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    Apr 22, 2021
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    Risk factors for cholera transmission in Haiti during inter-peak periods: insights to improve current control strategies from two case-control studies

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    Authors
    Grandesso, F
    Allan, 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
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    Affiliation
    Epicentre, Paris, France.
    Issue Date
    2013-10-11
    
    Metadata
    Show full item record
    Journal
    Epidemiology and Infection
    Abstract
    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 Press
    URI
    http://hdl.handle.net/10144/315925
    DOI
    10.1017/S0950268813002562
    PubMed ID
    24112364
    Additional Links
    http://journals.cambridge.org/download.php?file=%2FHYG%2FS0950268813002562a.pdf&code=48c7a0d3dae53cd86dc05fe2f918880a
    Language
    en
    Description
    To access this article, click on "Additional Links".
    ISSN
    1469-4409
    ae974a485f413a2113503eed53cd6c53
    10.1017/S0950268813002562
    Scopus Count
    Collections
    Water/Sanitation

    entitlement

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