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The role of water, sanitation and hygiene interventions in reducing soil-transmitted helminths: interpreting the evidence and identifying next steps

by Barrett, Laura , Haque, Rashidul , Walson, Judd L. , Brooker, Simon J. , Clasen, Thomas , Vaz Nery, Susana , Benjamin-Chung, Jade , Youya, Ashrafedin , Bundy, Donald A. P. , Mengistu, Birhan , Abate, Ebba , Cumming, Oliver , Crowley, Siobhan , Einterz Owen, Katey , Colford, John M. , Asmare, Abraham , Ercumen, Ayse , Pickering, Amy J. , Clements, Archie C. A. , Pullan, Rachel L. , Freeman, Matthew C. , Oliveira, Rita G. , Oswald, William E.

in Animals / Biomedical and Life Sciences / Biomedicine / Clinical trials / Clinical Trials as Topic / Communicable Disease Control - statistics & numerical data / Communicable Disease Control - trends / Contamination / Control / Disease / Education / Entomology / Evidence (Law) / Exposure / exposure assessment / Feces / Feces - parasitology / Health risks / Helminthiasis / Helminthiasis - prevention & control / helminths / Helminths - physiology / Heterogeneity / Humans / Hygiene / Infection control / Infections / Infectious Diseases / Infective stages / Ingestion / Intervention / Nematodes / Parasites / Parasitology / Planning / Review / risk / Risk factors / Risk management / Risk reduction / Sanitation / Sanitation - methods / Sanitation - standards / Schools / Sediment pollution / Soil / Soil - parasitology / Soil contamination / Soil pollution / Soil-transmitted helminths / Soils / Systematic review / Tropical diseases / Tropical Medicine / Urban schools / Veterinary Medicine/Veterinary Science / Virology / WASH / Water / Water - parasitology / Wellness programs

2019

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The role of water, sanitation and hygiene interventions in reducing soil-transmitted helminths: interpreting the evidence and identifying next steps

2019

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2019

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Journal Article

The role of water, sanitation and hygiene interventions in reducing soil-transmitted helminths: interpreting the evidence and identifying next steps

Barrett, Laura,

Haque, Rashidul,

Walson, Judd L.,

Brooker, Simon J.,

Clasen, Thomas,

Vaz Nery, Susana,

Benjamin-Chung, Jade,

Youya, Ashrafedin,

Bundy, Donald A. P.,

Mengistu, Birhan,

Abate, Ebba,

Cumming, Oliver,

Crowley, Siobhan,

Einterz Owen, Katey,

Colford, John M.,

Asmare, Abraham,

Ercumen, Ayse,

Pickering, Amy J.,

Clements, Archie C. A.,

Pullan, Rachel L.,

Freeman, Matthew C.,

Oliveira, Rita G.,

Oswald, William E.

2019

Overview

The transmission soil transmitted helminths (STH) occurs via ingestion of or contact with infective stages present in soil contaminated with human faeces. It follows therefore that efforts to reduce faecal contamination of the environment should help to reduce risk of parasite exposure and improvements in water, sanitation and hygiene (WASH) are seen as essential for the long-term, sustainable control of STH. However, the link between WASH and STH is not always supported by the available evidence from randomised controlled trials, which report mixed effects of WASH intervention on infection risk. This review critically summarises the available trial evidence and offers an interpretation of the observed heterogeneity in findings. The review also discusses the implications of findings for control programmes and highlights three main issues which merit further consideration: intervention design, exposure assessment, and intervention fidelity assessment.

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Publisher

BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC

Subject

Animals

/ Biomedical and Life Sciences

/ Biomedicine

/ Clinical trials

/ Clinical Trials as Topic

/ Communicable Disease Control - statistics & numerical data

/ Communicable Disease Control - trends