dc.contributor.author |
Del Brutto, Oscar H. |
|
dc.contributor.author |
Costa, Aldo F. |
|
dc.contributor.author |
Mera, Robertino M. |
|
dc.contributor.author |
Andrade-Molina, Derly |
|
dc.contributor.author |
Recalde, Bettsy Y. |
|
dc.contributor.author |
García Lescano, Héctor Hugo |
|
dc.contributor.author |
Fernández-Cadena, Juan C. |
|
dc.date.accessioned |
2021-04-13T20:51:04Z |
|
dc.date.available |
2021-04-13T20:51:04Z |
|
dc.date.issued |
2021 |
|
dc.identifier.uri |
https://hdl.handle.net/20.500.12866/9238 |
|
dc.description.abstract |
Information about factors potentially favoring the spread of SARS-CoV-2 in rural settings is limited. Following a case-control study design in a rural Ecuadorian village that was severely struck by the pandemic, SARS-CoV-2 RNA were detected by real-time PCR in swabs obtained from inner and upper walls in 24/48 randomly selected latrines from case-houses and in 12/48 flushing toilets from paired control-houses (P = 0.014; McNemar's test). This association persisted in a conditional logistic regression model adjusted for relevant covariates (OR: 4.82; 95% CI: 1.38-16.8; P = 0.014). In addition, SARS-CoV-2-seropositive subjects were more often identified among those living in houses with a latrine (P = 0.002). Latrines have almost five times the odds of containing SARS-CoV-2 RNA than their paired flushing toilets. Latrines are reservoirs of SARS-CoV-2 RNA, and it cannot be ruled out that latrines could contribute to viral transmission in rural settings. Frequent disinfection of latrines should be recommended to reduce the likelihood of fecal contamination. |
en_US |
dc.language.iso |
eng |
|
dc.publisher |
American Society of Tropical Medicine and Hygiene |
|
dc.relation.ispartofseries |
American Journal of Tropical Medicine and Hygiene (ASTMH Journal) |
|
dc.rights |
info:eu-repo/semantics/restrictedAccess |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es |
|
dc.subject |
SARS-CoV-2 RNA |
en_US |
dc.subject |
Latrines |
en_US |
dc.subject |
Flushing Toilets |
en_US |
dc.subject |
Case–Control Study |
en_US |
dc.subject |
Rural |
en_US |
dc.subject |
Latin American |
en_US |
dc.title |
SARS-CoV-2 RNA in Swabbed Samples from Latrines and Flushing Toilets: A Case-Control Study in a Rural Latin American Setting |
en_US |
dc.type |
info:eu-repo/semantics/article |
|
dc.identifier.doi |
https://doi.org/10.4269/ajtmh.20-1380 |
|
dc.subject.ocde |
https://purl.org/pe-repo/ocde/ford#3.03.06 |
|
dc.relation.issn |
1476-1645 |
|