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Population vulnerability to biannual cholera outbreaks and associated macro-scale drivers in the Bengal Delta.
Akanda, Ali Shafqat; Jutla, Antarpreet S; Gute, David M; Sack, R Bradley; Alam, Munirul; Huq, Anwar; Colwell, Rita R; Islam, Shafiqul.
Afiliación
  • Akanda AS; Department of Civil and Environmental Engineering, University of Rhode Island, Kingston, Rhode Island; Civil and Environmental Engineering, West Virginia University, Morgantown, West Virginia; Department of Civil and Environmental Engineering, and Water Diplomacy, Fletcher School of Law and Diplomacy, Tufts University, Medford, Massachusetts; Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland; International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh;
Am J Trop Med Hyg ; 89(5): 950-9, 2013 Nov.
Article en En | MEDLINE | ID: mdl-24019441
The highly populated floodplains of the Bengal Delta have a long history of endemic and epidemic cholera outbreaks, both coastal and inland. Previous studies have not addressed the spatio-temporal dynamics of population vulnerability related to the influence of underlying large-scale processes. We analyzed spatial and temporal variability of cholera incidence across six surveillance sites in the Bengal Delta and their association with regional hydroclimatic and environmental drivers. More specifically, we use salinity and flood inundation modeling across the vulnerable districts of Bangladesh to test earlier proposed hypotheses on the role of these environmental variables. Our results show strong influence of seasonal and interannual variability in estuarine salinity on spring outbreaks and inland flooding on fall outbreaks. A large segment of the population in the Bengal Delta floodplains remain vulnerable to these biannual cholera transmission mechanisms that provide ecologic and environmental conditions for outbreaks over large geographic regions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cólera / Brotes de Enfermedades Tipo de estudio: Incidence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Am J Trop Med Hyg Año: 2013 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cólera / Brotes de Enfermedades Tipo de estudio: Incidence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Límite: Humans País/Región como asunto: Asia Idioma: En Revista: Am J Trop Med Hyg Año: 2013 Tipo del documento: Article Pais de publicación: Estados Unidos