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Q In children who live in a low income community in the developing world, does handwashing reduce the incidence of acute respiratory infections, impetigo, and diarrhoea?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ Infectious disease ★★★★★★☆ Paediatrics ★★★★★☆☆ Public health ★★★★★☆☆
METHODS
Design:
cluster randomised controlled trial.
Allocation:
{concealed*}†.
Blinding:
unblinded.*
Follow up period:
1 year.
Setting:
adjoining squatter settlements in central Karachi, Pakistan.
Participants:
4691 children <15 years of age in 906 households in 36 neighbourhoods. Eligible households had ⩾2 children who were <15 years of age (1 of whom was <5 y). Households that had previously received a soap or water vessel intervention were excluded.
Intervention:
25 neighbourhoods (3163 children) were allocated to handwashing, and 11 neighbourhoods (1528 children) were assigned to a control group. Households within the handwashing …
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