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    Dec 09, 2019
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    Descriptive spatial analysis of the cholera epidemic 2008-2009 in Harare, Zimbabwe: a secondary data analysis.

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    Authors
    Luque Fernández, Miguel Ángel
    Mason, Peter R
    Gray, Henry
    Bauernfeind, Ariane
    Fesselet, Jean François
    Maes, Peter
    Affiliation
    Médecins Sans Frontières, Medical department (Brussels Operational Center), 94, rue Dupre, 1090 Brussels, Belgium.
    Issue Date
    2011-01
    
    Metadata
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    Journal
    Transactions of the Royal Society of Tropical Medicine and Hygiene
    Abstract
    This ecological study describes the cholera epidemic in Harare during 2008-2009 and identifies patterns that may explain transmission. Rates ratios of cholera cases by suburb were calculated by a univariate regression Poisson model and then, through an Empirical Bayes modelling, smoothed rate ratios were estimated and represented geographically. Mbare and southwest suburbs of Harare presented higher rate ratios. Suburbs attack rates ranged from 1.2 (95% Cl = 0.7-1.6) cases per 1000 people in Tynwald to 90.3 (95% Cl = 82.8-98.2) in Hopley. The identification of this spatial pattern in the spread, characterised by low risk in low density residential housing, and a higher risk in high density south west suburbs and Mbare, could be used to advocate for improving water and sanitation conditions and specific preparedness measures in the most affected areas.
    URI
    http://hdl.handle.net/10144/118765
    DOI
    10.1016/j.trstmh.2010.10.001
    PubMed ID
    21075411
    Language
    en
    ISSN
    1878-3503
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.trstmh.2010.10.001
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