A study protocol for an interrupted time series analysis and pre-post surveys to assess the effects a community-wide sanitation system on environmental contamination, infection risk, and well-being in Alabama's Black Belt.

ABSTRACT:

Introduction

Rural sanitation deficits in the United States represent an important source of non-point source pollution and may present risks to public health. We propose an interrupted time series analysis to measure the effect of a town-wide sanitation expansion program on the release of pathogens to the environment. This work is expected to yield valuable insight into the potential for rural sanitation improvements to reduce pathogen releases and support public health and well-being.

Methods

We will conduct a longitudinal baseline study including quantitative measurement of key enteric pathogens and fecal indicator bacteria adjacent to households lacking adequate sanitation. As households connect to a new sewerage system serving the entire community, longitudinal househol

SUBMITTER: Harmon OA 

PROVIDER: S-EPMC12330415 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature