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      Drinking water and chronic kidney disease of unknown aetiology in Anuradhapura, Sri Lanka.

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          Abstract

          This paper examines how people in Anuradhapura District in Sri Lanka affected by endemic chronic kidney disease of unknown aetiology (CKDu) explain the factors causing the illness and their cultural meanings. The research found that the issue of contaminated water raised by the local community and the cultural meaning of water have influenced the government policy, health programmes, research agendas and the work of the media. Media reports on sociocultural, biomedical and epidemiological research into the aetiology of kidney disease have strengthened the perspective of the villagers who believe that polluted water has a direct relationship to kidney disease. This new understanding among villagers in Anuradhapura District has led to changes in their behaviours relating to the use and consumption of water, an important factor that has reinforced existing social hierarchies.

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          Author and article information

          Journal
          Anthropol Med
          Anthropology & medicine
          Informa UK Limited
          1469-2910
          1364-8470
          Dec 2019
          : 26
          : 3
          Affiliations
          [1 ] Behavioral and Community Health Sciences, University of Pittsburgh, Pittsburgh, PA, USA.
          Article
          10.1080/13648470.2018.1446822
          29954192
          4649eec2-f3a6-4e03-a54c-05cd5ec9c61b
          History

          Chronic kidney disease of unknown aetiology,Sri Lanka,behaviour change,community perspective,medical anthropology

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