Nina Lansbury, Paul C Memmott, Rosemary Wyber, Clarissa Burgen, Samuel K Barnes, Jessica Daw, Jeffrey Cannon, Asha C Bowen, Rachel Burgess, Patricia N Frank, Andrew M Redmond
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Despite a lack of scientific certainty, the physical environment may be modified to prevent Strep A transmission through environmental health initiatives in the home, identifying a strong role for housing. This research sought to provide an outline of identified household-level environmental health initiatives to reduce or interrupt Strep A transmission along each of these pathways. The identified initiatives addressed the ability to wash bodies and clothes, to increase social distancing through improving the livability of yard spaces, and to increase ventilation in the home. To assist with future pilots and evaluation, an interactive costing tool was developed against each of these initiatives. 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引用次数: 0
摘要
A 群链球菌(A 链球菌)皮肤感染(脓疱疮)可导致急性风湿热(ARF)和风湿性心脏病(RHD)的发生。偏远社区的土著居民对此尤为关注,因为他们的急性风湿热和风湿性心脏病发病率远高于城市和非土著居民。甲型链球菌有三种主要的潜在传播途径:皮肤对皮肤、体表对皮肤以及通过空气(飞沫或气溶胶)传播。尽管缺乏科学依据,但可以通过改变物理环境来预防甲型链球菌在家庭中的传播。这项研究旨在概述已确定的家庭环境卫生措施,以减少或阻断甲型链球菌在上述每种途径中的传播。所确定的措施涉及到清洗身体和衣物的能力、通过改善庭院空间的宜居性来增加社会距离,以及增加家庭通风。为协助未来的试点和评估工作,我们针对每项措施开发了互动式成本计算工具。如果引入环境卫生倡议并对其效果进行评估,那么这些倡议也有可能阻断其他与卫生相关的感染。
Housing Initiatives to Address Strep A Infections and Reduce RHD Risks in Remote Indigenous Communities in Australia.
Group A Streptococcus (Strep A) skin infections (impetigo) can contribute to the development of acute rheumatic fever (ARF) and rheumatic heart disease (RHD). This is of particular concern for Indigenous residents of remote communities, where rates of ARF and RHD are much higher than their urban and non-Indigenous counterparts. There are three main potential Strep A transmission pathways: skin to skin, surface to skin, and transmission through the air (via droplets or aerosols). Despite a lack of scientific certainty, the physical environment may be modified to prevent Strep A transmission through environmental health initiatives in the home, identifying a strong role for housing. This research sought to provide an outline of identified household-level environmental health initiatives to reduce or interrupt Strep A transmission along each of these pathways. The identified initiatives addressed the ability to wash bodies and clothes, to increase social distancing through improving the livability of yard spaces, and to increase ventilation in the home. To assist with future pilots and evaluation, an interactive costing tool was developed against each of these initiatives. If introduced and evaluated to be effective, the environmental health initiatives are likely to also interrupt other hygiene-related infections.
期刊介绍:
International Journal of Environmental Research and Public Health (IJERPH) (ISSN 1660-4601) is a peer-reviewed scientific journal that publishes original articles, critical reviews, research notes, and short communications in the interdisciplinary area of environmental health sciences and public health. It links several scientific disciplines including biology, biochemistry, biotechnology, cellular and molecular biology, chemistry, computer science, ecology, engineering, epidemiology, genetics, immunology, microbiology, oncology, pathology, pharmacology, and toxicology, in an integrated fashion, to address critical issues related to environmental quality and public health. Therefore, IJERPH focuses on the publication of scientific and technical information on the impacts of natural phenomena and anthropogenic factors on the quality of our environment, the interrelationships between environmental health and the quality of life, as well as the socio-cultural, political, economic, and legal considerations related to environmental stewardship and public health.
The 2018 IJERPH Outstanding Reviewer Award has been launched! This award acknowledge those who have generously dedicated their time to review manuscripts submitted to IJERPH. See full details at http://www.mdpi.com/journal/ijerph/awards.