2016
DOI: 10.1016/j.epidem.2015.08.001
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High-resolution spatial analysis of cholera patients reported in Artibonite department, Haiti in 2010–2011

Abstract: These findings demonstrate the value of high-resolution mapping for pinpointing locations most affected by cholera, and in the future could help prioritize the places in need of interventions such as improvement of sanitation and vaccination. The findings also describe spatio-temporal transmission patterns of the epidemic in a cholera-naïve country such as Haiti. By identifying transmission hubs, it is possible to target prevention strategies that, over time, could reduce transmission of the disease and eventu… Show more

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Cited by 10 publications
(14 citation statements)
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“…The cholera epidemic quickly propagated from the Centre and Artibonite departments, with rapid transmission country wide over several weeks in October-November 2010 (Gaudart et al, 2013;Blackburn et al, 2014;Allan et al, 2016). Not only was the Artibonite department among the first hit, it also continues to be one of the most affected.…”
Section: Introductionmentioning
confidence: 99%
“…The cholera epidemic quickly propagated from the Centre and Artibonite departments, with rapid transmission country wide over several weeks in October-November 2010 (Gaudart et al, 2013;Blackburn et al, 2014;Allan et al, 2016). Not only was the Artibonite department among the first hit, it also continues to be one of the most affected.…”
Section: Introductionmentioning
confidence: 99%
“…For example, while ensuring geographic proximity to cases is straightforward in the community, it may be more challenging to obtain accurate residence locations for patients recruited from a health center. Given that temporal spatial characteristics can determine vaccine uptake and cholera,(28,29) failure to adjust for these variables may bias results. In the present test-negative analyses, we adjusted for age but were unable to precisely control for area of residence or calendar time (because there were months in which a non-cholera diarrhea case was enrolled but a cholera case was not enrolled).…”
Section: Discussionmentioning
confidence: 99%
“…The mountainous eastern areas ... are prone to both, as sanitation conditions are extremely poor and the topography increases the risk of transmission through runoff." [3] Departments in Haiti vary in population and poverty levels. [1, Table 2] "Considering its high population density and poor sanitation, there is a high risk for continued cholera transmission in [the vast Artibonite estuary]. "…”
Section: Data Collection and Choices Of Model And Parametersmentioning
confidence: 99%
“…[1, Table 2] "Considering its high population density and poor sanitation, there is a high risk for continued cholera transmission in [the vast Artibonite estuary]. " [3] (Multiple maps are also included in [3].) Notice how intimately linked the modeling process is to inequities.…”
Section: Data Collection and Choices Of Model And Parametersmentioning
confidence: 99%
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