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Most sewage is collected in open gutters which overflow when it rains.

Practitioners in the area were encouraged to refer patients with loose bowel movement to the outposts for stool culture.

In addition, health workers visited each household in the study site once a month to find out about illnesses, hospitalisations, and deaths.

In the absence of the household card, the ID number was retrieved from the computerised census database using the patient’s name and other identifiers.