Geographic Distribution and Mortality Risk Factors during the Cholera Outbreak in a Rural Region of Haiti, 2010-2011
Publication Date
March 26, 2015
Journal
PLOS Neglected Tropical Diseases
Authors
Anne Laure Page, Iza Ciglenecki, Ernest Robert Jasmin, Laurence Desvignes, et al
Volume
9
Issue
3
Pages
e0003605
DOI
https://dx.plos.org/10.1371/journal.pntd.0003605
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0003605
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/25811860
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4374668
Europe PMC
http://europepmc.org/abstract/MED/25811860
Web of Science
000352199400069
Scopus
84928799212
Mendeley
http://www.mendeley.com/research/geographic-distribution-mortality-risk-factors-during-cholera-outbreak-rural-region-haiti-20102011
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Mendeley | Further Information

{"title"=>"Geographic Distribution and Mortality Risk Factors during the Cholera Outbreak in a Rural Region of Haiti, 2010-2011", "type"=>"journal", "authors"=>[{"first_name"=>"Anne Laure", "last_name"=>"Page", "scopus_author_id"=>"35243300600"}, {"first_name"=>"Iza", "last_name"=>"Ciglenecki", "scopus_author_id"=>"13906928800"}, {"first_name"=>"Ernest Robert", "last_name"=>"Jasmin", "scopus_author_id"=>"56613292000"}, {"first_name"=>"Laurence", "last_name"=>"Desvignes", "scopus_author_id"=>"56613303200"}, {"first_name"=>"Francesco", "last_name"=>"Grandesso", "scopus_author_id"=>"8418158600"}, {"first_name"=>"Jonathan", "last_name"=>"Polonsky", "scopus_author_id"=>"37015639700"}, {"first_name"=>"Sarala", "last_name"=>"Nicholas", "scopus_author_id"=>"36904834700"}, {"first_name"=>"Kathryn P.", "last_name"=>"Alberti", "scopus_author_id"=>"15019137100"}, {"first_name"=>"Klaudia", "last_name"=>"Porten", "scopus_author_id"=>"22942368500"}, {"first_name"=>"Francisco J.", "last_name"=>"Luquero", "scopus_author_id"=>"23479690100"}], "year"=>2015, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"pui"=>"604101512", "sgr"=>"84928799212", "issn"=>"19352735", "pmid"=>"25811860", "scopus"=>"2-s2.0-84928799212", "doi"=>"10.1371/journal.pntd.0003605", "isbn"=>"1935-2727"}, "id"=>"6a79d39e-3642-3053-a0bb-4f7d9322bee6", "abstract"=>"BACKGROUND: In 2010 and 2011, Haiti was heavily affected by a large cholera outbreak that spread throughout the country. Although national health structure-based cholera surveillance was rapidly initiated, a substantial number of community cases might have been missed, particularly in remote areas. We conducted a community-based survey in a large rural, mountainous area across four districts of the Nord department including areas with good versus poor accessibility by road, and rapid versus delayed response to the outbreak to document the true cholera burden and assess geographic distribution and risk factors for cholera mortality.\\n\\nMETHODOLOGY/PRINCIPAL FINDINGS: A two-stage, household-based cluster survey was conducted in 138 clusters of 23 households in four districts of the Nord Department from April 22nd to May 13th 2011. A total of 3,187 households and 16,900 individuals were included in the survey, of whom 2,034 (12.0%) reported at least one episode of watery diarrhea since the beginning of the outbreak. The two more remote districts, Borgne and Pilate were most affected with attack rates up to 16.2%, and case fatality rates up to 15.2% as compared to the two more accessible districts. Care seeking was also less frequent in the more remote areas with as low as 61.6% of reported patients seeking care. Living in remote areas was found as a risk factor for mortality together with older age, greater severity of illness and not seeking care.\\n\\nCONCLUSIONS/SIGNIFICANCE: These results highlight important geographical disparities and demonstrate that the epidemic caused the highest burden both in terms of cases and deaths in the most remote areas, where up to 5% of the population may have died during the first months of the epidemic. Adapted strategies are needed to rapidly provide treatment as well as prevention measures in remote communities.", "link"=>"http://www.mendeley.com/research/geographic-distribution-mortality-risk-factors-during-cholera-outbreak-rural-region-haiti-20102011", "reader_count"=>66, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Researcher"=>13, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>5, "Student > Master"=>20, "Other"=>4, "Student > Bachelor"=>14, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Researcher"=>13, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>5, "Student > Master"=>20, "Other"=>4, "Student > Bachelor"=>14, "Lecturer"=>1, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Agricultural and Biological Sciences"=>4, "Chemistry"=>1, "Economics, Econometrics and Finance"=>1, "Engineering"=>1, "Environmental Science"=>3, "Nursing and Health Professions"=>10, "Biochemistry, Genetics and Molecular Biology"=>2, "Mathematics"=>1, "Medicine and Dentistry"=>33, "Psychology"=>1, "Social Sciences"=>4, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>33}, "Social Sciences"=>{"Social Sciences"=>4}, "Psychology"=>{"Psychology"=>1}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>4}, "Environmental Science"=>{"Environmental Science"=>3}, "Engineering"=>{"Engineering"=>1}, "Chemistry"=>{"Chemistry"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>10}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}}, "reader_count_by_country"=>{"Bangladesh"=>1, "United States"=>1}, "group_count"=>1}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1989170"], "description"=>"<p>CTC: cholera treatment center; CTU: cholera treatment unit; ORP: oral rehydration point.