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| ID | Type | Description | Link |
|---|---|---|---|
| CDCEID10A.1 | Other Identifier | Centers for Disease Control and Prevention | |
| 2439 | Other Identifier | Kenya Medical Research Institute |
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| Name | Class |
|---|---|
| Kenya Medical Research Institute | OTHER |
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The aim of the study is to examine the efficacy of ceramic water filters to reduce the burden of waterborne diarrheal illness among infants in selected villages in Kenya. In Kenya very young children are given drinking water or water is used in reconstitution of their food. We hypothesize that ceramic water filters will remove Cryptosporidium from drinking water reducing infection in infants.
Diarrhea is a major cause of illness among children in Africa. Cryptosporidium is a protozoan waterborne diarrheal pathogen resistant to chlorine. Ceramic filters are effective at improving drinking water quality, including removal of protozoa. In a recent preliminary analysis of >22,000 children <5 years enrolled in the Global Enterics Multi-Center Study (GEMS) case-control study of moderate-to-severe diarrhea, Cryptosporidium was identified as a leading cause of diarrhea in infants across all four participating African sites. This pilot is the first Cryptosporidium specific intervention trial of household ceramic water filters to reduce the burden of cryptosporidiosis acquired through drinking water in rural Kenya.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm | Experimental | Households with a child 4-10 months old will receive a Cera Maji ceramic water filter for treatment of drinking water. |
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| Control Arm | No Intervention | Households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ceramic water filter | Other | In total, 120 households with a child 4-10 months old will receive a Cera Maji ceramic water filter for treatment of drinking water at initial entry into the study (intervention group), and 120 households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. |
| Measure | Description | Time Frame |
|---|---|---|
| Longitudinal Diarrhea Prevalence | The primary outcome measure is the longitudinal prevalence of diarrheal disease. | 6 months |
| Health Facility Visits for Diarrheal Disease | incidence rate of health facility visits for diarrheal disease per 100 person-week of observation | 6 months |
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Inclusion Criteria:
Children 4-10 months old living in selected villages in the Asembo Health and Demographic Surveillance System (HDSS) study area in Kenya whose primary caretakers consent on their behalf to be visited weekly for 6 months to carry out weekly illness surveillance, and have a follow up home visit one year after initial enrollment into the trial. The household in which the child resides must be a consenting participant in the HDSS. As the children included in the trial are infants, the child's primary caretaker will be invited to participate and be administered questionnaires. Random selection will be at the compound level. Only one household per compound will be eligible for selection.
Exclusion Criteria:
Children 4-10 months old whose households are not active consenting participants in the HDSS will not be eligible for inclusion. Only the subset of children 4-10 months old who are randomly selected in the sample will be eligible for participation.
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| Name | Affiliation | Role |
|---|---|---|
| Eric Mintz, MD, MPH | Centers for Disease Control and Prevention | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kemri/Cdc | Kisumu | Kenya |
No PII will be shared with any researcher. It is possible that researchers may request access to the clean de-identified data once closed out for all aspects of the work.
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| ID | Title | Description |
|---|---|---|
| FG000 | Intervention Arm | Households with a child 4-10 months old will receive a Cera Maji ceramic water filter for treatment of drinking water. Ceramic water filter: In total, 120 households with a child 4-10 months old will receive a Cera Maji ceramic water filter for treatment of drinking water at initial entry into the study (intervention group), and 120 households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. |
| FG001 | Control Arm | Households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Intervention Arm | Households with a child 4-10 months old will receive a Cera Maji ceramic water filter for treatment of drinking water. Ceramic water filter: In total, 120 households with a child 4-10 months old will receive a Cera Maji ceramic water filter for treatment of drinking water at initial entry into the study (intervention group), and 120 households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Median |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Longitudinal Diarrhea Prevalence | The primary outcome measure is the longitudinal prevalence of diarrheal disease. | Incidence rate per 100 person-weeks of observation | Posted | Number | Incidence rate per 100 person-weeks | 6 months |
|
6 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Intervention Arm | Households with a child 4-10 months old will receive a Cera Maji ceramic water filter for treatment of drinking water. Ceramic water filter: In total, 120 households with a child 4-10 months old will receive a Cera Maji ceramic water filter for treatment of drinking water at initial entry into the study (intervention group), and 120 households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Ciara O'Reilly, PhD | Centers for Disease Control and Prevention | 404-639-1953 | bwf1@cdc.gov |
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| ID | Term |
|---|---|
| D003967 | Diarrhea |
| D003457 | Cryptosporidiosis |
| D003141 | Communicable Diseases |
| D000069578 | Waterborne Diseases |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D007411 | Intestinal Diseases, Parasitic |
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This is an intervention trial of ceramic water filters, and as such cannot be masked. The intervention participants received the CWFs during the trial and the control group after the trial was over.
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|
|
| BG001 | Control Arm | Households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. |
| BG002 | Total | Total of all reporting groups |
| months |
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| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
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| Region of Enrollment | Number | participants |
|
| OG001 | Control Arm | Households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. |
|
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| Primary | Health Facility Visits for Diarrheal Disease | incidence rate of health facility visits for diarrheal disease per 100 person-week of observation | incidence rate of health facility visits for diarrheal disease per 100 person-week of observation | Posted | Number | incidence rate per 100 person-weeks | 6 months |
|
|
|
| 2 |
| 120 |
| 0 |
| 120 |
| 0 |
| 120 |
| EG001 | Control Arm | Households with a child 4-10 months old at initial entry into the study will not receive a ceramic water filter (control group). The study duration will be 6 months. All households in the control group will receive a Cera Maji ceramic water filter when the study ends. | 3 | 120 | 0 | 120 | 0 | 120 |
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| D010272 | Parasitic Diseases |
| D007239 | Infections |
| D011529 | Protozoan Infections, Animal |
| D010273 | Parasitic Diseases, Animal |
| D003048 | Coccidiosis |
| D011528 | Protozoan Infections |
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D000820 | Animal Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |