title: Benefits of swimming pools in two remote Aboriginal communities in Western Australia: intervention study.
abstract: OBJECTIVE
  To determine the health impact of swimming pools built with the aim of improving quality of life and reducing high rates of pyoderma and otitis media.
  
  
  METHODS
  Intervention study assessing prevalence of ear disease and skin infections before and at six monthly intervals after opening of swimming pools.
  
  
  METHODS
  Two remote Aboriginal communities in Western Australia.
  
  
  METHODS
  84 boys and 78 girls aged < 17 years.
  
  
  METHODS
  Changes in prevalence and severity of pyoderma and perforation of tympanic membranes with or without otorrhoea over 18 months after opening of pools.
  
  
  RESULTS
  In community A, 61 children were seen before the pool was opened, and 41, 46, and 33 children were seen at the second, third, and fourth surveys. Equivalent figures for community B were 60, 35, 39, and 45. Prevalence of pyoderma declined significantly from 62% to 18% in community A and from 70% to 20% in community B during the 18 months after the pools opened. Over the same period, prevalence of severe pyoderma fell from 30% to 15% in community A and from 48% to 0% in community B. Prevalence of perforations of the tympanic membrane fell from 32% in both communities to 13% in community A and 18% in community B. School attendance improved in community A.
  
  
  CONCLUSIONS
  Swimming pools in remote communities were associated with reduction in prevalence of pyoderma and tympanic membrane perforations, which could result in long term benefits through reduction in chronic disease burden and improved educational and social outcomes.
authors.affiliation: Centre for Child Health Research, University of Western Australia, Telethon Institute for Child Health Research, PO Box 855, West Perth, WA 6872, Australia. deborahl@ichr.uwa.edu.au
authors.forename: Deborah
authors.initials: D
authors.lastname: Lehmann
authors.forename: Mary T
authors.initials: MT
authors.lastname: Tennant
authors.forename: Desiree T
authors.initials: DT
authors.lastname: Silva
authors.forename: Daniel
authors.initials: D
authors.lastname: McAullay
authors.forename: Francis
authors.initials: F
authors.lastname: Lannigan
authors.forename: Harvey
authors.initials: H
authors.lastname: Coates
authors.forename: Fiona J
authors.initials: FJ
authors.lastname: Stanley
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D002558:Cerebrospinal Fluid Otorrhea / Q000208:ethnology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D015995:Prevalence; D011711:Pyoderma / Q000208:ethnology*; D012423:Rural Health; D012874:Skin Diseases, Infectious / Q000208:ethnology*; D013551:Swimming Pools / Q000706:statistics & numerical data*; D018058:Tympanic Membrane Perforation / Q000208:ethnology*; D014904:Western Australia / Q000453:epidemiology