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盐度入侵对社区健康的影响:孟加拉国沿海地区饮用水钠情况的经验综述

Impacts of Salinity Intrusion in Community Health: A Review of Experiences on Drinking Water Sodium from Coastal Areas of Bangladesh.

作者信息

Shammi Mashura, Rahman Md Mostafizur, Bondad Serene Ezra, Bodrud-Doza Md

机构信息

Department of Environmental Sciences, Jahangirnagar University, Savar, Dhaka 1342, Bangladesh.

Graduate School of Environmental Science, Hokkaido University, Sapporo 060-0810, Japan.

出版信息

Healthcare (Basel). 2019 Mar 22;7(1):50. doi: 10.3390/healthcare7010050.

Abstract

Increasing salt intake has substantial negative impacts on human health and well-being. This article focused on the construction of Driver-Pressure-State-Impact-Response (DPSIR) framework for drinking water sodium (DWS) followed by a review on the published studies regarding salinity intrusion, DWS, and their effects on health perspectives in Bangladesh. Saline water is an important factor for hypertension or high blood pressure in the coastal areas. DWS can also lead women, especially pregnant women, to an increased risk of (pre)eclampsia, hypertension, as well as infant mortality. Several interventions, such as rainwater harvesting, pond sand filter (PSF) system, managed aquifer recharge (MAR), and pilot scale solar-powered desalination plants, such as reverse osmosis (RO), were reviewed on the context of their effectiveness in controlling drinking water sodium. Although rainwater consumption has the positive impact of low or no sodium intake, it still possesses negative impacts from not having vital minerals. A steady increment in sodium concentration through the span of the dry season was observed in MAR. It is, subsequently, important to increase awareness on DWS intake by providing and adopting correct technological interventions and training communities on the maintenance of the adaptive measures.

摘要

盐摄入量的增加对人类健康和福祉有着重大的负面影响。本文重点构建了饮用水钠(DWS)的驱动-压力-状态-影响-响应(DPSIR)框架,随后对已发表的关于孟加拉国盐度入侵、DWS及其对健康影响的研究进行了综述。盐水是沿海地区高血压的一个重要因素。DWS还会使女性,尤其是孕妇,患先兆子痫、高血压以及婴儿死亡率增加的风险升高。对几种干预措施进行了综述,如雨水收集、池塘砂滤(PSF)系统、有管理的含水层补给(MAR)以及试点规模的太阳能海水淡化厂,如反渗透(RO),探讨了它们在控制饮用水钠方面的有效性。尽管饮用雨水有钠摄入量低或无钠摄入的积极影响,但由于缺乏重要矿物质,仍有负面影响。在MAR中观察到旱季期间钠浓度稳步上升。因此,通过提供和采用正确的技术干预措施以及对社区进行适应性措施维护培训来提高对DWS摄入量的认识非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/113b/6473225/175dd8c9232b/healthcare-07-00050-g001.jpg

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