The importance of thinking beyond the water-supply in cholera epidemics: A historical urban case-study

Matthew David Phelps, Andrew S Azman, Joseph A Lewnard, Marina Antillon, Lone Simonsen, Viggo Andreasen, Peter K M Jensen, Virginia E Pitzer

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review


Planning interventions to respond to cholera epidemics requires an understanding of the major transmission routes. Interrupting short-cycle (household, foodborne) transmission may require different approaches as compared long-cycle (environmentally-mediated/waterborne) transmission. However, differentiating the relative contribution of short- and long-cycle routes has remained difficult, and most cholera outbreak control efforts focus on interrupting long-cycle transmission. Here we use high-resolution epidemiological and municipal infrastructure data from a cholera outbreak in 1853 Copenhagen to explore the relative contribution of short- and long-cycle transmission routes during a major urban epidemic.
TidsskriftP L o S Neglected Tropical Diseases (Online)
Udgave nummer11
Sider (fra-til)1-15
StatusUdgivet - 2017


  • Cholera
  • Neighborhoods
  • Water resources
  • Simulation and modeling
  • Public and occupational health
  • Cholera vaccines
  • Sewage
  • surface water

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