Skip to main content

Free Content Skin disease among farmers using wastewater in rice cultivation in Nam Dinh, Vietnam

Download Article:

You have access to the full text article on a website external to ingentaconnect.

Please click here to view this article on Wiley Online Library.

You may be required to register and activate access on Wiley Online Library before you can obtain the full text. If you have any queries please visit Wiley Online Library

Abstract:

Summary Objective 

To assess the risk of skin disease among farmers occupationally exposed to wastewater. Methods 

One-year follow-up study with monthly assessments of wastewater exposure and skin disease in Nam Dinh, northern Vietnam, in two adjacent communes with contrasting levels of wastewater use. In each commune, 200 households were randomly selected. Results 

Of the 1103 individuals aged ≥15 years, 381 reported a skin problem at baseline or at any of the monthly visits, primarily dermatitis (eczema) and superficial fungal infections. Among the 874 subjects who were free from skin disease at baseline and who could be followed up ≥11 months, 183 developed a new skin disease (cumulative incidence 21%). Exposure to wastewater was a major risk factor for skin disease with a relative risk (RR) of 1.89 [95% confidence interval (CI) 1.39–2.57] in multivariable analysis. Other risk factors for skin disease were involvement in agriculture in general (RR = 2.59, 95% CI 1.11–6.02), flower cultivation (RR = 1.36, 95% CI 1.01–1.83), vegetable farming (RR = 1.47, 95% CI 1.04–2.08), and a history of eczema (RR = 1.47, 95% CI 1.05–2.05). Conclusion 

Exposure to wastewater is a major risk factor for skin disease. In future studies, an attempt should be made to link specific chemical or biological agents in the wastewater to specific skin diseases.

Keywords: Vietnam; agriculture; cohort study; eczema; skin disease; wastewater

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1365-3156.2007.01941.x

Affiliations: 1:  International Water Management Institute, Colombo, Sri Lanka 2:  Division of Enteric Infections, National Institute of Hygiene and Epidemiology, Hanoi, Vietnam 3:  Department of Epidemiology, Nam Dinh Preventive Medicine Centre, Nam Dinh, Vietnam 4:  Department of International Health, University of Copenhagen, Denmark 5:  Department of Veterinary Pathobiology, Faculty of Life Sciences, University of Copenhagen, Denmark

Publication date: December 1, 2007

bsc/tmih/2007/00000012/A00201s2/art00008
dcterms_title,dcterms_description,pub_keyword
6
5
20
40
5

Access Key

Free Content
Free content
New Content
New content
Open Access Content
Open access content
Subscribed Content
Subscribed content
Free Trial Content
Free trial content
Cookie Policy
X
Cookie Policy
ingentaconnect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more