{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T06:53:20Z","timestamp":1775285600183,"version":"3.50.1"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":53,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Strengthening Laboratory-Based Surveillance for Infectious Diseases"},{"DOI":"10.13039\/501100004532","name":"Japan International Cooperation Agency","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004532","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,2,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Factors associated with severe dehydration from cholera among children in the community is still not fully understood. We analyzed the characteristics of the pediatric cases who were hospitalized in the community cholera treatment centers in the capital Lusaka between October 2023 and May 2024. Presence of underlying conditions (e.g. human immunodeficiency virus (HIV) infection, severe acute malnutrition), specific catchment areas (e.g. low-income residential areas), and an early phase of the outbreak was associated with increased numbers of severe cases in the community by multivariate analysis. Our study highlighted the importance of mobilization of resources and efforts aimed at enhancing surveillance, risk communication, and case management in the early phase of the outbreak for children living in high-risk areas and those with underlying conditions, in order to reduce severe cases of cholera among children in the community.<\/jats:p>","DOI":"10.1093\/tropej\/fmag022","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T12:17:10Z","timestamp":1773404230000},"source":"Crossref","is-referenced-by-count":0,"title":["Clinical and epidemiological factors associated with severe dehydration from cholera among pediatric patients in the community of Lusaka, Zambia, October 2023\u2013May 2024"],"prefix":"10.1093","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6109-8922","authenticated-orcid":false,"given":"Tadatsugu","family":"Imamura","sequence":"first","affiliation":[{"name":"Japan International Cooperation Agency , Tokyo 102-8012,","place":["Japan"]},{"name":"Center for Postgraduate Education and Training, National Center for Child Health and Development , Tokyo 157-8535,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5133-0830","authenticated-orcid":false,"given":"Nawa","family":"Kalima","sequence":"additional","affiliation":[{"name":"National Heart Hospital , Lusaka 10101,","place":["Zambia"]},{"name":"Zambia Paediatric Association , Lusaka, 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilunga","family":"Chambah","sequence":"additional","affiliation":[{"name":"Zambia Paediatric Association , Lusaka, 10101,","place":["Zambia"]},{"name":"Department of Pediatrics, University Teaching Hospital , Lusaka 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chalilwe","family":"Chungu","sequence":"additional","affiliation":[{"name":"Zambia Paediatric Association , Lusaka, 10101,","place":["Zambia"]},{"name":"Department of Pediatrics, University Teaching Hospital , Lusaka 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3813-2784","authenticated-orcid":false,"given":"Khozya","family":"Zyambo","sequence":"additional","affiliation":[{"name":"Zambia Paediatric Association , Lusaka, 10101,","place":["Zambia"]},{"name":"Department of Pediatrics, University Teaching Hospital , Lusaka 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3309-0538","authenticated-orcid":false,"given":"Nyuma","family":"Mbewe","sequence":"additional","affiliation":[{"name":"National Public Health Institute , Lusaka 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul Msanzya","family":"Zulu","sequence":"additional","affiliation":[{"name":"National Public Health Institute , Lusaka 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4463-5614","authenticated-orcid":false,"given":"Annel","family":"Sinkala","sequence":"additional","affiliation":[{"name":"Adult Infectious Diseases Center, University Teaching Hospital , Lusaka 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lalisa","family":"Nambeye","sequence":"additional","affiliation":[{"name":"Lusaka District Health Office , Lusaka 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hellen","family":"Kambole","sequence":"additional","affiliation":[{"name":"Lusaka District Health Office , Lusaka 10101,","place":["Zambia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bob","family":"Chirwa","sequence":"additional","affiliation":[{"name":"University Teaching Hospital , Lusaka 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2023\u2013March 2024","volume":"12","author":"Kalima","year":"2025","journal-title":"Open Forum Infect Dis"},{"key":"2026040401564578600_fmag022-B3","author":"Global Task Force on Cholera Control (GTFCC)"},{"key":"2026040401564578600_fmag022-B4","author":"Global Task Force on Cholera Control (GTFCC)","year":"2020"},{"key":"2026040401564578600_fmag022-B5","doi-asserted-by":"crossref","first-page":"ofaf277","DOI":"10.1093\/ofid\/ofaf277","article-title":"Clinical characteristics of 6578 adult patients with cholera admitted to community and referral cholera treatment centers in Lusaka, Zambia, October 2023 to April 2024","volume":"12","author":"Mbewe","year":"2025","journal-title":"Open Forum Infect Dis"},{"key":"2026040401564578600_fmag022-B6","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1186\/s41182-019-0157-6","article-title":"Examining health literacy on cholera in an endemic community in Accra, Ghana: a cross-sectional 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