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http://conacyt.repositorioinstitucional.mx/jspui/handle/1000/3902| Global access to handwashing: implications for COVID-19 control in low-income countries | |
| Michael Brauer. Jeff T Zhao. Fiona B Bennitt. Jeffrey D Stanaway. | |
| Acceso Abierto | |
| Atribución-NoComercial-SinDerivadas | |
| 10.1101/2020.04.07.20057117 | |
| Background: 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 handwashing access is limited. Objectives: 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 1062 locations from 1990 to 2019. Results: Despite overall improvements from 1990 (34.7% [95% uncertainty interval 32.5-36.7] without access) to 2019 globally, in 2019, 2.01 (1.89-2.13) billion people equal to 26.0% (24.4-27.6) of the global population lacked access to handwashing. More than 50% of the population in sub-Saharan Africa were without access to handwashing in 2019, while in eight countries, more than 50 million persons lacked access. Discussion: For populations without handwashing access, immediate improvements in access or alternative strategies are urgently needed, while disparities in handwashing access should be incorporated into COVID-19 forecasting models when applied to low-income countries. | |
| www.medrxiv.org | |
| 2020 | |
| Artículo | |
| https://www.medrxiv.org/content/10.1101/2020.04.07.20057117v1.full.pdf | |
| Inglés | |
| VIRUS RESPIRATORIOS | |
| Aparece en las colecciones: | Artículos científicos |
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