The DOI matches its Crossref record; 33 of the 34 references it cites were found in a registry or an index.
Diarrhoea prevention in a high-risk rural Kenyan population through point-of-use chlorination, safe water storage, sanitation, and rainwater harvesting
Open accessAbstract
Lack of access to safe water and sanitation contributes to diarrhoea moribidity and mortality in developing countries. We evaluated the impact of household water treatment, latrines, shallow wells, and rainwater harvesting on diarrhoea incidence in rural Kenyan children. We compared diarrhoea rates in 960 children aged <5 years in 556 households in 12 randomly selected intervention villages and six randomly selected comparison villages during weekly home visits over an 8-week period. On multivariate analysis, chlorinating stored water [relative risk (RR) 0.44, 95% confidence interval (CI) 0.28-0.69], latrine presence (RR 0.71, 95% CI 0.54-0.92), rainwater use (RR 0.70, 95% CI 0.52-0.95), and living in an intervention village (RR 0.31, 95% CI 0.23-0.41), were independently associated with lower diarrhoea risk. Diarrhoea risk was higher among shallow well users (RR 1.78, 95% CI 1.12-2.83). Chlorinating stored water, latrines, and rainwater use all decreased diarrhoea risk; combined interventions may have increased health impact.
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Interventions to improve water quality for preventing diarrhoea
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Interventions to improve disposal of human excreta for preventing diarrhoea
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Metadata
- Authors
- GARRETT, V., OGUTU, P., MABONGA, P., OMBEKI, S., MWAKI, A., ALUOCH, G., PHELAN, M., & QUICK, R. E.
- Affiliations
- Centers for Disease Control and Prevention (US)
- Corresponding author
- QUICK, R. E.
- ORCID
- MWAKI, A.
- Venue
- Epidemiology and Infection
- Publisher
- Cambridge University Press (CUP)
- Published
- 2008-01-21
- Volume
- 136
- Issue
- 11
- Pages
- 1463-1471
- ISSN
- 0950-2688 (ISSN-L)
- 1469-4409
- PMC
- PMC2870746
- OpenAlex
- W1998313988
- Cited by
- 117
- References
- 34
- Citations by year
- 2025: 4 · 2024: 7 · 2023: 7 · 2022: 5 · 2021: 11 · 2020: 4 · 2019: 11 · 2018: 5 · 2017: 12 · 2016: 6 · 2015: 5 · 2014: 11 · 2013: 8 · 2012: 4
- FWCI
- 5.07
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Epidemiology and Infection (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Woodruff Foundation
- Centers for Disease Control and Prevention
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Physical Sciences › Environmental Science › Water Science and Technology › Water Resource Management and Quality
- Physical Sciences › Environmental Science › Water Science and Technology › Fecal contamination and water quality
- Keywords
- diarrhea prevention, household water treatment, safe water storage, latrines, sanitation, rainwater harvesting, shallow wells, childhood diarrhea, rural Kenya, waterborne diseases
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Preschool, Chlorine, Diarrhea, Disinfectants, Disinfection, Female, Humans, Infant, Kenya, Male, Middle Aged, Rural Population, Sanitation, Incidence, Water Purification
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