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Am. J. Trop. Med. Hyg., 76(2), 2007, pp. 351-353
Copyright © 2007 by The American Society of Tropical Medicine and Hygiene

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SHORT REPORT


DIARRHEA PREVENTION IN A KENYAN SCHOOL THROUGH THE USE OF A SIMPLE SAFE WATER AND HYGIENE INTERVENTION

JOHN MIGELE, SAM OMBEKI, MARY AYALO, MATTHEW BIGGERSTAFF, AND ROBERT QUICK*
CARE Kenya, Homa Bay, Kenya; Center for Global Safe Water, Rollins School of Public Health, Emory University, Atlanta, Georgia; Enteric Diseases Epidemiology Branch, Centers for Disease Control and Prevention, Atlanta, Georgia

 

ABSTRACT

To prevent diarrhea in rural Western Kenya, we implemented the Safe Water System (water treatment with bleach, safe storage, and behavior-change communications) in 2000. We implemented a pilot project in a school in May 2003. Teachers taught students about safe water and hygiene. Safe water storage vessels were placed between classrooms. Two large water tanks for handwashing were positioned by the kitchen and latrines. The vessels were filled daily with water, which was treated with bleach and monitored for free chlorine residuals. Daily student care logs at the local clinic were reviewed. Clinic visits for diarrhea peaked during the January through March period in 2002 at 130 and in 2003 at 71, but in 2004, after project implementation, only 13 diarrhea episodes were recorded. The project saved the school about $5.49 per student per year. The project has been expanded to 70 schools, and an evaluation is planned.

Received March 18, 2006. Accepted for publication October 31, 2006.

Acknowledgments: We are grateful to John Peterson of Balboa City, CA, for his support of this project.

* Address correspondence to Robert Quick, Enteric Diseases Epidemiology Branch, Mailstop A38, Centers for Disease Control and Prevention, Atlanta, GA 30333. E-mail: rxq1{at}cdc.gov

Authors’ addresses: John Migele, Sam Ombeki, and Mary Ayalo, CARE Kenya, P.O. Box 88, Kisumu, Kenya, Telephone: +254-57-2020010, Fax: +254-57-2043820. Matthew Biggerstaff, Emory University, Center for Global Safe Water, Rollins School of Public Health, 1520 Clifton Rd., NE, Atlanta, GA 30333, Telephone: +1 (404) 727-6123, Fax: +1 (404) 727-9853. Robert Quick, Enteric Diseases Epidemiology Branch, Mailstop A38, Centers for Disease Control and Prevention, Atlanta, GA 30333, Telephone: +1 (404) 639-2208, Fax: +1 (404) 639-2205, E-mail: rxq1{at}cdc.gov.

Reprint requests: Robert Quick, Enteric Diseases Epidemiology Branch, Mailstop A38, Centers for Disease Control and Prevention, Atlanta, GA 30333. E-mail: rxq1{at}cdc.gov.




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Copyright © 2007 by the American Society of Tropical Medicine and Hygiene.