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Epidemiological surveillance of waterborne diseases among displaced populations

A cross-sectional study

Bibliographic Data

ID19591269
AuthorsSamer Abuzerr (0000-0001-8950-3293, University College of Science and Technology - Khan Younis), Hani Hamdan (Centre National de la Recherche Scientifique), Jinan Charafeddine (0000-0001-7732-3578, Rincon Research (United States))
EditorsJulia Robinson (0000-0003-0719-3995)
Year2025
Volume5
Issue12
Pagese0005527
Publication date2025-12-01
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0005527
PMID41325302
OpenAlexW4416933798
LanguageEN
Citations received1
References cited16

Armed conflict and forced displacement in the Gaza Strip have severely disrupted access to safe water and sanitation, increasing the risk of waterborne diseases. This study aimed to assess the prevalence of waterborne illness symptoms and evaluate water quality, sanitation conditions, and associated risk factors among internally displaced persons (IDPs) in Gaza. A cross-sectional survey was conducted from March 16 to July 2, 2025, involving 1,200 displaced individuals residing in temporary shelters across five governorates. Data were collected on self-reported symptoms, water sources, sanitation access, and hygiene practices. In addition, 240 household water samples (20%) were microbiologically tested for fecal coliforms and Escherichia coli . Logistic regression was used to identify factors associated with reported illness. Among participants, 31.5% reported symptoms consistent with waterborne illness, with the highest prevalence among children under five years (38.3%). Only 27.5% accessed piped or humanitarian water, whereas 61.2% relied on trucked water from unregulated vendors. Shared sanitation was common, with 45.4% using latrines shared by ≥5 families, and 31.7% lacking soap. Microbiological testing showed that 74.2% of water samples exceeded WHO thresholds for fecal coliforms and 62.5% tested positive for E. coli , with significantly higher contamination in water from unregulated vendors ( p

Fecal coliform · Hand washing · Hygiene · Latrine · Public health · Sanitation · Water supply · Waterborne diseases · Child Nutrition and Water Access · Health and Conflict Studies · Vibrio bacteria research studies · Epidemiology

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  • Communicable diseases in complex emergencies

    Open Access•Máire A Connolly, Michelle Gayer et al.•The Lancet•2004

  • Health-care needs of people affected by conflict

    Open Access•Paul Spiegel, Paul B Spiegel et al.•The Lancet•2010

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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Open DOIOpen Access
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