Abstract:
The resurgence of cholera is presenting unusual challenges in the Eastern Mediterranean Region (EMR), where it is considered endemic in nine-member states. The risk of a cholera outbreak spreading to non-endemic countries remains high. We discuss the regional trends of cholera, regional burden, and challenges with a focus on World Health Organization (WHO) initiatives in the region that could be useful in preventing and controlling the disease in similar contexts. Despite significant progress in the control of cholera worldwide, the disease continues to be a major public health problem across the region, where it constitutes both an emerging and re-emerging threat. Recurring cholera outbreaks are an indication of deprived water and sanitation conditions as well as weak health systems, contributing to the transmission and spread of the cholera infection. We note that despite the challenges in eliminating cholera in the region, effective implementation of the proposed WHO EMR Strategic framework, among other measures, could sustain the region\'s cholera prevention, preparedness, and response needs.
摘要:
霍乱的死灰复燃给东地中海地区带来了不同寻常的挑战,在九个成员国中被认为是地方病。霍乱疫情蔓延到非流行国家的风险仍然很高。我们讨论霍乱的区域趋势,区域负担,和挑战,重点是世界卫生组织(世卫组织)在该地区的举措,这些举措可能有助于在类似情况下预防和控制该疾病。尽管全世界在控制霍乱方面取得了重大进展,这种疾病仍然是整个地区的主要公共卫生问题,它构成了新兴和重新出现的威胁。反复爆发的霍乱疫情表明水和卫生条件匮乏,卫生系统薄弱,有助于霍乱感染的传播和传播。我们注意到,尽管该地区在消除霍乱方面面临挑战,有效实施拟议的世卫组织EMR战略框架,除其他措施外,可以维持该地区的霍乱预防,准备,和响应需求。