</p>", "links"=>[], "tags"=>["Cholera Outbreak", "case fatality rates", "Nord Department", "Rural Region", "cholera burden", "23 households", "survey", "mortality risk factors", "attack rates", "district", "prevention measures", "risk factors", "community cases", "risk factor", "May 13", "April 22", "geographic distribution", "138 clusters"], "article_id"=>1356371, "categories"=>["Biological Sciences"], "users"=>["Anne-Laure Page", "Iza Ciglenecki", "Ernest Robert Jasmin", "Laurence Desvignes", "Francesco Grandesso", "Jonathan Polonsky", "Sarala Nicholas", "Kathryn P. Alberti", "Klaudia Porten", "Francisco J. Luquero"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003605.g001", "stats"=>{"downloads"=>2, "page_views"=>43, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_districts_of_Plaisance_Pilate_Borgne_Port_Margot_and_distribution_of_cholera_treatment_structures_Nord_Department_Haiti_November_2010_March_2011_/1356371", "title"=>"The districts of Plaisance, Pilate, Borgne, Port Margot, and distribution of cholera treatment structures, Nord Department, Haiti, November 2010-March 2011.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-03-26 02:44:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/1989171"], "description"=>"<p>Number of diarrhea cases and deaths reported in the survey per week during the recall period, Nord Department, Haiti, November 2010-March 2011.</p>", "links"=>[], "tags"=>["Cholera Outbreak", "case fatality rates", "Nord Department", "Rural Region", "cholera burden", "23 households", "survey", "mortality risk factors", "attack rates", "district", "prevention measures", "risk factors", "community cases", "risk factor", "May 13", "April 22", "geographic distribution", "138 clusters"], "article_id"=>1356372, "categories"=>["Biological Sciences"], "users"=>["Anne-Laure Page", "Iza Ciglenecki", "Ernest Robert Jasmin", "Laurence Desvignes", "Francesco Grandesso", "Jonathan Polonsky", "Sarala Nicholas", "Kathryn P. Alberti", "Klaudia Porten", "Francisco J. Luquero"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003605.g002", "stats"=>{"downloads"=>2, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Number_of_diarrhea_cases_and_deaths_reported_in_the_survey_per_week_during_the_recall_period_Nord_Department_Haiti_November_2010_March_2011_/1356372", "title"=>"Number of diarrhea cases and deaths reported in the survey per week during the recall period, Nord Department, Haiti, November 2010-March 2011.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-03-26 02:44:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/1989176"], "description"=>"<p>The models were fitted in a general additive model framework using Poisson regression with smoothing splines. The spatial term was significant for the four indicators with p-values<0.001. The values on the x and y axis represent the UTM coordinates.</p>", "links"=>[], "tags"=>["Cholera Outbreak", "case fatality rates", "Nord Department", "Rural Region", "cholera burden", "23 households", "survey", "mortality risk factors", "attack rates", "district", "prevention measures", "risk factors", "community cases", "risk factor", "May 13", "April 22", "geographic distribution", "138 clusters"], "article_id"=>1356377, "categories"=>["Biological Sciences"], "users"=>["Anne-Laure Page", "Iza Ciglenecki", "Ernest Robert Jasmin", "Laurence Desvignes", "Francesco Grandesso", "Jonathan Polonsky", "Sarala Nicholas", "Kathryn P. Alberti", "Klaudia Porten", "Francisco J. Luquero"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003605.g003", "stats"=>{"downloads"=>2, "page_views"=>53, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Geographical_distribution_of_crude_mortality_rate_A_acute_watery_diarrhea_attack_rate_B_acute_watery_diarrhea_case_fatality_rate_C_health_seeking_behavior_of_acute_watery_diarrhea_case_patients_D_in_the_Nord_Department_Haiti_November_2010_March_2011_/1356377", "title"=>"Geographical distribution of crude mortality rate (A), acute watery diarrhea attack rate (B), acute watery diarrhea case-fatality rate (C), health-seeking behavior of acute watery diarrhea case-patients (D), in the Nord Department, Haiti, November 2010-March 2011.