Using wastewater to overcome health disparities among rural residents

IF 3.4 2区社会学 Q1 GEOGRAPHY

Geoforum Pub Date : 2023-08-01 DOI:10.1016/j.geoforum.2023.103816

Rochelle H. Holm , Gina Pocock , Marie A. Severson , Victor C. Huber , Ted Smith , Lisa M. McFadden

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引用次数: 1

Abstract

The SARS-CoV-2 pandemic highlighted the need for novel tools to promote health equity. There has been a historical legacy around the location and allocation of public facilities (such as health care) focused on efficiency, which is not attainable in rural, low-density, United States areas. Differences in the spread of the disease and outcomes of infections have been observed between urban and rural populations throughout the COVID-19 pandemic. The purpose of this article was to review rural health disparities related to the SARS-CoV-2 pandemic while using evidence to support wastewater surveillance as a potentially innovative tool to address these disparities more widely. The successful implementation of wastewater surveillance in resource-limited settings in South Africa demonstrates the ability to monitor disease in underserved areas. A better surveillance model of disease detection among rural residents will overcome issues around the interactions of a disease and social determinants of health. Wastewater surveillance can be used to promote health equity, particularly in rural and resource-limited areas, and has the potential to identify future global outbreaks of endemic and pandemic viruses.

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利用废水克服农村居民之间的健康差距

SARS-CoV-2大流行突出表明需要新的工具来促进卫生公平。在以效率为重点的公共设施(如卫生保健)的选址和分配方面存在着历史遗留问题，而这在美国低密度的农村地区是无法实现的。在2019冠状病毒病大流行期间，城市和农村人口之间在疾病传播和感染结果方面存在差异。本文的目的是回顾与SARS-CoV-2大流行相关的农村卫生差距，同时利用证据支持废水监测作为一种潜在的创新工具，以更广泛地解决这些差距。南非在资源有限的环境中成功实施废水监测表明，有能力在服务不足的地区监测疾病。一种更好的农村居民疾病监测模式将克服疾病与健康的社会决定因素之间相互作用的问题。废水监测可用于促进卫生公平，特别是在农村和资源有限的地区，并有可能确定未来全球流行病和大流行性病毒的爆发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Geoforum GEOGRAPHY-

CiteScore

7.30

自引率

5.70%

发文量

201

期刊介绍： Geoforum is an international, inter-disciplinary journal, global in outlook, and integrative in approach. The broad focus of Geoforum is the organisation of economic, political, social and environmental systems through space and over time. Areas of study range from the analysis of the global political economy and environment, through national systems of regulation and governance, to urban and regional development, local economic and urban planning and resources management. The journal also includes a Critical Review section which features critical assessments of research in all the above areas.