Publications

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Micro-hotspots of Risk in Urban Cholera Epidemics

  • 2018/05/11
Type de publication
  • Articles
Auteurs
  • Azman AS; Luquero FJ; Salje H; Naibei Mbaïbardoum N; Adalbert N; Ali M; Bertuzzo E; Finger F; Toure B; Massing LA; Ramazani R; Saga B; Allan M2; Olson D; Leglise J; Porten K; Lessler J
Thèmes
  • Maladies diarrhéiques
 
Targeted interventions have been delivered to neighbors of cholera cases in major epidemic responses globally despite limited evidence for the impact of such targeting. Using data from urban epidemics in Chad and D.R. Congo we estimate the extent of spatiotemporal zones of increased cholera risk around cases. In both cities, we found zones of increased risk of at least 200-meters during the 5-days immediately following case presentation to a clinic. Risk was highest for those living closest to cases and diminished in time and space similarly across settings. These results provide a rational basis for rapidly delivering targeting interventions.