关键词: challenges cholera eradication cholera outbreak elimination mortality from cholera

Mesh : Cholera / epidemiology prevention & control Ethiopia / epidemiology Humans Disease Outbreaks / prevention & control Adolescent Female Male Sanitation Public Health Adult Child Middle Aged Young Adult Child, Preschool Incidence

来  源:   DOI:10.3389/fpubh.2024.1355613   PDF(Pubmed)

Abstract:
UNASSIGNED: In Ethiopia, despite major improvements seen in health service delivery system, the country continues to be significantly affected by cholera outbreaks. Cholera remains a significant public health problem among the vulnerable populations living in many resource-limited settings with poor access to safe and clean water and hygiene practices. 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.
UNASSIGNED: To assess the cholera outbreak, its challenges, and the way forward on public health interventions to solve the knowledge and health service delivery gaps related to cholera control in Guraghe Zone, Ethiopia, 2023.
UNASSIGNED: Active surveillance of the cholera outbreak was conducted in all kebeles and town administrative of Guraghe zone from 7/8/2023 to 30/10/2023. A total of 224 cholera cases were detected during the active surveillance method. Data obtained from Guraghe zone offices were exported to SPSS version 25 for additional analysis. The case fatality rate, incidence of the cases, and other descriptive variables were presented and described using figures and tables.
UNASSIGNED: A total of 224 cholera cases were detected through an active surveillance system. In this study, the case fatality rate of cholera outbreak was 2.6%. To tackle the cholera outbreak, the Guraghe zone health office collaborated with other stakeholders to prepare four cholera treatment centers. The absence of OCV, inaccessible safe water, low latrine coverage, inappropriate utilization of latrines, and absence of cholera laboratory rapid diagnostics test in Guraghe Zone are barriers to tackling the outbreak.
UNASSIGNED: Ethiopia National Cholera Plan targeted eradicating cholera by 2030, 222 cholera outbreak occurred in Guraghe Zone, Ethiopia. To minimize and control cholera mortality rate oral cholera vaccinations should be employed in all areas of the region. Sustainable WASH measures should be guaranteed for the use of safe water and good hygiene practices. Early diagnosis and treatment should be initiated appropriately for those who are infected.
摘要:
在埃塞俄比亚,尽管医疗服务提供系统有了重大改进,该国继续受到霍乱疫情的严重影响。霍乱仍然是生活在许多资源有限环境中的弱势群体中的一个重大公共卫生问题,难以获得安全和清洁的水和卫生习惯。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。
为了评估霍乱爆发,其挑战,以及在公共卫生干预措施方面的前进方向,以解决与古拉格区霍乱控制有关的知识和卫生服务提供差距,埃塞俄比亚,2023年。
从2023年7月8日至2023年10月30日,在古拉赫地区的所有克贝勒和镇行政管理部门对霍乱疫情进行了积极监测。在主动监测方法中,共检测到224例霍乱病例。从Guraghe地区办公室获得的数据被导出到SPSS版本25进行进一步分析。病死率,病例的发生率,和其他描述性变量使用数字和表格进行了展示和描述。
通过主动监测系统共检测到224例霍乱病例。在这项研究中,霍乱爆发的病死率为2.6%。为了应对霍乱爆发,Guraghe区卫生办公室与其他利益相关者合作,准备了四个霍乱治疗中心。没有OCV,难以接近的安全水,厕所覆盖率低,厕所使用不当,古拉格区缺乏霍乱实验室快速诊断测试是应对疫情的障碍。
埃塞俄比亚国家霍乱计划的目标是到2030年根除霍乱,222霍乱爆发在古拉格河地区,埃塞俄比亚。为了尽量减少和控制霍乱死亡率,该地区所有地区都应进行口服霍乱疫苗接种。应保证可持续的WASH措施,以使用安全的水和良好的卫生习惯。对于那些被感染的人,应该适当地开始早期诊断和治疗。
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