Mohammad Ali|Sanjukta Sen Gupta|Nisha Arora|Pradeep Khasnobis|Srinivas Venkatesh|Dipika Sur|G. Balakrish Nair|David A. Sack|Nirmal Kumar Ganguly
Identification of burden hotspots and risk factors for cholera in India: An observational study
Johns Hopkins University|Translational Health Science and Technology Institute|Translational Health Science and Technology Institute|National Center for Disease Control|National Center for Disease Control|Indian Medical Association|World Health Organization - India|Johns Hopkins University|Translational Health Science and Technology Institute
even though cholera existed centuries many parts country sporadic endemic epidemic cholera still underrecognized health problem india cholera expert group country established gather evidence prepare road map control cholera india paper identifies cholera burden hotspots factors associated increased risk diseasewe acquired district level data cholera case reports 20102015 integrated disease surveillance program socioeconomic characteristics coverage water sanitation obtained 2011 census spatial analysis performed identify cholera hotspots zeroinflated poisson regression employed identify factors associated cholera predicted case count district 27615 cholera cases reported 6year period twentyfour 36 states india reported cholera years 13 states classified endemic 641 districts 78 districts 15 states identified hotspots based reported cases hand 111 districts nine states identified hotspots modelbased predicted number cases risk cholera district negatively associated coverage literate persons households using treated water source owning mobile telephone positively associated coverage poor sanitation drainage conditions urbanization level districtthe study reaffirms cholera continues occur throughout large part india identifies burden hotspots risk factors policymakers may use findings article develop roadmap prevention control cholera india