Menon S (Division of Geographic Medicine, Johns Hopkins School of Hygiene and Public Health, Baltimore, Maryland, USA), Santosham M, Reid R, Almeido-Hill J, Sack R B and Comstock G W. Rotavirus diarrhoea in Apache children. A case-control study. International Journal of Epidemiology. 1990, 19: 715-721.A case-control study of rotavirus diarrhoea in Apache children up to two years old was conducted at the White Mountain Apache reservation from 1 May through 15 December 1985 to identify risk factors for rotavirus diarrhoea. The mothers of fifty cases, forty-five hospital controls and twenty-five neighbourhood contols participated in this study. Exposure to other children with diarrhoea stood out as the single most important factor for acquiring rotavirus diarrhoea (Odds ratio = 14.0). Other significant risk factors were living in homes with septic tanks and in homes with 'poor environmental sanitation'. Minimizing contacts of children with diarrhoea therefore would be the most effective measure in preventing the spread of this disease in the community.
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