Risk factors for cholera transmission in Haiti during inter-peak periods: insights to improve current control strategies from two case-control studies
Authors
Grandesso, FAllan, M
Jean-Simon, P S J
Boncy, J
Blake, A
Pierre, R
Alberti, K P
Munger, A
Elder, G
Olson, D
Porten, K
Luquero, F J
Affiliation
Epicentre, Paris, France.Issue Date
2013-10-11
Metadata
Show full item recordJournal
Epidemiology and InfectionAbstract
SUMMARY Two community-based density case-control studies were performed to assess risk factors for cholera transmission during inter-peak periods of the ongoing epidemic in two Haitian urban settings, Gonaives and Carrefour. The strongest associations were: close contact with cholera patients (sharing latrines, visiting cholera patients, helping someone with diarrhoea), eating food from street vendors and washing dishes with untreated water. Protective factors were: drinking chlorinated water, receiving prevention messages via television, church or training sessions, and high household socioeconomic level. These findings suggest that, in addition to contaminated water, factors related to direct and indirect inter-human contact play an important role in cholera transmission during inter-peak periods. In order to reduce cholera transmission in Haiti intensive preventive measures such as hygiene promotion and awareness campaigns should be implemented during inter-peak lulls, when prevention activities are typically scaled back.Publisher
Cambridge University PressPubMed ID
24112364Additional Links
http://journals.cambridge.org/download.php?file=%2FHYG%2FS0950268813002562a.pdf&code=48c7a0d3dae53cd86dc05fe2f918880aLanguage
enDescription
To access this article, click on "Additional Links".ISSN
1469-4409ae974a485f413a2113503eed53cd6c53
10.1017/S0950268813002562
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