Application of risk analysis and geographic information system technologies to the prevention of diarrheal diseases in Nigeria.

Type Journal Article - The American journal of tropical medicine and hygiene
Title Application of risk analysis and geographic information system technologies to the prevention of diarrheal diseases in Nigeria.
Author(s)
Volume 61
Issue 3
Publication (Day/Month/Year) 1999
Page numbers 356-360
URL http://www.ajtmh.org/content/61/3/356.full.pdf
Abstract
Among the poor in developing countries, up to 20% of an infant’s life experience may include diarrhea.
This problem is spatially related to the lack of potable water at different sites. This project used risk analysis (RA)
methods and geographic information system (GIS) technologies to evaluate the health impact of water source. Maps
of Imo State, Nigeria were converted into digital form using ARC/INFO GIS software, and the resulting coverages
included geology, hydrology, towns, and villages. A total of 11,537 diarrheal cases were reported. Thirty-nine water
sources were evaluated. A computer modeling approach called probabilistic layer analysis (PLA) spatially displayed
the water source at layers of geology, hydrology, population, environmental pollution, and electricity according to a
color-coded five-point ranking. The water sources were categorized into A, B, and C based on the cumulative scores
, 10 for A, 10–19 for B, and . 19 for C. T-test showed revealed significant differences in diarrheal disease incidence
between categories A, B, and C with mean 6 SEM values of 1.612 6 0.325, 6.257 6 0.408, and 15.608 6 2.151,
respectively. The differences were significant between categories A and B (P 5 0.0000022), A and C (P 5 0.0000188),
and B and C (P 5 0.0011348). The PLA enabled estimation of the probability of the risk of diarrheal diseases
occurring at each layer and solutions to eliminate these risks.

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