Controlled, Before-and-After Analysis and Pre–Post Surveys to Assess the Effects of a Community-Wide Sanitation System on Environmental Contamination, Infection Risk and Well-Being in Alabama's Black Belt: Study Protocol

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A study protocol focused on implementation of a community-wide sanitation system in a rural area of Alabama. Utilizes controlled, before-and-after (CBA) data collection of pathogens and bacteria to analyze impact of sanitation systems on public health and well-being.

Olivia A. Harmon, Megan E. J. Lott, David A. Holcomb, et al.

BMJ Open, 16(4), e108477

04/2026

Environmental health · Infrastructure · Public health · Alabama