ArticlePLoS neglected tropical diseases2018
Dynamics of cholera epidemics from Benin to Mauritania.
Article in PLoS neglected tropical diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Cholera Outbreaks in India, 2011-2020: A Systematic Review.International journal of environmental research and public health · 2022Pooled it
- Geographical shifting of cholera burden in Africa and its implications for disease control.Nature medicine · 2025Article
- Climate Change and Cascading Risks from Infectious Disease.Infectious diseases and therapy · 2022Review
- The seasonality of cholera in sub-Saharan Africa: a statistical modelling study.The Lancet. Global health · 2022Article
- Phylogenetic and antimicrobial drug resistance analysis ofMicrobial genomics · 2021Article
- An approach to integrate population mobility patterns and sociocultural factors in communicable disease preparedness and response.Humanities & social sciences communications · 2021Article
- Risk Factors for Epidemic Cholera in Lusaka, Zambia-2017.The American journal of tropical medicine and hygiene · 2020Article
- Description of the targeted water supply and hygiene response strategy implemented during the cholera outbreak of 2017-2018 in Kinshasa, DRC.BMC infectious diseases · 2020Article
- Article
- A molecular and epidemiological study of Vibrio cholerae isolates from cholera outbreaks in southern Ghana.PloS one · 2020Article
- Cholera.Current epidemiology reports · 2018Article
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Authors and funding
22 authors at 12 institutions in 5 countries.
Funding
Abstract
backgroundThe countries of West Africa are largely portrayed as cholera endemic, although the dynamics of outbreaks in this region of Africa remain largely unclear. METHODOLOGY/PRINCIPAL
findingsTo understand the dynamics of cholera in a major portion of West Africa, we analyzed cholera epidemics from 2009 to 2015 from Benin to Mauritania. We conducted a series of field visits as well as multilocus variable tandem repeat analysis and whole-genome sequencing analysis of V. cholerae isolates throughout the study region. During this period, Ghana accounted for 52% of the reported cases in the entire study region (coastal countries from Benin to Mauritania). From 2009 to 2015, we found that one major wave of cholera outbreaks spread from Accra in 2011 northwestward to Sierra Leone and Guinea in 2012. Molecular epidemiology analysis confirmed that the 2011 Ghanaian isolates were related to those that seeded the 2012 epidemics in Guinea and Sierra Leone. Interestingly, we found that many countries deemed "cholera endemic" actually suffered very few outbreaks, with multi-year lulls. CONCLUSIONS/SIGNIFICANCE: This study provides the first cohesive vision of the dynamics of cholera epidemics in a major portion of West Africa. This epidemiological overview shows that from 2009 to 2015, at least 54% of reported cases concerned populations living in the three urban areas of Accra, Freetown, and Conakry. These findings may serve as a guide to better target cholera prevention and control efforts in the identified cholera hotspots in West Africa.
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