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Volume 27, Number 1—January 2021
Research

Delineating and Analyzing Locality-Level Determinants of Cholera, Haiti

Karolina GriffithsComments to Author , Kenny Moise, Martine Piarroux, Jean Gaudart, Samuel Beaulieu, Greg Bulit, Jean-Petit Marseille, Paul Menahel Jasmin, Paul Christian Namphy, Jean-Hugues Henrys, Renaud Piarroux, and Stanislas Rebaudet
Author affiliations: Aix Marseille University, Marseille, France (K. Griffiths, J. Gaudart, S. Rebaudet); Université Quisqueya, Port-au-Prince, Haiti (K. Moise, J.-H. Henrys); Centre d’épidémiologie et de santé Publique des armées, Marseille (M. Piarroux); UNICEF, Kinshasa, Democratic Republic of the Congo (S. Beaulieu); UNICEF, New York, New York, USA (G. Built); Direction Nationale de l’Eau Potable et de l’Assainissement, Hinche, Haiti (J.-P. Marseille); Ministère de la Santé Publique et de la Population, Hinche (P.M. Jasmin); Direction Nationale de l’Eau Potable et de l’Assainissement, Petion-Ville, Haiti (P.C. Namphy); Sorbonne Université, Paris, France (R. Piarroux)

Main Article

Table 2

Characteristics for each classification identified for analysis of locality-level determinants of cholera, Haiti*

Information for each locality Class 1, n = 651 Class 2, n = 941 Class 3, n = 61 Class 4, n = 77
Median no. suspected cholera cases (IQR) 0 (0–1) 0 (0–3) 0 (0–3) 6 (1–17)
Median no. houses (IQR) 46 (23–86) 79 (42–127) 52 (26–79) 146 (75–315)
Median estimated population (IQR) 212 (106–396) 364 (194–585) 240 (120–364) 673 (346–1,452)
Median estimated incidence, cases/10,000 population (IQR) 0 (0–15.80) 0 (0–72.31) 0 (0–111) 83.0 (8.6–197.2)
Median altitude, m (IQR)*† 665 (520–816) 287 (232–352) 284 (227–414) 339 (265–461)
Median distance to nearest improved water source, m (IQR)*† 1,213 (665–1,819) 712 (429–1,203) 721 (263–1,357) 338 (233–585)
Median distance to nearest unimproved water source, m (IQR)*† 576 (331–1,080) 439 (317–593) 163 (136–183) 347 (274–533)
Median distance to nearest river, m (IQR)†‡ 2,932 (2,047–4,434) 805 (447–1,346) 177 (156–193) 578 (353–1,407)
Median distance to nearest road, m (IQR)†‡ 1,544 (882–2,462) 390 (133–816) 210 (70–594) 135 (29–279)
No. (%) markets† 0 0 2 (3) 48 (62)
No. (%) rural locations† 651 (100) 941 (100) 57 (93) 40 (52)
Standardized incidence ratio (95% CI), p value Referent 1.28 (0.96–1.71), 0.0896 1.71 (1.02–2.87), <0.05 1.69 (1.25–2.29), <0.01

*Class 1 was the reference class, situated at high altitude, and furthest from river and sources. Class 2 was not much more at risk, characterized by a medium distance to roads. Classes 3 and 4 were much more at-risk. Class 3 localities were closer to a river or an unimproved water source and class 4 localities were more often urban with a market.
†Active variables used in classification analysis.
‡Transformed to categorical variables for analysis.

Main Article

Page created: November 23, 2020
Page updated: December 21, 2020
Page reviewed: December 21, 2020
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