Identification of burden hotspots and risk factors for cholera in India: An observational study
Publication Date
August 24, 2017
Authors
Mohammad Ali, Sanjukta Sen Gupta, Nisha Arora, Pradeep Khasnobis, et al
Volume
12
Issue
8
Pages
e0183100
DOI
https://dx.plos.org/10.1371/journal.pone.0183100
Publisher URL
http://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0183100
Scopus
85028412342
Mendeley
http://www.mendeley.com/research/identification-burden-hotspots-risk-factors-cholera-india-observational-study
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Mendeley | Further Information

{"title"=>"Identification of burden hotspots and risk factors for cholera in India: An observational study", "type"=>"journal", "authors"=>[{"first_name"=>"Mohammad", "last_name"=>"Ali", "scopus_author_id"=>"57199279277"}, {"first_name"=>"Sanjukta Sen", "last_name"=>"Gupta", "scopus_author_id"=>"7408322663"}, {"first_name"=>"Nisha", "last_name"=>"Arora", "scopus_author_id"=>"57195484594"}, {"first_name"=>"Pradeep", "last_name"=>"Khasnobis", "scopus_author_id"=>"57195488808"}, {"first_name"=>"Srinivas", "last_name"=>"Venkatesh", "scopus_author_id"=>"56511265200"}, {"first_name"=>"Dipika", "last_name"=>"Sur", "scopus_author_id"=>"7003718515"}, {"first_name"=>"Gopinath B.", "last_name"=>"Nair", "scopus_author_id"=>"7201482255"}, {"first_name"=>"David A.", "last_name"=>"Sack", "scopus_author_id"=>"7103173547"}, {"first_name"=>"Nirmal K.", "last_name"=>"Ganguly", "scopus_author_id"=>"35392675700"}], "year"=>2017, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "doi"=>"10.1371/journal.pone.0183100", "sgr"=>"85028412342", "scopus"=>"2-s2.0-85028412342", "isbn"=>"1111111111", "pmid"=>"28837645", "pui"=>"617960595"}, "id"=>"9a3c1fee-dfa5-3149-9ad7-8bba245f2907", "abstract"=>"BACKGROUND Even though cholera has existed for centuries and many parts of the country have sporadic, endemic and epidemic cholera, it is still an under-recognized health problem in India. A Cholera Expert Group in the country was established to gather evidence and to prepare a road map for control of cholera in India. This paper identifies cholera burden hotspots and factors associated with an increased risk of the disease. METHODOLOGY/PRINCIPLE FINDINGS We acquired district level data on cholera case reports of 2010-2015 from the Integrated Disease Surveillance Program. Socioeconomic characteristics and coverage of water and sanitation was obtained from the 2011 census. Spatial analysis was performed to identify cholera hotspots, and a zero-inflated Poisson regression was employed to identify the factors associated with cholera and predicted case count in the district. 27,615 cholera cases were reported during the 6-year period. Twenty-four of 36 states of India reported cholera during these years, and 13 states were classified as endemic. Of 641 districts, 78 districts in 15 states were identified as \"hotspots\" based on the reported cases. On the other hand, 111 districts in nine states were identified as \"hotspots\" from model-based predicted number of cases. The risk for cholera in a district was negatively associated with the coverage of literate persons, households using treated water source and owning mobile telephone, and positively associated with the coverage of poor sanitation and drainage conditions and urbanization level in the district. CONCLUSIONS/SIGNIFICANCE The study reaffirms that cholera continues to occur throughout a large part of India and identifies the burden hotspots and risk factors. Policymakers may use the findings of the article to develop a roadmap for prevention and control of cholera in India.", "link"=>"http://www.mendeley.com/research/identification-burden-hotspots-risk-factors-cholera-india-observational-study", "reader_count"=>26, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>2, "Student > Master"=>2, "Student > Bachelor"=>8, "Professor"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Researcher"=>6, "Student > Doctoral Student"=>2, "Student > Ph. D. Student"=>2, "Student > Postgraduate"=>2, "Student > Master"=>2, "Student > Bachelor"=>8, "Professor"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>7, "Environmental Science"=>1, "Nursing and Health Professions"=>3, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>5, "Agricultural and Biological Sciences"=>2, "Social Sciences"=>4, "Immunology and Microbiology"=>2, "Neuroscience"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>5}, "Neuroscience"=>{"Neuroscience"=>1}, "Social Sciences"=>{"Social Sciences"=>4}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>7}, "Environmental Science"=>{"Environmental Science"=>1}}, "group_count"=>1}

Scopus | Further Information

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