A stitch in time: The importance of water and sanitation services (WSS) infrastructure maintenance for cholera risk. A geospatial analysis in Harare, Zimbabwe.
Understanding the factors associated with cholera outbreaks is an integral part of designing better approaches to mitigate their impact. Using a rich set of georeferenced case data from the cholera epidemic that occurred in Harare from September 2018 to January 2019, we apply spatio-temporal modelli...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-06-01
|
| Series: | PLoS Neglected Tropical Diseases |
| Online Access: | https://doi.org/10.1371/journal.pntd.0011353 |
| _version_ | 1797797845994045440 |
|---|---|
| author | Sophie Ayling Sveta Milusheva Faith Maidei Kashangura Yi Rong Hoo Hugh Sturrock George Joseph |
| author_facet | Sophie Ayling Sveta Milusheva Faith Maidei Kashangura Yi Rong Hoo Hugh Sturrock George Joseph |
| author_sort | Sophie Ayling |
| collection | DOAJ |
| description | Understanding the factors associated with cholera outbreaks is an integral part of designing better approaches to mitigate their impact. Using a rich set of georeferenced case data from the cholera epidemic that occurred in Harare from September 2018 to January 2019, we apply spatio-temporal modelling to better understand how the outbreak unfolded and the factors associated with higher risk of being a reported case. Using Call Detail Records (CDR) to estimate weekly population movement of the community throughout the city, results suggest that broader human movement (not limited to infected agents) helps to explain some of the spatio-temporal patterns of cases observed. In addition, results highlight a number of socio-demographic risk factors and suggest that there is a relationship between cholera risk and water infrastructure. The analysis shows that populations living close to the sewer network, with high access to piped water are associated with at higher risk. One possible explanation for this observation is that sewer bursts led to the contamination of the piped water network. This could have turned access to piped water, usually assumed to be associated with reduced cholera risk, into a risk factor itself. Such events highlight the importance of maintenance in the provision of SDG improved water and sanitation infrastructure. |
| first_indexed | 2024-03-13T03:54:31Z |
| format | Article |
| id | doaj.art-15d57b44619249e39b692c3e9154356c |
| institution | Directory Open Access Journal |
| issn | 1935-2727 1935-2735 |
| language | English |
| last_indexed | 2024-03-13T03:54:31Z |
| publishDate | 2023-06-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS Neglected Tropical Diseases |
| spelling | doaj.art-15d57b44619249e39b692c3e9154356c2023-06-22T05:31:46ZengPublic Library of Science (PLoS)PLoS Neglected Tropical Diseases1935-27271935-27352023-06-01176e001135310.1371/journal.pntd.0011353A stitch in time: The importance of water and sanitation services (WSS) infrastructure maintenance for cholera risk. A geospatial analysis in Harare, Zimbabwe.Sophie AylingSveta MilushevaFaith Maidei KashanguraYi Rong HooHugh SturrockGeorge JosephUnderstanding the factors associated with cholera outbreaks is an integral part of designing better approaches to mitigate their impact. Using a rich set of georeferenced case data from the cholera epidemic that occurred in Harare from September 2018 to January 2019, we apply spatio-temporal modelling to better understand how the outbreak unfolded and the factors associated with higher risk of being a reported case. Using Call Detail Records (CDR) to estimate weekly population movement of the community throughout the city, results suggest that broader human movement (not limited to infected agents) helps to explain some of the spatio-temporal patterns of cases observed. In addition, results highlight a number of socio-demographic risk factors and suggest that there is a relationship between cholera risk and water infrastructure. The analysis shows that populations living close to the sewer network, with high access to piped water are associated with at higher risk. One possible explanation for this observation is that sewer bursts led to the contamination of the piped water network. This could have turned access to piped water, usually assumed to be associated with reduced cholera risk, into a risk factor itself. Such events highlight the importance of maintenance in the provision of SDG improved water and sanitation infrastructure.https://doi.org/10.1371/journal.pntd.0011353 |
| spellingShingle | Sophie Ayling Sveta Milusheva Faith Maidei Kashangura Yi Rong Hoo Hugh Sturrock George Joseph A stitch in time: The importance of water and sanitation services (WSS) infrastructure maintenance for cholera risk. A geospatial analysis in Harare, Zimbabwe. PLoS Neglected Tropical Diseases |
| title | A stitch in time: The importance of water and sanitation services (WSS) infrastructure maintenance for cholera risk. A geospatial analysis in Harare, Zimbabwe. |
| title_full | A stitch in time: The importance of water and sanitation services (WSS) infrastructure maintenance for cholera risk. A geospatial analysis in Harare, Zimbabwe. |
| title_fullStr | A stitch in time: The importance of water and sanitation services (WSS) infrastructure maintenance for cholera risk. A geospatial analysis in Harare, Zimbabwe. |
| title_full_unstemmed | A stitch in time: The importance of water and sanitation services (WSS) infrastructure maintenance for cholera risk. A geospatial analysis in Harare, Zimbabwe. |
| title_short | A stitch in time: The importance of water and sanitation services (WSS) infrastructure maintenance for cholera risk. A geospatial analysis in Harare, Zimbabwe. |
| title_sort | stitch in time the importance of water and sanitation services wss infrastructure maintenance for cholera risk a geospatial analysis in harare zimbabwe |
| url | https://doi.org/10.1371/journal.pntd.0011353 |
| work_keys_str_mv | AT sophieayling astitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT svetamilusheva astitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT faithmaideikashangura astitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT yironghoo astitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT hughsturrock astitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT georgejoseph astitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT sophieayling stitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT svetamilusheva stitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT faithmaideikashangura stitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT yironghoo stitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT hughsturrock stitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe AT georgejoseph stitchintimetheimportanceofwaterandsanitationserviceswssinfrastructuremaintenanceforcholerariskageospatialanalysisinhararezimbabwe |