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SUPPLEMENT ARTICLE Cholera in Africa: A Closer Look and a Time for Action Eric D. Mintz and Robert V. Tauxe Division of Foodborne, Waterborne, and Environmental Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia Keywords. cholera; Africa; surveillance; prevention. Timely, accurate, and representative data on disease oc- During this period, annual case-fatality ratios (CFRs) for currence are the foundation for effective, targeted pre- cholera in the African region ranged from 2.22% vention and control. In recent years, the achievements to 2.95%, and they exceeded 5% in ≥1 country each of disease-specific programs in Africa, including the year [7–11]. With effective treatment, the CFR for cholera President’s Emergency Plan for AIDS Relief, the Presi- should be <1%. In 2012, at the time of writing, 25 dent’s Malaria Initiative, and campaigns to eradicate African nations have reported 94 553 cholera cases, in- Guinea worm and polio, have demonstrated the power cluding >85 293 cases from large epidemics in the Demo- of enhanced surveillance closely coupled with preven- cratic Republic of Congo, Sierra Leone, Ghana, Guinea, tion and control measures. Broadly-based programs for Uganda, and Niger [13]. During the same period, 1834 strengthening public health capacity, such as the Inte- cholera
The Journal of Infectious Diseases – Oxford University Press
Published: Nov 1, 2013
Keywords: cholera Africa surveillance prevention
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