Evidence map›Paper›PMID 40304931›Full record

ReviewJournal of epidemiology and global health2025

Cholera in Africa: A Climate Change Crisis.

Bezawit Kassahun Bekele, Olivier Uwishema, Lydia Daniel Bisetegn, Antonia Moubarak, Mugeniwayesu Charline, Pacifique Sibomana, Chinyere Vivian Patrick Onyeaka

Abstract readReview
In one paragraph

Review in Journal of epidemiology and global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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

7 authors.

Bezawit Kassahun BekeleOli Health Magazine Organization, Research and Education, Kigali, Rwanda.
Olivier UwishemaOli Health Magazine Organization, Research and Education, Kigali, Rwanda. uwolivier1@gmail.com.ORCID http://orcid.org/0000-0002-0692-9027
Lydia Daniel BisetegnOli Health Magazine Organization, Research and Education, Kigali, Rwanda.
Antonia MoubarakOli Health Magazine Organization, Research and Education, Kigali, Rwanda.
Mugeniwayesu CharlineOli Health Magazine Organization, Research and Education, Kigali, Rwanda.
Pacifique SibomanaOli Health Magazine Organization, Research and Education, Kigali, Rwanda.
Chinyere Vivian Patrick OnyeakaEmergency Department, Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCholera, an acute diarrheal infection caused by Vibrio cholerae, remains a significant public health concern globally, with 1.4-4.0 million cases and 21,000-143,000 deaths annually. While the disease is endemic in 47 less-developed countries across Africa and Asia, the African continent has been particularly affected, with 19 of 29 countries reporting cases in 2023 being from Africa.

aimTo explore the trend of cholera outbreaks in Africa and analyze how climate change has contributed to the spread of the disease in the continent.

methodsA review of current cholera outbreaks in Africa, with particular focus on Sudan and Ethiopia as case studies, examining the relationship between climatic factors and cholera transmission.

resultsRecent outbreaks in Sudan (declared September 26, 2023) resulted in 5,414 suspected cases and 170 deaths (case fatality rate 3.1%) across nine states as of December 5, 2023. In Ethiopia's Somali region, 772 confirmed cases and 23 deaths were reported within two weeks, with approximately 80% of cases affecting children. Climate factors significantly influence cholera transmission: a 1 °C temperature rise doubled cholera cases in Zanzibar. Both drought conditions, which increase Vibrio cholerae concentration in groundwater, and heavy rainfall periods, which lead to flooding and breakdown of sanitary conditions, contribute to outbreak risks.

conclusionsClimate change impacts cholera transmission through rainfall patterns, temperature variations, and extreme weather events. Management recommendations include implementing accurate weather surveillance systems, strategic vaccination programs, flood-proof water supply infrastructure, and community engagement protocols. These interventions should be integrated while considering the growing influence of climate change on disease patterns. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

CholeraClimate ChangeDisease OutbreaksAfricaHumansAfricaCholeraCholera outbreaksClimate change

Identifiers

PMID40304931
PMCPMC12043531

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.