Play Areas For Children Research Articles

Soil-Transmitted Helminth Eggs Are Present in Soil at Multiple Locations within Households in Rural Kenya.

Almost one-quarter of the world’s population is infected with soil-transmitted helminths (STH). We conducted a study to determine the prevalence and location of STH—Ascaris, Trichuris, and hookworm spp.—egg contamination in soil within rural household plots in Kenya. Field staff collected soil samples from July to September 2014 from the house entrance and the latrine entrance of households in Kakamega County; additional spatial sampling was conducted at a subset of households (N = 22 samples from 3 households). We analyzed soil samples using a modified version of the US Environmental Protection Agency (EPA) method for enumerating Ascaris in biosolids. We found 26.8% of households had one or more species of STH eggs present in the soil in at least one household location (n = 18 out of 67 households), and Ascaris was the most commonly detected STH (19.4%, n = 13 out of 67 households). Prevalence of STH eggs in soil was equally likely at the house entrance (19.4%, N = 67) as at the latrine entrance (11.3%, N = 62) (p = 0.41). We also detected STH eggs at bathing and food preparation areas in the three houses revisited for additional spatial sampling, indicating STH exposure can occur at multiple sites within a household plot, not just near the latrine. The highest concentration of eggs in one house occurred in the child’s play area. Our findings suggest interventions to limit child exposure to household soil could complement other STH control strategies.

Presence of Toxocara spp. eggs in children's recreation areas with varying degrees of access for animals.

The contamination, seasonal and vertical distributions of Toxocara eggs in children's recreation areas were estimated with respect to their accessibility to domestic and stray animals. During autumn 2011 and spring 2012, a total 88 composite samples of soil/sand (300g each) were taken twice, from 2 depths, from 11 sandpits and 11 play areas situated in the city of Łódź, Poland. From the collected material, 528 samples (20g) were tested using the flotation method. Half the sample sites were secured from access to dogs and cats, while the other half were not. The difference in the numbers of positive samples from sandpits and playing areas was significant (c 2 = 13.72, p = 0.0002). The highest rate of contamination was observed in poorly-secured play areas (15.8% of positive samples and 1.2 eggs/100 g of soil/sand). The average density of Toxocara eggs in secured play areas was 6 times less than that found in unsecured areas, while secured sandpits were 3 times less contaminated than those unsecured. The contamination rate was similar in autumn 2011 and spring 2012 (6.4% and 6.8%, respectively). An inverse relationship between the sand/soil depth and number of recovered Toxocara eggs was observed. Additionally, other intestinal helminth eggs (Ancylostomidae, Ascaris spp., and Trichuris spp.) and oocysts of Isospora spp. were also detected from soil samples collected from playing fields. The number of Toxocara eggs recovered decreased following fence construction around the examined children's play areas, but it did not sufficiently prevent the contamination by eggs. These data indicate the necessity for educational programmes which should be implemented for the protection of the local child population from zoonotic infection.

Microbial evaluation of sandboxes located in urban area

This paper presents the results of a study on the degree of bacteriological pollution of sandboxes situated in fenced and unfenced housing estates located in an urban area in Olsztyn, Poland. Heterotrophic plate counts (HPC22, HPC37), Enterobacteriaceae, Escherichia coli, Enterococcus spp., Staphylococcus spp. and Clostridium perfringens determined by cultivation and fluorescence in situ hybridization (FISH) methods were used as indicators of the sanitary state. Their maximum number in the sand samples reached values of up to 5.4×107, 2.6×106, 3.3×104, 2.1×103, 1.8×104, 1.9×101 and 1.2×104CFU/g, respectively. It was found that values of culture-independent method were two–four orders greater than those obtained by the cultivation method. Among identified Enterobacteriaceae, Pantoea spp. and Enterobacter cloacae were the most numerous, whereas Escherichia cells were detected only occasionally. Pathogenic bacteria of the genus Salmonella sp. were isolated from sandboxes also when E. coli were absent. Bacteria from Staphylococcus genus were isolated irrespective of the site and time of sampling. Additionally, the presence of molds and yeasts was studied. Maximum counts of these microorganisms amounted to 1.0×105 and to 3.5×104CFU/g. Aspergillus, Penicillium, Alternaria and Trichoderma genera were most numerous among molds, whereas Trichosporon was detected most frequently among yeasts. Sandboxes in the fenced housing estate and those located in the area which is not close to trees were less polluted than the sand collected from sandboxes in the unfenced housing estate. Potentially pathogenic bacteria of the genus Salmonella spp. were identified in analyzed sandboxes, also when Toxocara and E. coli were absent. It seems that assessing the contamination of children's play areas basing only on fecal bacteria counts and by monitoring number of parasites' eggs may be insufficient to evaluate microbial pollution of sandboxes and may not fully reflect their safety for children.

