Survey-Based Assessment of Water, Sanitation, and Animal-Associated Risk Factors for Moderate-to-Severe Diarrhea in the Vaccine Impact on Diarrhea in Africa (VIDA) Study: The Gambia, Mali, and Kenya, 2015-2018.
David M BerendesKirsten FagerliSunkyung KimDilruba NasrinHelen PowellIrene N KasumbaSharon M TennantAnna RooseM Jahangir HossainJoquina Chiquita M JonesSyed M A ZamanRichard OmoreJohn B OchiengJennifer R VeraniMarc-Alain WiddowsonSamba O SowSanogo DohCiara E SugermanEric D MintzKaren L KotloffPublished in: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America (2023)
Poorer types and availability of drinking water sources were consistently associated with MSD, whereas the impacts of sanitation and household animals were context-specific. The association between MSD and access to safely managed drinking water sources post-rotavirus introduction calls for transformational changes in drinking water services to prevent acute child morbidity from MSD.