“…Globally, fishing carries occupational health hazards, including accidents, injuries, chronic physical problems, lifestyle factors, and exposure to contaminants affecting the people associated with fishing and their communities (Woodhead et al, 2018), but occupational health issues related to basic access to toilets and safe drinking water are not often considered. The existing literature on small-scale fishers' occupational mobility focuses on ocean-based operations (Aburto et al, 2009;Crona & Rosendo, 2011;Binet et al, 2012;Wanyonyi et al, 2016), with limited research on freshwater lakes (Nunan, 2010;Nunan et al, 2012). However, the African Great Lakes are known to have waterborne disease outbreaks, such as the spread of cholera in water stemming from poor access to water, sanitation, and hygiene, in their shoreline fishing communities (Oguttu et al, 2017;Kaponda et al, 2019).…”