ArticleBMC public health2019
Descriptive epidemiology of cholera outbreak in Nigeria, January-November, 2018: implications for the global roadmap strategy.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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36 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.
- Determinants of cholera among affected population of Ethiopia: a systematic review and meta-analysis.BMC infectious diseases · 2025Pooled it
- Epidemiological analysis of a cholera outbreak in pastoral communities in the Somali region of Ethiopia.BMC public health · 2026Article
- Strengthening disaster preparedness and health security in Niger state, Nigeria through a WHO STAR-based multi-hazard risk assessment.Scientific reports · 2026Article
- Cholera outbreak investigation in Adamawa state, Nigeria, June 2021 - December 2021: An unmatched case-control study.Journal of public health in Africa · 2026Article
- Cholera in Nigeria: a five-decade review of outbreak dynamics and health system responses.Journal of health, population, and nutrition · 2025Review
- Risk factors for cholera mortality: A scoping review.Tropical medicine & international health : TM & IH · 2025Article
- Article
- Cholera Outbreak in Nigeria: History, Review of Socioeconomic and Meteorological Drivers, Diagnostic Challenges, and Artificial Intelligence Integration.Global health, epidemiology and genomics · 2025Review
- Enablers and barriers to implementing cholera interventions in Nigeria: a community-based system dynamics approach.Health policy and planning · 2024Article
- Genomic Characterization of Multidrug-Resistant Pathogenic Enteric Bacteria from Healthy Children in Osun State, Nigeria.Microorganisms · 2024Article
- Cholera outbreak trends in Nigeria: policy recommendations and innovative approaches to prevention and treatment.Frontiers in public health · 2024Article
- Resource availability and capacity to implement multi-stranded cholera interventions in the north-east region of Nigeria.BMC global and public health · 2023Article
- Cholera outbreak in some communities in North-East Nigeria, 2019: an unmatched case-control study.BMC public health · 2023Article
- Healthcare workers knowledge of cholera multi-stranded interventions and its determining factors in North-East Nigeria: planning and policy implications.Human resources for health · 2023Article
- Descriptive epidemiology of the cholera outbreak in Zimbabwe 2018-2019: role of multi-sectorial approach in cholera epidemic control.BMJ open · 2023Article
- Implementation of the Revised National Malaria Control Guidelines: Compliance and Challenges in Public Health Facilities in a Southern Nigerian State.Health services insights · 2023Article
- Emergence of colistin resistance and characterization of antimicrobial resistance and virulence factors ofPeerJ · 2023Article
- What influences slum residents' choices of healthcare providers for common illnesses? Findings of a Discrete Choice Experiment in Ibadan, Nigeria.PLOS global public health · 2023Article
- Attenuation of quorum sensing system and virulence inFrontiers in microbiology · 2023Article
- Spatial distribution of suspected and confirmed cholera cases in Mwanza City, Northern Tanzania.PLOS global public health · 2023Article
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Authors and funding
24 authors at 5 institutions in 3 countries.
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Abstract
backgroundThe cholera outbreak in 2018 in Nigeria reaffirms its public health threat to the country. Evidence on the current epidemiology of cholera required for the design and implementation of appropriate interventions towards attaining the global roadmap strategic goals for cholera elimination however seems lacking. Thus, this study aimed at addressing this gap by describing the epidemiology of the 2018 cholera outbreak in Nigeria.
methodsThis was a retrospective analysis of surveillance data collected between January 1st and November 19th, 2018. A cholera case was defined as an individual aged 2 years or older presenting with acute watery diarrhoea and severe dehydration or dying from acute watery diarrhoea. Descriptive analyses were performed and presented with respect to person, time and place using appropriate statistics.
resultsThere were 43,996 cholera cases and 836 cholera deaths across 20 states in Nigeria during the outbreak period, with an attack rate (AR) of 127.43/100,000 population and a case fatality rate (CFR) of 1.90%. Individuals aged 15 years or older (47.76%) were the most affected age group, but the proportion of affected males and females was about the same (49.00 and 51.00% respectively). The outbreak was characterised by four distinct epidemic waves, with higher number of deaths recorded in the third and fourth waves. States from the north-west and north-east regions of the country recorded the highest ARs while those from the north-central recorded the highest CFRs.
conclusionThe severity and wide-geographical distribution of cholera cases and deaths during the 2018 outbreak are indicative of an elevated burden, which was more notable in the northern region of the country. Overall, the findings reaffirm the strategic role of a multi-sectoral approach in the design and implementation of public health interventions aimed at preventing and controlling cholera in Nigeria.
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