greater by LP, but the rate of photolyase damage was greater by KrCl, as supported by the intercepts of repair kinetics. Compared to LP irradiated samples, KrCl irradiated samples exhibited less repair overall. For a given lamp, similar repair was observed between light and dark repair incubations. Percent reactivation rates with respect to photorepair fluence were (3.7±1.4)×10−5 and (–1.3±2.5)×10−5 cm2 mJ-1 for LP and KrCl lamps, respectively. CPDs decreased at a higher rate during repair incubations in LP samples than KrCl samples, and photolyase concentration increased in LP samples but decreased in KrCl samples. The results quantify contributions of photolyase protein damage to disinfection and repair prevention mechanism of KrCl lamps. This study mechanistically demonstrates why KrCl lamps can be applied for UV water disinfection to limit photorepair after treatment.Synopsis: This study used a novel photolyase assay to demonstrate photolyase damage inflicted by krypton chloride excimer lamps contributes to disinfection of bacteria to prevent bacterial photorepair of damaged DNA and regrowth in drinking water treatment.
紫外线(UV)杀菌灯已被广泛用于灭活水中的病原体。由于在人类安全和消毒机制方面的优势,传统的 254 纳米低压汞灯的新兴替代品,如 222 纳米的氯化氪(KrCl)准分子灯,正逐渐被接受和普及。对大肠杆菌在 222 纳米和 254 纳米紫外线下的环丁烷嘧啶二聚体(CPD)形成动力学和光解酶损伤动力学进行了量化。在光修复和暗修复孵育条件下,还使用标准化的光修复通量响应协议对紫外线照射后的分子损伤和细胞再生进行了量化。使用酶联免疫吸附试验(ELISA)测量了 CPDs 和光解酶。本研究开发了一种新型的光解酶 ELISA。基于培养基的对数失活紫外线通量反应在 254 纳米和 222 纳米波长下相似,Geeraerd 模型估计 LP 灯和 KrCl 灯的速率常数分别为 1.18±0.09 和 1.24±0.08 cm2 mJ-1。分子紫外通量动力学表明,LP 的 CPD 形成率更高,但 KrCl 的光解酶破坏率更高,这一点可以从修复动力学的截距中得到证实。与 LP 辐照样品相比,KrCl 辐照样品的总体修复率较低。对于特定的灯管,在光照和黑暗修复培养条件下观察到的修复情况相似。LP 灯和 KrCl 灯的光修复通量百分比再活化率分别为 (3.7±1.4)×10-5 和 (-1.3±2.5)×10-5 cm2 mJ-1。与 KrCl 样品相比,LP 样品在修复过程中 CPDs 的下降率更高,LP 样品中的光解酶浓度增加,而 KrCl 样品中的光解酶浓度下降。研究结果量化了光解酶蛋白质损伤对氯化氢灯的消毒和修复预防机制的贡献。这项研究从机理上证明了为什么氯化氪灯可用于紫外线水消毒,以限制处理后的光修复。 简要说明:这项研究使用了一种新型光解酶测定法,证明了氯化氪准分子灯造成的光解酶损伤有助于细菌消毒,以防止细菌对受损 DNA 进行光修复,并在饮用水处理过程中防止细菌再生。
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引用次数: 0
Missing in action: The UN Water Action Agenda needs an overhauled commitment-setting process 行动缺失:联合国水行动议程》需要一个经过全面修订的承诺确定程序
Pub Date : 2024-07-11 DOI: 10.1371/journal.pwat.0000251
R. Cronk, Clarissa Brocklehurst, Barbara Evans, Laura Gomez Rodriguez, Daniele Lantagne, Cameron Mcbroom-Fitterer, Eric Momanyi, K. Nyarko, Cecilia Scharp
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引用次数: 0
Towards an integrative understanding of British Columbia’s Nechako Watershed: Connecting knowledge systems to strengthen understanding of climate change, watershed security, health and well-being 实现对不列颠哥伦比亚省内查科流域的综合理解:连接知识体系,加强对气候变化、流域安全、健康和福祉的理解
Pub Date : 2024-07-10 DOI: 10.1371/journal.pwat.0000263
Margot W. Parkes, Stephen J. Déry, Philip N. Owens, E. Petticrew, B. Booth
