FACTORES RELACIONADOS CON LAS ENFERMEDADES GASTROINTESTINALES DE ORIGEN HÍDRICO EN PACIENTES QUE ACUDEN A LAS UNIDADES OPERATIVAS DEL M.S.P. EN LAS CABECERAS CANTONALES DE PEDERNALES Y JAMA, DE NOVIEMBRE 2006 A ABRIL 2007

Abstract

Keeping in mind the importance of such a vital liquid as the water, for the man's life, as well as for the nature that surrounds us, knowing the very diverse uses and their multiple sources of contamination that mean problems of health; it felt pertinent to carry out a study about the factors related with the gastrointestinal illnesses of hydric origin. The objectives of this investigation were to establish the magnitude, the graveness and characteristic of the hydric illnesses, to identify the environmental factors related with these illnesses, to determine the cultural factors partner related with the hydric illnesses; to establish the medical care process in these pathologies, to spread a program of qualification for the safe water consumption in the population and make a rise of mapeo the clinical card and of risk. It was a type of Traverse Descriptive study that was carried out in the canton Pedernales located to 0 º, 4' and 14" of north latitude, and to 80 º, 3' and 1" of longitude west whose population is mostly rural and in the canton Jama that is to 0 º, 3' of south latitude and to 80 º, 19' of longitude west with a population in her rural majority. The population universe conformed it the patients assisted with gastrointestinal illnesses in the Operative Units of the M.S.P Center of Health Pedernales and Subcenter of Health Jama. The data were obtained of the Clinical Histories, of the registration of A.I.E.P.I it stops smaller than 5 years, of the EPI 1 local and EPI 2. To 30% of these patients they were applied a survey related with the access to basic services and hygiene of consumption of foods. They took in total 6 samples of water in different points of the cantonal heads in study that you/they were subjected to bacteriological analysis for the INH of Portoviejo. The Parasitism was the most predominant pathology inside the illnesses in study, most of investigated people possess the service of gathering of garbage, but they don't have access to drinkable water neither the system of sanitary sewer system, in great portion they use blind wells. The factor partner - cultural it influences it is the good habits of hygiene and in the not very frequent consumption of foods in the street. The diagnosis of this pathology was generally clinical and the combined treatment of bencimidazoles and mitronidazoles. The study of the water indicated that the value of residual chlorine in all the samples was in zero and in 5 of them presence of coliformes contamination existed.