Publications by authors named "T Handzel"

Safe and hygienic management of human waste is essential in humanitarian settings. Urine-diverting dry toilets (UDDTs) can enable this management in some humanitarian emergency settings. A seeded, longitudinal environmental study was conducted in Hiloweyn refugee camp, Dollo Ado, Ethiopia, to measure Escherichia coli and Ascaris suum ova inactivation within closed UDDT vaults and to document environmental conditions (temperature, moisture content, and pH) that could influence inactivation.

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Article Synopsis
  • - WASH infrastructure and practices, particularly hand hygiene, are essential for preventing the spread of infectious diseases like COVID-19 and other respiratory illnesses, with guidance tailored to COVID-19 built upon existing WASH standards.
  • - Collaborating with local organizations, tools were created to assess WASH conditions and practices, leading to interventions aimed at mitigating COVID-19 in healthcare and community settings within low- and middle-income countries.
  • - Observations showed gaps in access to hand hygiene materials despite improved water supply, and adherence to hand hygiene was significantly better after patient contact, highlighting the need for better management of handwashing stations and enforcement of global WASH standards in communal spaces.
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Given the increasing frequency and duration of humanitarian emergencies worldwide, there is a need to identify a greater range of effective and contextually appropriate water, sanitation and hygiene (WASH) interventions. Typical sanitation systems may be poorly suited for some of the conditions in which humanitarian emergencies can occur, such as in drought-prone regions. Urine-diversion dry toilets (UDDTs) are one potential alternative sanitation option which can be used in these conditions.

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Background: Diarrhea and acute respiratory infections (ARI) account for 30% of deaths among children displaced due to humanitarian emergencies. A wealth of evidence demonstrates that handwashing with soap prevents both diarrhea and ARI. While socially- and emotionally-driven factors are proven motivators to handwashing in non-emergency situations, little is known about determinants of handwashing behavior in emergency settings.

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