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Fig 1.

Calculation of Composite Index used in the study.

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Table 1.

Estimation of proportion of sampled population with an elevated vibriocidal titre (≥ 320), of V. cholera O1 using optimized vibriocidal reciprocal titer of 320 in different geographic regions of India, by selected socio-demographic characteristics during previous one year of serum collection (n = 7882).

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Table 2.

Incidence of Cholera using vibriocidal reciprocal cut off titre of 320 in different states of India during past one year of serum collection.

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Fig 2.

Geographic representation of samples with an elevated vibriocidal titre (≥ 320) across 15 states in India.

(Note: 54 districts are labelled instead of 60 districts due to space constrains) Note: The base layer of the map is taken from open-source platform https://www.indianremotesensing.com/2017/01/Download-India-shapefile-with-kashmir.html.

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Fig 3.

Year wise reported diarrheal outbreaks from surveyed Indian states & UTs during 2015–2019 identified through literature survey.

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Fig 4.

Heat map comparing composite score across 15 states, to individual indicator-based ranking (WASH/ MPI, serosurvey data, outbreak trend; Note: lighter shade–low rank ➔ darker shade–more vulnerable/ higher rank).

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Table 3.

Triangulation of data between composite score & serosurvey findings alongside IDSP data during 2016.

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