@article{niven_clark_floess_chirwa_matekenya_budden_cadono_chavula_chisamanga_dzinkambani_et al._2026, title={Associations between Water Supply Interruptions and Water Use, Drinking Water Quality, Child Health, and Caregiver Stress in Peri-Urban Malawi}, volume={1}, DOI={10.1021/acs.est.5c08820}, abstractNote={Interrupted water supplies contribute to water insecurity, water quality risks, diarrhea, and stress; other risks (acute respiratory infections (ARIs), antibiotic use, antimicrobial resistance) remain unquantified. We assessed associations between water interruptions and various outcomes. Among 237 households in Malawi, we conducted a cross-sectional questionnaire and tested drinking water for generic and cefotaxime-resistant <i>Escherichia coli</i> (CREC). Water interruptions in the past month were reported by 32.5% of households; interruptions were unpredictable and more common in piped supplies. Households with interruptions were 3-5 times more likely to be water-insecure, skip laundry and handwashing after handling animal feces (<i>p</i>-values < 0.05). Most water samples came from storage, and 65.7% harbored <i>E. coli</i> and 8.4% harbored CREC; households with vs without interruptions had similar fecal contamination. Children <5 years experiencing interruptions had increased caregiver-defined diarrhea (prevalence ratio [PR] = 1.85, 1.02-3.37) and ARI with fever (PR = 1.98, 1.09-3.57). Rare (1-2/month) interruptions were associated with diarrhea and antibiotic use; frequent (≥3/month) or long (above-median duration) interruptions with ARI. Frequent or short interruptions were associated with stress. Our findings highlight respiratory risks from water interruptions and suggest that interruption frequency and duration may influence enteric vs respiratory pathogen transmission through distinct mechanisms. Prospective studies should validate these associations and evaluate mitigation strategies.}, journal={Environmental Science & Technology}, author={Niven, Caitlin G. and Clark, Benjamin and Floess, Emily and Chirwa, Blessings and Matekenya, Monica and Budden, Emma and Cadono, Stella and Chavula, John and Chisamanga, Victor and Dzinkambani, Aubrey and et al.}, year={2026}, month={Jan} }
 @article{warren_barrett_graves_clark_kays_anderson_harris_turner_2026, title={Genetic relatedness of <i>Clostridioides difficile</i> isolates from wastewater and clinical cases at a community hospital}, volume={1}, url={https://doi.org/10.1017/ice.2025.10387}, DOI={10.1017/ice.2025.10387}, journal={Infection Control and Hospital Epidemiology}, author={Warren, Bobby Glenn and Barrett, Aaron and Graves, Amanda and Clark, Benjamin and Kays, Judith and Anderson, Deverick and Harris, Angela and Turner, Nicholas}, year={2026}, month={Jan} }