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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
A national cholera epidemic with high case fatality rates-Kenya 2009
Journal of Infectious Diseases, Volume 208, No. SUPPL. 1, Year 2013
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Description
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. © 2013 The Author.
Authors & Co-Authors
Loharikar, Anagha R.
United States, Atlanta
Centers for Disease Control and Prevention
United States, Atlanta
National Center for Emerging and Zoonotic Infectious Diseases
Briere, Elizabeth C.
United States, Atlanta
Centers for Disease Control and Prevention
United States, Atlanta
National Center for Emerging and Zoonotic Infectious Diseases
Ope, Maurice O.
United States
Division of Disease Surveillance and Response
Langat, Daniel
United States
Division of Disease Surveillance and Response
Njeru, Ian J.
United States
Division of Disease Surveillance and Response
Gathigi, Lucy
Kenya, Nairobi
Ministry of Public Health and Sanitation
Makayotto, Lyndah
Kenya, Nairobi
Ministry of Public Health and Sanitation
Ismail, Abdirizak M.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Thuranira, Martin
Kenya, Nairobi
Ministry of Public Health and Sanitation
Abade, Ahmed Mohammed
Kenya, Nairobi
Ministry of Public Health and Sanitation
Amwayi, Samuel Anyangu
Kenya, Nairobi
Ministry of Public Health and Sanitation
Omolo, Jared Odhiambo
Kenya, Nairobi
Ministry of Public Health and Sanitation
Oundo, Joseph Wang Ang’a A.
Kenya, Nairobi
Ministry of Public Health and Sanitation
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
de Cock, Kevin M.
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Breiman, Robert F.
Kenya, Kisumu
Centers for Disease Control and Prevention, Kenya
Ayers, Tracy L.
United States, Atlanta
National Center for Emerging and Zoonotic Infectious Diseases
Mintz, Eric Daniel
United States, Atlanta
National Center for Emerging and Zoonotic Infectious Diseases
O'Reilly, Ciara E.
United States, Atlanta
National Center for Emerging and Zoonotic Infectious Diseases
Statistics
Citations: 22
Authors: 18
Affiliations: 5
Identifiers
Doi:
10.1093/infdis/jit220
ISSN:
00221899
Research Areas
Health System And Policy
Infectious Diseases
Study Locations
Kenya