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      Packaged water: optimizing local processes for sustainable water delivery in developing nations

      research-article
      1 ,
      Globalization and Health
      BioMed Central

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          Abstract

          With so much global attention and commitment towards making the Water and Sanitation targets of the Millennium Development Goals (MDGs) a reality, available figures seem to speak on the contrary as they reveal a large disparity between the expected and what currently obtains especially in developing countries. As studies have shown that the standard industrialized world model for delivery of safe drinking water technology may not be affordable in much of the developing world, packaged water is suggested as a low cost, readily available alternative water provision that could help bridge the gap. Despite the established roles that this drinking water source plays in developing nations, its importance is however significantly underestimated, and the source considered unimproved going by 'international standards'. Rather than simply disqualifying water from this source, focus should be on identifying means of improvement. The need for intervening global communities and developmental organizations to learn from and build on the local processes that already operate in the developing world is also emphasized. Identifying packaged water case studies of some developing nations, the implication of a tenacious focus on imported policies, standards and regulatory approaches on drinking water access for residents of the developing world is also discussed.

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          The public and domestic domains in the transmission of disease.

          This paper discusses the distinction between the transmission of infectious diseases within the domestic domain (the area normally occupied by and under the control of a household) and that in the public domain, which includes public places of work, schooling, commerce and recreation as well as the streets and fields. Whereas transmission in the public domain can allow a single case to cause a large epidemic, transmission in the domestic domain is less dramatic and often ignored, although it may account for a substantial number of cases. Statistical methods are available to estimate the relative importance of the two. To control transmission in the public domain, intervention by public authorities is likely to be required. Two examples show how environmental interventions for disease control tend to address transmission in one or the other domain; interventions are needed in both domains in order to interrupt transmission.
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            Water, waste, and well-being: a multicountry study.

            S Esrey (1996)
            Data collected in the late 1980s from eight countries in Sub-Saharan Africa (Burundi, Ghana, Togo, and Uganda), Asia/North Africa (Sri Lanka and Morocco), and the Americas (Bolivia and Guatemala) were combined and analyzed to test whether incremental health effects regarding diarrhea and nutritional status result from incremental improvements in water and sanitation conditions. Rural (n = 11,992) and urban (n = 4,888) samples were analyzed separately. Optimal (i.e., on the premises) and intermediate (improved public water) water supplies were compared with unimproved water conditions. Optimal (flush toilets or water-seal-latrines) and intermediate (latrines) sanitation levels were compared with unimproved sanitation. Nationally representative (random) samples of ever-married women age 15-49 years, with or without children, were interviewed in all countries, and children aged 3-36 months with available weight and height data were included in the analyses. Multiple linear regression controlled for household, maternal, and child-level variables; in addition, dummy variables were included for each country. Improvements in sanitation resulted in less diarrhea and in taller and heavier children with each of the three levels of water supply. Incremental benefits in sanitation were associated with less diarrhea and with additional increases in the weights and heights of children. The effects of improved sanitation were greater among urban dwellers than among rural dwellers. Health benefits from improved water were less pronounced than those for sanitation. Benefits from improved water occurred only when sanitation was improved and only when optimal water was present. These findings suggest that public health intervention should balance epidemiologic data with the cost of services and the demand for water. There should be efforts to develop compatible technologies so that incremental improvements in service can be made.
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              Planning, Anti-planning and the Infrastructure Crisis Facing Metropolitan Lagos

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                Author and article information

                Journal
                Global Health
                Globalization and Health
                BioMed Central
                1744-8603
                2011
                29 July 2011
                : 7
                : 24
                Affiliations
                [1 ]Institute of Ecology and Environmental Studies, Obafemi Awolowo University, Ile-Ife, Nigeria
                Article
                1744-8603-7-24
                10.1186/1744-8603-7-24
                3161851
                21801391
                f7ab2dbb-1873-4e53-9009-761e9901f509
                Copyright ©2011 Dada; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 23 June 2010
                : 29 July 2011
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                Health & Social care
                Health & Social care

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