Have a personal or library account? Click to login
Integrating Surveillance and Climate Data for Cholera Early Warning in Ethiopia Cover

Integrating Surveillance and Climate Data for Cholera Early Warning in Ethiopia

Open Access
|Sep 2025

Figures & Tables

Table 1

CMIP5 ensemble projection of annual temperature and precipitation, under RCP8.5 high emission scenario, Ethiopia.

CMIP5 ENSEMBLE PROJECTION2020–20392040–20592060–20792080–2099
Annual temperature+0.6 to +1.5+1.2 to +2.6+2.1 to + 4.0+2.8 to +5.5
Anomaly (°C)(+1.0 °C)(+1.8 °C)(+2.8 °C)(+3.7 °C)
Annual precipitation‑14.4 to +21.2‑16.8 to +27.4‑18.8 to 37.6‑17.5 to +50.0
Anomaly (mm)(+2.2 mm)(+3.1 mm)+6.0 mm+9.7 mm

[i] Note: Bold value is the range (10th90th percentile) and values in parentheses show the median.

[ii] Source: Adapted from Climate Risk Profile: Ethiopia (2021): The World Bank Group [5].

aogh-91-1-4742-g1.png
Figure 1

Timeline of key climate adaptation strategies for cholera in Ethiopia.

aogh-91-1-4742-g2.png
Figure 2

Cholera case distribution in relation to rainfall and temperature across study districts in Ethiopia.

aogh-91-1-4742-g3.png
Figure 3

Total cholera distribution with rainfall and temperature in the study districts, Ethiopia.

aogh-91-1-4742-g4.png
Figure 4

Heatmap of cholera incidence in relation to temperature and rainfall in the study districts, Ethiopia.

Table 2

Correlation values between cholera incidence and rainfall and temperature at lag 0 to 3 weeks in selected districts, Ethiopia.

DISTRICTCLIMATE VARIABLECORRELATION (P‑VALUE)
LAG 0 (AT SAME WEEK)LAG 1 (AFTER 1 WEEK)LAG 2 (AFTER 2 WEEKS)LAG 3 (AFTER 3 WEEKS)
Bahir Dar ZuriaRainfall0.618(0.001)0.519(0.001)0.439(0.001)0.468(0.001)
Temperature–0.264(0.025)–0.235(0.053)–0.219(0.075)–0.216(0.082)
Dera (AM)Rainfall0.397(0.001)0.594(0.001)0.566(0.001)0.551(0.001)
Temperature–0.239(0.048)–0.267(0.028)–0.249(0.042)–0.239(0.053)
DessieRainfall–0.008(0.95)0.019(0.876)0.566(0.001)–0.019(0.881)
Temperature0.191(0.116)0.074(0.55)0.032(0.797)0.174(0.163)
DillaRainfall0.01(0.933)–0.008(0.946)0.022(0.86)0.075(0.552)
Temperature–0.384(0.001)–0.39(0.001)–0.333(0.006)–0.315(0.01)
Dire DawaRainfall–0.051(0.677)–0.103(0.402)–0.049(0.694)–0.166(0.182)
Temperature0.225(0.064)0.303(0.012)0.306(0.012)0.316(0.01)
DubtiRainfall–0.017(0.887)–0.017(0.893)0.091(0.464)0.116(0.355)
Temperature0.356(0.003)0.372(0.002)0.35(0.004)0.326(0.007)
GodeRainfall–0.158(0.195)–0.158(0.197)–0.155(0.209)–0.151(0.227)
Temperature0.352(0.003)0.307(0.011)0.236(0.054)0.083(0.506)
HakimRainfall0.015(0.905)0.01(0.934)–0.018(0.883)–0.135(0.279)
Temperature0.486(0.001)0.444(0.001)0.422(0.001)0.473(0.001)
Hawassa ZuriaRainfall0(0.836)0(0.757)0(0.865)0(0.301)
Temperature–0.092(0.836)–0.134(0.757)–0.029(0.865)–0.049(0.301)
JinelaRainfall0.178(0.143)–0.077(0.533)–0.129(0.299)–0.091(0.469)
Temperature0.108(0.375)0.302(0.012)0.344(0.004)0.325(0.008)
KombolchaRainfall0.259(0.032)0.136(0.268)0.231(0.06)0.082(0.513)
Temperature0.017(0.89)–0.004(0.975)–0.07(0.575)–0.003(0.98)
Semera LogiaRainfall0.04(0.744)–0.004(0.975)0.094(0.448)0.149(0.232)
Temperature0.321(0.007)0.342(0.004)0.302(0.013)0.303(0.014)
Wondo GenetRainfall–0.134(0.273)–0.053(0.668)–0.047(0.704)0.047(0.707)
Temperature–0.258(0.032)–0.291(0.016)–0.299(0.014)–0.312(0.011)

