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      Operationalising a One Health approach to reduce the infection and antimicrobial resistance (AMR) burden in under-5 year old urban slum dwellers: The Childhood Infections and Pollution (CHIP) Consortium

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          Abstract

          The WHO advocates the use of a One Health approach to address antimicrobial resistance (AMR), focusing on integrating human, animal and environmental health factors. Nevertheless, there is a dearth of AMR research investigating the complexity of down and upstream factors across the One Health spectrum, especially in resource-deprived settings. The Childhood Infections and Pollution Consortium (CHIP) 1 was designed to reduce the burden of childhood infections and AMR in urban slums, particularly in low-and middle-income countries, using One Health and technology-enabled Citizen Science approaches. Currently operationalized in three countries; India, Indonesia and Chile; CHIP is composed of interdisciplinary academics, healthcare professionals, veterinarians, international and local non-governmental organisations, current and former policymakers, local artists and community champions, amongst others. The CHIP Consortium invites collaborations for evidence-driven research, targeted investment and co-development of interventions in slums. We will host our third annual consortium workshop in Hong Kong in 2021 to build on our current work and explore new avenues to tackle childhood infections and AMR.

          Highlights

          • The Childhood Infections and Pollution (CHIP) Consortium

          • To reduce the burden of infection and AMR in children under 5 living in urban slum

          • Collaborations with community members, public and private sector actors

          • One Health and technology enabled citizen science approaches

          • Sustainable Development Goals (SDGs) 2, 3, 4, 5, 6, 7, 9, 13 & 16.

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          Most cited references6

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          The World Health Organization Global Action Plan for antimicrobial resistance

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            Water, Sanitation, and Hygiene: Linkages with Stunting in Rural Ethiopia

            Stunting is a global burden affecting nearly 160 million children younger than five years of age. Whilst the linkages between nutrition and stunting are well recognized, there is a need to explore environmental factors such as water and sanitation, which may influence feeding practices and result in potential infection pathways. This paper explores the linkages between stunting and water, sanitation and hygiene (WASH) factors in Ethiopia, which is a relatively understudied context. The research draws upon baseline data for children under the age of five from 3200 households across four regions in Ethiopia as part of a wider study and integrated program led by the United Nations Children’s Fund (UNICEF). Using World Health Organization (WHO) z-scoring, the average stunting rate in the sample is 47.5%. This paper also takes into account demographic and social behavioural factors such as the age, gender of children, and gender of the primary caregiver, in addition to handwashing behaviour and drinking water facilities. The evidence recommends efforts to improve handwashing behaviour for mothers and children with a focus on access to clean water. Higher stunting rates with an increase in the age of children highlight the need for continued interventions, as efforts to improve nutrition and WASH behaviours are most effective early on in promoting long-term health outcomes for children.
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              Slum Real Estate: The Low-Quality High-Price Puzzle in Nairobi’s Slum Rental Market and its Implications for Theory and Practice

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                Author and article information

                Contributors
                Journal
                One Health
                One Health
                One Health
                Elsevier
                2352-7714
                27 May 2020
                December 2020
                27 May 2020
                : 10
                : 100144
                Affiliations
                [a ]Aceso Global Health Consultants Limited, London, UK
                [b ]Population, Policy and Practice Department, UCL Great Ormond Street Institute of Child Health, London, UK
                [c ]Department of Epidemiology and Public Health, University College London Institute of Epidemiology and Health Care, London, UK
                [d ]School of Medicine, The University of Manchester, Manchester, UK
                [e ]Engineering for International Development Centre, Civil Environmental and Geomatic Engineering, University College of London, UK
                [f ]Whittington Health NHS Trust, London, UK
                Author notes
                [* ]Corresponding author at: Aceso Global Health Consultants Ltd., 3 Abbey Terrace, London, SE2 9EY, United Kingdom. logan.manikam@ 123456acesoghc.com
                Article
                S2352-7714(20)30144-0 100144
                10.1016/j.onehlt.2020.100144
                7272496
                32518814
                aba04238-6202-453d-a7b6-c018a2223e7f
                © 2020 The Authors. Published by Elsevier B.V.

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 6 May 2020
                : 24 May 2020
                : 24 May 2020
                Categories
                Article

                one health,slums,antimicrobial resistance,infectious diseases,pollution,child health

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