The Health Effects of Chunga Dumpsite on surrounding communities in Lusaka, Zambia.

W. Chibwe, A. Mbewe, A. Hazemba
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Abstract

ABSTRACT Background: Dumpsites in low and middle income countries (LMICs) are commonly used for solid waste disposal as opposed to landfills. However, these are naturally unsanitary hence provide ideal conditions for breeding of disease transmitting agents and become predisposing factors for spread of diseases and infections to surrounding communities. This study aimed at determining the Health Effects of Chunga Dumpsite on surrounding communities in Lusaka, Zambia. Design and Methods: This was a mixed method design and employed a cross sectional approach and case study conducted concurrently. Communities were stratified by distance into Stratum One (within 250 meters radius) and Two (above 250 to 500 meters). Quantitative data were collected from total 200 households thus 100 households from each stratum by using self-administered questionnaires. Qualitative data were collected from Two Key informants from the Local Authority and 15 participants using semi-structured interview guide. Both data were collected from December 22nd, 2018 to February 18th, 2019. Results: Results revealed that smoke and various gasses emitted from burning and decomposing waste compromised quality of air in surrounding communities. Communities were infested with flies, mosquitoes and vermin. Consequently, (73.5%) complained of persistent coughing, (65.1%) suffered from malaria, (72.6%) complained of persistent headaches and (62.2%) had frequent diarrhoea cases in stratum one. Respiratory problems were more pronounced at night possibly due to high humidity which hindered pollutants to easily escape. However, these cases reduced drastically in stratum two. Conclusions: Unsanitary dumpsites in LMICs including Zambia are commonly used as solid waste disposal facilities as opposed to sanitary landfills and become predisposing factors for spread of diseases. Short proximities to dumpsites by unplanned human settlements cause serious environmental challenges leading to public health risks to surrounding communities. Key Words: Chunga Dumpsite, Health Effects, Waste Management, Lusaka.
赞比亚卢萨卡Chunga垃圾场对周围社区的健康影响。
背景:在低收入和中等收入国家(LMICs),垃圾场通常用于固体废物处理,而不是垃圾填埋场。然而,这些自然是不卫生的,因此为疾病传播媒介的滋生提供了理想的条件,并成为疾病和感染向周围社区传播的易感因素。本研究旨在确定赞比亚卢萨卡Chunga垃圾场对周围社区的健康影响。设计与方法:这是一种混合方法设计,采用横断面方法和案例研究同时进行。根据距离将社区划分为第一层(半径250米以内)和第二层(半径250至500米以上)。采用自填问卷的方式,对每个阶层共200户、100户进行了定量调查。使用半结构化访谈指南从地方当局的两名关键信息提供者和15名参与者中收集了定性数据。这两项数据均收集于2018年12月22日至2019年2月18日。结果:结果表明,燃烧和分解废物排放的烟雾和各种气体损害了周围社区的空气质量。社区里到处都是苍蝇、蚊子和害虫。其中,第1层有持续咳嗽(73.5%)、疟疾(65.1%)、持续头痛(72.6%)和频繁腹泻(62.2%)。呼吸问题在夜间更为明显,可能是由于高湿度阻碍了污染物的容易逸出。然而,这种情况在第二层急剧减少。结论:在包括赞比亚在内的中低收入国家,不卫生的垃圾场通常被用作固体废物处理设施,而不是卫生填埋场,并成为疾病传播的易感因素。无规划的人类住区离垃圾场很近,造成严重的环境挑战,给周围社区带来公共健康风险。关键词:Chunga垃圾场,健康影响,废物管理,卢萨卡
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