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2015-03-26 02:44:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/1989177"], "description"=>"<p>* ARR, adjusted risk ratio. Adjusted by age and sex using Plaisance as the reference district</p><p>Main indicators by district and adjusted risk ratios in Nord Department, Haiti, November 2010-March 2011.</p>", "links"=>[], "tags"=>["Cholera Outbreak", "case fatality rates", "Nord Department", "Rural Region", "cholera burden", "23 households", "survey", "mortality risk factors", "attack rates", "district", "prevention measures", "risk factors", "community cases", "risk factor", "May 13", "April 22", "geographic distribution", "138 clusters"], "article_id"=>1356378, "categories"=>["Biological Sciences"], "users"=>["Anne-Laure Page", "Iza Ciglenecki", "Ernest Robert Jasmin", "Laurence Desvignes", "Francesco Grandesso", "Jonathan Polonsky", "Sarala Nicholas", "Kathryn P. Alberti", "Klaudia Porten", "Francisco J. Luquero"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003605.t001", "stats"=>{"downloads"=>7, "page_views"=>9, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Main_indicators_by_district_and_adjusted_risk_ratios_in_Nord_Department_Haiti_November_2010_March_2011_/1356378", "title"=>"Main indicators by district and adjusted risk ratios in Nord Department, Haiti, November 2010-March 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-26 02:44:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/1989178"], "description"=>"<p>*Respondents were allowed to give more than one reason</p><p>Health-seeking behavior among all diarrhea cases versus severe cases, Nord Department, Haiti, November 2010-March 2011.</p>", "links"=>[], "tags"=>["Cholera Outbreak", "case fatality rates", "Nord Department", "Rural Region", "cholera burden", "23 households", "survey", "mortality risk factors", "attack rates", "district", "prevention measures", "risk factors", "community cases", "risk factor", "May 13", "April 22", "geographic distribution", "138 clusters"], "article_id"=>1356379, "categories"=>["Biological Sciences"], "users"=>["Anne-Laure Page", "Iza Ciglenecki", "Ernest Robert Jasmin", "Laurence Desvignes", "Francesco Grandesso", "Jonathan Polonsky", "Sarala Nicholas", "Kathryn P. Alberti", "Klaudia Porten", "Francisco J. Luquero"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003605.t002", "stats"=>{"downloads"=>8, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Health_seeking_behavior_among_all_diarrhea_cases_versus_severe_cases_Nord_Department_Haiti_November_2010_March_2011_/1356379", "title"=>"Health-seeking behavior among all diarrhea cases versus severe cases, Nord Department, Haiti, November 2010-March 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-26 02:44:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/1989179"], "description"=>"<p>Case fatality rate by district and stratified by age groups, sex, severity, mode of transport and health seeking behavior, Nord Department, Haiti, November 2010-March 2011.</p>", "links"=>[], "tags"=>["Cholera Outbreak", "case fatality rates", "Nord Department", "Rural Region", "cholera burden", "23 households", "survey", "mortality risk factors", "attack rates", "district", "prevention measures", "risk factors", "community cases", "risk factor", "May 13", "April 22", "geographic distribution", "138 clusters"], "article_id"=>1356380, "categories"=>["Biological Sciences"], "users"=>["Anne-Laure Page", "Iza Ciglenecki", "Ernest Robert Jasmin", "Laurence Desvignes", "Francesco Grandesso", "Jonathan Polonsky", "Sarala Nicholas", "Kathryn P. Alberti", "Klaudia Porten", "Francisco J. Luquero"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003605.t003", "stats"=>{"downloads"=>8, "page_views"=>47, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Case_fatality_rate_by_district_and_stratified_by_age_groups_sex_severity_mode_of_transport_and_health_seeking_behavior_Nord_Department_Haiti_November_2010_March_2011_/1356380", "title"=>"Case fatality rate by district and stratified by age groups, sex, severity, mode of transport and health seeking behavior, Nord Department, Haiti, November 2010-March 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-26 02:44:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/1989180"], "description"=>"<p>*Multivariate analysis including commune, age groups, sex, and severity</p><p>† Multivariate analysis including commune, age groups, sex, severity and health-seeking behavior</p><p>‡ Multivariate analysis including commune, age groups, sex, severity and mode of transport</p><p>Risk factor analysis for diarrhea-associated case-fatality rate Nord Department, Haiti, November 2010-March 2011.</p>", "links"=>[], "tags"=>["Cholera Outbreak", "case fatality rates", "Nord Department", "Rural Region", "cholera burden", "23 households", "survey", "mortality risk factors", "attack rates", "district", "prevention measures", "risk factors", "community cases", "risk factor", "May 13", "April 22", "geographic distribution", "138 clusters"], "article_id"=>1356381, "categories"=>["Biological Sciences"], "users"=>["Anne-Laure Page", "Iza Ciglenecki", "Ernest Robert Jasmin", "Laurence Desvignes", "Francesco Grandesso", "Jonathan Polonsky", "Sarala Nicholas", "Kathryn P. Alberti", "Klaudia Porten", "Francisco J. Luquero"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0003605.t004", "stats"=>{"downloads"=>10, "page_views"=>15, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_factor_analysis_for_diarrhea_associated_case_fatality_rate_Nord_Department_Haiti_November_2010_March_2011_/1356381", "title"=>"Risk factor analysis for diarrhea-associated case-fatality rate Nord Department, Haiti, November 2010-March 2011.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2015-03-26 02:44:48"}
