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Table 3 Risk factors associated with Acute Diarrheal Disease outbreak in Pedda-Gujjula-Thanda tribal village, 2017 (n = 512)

From: A community-wide acute diarrheal disease outbreak associated with drinking contaminated water from shallow bore-wells in a tribal village, India, 2017

Risk Factor

Attack rate Exposed

Attack rate Non-exposed

RR (95% CI)

MLR analysis* Adjusted OR (95% CI)

Consumption of bore-well water source (vs canned water)

190/480 (40%)

1/32 (3%)

12.7 (1.8–87.4)

Excluded

Consumption of shallow-downhill bore-well water (vs all other drinking water sources)

149/224 (67%)

42/288 (15%)

4.6 (3.4–6.1)

7.9 (4.7–13.2)

Report of visible contaminants like mud in drinking water

65/94 (69%)

126/418 (30%)

2.3 (1.9–2.8)

4.0 (2.1–7.6)

Practice of open defecation

186/484 (38%)

5/28 (18%)

2.2 (1.0–4.8)

Excluded§

Illiteracy

131/252 (52%)

52/188 (28%)

1.9 (1.4–2.4)

3.6 (3.6–10.1)

Kutcha house type

174/457 (38%)

17/55 (31%)

1.2 (0.8–1.9)

Excluded§

Housefly menace (Flies sighted in the house during the minimum 15 min-visit)

39/95 (41%)

152/417 (36)

1.1 (0.9–1.5)

Excluded§

Recent accumulation of water in or around house

73/182 (40%)

118/330 (36)

1.1 (0.8–1.4)

Excluded§

Use of narrow mouth container for household water storage

29/80 (36%)

162/432 (38%)

0.9 (0.7–1.3)

Excluded§

Deep bore-wells (vs all other drinking water sources)

6/38 (16%)

185/474 (39%)

0.4 (0.2–0.9)

Excluded

Household water treatment

24/154 (16%)

167/358 (47%)

0.3 (0.2–0.5)

0.4 (0.2–0.7)

Good hand-washing practice

11/101 (11%)

180/411 (44%)

0.2 (0.1–0.4)

0.2 (0.1–0.5)

  1. *Multiple logistic regression analysis
  2. Five of 19 bore-wells were shallow and located on downhill slope, in close proximity to open defecation site; and two of 19 bore-wells were deep type
  3. Excluded from MLR analysis due to relatively negligible sample size of residents using canned water with a very broad 95% CI in bivariate analysis
  4. §Excluded from MLR analysis as the variable did not meet the statistical inclusion criteria (p < 0.25)
  5. Excluded from MLR analysis as the variable is multi-collinear with other bore-well variables
  6. Less than seven-year-old excluded (n = 440)