{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:32:24Z","timestamp":1790688744642,"version":"4.1.0"},"reference-count":49,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2024,10,12]],"date-time":"2024-10-12T00:00:00Z","timestamp":1728691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"United States National Institutes of Health, Fogarty Institute","award":["R01TW011795"],"award-info":[{"award-number":["R01TW011795"]}]},{"name":"United States National Institutes of Health, Fogarty Institute","award":["RIN:2022-12-02"],"award-info":[{"award-number":["RIN:2022-12-02"]}]},{"name":"Reckitt Global Hygiene Institute","award":["R01TW011795"],"award-info":[{"award-number":["R01TW011795"]}]},{"name":"Reckitt Global Hygiene Institute","award":["RIN:2022-12-02"],"award-info":[{"award-number":["RIN:2022-12-02"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Public spaces in countries with limited societal development can be contaminated with feces containing pathogenic microbes from animals and people. Data on contamination levels, spatial distribution, and the diversity of enteric pathogens in the public settings of low- and middle-income neighborhoods are crucial for devising strategies that minimize the enteric infection burden. The objective of this study was to compare spatial\u2013temporal differences in the detection rate and diversity of enteric pathogens in the public spaces of low- and middle-income neighborhoods of Nairobi, Kenya. TaqMan array card (TAC) molecular assays were employed to analyze soil samples for 19 enteropathogens, along with a selective bacterial culture for pathogenic Enterobacteriaceae. An observational assessment was conducted during every site visit to document the hygienic infrastructure and sanitation conditions at the sites. We detected at least one pathogen in 79% (127\/160) and \u22652 pathogens in 67.5% (108\/160) of the soil samples tested. The four most frequently detected pathogens were EAEC (67.5%), ETEC (59%), EPEC (57.5%), and STEC (31%). The detection rate (91% vs. 66%) and mean number of enteric pathogens (5 vs. 4.7) were higher in low-income Kibera than in middle-income Jericho. The more extensive spatial distribution of pathogens in Kibera resulted in increases in the detection of different enteric pathogens from within-site (area &lt; 50 m2) and across-site (across-neighborhood) movements compared to Jericho. The pathogen detection rates fluctuated seasonally in Jericho but remained at sustained high levels in Kibera. While better neighborhood conditions were linked with lower pathogen detection rates, pathogenic E. coli remained prevalent in the public environment across both neighborhoods. Future studies should focus on identifying how the sources of pathogen contamination are modified by improved environmental sanitation and hygiene and the role of these contaminated public environments in enteric infections in children.<\/jats:p>","DOI":"10.3390\/ijerph21101351","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T04:02:58Z","timestamp":1728878578000},"page":"1351","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Spatial\u2013Temporal Patterns in the Enteric Pathogen Contamination of Soil in the Public Environments of Low- and Middle-Income Neighborhoods in Nairobi, Kenya"],"prefix":"10.3390","volume":"21","author":[{"given":"Fanta D.","family":"Gutema","sequence":"first","affiliation":[{"name":"Department of Occupational and Environmental Health, University of Iowa, Iowa City, IA 52242, USA"},{"name":"Department of Microbiology, Immunology and Veterinary Public Health, Addis Ababa University, Bishoftu P.O. Box 34, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6736-9314","authenticated-orcid":false,"given":"Bonphace","family":"Okoth","sequence":"additional","affiliation":[{"name":"African Population and Health Research Center, Nairobi 10787-00100, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Agira","sequence":"additional","affiliation":[{"name":"African Population and Health Research Center, Nairobi 10787-00100, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1072-0690","authenticated-orcid":false,"given":"Christine S.","family":"Amondi","sequence":"additional","affiliation":[{"name":"African Population and Health Research Center, Nairobi 10787-00100, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7719-7994","authenticated-orcid":false,"given":"Phylis J.","family":"Busienei","sequence":"additional","affiliation":[{"name":"African Population and Health Research Center, Nairobi 10787-00100, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3069-8967","authenticated-orcid":false,"given":"Sheillah","family":"Simiyu","sequence":"additional","affiliation":[{"name":"African Population and Health Research Center, Nairobi 10787-00100, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6188-196X","authenticated-orcid":false,"given":"Blessing","family":"Mberu","sequence":"additional","affiliation":[{"name":"African Population and Health Research Center, Nairobi 10787-00100, Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9238-4026","authenticated-orcid":false,"given":"Daniel","family":"Sewell","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, University of Iowa, Iowa City, IA 52242, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3774-2628","authenticated-orcid":false,"given":"Kelly K.","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Occupational and Environmental Health, University of Iowa, Iowa City, IA 52242, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,10,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1053\/j.gastro.2023.05.050","article-title":"Global Burden of Digestive Diseases: A Systematic Analysis of the Global Burden of Diseases Study, 1990\u20132019","volume":"165","author":"Wang","year":"2023","journal-title":"Gastroenterology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1172\/JCI34005","article-title":"Enteric infections, diarrhea, and their impact on function and development","volume":"118","author":"Petri","year":"2008","journal-title":"J. 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