SciELO - Scientific Electronic Library Online

 
vol.22 issue3Community-directed risk assessment of mercury exposure from gold mining in Suriname author indexsubject indexarticles search
Home Page  

Revista Panamericana de Salud Pública

Print version ISSN 1020-4989

Abstract

ANDREAZZI, Marco Antonio Ratzsch; BARCELLOS, Christovam  and  HACON, Sandra. Old indicators for new problems: the relationship between sanitation and health. Rev Panam Salud Publica [online]. 2007, vol.22, n.3, pp. 211-217. ISSN 1020-4989.  http://dx.doi.org/10.1590/S1020-49892007000800008.

OBJECTIVE: To review the literature published from 1995-2004 on the relationship between sanitation and health and to identify the main variables analyzed and the diseases or injuries used as markers of effect or environmental health. METHOD: A search of Medline, SciELO, and LILACS on "sanitation" and "health" and "indicator" and "water" produced 103 articles, 17 of which were considered relevant for the analysis. We identified the study design and the sanitation and health variables analyzed in each of the 17 studies. RESULTS: The most common study design was ecological and was employed in seven of the 17 studies. In most (10 studies), the health variable was diarrhea and sanitation variable was water quality. Fifteen studies reported a positive association between the health and sanitation variables. CONCLUSIONS: There are still many gaps in our understanding of sanitation and its role, especially in large urban centers that are dependent on water and sewerage systems and often lack alternative water sources. Ecological studies based on secondary data and specific surveys have been shown to be a good option for analyses correlating sanitation and health.

Keywords : Health status indicators; environmental monitoring; sanitation; environmental health; review literature.

        · abstract in Portuguese     · text in Portuguese     · pdf in Portuguese