New report EHP: Prevention of Diarrhea through Improvement of Hygiene Behaviors: the SAFE Pilot Project Experience. This report  describes the experieces of the CARE water and sanitation 

Image: WELL      

New from IRC: Sustainability of changes in hygiene behavior newsletter, July 2002.



Recent Studies

Health Place 2002 Sep;8(3):201-10 

Identifying environmental risk factors for endemic cholera: a raster GIS approach.

Ali M, Emch M, Donnay JP, Yunus M, Sack RB.

The bacteria that cause cholera are known to be normal inhabitants of surface water, however, the environmental risk factors for different biotypes of cholera are not well understood. This study identifies environmental risk factors for cholera in an endemic area of Bangladesh using a geographic information systems (GIS) approach. The study data were collected from a longitudinal health and demographic surveillance system and the data were integrated within a geographic information system database of the research area. Two study periods were chosen because they had different dominant biotypes of the disease. From 1992 to 1996 El Tor cholera was dominant and from 1983 to 1987 classical cholera was dominant. The study found the same three risk factors for the two biotypes of cholera including proximity to surface water, high population density, and poor educational level. The GIS database was used to measure the risk factors and spatial filtering techniques were employed. These robust spatial methods are offered as an example for future epidemiological research efforts that define environmental risk factors for infectious diseases.


Online Hygiene Library    

EHP Hygiene Improvement Framework


 EHP Hygiene improvement framework – http://www.ehproject.org/Pubs/GlobalHealth/GHCArticle.htm

IFH – http://www.ifh-homehygiene.org/2public/2pub00.htm

o        Guidelines for prevention of infection and cross infection in the domestic environment - focus on home hygiene in developing countries (April 2002)

o        Recommendations for selection of suitable hygiene procedures for use in the domestic environment (January 2002)

o        Hygiene Procedures in the home and their effectiveness: a review of the scientific evidence base (Draft, April 2002)


v      UNICEF Hygiene promotion manual


v      WELL: Environmental health promotion capacity building: a training guide based on CARE’s Hygiene Promotion Manual –

WHO/IWA: Water quality guidelines:standards and health, 2001.