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1、1TomHennessy,MD,MPHArcticInvestigationsProgramNationalCenterforEmergingandZoonoticInfectiousDiseasesCentersforDiseaseControlandPrevention(CDC)Anchorage,Alaskatbh0@cdc.govWaterandHumanHealth inAlaska23ProportionofUShomeswithcompleteplumbing,1940-20004Proportion
2、ofUShomeswithcompleteplumbing,1940-20005ProportionofUShomeswithcompleteplumbing,1940-20006ProportionofUShomeswithcompleteplumbing,1940-20007ProportionofUShomeswithcompleteplumbing,1940-20008WhatweknowAlaskarankslastamongU.S.Statesforin-homewaterservicesIncreas
3、ingevidencethatAccesstowaterservicelinkedtoimprovedhealth9Water-relatedinfections: TheBradleyClassification*Water-bornePathogeningestedwithwaterCholera,otherentericinfectionsWater-washedPerson-to-person,lackofwaterforhygieneSkininfections,trachomaWater-basedAq
4、uaticintermediatehostSchistosomiasis,guineawormWater-relatedinsectvectorInsectsbreedorbitenearwaterMalaria,dengue*“DrawersofWater”;White,Bradley,White;UofChicagoPress,197210Examplesof“Water-washed”DiseasesHandwashingeducationinNavyrecruits45%lessclinicvisitsfo
5、rrespiratoryillnessRyan,AmJ.PrevMed,2001CommunitytrialofhandwashingpromotionKarachi,PakistanSoap,antibacterialsoap,educationonlyLuby,Lancet,2005Soapandeducation:50%lessdiarrhea,pneumonia33%lessskininfection(impetigo)11WhatweknowAlaskarankslastamongU.S.Statesfo
6、rin-homewaterservicesIncreasingevidencethatin-homewaterservicelinkedtobetterhealthPriorto2008,datalinkingwaterservicetohealthinAlaskawerelimitedHashurtfundingforwaterinfrastructureprograms121314Doesprovidingin-homewaterandsanitationserviceresultinimprovedhealt
7、hforAlaskaNativepeople?15Statewidesurvey“Served”homeshaveinternalplumbingMunicipalpipedwater,pressuretanks,privatewells“Unserved”withoutinternalplumbingSelf-hauledwaterRuralAlaskaHousingSanitationInventory,200116In-HomeWaterandSewerService,RuralAlaskaRegions,2
8、001RegionCommunitiessurveyedHomessurveyedHomeswithpipedwaterHomeswithFlushToiletsA4368100%100%B25155589%87%C26283488%85%D1083475%75%E49551361%60%F14137657%55%Total12812,48073%71%17
