Evidence map›Paper›PMID 39855337›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2025

Multistate cholera outbreak in Sudan amid ongoing armed conflict, 2023-2024.

Hassan El-Bushra, Ahmad Izzoddeen, Ahmed Haroun, Eymanne ElBushra, Hafsa Abualgasim, Mazza Abasher, Ali Abolgassim, ElFadil Mahmoud, Muntasir M Osman, Ruba Al-Souri and 2 more

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
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  7. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Hassan El-BushraConsultant Epidemiologist, Health Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan.
Ahmad IzzoddeenHealth Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan; Sudan Field Epidemiology Training Program, Federal Ministry of Health, Khartoum, Khartoum State, Sudan. Electronic address: ahmadizzoddeen@gmail.ciom.
Ahmed HarounEmergency and Humanitarian Assistance Department, World Health Organization Country Office, Khartoum, Khartoum State, Sudan.
Eymanne ElBushraMedical Education Development Centre, Sudan Medical Specialization Board, Khartoum, Khartoum State, Sudan.
Hafsa AbualgasimHealth Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan.
Mazza AbasherHealth Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan.
Ali AbolgassimHealth Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan.
ElFadil MahmoudHealth Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan.
Muntasir M OsmanHealth Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan; Sudan Field Epidemiology Training Program, Federal Ministry of Health, Khartoum, Khartoum State, Sudan.
Ruba Al-SouriPublic Health Emergency Department, Eastern Mediterranean Public Health Network Amman, Amman, Jordan.
Haitham BashierPublic Health Emergency Department, Eastern Mediterranean Public Health Network Amman, Amman, Jordan.
Yousef KhaderPublic Health Emergency Department, Eastern Mediterranean Public Health Network Amman, Amman, Jordan.

Funding

World Health Organization 001
6 · The paper itself

Abstract

backgroundIn 2023, Sudan experienced a major cholera outbreak affecting 10 states amidst armed conflict that severely disrupted health services.

objectivesThis study aimed to describe the magnitude and pattern of the cholera outbreak in Sudan amidst the armed conflict and provide timely insights.

methodsThis was a retrospective record-based descriptive (cross-sectional) study. The study used surveillance data available at the national level (from August 2023 - February 2024). Epidemiological measurements were calculated, and data were analysed using Epi Info 7 software.

resultsA total of 9,581 cases were reported in 10 states (with an overall attack rate (AR) of 3.5/10,000 people) and 238 reported deaths (with a crude case fatality ratio (CFR) of 2.48%). There was an observable variation in AR and CFR between the states. The duration of the outbreak varied across states, ranging from 4 to 18 weeks.

conclusionsCholera caused significant mortality and morbidity, facilitated by conflict. To better address recurrent cholera and the challenges imposed by conflict, health authorities need to invest in communities through strengthening engagement, rising awareness and adopting community-based preparedness and response strategies. In addition, ensuring the readiness of the primary healthcare level requires training for healthcare workers and maintaining the flow of supplies.

Indexed as

Armed ConflictsCholeraDisease OutbreaksAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleMiddle AgedRetrospective StudiesSudanYoung AdultCholeraIDPOutbreakRisk factors, Armed conflictSudan

Identifiers

PMID39855337
PMCPMC11910341

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.