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    Mar 03, 2021
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    Learning from water treatment and hygiene interventions in response to a hepatitis E outbreak in an open setting in Chad

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    Spina et al - 2018 - Learning ...
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    Authors
    Spina, A
    Beversluis, D
    Irwin, A
    Chen, A
    Nassariman, JN
    Ahamat, A
    Noh, I
    Oosterloo, J
    Alfani, P
    Sang, S
    Lenglet, A
    Taylor, DL
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    Issue Date
    2018-04
    Submitted date
    2018-04-30
    
    Metadata
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    Journal
    Journal of Water and Health
    Abstract
    In September 2016, Médecins Sans Frontières responded to a hepatitis E (HEV) outbreak in Chad by implementing water treatment and hygiene interventions. To evaluate the coverage and use of these interventions, we conducted a cross-sectional study in the community. Our results showed that 99% of households interviewed had received a hygiene kit from us, aimed at improving water handling practice and personal hygiene and almost all respondents had heard messages about preventing jaundice and handwashing. Acceptance of chlorination of drinking water was also very high, although at the time of interview, we were only able to measure a safe free residual chlorine level (free chlorine residual (FRC) ≥0.2 mg/L) in 43% of households. Households which had refilled water containers within the last 18 hours, had sourced water from private wells or had poured water into a previously empty container, were all more likely to have a safe FRC level. In this open setting, we were able to achieve high coverage for chlorination, hygiene messaging and hygiene kit ownership; however, a review of our technical practice is needed in order to maintain safe FRC levels in drinking water in households, particularly when water is collected from multiple sources, stored and mixed with older water.
    Publisher
    IWA Publishing
    URI
    http://hdl.handle.net/10144/619121
    DOI
    10.2166/wh.2018.258
    PubMed ID
    29676758
    Language
    en
    ISSN
    1477-8920
    ae974a485f413a2113503eed53cd6c53
    10.2166/wh.2018.258
    Scopus Count
    Collections
    Water/Sanitation

    entitlement

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