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The Epidemiology of Cholera in Zanzibar: Implications for the Zanzibar Comprehensive Cholera Elimination Plan.


ABSTRACT:

Background

Cholera poses a public health and economic threat to Zanzibar. Detailed epidemiologic analyses are needed to inform a multisectoral cholera elimination plan currently under development.

Methods

We collated passive surveillance data from 1997 to 2017 and calculated the outbreak-specific and cumulative incidence of suspected cholera per shehia (neighborhood). We explored the variability in shehia-specific relative cholera risk and explored the predictive power of targeting intervention at shehias based on historical incidence. Using flexible regression models, we estimated cholera's seasonality and the relationship between rainfall and cholera transmission.

Results

From 1997 and 2017, 11921 suspected cholera cases were reported across 87% of Zanzibar's shehia

SUBMITTER: Bi Q 

PROVIDER: S-EPMC6188561 | biostudies-literature | 2018 Oct

REPOSITORIES: biostudies-literature