Understanding of upstream and downstream dynamics of continental river basins demands attention to the influence of important tributaries and watersheds. This is exemplified by the 47,200 km2 Nechako Watershed, the second largest sub-watershed of British Columbia’s Fraser River Basin. Although the Nechako (derived from the Indigenous Dakelh word meaning “big river”) is recognised for its ecological, societal and cultural importance, attention to this sub-watershed has often been overshadowed by a focus on the iconic Fraser River. This paper examines insights from a purposeful response to this gap, whereby a team of researchers has worked together to strengthen understanding of cumulative stressors and changes in the Nechako, focusing on climate change and water security, sediment sources and quality, and health and well-being dynamics within the Nechako Watershed. Lessons learned from a decade of this collaboration are presented, reflecting on the Nechako Watershed’s past, present, and future through the lens of a unique case study of interdisciplinary research. Emerging research and knowledge exchange partnerships are highlighted along with growing concerns for the Nechako’s keystone aquatic species including three species of Pacific salmon and the endangered Nechako white sturgeon. Drawing on the natural, social and health sciences, we examine strengths and challenges of connecting research across interrelated watershed security issues ranging from climate change, landcover disturbances (e.g., wildfires, mountain pine beetle outbreaks and forest harvesting), land use changes (e.g., expansion of Vanderhoof’s agricultural belt), and the far-reaching impacts of the damming of the Nechako River mainstem in the 1950’s. Our paper brings necessary attention to these and other influences on waterways, landscapes and communities of the Nechako Watershed, highlighting new research opportunities arising among diverse knowledges and disciplines, and the ongoing collaborative effort required to address emerging challenges for the Nechako and wider Fraser River Basin, with consequences for current and future generations.
要了解大陆河流流域的上下游动态,就必须关注重要支流和流域的影响。面积为 4.72 万平方公里的内恰科流域就是一个很好的例子,它是不列颠哥伦比亚省弗雷泽河流域的第二大子流域。尽管内查科流域(源于土著达凯尔语,意为 "大河")在生态、社会和文化方面的重要性已得到认可,但人们对这一分流域的关注往往被对标志性菲沙河的关注所掩盖。本论文探讨了针对这一差距所采取的有针对性的应对措施,即由一组研究人员共同合作,加强对内查科河累积性压力因素和变化的了解,重点关注气候变化和水安全、沉积物来源和质量以及内查科流域内的健康和福祉动态。报告介绍了十年合作中的经验教训,通过跨学科研究的独特案例分析,对内恰科流域的过去、现在和未来进行了反思。报告强调了新出现的研究和知识交流合作伙伴关系,以及人们对内查科流域关键水生物种日益增长的关注,这些物种包括三种太平洋鲑鱼和濒危的内查科白鲟。我们利用自然科学、社会科学和健康科学,研究了在相互关联的流域安全问题上开展研究的优势和挑战,这些问题包括气候变化、土地覆盖干扰(如野火、山地松树甲虫爆发和森林采伐)、土地使用变化(如范德胡夫农业带的扩张)以及 20 世纪 50 年代内恰科河干流筑坝造成的深远影响。我们的论文提请人们注意这些以及其他对内查科河流域的水道、景观和社区的影响,强调了不同知识和学科之间产生的新的研究机会,以及为应对内查科河和更广泛的弗雷泽河流域新出现的挑战所需的持续合作努力,这些挑战对当代人和子孙后代都有影响。
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引用次数: 0
Evaluation of point-of-use treatments and biochar to reduce 1,2,3-trichloropropane (TCP) contamination in drinking water 评估使用点处理和生物炭减少饮用水中 1,2,3-三氯丙烷 (TCP) 污染的效果
Pub Date : 2024-07-05 DOI: 10.1371/journal.pwat.0000244
B. H. Hauptman, Thomas C. Harmon, Ziad Nasef, Angela A. Rosales, Colleen C. Naughton
