DSpace Repository

Practical Field Epidemiology to Investigate a Cholera Outbreak in a Mozambican Refugee Camp in Malawi, 1988.

Show simple item record

dc.contributor Epicentre, Paris, France.
dc.creator Moren, A
dc.creator Stefanaggi, S
dc.creator Antona, D
dc.creator Bitar, D
dc.creator Etchegorry, M G
dc.creator Tchatchioka, M
dc.creator Lungu, G
dc.date 1991-02
dc.date.accessioned 2017-01-31T07:10:42Z
dc.date.available 2017-01-31T07:10:42Z
dc.identifier Practical Field Epidemiology to Investigate a Cholera Outbreak in a Mozambican Refugee Camp in Malawi, 1988. 1991, 94 (1):1-7notJ Trop Med Hyg
dc.identifier 0022-5304
dc.identifier 1995929
dc.identifier http://hdl.handle.net/10144/23223
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/23223
dc.identifier The Journal of Tropical Medicine and Hygiene
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/23223
dc.description Of all populations affected by cholera, refugees are at particular risk of infection due to overcrowding and poor sanitation. Between 15 March and 17 May 1988, 951 cases of cholera were registered at the cholera treatment centre in a Mozambican refugee camp in Malawi. The epidemic duration was 65 days. Vibrio cholerae biotype E1 Tor serotype Inaba was isolated. To identify high-risk groups and potential risk of acquiring the disease, an epidemiologic investigation was conducted. The attack rate of recorded cases was 2.6% with a range from 0.9 to 5.1% for different sections of the camp. The case fatality rate was 3.3% and decreased from week 1 to week 6. The epidemic started in the section near the market place and radiated out. A matched-pair case-control study of food and water consumption was performed early in the outbreak. It showed that cases were more likely to use shallow wells (surface wells) instead of boreholes compared to controls (OR = 4.5, CI = 1.0-20.8, P = 0.04) and that cases were more likely to have had contact with the market than controls (OR = 3.5, CI = 0.7-16.8, P = 0.09). None of the food items available at the market was more likely to be preferred by cases than controls. Recommendations included early case finding and treatment, temporary closure of the market, tetracycline prophylaxis of contacts, and water chlorination.
dc.language en
dc.rights Archived with thanks to The Journal of Tropical Medicine and Hygiene
dc.title Practical Field Epidemiology to Investigate a Cholera Outbreak in a Mozambican Refugee Camp in Malawi, 1988.


Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search DSpace


Advanced Search

Browse

My Account