SaniPath - Assessment of Fecal Exposure Pathways in Low-Income Urban Settings (Emory University, USA) - and appeal to SuSanA members for input

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Re: SaniPath - Assessment of Fecal Exposure Pathways in Low-Income Urban Settings (Emory University, USA) - and appeal to SuSanA members for input

Dear Kate and SaniPath team!

One year on from your last post I am just wondering if you could update us with further developments regarding your SaniPath tool? For example, could you tell us more about this:

However, we do have plans to apply the tool in peri-urban areas and smaller towns where sanitation investments are planned through a partnership with EAWAG.


Furthermore, which are your current countries of interest? Is it still Ghana as you had indicated in your last post?

There is so much going on in Ghana regarding sanitation improvements, really encouraging to see .. (e.g. here on the forum lately about behavior change: forum.susana.org/5-community-led-approac...-question-from-ghana and about composting and reuse of fecal sludge: forum.susana.org/98-resource-recovery-fr...n-to-feed-the-nation )

Regards,
Elisabeth

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Re: SaniPath - Assessment of Fecal Exposure Pathways in Low-Income Urban Settings (Emory University, USA) - and appeal to SuSanA members for input

As I new to this field, it will be appreciated if you can advise me of similar studies currently taking place in South Africa. Rapid urbanization which leads to informal "shack dwelling" in, and around our cities - five corrugated zinc or wooded structures on one property without a supporting sanitation infrastructure. Please forward information about international conferences and workshops scheduled to take place in SA during 2017/18.
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Re: SaniPath - Assessment of Fecal Exposure Pathways in Low-Income Urban Settings (Emory University, USA) - and appeal to SuSanA members for input

Hello!

Thank you for your interest in our study. Of the top of my head, I am not currently aware of similar studies happening in South Africa, though I will let you know if any come across my desk. The SaniPath Tool has currently been used in Accra, Ghana; Vellore, India; Maputo, Mozambique; Siem Reap, Cambodia; and Dhaka, Bangladesh (ongoing). I am happy to point you to publications form Accra, if that would be helpful to you.

You may also be interested in the MapSan study in Maputo, Mozambique that is being carried out by colleagues at Georgia Tech and LSHTM. The project description can be found here: www.susana.org/en/resources/projects/details/284
The MapSan team are evaluating health effects of decentralised (non-piped) sanitation in an informal urban setting. We collaborated with them on some SaniPath work in Maputo (the results of which are not yet finalized).

Best,

Suraja

Suraja Raj, MPH
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Center for Global Safe Water
Rollins School of Public Health-Hubert Department of Global Health
Emory University
1518 Clifton Road, NE
MS: 002-7BB CNR 6040F
Atlanta, GA 30322
Tel:+001-404-727-5977
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Re: SaniPath - Assessment of Fecal Exposure Pathways in Low-Income Urban Settings (Emory University, USA) - and appeal to SuSanA members for input

Dear Suraja

Thank you very much for your reply. I will go through the MapSan study document and will get back to you. Sub-Saharan countries have the same, or similar challenges. Recent droughts - experience in various SS countries just escalated the situation

Regards

Henriette.
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Re: SaniPath - Assessment of Fecal Exposure Pathways in Low-Income Urban Settings (Emory University, USA) - and appeal to SuSanA members for input

Hi Elisabeth,

Thanks for your message! We have made several updates to the SaniPath Tool since our original post (including a new logo!). Most notably, we have updated the analysis methods for our tool so that we no longer use mean point estimates to estimate risk of exposure to fecal contamination, and now use the distribution of contamination and behavior in a Bayesian analysis. Additionally, we are in the process of updating our tool software to make it more user friendly.

Here’s a sneak peek of what you can expect in the new and improved SaniPath Exposure Assessment Tool.

Mobile Data Collection built on Open Data Kit



An online interface built on R Shiny that generates summary statistics and risk profile graphics.



Summary Statistics are shown as pie charts (for behavioral data) and histograms (for environmental sample data).



Risk profiles, below, shows the percentage of people exposed to fecal contamination per month and the dose of exposure (amount of E. coli ingested per month). The risk profile shows red people for those exposed to fecal contamination and gray for those unexposed; the darker the red, the higher the dose of exposure.



At this point the Sanipath Tool has been used in several different cities: Accra, Ghana; Vellore, India; Maputo, Mozambique; Siem Reap, Cambodia; and Dhaka, Bangladesh (ongoing). In addition, EAWAG used the Tool as a pilot in Tikapur, Nepal. We have several publications that have come out about both our larger SaniPath study work in Accra as well as in Vellore India.

Here is a list of SaniPath publications to date:

Public toilets and their customers in low-income Accra, GhaAssessment of Fecal Exposure Pathways in Low-Income Urban Neighborhoods in Accra, Ghana: Rationale, Design, Methods, and Key Findings of the SaniPath Study

Quantifying Contact with the Environment: Behaviors of Young Children in Accra, Ghana


Public toilets and their customers in low-income Accra, Ghana


Quantification of exposure to fecal contamination in open drains in four neighborhoods in Accra, Ghana

Behavioral influences on risk of exposure to fecal contamination in low-resource neighborhoods in Accra, Ghana

The Influence of Household- and Community-Level Sanitation and Fecal Sludge Management on Urban Fecal Contamination in Households and Drains and Enteric Infection in Children

Household sanitation is associated with lower risk of bacterial and protozoal enteric infections, but not viral infections and diarrhoea, in a cohort study in a low-income urban neighbourhood in Vellore, India

Thank you,

Suraja


Suraja Raj, MPH
Program Associate
Center for Global Safe Water
Rollins School of Public Health-Hubert Department of Global Health
Emory University
1518 Clifton Road, NE
MS: 002-7BB CNR 6040F
Atlanta, GA 30322
Tel:+001-404-727-5977
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Re: SaniPath - Assessment of Fecal Exposure Pathways in Low-Income Urban Settings (Emory University, USA) - and appeal to SuSanA members for input


Suraja Raj, MPH
Program Associate
Center for Global Safe Water
Rollins School of Public Health-Hubert Department of Global Health
Emory University
1518 Clifton Road, NE
MS: 002-7BB CNR 6040F
Atlanta, GA 30322
Tel:+001-404-727-5977
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