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Revista de Salud Pública
Print version ISSN 0124-0064
Abstract
HERNANDEZ-GALLO, Nicolás; HERNANDEZ-FLOREZ, Luis J. and CORTES-VECINO, Jesús A.. Application of the Driving Forces Methodology and the WHO model of Social Determinants of Health taking Cryptosporidiosis in Colombia as an example. Rev. salud pública [online]. 2019, vol.21, n.6, pp.565-572. Epub Apr 16, 2020. ISSN 0124-0064. https://doi.org/10.15446/rsap.v21n6.83539.
Objectives
To analyze the relationship between water contaminated with Cryptosporidium spp. oocysts and its effects on the health of human and animal populations in Colombia.
Materials and Methods
Analytical essay focused on the documented and analytical application of the Driving Forces Methodology and the WHO model of Social Determinants of Health using cryptosporidiosis as an example.
Results
The driving forces involved in the relationship between water contaminated with Cryptosporidium spp. oocysts and human and animal health were increased demand for livestock products and low-quality livestock production. Regarding pressure, it was related to the poor implementation of production practices, the invasion of protected areas and ecological reserves, and the reduction of rural-urban borders. On the other hand, status was associated with contamination of soil and water sources, as well as the deficient management of excreta. Finally, exposure was determined by the entry of oocysts via the fecal-oral route through contaminated soil and water, and effect consisted of self-limiting diarrhea, severe dehydration, malabsorption syndrome, and death.
Conclusions
Ecosystems can maintain healthy populations, but when they are mismanaged or rapidly altered by human pressure, they can also be associated with the emergence of diseases such as Cryptosporidiosis.
Keywords : Cryptosporidiosis; socioeconomic factors; social determinants of health; public health (source: MeSH, NLM).