---
cited_by:
  - publication: /report/usgcrp-climate-human-health-assessment-2016/chapter/water-related-illnesses
    publication_type: chapter
    reference: /reference/51abc80c-0f8d-440d-9203-9424e6028fcb
  - publication: /report/usgcrp-climate-human-health-assessment-2016/chapter/populations-of-concern
    publication_type: chapter
    reference: /reference/51abc80c-0f8d-440d-9203-9424e6028fcb
  - publication: /report/usgcrp-climate-human-health-assessment-2016
    publication_type: report
    reference: /reference/51abc80c-0f8d-440d-9203-9424e6028fcb
contributors: []
description: 'Objectives. We investigated the relationship between the presence of in-home piped water and wastewater services and hospitalization rates for respiratory tract, skin, and gastrointestinal tract infections in rural Alaska.      Methods. We determined in-home water service and hospitalizations for selected infectious diseases among Alaska Natives by region during 2000 to 2004. Within 1 region, infant respiratory hospitalizations and skin infections for all ages were compared by village-level water services.      Results. Regions with a lower proportion of home water service had significantly higher hospitalization rates for pneumonia and influenza (rate ratio [RR] = 2.5), skin or soft tissue infection (RR = 1.9), and respiratory syncytial virus (RR = 3.4 among those younger than 5 years) than did higher-service regions. Within 1 region, infants from villages with less than 10% of homes served had higher hospitalization rates for pneumonia (RR = 1.3) and respiratory syncytial virus (RR = 1.2) than did infants from villages with more than 80% served. Outpatient Staphylococcus aureus infections (RR = 5.1, all ages) and skin infection hospitalizations (RR = 2.7, all ages) were higher in low-service than in high-service villages.      Conclusions. Higher respiratory and skin infection rates were associated with a lack of in-home water service. This disparity should be addressed through sanitation infrastructure improvements. '
display_name: 'The relationship between in-home water service and the risk of respiratory tract, skin, and gastrointestinal tract infections among rural Alaska natives'
doi: 10.2105/ajph.2007.115618
files: []
href: http://52.38.26.42:8080/article/10.2105/ajph.2007.115618.yaml
identifier: 10.2105/ajph.2007.115618
journal_identifier: american-journal-public-health
journal_pages: 2072-2078
journal_vol: 98
notes: ~
parents:
  - display_name: "Chapter 6: Climate Impacts on Water-Related Illnesses (in 'The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment')"
    reference: /reference/51abc80c-0f8d-440d-9203-9424e6028fcb
    relationship: cito:isCitedBy
    uri: /report/usgcrp-climate-human-health-assessment-2016/chapter/water-related-illnesses
  - display_name: "Chapter 9: Climate-Health Risk Factors and Populations of Concern (in 'The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment')"
    reference: /reference/51abc80c-0f8d-440d-9203-9424e6028fcb
    relationship: cito:isCitedBy
    uri: /report/usgcrp-climate-human-health-assessment-2016/chapter/populations-of-concern
  - display_name: 'The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment'
    reference: /reference/51abc80c-0f8d-440d-9203-9424e6028fcb
    relationship: cito:isCitedBy
    uri: /report/usgcrp-climate-human-health-assessment-2016
references: []
title: 'The relationship between in-home water service and the risk of respiratory tract, skin, and gastrointestinal tract infections among rural Alaska natives'
type: article
uri: /article/10.2105/ajph.2007.115618
url: ~
year: 2008