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A National Cholera Epidemic With High Case Fatality RatesKenya 2009

A National Cholera Epidemic With High Case Fatality RatesKenya 2009 Background.Cholera remains endemic in sub-Saharan Africa. We characterized the 2009 cholera outbreaks in Kenya and evaluated the response.Methods.We analyzed surveillance data and estimated case fatality rates (CFRs). Households in 2 districts, East Pokot (224 cases; CFR 11.7) and Turkana South (1493 cases; CFR 1.0), were surveyed. We randomly selected 15 villages and 8 households per village in each district. Healthcare workers at 27 health facilities (HFs) were surveyed in both districts.Results.In 2009, cholera outbreaks caused a reported 11 425 cases and 264 deaths in Kenya. Data were available from 44 districts for 6893 (60) cases. District CFRs ranged from 0 to 14.3. Surveyed household respondents (n 240) were aware of cholera (97.5) and oral rehydration solution (ORS) (87.9). Cholera deaths were reported more frequently from East Pokot (n 120) than Turkana South (n 120) households (20.7 vs. 12.3). The average travel time to a HF was 31 hours in East Pokot compared with 2 hours in Turkana South. Fewer respondents in East Pokot (9.8) than in Turkana South (33.9) stated that ORS was available in their village. ORS or intravenous fluid shortages occurred in 20 (76.9) surveyed HFs.Conclusions.High CFRs in Kenya are related to healthcare access disparities, including availability of rehydration supplies. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png The Journal of Infectious Diseases Oxford University Press

A National Cholera Epidemic With High Case Fatality RatesKenya 2009

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References (39)

Publisher
Oxford University Press
Copyright
The Author 2013. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: [email protected].
Subject
AFRICHOL - THE CHOLERA SURVEILLANCE NETWORK IN NINE SUB-SAHARAN AFRICAN COUNTRIES
ISSN
0022-1899
eISSN
1537-6613
DOI
10.1093/infdis/jit220
pmid
24101648
Publisher site
See Article on Publisher Site

Abstract

Background.Cholera remains endemic in sub-Saharan Africa. We characterized the 2009 cholera outbreaks in Kenya and evaluated the response.Methods.We analyzed surveillance data and estimated case fatality rates (CFRs). Households in 2 districts, East Pokot (224 cases; CFR 11.7) and Turkana South (1493 cases; CFR 1.0), were surveyed. We randomly selected 15 villages and 8 households per village in each district. Healthcare workers at 27 health facilities (HFs) were surveyed in both districts.Results.In 2009, cholera outbreaks caused a reported 11 425 cases and 264 deaths in Kenya. Data were available from 44 districts for 6893 (60) cases. District CFRs ranged from 0 to 14.3. Surveyed household respondents (n 240) were aware of cholera (97.5) and oral rehydration solution (ORS) (87.9). Cholera deaths were reported more frequently from East Pokot (n 120) than Turkana South (n 120) households (20.7 vs. 12.3). The average travel time to a HF was 31 hours in East Pokot compared with 2 hours in Turkana South. Fewer respondents in East Pokot (9.8) than in Turkana South (33.9) stated that ORS was available in their village. ORS or intravenous fluid shortages occurred in 20 (76.9) surveyed HFs.Conclusions.High CFRs in Kenya are related to healthcare access disparities, including availability of rehydration supplies.

Journal

The Journal of Infectious Diseases – Oxford University Press

Published: Nov 1, 2013

Keywords: cholera Kenya outbreak water sanitation nomadic/semi-pastoral

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