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Research Updates

What’s New?

Inform Government 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

August 2019
Impact of a school-based water, sanitation, and hygiene intervention on school absence, diarrhea, respiratory infection and, soil-transmitted helminths: results from the WASH-HELPS cluster-randomized trial
AN Chard, JV Garn, HH Chang, T Clasen, MC Freeman 

Assessing longer-term effectiveness of a combined household-level piped water and sanitation intervention of child diarrhoea, acute respiratory infection, soil transmitted helminth infection and nutritional status: a matched cohort study in Odisha, India
H Reese, P Routray, B Torondel, SS Sinharoy, S Mishra, MC Freeman, HT Chang, T Clasen

“It’s like a burden on it’s head”: Redefining adequate menstrual hygiene management throughout women’s varied life-stages in Odisha, India
ER McRay, T Clasen, M Dasmohapatra, BA Caruso

July 2019
Associations between open drain flooding and pediatric enteric infections in the MAL-ED cohort in a low-income, urban neighborhood in Vellore, India
DM Berendes, JS Leon, AE Kirby, JA Clennon, SJ Raj, H Yakubu, KA Robb, …CL Moe et al

June 2019
Biomarkers of Environmental Enteric Dysfuction and Associa-tions wtih Chrild Linear Growth in Rural Odisha, India (OR 10-06-19)
S Sinharoy, H Reese, T Clasen

Design of a parallel cludter-randomized trial assessing the impact of a demand side sanitation and hygiene intervention on sustained behairo change and mental well-being in rural and peri-urban Amhara, Ethiopia: Andilaye study protocol
MG Delea, JS Snyder, M Belew, B Caruso, J Garn, GD Sclar, M Woreta, K Zewudie, A Gebremariam, MC Freeman

Effects of a large-scale distribution of water filters and natural draft rocket-style cookstoves on diarrhea and acute respiratory infection: a cluster randomized controlled study in Western Province Rwanda
MA Kriby, CL Nagel, G Rosa, LD Zambrano, S Murafiri, Jde Deiu Ngirabega, EA Thomas,          T Clasen

The role of water, sanitation and hygiene interventions in reducing soil-transmitted helminths: interpreting the evidence and identifying next steps
A Pickering, A Asmare, L Barrett, T Clasen, MC Freeman, et al.

May 2019
Drinking water salinity, urinary macro-mineral excretions, and blood pressure in the southwest coastal population of Bangladesh
AM Naser, M Gribble, T Clasen, et al

Associations between soil-transmitted helminthiasis and viral, bacterial and protozoal enteroinfections: a cross-sectional study in rural Laos
AN Chard, KK Baker, K Tsai, MC Freeman, et al

Burden of disease from inadequate water, sanitation and hygiene for selected adverse health outcomes: An updated analysis with a focus on low-and middle income countries
A Prüss-Ustün, J Wolf, J Bartram,T Clasen, O Cumming, MC Freeman, et al

Interventions to improve sanitation for preventing diarrhoea
V Bauza, G Sclar, F Majorin, T Clasen 

April 2019
Challenges and opportunties for control and elimination of soil-transmitted helminth infection beyond 2020
MC Freeman, O Akogun, V Belizario Jr, SJ Brooker, et al

March 2019
On World Water Day, gender equality and empowerment require attention
SS Sinharoy, BA Caruso

A cluster-randomized multi-level intervention to increase latrine use and safe disposal of child feces in rural Odisha, India: the Sundara Grama research protocol
BA Caruso, GD Sclar, P Routray, F Majorin, C Nagel, T Clasen

February 2019
Results of a national school-based dewrming programme on soil-transmitted helminths infections and schistosomiasis in Kenya
C Mwandawiro, C Okoyo, E Simiyu, S Kepha, MC Freeman et al

Child Defecation and Feces Disposal Practices and Determinants among Households after a Combined Household-Level Piped Water and Sanitation Intervention in Rural Odisha, India
V Bauza, H Reese, P Routray, T Clasen

Comparing trap designs and methods for assessing the density of synanthropic flies in Odisha, India
M Bell, S Irish, WP Schmidt, S Nayak, T Clasen

January 2019
Urinary extration of Sodium, Potassium, Calcium and Magnesium and Blood Pressure Amount a Populatoin of ≥ 20 year-olds: Evidence from Southwest Coastal Bangladesh
AMN Titu, M Rahman, L Unicomb, …T  Clasen, M Gribble….et al

The impact of water consumption on hydration and cognition among schoolchildren: Methods and results from a crossover trial in rural Mali
AN Chard, V Trinies, C Edmonds, A Sogore, MC Freeman

Sand barriers around latrine pits reduce fecal bacteria leaching into shallow groundwater: a randomized controlled trial in coastal Bangladesh
AM Naser, S Doza, M Rahman, KMU Ahmed…..T Clasen, et al

Determinants of disposal of child faeces in latrines in urban slums of Odisha, India: a cross-sectional study
F Marjoran, CL Nagel, B Torondel, P Routray, M Rout, T Clasen


*Names in bold indicate CGSW Core Faculty and Fellows





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