학술논문
A planetary health model for reducing exposure to faecal contamination in urban informal settlements: Baseline findings from Makassar, Indonesia
Document Type
article
Author
Matthew A. French; S. Fiona Barker; Ruzka R. Taruc; Ansariadi Ansariadi; Grant A. Duffy; Maghfira Saifuddaolah; Andi Zulkifli Agussalim; Fitriyanty Awaluddin; Zainal Zainal; Jane Wardani; Peter A. Faber; Genie Fleming; Emma E. Ramsay; Rebekah Henry; Audrie Lin; Joanne O'Toole; John Openshaw; Rohan Sweeney; Sheela S. Sinharoy; Peter Kolotelo; Dusan Jovanovic; Christelle Schang; Ellen E. Higginson; Michaela F. Prescott; Kerrie Burge; Brett Davis; Diego Ramirez-Lovering; Daniel Reidpath; Chris Greening; Pascale Allotey; Julie A. Simpson; Andrew Forbes; Steven L. Chown; David McCarthy; David Johnston; Tony Wong; Rebekah Brown; Thomas Clasen; Stephen Luby; Karin Leder
Source
Environment International, Vol 155, Iss , Pp 106679- (2021)
Subject
Language
English
ISSN
0160-4120
Abstract
Background: The intense interactions between people, animals and environmental systems in urban informal settlements compromise human and environmental health. Inadequate water and sanitation services, compounded by exposure to flooding and climate change risks, expose inhabitants to environmental contamination causing poor health and wellbeing and degrading ecosystems. However, the exact nature and full scope of risks and exposure pathways between human health and the environment in informal settlements are uncertain. Existing models are limited to microbiological linkages related to faecal-oral exposures at the individual level, and do not account for a broader range of human-environmental variables and interactions that affect population health and wellbeing. Methods: We undertook a 12-month health and environmental assessment in 12 flood-prone informal settlements in Makassar, Indonesia. We obtained caregiver-reported health data, anthropometric measurements, stool and blood samples from children