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Research Updates

What’s New?

Inform Goverment Programs and Policies on Urban Sanitation
Dr. Christine Moe and her SaniPath team at The Emory CGSW created an Advisory Committee to get feedback on the use of results of the SaniPath tool on public health risks as a result of poor sanitation and fecal sludge management to more effectively influence government and development partner’s urban sanitation investments, policies, and programs to improve safe sanitation for the urban poor. The two-day meeting consisted of a global group of sanitation experts who met this past November 2015 on the Emory campus in Atlanta, Georgia. A summary of the recommendations from the Advisory Committee can be seen here: With support from the BMGF, the SaniPath team will be deploying the SaniPath tool during 2016 in Bangladesh, Senegal, Nepal and India. All of the deployments will be in partnership with the local governments in these countries and with development partners such as World Bank, WHO, EAWAG and Water and Sanitation for the Urban Poor.

Understanding the Potential Impacts of Climate Change on Diarrheal Diseases
CGSW researchers, led by Dr. Karen Levy, have been working to understand how future climate change might affect diarrheal diseases worldwide. Her group has recently published a series of new articles on the potential impacts of climate change on diarrheal diseases, including two publications on the results of a systematic review of the relationships between diarrhea and temperature, heavy rainfall, flooding, and drought Levy et al. Environmental Science & Technology, Carlton et al. International Journal of Epidemiology, a review of the relationship between climate and diarrheagenic E. coli Philipsborn et al. Journal of Infectious Diseases, and an overview of approaches for studying these relationships Mellor et al. Science of the Total Environment. The Daily Climate covered this work with a feature story “Crappy climate news: More heat means more diarrhea.”

Impact Evaluation of Rural Sanitation and Face Washing on Trachoma in Ethiopia
Emory University is partnering with The Carter Center, DIME, WSP, and the ARHB with support from the World Bank’s Strategic Impact Evaluation Fund (SIEF) and the International Initiative for Impact Evaluation (3ie) to measure a study in regards to “Face washing and sanitation for trachoma control and elimination (FasTrac to Elimination).” The study is being conducted by Dr. Matt Freeman in Amhara, Ethiopia to examine the influences of community-led interventions of hygiene and sanitation including face washing and self-hygiene promotion on trachoma and behavior change. Results from the three-year study will help create an evidence base in trachoma control and elimination in sustainable and effective ways.

*Latest Publications 

June 2018
Interventions to improve facial cleanliness & environmental improvement for trachoma prevention and control
MG Delea, H Solomon, MC Freeman

Impact of Drinking Water, Sanitation and Hand Washing with Soap on Childhood Diarrhoeal Disease: Updated Meta-Analysis and Regression
J Wolf, P Hunter, MC Freeman, O Cumming, T Clasen, et al

Effect of Precipitation on clinic-diagnosed enteric infections in children in Rwanda: an observational study
M Kirby, C Nagel, C Uejio, P Okull, JA Nasbimana, T Clasen, et al

The association between women’s sanitation experiences and mental health: A cross-sectional study in Rural Odisha, India
BA Caruso, H Cooper, K Yount, P Routray, B Torondel and T Clasen

May 2018
The impact of school water, sanitation, and hygiene improvements on infectious disease using serum antibody detection
AN Chard, V Trinies, DM Moss, HH Chang, S Doumbia, PJ Lammie, MC Freeman

Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhea and child growth in rural Kenya
C Null, CP Stewart, AJ Pickering, HN Dentz, BF Arnold, CD Arnold, J Benjamin-Chung, T Clasen, et al

Adherance to Ebola specific malaria case management guidelines at health facilities in Guinea during the West Africa Ebola epidemic
T. Hennesee, T Guildavogui, A Camara, E Halsey, B Marston, D McFarland, MC Freeman and M Plucinski

April 2018
Detection of Immunoglobulin G Antibodies to Taenia solium Cysticercosis Antigen Glutahione-S-Transferase-rT24H in Malian Children Using Multiplex Bead Assay
DM Moss, S Handali, AN Chard, V TriniesMC Freeman et al

The associations between water and sanitation and hookworm infection using cross-sectional data from Togo’s national deworming program
JM Baker, V Trinies, RN Bronzan, AM Dorkenoo, J Garn, S Sognikan, MC Freeman

March 2018
Pathogens Transmitted in Animal Feces in Low and Middle Income Countries
MJ Delahoy, B Wodnik, L McAliley, G Penakalapati, J Swarthout, MC Freeman, K Levy

Within Compound Versus Public Latrine Access and Child Feces Disposal Practices in Low-Income Neighborhoods of Accra, Ghana
RL Ritter, D Peprah, C Null, CL Moe, G Armah, J Ampofo, N Wellington, H Yakubu, K Robb, AE Kirby, Y Wang, K Roguski, H Reese, MC Freeman, et al

