eprintid: 5375 rev_number: 7 eprint_status: archive userid: 2 dir: disk0/00/00/53/75 datestamp: 2023-01-11 23:30:09 lastmod: 2023-01-11 23:30:09 status_changed: 2023-01-11 23:30:09 type: article metadata_visibility: show creators_name: Ortiz-Prado, Esteban creators_name: Simbaña-Rivera, Katherine creators_name: Cevallos-Sierra, Gabriel creators_name: Cevallos, Domenica creators_name: Lister, Alex creators_name: Fernandez-Naranjo, Raul creators_name: Ríos-Touma, Blanca creators_name: Vasconez, Jorge creators_name: Izquierdo Condoy, Juan Sebastian creators_name: Gomez-Barreno, Lenin title: Waterborne diseases as an indicator of health disparities: A nationwide study of WaSH related morbidity and mortality in Ecuador from 2011-2020 ispublished: unpub subjects: uneat_bm subjects: uneat_cs divisions: uninipr_produccion_cientifica full_text_status: none keywords: waterborne diseases, water, sanitation, hygiene, disparities, inequalities abstract: Background Despite worldwide progress in terms of clean water supply, sanitation, and hygiene knowledge, some middle and most of low-income countries are still experiencing many diseases transmitted using unsafe water and the lack of sanitation. Methods To understand the impact of all waterborne diseases (WBD) registered in Ecuador, we performed an analysis of all cases and deaths related to WBD to compute incidence and mortality rates. Results We found that in Ecuador, mestizo people had the greatest morbidity rate (141/100,000) patient followed by indigenous (63/100,000) and self-determined white patients (21/100,000). However, in terms of mortality, indigenous population have a 790% increase in mortality rate (2.6 /100,000) when compared to self-determined white populations (0.29/100,000) or 176% more when compared to mestizos (0.94/100,000). This trend remains the same among children and the elderly who have higher mortality rates when compared to other ethnic groups. Conclusions In Ecuador, water borne diseases (WBD) are still a major public health problem. We found that younger children and elderly are more likely to be get sick and die due to water borne diseases. In terms of morbidity, mestizos reported the highest rate, while in terms of mortality, indigenous populations are the most affected, having the highest mortality among different ethnic groups. We hypostatize that reduced health care access is linked to fewer reporting incidence rates among indigenous populations but higher mortality rates. date: 2022 publication: Research square id_number: doi:10.21203/rs.3.rs-1690835/v2 refereed: FALSE book_title: Waterborne diseases as an indicator of health disparities: A nationwide study of WaSH related morbidity and mortality in Ecuador from 2011-2020 official_url: http://doi.org/10.21203/rs.3.rs-1690835/v2 access: open language: en citation: Artículo Materias > Biomedicina Materias > Ciencias Sociales Universidad Internacional Iberoamericana Puerto Rico > Investigación > Producción Científica Abierto Inglés Background Despite worldwide progress in terms of clean water supply, sanitation, and hygiene knowledge, some middle and most of low-income countries are still experiencing many diseases transmitted using unsafe water and the lack of sanitation. Methods To understand the impact of all waterborne diseases (WBD) registered in Ecuador, we performed an analysis of all cases and deaths related to WBD to compute incidence and mortality rates. Results We found that in Ecuador, mestizo people had the greatest morbidity rate (141/100,000) patient followed by indigenous (63/100,000) and self-determined white patients (21/100,000). However, in terms of mortality, indigenous population have a 790% increase in mortality rate (2.6 /100,000) when compared to self-determined white populations (0.29/100,000) or 176% more when compared to mestizos (0.94/100,000). This trend remains the same among children and the elderly who have higher mortality rates when compared to other ethnic groups. Conclusions In Ecuador, water borne diseases (WBD) are still a major public health problem. We found that younger children and elderly are more likely to be get sick and die due to water borne diseases. In terms of morbidity, mestizos reported the highest rate, while in terms of mortality, indigenous populations are the most affected, having the highest mortality among different ethnic groups. We hypostatize that reduced health care access is linked to fewer reporting incidence rates among indigenous populations but higher mortality rates. metadata Ortiz-Prado, Esteban; Simbaña-Rivera, Katherine; Cevallos-Sierra, Gabriel; Cevallos, Domenica; Lister, Alex; Fernandez-Naranjo, Raul; Ríos-Touma, Blanca; Vasconez, Jorge; Izquierdo Condoy, Juan Sebastian y Gomez-Barreno, Lenin mail SIN ESPECIFICAR (2022) Waterborne diseases as an indicator of health disparities: A nationwide study of WaSH related morbidity and mortality in Ecuador from 2011-2020. Research square. (Inédito)