- Child Nutrition and Water Access
- Global Maternal and Child Health
- Poverty, Education, and Child Welfare
- Food Security and Health in Diverse Populations
- Vaccine Coverage and Hesitancy
- Parasites and Host Interactions
- Viral gastroenteritis research and epidemiology
- Parasitic Infections and Diagnostics
- Viral Infections and Outbreaks Research
- Fecal contamination and water quality
- COVID-19 epidemiological studies
- Climate Change and Health Impacts
- Health Policy Implementation Science
- Reproductive tract infections research
- Water resources management and optimization
- Adolescent Sexual and Reproductive Health
- Child Nutrition and Feeding Issues
- Zoonotic diseases and public health
- Syphilis Diagnosis and Treatment
- Salmonella and Campylobacter epidemiology
- Infection Control in Healthcare
- Healthcare Systems and Reforms
- Livestock and Poultry Management
- Wastewater Treatment and Reuse
- Innovation and Socioeconomic Development
Emory University
2016-2025
Global Health Strategies (United States)
2021
Marin Community Foundation
2021
Joyson Safety Systems (Japan)
2021
Environmental Health
2012-2019
Georgia Department of Public Health
2018
University of Florida
2013-2016
Gates Foundation
2016
U.S. National Science Foundation
2016
Creative Commons
2016
To estimate the burden of diarrhoeal diseases from exposure to inadequate water, sanitation and hand hygiene in low- middle-income settings provide an overview impact on other diseases.
To develop updated estimates in response to new exposure and exposure-response data of the burden diarrhoea, respiratory infections, malnutrition, schistosomiasis, malaria, soil-transmitted helminth infections trachoma from inadequate drinking-water, sanitation hygiene behaviours (WASH) with a focus on low- middle-income countries.
A third of the 2·5 billion people worldwide without access to improved sanitation live in India, as do two-thirds 1·1 practising open defecation and a quarter 1·5 million who die annually from diarrhoeal diseases. We aimed assess effectiveness rural intervention, within context Government India's Total Sanitation Campaign, prevent diarrhoea, soil-transmitted helminth infection, child malnutrition.We did cluster-randomised controlled trial between May 20, 2010, Dec 22, 2013, 100 villages...
While sanitation interventions have focused primarily on child health, women's unique health risks from inadequate are gaining recognition as a priority issue. This study examines the range of sanitation-related psychosocial stressors during routine practices in Odisha, India. Between August 2013 and March 2014, we conducted in-depth interviews with 56 women four life stages: adolescent, newly married, pregnant established adult three settings: urban slums, rural villages indigenous...
Three large new trials of unprecedented scale and cost, which included novel factorial designs, have found no effect basic water, sanitation hygiene (WASH) interventions on childhood stunting, only mixed effects diarrhea. Arriving at the inception United Nations’ Sustainable Development Goals, bold target safely managed for all by 2030, these results warrant attention researchers, policy-makers practitioners. Here we report conclusions an expert meeting convened World Health Organization...
Using cross-sectional survey data, Rachel Pullan and colleagues map geographical inequalities in use of improved drinking water supply sanitation across sub-Saharan Africa. Please see later the article for Editors' Summary
Assessments of disease burden are important to inform national, regional, and global strategies guide investment. We aimed estimate the drinking water, sanitation, hygiene (WASH)-attributable for diarrhoea, acute respiratory infections, undernutrition, soil-transmitted helminthiasis, using WASH service levels used monitor UN Sustainable Development Goals (SDGs) as counterfactual minimum risk-exposure levels.
Abstract Objectives There has been increased attention to access water, sanitation and hygiene (WASH) at schools in developing countries, but a dearth of empirical studies on the impact. We conducted cluster‐randomized trial school‐based WASH pupil absence Nyanza Province, Kenya, from 2007 2008. Methods Public primary nested three geographical strata were randomly assigned allocated one study arms [water treatment promotion (WT & HP), additional improvement, or control] assess effects...
SUMMARY Safe drinking water and hygiene are essential to reducing Kenya's diarrhoeal disease burden. A school-based safe intervention in Kenya was evaluated assess its impact on students' knowledge parents' adoption of practices. We surveyed 390 students from nine schools their parents at baseline conducted a final evaluation 363 parents. From evaluation, improvement seen correct treatment procedure (21–65%, P <0·01) knowing when wash hands. At 14% reported currently treating water,...
We conducted a cluster-randomized trial to assess the impact of school-based water treatment, hygiene, and sanitation program on reducing infection with soil-transmitted helminths (STHs) after deworming. assessed STHs at baseline then two follow-up rounds 8 10 months Forty government primary schools in Nyanza Province, Kenya were randomly selected assigned intervention or control arms. The reduced reinfection prevalence (odds ratio [OR] 0.56, 95% confidence interval [CI] 0.31–1.00) egg count...