Publications by authors named "Joanne E O'Toole"

Article Synopsis
  • The RISE study investigates how upgrading informal urban settlements can improve public health by reducing exposure to contaminated environments in Makassar, Indonesia, and Suva, Fiji.
  • It is a cluster randomised controlled trial with 12 settlements in each city, where half will receive a water-sensitive infrastructure intervention while the others serve as controls.
  • The study focuses on health outcomes in children under 5, examining gastrointestinal pathogens, antimicrobial resistance, and broader factors like ecological biodiversity and community well-being.
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Introduction: Diarrhoea is a leading cause of death globally, mostly occurring as a result of insufficient or unsafe water supplies, inadequate sanitation and poor hygiene. Our study aims to investigate the impact of a community-level hygiene education program and a water quality intervention using riverbank filtration (RBF) technology on diarrhoeal prevalence.

Methods And Analysis: We have designed a stepped wedge cluster randomised trial to estimate the health impacts of our intervention in 4 rural villages in Karnataka, India.

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Background: Quantitative Microbial Risk Assessment (QMRA), a modelling approach, is used to assess health risks. Inputs into the QMRA process include data that characterise the intensity, frequency and duration of exposure to risk(s). Data gaps for water exposure assessment include the duration and frequency of urban non-potable (non-drinking) water use.

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