Tainted earth: smelters, public health, and the environment

Tainted earth: smelters, public health, and the environment

Too hot to trot (barefoot)… A study of burns in children caused by sun heated surfaces in Queensland, Australia

The aim of this study was to quantify and describe the characteristics of burns in children caused by sun heated surfaces.Children presenting between January 2013 and February 2014 with a burn due to sun heated surfaces were included in the study. Fifteen children were identified representing 1.7% of new burns. The mean age was 18.3 months. All burns occurred during the warmer months between 11a.m. and 4p.m. and the feet were commonly involved. Most cases occurred in the child's home garden but six cases occurred in public play areas. Metal was the most common surface involved. Most burns were superficial partial thickness with two burns deep dermal partial thickness and one child needed a skin graft.Burns due to sun heated surfaces are relatively frequent. Parents need to be aware that in summer surfaces can become hot enough to cause burns to bare feet in young children. Play areas need to be shaded or covered in surfaces that do not become hot enough to cause burns and metal objects should not be left in the sun in children's play areas.

Examining the economic impact of park facilities on neighboring residential property values

The economic impacts of parks on adjacent property values have been extensively studied in the literature. Studies on how individual park facilities influence property values, however, are rarely found. While park facilities are essential for providing diverse recreational opportunities, their economic impacts should also be considered when designing a park system. This study, therefore, applied hedonic regression models to examine the impacts of park facilities on neighboring residential property values within the city of Minneapolis, Minnesota, United States. The park facilities examined are divided into two categories: passive (i.e. passive recreation space, water features, and gardens) and active (i.e. children's play grounds, ball fields, tennis courts, skate park, etc.). Analysis of results suggests that park facilities for passive recreation, with the exception of urban gardens, are likely to have positive impacts on property values. Active facilities, especially skate parks and children's play areas, tend to introduce negative impacts. The impacts of facilities on property values decrease over distance zones from parks, which is consistent with the findings in the literature. Moreover, the impacts of facilities on property values vary with size, as gardens and most active facilities are more likely to be beneficial in small parks, while water features in large parks tend to increase property values.

Geohelminth egg contamination of children's play areas in the city of Lodz (Poland)

The contamination of soil and sand with helminth eggs in children's play areas in Lodz (Poland) was assessed over two seasons using the flotation method with saturated sodium nitrate solution. A total of 88 samples were examined from 7 children's playgrounds from various public parks, 6 sandpits situated in school or kindergarten areas and 9 school sports fields. The differences in the number of positive samples from these sites were significant (χ2=21.83, d.f.=2 and p<0.0001). The highest rate of contamination was found in the area around sports fields. (15.7%). There was a significant difference between the frequencies of positive samples from the surface and from the deeper layers of the examined sites (χ2=11.41, d.f.=1, and p=0.0007). The average density of geohelminth eggs in 100g of soil or sand was 1.1 from sports fields, 0.4 from playgrounds and 0.07 from fenced sandpits. Throughout the study, 4 genera of nematode eggs (Toxocara, Uncinaria/Ancylostoma, Ascaris, Trichuris) and 1 genus (Cystoisospora spp.) of oocysts were detected. A total of 62 eggs were recovered, and 43.5% were fully developed to embryonated egg stages. The contamination rate was different in autumn 2010 and spring 2011, but there was no significant difference in the number of positive findings between these seasons. The helminth eggs were found in 10.9% and 7.6% of samples collected in the spring and in the autumn, respectively. The most frequently seen eggs were from Toxocara sp., which were the most prevalent in both seasons.

A spatial sufficiency and accessibility analysis for urban green spaces: a case study for Burdur, Turkey.

