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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 

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

December 2018
Estimating the incidence of norovirus acute gastroenteritis among US and European international travelers to areas of moderate to high risk or travelers diarrhea: a prospective cohert study protocol
L Lindsay, HL Dupont, CL Moe, A Kirby et al

Handwashing with soap after potential faecal contact: Global, regional and country estimates for handwashing with soap after potential faecal contact
J Wolf, R Johnston, MC Freeman et al

November 2018
Building Qualitative Research Capacity Among Interdisciplinary Teams to Investigate Girls’ Challenges with Menstruation: Process and Lessons Learned from a 14-Country E-Course
BA Caruso, A Ellis, G Sclar, G Penakalapati et al

The Association Between Woman’s Sanitation Experiences and mental health: A Cross-Sectional study in Rural Odisha, India
BA Caruso, HLF Cooper, R Haardörfer, K Yount, P Routray, B Torondel, T Clasen

October 2018
Quantifying user preferences for sanitation construction use: Application of discrete choice experiments in Amhara, Ethiopia
FGB Goddard, MD Delea, G Sclar, M Woreta, K Zewudie, MC Freeman

Effects of single and combined water, sanitation and handwashing interventions on fecal contamination in the domestic environment: a cluster-randomized controlled trial in rural Bangladesh
A Ercumen, A Mertens, BF Arnold…T Clasen, et al

Do sanitation improvements reduce fecal contamination of water hands, food, soil and flies? Evidence from a cluster-randomized controlled trial in rural Bangladesh
A Ercumen, A Pickering, LH Kwong…T Clasen, et al

Collective Efficacy: Development and Validation of a Measurement Scale for Use in Public Health and Development Programmes
M Delea, G Sclar, M Woreta, R Haardörfer, C Nagel,  B Caruso, R Dreibelbis, A Gabezayehu, T Clasen, MC Freeman

September 2018
Development and Application of Novel Caregiver Hygiene Behaivor Masures Relating to Food Preparation, Hanagwashing, and Play Environments in Rural Kenya
B Wodnik, M Freeman, E Ellis, B Caruso, A Webb-Girard, MC Freeman

Exploring the relationship between sanitation and mental and social well-being: A systematic review and qualitative synthesis
GD Sclar, G Penakalapati, BA Caruso, EH Rehfuess, JV Garn, KT Alexander, MC Freeman..T Clasen, et al

August 2018
Addressing the menstual needs of women and girls is necessary to achieve gender equality in water and sanitation service delivery
BA Caruso, M Sommer

Toward the 2020 goal of soil-transmitted helminthiasis control and elimination
SL Becker, HJ Liwanag, JS Snyder, O Akogun, MC Freeman et al

July 2018
Urban sanitation coverage and environmental fecal contamination: Links between the household and public environments of Accra, Ghana
DM Berendes, AE Kirby, JA Clennon, C Agemabeise,.. Moe, CL et al

Children Are Exposed to Fecal Contamination via Multiple Interconnected Pathways: A Network Model for Exposure Assessment
Y Wang, CL Moe, PFM Teunis

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





*Names in bold indicate CGSW Core Faculty and Fellows





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