@article{fdi:010044185,
  title = {{L}andscape diversity related to {B}uruli ulcer disease in {C}ote d'{I}voire},
  author = {{B}rou, {T}. and {B}routin, {H}{\'e}l{\`e}ne and {E}lguero, {E}ric and {A}sse, {H}. and {G}u{\'e}gan, {J}ean-{F}ran{\c{c}}ois},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {B}uruli ulcer disease ({BU}), due to the bacteria {M}ycobacterium ulcerans, represents an important and emerging public health problem, especially in many {A}frican countries. {F}ew elements are known nowadays about the routes of transmission of this environmental bacterium to the human population. {M}ethodology/{P}rincipal {F}indings: {I}n this study, we have investigated the relationships between the incidence of {BU} in {C}ote d'{I}voire, western {A}frica, and a group of environmental variables. {T}hese environmental variables concern vegetation, crops (rice and banana), dams, and lakes. {U}sing a geographical information system and multivariate analyses, we show a link between cases of {BU} and different environmental factors for the first time on a country-wide scale. {A}s a result, irrigated rice field cultures areas, and, to a lesser extent, banana fields as well as areas in the vicinity of dams used for irrigation and aquaculture purposes, represent high-risk zones for the human population to contract {BU} in {C}ote d'{I}voire. {T}his is much more relevant in the central part of the country. {C}onclusions/{S}ignificance: {A}s already suspected by several case-control studies in different {A}frican countries, we strengthen in this work the identification of high-risk areas of {BU} on a national spatial scale. {T}his first study should now be followed by many others in other countries and at a multi-year temporal scale. {T}his goal implies a strong improvement in data collection and sharing in order to achieve to a global picture of the environmental conditions that drive {BU} emergence and persistence in human populations.},
  keywords = {{COTE} {D}'{IVOIRE}},
  booktitle = {},
  journal = {{P}los {N}eglected {T}ropical {D}iseases},
  volume = {2},
  numero = {7},
  pages = {e271},
  ISSN = {1935-2735},
  year = {2008},
  DOI = {10.1371/journal.pntd.0000271},
  URL = {https://www.documentation.ird.fr/hor/fdi:010044185},
}