  • {"files"=>["https://ndownloader.figshare.com/files/1989181", "https://ndownloader.figshare.com/files/1989182"], "description"=>"<div><p>Background</p><p>In 2010 and 2011, Haiti was heavily affected by a large cholera outbreak that spread throughout the country. Although national health structure-based cholera surveillance was rapidly initiated, a substantial number of community cases might have been missed, particularly in remote areas. We conducted a community-based survey in a large rural, mountainous area across four districts of the Nord department including areas with good versus poor accessibility by road, and rapid versus delayed response to the outbreak to document the true cholera burden and assess geographic distribution and risk factors for cholera mortality.</p><p>Methodology/Principal Findings</p><p>A two-stage, household-based cluster survey was conducted in 138 clusters of 23 households in four districts of the Nord Department from April 22<sup>nd</sup> to May 13<sup>th</sup> 2011. A total of 3,187 households and 16,900 individuals were included in the survey, of whom 2,034 (12.0%) reported at least one episode of watery diarrhea since the beginning of the outbreak. The two more remote districts, Borgne and Pilate were most affected with attack rates up to 16.2%, and case fatality rates up to 15.2% as compared to the two more accessible districts. Care seeking was also less frequent in the more remote areas with as low as 61.6% of reported patients seeking care. Living in remote areas was found as a risk factor for mortality together with older age, greater severity of illness and not seeking care.</p><p>Conclusions/Significance</p><p>These results highlight important geographical disparities and demonstrate that the epidemic caused the highest burden both in terms of cases and deaths in the most remote areas, where up to 5% of the population may have died during the first months of the epidemic. Adapted strategies are needed to rapidly provide treatment as well as prevention measures in remote communities.</p></div>", "links"=>[], "tags"=>["Cholera Outbreak", "case fatality rates", "Nord Department", "Rural Region", "cholera burden", "23 households", "survey", "mortality risk factors", "attack rates", "district", "prevention measures", "risk factors", "community cases", "risk factor", "May 13", "April 22", "geographic distribution", "138 clusters"], "article_id"=>1356382, "categories"=>["Biological Sciences"], "users"=>["Anne-Laure Page", "Iza Ciglenecki", "Ernest Robert Jasmin", "Laurence Desvignes", "Francesco Grandesso", "Jonathan Polonsky", "Sarala Nicholas", "Kathryn P. Alberti", "Klaudia Porten", "Francisco J. Luquero"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0003605.s001", "https://dx.doi.org/10.1371/journal.pntd.0003605.s002"], "stats"=>{"downloads"=>1, "page_views"=>11, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Geographic_Distribution_and_Mortality_Risk_Factors_during_the_Cholera_Outbreak_in_a_Rural_Region_of_Haiti_2010_2011_/1356382", "title"=>"Geographic Distribution and Mortality Risk Factors during the Cholera Outbreak in a Rural Region of Haiti, 2010-2011", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2015-03-26 02:44:48"}

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  • {"unique-ip"=>"33", "full-text"=>"35", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"4", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2020", "month"=>"4"}
  • {"unique-ip"=>"21", "full-text"=>"23", "pdf"=>"6", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"5"}
  • {"unique-ip"=>"15", "full-text"=>"18", "pdf"=>"7", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"1", "supp-data"=>"0", "cited-by"=>"1", "year"=>"2020", "month"=>"6"}
  • {"unique-ip"=>"11", "full-text"=>"11", "pdf"=>"0", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"7"}
  • {"unique-ip"=>"12", "full-text"=>"13", "pdf"=>"1", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"8"}
  • {"unique-ip"=>"8", "full-text"=>"8", "pdf"=>"3", "scanned-summary"=>"0", "scanned-page-browse"=>"0", "figure"=>"0", "supp-data"=>"0", "cited-by"=>"0", "year"=>"2020", "month"=>"9"}

Relative Metric

{"start_date"=>"2015-01-01T00:00:00Z", "end_date"=>"2015-12-31T00:00:00Z", "subject_areas"=>[]}
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