Cholera hotspots and surveillance constraints contributing to recurrent epidemics in Tanzania
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Cholera hotspots and surveillance constraints contributing to recurrent epidemics in Tanzania. / Hounmanou, Yaovi M. G.; Mølbak, Kåre; Kähler, Jonas; Mdegela, Robinson H.; Olsen, John E.; Dalsgaard, Anders.
In: BMC Research Notes, Vol. 12, 664, 2019.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Cholera hotspots and surveillance constraints contributing to recurrent epidemics in Tanzania
AU - Hounmanou, Yaovi M. G.
AU - Mølbak, Kåre
AU - Kähler, Jonas
AU - Mdegela, Robinson H.
AU - Olsen, John E.
AU - Dalsgaard, Anders
PY - 2019
Y1 - 2019
N2 - ObjectiveWe described the dynamics of cholera in Tanzania between 2007 and 2017 and assessed the weaknesses of the current surveillance system in providing necessary data in achieving the global roadmap to 2030 for cholera control.ResultsThe Poisson-based spatial scan identified cholera hotspots in mainland Tanzania. A zero-inflated Poisson regression investigated the relationship between the incidence of cholera and available demographic, socio-economic and climatic exposure variables. Four cholera hotspots were detected covering 17 regions, home to 28 million people, including the central regions and those surrounding the Lakes Victoria, Tanganyika and Nyaza. The risk of experiencing cholera in these regions was up to 2.9 times higher than elsewhere in the country. Regression analyses revealed that every 100 km of water perimeter in a region increased the cholera incidence by 1.5%. Due to the compilation of surveillance data at regional level rather than at district, we were unable to reliably identify any other significant risk factors and specific hotspots. Cholera high-risk populations in Tanzania include those living near lakes and central regions. Successful surveillance require disaggregated data available weekly and at district levels in order to serve as data for action to support the roadmap for cholera control.
AB - ObjectiveWe described the dynamics of cholera in Tanzania between 2007 and 2017 and assessed the weaknesses of the current surveillance system in providing necessary data in achieving the global roadmap to 2030 for cholera control.ResultsThe Poisson-based spatial scan identified cholera hotspots in mainland Tanzania. A zero-inflated Poisson regression investigated the relationship between the incidence of cholera and available demographic, socio-economic and climatic exposure variables. Four cholera hotspots were detected covering 17 regions, home to 28 million people, including the central regions and those surrounding the Lakes Victoria, Tanganyika and Nyaza. The risk of experiencing cholera in these regions was up to 2.9 times higher than elsewhere in the country. Regression analyses revealed that every 100 km of water perimeter in a region increased the cholera incidence by 1.5%. Due to the compilation of surveillance data at regional level rather than at district, we were unable to reliably identify any other significant risk factors and specific hotspots. Cholera high-risk populations in Tanzania include those living near lakes and central regions. Successful surveillance require disaggregated data available weekly and at district levels in order to serve as data for action to support the roadmap for cholera control.
U2 - 10.1186/s13104-019-4731-0
DO - 10.1186/s13104-019-4731-0
M3 - Journal article
C2 - 31639037
VL - 12
JO - BMC Research Notes
JF - BMC Research Notes
SN - 1756-0500
M1 - 664
ER -
ID: 229063396