Evidence map›Paper›PMID 28926696›Full record

SynthesisEnvironmental science & technology2017

Exposure to Animal Feces and Human Health: A Systematic Review and Proposed Research Priorities.

Gauthami Penakalapati, Jenna Swarthout, Miranda J Delahoy, Lydia McAliley, Breanna Wodnik, Karen Levy, Matthew C Freeman

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Environmental science & technology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 196 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
196citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

196 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Measurement in the study of human exposure to animal feces: A systematic review and audit.International journal of hygiene and environmental health · 2023
    Pooled it
  4. Interventions to improve sanitation for preventing diarrhoea.The Cochrane database of systematic reviews · 2023
    Pooled it
  5. Pooled it
  6. Trial
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  17. Review
  18. Article
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  20. Sources and transmission dynamics ofmedRxiv : the preprint server for health sciences · 2026
    Article

136 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Gauthami PenakalapatiDepartment of Environmental Health, Emory University , Atlanta, Georgia 30322 United States.ORCID http://orcid.org/0000-0003-2119-7431
Jenna SwarthoutDepartment of Environmental Health, Emory University , Atlanta, Georgia 30322 United States.
Miranda J DelahoyDepartment of Environmental Health, Emory University , Atlanta, Georgia 30322 United States.
Lydia McAlileyDepartment of Environmental Health, Emory University , Atlanta, Georgia 30322 United States.
Breanna WodnikDepartment of Environmental Health, Emory University , Atlanta, Georgia 30322 United States.
Karen LevyDepartment of Environmental Health, Emory University , Atlanta, Georgia 30322 United States.
Matthew C FreemanDepartment of Environmental Health, Emory University , Atlanta, Georgia 30322 United States.ORCID http://orcid.org/0000-0002-1517-2572

Funding

Impacts of Human Movement on Regional Strain Distribution of Diarrheagenic E.coliK01AI103544 · NIAID · EMORY UNIVERSITY · PI LEVY, KAREN · 2013 to 2017
$655k
NIAID NIH HHS K01 AI103544
6 · The paper itself

Abstract

Humans can be exposed to pathogens from poorly managed animal feces, particularly in communities where animals live in close proximity to humans. This systematic review of peer-reviewed and gray literature examines the human health impacts of exposure to poorly managed animal feces transmitted via water, sanitation, and hygiene (WASH)-related pathways in low- and middle-income countries, where household livestock, small-scale animal operations, and free-roaming animals are common. We identify routes of contamination by animal feces, control measures to reduce human exposure, and propose research priorities for further inquiry. Exposure to animal feces has been associated with diarrhea, soil-transmitted helminth infection, trachoma, environmental enteric dysfunction, and growth faltering. Few studies have evaluated control measures, but interventions include reducing cohabitation with animals, provision of animal feces scoops, controlling animal movement, creating safe child spaces, improving veterinary care, and hygiene promotion. Future research should evaluate: behaviors related to points of contact with animal feces; animal fecal contamination of food; cultural behaviors of animal fecal management; acute and chronic health risks associated with exposure to animal feces; and factors influencing concentrations and shedding rates of pathogens originating from animal feces.

Indexed as

FecesHygieneSanitationAnimalsDiarrheaHumansSoilSoil

Identifiers

PMID28926696
PMCPMC5647569

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.