id author title date pages extension mime words sentences flesch summary cache txt cord-325498-4yciuh1n Del Brutto, Oscar H. Incident SARS-CoV-2 Infection and a Shared Latrine 2020-07-22 .txt text/plain 649 38 55 title: Incident SARS-CoV-2 Infection and a Shared Latrine Incident SARS-CoV-2 Infection and a Shared Latrine. In a recent serosurvey, we found that the use of open latrines (instead of flushing toilet systems) was significantly associated with seropositivity to SARS-CoV-2 on lateral flowbased antibody testing (BIOHIT Health Care Ltd., Cheshire, United Kingdom), suggesting a contributory role for fecal-oral transmission of the disease, as previously proposed by others. Here, we present a cluster of incident cases of SARS-CoV-2 involving a woman who lived alone (house A), and a five-member family (house B) who were seronegative during the first survey. Two weeks after our baseline serosurvey, a 22-year-old grandson of the old woman moved into Atahualpa from Guayaquil (a heavily infected urban center), staying at her house and using the shared latrine. There were no other incident cases in the entire block, where only one person in a distant house had tested positive at baseline, and several other inhabitants of other houses remained seronegative (Figure 2, left) . ./cache/cord-325498-4yciuh1n.txt ./txt/cord-325498-4yciuh1n.txt