The aim of this study is to probe adequacy level of service of children's play areas, quarter-neighbourhood parks and sport facilities that effectuate green spaces on quarter-neighbourhood level in the terms of spatial sufficiency and accessibility sampling in the field of Burdur city. In the study, the method based on the evaluation of quantitative data, gained from field-detection studies and, air photo, available map of 1/1.000 scale Burdur city, was followed in terms of spatial sufficiency and accessibility potentialities. At the end of the study, it was designated that Burdur city form shows uneven distribution in terms of spatial sufficiency and accessibility potentialities of children playgrounds, quarter-neighbourhood parks and sport facilities that effectuate green space occupation on quarter/neighbourhood unit levels and is insufficient in the sense of spatial standards.

The association between endotoxin and lung function among children and adolescents living in a rural area.

BACKGROUND⁄ Knowledge of the effects of domestic endotoxin on children's lung function is limited. The association between domestic endotoxin and asthma or wheeze and lung function among school-age children (six to 18 years of age) was examined. The interaction between endotoxin and other personal and environmental characteristics and lung function was also assessed. A case-control study was conducted in and around the rural community of Humboldt, Saskatchewan, between 2005 and 2007. Parents of cases reported either doctor-diagnosed asthma or wheeze in the previous year. Controls were randomly selected from those not reporting these conditions. Data were collected by questionnaire to ascertain symptoms and conditions, while spirometry was used to measure lung function including forced vital capacity and forced expiratory volume in 1 s. Dust collected from the child's play area floor and the child's mattress was used to quantify endotoxin, and saliva was collected to quantify cotinine levels and assess tobacco smoke exposure. There were 102 cases and 207 controls included in the present study. Lower forced expiratory volume in 1 s was associated with higher mattress endotoxin load among female cases (beta=-0.25, SE=0.07 [P<0.01]). There was a trend toward lower forced vital capacity, which was associated with higher play area endotoxin load among cases with high tobacco smoke exposure (beta=-0.17, SE=0.09 [P<0.10]). Findings indicated that high endotoxin levels present in common household areas of rural children with asthma or wheeze may also affect their lung function. These associations may be potentiated by tobacco smoke exposure and female sex.

Environmental and potential human health legacies of non-industrial sources of lead in a Canadian urban landscape – the case study of St John's, Newfoundland

Residential soil and house dust were collected in St John's to assess the levels of lead exposure and potential human health risk. Although St John's does not have an identified, major point source for lead, nor is it a heavily industrialized or populated city, 51% of all analysed soil samples (n = 1231) exceeded the Canadian Council of Ministers of the Environment (CCME) residential soil lead guideline of 140 ppm, 26% exceeded the 400 ppm United States Environmental Protection Agency (US EPA) guideline for soil in children's play areas, and 9% exceeded the 1200 ppm US EPA guideline for soil outside of play areas. High soil lead concentrations, particularly those above 1200 ppm, are clustered in the older downtown core. Samples located along exterior house walls (dripline) have the highest mean soil lead concentrations, followed by open spaces in yards (ambient) and then roadside sites. Lead in dripline soil samples from older housing stock is sourced to lead-bearing paint. Lead from both dripline and ambient samples on properties developed between the 1940s and 1980s have a mixture of sources including coal ash, paint, and leaded gasoline. Approximately 12% of analysed house dust samples (n = 96) exceeded the US EPA guidelines for lead in indoor dust, all from pre-1950s housing and all associated with dripline soil lead concentrations greater than 900 ppm. Human health risk predictions suggest that, although the wider St John's community may not be at risk of adverse health effects, children living in pre-1970s housing may be exposed to increased risk.

The SHARP study: a quantitative and qualitative evaluation of the short-term outcomes of housing and neighbourhood renewal

BackgroundThe SHARP study was set up to evaluate the short (1 year) and longer-term (2 year) effects on health and wellbeing of providing new social housing to tenants. This paper presents the study background, the design and methods, and the findings at one year.MethodsData were collected from social tenants who were rehoused into a new, general-purpose socially-rented home developed and let by a Scottish Registered Social Landlord (the "Intervention" group). These data were collected at three points in time: before moving (Wave 1), one year after moving (Wave 2) and two years after moving (Wave 3). Data were collected from a Comparison group using the same methods at Baseline (Wave 1) and after two years of follow-up (Wave 3). Qualitative data were also collected by means of individual interviews. This paper presents the quantitative and qualitative findings at 1 year (after Wave 2).Results339 Intervention group interviews and 392 Comparison group interviews were completed. One year after moving to a new home there was a significant reduction in the proportion of Intervention group respondents reporting problems with the home, such as damp and noise. There was also a significant increase in neighbourhood satisfaction compared with Baseline (χ2 = 35.51, p < 0.0001). Many aspects of the neighbourhood improved significantly, including antisocial behaviour. In terms of environmental aspects and services the greatest improvements were in the general appearance of the area, the reputation of the area, litter and rubbish, and speeding traffic. However, lack of facilities for children/young people and lack of safe children's play areas remained a concern for tenants.ConclusionThis study found that self-reported health changed little in the first year after moving. Nonetheless, the quantitative and qualitative data point to improvements in the quality of housing and of the local environment, as well as in tenant satisfaction and other related outcomes. Further analyses will explore whether these effects are sustained, and whether differences in health outcomes emerge at 2 years compared with the Comparison group.

