Modalities and preferred routes of geographic spread of cholera from endemic areas in eastern Democratic Republic of the Congo.

ABSTRACT: Cholera is endemic along the Great Lakes Region, in eastern Democratic Republic of the Congo (DRC). From these endemic areas, also under perpetual conflicts, outbreaks spread to other areas. However, the main routes of propagation remain unclear. This research aimed to explore the modalities and likely main routes of geographic spread of cholera from endemic areas in eastern DRC. We used historical reconstruction of major outbreak expansions of cholera since its introduction in eastern DRC, maps of distribution and spatiotemporal cluster detection analyses of cholera data from passive surveillance (2000-2017) to describe the spread dynamics of cholera from eastern DRC. Four modalities of geographic spread and their likely main routes from the source areas of epidemics to other areas were i

SUBMITTER: Kayembe HCN 

PROVIDER: S-EPMC8820636 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature