Spatio-temporal clustering of cholera: The impact of flood control in Matlab, Bangladesh, 1983–2003

Margaret Carrel; Michael Emch; Peter K Streatfield; Mohammad Yunus

doi:10.1016/j.healthplace.2008.12.008

Back

Spatio-temporal clustering of cholera: The impact of flood control in Matlab, Bangladesh, 1983–2003

Journal article

Peer reviewed

Spatio-temporal clustering of cholera: The impact of flood control in Matlab, Bangladesh, 1983–2003

Margaret Carrel, Michael Emch, Peter K Streatfield and Mohammad Yunus

Health and Place, Vol.15(3), pp.771-782

09/2009

DOI: 10.1016/j.healthplace.2008.12.008

PMCID: PMC2790410

PMID: 19217821

Files and links (1)

url

https://www.ncbi.nlm.nih.gov/pmc/articles/2790410View

Open Access

Abstract

Introducing flood control to an area of endemic waterborne diseases could have significant impacts on spatio-temporal occurrence of cholera. Using 21-year data from Bangladesh, we conducted cluster analysis to explore changes in spatial and temporal distribution of cholera incidence since the construction of flood control structures. Striking changes in temporal cluster patterns emerged, including a shift from dry-season to rainy-season clusters following flood protection and delayed clustering inside the protected areas. Spatial differences in pre-flood protection and post-protection cholera clusters are weaker. Changes in spatio-temporal cholera clustering, associated with implementation of flood protection strategies, could affect local cholera prevention efforts.

Flood protection

Spatial scan statistic

Cluster

Bangladesh

Cholera

Details

Title: Subtitle: Spatio-temporal clustering of cholera: The impact of flood control in Matlab, Bangladesh, 1983–2003
Creators: Margaret Carrel - Department of Geography, University of North Carolina-Chapel Hill, Campus Box 3220, Chapel Hill, NC 27599, USA
Michael Emch - Department of Geography, University of North Carolina-Chapel Hill, Campus Box 3220, Chapel Hill, NC 27599, USA
Peter K Streatfield - Health and Demographic Surveillance Unit, International Center for Diarrheal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh
Mohammad Yunus - Health and Demographic Surveillance Unit, International Center for Diarrheal Disease Research, Bangladesh, Mohakhali, Dhaka 1212, Bangladesh
Resource Type: Journal article
Publication Details: Health and Place, Vol.15(3), pp.771-782
DOI: 10.1016/j.healthplace.2008.12.008
PMID: 19217821
PMCID: PMC2790410
NLM abbreviation: Health Place
ISSN: 1353-8292
eISSN: 1873-2054
Publisher: Elsevier Ltd
Language: English
Date published: 09/2009
Academic Unit: Epidemiology; Interdisciplinary Programs; Geographical and Sustainability Sciences; Internal Medicine
Record Identifier: 9983984518102771

Metrics

9 Record Views

27 Times Cited - Web of Science