Children's interaction with urban play spaces in Tabriz, Iran

While children have the least influence on their physical environment they are deeply affected by it. Play areas for children have been increasingly limited in third‐world cities. In many developing countries population growth has encroached on play areas as low‐density housing and open space are transformed into high‐rise apartment complexes; the availability of urban open space for children is being constricted. While adults design the urban to meet their requirements, they tend to give too little thought to the needs of children. This essay reports on a visual study of urban open spaces for children in Tabriz, a city in northwestern Iran. Children between 6 and 12 years of age were asked to paint pictures of their ideal play spaces. The children's imaginary spaces are contrasted with photographs of actual playgrounds and open spaces in Tabriz. The goal is to understand why children's active use of existing urban playgrounds and open space is on the decline.

A methodology for estimating occupant CO 2 source generation rates from measurements in small commercial buildings

It is necessary to know CO 2 source generation rates and system flow parameters, such as supply flow rate and overall room ventilation effectiveness, in order to evaluate cost savings for demand-controlled ventilation applied to commercial buildings. This paper presents a methodology for estimating schedules for generation rates and flow parameters using short-term testing. These parameters are used within a model that predicts return air CO 2 concentrations as part of an overall energy analysis model. As a first step in developing the methodology, two different parameter estimation techniques were evaluated using simulated data. Each method gave models that provide good predictions of return air CO 2 concentrations, but differed in terms of the identified parameters. The preferred parameter estimation method provides estimates of both average hourly source generation rates and day-to-day variations. This technique was applied to three different types of commercial buildings using field monitored data. The sites are small commercial buildings with packaged HVAC equipment and included modular schoolrooms, children's play areas in fast food restaurants and a pharmacy retail store. The impact of the length of model training data period on estimated CO 2 generation rates was investigated. Eight weeks of data is sufficient for training. Expressed in terms of the coefficient of variation, the errors in predicted CO 2 concentrations ranged from 4% to 15% depending on the sites. The predicted frequency of time that CO 2 concentrations were within a given range agreed well with the field measured data.

Letters

The Association of Teachers and Lecturers (ATL) welcomed the launch by the government of a review of children's play areas across the UK.

Lead in residential soil and dust in a mining and smelting district in northern Armenia: a pilot study

This pilot study of sources of lead exposure in residential settings was conducted in a mining and smelting district in northern Armenia. Samples of exterior soil and dust and interior house dust were collected in and around apartment buildings in Alaverdi where the country's largest polymetallic smelter is located, and in nearby mining towns of Aghtala and Shamlugh. The NITON XL-723 Multi-Element XRF analyzer was used for lead testing. Lead levels in samples from Alaverdi were higher than those in Shamlugh and Aghtala. In all three towns, the highest lead levels were found in loose exterior dust samples, and lead concentrations in yard soil were higher than those in garden soil. Many soil samples (34%) and the majority of loose dust samples (77%) in Alaverdi exceeded the US Environmental Protection Agency standard of 400 mg/kg for bare soil in children's play areas. In addition, 36% of floor dust samples from apartments in Alaverdi exceeded the US Environmental Protection Agency standard of 40 μg/ft 2 for lead loading in residential floor dust. The Armenian Ministry of Health and other interested agencies are being informed about the findings of the study so that they can consider and develop educational and preventive programs including blood lead screening among sensitive populations.

Letters

The Association of Teachers and Lecturers (ATL) welcomed the launch by the government of a review of children's play areas across the UK.

The high cost of improper removal of lead-based paint from housing: a case report.