December 2017
Small Water Enterprise in Rural Rwanda: Business Development and Year-One Performance Evaluation of Nine Water Kiosks at Health Care Facilities
A Huttinger, L Brunson, CL Moe, K Roha et al

Modeling the potential health benefits of lower household air pollution after a hypothetical liquified petroleum gas (LPG) cookstove intervention
K Steenland, A Plllarsetti, M Kirby, M Clark, W Checkley, H Chang and T Clasen

November 2017
Comparison of respondent-reported and sensor-recorded latrine utilization measures in rural Bangladesh, a cross-sectional study
MG Delea, CL Nagel, EA Thomas, AK Halder, N Amin, MC Freeman, T Clasen et al

October 2017
Understanding and defining sanitation insecurity: women’s gendered experiences of urination, defecation, and menstruation in rural Odisha, India
B Caruso, T Clasen, C Hadley, KM Yount, et al

September 2017
Physical, Social, and Political Inequities Constraining Girls’ Menstrual Management at Schools in Informal Settlements of Nairobi, Kenya
C Girod, A Ellis, KL AndesMC Freeman, BA Caruso

Exposure to animal feces and human health: A systemic review and proposed research priorities
G Penakalapati, J Swarthout, MJ Delahoy, L McAliley, B Wodnik K Levy, MC Freeman

Stepped-wedge cluster-randomised controlled trial to assess the cardiovascular health effects of a managed aquifer recharge initiative to reduce drinking water salinity in southwest coastal Bangladesh: study design and rationale
AM Naser, L Unicomb, S Doza, KM Ahmed, M Rahman, MN Uddin, S Quraishi, S Selim, M Shamsudduha, W Burgess, H Chang, M Gribble, T Clasen, S Luby

August 2017
Multipathway Quantitative Assessment of Exposure to Fecal Contamination for Young Children in Low-Income Urban Environments in Accra, Ghana: The SaniPath Analytical Approach
Yuke Wang, Christine L. Moe, Clair Null, Suraja J. Raj, Kelly K. Baker, Katharine A.Robb, Habib Yakubu, Joseph A. Ampofo, Nii Wellington, Matthew C. Freeman, George Armah, Heather E. Reese, Dorothy Peprah, and Peter F. M. Teunis

Assessing the influence of social capital on water point sustainability in rural Ethiopia
Margaret T. Person, Maryann G. Delea, Joshua V. Garn, Kelly Alexander, Bekele Abaire, Matthew C. Freeman

July 2017
Assessing Woman’s Negative Sanitation Experiences and Concers: The Development of a Novel Sanitation Insecurity Measure
Bethany Caruso, Thomas Clasen, Kathryn M. Yount, Hannah L. F. Cooper, Craig Halladay and Regine Harrdorfer

Assessment of Fecal Exposure Pathways in Low-Income, Urban Neighborhoods in Accra, Ghana: Rationale Design, Methods, and Key Findings of the Sanipath Study
K Robb, C Null, P Teunis, H. Yakubu, G Armah CL Moe

Design and rational of a matched cohert study to assess the effectiveness of a combined household-level piped water and sanitation intervention in rural Odisha, India
H Reese, P Routray, B Tronondel, G Sclar, MG Delea, S Sinharoy, L Zambrano, B Caruso, SR Mishra, H Chang, T Clasen

Fresh produce microbial indicator contamination on farms and packing facilities: elucidation of environmental routes
FE Bartz, JS Lickness, N Heredia, AF de Aceituno, K Newman, D Hodge, L Jaykus, S Garcia, J Leon

The Influence of Household and Community-Level Sanitation and Fecal Sludge Management on Urban Fecal Contamination in Households and Drains and Enteric Infection in Children
David Berendes, Amy Kirby, Julie A. Clennon, Suraja Raj, Habib Yakubu, Juan Leon, Katharine Robb, Arun Kartikeyan, Priya Hemavathy, Annai Gunasekaran, Ben Ghale, J. Senthil Kumar, Venkata Raghava Mohan, Gagandeep Kang and Christine Moe

March 2017
Microbial Load of Fresh Produce and Paired Equipment Surfaces in Packing Facilities Near the US and Mexico Border
KL Newman, FE Bartz, L Johnston, CL Moe, LA Jaykus,

Active trachoma and community use of sanitation, Ethiopia
William E OswaldAisha EP Stewart, Michael R Kramer,Tekola Endeshaw,Mulat Zerihun,d Berhanu Melak, Eshetu Sata,d Demelash Gessese, Tesfaye Teferi, Zerihun Tadesse, Birhan Guadie, Jonathan D King, Paul M Emerson, Elizabeth K Callahan, Dana Flanders, Christine L Moe & Thomas F Clasen

Interventions to Improve Facial Cleaniness & Environmental Improvement for Trachoma Prevention and Control
MG Delea, H Solomon, MC Freeman


*Names in bold indicate CGSW Core Faculty and Fellows





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