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Unravelling the reservoirs for colonisation of infants with Campylobacter spp. in rural Ethiopia: protocol for a longitudinal study during a global pandemic and political tensions

تفكيك خزانات استعمار الرضع بالعطيفة في ريف إثيوبيا: بروتوكول لدراسة طولية خلال جائحة عالمية وتوترات سياسية
Authors: Arie H. Havelaar; Mussie Brhane; Ibsa Abdusemed Ahmed; Jafer Kedir; Dehao Chen; Loïc Deblais; Nigel French; +16 Authors
APC: 2,314.04 EUR

Unravelling the reservoirs for colonisation of infants with Campylobacter spp. in rural Ethiopia: protocol for a longitudinal study during a global pandemic and political tensions

Abstract

Introduction Undernutrition is an underlying cause of mortality in children under five (CU5) years of age. Animal-source foods have been shown to decrease malnutrition in CU5. Livestock are important reservoirs for Campylobacter bacteria, which are recognised as risk factors for child malnutrition. Increasing livestock production may be beneficial for improving nutrition of children but these benefits may be negated by increased exposure to Campylobacter and research is needed to evaluate the complex pathways of Campylobacter exposure and infection applicable to low-income and middle-income countries. We aim to identify reservoirs of infection with Campylobacter spp. of infants in rural Eastern Ethiopia and evaluate interactions with child health (environmental enteric dysfunction and stunting) in the context of their sociodemographic environment. Methods and analysis This longitudinal study involves 115 infants who are followed from birth to 12 months of age and are selected randomly from 10 kebeles of Haramaya woreda, East Hararghe zone, Oromia region, Ethiopia. Questionnaire-based information is obtained on demographics, livelihoods, wealth, health, nutrition and women empowerment; animal ownership/management and diseases; and water, sanitation and hygiene. Faecal samples are collected from infants, mothers, siblings and livestock, drinking water and soil. These samples are analysed by a range of phenotypic and genotypic microbiological methods to characterise the genetic structure of the Campylobacter population in each of these reservoirs, which will support inference about the main sources of exposure for infants. Ethics and dissemination Ethical approval was obtained from the University of Florida Internal Review Board (IRB201903141), the Haramaya University Institutional Health Research Ethics Committee (COHMS/1010/3796/20) and the Ethiopia National Research Ethics Review Committee (SM/14.1/1059/20). Written informed consent is obtained from all participating households. Research findings will be disseminated to stakeholders through conferences and peer-reviewed journals and through the Feed the Future Innovation Lab for Livestock Systems.

Country
United States
Keywords

Colonization, Epidemiology, FOS: Political science, Infectious disease (medical specialty), FOS: Health sciences, Global Health, Agricultural and Biological Sciences, Soil, Medicine and Health Sciences, Pathology, Disease, Longitudinal Studies, Internal medicine, Political science, Politics, R, Life Sciences, Global Burden of Foodborne Pathogens, Infectious Diseases, Environmental health, Medicine, Longitudinal study, 170, FOS: Law, Emerging Zoonotic Diseases and One Health Approach, Microbiology, Health Sciences, Genetics, Humans, Pandemics, Biology, Pandemic, Bacteria, Drinking Water, Malnutrition, Infant, Newborn, Public Health, Environmental and Occupational Health, Infant, Gastrointestinal Viral Infections and Vaccines Development, Campylobacter, Colonisation, Newborn, Coronavirus disease 2019 (COVID-19), FOS: Biological sciences, Ethiopia, Law, Food Science

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
14
Top 10%
Average
Top 10%
Green
gold