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Spatial and seasonal dynamics of cholera (Vibrio cholerae) in an estuary in southern coastal Ecuador

S. Ryan,Anna M. Stewart Ibarra,E. Ordóñez,Winnie Chu,J. Finkelstein,C. King,L. Escobar,C. Lupone,F. Heras,Erica Tauzer,Egan Waggoner,T. James,Washington B Cárdenas,M. Polhemus

Published 2017 in bioRxiv

ABSTRACT

Cholera emergence is strongly linked to local environmental and ecological context. The 1991-2004 pandemic emerged in Perú and spread north into Ecuador’s El Oro province, making this a key site for potential re-emergence. Machala, El Oro, is a port city of 250,000, near the Peruvian border. Many livelihoods depend on the estuarine system, from fishing for subsistence and trade, to domestic water use. In 2014, we conducted biweekly sampling for 10 months in five estuarine locations, across a gradient of human use, and ranging from inland to ocean. We measured water characteristics implicated in V. cholerae growth and persistence: pH, temperature, salinity, and algal concentration, and evaluated samples in five months for pathogenic and non-pathogenic Vibrio cholerae, by polymerase chain reaction (PCR). We found environmental persistence of strains O1 and O139, but no evidence for toxigene presence. V. cholerae presence was coupled to algal and salinity concentration, and sites exhibited considerable seasonal and spatial heterogeneity. This study indicates that environmental conditions in Machala are optimal for human cholera re-emergence, with risk peaking during September, and higher risk near urban periphery low-income communities. This highlights a need for surveillance of this coupled cholera– estuarine system to anticipate potential future outbreaks.

PUBLICATION RECORD

  • Publication year

    2017

  • Venue

    bioRxiv

  • Publication date

    2017-09-22

  • Fields of study

    Geography, Medicine, Environmental Science

  • Identifiers
    DOI 10.1101/110189
  • External record

    Open on Semantic Scholar

  • Source metadata

    Semantic Scholar

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