Abstract
Intestinal infectious disease is one of the most common diseases in China and is prevalent worldwide. The Chinese government launched a toilet improvement campaign to improve sanitation and reduce the incidence of diseases. This study determined the association between sanitary toilet use and intestinal infectious disease incidence in Jiangsu Province, China during 2011–2019. This study adopted an ecological retrospective research design. All secondary data were obtained through government websites and government information disclosure channels. Multiple linear regression was employed to analyze the association between the incidence of intestinal infectious diseases and sanitary toilet coverage rate and other potential predictors. Data suggested that the aggregate annual incidence of Type A and B intestinal infectious diseases showed a downward trend, the aggregate annual incidence of other infectious diarrhea continued to increase, and hand–foot–mouth disease occurred every other year with the highest annual incidence rate. The incidence was higher in coastal cities. Multiple regression results indicated that the usage of three types of sanitary toilets, compliance rate of water quality, and average ambient temperature have an impact on intestinal infectious diseases. The aggregate annual incidence of Type A and B intestinal infectious disease was negatively correlated with the cumulative use of sanitary toilets (β = − 0.036) and surface water quality (β = − 0.135; p < 0.05). Increase in sanitary toilet use and water quality control can reduce the number of new cases, which will be beneficial for the population in the province. Moreover, the toilet improvement interventions should continue to maintain high-quality construction.
Highlights
Intestinal infectious diseases are one of the most common diseases prevalent worldwide
The results of the analysis clearly revealed that increase in sanitary toilet coverage rate led to a decline in the incidence of intestinal infectious diseases in Jiangsu Province
The increase in the number of sanitary toilets is significantly related to the decrease in Type A and B intestinal infectious diseases, implying that the popularization of sanitary toilets can directly and effectively prevent and control the incidence of Type A and B intestinal infectious diseases
Summary
Intestinal infectious diseases are one of the most common diseases prevalent worldwide. One of the crucial problems that lead to high prevalence of these diseases is the lack of sanitary toilets and poor hygienic conditions[7]. These impediments to public health have been observed worldwide, in rural areas. Previous evidence has suggested that only 48.6% of rural households have access to sanitary toilets, while 2% still do not have toilets[18] This problem of limited accessibility to toilets can lead to the spreading of intestinal infectious diseases. In this study, we investigated the association between the increase in sanitary toilets and the incidence of intestinal infectious diseases in Jiangsu Province of China during 2011–2019. Water resource quality, vector density, population density and other environmental factors were considered in the analysis
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
