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Cholera outbreak in a naïve rural community in Northern Nigeria: the importance of hand washing with soap, September 2010
Saheed Gidado | Emmanuel Awosanya | Suleiman Haladu | Halimatu Bolatito Ayanleke | Suleman Idris | Ismaila Mamuda | Abdulaziz Mohammed | Charles Akataobi Michael | Ndadilnasiya Endie Waziri | Patrick Nguku
Date of Publication:
The Pan African Medical Journal
Cholera outbreaks in rural communities are associated with high morbidity and mortality. Effective interventions to control these outbreaks require identification of source and risk factors for infection. In September, 2010 we investigated a cholera outbreak in Bashuri, a cholera naïve rural community in northern Nigeria to identify the risk factors and institute control measures. We conducted an unmatched case-control study. Mean age was 29 years (± 20 years) for cases and 32 years (± 16 years) for controls; 38 (47.5%) of cases and 60 (75%) of controls were males. Compared to controls, cases were less likely to have washed hands with soap before eating (age-adjusted odds ratio (AAOR) = 0.27, 95% confidence interval (CI): 0.10-0.72) and less likely to have washed hands with soap after using the toilet (AAOR = 0.34, 95% CI: 0.15-0.75). Vibrio cholerae O1 was isolated from six stool samples but not from any open-well samples. Unhygienic handwashing practices was the key risk factor in this outbreak. We educated the community on personal hygiene focusing on the importance of handwashing with soap.
Risk factors of cholera transmission in rural areas in Haiti
P. Gazin | R. Barrais | F. Uwineza
Date of Publication:
Feb 01, 2017
Medecine Et Sante Tropicales
During the first half of 2014, cholera, which has been present in Haiti since October 2010, has persisted in several foci, each with its epidemiological peculiarities. The scarcity of water resources and the difficulty of disposing of them in sufficient quantities in homes are factors that may have contributed to the spread of the disease. Population gatherings in places without protected access to water or sanitation have been another factor. Awareness raising activities on hygiene and improving access to chlorinated water have had positive results. To be effective, the preventive responses must be adapted to the peculiarities of situations and populations.