Technical Papers
May 31, 2018

Evaluation of Risk of Cholera after a Natural Disaster: Lessons Learned from the 2015 Nepal Earthquake

Publication: Journal of Water Resources Planning and Management
Volume 144, Issue 8

Abstract

Uncertainty about the timing and the magnitude of natural disasters (such as floods, droughts, earthquakes) affects water resources planning and management in terms of the supply of safe drinking water and access to sanitation infrastructure. This in turn has a profound effect on human health. Drinking contaminated water often results in the outbreak of diarrheal infections (such as cholera, Shigella, and so on). Infectious pathogens (such as Vibrio cholerae) can survive in aquatic environments under appropriate hydroclimatic conditions. Therefore, the challenge is to estimate the risk of an outbreak of disease after a natural disaster occurs. Using cholera as a signature diarrheal disease and employing the weighted raster overlay method, a framework is presented for assessing the role of water resources, particularly water, sanitation and hygiene (WASH), in determining the likelihood of an outbreak of a disease in the human population. Results indicate that there were favorable hydroclimatic conditions for the survival of pathogenic cholera bacteria in natural water systems in the aftermath of the earthquake in Nepal in 2015. However, few cholera patients were reported in the country, indicating that the prevailing resilient WASH infrastructure played a pivotal role in deterring a disease outbreak.

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Acknowledgments

This research is funded, in part, from a research grant from NASA (NNX15AF71G).

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Go to Journal of Water Resources Planning and Management
Journal of Water Resources Planning and Management
Volume 144Issue 8August 2018

History

Received: Jan 11, 2017
Accepted: Nov 6, 2017
Published online: May 31, 2018
Published in print: Aug 1, 2018
Discussion open until: Oct 31, 2018

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Rakibul Khan
Ph.D. Candidate, Human Health and Hydro-Environmental Sustainability Simulation Laboratory, Dept. of Civil and Environmental Engineering, West Virginia Univ., Morgantown, WV 26505.
Thanh H. Nguyen
Associate Professor, Dept. of Civil and Environmental Engineering, Univ. of Illinois, Urbana, IL 61820.
Joanna Shisler
Associate Professor, Dept. of Microbiology, Univ. of Illinois, Urbana, IL 61820.
Lian-Shin Lin
Professor, Dept. of Civil and Environmental Engineering, West Virginia Univ., Morgantown, WV 26505.
Antarpreet Jutla, A.M.ASCE
Assistant Professor, Human Health and Hydro-Environmental Sustainability Simulation Laboratory, Dept. of Civil and Environmental Engineering, West Virginia Univ., Morgantown, WV 26505.
Rita Colwell [email protected]
Distinguished Professor, Bloomberg School of Public Health, Johns Hopkins Univ., Baltimore, MD 21205; Center for Bioinformatics and Computational Biology, Univ. of Maryland, College Park, MD 20740; Maryland Pathogen Research Institute, Univ. of Maryland, College Park, MD 20740 (corresponding author). Email: [email protected]

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