Sanitation is inadequate in most cities in developing countries, with major effects on infectious disease burden: in this situation, is piped sewerage an appropriate solution, or should efforts focus on systems based on onsite solutions, such as latrines? We reviewed the effects of the presence of sewerage systems on diarrhoeal disease and related outcomes. We included only observational studies because so far there have been no randomised controlled trials.
This research output has an Altmetric Attention Score of 19. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 09 December 2025.
All research outputs
#2,509,397
of 34,526,284 outputs
Outputs from Lancet Infectious Diseases
#2,645
of 7,203 outputs
Outputs of similar age
#8,970
of 151,303 outputs
Outputs of similar age from Lancet Infectious Diseases
#6
of 34 outputs
Altmetric has tracked 34,526,284 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 92nd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 7,203 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 85.0. This one has gotten more attention than average, scoring higher than 63% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 151,303 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 94% of its contemporaries.
We're also able to compare this research output to 34 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 79% of its contemporaries.
