| dc.contributor |
Epicentre, 42 boulevard Richard Lenoir, Paris 75011, France. lahoua@epicentre.msf.org |
|
| dc.creator |
Ahoua, L |
|
| dc.creator |
Etienne, W |
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| dc.creator |
Fermon, F |
|
| dc.creator |
Godain, G |
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| dc.creator |
Brown, V |
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| dc.creator |
Kadjo, K |
|
| dc.creator |
Bouaffou, K |
|
| dc.creator |
Legros, D |
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| dc.creator |
Guerin, P J |
|
| dc.date |
2007-09 |
|
| dc.date.accessioned |
2017-01-31T07:10:46Z |
|
| dc.date.available |
2017-01-31T07:10:46Z |
|
| dc.identifier |
Outbreak of Beriberi in a Prison in Côte d'Ivoire. 2007, 28 (3):283-90notFood Nutr Bull |
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| dc.identifier |
0379-5721 |
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| dc.identifier |
17974361 |
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| dc.identifier |
http://hdl.handle.net/10144/23756 |
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| dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/23756 |
|
| dc.identifier |
Food and Nutrition Bulletin |
|
| dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/23756 |
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| dc.description |
BACKGROUND: A beriberi outbreak occurred in the Maison d'Arrêt et de Correction d'Abidjan (MACA), a detention center in Abidjan, Côte d'Ivoire, between October 2002 and April 2003. OBJECTIVE: A retrospective investigation was conducted to document the outbreak in April 2003. METHODS: A descriptive analysis and a case-control study were performed. A probable case patient was defined as a person detained in the center between October 2002 and April 2003 with at least two of the following symptoms: bilateral leg edema, dyspnea, positive squat test, motor deficiencies, and paresthesia. A definite case patient was defined as a probable case patient who showed clinical improvement under thiamin treatment. RESULTS: Of 712 cases reported, 115 (16%) were probable and 597 (84%) were definite. The overall attack rate was 14.1%, and the case fatality rate was 1.0% (7/712). The highest attack rate was reported in the building housing prisoners with long-term sentences (16.9%). All patients were male, and the mean age was 28 years. During the period studied, the penal ration provided a fifth of the quantity of thiamin recommended by international standards. After adjustment for potential confounders, a history of cholera infection (adjusted odds ratio [OR(a)], 12.9; 95% confidence interval [CI], 2.9 to 54.1) and incarceration in the building for severe penalties (OR(a), 4.8; 95% CI, 1.3 to 18.5) were associated with the disease. CONCLUSIONS: Beriberi has been underreported among prisoners. Further attention should be given to its risk factors, especially a history of acute diarrhea. Systematic food supplementation with vitamins and micronutrients should be discussed when the penal ration does not provide the necessary nutrient intake recommended according to international standards. |
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| dc.language |
en |
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| dc.rights |
Archived with thanks to Food and Nutrition Bulletin |
|
| dc.title |
Outbreak of Beriberi in a Prison in Côte d'Ivoire. |
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