One study of basic sanitation and migrant farm workers found that migrants who did not have access to water and sanitation facilities in the field had a clinic utilization rate for diarrhea ___________.

The correct choice reflects the significant public health implications of inadequate access to water and sanitation facilities, particularly among migrant farm workers. Studies indicate that when individuals lack basic sanitation access, their health outcomes can deteriorate substantially compared to more stable populations.

In this context, migrant farm workers having clinic utilization rates for diarrhea that are 20 times higher than those of the urban poor highlights the severe impact that environmental conditions—such as lack of clean water and sanitation—have on their health. Urban populations, although they may experience poverty, typically have better access to sanitation infrastructure, which can protect them against certain diseases and reduce the need for medical intervention.

This extreme difference in diarrhea-related clinic utilization rates underscores the crucial role of adequate sanitation in preventing illness and promoting public health among vulnerable worker populations. Recognizing these disparities is essential for informing policymakers and public health interventions aimed at improving sanitation access in agricultural settings.