- Child Nutrition and Water Access
- Global Maternal and Child Health
- Food Security and Health in Diverse Populations
- Viral gastroenteritis research and epidemiology
- Poverty, Education, and Child Welfare
- Fecal contamination and water quality
- Vibrio bacteria research studies
- Child Nutrition and Feeding Issues
- Infection Control in Healthcare
- Climate Change and Health Impacts
- Vaccine Coverage and Hesitancy
- COVID-19 epidemiological studies
- Food Safety and Hygiene
- Economic and Environmental Valuation
- Urban and Rural Development Challenges
- Wastewater Treatment and Reuse
- Pediatric health and respiratory diseases
- Pharmaceutical and Antibiotic Environmental Impacts
- Zoonotic diseases and public health
- Parasites and Host Interactions
- Water resources management and optimization
- Antibiotic Resistance in Bacteria
- Homelessness and Social Issues
- Community Health and Development
- COVID-19 and Mental Health
London School of Hygiene & Tropical Medicine
2016-2025
University of London
2014-2024
University Hospital of Geneva
2024
Johns Hopkins University
2024
Ministry of Public Health
2024
International Livestock Research Institute
2024
Environmental Health
2024
Cardiff University
2023
Emory University
2020-2023
World Health Organization
2023
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...
Poor sanitation remains a major public health concern linked to several important outcomes; emerging evidence indicates link childhood stunting. In India over half of the population defecates in open; prevalence stunting very high. Recently published data on levels 112 districts provide an opportunity explore relationship between open defecation and within this population. We conducted ecological regression analysis assess association after adjustment for potential confounding factors. Data...
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...
The extent to which reproductive tract infections (RTIs) are associated with poor menstrual hygiene management (MHM) practices has not been extensively studied. We aimed determine whether were three common of the lower tract; Bacterial vaginosis (BV), Candida, and Trichomonas vaginalis (TV).Non-pregnant women age (18-45 years) attending one two hospitals in Odisha, India, between April 2015 February 2016 recruited for study. A standardized questionnaire was used collect information on: MHM...
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.
In the final article in a four-part PLoS Medicine series on water and sanitation, Sandy Cairncross colleagues outline what needs to be done make significant progress providing more better hygiene, for all.
Intermittent water supply (IWS) is prevalent throughout low and middle-income countries. IWS associated with increased microbial contamination potentially elevated risk of waterborne illness. We used existing data sets to estimate the population exposed IWS, assess probability infection using quantitative assessment, calculate subsequent burden diarrheal disease attributable consuming fecally contaminated tap from an IWS. reference pathogens Campylobacter, Cryptosporidium, rotavirus as...
Background The importance of maternal sanitation behaviour during pregnancy for birth outcomes remains unclear. Poor practices can promote infection and induce stress may contribute to adverse (APOs). We aimed assess whether poor were associated with increased risk APOs such as preterm low weight in a population-based study rural India. Methods Findings A prospective cohort pregnant women (n = 670) their first trimester was enrolled followed until birth. Socio-demographic, clinical,...
Pit latrines are the main form of sanitation in unplanned areas many rapidly growing developing cities. Understanding demand for pit latrine fecal sludge management (FSM) services these communities is important designing demand-responsive and policies to improve public health. We examine emptying knowledge, attitudes, behavior, trends rates safe/unsafe emptying, measure a new hygienic service Dar Es Salaam (Dar), Tanzania, using data from cross-sectional survey at 662 residential properties...