Limitation of communal latrines in changing the prevalence of parasites and diarrhoeal attack rate in Dhaka Peri-urban slums

A study of the effects of communal latrines on diarrhoeal incidence and parasite prevalence rates was conducted in 1983 at Tongi, which had five communal Oxfam latrines with a manual flushing system for 924 people; and at Kalsi, which had 39 open fit latrines for 823 people. Inhabitants' stool samples were tested initially and also after twelve months to see the reinfection rates. All inhabitants were dewormed with pyrantel, and were visited weekly to obtain diarrhoea histories. In both communities, there were high prevalence rates of roundworm, hookworm, Trichuris trichiura, Entamoeba histolytica, Giardia lambia and Strongyloides stercoralis. Following the dewormings, the prevalence rates of roundworm, hookworm and Trichuris infection came down significantly, in both areas. The prevalence or reinfection rates remained identical in both communities. There was also no difference in diarrhoea incidence rate for the two areas. It is found that keeping all other variables unchanged, use of communal latrines, without strict disposal of everyone's excreta, does not affect parasite prevalence and diarrhoea rates. People must be educated about the use of communal latrines and the safe disposal of all excreta, including that of children.