Combating cholera epidemics by targeting reservoirs of infection and transmission routes: a review.
OBJECTIVE
To determine the parameters which can be investigated for prevention and effective control of cholera.


METHODS
Literature search on compact disk-read only memory (CD-ROM), medline and internet, using the key words: cholera outbreaks, and cholera transmission. A few reviews were manually reviewed.


METHODS
Relevant studies or articles on cholera outbreaks and transmission worldwide, with special reference to Kenya is included in the review.


METHODS
From individual study or articles.


RESULTS
Information on cholera epidemics worldwide and in Kenya is synchronized under the headings; Introduction, History and predisposing factors, Current situation, Bioecology and transmission patterns, and, Use of molecular epidemiological and geographic information system (GIS) techniques in mapping out the bioecology, reservoirs and transmission routes of cholera.


CONCLUSIONS
Cholera can be prevented and controlled more effectively at environment level. This requires a multi-disciplinary approach including poverty alleviation.
Nyamogoba
H D N
HD
Department of Medical Microbiology and Parasitology, Faculty of Health Sciences, Moi University, Eldoret, Kenya.
Obala
A A
AA
Kakai
R
R
D002771:Cholera / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission*; D004196:Disease Outbreaks / Q000517:prevention & control*; D006801:Humans; D007630:Kenya / Q000453:epidemiology; D014734:Vibrio cholerae / Q000302:isolation & purification*