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Over 2,400 Cholera Deaths In West And Central Africa

Ronan Kelly

Retired 2020
Over 2,400 Cholera Deaths In West And Central Africa
Editor's Choice
Article Date: 11 Oct 2011 - 23:00 PDT

UNICEF says it is fighting "one of the worst ever" outbreaks of cholera in West and Central Africa that has made over 85,000 people sick and killed 2,466 people so far this year. The magnitude of the outbreaks mean this part of the world is facing one of the most devastating epidemics in its history, the United Nations agency added.

CFRs (case fatality rates) are alarmingly high, UNICEF warned, ranging from 2.3% to 4.7% in many areas, and possibly up to 22% in some parts of Cameroon.

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http://www.medicalnewstoday.com/articles/235812.php


UNICEF fights ?one of the worst ever? cholera outbreaks in West and Central Africa
DAKAR/GENEVA, 11 October 2011 ? UNICEF is calling for a redoubling of efforts to combat cholera outbreaks that are claiming lives and affecting large numbers of people across West and Central Africa.

This year has seen more than 85,000 reported cases of cholera, resulting in 2,466 deaths. The size and scale of the outbreaks mean the region is facing one of the biggest epidemics in its history. In addition Case Fatality Rates (CFR) are unacceptably high, ranging from 2.3 per cent to 4.7 per cent and can reach much higher levels at district level in many countries (ranging from 1 per cent to 22 per cent in Cameroon for example). Children are more vulnerable to cholera, as they dehydrate faster, and malnourished children are especially at risk.

The most significant increases in 2011 are in Chad, Cameroon and in western Democratic Republic of Congo (DRC). In addition there are still challenges with getting access, ensuring staff presence in medical facilities and establishing surveillance systems to monitor cases and numbers in parts of North-East DRC.

There are three major cross border cholera epidemic outbreaks in West and Central Africa: the Lake Chad Basin (Chad, Cameroon, Nigeria and Niger), the West Congo Basin (DRC, Congo and the Central African Republic) and Lake Tanganyika (DRC and Burundi). Smaller cholera epidemics in Benin, Cote d?Ivoire, Ghana, Guinea, Liberia, and Togo are under control.

UNICEF is providing treatment kits, conducting community awareness campaigns on hygiene and assisting with epidemiological surveys to ensure better targeting of control efforts. It is clear in this emergency that authorities can play a key role to save lives. Information exchange between cross- border districts on caseloads and population movements, as well as cross-border inspections for disinfection and chlorination are proven ways to contain the disease and save lives.

UNICEF calls upon governments to coordinate the preparation and response not only within their borders, but to ensure close collaboration with neighbouring countries. Cross-border coordination has to be encouraged at all levels, from the district to the national level.

A cross-border epidemiological study covering the Lake Chad Basin (Cameroon, Chad, Nigeria and Niger) was initiated by UNICEF in 2010, and is now in its second phase. The study provides critical evidence for informing cholera prevention and response interventions, which have to be coordinated across borders. Cross-border coordination between teams in Kinshasa and Brazzaville has also been initiated for the more recent cholera outbreak in the West Congo Basin.

Cholera is known as a disease that affects the poor because of the lack of access to clean water and improved sanitation. The best preventive measure against cholera is access to improved water supply, basic sanitation and hygiene.

http://www.medicalnewstoday.com/articles/235812.php
 
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