Trial reportNature communications2024
WASH interventions and child diarrhea at the interface of climate and socioeconomic position in Bangladesh.
Trial report in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Unsafe drinking water and human health: A global umbrella review of disease outcomes, intervention effectiveness, and policy implications.Cell reports. Medicine · 2026Pooled it
- WASH interventions and child diarrhea at the interface of climate and socioeconomic position in Bangladesh.Nature communications · 2024Trial
- Seasonally Varying Effects of Improved Water, Sanitation, and Handwashing Interventions onOpen forum infectious diseases · 2026Article
- Economic Losses from Premature Under-Five Mortality due to Diarrhoeal Diseases in South Asia: Trends, Aetiologies, and Key Risk Factors.Journal of epidemiology and global health · 2026Article
- Rainfall and temperature influence effectiveness of on-site sanitation intervention against E. coli contamination in Bangladeshi households.International journal of hygiene and environmental health · 2026Article
- Global burden of diarrheal diseases attributable to 13 pathogens in children under five: a comprehensive analysis from GBD 2021.Frontiers in pediatrics · 2026Article
- Socioecological drivers of water, sanitation, and hygiene (WASH) choices: A qualitative analysis of maternal perspectives in northwest Ecuador.PLOS water · 2026Article
- Seasonally varying effects of improved water, sanitation and handwashing interventions on Giardia infection in Bangladesh.medRxiv : the preprint server for health sciences · 2025Article
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- Article
- Unbalanced Macronutrient Intakes, Multiple Micronutrient Inadequacies, and Diarrhea Underscore Low-Height-for-Age in Indigenous Panamanian Preschool Children.Current developments in nutrition · 2025Article
- Using machine learning to identify subgroups with the highest expected benefit in a population-based water, sanitation, handwashing, and nutrition intervention.medRxiv : the preprint server for health sciences · 2025Article
- Sharp decline of diarrhea hospitalizations despite historical drought in Brazil: The potential role of local water supply and public health measures.Journal of water and health · 2025Article
- Air Temperature and Gastroenteritis Among Rohingya Populations in Bangladesh Refugee Camps.JAMA network open · 2025Article
- Association of Weather Variables With Pathogens Contributing to Conjunctivitis Worldwide.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- Influence of hydrometeorological risk factors on child diarrhea and enteropathogens in rural Bangladesh.PLoS neglected tropical diseases · 2024Article
- Article
- Impact of climate change on diarrheal diseases: A scoping review.The journal of climate change and healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 7 institutions in 3 countries.
Funding
Abstract
Many diarrhea-causing pathogens are climate-sensitive, and populations with the lowest socioeconomic position (SEP) are often most vulnerable to climate-related transmission. Household Water, Sanitation, and Handwashing (WASH) interventions constitute one potential effective strategy to reduce child diarrhea, especially among low-income households. Capitalizing on a cluster randomized trial population (360 clusters, 4941 children with 8440 measurements) in rural Bangladesh, one of the world's most climate-sensitive regions, we show that improved WASH substantially reduces diarrhea risk with largest benefits among children with lowest SEP and during the monsoon season. We extrapolated trial results to rural Bangladesh regions using high-resolution geospatial layers to identify areas most likely to benefit. Scaling up a similar intervention could prevent an estimated 734 (95% CI 385, 1085) cases per 1000 children per month during the seasonal monsoon, with marked regional heterogeneities. Here, we show how to extend large-scale trials to inform WASH strategies among climate-sensitive and low-income populations.
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Registered trials
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.