Steve Luby, MD

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Steve Luby, MD
OU WaTER Prize Inaugural Winner
Daniele Lantagne, PEGreg Allgood, PhD
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Luby Resume

• Trained as an Internal Medicine doctor
• CDC (1990-1993)
• EIS Officer (North Carolina), Malaria Branch
• Aga Khan University, Karachi (1993-1998)
• Professor of Epidemiology
• CDC (1998-2004)
• Collaborative research with Procter Gamble
• ICDDR,B (2004-)
• 400,000 in 2004 to 5.2 million in 2007
• Published 140 peer-reviewed journals

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Changing the Dominant Paradigm( reduction in
diarrhea)

• 1992
• Hygiene (handwashing) -33
• Sanitation -36
• Water Supply -19
• Water Treatment -15

• 2004
• -42
• -24
• -23
• -39

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Seminal Lancet Handwashing Study

• Showing efficacy of handwashing
• 53 reduction of diarrhea with plain soap
• 50 reduction of pneumonia
• 34 reduction of impetigo
• No difference between plain and antibacterial
  soap
• Favourite paper in Infectious Disease, 2005
• Luby, S.P. et al. Effect of handwashing on child
  health a randomised controlled trial. Lancet.
  366 (9481) 225-33 (2005).

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Combined Interventions

• Significant data on diarrheal disease reduction
• Very little on combined interventions
• Combining hypochlorite, PuR, handwashing (percent
  reduction in diarrheal disease)
• 55 in hypochlorite neighborhoods
• 51 in handwashing neighborhoods
• 64 in PuR neighborhoods
• 55 in PuR handwashing neighborhoods
• No benefit by combining

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Selected Research Chulli Filter

• Critical evaluation
• 21 reported use
• Cost, inconvenience, mechanical problems
• Only 4/101 still using
• Stored samples indicated recomtamination
• resolve before further implementation

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Summary

• Steve is a
• Solid researcher who loves learning
• Not afraid to publish unpopular data
• Father, husband
• Astounding mentor
• A man who lives his work
• Says if you want peace, work for public health