Environment and Health Research Unit, South African Medical Research Council, Johannesburg 2028, South Africa.
Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg 2193, South Africa.
Int J Environ Res Public Health. 2021 Feb 24;18(5):2240. doi: 10.3390/ijerph18052240.
During 2016 to 2018, a prospective household cohort study of influenza and respiratory syncytial virus community burden and transmission dynamics (the PHIRST study) was undertaken to examine the factors associated with influenza and other respiratory pathogen transmissions in South Africa. We collected information on housing conditions in the PHIRST study sites: Rural villages near Agincourt, Bushbuckridge Municipality, Mpumalanga Province, and urban Jouberton Township in North West Province. Survey data were collected from 159 and 167 study households in Agincourt and Jouberton, respectively. Multiple housing-related health hazards were identified in both sites, but particularly in Agincourt. In Agincourt, 75% (119/159) of households reported daily or weekly interruptions in water supply and 98% (154/159) stored drinking water in miscellaneous containers, compared to 1% (1/167) and 69% (115/167) of households in Jouberton. Fuels other than electricity (such as wood) were mainly used for cooking by 44% (70/159) and 7% (11/167) of Agincourt and Jouberton households, respectively; and 67% (106/159) of homes in Agincourt versus 47% (79/167) in Jouberton were located on unpaved roads, which is associated with the generation of dust and particulate matter. This study has highlighted housing conditions in Agincourt and Jouberton that are detrimental to health, and which may impact disease severity or transmission in South African communities.
在 2016 年至 2018 年期间，进行了一项关于流感和呼吸道合胞病毒社区负担和传播动态的前瞻性家庭队列研究（PHIRST 研究），以研究与南非流感和其他呼吸道病原体传播相关的因素。我们收集了 PHIRST 研究地点的住房条件信息：阿格因库尔特附近的农村村庄、姆普马兰加省布什巴克鲁德市和西北省茹贝顿镇。在阿格因库尔特和茹贝顿，分别从 159 户和 167 户研究家庭中收集了调查数据。两个地点都发现了多种与住房相关的健康危害，但在阿格因库尔特尤其明显。在阿格因库尔特，75%（119/159）的家庭报告每日或每周供水中断，98%（154/159）的家庭将饮用水储存在各种容器中，而茹贝顿的这两个比例分别为 1%（1/167）和 69%（115/167）。除电以外的燃料（如木材）主要用于烹饪，在阿格因库尔特和茹贝顿，分别有 44%（70/159）和 7%（11/167）的家庭使用这种燃料；在阿格因库尔特，67%（106/159）的家庭位于未铺砌的道路上，而在茹贝顿，这一比例为 47%（79/167），这与灰尘和颗粒物的产生有关。本研究强调了阿格因库尔特和茹贝顿的住房条件对健康有害，并可能影响南非社区的疾病严重程度或传播。