[i] Note: values in Bold and Italic indicate significant value at P‑value of 0.05.

Table 3

Observed associations of temperature and rainfall parameters for Vibrio Cholerae proliferation at epidemic onset in selected districts, Ethiopia.

DISTRICTCLIMATE VARIABLETHRESHOLDS FOR PROLIFERATION OF VIBRIO CHOLERAE
LAG 0 (AT SAME WEEK)LAG 1 (AFTER 1 WEEK)LAG 2 (AFTER 2 WEEKS)LAG 3 (AFTER 3 WEEKS)
Bahir‑Dar ZuriaRainfall106.2–15.390.1+31.385.3–30.180.8–1.3
Temperature16.9 +1.517.1+1.117.6+0.618.3+0.8
Dera (AM)Rainfall112.0–26.4106.2–15.390.1+31.385.3–30.1
Temperature16.8+1.716.9+1.517.1+1.117.6+0.6
DessieRainfall14.0+16.713.8+22.919.2+188.111.8+8.8
Temperature15.3+1.115.4–0.315.3–0.815.3+0.7
DillaRainfall56.5–40.443.9+426.7+52.324.8+63.5
Temperature22.5–0.323.0–1.723.7–2.523.9–2.8
Dire DawaRainfall11.9+1.521.9+9.336.1–31.434.8–21.5
Temperature21.0+1.120.9+1.420.7+1.620.6+1.2
DubtiRainfall18.7–17.621.6+6.621.7–18.929.6+15.1
Temperature31.4+2.731.2+1.731.1+2.130.8+1.3
GodeRainfall0.3–0.30.3–0.20.3–0.3NA
Temperature27.5+1.127.0–1.226.6–1.9NA
HakimRainfall32.8+66.232.2–25.530.2–19.230.6–10.1
Temperature20.4–0.220.4+0.820.7+0.120.9–0.1
Hawassa ZuriaRainfall57.2+94.953.1–22.150.9–36.740.7–1.9
Temperature16.3–0.616.7+0.416.9–0.417.2–0.9
JinelaRainfall3.9–3.94.7–4.24.4+45.66.4–5.2
Temperature19.0+0.319.2+0.719.4–0.319.6–0.4
KombolchaRainfall15.7+22.921.3+65.916.8+13.018.8–4.4
Temperature23.2–1.123.0–2.022.7–0.422.5+0.8
Semera LogiaRainfall21.6+6.621.7–18.929.6+15.129.1–15.8
Temperature31.2+1.731.1+2.130.8+1.330.6+2.5
Wondo GenetRainfall31.3–16.829.8+3.527.8+31.933.7–6.4
Temperature15.0+1.015.3+0.615.7+0.415.9–0.1

[i] Note: Threshold = 33 year mean +/‑ Anomaly.

DOI: https://doi.org/10.5334/aogh.4742 | Journal eISSN: 2214-9996
Language: English
Submitted on: Mar 23, 2025
Accepted on: Aug 17, 2025
Published on: Sep 13, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Hailemichael B. Dadi, Desalegn T. Negash, Sisay W. Adall, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.