Khin Nwe D o
J Trop Med Hyg. 1986 Oct;89(5):237-41.
Transmission due to contaminated hands is one of the important routes by which diarrhoea pathogens spread. The hands commonly become contaminated while cleaning the anus after defaecation. This study deals with the commonly used methods of anal cleansing in a low socioeconomic community in Rangoon, Burma and with the degree of hand contamination that results according to the method used. A cross-sectional survey was employed for collection of behavioural and hand contamination data. The incidence of acute diarrhoea and dysentery among under-fives in this community was monitored for 1 month and was correlated with the cleaning method used by their mothers. Water was the principal method used for cleaning the anus in all age groups. No one used toilet paper and only 4 to 9% used paper other than toilet paper. The level of education seemed to be a factor in determining the use of paper or water. The hands of mothers using water were more contaminated than those using paper. However, thorough hand washing with soap and water was found to be effective in decontaminating the hands. Furthermore, there was a relation between the incidence of diarrhoea and dysentery and the method of cleaning.
因手部污染导致的传播是腹泻病原体传播的重要途径之一。排便后清洁肛门时，手部通常会被污染。本研究探讨了缅甸仰光一个社会经济地位较低社区常用的肛门清洁方法，以及根据所使用的方法导致的手部污染程度。采用横断面调查收集行为和手部污染数据。对该社区五岁以下儿童的急性腹泻和痢疾发病率进行了1个月的监测，并将其与他们母亲使用的清洁方法相关联。水是所有年龄组清洁肛门的主要方法。没有人使用卫生纸，只有4%至9%的人使用卫生纸以外的纸张。教育水平似乎是决定使用纸张还是水的一个因素。用水清洁的母亲的手部污染比使用纸张的母亲更严重。然而，用肥皂和水彻底洗手被发现对手部去污有效。此外，腹泻和痢疾的发病率与清洁方法之间存在关联。
