Frequency Of Common Waterborne Diseases in the Pediatric Department Of Abbasi Shaheed Hospital, Karachi

Muhammad Salahuddin; Sultan Mustafa; Shaheen Masood; Sana Mumtaz; Muhammad Ali Shah; Ahsan Ali

doi:10.54112/bcsrj.v6i6.1913

Authors

Muhammad Salahuddin Department of Paediatrics, Abbasi Shaheed Hospital, Karachi, Pakistan
Sultan Mustafa Department of Paediatrics, Jinnah Medical and Dental College, Karachi, Pakistan
Shaheen Masood Department of Paediatrics, Abbasi Shaheed Hospital, Karachi, Pakistan
Sana Mumtaz Department of Paediatrics, Jinnah Medical and Dental College, Karachi, Pakistan
Muhammad Ali Shah Department of Paediatrics, Abbasi Shaheed Hospital, Karachi, Pakistan
Ahsan Ali Department of Medicine Medical Unit 01 Civil Hospital Sukkur Sindh, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i6.1913

Keywords:

Waterborne diseases, Acute gastroenteritis, Enteric fever, Dysentery, Viral hepatitis A/E, Cholera, Pediatrics, Karachi

Abstract

Waterborne diseases remain a leading cause of childhood morbidity in developing countries, particularly in urban centers with poor sanitation and contaminated water supplies. Objective: To determine the frequency and distribution of common waterborne diseases among pediatric patients admitted to the Department of Pediatrics, Abbasi Shaheed Hospital, Karachi. Methodology: This descriptive cross-sectional study was conducted in the Department of Pediatrics at Abbasi Shaheed Hospital, Karachi, from February 1, 2024, to January 31, 2025. A total of 155 children, aged one month to fifteen years, presenting with clinical features suggestive of waterborne diseases, were included through non-probability consecutive sampling. Demographic data, clinical features, laboratory findings, and disease categorization were recorded using a structured proforma. Results: The mean age of the patients was 6.2 ± 3.7 years, with the majority (42.6%) belonging to the 2–5 year age group. Males accounted for 54.2% of the cases, and females accounted for 45.8%. Acute gastroenteritis was the most frequent diagnosis (44.5%), followed by enteric fever (23.9%), dysentery (16.1%), viral hepatitis A/E (9.0%), and cholera (6.5%). Seasonal analysis revealed a peak incidence during the monsoon months (37.4% of cases). Moderate to severe dehydration was observed in 61.3% of patients, while 11.6% required prolonged hospitalization. Conclusion: Waterborne diseases constitute a significant burden among pediatric patients in Karachi, with acute gastroenteritis and enteric fever being the most common. The high proportion of cases during the monsoon season underscores the impact of poor sanitation and water contamination

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References

1. World Health Organization (WHO). Annual report WHO/UNICEF Joint Monitoring Programme (JMP) for water supply and sanitation [Internet]. Geneva: WHO; 2018 [cited 2025 Aug 27]. Available from: [https://washdata.org/sites/default/files/documents/reports/2019-11/jmp-2018-annual-report_0.pdf]

2. Sauer M, Smith S, Clemens B. Does it pay to invest in potable water in the developing world? Relationships between external financing and economic development in sustainable community-run integrated projects. J Int Dev. 2016;28(2):233–42. DOI: https://doi.org/10.1002/jid.2880

3. Cairncross S, Feachem R. Environmental health engineering in the tropics: water, sanitation and disease control. 3rd ed. Abingdon (UK): Routledge; 2018. DOI: https://doi.org/10.4324/9781315883946-1

4. Nawaz S, Ali Y. Factors affecting the performance of water treatment plants in Pakistan. Water Conserv Sci Eng. 2018;3:191–203. DOI: https://doi.org/10.1007/s41101-018-0051-9

5. Qamar K, Nchasi G, Mirha HT, Siddiqui JA, Jahangir K, Shaeen SK, et al. Water and sanitation problem in Pakistan: A review on disease prevalence, strategies for treatment and prevention. Ann Med Surg (Lond). 2022;82:104709. DOI: https://doi.org/10.1016/j.amsu.2022.104709

