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194 Even though there are ongoing debates as to what transformative WASH entails, some improvements have been suggested, including expanding the scope of WASH indicators beyond diarrhoeal infections and linear growth, to include other biosocial indicators such as nutrition, water and sanitation insecurity experiences, gender roles and mental health among others (appendix p

It is worth flagging early, however, that even the founding observation carried a two-sided signal: the same tripeptide that prolonged normal-cell survival also stimulated growth in neoplastic cells, a duality that anyone extrapolating to systemic use should keep in view