背景:获得足够数量的水对人类健康和福祉具有保护作用。尽管如此,公共卫生研究和干预措施通常只关注水质,国内最低供水标准往往被忽视或未指定。这种趋势在因纽特人和其他北极社区很明显,尽管与生活水量不足相关的许多传染性疾病和细菌感染普遍存在。
目的:我们的目标是探索偏远北部社区使用的卡车配水系统影响家庭健康的途径,考虑到影响该地区健康的潜在社会和环境决定因素。
方法:使用定性案例研究设计,我们进行了37次采访(28位居民,9个主要线人)和对政府水文件的审查,以调查水的使用做法和观点。对这些数据进行了主题分析,以了解北极社区和家庭的潜在健康风险。
结果:每个居民平均每天获得110升市政用水。28个家庭中有15个报告每月至少有一次缺水。在这15个家庭中,大多数是拥有标准尺寸储水箱的较大家庭(5人或更多)。水资源短缺和服务中断限制了一些家庭遵守公共卫生建议的能力。最有弹性的家庭,或能够应对生活供水短缺,是那些能够直接从湖泊和河流来源取回自己的饮用水的人。有大家庭和邻居的居民,他们在短缺期间可以依靠的人,也较不容易受到市政供水延误的影响。
结论:在珊瑚港观察到的相对较低的家庭水量,努纳武特,这对一些家庭来说是足够的。那些生活在过度拥挤的家庭中的人,然而,在水不安全的发展中国家,更常见的是获取大量水。我们建议对市政供水系统进行一些实际干预和修订。
BACKGROUND: Access to adequate quantities of water has a protective effect on human health and well-being. Despite this, public health research and interventions are frequently focused solely on water quality, and international standards for domestic water supply minimums are often overlooked or unspecified. This trend is evident in Inuit and other Arctic communities even though numerous transmissible diseases and bacterium infections associated with inadequate domestic water quantities are prevalent.
OBJECTIVE: Our objective was to explore the pathways by which the trucked water distribution systems being used in remote northern communities are impacting health at the household level, with consideration given to the underlying social and environmental determinants shaping health in the region.
METHODS: Using a qualitative case study design, we conducted 37 interviews (28 residents, 9 key informants) and a review of government water documents to investigate water usage practices and perspectives. These data were thematically analysed to understand potential health risks in Arctic communities and households.
RESULTS: Each resident receives an average of 110 litres of municipal water per day. Fifteen of 28 households reported experiencing water shortages at least once per month. Of those 15, most were larger households (5 people or more) with standard sized water storage tanks. Water shortages and service interruptions limit the ability of some households to adhere to public health advice. The households most resilient, or able to cope with domestic water supply shortages, were those capable of retrieving their own drinking water directly from lake and river sources. Residents with extended family and neighbours, whom they can rely on during shortages, were also less vulnerable to municipal water delays.
CONCLUSIONS: The relatively low in-home water quantities observed in Coral Harbour, Nunavut, appear adequate for some families. Those living in overcrowded households, however, are accessing water in quantities more typically seen in water insecure developing countries. We recommend several practical interventions and revisions to municipal water supply systems.