Environmental sanitation infection and nutritional status of infants in rural St. Lucia, West Indies.

About 75 babies in each of three valleys were followed up for two years. The valleys had different levels of water supplies and latrine facilities, whereas socio-economic conditions and feeding patterns were similar. Results show that the prevalence of diarrhoea and intestinal helminths reduced as sanitation improved. Ascaris and Trichuris infections dropped 30 and 50% respectively after water supplies and latrines were installed. The growth of the children was significantly better in the improved areas. The possibility of malnutrition being secondary to illness, rather than primary, is included in the discussion.