Urban sanitation coverage and environmental fecal contamination: Links between the household and public environments of Accra, Ghana.

ABSTRACT: Exposure to fecal contamination in public areas, especially in dense, urban environments, may significantly contribute to enteric infection risk. This study examined associations between sanitation and fecal contamination in public environments in four low-income neighborhoods in Accra, Ghana. Soil (n = 72) and open drain (n = 90) samples were tested for E. coli, adenovirus, and norovirus. Sanitation facilities in surveyed households (n = 793) were categorized by onsite fecal sludge containment ("contained" vs. "uncontained") using previous Joint Monitoring Program infrastructure guidelines. Most sanitation facilities were shared by multiple households. Associations between spatial clustering of household sanitation coverage and fecal contamination were examined, controlling for neighborho

SUBMITTER: Berendes DM 

PROVIDER: S-EPMC6029754 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature