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Master Thesis

Determinants spatiaux du choléra à l'échelle de la localité dans le département du Centre, Haïti

Abstract : The Centre department in Haiti was the origin of a major cholera epidemic, which is now coming to an end. We aimed to analyse the spatial determinants of cholera at the locality level and identify the priority localities in need of interventions in the Centre department. The 5322 cholera cases reported January 2015-September 2016 were mapped per locality, alongside environmental and socioeconomic variables. A hierarchical clustering on principal components highlighted different typologies of cholera risk, with two high-risk classes: localities close to rivers and unimproved water sources, (SIR 1.71 [95% CI 1.02-2.87, p=0.04]) and urban localities with markets, (SIR 1.69 [95% CI 1.25-2.29, p=0.0006]). In the post-epidemic phase, the focus needs to be on reducing vulnerability to cholera and other waterborne diseases in Haiti. Our analyses help to identify and characterize priority areas and this methodology could be used in other contexts.
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https://dumas.ccsd.cnrs.fr/dumas-02518724
Contributor : Faculté de Médecine Amu <>
Submitted on : Wednesday, March 25, 2020 - 2:22:38 PM
Last modification on : Friday, July 10, 2020 - 11:33:29 AM
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Karolina Griffiths. Determinants spatiaux du choléra à l'échelle de la localité dans le département du Centre, Haïti. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02518724⟩

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