Imperial College London
Alternate

Professor Sir Roy Anderson FRS, FMedSci

Faculty of Medicine, School of Public Health

Professor in Infectious Disease Epidemiology
 
 
 
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Contact

 

roy.anderson Website

 
 
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Assistant

 

Mrs Clare Mylchreest +44 (0)7766 331 301

 
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Location

 

LG35Norfolk PlaceSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Oswald:2019:10.1371/journal.pntd.0007488,
author = {Oswald, WE and Halliday, KE and Mcharo, C and Witek-McManus, S and Kepha, S and Gichuki, PM and Cano, J and Diaz-Ordaz, K and Allen, E and Mwandawiro, CS and Anderson, RM and Brooker, SJ and Pullan, RL and Njenga, SM},
doi = {10.1371/journal.pntd.0007488},
journal = {PLoS Neglected Tropical Diseases},
pages = {1--17},
title = {Domains of transmission and association of community, school, and household sanitation with soil-transmitted helminth infections among children in coastal Kenya},
url = {http://dx.doi.org/10.1371/journal.pntd.0007488},
volume = {13},
year = {2019}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - IntroductionFew studies have simultaneously examined the role of sanitation conditions at the home, school, and community on soil-transmitted helminth (STH) infection. We examined the contribution of each domain that children inhabit (home, village, and school) to STH infection and estimated the association of STH infection with sanitation in each domain.MethodsUsing data from 4,104 children from Kwale County, Kenya, who reported attending school, we used logistic regression models with cross-classified random effects to calculate measures of general contextual effects and estimate associations of village sanitation coverage (percentage of households with reported access to sanitation), school sanitation coverage (number of usable toilets per enrolled pupil), and sanitation access at home with STH infection.FindingsWe found reported use of a sanitation facility by households was associated with reduced prevalence of hookworm infection but not with reduced prevalence of T. trichiura infection. School sanitation coverage > 3 toilets per 100 pupils was associated with lower prevalence of hookworm infection. School sanitation was not associated with T. trichiura infection. Village sanitation coverage > 81% was associated with reduced prevalence of T. trichiura infection, but no protective association was detected for hookworm infection. General contextual effects represented by residual heterogeneity between village and school domains had comparable impact upon likelihood of hookworm and T. trichiura infection as sanitation coverage in either of these domains.ConclusionFindings support the importance of providing good sanitation facilities to support mass drug administration in reducing the burden of STH infection in children.
AU  - Oswald,WE
AU  - Halliday,KE
AU  - Mcharo,C
AU  - Witek-McManus,S
AU  - Kepha,S
AU  - Gichuki,PM
AU  - Cano,J
AU  - Diaz-Ordaz,K
AU  - Allen,E
AU  - Mwandawiro,CS
AU  - Anderson,RM
AU  - Brooker,SJ
AU  - Pullan,RL
AU  - Njenga,SM
DO  - 10.1371/journal.pntd.0007488
EP  - 17
PY  - 2019///
SN  - 1935-2727
SP  - 1
TI  - Domains of transmission and association of community, school, and household sanitation with soil-transmitted helminth infections among children in coastal Kenya
T2  - PLoS Neglected Tropical Diseases
UR  - http://dx.doi.org/10.1371/journal.pntd.0007488
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000503278100006&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0007488
UR  - http://hdl.handle.net/10044/1/82103
VL  - 13
ER  -
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