Our Advisory Council
To respond to the increasin...
An alliance of prominent or...
An advocacy tool
A contagious diarrhoeal dis...
Our prevention strategy
Methodology for the elimina...
A best practice model in th...
A best practice model in the Democratic Republic of Congo
Cholera Source Areas in DRC
A multisectorial action plan
Logos & banners
full text open access
democratic republic of the congo
global roadmap to 2030
Descriptive epidemiology of cholera outbreak in Nigeria, January–November, 2018: implications for the global roadmap strategy
Kelly Osezele Elimian | Anwar Musah | Somto Mezue | Oyeronke Oyebanji | Sebastian Yennan | Arisekola Jinadu | Nanpring Williams | Adesola Ogunleye | Ibrahima Soce Fall | Michel Yao | Womi-Eteng Eteng | Patrick Abok | Michael Popoola | Martin Chukwuji | Linda Haj Omar | Eme Ekeng | Thieno Balde | Ibrahim Mamadu | Ayodele Adeyemo | Geoffrey Namara | Ifeanyi Okudo | Wondimagegnehu Alemu | Clement Peter | Chikwe Ihekweazu
Date of Publication:
BMC Public Health
A large-scale cholera outbreak occurred in Nigeria in 2018. Evidence on the current epidemiology of cholera required to design and implement appropriate interventions to attain the global roadmap strategic goals for cholera elimination however seems lacking. This study aimed to address this gap by describing the epidemiology of the 2018 cholera outbreak in Nigeria. This was a retrospective analysis of surveillance data collected between January 1st and November 19th, 2018. Overall, 43,996 cholera cases and 836 cholera deaths were reported across 20 states in Nigeria during this period, with an attack rate (AR) of 127.43/100,000 population and a case fatality rate (CFR) of 1.90%. Individuals aged 15 years or older (47.76%) were the most affected age group, but the proportion of affected males and females was about the same (49% and 51%, respectively). The outbreak was characterised by four distinct epidemic waves, with higher number of deaths recorded in the third and fourth waves. States from the northwest and northeast regions recorded the highest ARs, while those from the northcentral regions recorded the highest CFRs. The severity and wide-geographical distribution of cholera cases and deaths during the 2018 outbreak are indicative of an elevated burden, which was more notable in the northern region of the country. Overall, the findings reaffirm the strategic role of a multi-sectoral approach in the design and implementation of public health interventions aimed to prevent and control cholera in Nigeria.
Global Cholera Epidemiology: Opportunities to Reduce the Burden of Cholera by 2030
Date of Publication:
The Journal of Infectious Diseases
While safe drinking water and advanced sanitation systems have made the Global North cholera-free for decades, the disease still affects 47 countries across the globe resulting in an estimated 2.86 million cases and 95,000 deaths per year worldwide. Cholera impacts communities already burdened by conflict, lack of infrastructure, poor health systems, and malnutrition. In October 2017, the Global Task Force on Cholera Control (GTFCC) launched an initiative titled Ending Cholera: A Global Roadmap to 2030, with the objective to reduce cholera deaths by 90% worldwide, and eliminate cholera in at least 20 countries by 2030. The GTFCC is working to position cholera control not as a vertical programme but instead using cholera as a marker of inequity and an indicator of poverty, linking the objectives of the Roadmap to the SDGs. The roadmap consists of targeted multi-sectoral interventions, supported by a coordination mechanism, along 3 axes: (1) early detection and quick response to contain outbreaks; (2) a multisectoral approach to prevent cholera recurrence in hotspots; (3) an effective partnership mechanism of coordination for technical support, countries capacity building, research and M&E, advocacy and resource mobilization. Every case and every death from cholera is preventable with the tools we have today.