In rural agricultural regions characterized by historical fumigant use and in industrial areas, groundwater contamination by 1,2,3-trichloropropane (TCP) poses a significant environmental and health concern due to its potential as a carcinogen. This study evaluates the effectiveness of commercially available water pitchers equipped with carbon filters and almond biochar for point-of-use TCP treatment. The study found that the filters were able to remove TCP (>98%) from untreated groundwater during their lifespan, and different filter brands with varying flow rates showed no significant difference in TCP removal. These results suggest that these pitchers may provide a simple and efficient short-term solution. Furthermore, the study explored the feasibility of low-cost, locally sourced biochar derived from almond shells as a sustainable alternative to traditional carbon feedstocks. Batch isotherm tests, BET analysis, X-ray photoelectron spectroscopy (XPS) analysis, and scanning electron microscopy (SEM) imaging were used for biochar studies. The study found that the almond biochar used had a low surface area and total pore volume in comparison to commercial Granular Activated Carbons (GACs) and that more than half of the total area was composed of micropores (< 2 nm), while XPS surveys revealed the presence of Calcium, Phosphorus, and Potassium on the char’s surface. Finally, batch isotherm studies show that almond biochar exhibits lower TCP absorption efficiency compared to commercially available granulated carbon. However, further research into biochar produced under varied pyrolysis conditions is needed to determine its potential as a substitute for coconut shells. These findings can provide affected communities with information on efficient and cost-effective treatment technologies of TCP at the domestic well and household levels.
在曾经使用过熏蒸剂的农村农业区和工业区,地下水受到 1,2,3-三氯丙烷 (TCP) 的污染,由于其可能是一种致癌物质,因此对环境和健康造成了严重的影响。本研究评估了配备碳过滤器和杏仁生物炭的市售投水器在使用点处理 TCP 方面的效果。研究发现,过滤器在其使用寿命内能够从未经处理的地下水中去除 TCP(大于 98%),不同品牌、不同流速的过滤器在去除 TCP 方面没有明显差异。这些结果表明,这些过滤器可以提供一种简单高效的短期解决方案。此外,该研究还探讨了从杏仁壳中提取的低成本、本地来源的生物炭作为传统碳原料的可持续替代品的可行性。生物炭研究采用了批量等温线测试、BET 分析、X 射线光电子能谱(XPS)分析和扫描电子显微镜(SEM)成像技术。研究发现,与商用颗粒活性炭(GAC)相比,所使用的杏仁生物炭的表面积和总孔隙率较低,总面积的一半以上由微孔(小于 2 纳米)组成,而 XPS 勘测显示炭表面存在钙、磷和钾。最后,批次等温线研究表明,与市面上的颗粒碳相比,杏仁生物炭的 TCP 吸收效率较低。不过,还需要进一步研究在不同热解条件下产生的生物炭,以确定其作为椰壳替代品的潜力。这些研究结果可为受影响的社区提供有关在家用水井和家庭层面对 TCP 进行高效和具有成本效益的处理技术的信息。
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引用次数: 0
A proof-of-concept randomised controlled trial of an intervention designed to improve food hygiene behaviours among caregivers of young children living in low-income areas of Nairobi, Kenya 一项旨在改善肯尼亚内罗毕低收入地区幼儿看护者食品卫生行为的干预措施的概念验证随机对照试验
Pub Date : 2024-07-02 DOI: 10.1371/journal.pwat.0000223
Julie Watson, Noah Okumu, Joseph O. Wasonga, H. Majiwa, Alice Kiarie, Sherril P. Masudi, Linnet Ochieng, Lorren Alumasa, Christine Mutisya, E. Cook, Oliver Cumming
Young children are particularly vulnerable to foodborne disease due to their immature immune systems. Safe food hygiene behaviours by caregivers can potentially reduce this disease burden. Here, we evaluate the potential for a locally designed intervention to improve caregivers’ food hygiene behaviour in a peri-urban, low-income area of Nairobi, Kenya. In this cluster-randomised proof-of-concept trial, 50 community health volunteers (CHVs) were randomly assigned to intervention or control arm (1:1). 