6. Zhang D, Sial MS, Ahmad N, Filipe AJ, Thu PA, Zia-Ud-Din M, et al. Water scarcity and sustainability in an emerging economy: A management perspective for the future. Sustainability. 2021;13(1):144. DOI: https://doi.org/10.3390/su13010144

7. Daud MK, Nafees M, Ali S, Rizwan M, Bajwa RA, Shakoor MB, et al. Drinking water quality status and contamination in Pakistan. Biomed Res Int. 2017;2017:7908183. DOI: https://doi.org/10.1155/2017/7908183

8. The cost of poor sanitation in Pakistan. Daily Times [Internet]. 2018 Dec 28 [cited 2025 Aug 27]. Available from: (https://dailytimes.com.pk/343821/the-cost-of-poor-sanitation-in-pakistan/)

9. Howard G. The future of water and sanitation: global challenges and the need for greater ambition. J Water Supply Res Technol Aqua. 2021;70(4):438–48. DOI: https://doi.org/10.2166/aqua.2021.127

10. Shoaib M, Aziz S, Usman M, Rehman A, Zafar MM, Ilyas M. Prevalence of pathogenic microorganisms in drinking water of Rawalpindi and Islamabad. World J Fish Mar Sci. 2016;8(1):14–21.

11. Murtaza F, Muzaffar M, Mustafa T, Anwer J. Water and sanitation risk exposure in children under five in Pakistan. J Fam Community Med. 2021;28(2):103–9. DOI: https://doi.org/10.4103/jfcm.jfcm_149_21

12. Awan A, Nasir MS, Shaukat I, Anwar S, Ayub I. Impact of Samanduri drain on water resources of Faisalabad. Adv Environ Biol. 2016;10:155–60.

13. Soomro Z, Khokhar W, Hussain M, Hussain I. Drinking water quality challenges in Pakistan. 2022 May 7.

14. Ahmed T, Zounemat-Kermani M, Scholz M. Climate change, water quality and water-related challenges: a review with focus on Pakistan. Int J Environ Res Public Health. 2020;17(22):8518. DOI: https://doi.org/10.3390/ijerph17228518

15. Jehan S, Ullah I, Khan S, Muhammad S, Khattak S, Khan T. Evaluation of the Swat River, Northern Pakistan, water quality using multivariate statistical techniques and water quality index (WQI) model. Environ Sci Pollut Res. 2020;27(14):17483–95. DOI: https://doi.org/10.1007/s11356-020-09688-y

16. Ahmad M, Jamal A, Tang X, Al-sughaiyer M, Hasan A, Ahmad F. Assessing potable water quality and identifying areas of waterborne diarrheal and fluorosis health risks using spatial interpolation in Peshawar, Pakistan. Water (Basel). 2020;12(8):2163. DOI: https://doi.org/10.3390/w12082163

17. Zulfiqar H, Abbas Q, Raza A, Ali A. Determinants of safe drinking water in Pakistan: a case study of Faisalabad. J Glob Innov Agric Soc Sci. 2016;4(1):40–5. DOI: https://doi.org/10.17957/JGIASS/4.1.731

18. United Nations. Water and sanitation – United Nations Sustainable Development [Internet]. [cited 2025 Aug 27]. Available from: (https://www.un.org/sustainabledevelopment/water-and-sanitation/)

19. GBD Diarrhoeal Diseases Collaborators. Estimates of the global, regional, and national morbidity, mortality, and aetiologies of diarrhoea in 195 countries: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Infect Dis. 2018;18(11):1211–28. DOI: https://doi.org/10.1016/S1473-3099(18)30362-1

20. Gowa M, Habib I, Tahir A, Yaqoob U, Junejo S. Disease spectrum and frequency of illness in pediatric emergency: a retrospective analysis from Karachi, Pakistan. Ochsner J. 2019;19(4):340–6. DOI: https://doi.org/10.31486/toj.18.0134

21. Ahmed J, Wong LP, Chua YP, Channa N, Mahar RB, Yasmin A, et al. Quantitative microbial risk assessment of drinking water quality to predict the risk of waterborne diseases in primary-school children. Int J Environ Res Public Health. 2020;17(8):2774. DOI: https://doi.org/10.3390/ijerph17082774