Assessment of correlation relationships between the level of mortality of the population of Zhytomyr region of Ukraine from non-infectious diseases and sanitary-chemical indicators of safety and quality of drinking water
DOI:
https://doi.org/10.26641/2307-0404.2023.1.276204Ключові слова:
mortality, non-communicable diseases, sanitary-chemical indicators of safety and quality of drinking water, correlation relationships, population of Zhytomyr region of UkraineАнотація
The purpose of the publication was to assess the strength and direction of correlation relationships between mortality rates from non-communicable diseases of the population of Zhytomyr region of Ukraine and sanitary-chemical indicators of safety and quality of drinking water. The need for this study was determined by the necessity to adjust existing and develop new strategic approaches to the prevention of non-communicable diseases that depend on the level of chemical contamination of drinking water. The study was conducted in 2016-2020. Standardized indicators of mortality from non-communicable diseases (per 100,000 population) were analyzed. 25375 water samples were studied, among them 8339 belonged to centralized and 17036 – to decentralized water supply. The strength and direction of correlation relationships between population mortality rates from non-communicable diseases and the average values of sanitary-chemical indicators of drinking water were determined by Pearson's linear correlation coefficients and the Chaddock scale. The statistical significance of the correlation coefficients was determined by Student's t-test. In the process of research work such methods as: bibliographic, medical and sociological, retrospective, epidemiological, statistical, system analysis and generalization were used. Statistically significant (p˂0.05) strong direct correlations were found between mortality rates of the urban population of Zhytomyr region from diseases of the circulatory system (I00-I99) (including myocardial infarction) (I21-I22), coronary heart disease (I20-I25), of digestive organs (K00-K93) and average total iron and total hardness values; between nervous system diseases (G00-G99) and average values of manganese in drinking water of centralized water supply, as well as between mortality rates of rural population from diseases of the circulatory system (I00-I99) and average values of total hardness, total iron and nitrates in drinking water of decentralized water supply. The urgent need to develop new strategic approaches to improve the quality of drinking water in the region as one of the factors in the prevention of non-communicable diseases has been proved.
Посилання
Antomonov MYu. [Mathematical processing and analysis of medical and biological data]. 2nd ed. Kyiv: MYCz "Medynform"; 2018. 579 p. Russian.
[State sanitary norms and rules. Hygienic requirements to drinking water intended for human consumption. (SSanRaN 2.2.4-171-10). The order of the Ministry of Health of Ukraine N 400 from 12 May 2010]. (2010). Ukrainian.[Internet]. Available from: http://zakon4.rada.gov.ua/laws/show/z0452-10
Lypovetska OB. [The influence of the mineral composition of drinking water on diseases of the digestive organs of the adult population (on the example of the city of Kherson)]. Hihiiena naselenykh mists. 2015;65:73-9. Ukrainian.
Prokopov VO. [Drinking water of Ukraine: medical, ecological, sanitary and hygienic aspects]. Kyiv: A-USPH “Medicine”; 2016. 400 p. Ukrainian.
Fallahzadeh RA, Ghaneian MT, Miri M, Das-hti MM. Spatial analysis and health risk assessment of heavy metals concentration in drinking water resources. Environ Sci Pollut Res Int. 2017;24(32):24790-802. doi: https://doi.org/10.1007/s11356-017-0102-3
Fuller R, Rahona E, Fisher S, Caravanos J, Webb D, Kass D, et al. Pollution and non-communicable disease: time to end the neglect. The Lancet Glob Health. 2018 Mar;2(3):96-8. doi: 10.1016/S2542-5196(18)30020-2
Ghosh GC, Khan MJ, Chakraborty TK, Zaman S, Kabir AE, Tanaka H. Human health risk assessment of elevated and variable iron and manganese intake with arsenic-safe groundwater in Jashore, Bangladesh. Sci Rep. 2020;10:1-9. doi: https://doi.org/10.1038/s41598-020-62187-5
Jones RR, Weyer PJ, DellaValle CT, Inoue-Choi M, Anderson KE, Cantor KP, et al. Nitrate from drin-king water and diet and bladder cancer among postmenopausal women in Iowa. Environ. Health Perspect. 2016;124:1751-8. doi: https://doi.org/10.1289/EHP191
Kousa A, Moltchanova E, Viik-Kajander M, Rytkönen M, Tuomilehto J, Tarvainen T, et al. Geochemistry of ground water and the incidence of acute myocardial infarction in Finland. J Epidemiol Community Health. 2014;58(2):136-9. doi: https://doi.org/10.1136/jech.58.2.136
Kozisek F. Regulations for calcium, magnesium or hardness in drinking water in the European Union member states. Regul Toxicol Pharm. [Internet]. 2020 April [cited 2022 Dec 02];112:104589. doi: https://doi.org/10.1016/j.yrtph.2020.104589
Landrigan PJ, Fuller R, Acosta NJ, et al. The Lancet Commission on pollution and health. Lancet Comm. 2018;391:462-512. doi: https://doi.org/10.1016/S0140-6736(17)32345-0
Sarfraz M, Sultana N, Tariq MI. Hazardous pol-lutants in potable groundwater sources of public schools, Southern Punjab (Pakistan). Rev Int Contam. 2019;35(4):797-805. doi: https://doi.org/10.20937/RICA.2019.35.04.02
Shlezinger M, Amitai Y, Goldenberg I, Shechter M. Desalinated seawater supply and all-cause mortality in hospitalized acute myocardial infarction patients from the Acute Coronary Syndrome Israeli Survey 2002-2013. Int J Card. 2016 Oct;220(1):544-50. doi: https://doi.org/10.1016/j.ijcard.2016.06.241
Ward MH, Jones RR, Brender JD, Kok ThMDe, Weyer PJ, Nolan BT, et al. Drinking Water Nitrate and Human Health: An Updated Review. Int J Environ Res Public Health. [Internet]. 2018 [cited 2022 Dec 06];15(7):1557. doi: https://doi.org/10.3390/ijerph15071557
##submission.downloads##
Опубліковано
Як цитувати
Номер
Розділ
Ліцензія
Авторське право (c) 2023 Медичні перспективи
Ця робота ліцензується відповідно до Creative Commons Attribution 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.
