Association between Conflict and Cholera in Nigeria and the Democratic Republic of the Congo
Cholera outbreaks contribute substantially to illness and death in low- and middle-income countries. Cholera outbreaks are associated with several social and environmental risk factors, and extreme conditions can act as catalysts. A social extreme known to be associated with infectious disease outbreaks is conflict, causing disruption to services, loss of income, and displacement. To determine the extent of this association, we used the self-controlled case-series method and found that conflict increased the risk for cholera in Nigeria by 3.6 times and in the Democratic Republic of the Congo by 2.6 times. We also found that 19.7% of cholera outbreaks in Nigeria and 12.3% of outbreaks in the Democratic Republic of the Congo were attributable to conflict. Our results highlight the value of providing rapid and sufficient assistance during conflict-associated cholera outbreaks and working toward conflict resolution and addressing preexisting vulnerabilities, such as poverty and access to healthcare.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:28 |
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| Enthalten in: |
Emerging infectious diseases - 28(2022), 12 vom: 20. Dez., Seite 2472-2481 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Charnley, Gina E C [VerfasserIn] |
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| Links: |
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| Themen: |
Bacteria |
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| Anmerkungen: |
Date Completed 25.11.2022 Date Revised 16.12.2022 published: Print Citation Status MEDLINE |
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| doi: |
10.3201/eid2812.212398 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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NLM349310300 |
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| 520 | |a Cholera outbreaks contribute substantially to illness and death in low- and middle-income countries. Cholera outbreaks are associated with several social and environmental risk factors, and extreme conditions can act as catalysts. A social extreme known to be associated with infectious disease outbreaks is conflict, causing disruption to services, loss of income, and displacement. To determine the extent of this association, we used the self-controlled case-series method and found that conflict increased the risk for cholera in Nigeria by 3.6 times and in the Democratic Republic of the Congo by 2.6 times. We also found that 19.7% of cholera outbreaks in Nigeria and 12.3% of outbreaks in the Democratic Republic of the Congo were attributable to conflict. Our results highlight the value of providing rapid and sufficient assistance during conflict-associated cholera outbreaks and working toward conflict resolution and addressing preexisting vulnerabilities, such as poverty and access to healthcare | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Democratic Republic of the Congo | |
| 650 | 4 | |a Nigeria | |
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| 650 | 4 | |a cholera | |
| 650 | 4 | |a conflicts | |
| 650 | 4 | |a disease outbreaks | |
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a public health | |
| 650 | 4 | |a vibrio cholerae | |
| 700 | 1 | |a Jean, Kévin |e verfasserin |4 aut | |
| 700 | 1 | |a Kelman, Ilan |e verfasserin |4 aut | |
| 700 | 1 | |a Gaythorpe, Katy A M |e verfasserin |4 aut | |
| 700 | 1 | |a Murray, Kris A |e verfasserin |4 aut | |
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