Global Patterns of Trends in Cholera Mortality

Tropical Medicine and Infectious Disease · 2 authors, 2 centres

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TL;DR

This ecological study analyzed global cholera mortality from 1990 to 2019 using population-level data.

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Approximately 3.0 million cholera deaths occurred globally over the period, with the number of annual deaths ranging from 83,045 in 1990 to 117,167 in 2019. The African Region showed a significantly increasing trend (1.2% per year) and accounted for 92,790 (79.2%) of deaths in 2019. Significantly decreasing trends were found in the European (−10.7% per year), Western Pacific (−8.2% per year), and South-East Asia (−7.4% per year) Regions.

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other

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epidemiology

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AI pipeline

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ORIGINAL PAPER

PMC10058923

Global Patterns of Trends in Cholera Mortality

Tropical Medicine and Infectious Disease

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ABSTRACT

Abstract Background: Cholera is a large public health issue, especially in countries with limited resources. The aim of the study was to determine trends in global cholera mortality from 1990–2019. Methods: This research is an observational, descriptive epidemiological study. The age-standardized rates (ASRs, per 100,000 population) of cholera mortality from 1990 to 2019 were evaluated through joinpoint regression analysis (by calculating Odds Ratio—OR, with corresponding 95% Confidence Interval—95% CI). Results: From 1990–2019 in the world, the number of deaths due to cholera in both sexes together increased, ranging from 83,045 in 1990 to 117,167 in 2019. During the observed period, there were about 3.0 million deaths due to cholera in the world. In both sexes together in 2019, the cholera mortality rate was the highest in Nigeria (ARS = 39.19) and Central African Republic (ARS = 38.80), followed by populations in Eritrea (ARS = 17.62) and Botswana (ARS = 13.77). Globally, cholera-related mortality significantly decreased in males (AAPC = −0.4%, 95% CI = −0.7 to −0.1), while a stable trend was noted in females (AAPC = −0.1%, 95% CI = −0.4 to 0.2) in the observed period. In the African Region, significantly increasing cholera-related mortality trends were observed both in males and females (AAPC = 1.3% and AAPC = 1.1%, respectively). Conclusions: Cholera mortality showed a constantly increasing trend in the African Region over the last three decades. More efforts in cholera management are necessary for effective response to the growing mortality in developing countries. Keywords: cholera, epidemiology, mortality

CITATION EXPORT

Irena Ilic, Milena Ilic. Global Patterns of Trends in Cholera Mortality. Tropical Medicine and Infectious Disease. (2023). https://doi.org/10.3390/tropicalmed8030169

AUTHORS

2 · 2 CENTRES

Irena Ilic, Milena Ilic

1Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia
2Department of Epidemiology, Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia