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. 2018 Dec 12;15(12):2830.
doi: 10.3390/ijerph15122830.

Experience and Future Perceived Risk of Floods and Diarrheal Disease in Urban Poor Communities in Accra, Ghana

Mumuni Abu  1 , Samuel Nii Ardey Codjoe  2
Affiliations

Experience and Future Perceived Risk of Floods and Diarrheal Disease in Urban Poor Communities in Accra, Ghana

Mumuni Abu et al. Int J Environ Res Public Health. .

Abstract

Diarrheal disease is a critical health condition in urban areas of developing countries due to increasing urbanization and its associated problems of sanitation and poor access to good drinking water. Increasing floods in cities have been linked to the risk of diarrheal disease. There are few studies that specifically link flooding with diarrhea diseases. This may be due to the fact that secondary data mainly hospital recorded cases, and not individual cases at the household level are used. Furthermore, of the few papers that consider the flood-diarrheal diseases nexus, none have considered risk perceptions in general, and more specifically, whether households that have experienced floods which resulted in a reported case of diarrhea, have higher perceived risks of future occurrences of the two phenomena compared to households that had different experiences. Yet, this is critical for the development of interventions that seek to increase protective behaviors and reduce the risk of contracting diarrhea. We surveyed 401 households in some selected urban poor communities in Accra, the capital of Ghana. Results show that households that experienced floods which resulted in a reported case of diarrhea, have higher perceived risk of future occurrence of the two phenomena compared to other households. We recommend public education that reduces the risk of exposure to flood and diarrhea through flood mitigation measures, including the construction of drains in communities and educating communities on good sanitation.

Keywords: Accra; diarrheal disease; flooding; risk perception; urban poor.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Map of study area.
See this image and copyright information in PMC

References

    1. World Health Organization 2013 Health Topics. [(accessed on 17 December 2014)]; Available online: www.who.int/topics/diarrhea/en/
    1. Bartman J., Cairncross S. Hygiene, sanitation and water: Forgotten foundations of health. PLoS Med. 2010;7:e1000367. doi: 10.1371/journal.pmed.1000367. - DOI - PMC - PubMed
    1. WHO. UNICEF . Progress on Sanitation and Drinking Water 2010 Update. WHO; Geneva, Switzerland: UNICEF; New York, NY, USA: 2010. Joint Monitoring Programme for Water Supply and Sanitation.
    1. Hashizume M., Armstrong B., Hajat S., Wagatsuma Y., SG Faruque A., Hayashi T., Sack D. Association between climate variability and hospital visits for non-cholera diarrhea in Bangladesh: Effects and vulnerable groups. Int. J. Epidemiol. 2007;36:1030–1037. doi: 10.1093/ije/dym148. - DOI - PubMed
    1. Black R.E., Cousens S., Johnson H., Lawn J.E., Rudan I., Bassani D.G. Global, regional and national causes of child mortality, 2008. Lancet. 2010;375:1969–1987. doi: 10.1016/S0140-6736(10)60549-1. - DOI - PubMed

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