2015
Pathogen-specific burdens of community diarrhoea in developing countries: a multisite birth cohort study (MAL-ED)
Abstract: There was substantial heterogeneity in pathogen-specific burdens of diarrhoea, with important determinants including age, geography, season, rotavirus vaccine usage, and symptoms. These findings suggest that although single-pathogen strategies have an important role in the reduction of the burden of severe diarrhoeal disease, the effect of such interventions on total diarrhoeal incidence at the community level might be limited.
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Cited by 884 publications
(928 citation statements)
References 38 publications
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“…This is consistent with our finding that the single water arm had no reduction in infections with chlorine-resistant Giardia is a major cause of diarrhea in Bangladesh. , Cryptosporidium infections (measured at the year two time point) were rare in our study; settings with high Cryptosporidium incidence would be another example where chlorination may reduce indicator bacteria in drinking water but not affect diarrhea. Our E. coli measurements also demonstrate a reduction in fecal exposure through food in the handwashing arm and, coupled with our observation of less dirt on caregiver hands in this arm, suggest reduced caregiver hand contamination.…”
Section: Resultssupporting
confidence: 91%
“…This is consistent with our finding that the single water arm had no reduction in infections with chlorine-resistant Giardia is a major cause of diarrhea in Bangladesh. , Cryptosporidium infections (measured at the year two time point) were rare in our study; settings with high Cryptosporidium incidence would be another example where chlorination may reduce indicator bacteria in drinking water but not affect diarrhea. Our E. coli measurements also demonstrate a reduction in fecal exposure through food in the handwashing arm and, coupled with our observation of less dirt on caregiver hands in this arm, suggest reduced caregiver hand contamination.…”
Section: Resultssupporting
confidence: 91%
“…Most of the Shigella qPCR positive samples were detected in children older than 12 months of age (25 out of 37, 69%) ( Fig. 1A ), consistent with the results of previous studies ( 3 , 43 ). In addition, most of the Shigella positive samples (29 out of 37, 81%) were collected between the months of November and April, which coincides with the rainy season in Malawi ( Fig.…”
Section: Resultssupporting
confidence: 91%
“…Our data are consistent with recent studies 8,29 reporting early and diverse enteropathogen exposure in low-income settings. For example, among nondiarrheal stool samples collected from Bangladeshi infants at 1 month of age, coinfections were highly prevalent (mean: 2.5 enteropathogens per stool).…”
Section: Discussionsupporting
confidence: 93%
