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At least 145 records · Page 8Linked to original sources
PubMed1975

Shigellosis in day-care centres.

Increasing numbers of outbreaks of shigellosis in day-care centres have been reported to the Center for Disease Control since 1972. Investigations reveal certain unique epidemiological features of shigellosis in this setting. Attack-rates tend to be higher than in outbreaks in primary schools, and epidemiologically these outbreaks resemble those in custodial institutions. Person-to-person transmission is the usual mode of spread; secondary spread within households is common, and there may also be significant spread to the community at large. Preventive measures should be directed at children, staff, and the day-care centre environment. Control of outbreaks may require closing the centre and must include separation of infected and uninfected persons, judicious use of antibiotics, and correction of deficiencies in hygiene and health education. Improved surveillance of shigellosis in day-care centres will be an aid in efforts toward controlling this increasingly important public-health problem.

Adult↗
PubMed1992

Excreta disposal behaviour and latrine ownership in relation to the risk of childhood diarrhoea in Sri Lanka.

A case-control study of environmental and behavioural risk factors for childhood diarrhoea was conducted in Kurunegala district, Sri Lanka. From five hospitals, 2458 children aged less than 5 years and suffering from diarrhoea were recruited as clinic cases, and a further 4140 reporting with complaints other than diarrhoea were recruited as clinic controls. Community-based cross-sectional surveys were also conducted in three of the five areas served by these hospitals, and from these a further 1659 children were recruited as community controls. Children from households where excreta were reported to be disposed of in a latrine were less likely to have diarrhoea than children whose families improperly disposed of excreta. The results obtained from comparisons of cases with clinic controls (adjusted odds ratio [OR] 1.42, 95% confidence interval [CI] : 1.01-1.98), and of cases with community controls (OR 1.35, 95% CI : 0.85-2.13) were in agreement, suggesting that no important selection bias operated on this association. If the observed proportion (91%) of improper excreta disposal among the population could be reduced to 50%, 12% of childhood diarrhoea episodes would be prevented. Although latrine ownership may be a necessary condition for safe excreta disposal behaviour, diarrhoeal morbidity may only be reduced in Sri Lanka if behavioural changes take place concomitant with the construction of sanitation facilities.

Case-Control Studies↗
PubMedDate not supplied

Charter for disabled people using hospitals: a completed access audit cycle.

This completed audit cycle assessed access for disabled people to a district general hospital, in relation to standards laid down in the Royal College of Physicians Charter for Disabled People using Hospitals. The project was effective in demonstrating problems and implementing change to overcome them. It was also useful in raising disability awareness in the young investigators, who easily recognised the shortcomings in facilities for disabled people, and is proposed as a possible model for inclusion in medical undergraduate training programmes to raise disability awareness amongst a new generation of doctors.

Persons with Disabilities↗
PubMed2004

Inscribing healthification: governance, risk, surveillance and the subjects and spaces of fitness and health.

This paper considers the interface between the hygienic geographies of a fitness and exercise space and the discourses of risk and subjectivity in this era of the new public health. Using an analysis of space, power and the subject, the paper assesses the ways in which subjects govern themselves and others in public health spaces through an intensification of surveillance, in order to ensure health and safety compliance. In this paper, first, I introduce the locker room as a place of health and hygiene. Second, I set out the wider context of the inscription of health on spaces and subjects. Third, I examine the relationship between discourses of risk and subjectivity and how risk discourses are fundamental to the fabrication of subjects and social life. The paper then examines, more specifically, techniques of self- and other-governance that help to inscribe and prescribe the new public health in locker rooms. Drawing on the findings of a spatial and ethnographic case study of an urban, Canadian university locker room, I conclude that the macro- and micro-politics and economics of policing public health require both the regulation of bodies and the participation of active, health-conscious citizens in order to keep (western) neo-liberal imperatives of health in place.

Fitness Centers↗