Abstract:
:Cholera outbreaks have occurred in Burundi, Rwanda, Democratic Republic of Congo, Tanzania, Uganda, and Kenya almost every year since 1977-1978, when the disease emerged in these countries. We used a multiscale, geographic information system-based approach to assess the link between cholera outbreaks, climate, and environmental variables. We performed time-series analyses and field investigations in the main affected areas. Results showed that cholera greatly increased during El Nino warm events (abnormally warm El Ninos) but decreased or remained stable between these events. Most epidemics occurred in a few hotspots in lakeside areas, where the weekly incidence of cholera varied by season, rainfall, fluctuations of plankton, and fishing activities. During lull periods, persistence of cholera was explained by outbreak dynamics, which suggested a metapopulation pattern, and by endemic foci around the lakes. These links between cholera outbreaks, climate, and lake environments need additional, multidisciplinary study.
journal_name
Emerg Infect Disjournal_title
Emerging infectious diseasesauthors
Bompangue Nkoko D,Giraudoux P,Plisnier PD,Tinda AM,Piarroux M,Sudre B,Horion S,Tamfum JJ,Ilunga BK,Piarroux Rdoi
10.3201/eid1711.110170subject
Has Abstractpub_date
2011-11-01 00:00:00pages
2026-34issue
11eissn
1080-6040issn
1080-6059journal_volume
17pub_type
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