A 4-year study of the epidemiology of Vibrio cholerae in four rural areas of Bangladesh

Sack, R. Bradley, Siddique, A. Kasem, Longini Jnr, Ira, Nizam, Azhar, Islam, M. Sirajul, Yunus, Mohammed, Morris Jnr, J. Glenn, Al, Afsar, Huq, Anwar, Nair, G. Balakrish, Qadri, Firdausi, Faruque, Shah, Sack, David and Colwell, Rita (2003) A 4-year study of the epidemiology of Vibrio cholerae in four rural areas of Bangladesh. The Journal of Infectious Diseases, 187 (1). pp. 96-101. ISSN 0022-1899

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Official URL: http://dx.doi.org/10.1086/345865

Abstract

How Vibrio cholerae spreads around the world and what determines its seasonal peaks in endemic areas are not known. These features of cholera have been hypothesized to be primarily the result of environmental factors associated with aquatic habitats that can now be identified. Since 1997, fortnightly surveillance in 4 widely separated geographic locations in Bangladesh has been performed to identify patients with cholera and to collect environmental data. A total of 5670 patients (53% <5 years of age) have been studied; 14.3% had cholera (10.4% due to V. cholerae O1 El Tor, 3.8% due to O139). Both serogroups were found in all locations; outbreaks were seasonal and often occurred simultaneously. Water-use patterns showed that bathing and washing clothes in tube-well water was significantly protective in two of the sites. These data will be correlated with environmental factors, to develop a model for prediction of cholera outbreaks.

Item Type: Article
Additional Information: Paper developed from extensive study on the epidemiology of cholera, arguably with the world’s leading scientists on this topic. Head of the Investigation unit (including Laboratory) within which the study was based. Lead authority on micro-ecological aspects.
Subjects: B900 Others in Subjects allied to Medicine
G300 Statistics
Department: Faculties > Engineering and Environment > Geography
Depositing User: EPrints Services
Date Deposited: 22 Dec 2008 15:20
Last Modified: 10 Aug 2015 11:35
URI: http://nrl.northumbria.ac.uk/id/eprint/3611

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