Global S&T Development Trend Analysis Platform of Resources and Environment
DOI | 10.1289/EHP7200 |
Global Access to Handwashing: Implications for COVID-19 Control in Low-Income Countries | |
Michael Brauer; Jeff T. Zhao; Fiona B. Bennitt; Jeffrey D. Stanaway | |
2020-05-15 | |
发表期刊 | Environmental Health Perspectives
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出版年 | 2020 |
英文摘要 | AbstractBackground:Low-income countries have reduced health care system capacity and are therefore at risk of substantially higher COVID-19 case fatality rates than those currently seen in high-income countries. Handwashing is a key component of guidance to reduce transmission of the SARS-CoV-2 virus, responsible for the COVID-19 pandemic. Prior systematic reviews have indicated the effectiveness of handwashing to reduce transmission of respiratory viruses. In low-income countries, reduction of transmission is of paramount importance, but social distancing is challenged by high population densities and access to handwashing facilities with soap and water is limited. Objectives:Our objective was to estimate global access to handwashing with soap and water to inform use of handwashing in the prevention of COVID-19 transmission. Methods:We utilized observational surveys and spatiotemporal Gaussian process regression modeling in the context of the Global Burden of Diseases, Injuries, and Risk Factors Study to estimate access to a handwashing station with available soap and water for 1,062 locations from 1990 to 2019. Results:Despite overall improvements from 1990 {33.6% [95% uncertainty interval (UI): 31.5, 35.6] without access} to 2019, globally in 2019, 2.02 (95% UI: 1.91, 2.14) billion people, 26.1% (95% UI: 24.7, 27.7) of the global population, lacked access to handwashing with available soap and water. More than 50% of the population in sub-Saharan Africa and Oceania were without access to handwashing in 2019, and in eight countries, or more persons lacked access. Discussion:For populations without handwashing access, immediate improvements in access or alternative strategies are urgently needed, and disparities in handwashing access should be incorporated into COVID-19 forecasting models when applied to low-income countries. https://doi.org/10.1289/EHP7200 |
领域 | 资源环境 |
URL | 查看原文 |
引用统计 | |
文献类型 | 期刊论文 |
条目标识符 | http://119.78.100.173/C666/handle/2XK7JSWQ/267537 |
专题 | 资源环境科学 |
推荐引用方式 GB/T 7714 | Michael Brauer,Jeff T. Zhao,Fiona B. Bennitt,et al. Global Access to Handwashing: Implications for COVID-19 Control in Low-Income Countries[J]. Environmental Health Perspectives,2020. |
APA | Michael Brauer,Jeff T. Zhao,Fiona B. Bennitt,&Jeffrey D. Stanaway.(2020).Global Access to Handwashing: Implications for COVID-19 Control in Low-Income Countries.Environmental Health Perspectives. |
MLA | Michael Brauer,et al."Global Access to Handwashing: Implications for COVID-19 Control in Low-Income Countries".Environmental Health Perspectives (2020). |
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