The costs of lead-based paint hazard control in housing are well documented, but the costs of cleanup after improper, inherently dangerous, methods of removing lead-based paint are not. In this article we report a case of childhood lead poisoning and document the costs of decontamination after uncontained power sanding was used to remove paint down to bare wood from approximately 3,000 ft(2) of exterior siding on a large, well-maintained 75-year-old house in a middle-income neighborhood. After the uncontrolled removal of lead-based paint, interior dust lead levels ranged from 390 to 27,600 micro g Pb/ft(2) (on floors and windowsills) and bare soil lead levels ranged from 360 ppm in the yard to 3,900 ppm along the foundation to 130,000 ppm in the child's play area, well above applicable U.S. Department of Housing and Urban Development/U.S. Environmental Protection Agency standards. The hard costs of decontamination were over $195,000, which greatly exceeds the incremental cost of incorporating lead-safe work practices into repainting. This case report highlights the need to incorporate lead-safe work practices into routine repainting, remodeling, and other renovation and maintenance jobs that may disturb lead-based paint.

Meeting the needs of women living with HIV.

HIV research, treatment, and support programs in North America have been based on the premise that HIV is a gay man's disease. HIV also affects women. The purposes of this study were to: (1) examine the feelings, concerns, and needs of HIV infected women in a mid-sized Canadian city; and (2) determine whether a community agency for HIV positive persons was adequately supporting women. With informed consent, HIV positive women attending the community agency or a regional medical care facility were interviewed using qualitative research methods to elicit their lived experience. Eight women were interviewed (20% of the women who are HIV positive in this center). Four areas of concern were identified: (1) the impact of diagnosis on women and their children; (2) need for supports specific to HIV positive women; (3) differences in needs and supports available to men and women; and (4) lack of comfort with, or knowledge about, currently available facilities. These results are consistent with previously reported research. HIV positive women who are neither drug-users nor promiscuous feel stigmatized and less supported than HIV positive males. Recommendations for practice included: formulation of self-help groups for women, a more female friendly atmosphere, presence of female staff and other HIV positive women to support these women, and improved inter-agency cooperation. Many recommendations have been implemented and exceeded. The community agency now includes a child's play area, the hiring of a female social worker, and the establishment of an off-site support group for HIV positive women.

Paediatric slow-speed non-traffic fatalities: Victoria, Australia, 1985–1995

An important group of fatal incidents are slow-speed pedestrian non-traffic incidents to children, which account for 14% of accidental deaths from all causes in Victorian children under 5 years of age between 1985 and 1995, and 12% of pedestrian deaths of all ages. In Victoria, Australia, the database of the state Consultative Council on Obstetric and Paediatric Morbidity and Mortality was utilised to identify paediatric slow-speed pedestrian non-traffic-accident deaths in the local population. Additional data relating to the car and its driver, the child, and the circumstances of the incident were abstracted from records kept by the State Coroner and the Victorian compulsory third party traffic injury insurance organisation. Twenty eight Victorian children were identified who had died in one of three types of incident (driverless cars, child interacting with the vehicle and driver, and drivers who were unaware of the child's proximity). These incidents were more common in rural areas compared with urban, usually occurring at the child's home. The child was with or near an adult on all occasions. The vehicle was usually being driven by a relative, and was reversing in a higher proportion of ‘unaware’ incidents compared with the ‘interactive’ type. The association of ‘off-road’ family vehicles and trucks with these incidents appears to be increasing, especially in recent years. These findings suggest some countermeasures, including the separation of vehicle driveways from children's play areas, and object vicinity ultrasonic warning devices for vehicles.

Environmental health hazards: the impact on a southern community.

The impact of environment on health is a growing area of concern for nurses. The purpose of this study is to describe and characterize residents living near an abandoned hazardous waste site, assess their past and present exposure risk, and describe health concerns and psychosocial effects. Data were obtained by a door-to-door outreach effort. Networking was also used to identify residents with health concerns. Extensive field notes were taken to record the responses of residents. A preliminary windshield survey was conducted to approximate the number of residents living in the geographic area, assess the residential community, analyze drainage pathways away from the site, and observe outdoor activity patterns. Community concerns from the residential population were collected and analyzed for recurrent themes. Significant off-site activity patterns included use of drainage ditches as play areas for children. Foraging on-site activities included picking berries, crawfishing, geophagy (clay eating), and rabbit hunting. Common health problems described by residents included skin rashes, respiratory-related complaints, reproductive difficulties, and headaches. The majority of residents were concerned about the incidence of cancer in the area. Identifying the concerns of residents and indicators of health problems helps nurses begin to understand the relationship between the environment and health.