P-154. Endemic Diarrheal Pathogens during COVID-19 and Water Shortages: Analysis from Northeast Mexico

Abstract Background Diarrheal diseases affect around 1.7 billion people annually. These diseases are preventable with access to safe water, hygiene, and sanitation. Environmental factors, such as seasonal droughts, can impact their incidence. During the pandemic, gastroenteritis cases decreased significantly. We aim to analyze the impact of the pandemic and water shortages on endemic diarrheal pathogens.Trends in Gastrointestinal Pathogens Prevalence Over 6 Years of Study.Abbreviations: EAEC, Enteroaggregative Escherichia coli; EIEC, Enteroinvasive Escherichia coli; EPEC, Enteropathogenic Escherichia coli; ETEC, Enterotoxigenic Escherichia coli; STEC, Shiga toxin-producing Escherichia coli.Comparison of Gastrointestinal Pathogen Frequencies and Prevalence in Pandemic Lockdown vs. Post-Lockdown Periods Across Age Categories.Age categories: Infants,