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Diarrhoeal disease in under five year olds: an epidemiological study in an Australian aboriginal community
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.
Abstract:
The incidence of diarrhoeal disease was determined during a two year period 1985-1986 in under five year old children in an Aboriginal community in South Australia. The incidence was 1.02 episodes/child/year in 1985 and 0.90 episodes/child/year in 1986. In both years the highest incidence was in the 12-23 month age group. A total of 42 episodes of dehydration were recorded and 39 evacuations to hospital were effected. Children who lived in houses were more prone to develop diarrhoea than those who lived in camps or who alternated between living in camps and houses. The high incidence of diarrhoea may be due to lack of adequate facilities for personal and domestic hygiene, unsuitable housing and an unhygienic environment.
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