{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,25]],"date-time":"2025-12-25T19:23:43Z","timestamp":1766690623754,"version":"3.48.0"},"reference-count":16,"publisher":"BMJ","issue":"7412","license":[{"start":{"date-parts":[[2003,8,21]],"date-time":"2003-08-21T00:00:00Z","timestamp":1061424000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ"],"published-print":{"date-parts":[[2003,8,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Objective<\/jats:bold>\n                    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.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design<\/jats:bold>\n                    Intervention study assessing prevalence of ear disease and skin infections before and at six monthly intervals after opening of swimming pools.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting<\/jats:bold>\n                    Two remote Aboriginal communities in Western Australia.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Participants<\/jats:bold>\n                    84 boys and 78 girls aged &lt; 17 years.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Main outcome measures<\/jats:bold>\n                    Changes in prevalence and severity of pyoderma and perforation of tympanic membranes with or without otorrhoea over 18 months after opening of pools.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    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.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion<\/jats:bold>\n                    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.\n                  <\/jats:p>","DOI":"10.1136\/bmj.327.7412.415","type":"journal-article","created":{"date-parts":[[2003,8,21]],"date-time":"2003-08-21T18:47:09Z","timestamp":1061491629000},"page":"415-419","source":"Crossref","is-referenced-by-count":55,"title":["Benefits of swimming pools in two remote Aboriginal communities in Western Australia: intervention study"],"prefix":"10.1136","volume":"327","author":[{"given":"Deborah","family":"Lehmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary T","family":"Tennant","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Desiree T","family":"Silva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"McAullay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis","family":"Lannigan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harvey","family":"Coates","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harvey","family":"Coates","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fiona J","family":"Stanley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2003,8,21]]},"reference":[{"key":"2025122212254842000_327.7412.415.1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-0960.2000.00417.x"},{"key":"2025122212254842000_327.7412.415.2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-1755.1998.00099.x"},{"key":"2025122212254842000_327.7412.415.3","doi-asserted-by":"publisher","DOI":"10.1017\/S0950268898001812"},{"key":"2025122212254842000_327.7412.415.4","doi-asserted-by":"publisher","DOI":"10.1086\/515114"},{"key":"2025122212254842000_327.7412.415.5","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.1998.00299.x"},{"key":"2025122212254842000_327.7412.415.6","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1111\/j.1440-1754.1995.tb00886.x","article-title":"Skin sores in Aboriginal children [letter].","volume":"31","author":"Carapetis","year":"1995","journal-title":"J Paediatr Child Health"},{"key":"2025122212254842000_327.7412.415.7","unstructured":"Peart A Szoeke C . Recreational water use in remote indigenous communities. Swimming pools in remote indigenous communities: some basic information for planning a pool. Technical Report (Indigenous Health Papers). Canberra: The National Centre for Epidemiology and Population Health, The Australian National University, 2000: 25\u00e2\u0080\u009369."},{"key":"2025122212254842000_327.7412.415.8","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/13.1.73"},{"key":"2025122212254842000_327.7412.415.9","first-page":"1","article-title":"Surveillance for waterborne-disease outbreaks-United States, 1997\u00e2\u0080\u00931998.","volume":"49","author":"Barwick","year":"2000","journal-title":"MMWR CDC Surveill Summ"},{"key":"2025122212254842000_327.7412.415.10","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199705000-00008"},{"key":"2025122212254842000_327.7412.415.11","unstructured":"Couzos S Murray R . Ear health. Aboriginal primary health care: an evidence-based approach. Oxford: Oxford University Press, 1999: 240\u00e2\u0080\u0093320."},{"key":"2025122212254842000_327.7412.415.12","unstructured":"Prevention of hearing impairment from chronic otitis media. Report of a WHO\/Ciba Foundation Workshop, 19\u00e2\u0080\u009321 November 1996, London. (WHO\/PDH\/98.4.). Geneva: World Health Organization, 1998: 32."},{"issue":"suppl","key":"2025122212254842000_327.7412.415.13","first-page":"S1","article-title":"Guidelines on the prevention and control of otitis media and its sequelae in Aboriginal children.","volume":"164","year":"1996","journal-title":"Med J Aust"},{"key":"2025122212254842000_327.7412.415.14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1440-1754.1998.00156.x"},{"key":"2025122212254842000_327.7412.415.15","doi-asserted-by":"crossref","first-page":"238","DOI":"10.5694\/j.1326-5377.1995.tb139875.x","article-title":"Deaths from injury in childhood in Western Australia 1983\u00e2\u0080\u00931992.","volume":"162","author":"MacKellar","year":"1995","journal-title":"Med J Aust"},{"key":"2025122212254842000_327.7412.415.16","doi-asserted-by":"crossref","first-page":"575","DOI":"10.5694\/j.1326-5377.1992.tb121423.x","article-title":"The health of indigenous peoples.","volume":"156","author":"Hunter","year":"1992","journal-title":"Med J Aust"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.327.7412.415","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.327.7412.415","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T20:26:04Z","timestamp":1766435164000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.327.7412.415"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,8,21]]},"references-count":16,"journal-issue":{"issue":"7412","published-online":{"date-parts":[[2003,8,21]]},"published-print":{"date-parts":[[2003,8,23]]}},"alternative-id":["10.1136\/bmj.327.7412.415"],"URL":"https:\/\/doi.org\/10.1136\/bmj.327.7412.415","relation":{},"ISSN":["0959-8138","1468-5833"],"issn-type":[{"type":"print","value":"0959-8138"},{"type":"electronic","value":"1468-5833"}],"subject":[],"published":{"date-parts":[[2003,8,21]]}}}