101 households under the CHV’s catchment (2-3/CHV), with at least one child aged 6–24 months, participated. Caregivers in intervention households (n = 50) received the CHV-delivered food hygiene intervention. The control arm (n-51) received no intervention. Blinding was not possible due to the nature of the intervention. Our primary outcome was the proportion of caregivers observed to practice all five pre-specified food hygiene behaviours, four weeks post intervention delivery. Secondary outcomes assessed the five observed behaviours individually plus a sixth behaviour—the proportion of caregivers who report always boiling the child’s drinking water. We found no between-arm difference in the proportion of caregivers practising all five observed behaviours. However individually, five behaviours were significantly improved. Specifically, caregivers in the intervention arm had higher odds of washing their hands before feeding the child (adjusted odds ratio (aOR) = 7.40, 95%CI 1.85, 29.62) and before preparing the child’s food (aOR = 7.05, 95%CI 1.52, 32.71), washing the child’s hands before eating (aOR = 21.57, 95%CI 1.15, 405.93) and heating the child’s food (aOR = 4.03, 95%CI 1.27, 12.85) and drinking water (aOR = 12.82, 95%CI 2.54, 64.77) to boiling. There was no effect on cleaning and storage of feeding utensils. This study offers promising preliminary evidence that a CHV-led intervention targeting caregivers of young children can improve their food hygiene behaviour. Our findings warrant further research to refine the intervention and undertake larger scale trials to explore the intervention’s potential impact more comprehensively.Trial registration: This trial was registered with Open Science Framework: osf.io/eu5kf.
幼儿的免疫系统尚未发育成熟,因此特别容易感染食源性疾病。照顾者的安全食品卫生行为有可能减轻这种疾病的负担。在此,我们评估了在肯尼亚内罗毕近郊低收入地区采用当地设计的干预措施来改善照顾者食品卫生行为的潜力。在这项分组随机概念验证试验中,50 名社区卫生志愿者(CHV)被随机分配到干预组或对照组(1:1)。CHV服务范围内(2-3/CHV)至少有一名6-24个月大儿童的101个家庭参加了试验。干预组家庭的照顾者(n = 50)接受了儿童健康志愿者提供的食品卫生干预。对照组(51 人)不接受干预。由于干预的性质,无法进行盲法。我们的主要结果是,在干预措施实施四周后,观察到有全部五种预先指定的食品卫生行为的护理人员比例。次要结果分别评估了这五种观察到的行为,以及第六种行为--表示总是煮沸儿童饮用水的护理人员比例。我们发现,在实施所有五种观察行为的护理人员比例方面,各机构之间没有差异。但是,就单个行为而言,有五种行为得到了显著改善。具体来说,干预组的护理人员在给孩子喂食前(调整后的几率比(aOR)= 7.40,95%CI 1.85,29.62)和准备孩子的食物前(aOR = 7.在准备孩子的食物前(aOR = 7.05,95%CI 1.52,32.71)、吃饭前给孩子洗手(aOR = 21.57,95%CI 1.15,405.93)以及将孩子的食物(aOR = 4.03,95%CI 1.27,12.85)和饮用水(aOR = 12.82,95%CI 2.54,64.77)加热至沸腾时,对清洁和储存食物没有影响。对饲养用具的清洁和储存没有影响。这项研究提供了很有希望的初步证据,证明以儿童健康志愿者为主导、针对幼儿看护者的干预措施可以改善他们的食品卫生行为。我们的研究结果值得进一步研究,以完善干预措施,并开展更大规模的试验,更全面地探讨干预措施的潜在影响:本试验已在开放科学框架(Open Science Framework)注册:osf.io/eu5kf。
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引用次数: 0
Transforming place-based management within watersheds in Fiji: The watershed interventions for systems health project 斐济流域内基于地方的管理变革:流域干预促进系统健康项目
Pub Date : 2024-07-01 DOI: 10.1371/journal.pwat.0000102
S. Jupiter, Aaron P. Jenkins, J. Negin, Shylett Sonam Anthony, Ponipate Baleinamau, Rachel Devi, Sikeli Gavidi, Alice Latinne, Kinikoto Mailautoka, S. Mangubhai, Kelera Naivalu, Timoci Naivalulevu, Vilisi Naivalulevu, Nabeela Nasim, Sikeli Naucunivanua, Sarah Nelson, Ingrid Qauqau, Anaseini Ratu, Mereia Ravoka, Jacqueline Thomas, Andrew Tukana, Paul van Nimwegen, Ama Wakwella, Amelia Wenger, Donald Wilson, Pierre Horwitz
