Evidence map›Paper›PMID 33078615›Full record

Trial reportEnvironmental science & technology2020

Ingestion of Fecal Bacteria along Multiple Pathways by Young Children in Rural Bangladesh Participating in a Cluster-Randomized Trial of Water, Sanitation, and Hygiene Interventions (WASH Benefits).

Laura H Kwong, Ayse Ercumen, Amy J Pickering, Joanne E Arsenault, Mahfuza Islam, Sarker M Parvez, Leanne Unicomb, Mahbubur Rahman, Jennifer Davis, Stephen P Luby

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Environmental science & technology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
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

36 citing papers in PubMed, 54 citations in OpenAlex.

  1. Article
  2. Sources and transmission dynamics ofmedRxiv : the preprint server for health sciences · 2026
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  3. Antimicrobial-resistantmedRxiv : the preprint server for health sciences · 2026
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  18. Associations between floor material andbioRxiv : the preprint server for biology · 2025
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  19. AssessingScience advances · 2025
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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

10 authors at 5 institutions in 2 countries.

Laura H KwongWoods Institute for the Environment, Stanford University, Stanford, California 94305, United States.ORCID 0000-0002-9776-9355
Ayse ErcumenDepartment of Forestry and Environmental Resources, North Carolina State University, Raleigh, North Carolina 27695, United States.ORCID 0000-0001-6002-1514
Amy J PickeringDepartment of Civil and Environmental Engineering, Tufts University, Medford, Massachusetts 02155, United States.ORCID 0000-0001-6193-2221
Joanne E ArsenaultProgram in International Community Nutrition, University of California, Davis, California 95616, United States.
Mahfuza IslamInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka 1000, Bangladesh.ORCID 0000-0003-2810-9211
Sarker M ParvezInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka 1000, Bangladesh.
Leanne UnicombInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka 1000, Bangladesh.
Mahbubur RahmanInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka 1000, Bangladesh.
Jennifer DavisWoods Institute for the Environment, Stanford University, Stanford, California 94305, United States.ORCID 0000-0001-5368-4002
Stephen P LubyWoods Institute for the Environment, Stanford University, Stanford, California 94305, United States.
International Centre for Diarrhoeal Disease Research · BDPalo Alto Institute · USNorth Carolina State University · USTufts University · USUniversity of California, Davis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Quantifying the contribution of individual exposure pathways to a child's total ingestion of fecal matter could help prioritize interventions to reduce environmental enteropathy and diarrhea. This study used data on fecal contamination of drinking water, food, soil, hands, and objects and second-by-second data on children's contacts with these environmental reservoirs in rural Bangladesh to assess the relative contribution of different pathways to children's ingestion of fecal indicator bacteria and if ingestion decreased with the water, sanitation, and hygiene interventions implemented in the WASH Benefits Trial. Our model estimated that rural Bangladeshi children <36 months old consume 3.6-4.9 log

Indexed as

SanitationWaterAnimalsBangladeshChildChild, PreschoolEatingEscherichia coliFecesHumansHygieneInfantRural PopulationWaterBangladeshchild healthdiarrheaE. colienvironmental enteropathyexposurefecal contaminationmultiple pathways

Identifiers

PMID33078615
PMCPMC7643345
OpenAlexW3092857525

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.