{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T06:04:09Z","timestamp":1761199449722,"version":"build-2065373602"},"reference-count":98,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T00:00:00Z","timestamp":1761177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009131","name":"Direktion f\u00fcr Entwicklung und Zusammenarbeit","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009131","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ssph-journal.org"],"crossmark-restriction":true},"short-container-title":["Public Health Rev."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The G5 Sahel countries have faced political instability and terrorist activities for over a decade. With the regional lack of water, sanitation and hygiene (WaSH), there is an increased risk of adverse health outcomes. This scoping review aims to document WaSH-related health outcomes associated with terrorist activities, identify gaps in the humanitarian and political response and propose actionable recommendations to address them.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We followed the PRISMA standards, including literature from PubMed and Web of Science. Country-specific timeframes for terrorist activities were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data was extracted from 54 out of 2,320 publications on 22 December 2023. While malnutrition and diarrheal diseases were frequently reported as health outcomes - consistent with inadequate WaSH services - the lack of studies directly linking these outcomes to terrorist activities is notable. Only one article explicitly established a direct link between health outcomes and terrorist activities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The scarcity of studies directly linking terrorist activities to health outcomes reveals a significant research gap and highlight the need for more focused investigations into the health impacts of political violence in the Sahel region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/phrs.2025.1608490","type":"journal-article","created":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T06:00:33Z","timestamp":1761199233000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring Associations Between WaSH-Related Health Outcomes and Terrorist Activities in the Sahel: A Scoping 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