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    Contrasting Epidemiology of Cholera in Bangladesh and Africa.

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    Author
    Sack, David A
    Debes, Amanda K
    Ateudjieu, Jerome
    Bwire, Godfrey
    Ali, Mohammad
    Ngwa, Moise Chi
    Mwaba, John
    Chilengi, Roma
    Orach, Christopher C
    Boru, Waqo
    Mohamed, Ahmed Abade
    Ram, Malathi
    George, Christine Marie
    Stine, O Colin
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    Date
    2021-12
    Journal
    Journal of Infectious Diseases
    Publisher
    Oxford University Press
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1093/infdis/jiab440
    http://www.ncbi.nlm.nih.gov/pmc/articles/pmc8687066/
    Sponsors
    In Bangladesh and West Bengal cholera is seasonal, transmission occurs consistently annually. By contrast, in most African countries, cholera has inconsistent seasonal patterns and long periods without obvious transmission. Transmission patterns in Africa occur during intermittent outbreaks followed by elimination of that genetic lineage. Later another outbreak may occur because of reintroduction of new or evolved lineages from adjacent areas, often by human travelers. These then subsequently undergo subsequent elimination. The frequent elimination and reintroduction has several implications when planning for cholera's elimination including: a) reconsidering concepts of definition of elimination, b) stress on rapid detection and response to outbreaks, c) more effective use of oral cholera vaccine and WASH, d) need to readjust estimates of disease burden for Africa, e) re-examination of water as a reservoir for maintaining endemicity in Africa. This paper reviews major features of cholera's epidemiology in African countries which appear different from the Ganges Delta. © The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America.
    Rights/Terms
    © The Author(s) 2021. Published by Oxford University Press for the Infectious Diseases Society of America.
    Keyword
    Africa
    Bangladesh
    Cameroon
    Uganda
    cholera
    emergencies GTFCC
    epidemiology
    refugee
    roadmap
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/17763
    ae974a485f413a2113503eed53cd6c53
    10.1093/infdis/jiab440
    Scopus Count
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