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A cholera outbreak among semi-nomadic pastoralists in northeastern Uganda: epidemiology and interventions

  • M. J. CUMMINGS (a1), J. F. WAMALA (a2), M. EYURA (a3), M. MALIMBO (a2), M. E. OMEKE (a3), D. MAYER (a1) and L. LUKWAGO (a2) (a4)
  • DOI: http://dx.doi.org/10.1017/S0950268811001956
  • Published online: 27 September 2011
Abstract
SUMMARY

In sub-Saharan Africa, many nomadic pastoralists have begun to settle in permanent communities as a result of long-term water, food, and civil insecurity. Little is known about the epidemiology of cholera in these emerging semi-nomadic populations. We report the results of a case-control study conducted during a cholera outbreak among semi-nomadic pastoralists in the Karamoja sub-region of northeastern Uganda in 2010. Data from 99 cases and 99 controls were analysed. In multivariate analyses, risk factors identified were: residing in the same household as another cholera case [adjusted odds ratio (aOR) 6·67, 95% confidence interval (CI) 2·83–15·70], eating roadside food (aOR 2·91, 95% CI 1·24–6·81), not disposing of children's faeces in a latrine (aOR 15·76, 95% CI 1·54–161·25), not treating drinking water with chlorine (aOR 3·86, 95% CI 1·63–9·14), female gender (aOR 2·43, 95% CI 1·09–5·43), and childhood age (10–17 years) (aOR 7·14, 95% CI 1·97–25·83). This is the first epidemiological study of cholera reported from a setting of semi-nomadic pastoralism in sub-Saharan Africa. Public health interventions among semi-nomadic pastoralists should include a two-faceted approach to cholera prevention: intensive health education programmes to address behaviours inherited from insecure nomadic lifestyles, as well as improvements in water and sanitation infrastructure. The utilization of community-based village health teams provides an important method of implementing such activities.

Copyright
Corresponding author
*Author for correspondence: Mr M. J. Cummings, Albany Medical College, Box 048, 47 New Scotland Avenue, Albany, NY 12208, USA. (Email: CumminM@mail.amc.edu).
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6.ME Lucas , Effectiveness of mass oral cholera vaccination in Beira, Mozambique. New England Journal of Medicine 2005; 352: 757767.

7.D Sur , The burden of cholera in the slums of Kolkata, India: data from a prospective, community based study. Archives of Disease in Childhood 2005; 90: 11751181.

8.AA Weil , Clinical outcomes in household contacts of patients with cholera in Bangladesh. Clinical Infectious Diseases 2009; 49: 14731479.

11.RV Tauxe , ED Mintz , RE Quick . Epidemic cholera in the New World: translating field epidemiology into new prevention strategies. Emerging Infectious Diseases 1995; 1: 141146.

13.T Estrada-Garcia , ED Mintz . Cholera: foodborne transmission and its prevention. European Journal of Epidemiology 1996; 12: 461469.

15.J Singh , Epidemiology of cholera in Delhi – 1992. Journal of Tropical Pediatrics 1995; 41: 139142.

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Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
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