PERI-URBAN ENVIRONMENT, SANITATION AND HEALTH - ASSOCIATED HEALTH RISKS IN WASTE HANDLING IN PRAMPRAM, GHANA

ABSTRACT The peri-urban community of Prampram is characterized by filthy and choked open drains, indiscriminate waste disposal and open defecation. Waste handlers engage in different types of activities such as sweeping, collection, transportation and disposal with little or no personal protection and thus are often confronted with serious public health problems related to their work. The purpose for this study was to assess the different degrees of health risks associated with different activities in waste handling in the peri-urban community of Prampram, Ghana. This study used a mixed method design to quantitatively investigate 280 waste handlers with respect to the activities performed, exposure surfaces to waste, use of personal protective working gear and self reported health outcomes. A qualitative phase of the study involving 22 waste handlers explored the perceptions about health risks associated with waste work. The rationale 'or including the qualitative phase was to triangulate and complement the quantitative phase of the study. Laboratory methods were also used to investigate faecal contamination of hands by the detection of faecal indicator E. coli/Coliforms as well as to determine the incidence rate and intensity of helminthes infections 3 and 6 months post-treatment.