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    George, Christine M. Rashid, Mahamud-ur Sack, David A. Bradley Sack, R. Saif-Ur-Rahman, K. M. Azman, Andrew S. Monira, Shirajum Bhuyian, Sazzadul I. Zillur Rahman, K. M. Toslim Mahmud, M. Mustafiz, Munshi and Alam, Munirul 2014. Evaluation of enrichment method for the detection ofVibrio choleraeO1 using a rapid dipstick test in Bangladesh. Tropical Medicine & International Health, Vol. 19, Issue. 3, p. 301.


Recurrent epidemic cholera with high mortality in Cameroon: persistent challenges 40 years into the seventh pandemic

  • E. J. CARTWRIGHT (a1) (a2), M. K. PATEL (a1) (a2), F. X. MBOPI-KEOU (a3) (a4), T. AYERS (a2), B. HAENKE (a5), B. H. WAGENAAR (a5), E. MINTZ (a2) and R. QUICK (a2)
  • DOI:
  • Published online: 10 January 2013

Cameroon has experienced recurrent cholera epidemics with high mortality rates. In September 2009, epidemic cholera was detected in the Far North region of Cameroon and the reported case-fatality rate was 12%. We conducted village-, healthcare facility- and community-level surveys to investigate reasons for excess cholera mortality. Results of this investigation suggest that cholera patients who died were less likely to seek care, receive rehydration therapy and antibiotics at a healthcare facility, and tended to live further from healthcare facilities. Furthermore, use of oral rehydration salts at home was very low in both decedents and survivors. Despite the many challenges inherent to delivering care in Cameroon, practical measures could be taken to reduce cholera mortality in this region, including the timely provision of treatment supplies, training of healthcare workers, establishment of rehydration centres, and promotion of household water treatment and enhanced handwashing with soap.

Corresponding author
*Author for correspondence: E. J. Cartwright, M.D., Emory University Division of Infectious Diseases, 49 Jesse Hill Dr., Atlanta, GA 30303, USA. (Email:
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7.O-T Shikanga , High mortality in a cholera outbreak in western Kenya after post-election violence in 2008. American Journal of Tropical Medicine and Hygiene 2009; 81: 10851090.

16.ED Mintz . A lion in our village: the unconscionable tragedy of cholera in Africa. New England Journal of Medicine 2009; 360: 1060.

18.EC Green , L Makhubu . Traditional healers in Swaziland: toward improved cooperation between the traditional and modern health sectors. Social Science & Medicine 1984; 18: 10711079.

25.DL Swerdlow , Waterborne transmission of epidemic cholera in Trujillo, Peru: lessons for a continent at risk. Lancet 1992; 340: 2832.

27.J Tuttle , Antimicrobial-resistant epidemic Shigella dysenteriae type 1 in Zambia: modes of transmission. Journal of Infectious Diseases 1995; 171: 371.

28.ED Mintz , FM Reiff , RV Tauxe . Safe water treatment and storage in the home. Journal of the American Medical Association 1995; 273: 948.

29.T Clasen , Interventions to improve water quality for preventing diarrhoea. British Medical Journal 2007; 334: 782.

30.DL Swerdlow , AA Ries . Cholera in the Americas. Journal of the American Medical Association 1992; 267: 1495.

33.V Curtis , S Cairncross . Effect of washing hands with soap on diarrhoea risk in the community: a systematic review. Lancet Infectious Diseases 2003; 3: 275281.

36.CS Chin , The origin of the Haitian cholera outbreak strain. New England Journal of Medicine 2011; 364: 3342.

38.J Sepulveda , JL Valdespino , L Garcia-Garcia . Cholera in Mexico: the paradoxical benefits of the last pandemic. International Journal of Infectious Diseases 2006; 10: 413.

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