Watersheds offer opportunities for place-based interventions to transform systems health via preventative versus reactive approaches to management that achieve multiple co-benefits for public and environmental health. The Watershed Interventions for Systems Health in Fiji (WISH Fiji) project embraced participatory knowledge co-production and action-oriented research to identify risks to public and ecosystem health, prioritize interventions to address risks, and monitor responses of the system to interventions. We used screening filters and local knowledge to collaboratively identify five watersheds for action with high prior incidence of water-related diseases (Fiji’s “three plagues” of leptospirosis, typhoid and dengue) and high risk to downstream environmental health. We reviewed literature to identify disease risk factors, evaluated overlaps with risks for downstream environmental impact, and designed 13 instruments to collect information about baseline risk. Following consultations to obtain free, prior and informed consent, we enrolled 311 households across 29 communities. We synthesized data to identify key risks at the household, community, and landscape level, which were communicated to community water and resource management committees and government leaders as part of developing water and sanitation safety plans for each community. Local committees identified 339 priority risk reduction actions across nine main categories: animal management; drainage; health systems surveillance; hygiene; integrated planning; land use management; sanitation systems; waste management; and water systems. As of October 2022, 154 interventions were implemented in the five watersheds across different risk categories and scales. While we can track changes to factors that reduce risk of water-related disease and improve environmental health, direct evaluation of impacts to public health is limited due to poor geolocation of case records. The WISH Fiji project is a model of cross-sectoral coordination that efficiently progresses multiple Sustainable Development Goals, but scaling requires sustained investment in interventions to realize full benefits, particularly for nature-based solutions that exhibit lagged responses.
流域为基于地方的干预措施提供了机会,通过预防性而非反应性的管理方法来改变系统健康,从而实现公共和环境健康的多重共同利益。斐济系统健康流域干预(WISH 斐济)项目采用参与式知识共同生产和行动导向研究来识别公共和生态系统健康的风险,确定应对风险的干预措施的优先次序,并监测系统对干预措施的反应。我们利用筛选过滤器和当地知识,共同确定了五个与水有关的疾病(斐济的 "三大灾难":钩端螺旋体病、伤寒和登革热)发病率较高且下游环境健康风险较高的流域,以便采取行动。我们查阅了文献以确定疾病风险因素,评估了与下游环境影响风险的重叠之处,并设计了 13 种工具来收集有关基线风险的信息。在咨询以获得自由、事先和知情同意后,我们在 29 个社区招募了 311 户家庭。我们对数据进行了综合,以确定家庭、社区和景观层面的主要风险,并将其传达给社区水资源管理委员会和政府领导,作为每个社区制定用水和卫生安全计划的一部分。地方委员会确定了 339 项优先降低风险行动,涉及九大类别:动物管理、排水、卫生系统监测、个人卫生、综合规划、土地使用管理、卫生系统、废物管理和供水系统。截至 2022 年 10 月,已在五个流域的不同风险类别和规模实施了 154 项干预措施。虽然我们可以跟踪减少与水有关的疾病风险和改善环境健康的因素的变化,但由于病例记录的地理位置不佳,直接评估对公共健康的影响是有限的。斐济 WISH 项目是跨部门协调的典范,可有效推进多个可持续发展目标的实现,但要扩大规模,就需要对干预措施进行持续投资,以实现全部效益,特别是对于那些反应滞后的基于自然的解决方案。
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