IJID regions · 2024
Epidemiological investigation of a cholera outbreak in Nepal-India border communities: Public health implications.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Subedee Koshal C, Paudel Krishna P, Pandey Hem Raj, Chaudhary Mukesh, Kandel Shashi, Pradhan Mona, Baidya Manish, Pokhrel Amrit, Shakya Anu, Thakur Nishant, Gautam Rabin, Gautam Dipendra, Karna Ajit, Poudel Pushpa R, Poudel Anjila, Adhikari Shankar, Giri Binod, Thapa Subash
Аннотация
OBJECTIVES: On October 4, 2021, a cholera outbreak was reported in Kapilvastu District, one of Nepal's 26 districts bordering India. This study examined the outbreak's characteristics, response efforts, and the challenges faced.
METHODS: A descriptive cross-sectional design was applied for the outbreak investigation. Data were gathered through a review of cases registered in three local health facilities and community-based active case searching. A descriptive analysis was performed on the collected data.
RESULTS: Between October 4 and December 2, 2021, 1570 cases were reported across 10 municipalities in Kapilvastu, with 88.6% of cases occurring in communities bordering India. Most affected were female patients (55%) and children aged 5-14 years (32%). A total of 39% cases were confirmed to have the Vibrio cholerae O1 Ogawa serotype, which showed resistance to cotrimoxazole. Additionally, 453 cases of acute watery diarrhea were identified in the community, with 23% showing signs of dehydration. Of 29 water samples, 17 (59%) were contaminated with fecal coliform.
CONCLUSIONS: Communities along the Nepal-India border are highly vulnerable to cholera outbreaks, highlighting the urgent need for improved water, sanitation, and hygiene practices. A coordinated approach to cholera surveillance and preparedness is crucial to prevent future outbreaks.
METHODS: A descriptive cross-sectional design was applied for the outbreak investigation. Data were gathered through a review of cases registered in three local health facilities and community-based active case searching. A descriptive analysis was performed on the collected data.
RESULTS: Between October 4 and December 2, 2021, 1570 cases were reported across 10 municipalities in Kapilvastu, with 88.6% of cases occurring in communities bordering India. Most affected were female patients (55%) and children aged 5-14 years (32%). A total of 39% cases were confirmed to have the Vibrio cholerae O1 Ogawa serotype, which showed resistance to cotrimoxazole. Additionally, 453 cases of acute watery diarrhea were identified in the community, with 23% showing signs of dehydration. Of 29 water samples, 17 (59%) were contaminated with fecal coliform.
CONCLUSIONS: Communities along the Nepal-India border are highly vulnerable to cholera outbreaks, highlighting the urgent need for improved water, sanitation, and hygiene practices. A coordinated approach to cholera surveillance and preparedness is crucial to prevent future outbreaks.