Association between conflict and Cholera in Nigeria and the Democratic Republic of the Congo
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Published version
Author(s)
Charnley, Georgina
Jean, Kévin
Kelman, Ilan
Gaythorpe, Katy
Murray, Kris
Type
Journal Article
Abstract
Cholera outbreaks contribute substantially to illness and death in low- and middle-income countries. Cholera outbreaks are associated with several social and environmental risk factors, and extreme conditions can act as catalysts. A social extreme known to be associated with infectious disease outbreaks is conflict, causing disruption to services, loss of income, and displacement. To determine the extent of this association, we used the self-controlled case-series method and found that conflict increased the risk for cholera in Nigeria by 3.6 times and in the Democratic Republic of the Congo by 2.6 times. We also found that 19.7% of cholera outbreaks in Nigeria and 12.3% of outbreaks in the Democratic Republic of the Congo were attributable to conflict. Our results highlight the value of providing rapid and sufficient assistance during conflict-associated cholera outbreaks and working toward conflict resolution and addressing preexisting vulnerabilities, such as poverty and access to healthcare.
Date Issued
2022-12-01
Date Acceptance
2022-09-19
Citation
Emerging Infectious Diseases, 2022, 28 (12), pp.2472-2481
ISSN
1080-6040
Publisher
U.S. National Center for Infectious Diseases
Start Page
2472
End Page
2481
Journal / Book Title
Emerging Infectious Diseases
Volume
28
Issue
12
Copyright Statement
Emerging Infectious Diseases is published by the Centers for Disease Control and Prevention, a U.S. Government agency. Therefore, materials published in Emerging Infectious Diseases, including text, figures, tables, and photographs are in the public domain and can be reprinted or used without permission with proper citation. Because the journal is in the public domain, its usage policy also conforms to conditions set for by Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/)
License URL
Sponsor
Natural Environment Research Council
Grant Number
NE/S007415/1
Subjects
Microbiology
1103 Clinical Sciences
1108 Medical Microbiology
1117 Public Health and Health Services
Publication Status
Published