Literature DB >> 19762668

Impact of drainage networks on cholera outbreaks in Lusaka, Zambia.

Satoshi Sasaki1, Hiroshi Suzuki, Yasuyuki Fujino, Yoshinari Kimura, Meetwell Cheelo.   

Abstract

OBJECTIVES: We investigated the association between precipitation patterns and cholera outbreaks and the preventative roles of drainage networks against outbreaks in Lusaka, Zambia.
METHODS: We collected data on 6542 registered cholera patients in the 2003-2004 outbreak season and on 6045 cholera patients in the 2005-2006 season. Correlations between monthly cholera incidences and amount of precipitation were examined. The distribution pattern of the disease was analyzed by a kriging spatial analysis method. We analyzed cholera case distribution and spatiotemporal cluster by using 2590 cholera cases traced with a global positioning system in the 2005-2006 season. The association between drainage networks and cholera cases was analyzed with regression analysis.
RESULTS: Increased precipitation was associated with the occurrence of cholera outbreaks, and insufficient drainage networks were statistically associated with cholera incidences.
CONCLUSIONS: Insufficient coverage of drainage networks elevated the risk of cholera outbreaks. Integrated development is required to upgrade high-risk areas with sufficient infrastructure for a long-term cholera prevention strategy.

Entities:  

Mesh:

Year:  2009        PMID: 19762668      PMCID: PMC2759778          DOI: 10.2105/AJPH.2008.151076

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  28 in total

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