{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T04:18:40Z","timestamp":1791087520197,"version":"4.1.0"},"reference-count":21,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010,8,5]]},"abstract":"<jats:p>Cholera outbreaks continue to occur regularly in Africa. Cholera has been associated with proximity to lakes in East Africa, and <jats:italic>Vibrio cholerae<\/jats:italic> has been found experimentally to concentrate on the floating aquatic plant, water hyacinth, which is periodically widespread in East African lakes since the late 1980s. From 1994 to 2008, Nyanza Province, which is the Kenyan province bordering Lake Victoria, accounted for a larger proportion of cholera cases than expected by its population size (38.7% of cholera cases versus 15.3% of national population). Yearly water-hyacinth coverage on the Kenyan section of Lake Victoria was positively associated with the number of cholera cases reported in Nyanza Province (<jats:italic>r<\/jats:italic> = 0.83; <jats:italic>P<\/jats:italic> = 0.0010). Water hyacinth on freshwater lakes might play a role in initiating cholera outbreaks and causing sporadic disease in East Africa.<\/jats:p>","DOI":"10.4269\/ajtmh.2010.09-0645","type":"journal-article","created":{"date-parts":[[2010,8,3]],"date-time":"2010-08-03T19:18:56Z","timestamp":1280863136000},"page":"370-373","source":"Crossref","is-referenced-by-count":31,"title":["Does Water Hyacinth on East African Lakes Promote Cholera Outbreaks?"],"prefix":"10.4269","volume":"83","author":[{"given":"Daniel R.","family":"Feikin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Collins W.","family":"Tabu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Gichuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2795","reference":[{"key":"R1","series-title":"Int Microbiol","first-page":"285","article-title":"Infectious disease and environment: cholera as a paradigm for waterborne disease","volume":"7","author":"Colwell","year":"2004"},{"key":"R2","series-title":"BMC Infect Dis","first-page":"20","article-title":"Regional-scale climate-variability synchrony of cholera epidemics in West Africa","volume":"7","author":"Constantin de Magny","year":"2007"},{"key":"R3","series-title":"Appl Environ Microbiol","first-page":"4645","article-title":"Critical factors influencing the occurrence of Vibrio cholerae in the environment of Bangladesh","volume":"71","author":"Huq","year":"2005"},{"key":"R4","series-title":"Proc Natl Acad Sci USA","first-page":"1438","article-title":"Climate and infectious disease: use of remote sensing for detection of Vibrio cholerae by indirect measurement","volume":"97","author":"Lobitz","year":"2000"},{"key":"R5","series-title":"Environ Health Perspect","first-page":"195","article-title":"Wind direction and its linkage with Vibrio cholerae dissemination","volume":"115","author":"Paz","year":"2007"},{"key":"R6","series-title":"N Engl J Med","first-page":"1060","article-title":"A lion in our village\u2014the unconscionable tragedy of cholera in Africa","volume":"360","author":"Mintz","year":"2009"},{"key":"R7","series-title":"Lancet","first-page":"981","article-title":"Epidemic cholera in Burundi: patterns of transmission in the Great Rift Valley Lake region","volume":"349","author":"Birmingham","year":"1997"},{"key":"R8","series-title":"Emerg Infect Dis","first-page":"798","article-title":"Lakes as source of cholera outbreaks, Democratic Republic of Congo","volume":"14","author":"Bompangue","year":"2008"},{"key":"R9","series-title":"Am J Trop Med Hyg","first-page":"271","article-title":"Transmission of epidemic Vibrio cholerae O1 in rural western Kenya associated with drinking water from Lake Victoria: an environmental reservoir for cholera?","volume":"60","author":"Shapiro","year":"1999"},{"key":"R10","series-title":"J Aquat Plant Manage","first-page":"73","article-title":"The rise and fall of water hyacinth in Lake Victoria and the Kagera River Basin, 1989\u20132001","volume":"42","author":"Albright","year":"2004"},{"key":"R11","series-title":"Studies on Rapid Assessment of the Ecological Succession and the Dynamic Status of Water Hyacinth Eichhornia Crassipes (Mart.) 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