Table 4

Main compounding factors related to cultural and social factors

Second-order effectsCausal relationshipsReferences
Hygienic practicesLack of basic commodities
  1. Inadequate hygienic practices may be a result of educational awareness and lack of means of sanitary supplies, such as soap, chlorine and safe water

Lack of basic services
  1. Need awareness regarding proper burial practices for deceased cholera victims to control spread in communities

  2. Personal hygiene facilities not sanitized or non-existent in many locations

WHO (2010), WHO (2004) 
OvercrowdingReliance on informal networks
  1. Large gatherings may occur in markets, queueing for distribution of relief goods or to access services

  2. Community involvement is needed to spread proper health-related information

Lack of basic commodities
  1. Urban overcrowding, combined with food and water shortages, increases the chance of traveling to access basic needs, often into crowded environments

WHO (2004) 

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