Diarrhoeal disease in under five year olds: an epidemiological study in an Australian aboriginal community

R N Ratnaike1, S K Ratnaike

  • 1Department of Medicine, University of Adelaide, Queen Elizabeth Hospital, Woodville, Australia.

Insights

Diarrhoeal disease incidence in Aboriginal children under five in South Australia was high, with 1.02 episodes/child/year in 1985 and 0.90 in 1986. Poor housing and hygiene likely contribute to these rates.

Area of Science:

  • Public Health
  • Epidemiology
  • Pediatrics

Background:

  • Diarrhoeal disease is a significant health concern in young children.
  • Understanding incidence rates and risk factors is crucial for intervention.

Purpose of the Study:

  • To determine the incidence of diarrhoeal disease in Aboriginal children under five years old in South Australia.
  • To identify potential contributing factors to the high incidence of diarrhoea.

Main Methods:

  • Prospective study conducted over two years (1985-1986).
  • Data collected on diarrhoeal episodes and hospitalizations in children under five.
  • Housing conditions (houses vs. camps) were recorded as a potential risk factor.

Main Results:

  • Incidence rates were 1.02 episodes/child/year in 1985 and 0.90 episodes/child/year in 1986.
  • The highest incidence occurred in the 12-23 month age group.
  • Children residing in houses had a higher incidence of diarrhoea compared to those in camps.

Conclusions:

  • High diarrhoeal disease incidence in this population may be linked to inadequate housing and hygiene facilities.
  • Environmental and housing conditions are critical factors influencing childhood diarrhoea.
  • Further public health interventions focusing on sanitation and housing are recommended.

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