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Risk factors associated with the recent cholera outbreak in Yemen: a case-control study
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Fekri Dureab
 , Albrecht Jahn , Johannes Krisam, Asma Dureab, Omer Zain, Sameh Al-Awlaqi, Olaf Müller
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Epidemiol Health. 2019;41:e2019015. Published online April 21, 2019
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DOI: https://doi.org/10.4178/epih.e2019015
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Abstract
OBJECTIVES
The cholera outbreak in Yemen has become the largest in the recent history of cholera records, having reached more than 1.4 million cases since it started in late 2016. This study aimed to identify risk factors for cholera in this outbreak.
METHODS A case-control study was conducted in Aden in 2018 to investigate risk factors for cholera in this still-ongoing outbreak. In total, 59 cholera cases and 118 community controls were studied.
RESULTS The following risk factors were associated with being a cholera case in the bivariate analysis: a history of travelling and having had visitors from outside Aden Province; eating outside the house; not washing fruit, vegetables, and khat (a local herbal stimulant) before consumption; using common-source water; and not using chlorine or soap in the household. In the multivariate analysis, not washing khat and the use of common-source water remained significant risk factors for being a cholera case.
CONCLUSIONS Behavioural factors and unsafe water appear to be the major risk factors in the recent cholera outbreak in Yemen. In order to reduce the risk of cholera, hygiene practices for washing khat and vegetables and the use and accessibility of safe drinking water should be promoted at the community level.
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Citations
Citations to this article as recorded by  - Inadequate Hand Washing, Lack of Clean Drinking Water and Latrines as Major Determinants of Cholera Outbreak in Somali Region, Ethiopia in 2019
Jemal Mussa Challa, Tamirat Getachew, Adera Debella, Melkamu Merid, Genanaw Atnafe, Addis Eyeberu, Abdi Birhanu, Lemma Demissie Regassa
Frontiers in Public Health.2022;[Epub] CrossRef - Determining factors associated with cholera disease in Ethiopia using Bayesian hierarchical modeling
Tsigereda Tilahun Letta, Denekew Bitew Belay, Endale Alemayehu Ali
BMC Public Health.2022;[Epub] CrossRef - Risk Factors of Cholera Transmission in Al Hudaydah, Yemen: Case-Control Study
Abdulqawi Mohammed Qaserah, Mohammed Abdullah Al Amad, Abdulwahed Abduljabbar Al Serouri, Yousef Saleh Khader
JMIR Public Health and Surveillance.2021; 7(7): e27627. CrossRef - Solar-powered desalination, a novel solar still directly connected to solar parabolic trough
Ali M. Aqlan, Musaed Aklan, Abdulmalik E. Momin
Energy Reports.2021; 7: 2245. CrossRef - Cholera Outbreak in Hadhramout, Yemen: The Epidemiological Weeks 2019
Eidha Ali Bin-Hameed, Huda Ameen Joban
International Journal of Epidemiologic Research.2021; 8(1): 40. CrossRef - Knowledge on and preventive practices of cholera in Al-Mahweet – Yemen, 2018: a cross-sectional study
Fekri Dureab, Yasameen Al-Qadasi, Hani Nasr, Marwah Al-Zumair, Taha Al-Mahbashi
Journal of Water and Health.2021; 19(6): 1002. CrossRef - Reinventing the Wheel of Echinococcus granulosus sensu lato Transmission to Humans
Francesca Tamarozzi, Peter Deplazes, Adriano Casulli
Trends in Parasitology.2020; 36(5): 427. CrossRef
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