A Differential Effect of Indian Ocean Dipole and El Niño on Cholera Dynamics in BangladeshReport as inadecuate

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A stationary i.e., constant through time association between El Niño Southern Oscillation ENSO, the Indian Ocean Dipole IOD and epidemics of cholera in Bangladesh has been widely assumed. However, whether or not elements of the local climate that are relevant for cholera transmission have stationary signatures of the IOD on their dynamics over different time scales is still not clear. Here we report results on the time-varying relationships between the various remote and local environmental drivers and cholera incidence in Bangladesh.

Methodology-Principal Findings

We performed a cross wavelet coherency analysis to examine patterns of association between monthly cholera cases in the hospitals in Dhaka and Matlab 1983–2008 and indices for both IOD and ENSO. Our results showed that the strength of both the IOD and ENSO associations with cholera hospitalizations changed across time scales during the study period. In Dhaka, 4-year long coherent cycles were observed between cholera and the index of IOD in 1988–1997. In Matlab, the effect of ENSO was more dominant while there was no evidence for an IOD effect on cholera hospitalizations.


Our results call for the consideration of non-stationary, possibly non-linear, patterns of association between cholera hospitalizations and climatic factors in cholera epidemic early warning systems.

Author: Masahiro Hashizume , Luis Fernando Chaves, A. S. G. Faruque, Md Yunus, Kim Streatfield, Kazuhiko Moji

Source: http://plos.srce.hr/


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