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2 Defining the current situation - WHO

4 1 2 defining the current situation - epidemiology 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 Paul R Hunter, Helen Risebro INTRODUCTION The first step in any economic appraisal or evaluation is to understand the underlying problem being addressed (see Chapter 1). Clearly such analysis of drinking-water interventions will have a strong public health element. This chapter introduces the reader to the role that epidemiology has in determining the burden of disease in a community that may be attributable to lack of access to safe drinking-water and/or adequate sanitation. In order to determine how important such an issue may be one has to ask three questions: What is the burden of disease in the target group?

19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 This chapter primarily concerns itself with answering the first two questions. Specific data challenges related to livelihood analysis will be raised in the next

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