关键词: Africa Cholera Uganda disaster epidemic floods landslides outbreak vaccination

Mesh : Humans Cholera / epidemiology prevention & control Uganda / epidemiology Disease Outbreaks / prevention & control Cross-Sectional Studies Landslides Floods Cholera Vaccines / administration & dosage Adult Male Female Adolescent Young Adult Sanitation Child Middle Aged Child, Preschool Infant

来  源:   DOI:10.4314/ahs.v23i4.23   PDF(Pubmed)

Abstract:
UNASSIGNED: In June 2019, landslides and floods in Bududa district, eastern Uganda, claimed lives and led to a cholera outbreak. The affected communities had inadequate access to clean water and sanitation.
UNASSIGNED: To share the experience of controlling a cholera outbreak in Bududa district, after landslides and floods.
UNASSIGNED: A descriptive cross-sectional study was carried out in which outbreak investigation reports, weekly epidemiological data and disaster response reports were reviewed.
UNASSIGNED: On 4 - 5th June 2019, heavy rainfall resulted in four landslides which caused six fatalities, 27 injuries, floods and displaced 480 persons. Two weeks later, a cholera outbreak was confirmed in Bududa district. The Ministry of Health (MoH) rapidly deployed oral cholera vaccine (OCV) from local reserves and mass vaccinated 93% of the target population in 22 affected parishes. The outbreak was controlled in 10 weeks with 67 cholera cases and 1 death reported. However, WaSH conditions remained poor, with only, 24.2 % (879/3,628) of the households with washable latrines, 26.8% (1,023/3,818) had hand-washing facilities with soap and 33.6% (1617/4807) used unsafe water.
UNASSIGNED: The OCV stockpile by the MoH helped Uganda to control cholera promptly in Bududa district. High-risk countries should keep OCV reserves for emergencies.
摘要:
2019年6月,布杜达区的山体滑坡和洪水,乌干达东部,夺去生命并导致霍乱爆发。受影响的社区无法获得清洁水和卫生设施。
分享控制布杜达区霍乱疫情的经验,在山体滑坡和洪水之后。
进行了描述性横断面研究,其中爆发调查报告,每周审查流行病学数据和灾害应对报告。
2019年6月4日至5日,强降雨导致4次山体滑坡,造成6人死亡,27人受伤,洪水和480人流离失所。两周后,Bududa地区确诊了霍乱疫情。卫生部(MoH)迅速从当地保护区部署了口服霍乱疫苗(OCV),并在22个受影响的教区对93%的目标人群进行了大规模接种。疫情在10周内得到控制,报告了67例霍乱病例和1例死亡。然而,WaSH条件仍然很差,只有,24.2%(879/3,628)有可清洗厕所的家庭,26.8%(1,023/3,818)的洗手设施使用肥皂,33.6%(1617/4807)的洗手设施使用不安全的水。
卫生部的OCV储备帮助乌干达迅速控制了Bududa地区的霍乱。高风险国家应保留OCV储备以应对紧急情况。
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