Journal article

Health at the Sub-catchment Scale: Typhoid and Its Environmental Determinants in Central Division, Fiji

Aaron Peter Jenkins, Stacy Jupiter, Ute Mueller, Adam Jenney, Gandercillar Vosaki, Varanisese Rosa, Alanieta Naucukidi, Kim Mulholland, Richard Strugnell, Mike Kama, Pierre Horwitz

ECOHEALTH | SPRINGER | Published : 2016


The impact of environmental change on transmission patterns of waterborne enteric diseases is a major public health concern. This study concerns the burden and spatial nature of enteric fever, attributable to Salmonella Typhi infection in the Central Division, Republic of Fiji at a sub-catchment scale over 30-months (2013-2015). Quantitative spatial analysis suggested relationships between environmental conditions of sub-catchments and incidence and recurrence of typhoid fever. Average incidence per inhabited sub-catchment for the Central Division was high at 205.9/100,000, with cases recurring in each calendar year in 26% of sub-catchments. Although the numbers of cases were highest within ..

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Funding Acknowledgements

Particular thanks to Professor John Crump for being consistently supportive of this work, Dawit Mulholland, Namrata Prasad, Steven Lee and Joe Vitayaki for help in the field; Johnathon Boeyen for assistance with GIS techniques and mapping and Professor John Lowry for helpful suggestions. Additional thanks to Jacqui Coombes for statistical assistance and the Fiji Health Sector Support Program and UNICEF for funding components of this work. The work was conducted while the senior author was in receipt of an Australian Postgraduate Research Award, and while Horwitz, Mueller and Jupiter were in receipt of a collaborative Developmental Research Grant from Edith Cowan University and Wildlife Conservation Society.