Refugee Settlements and Cholera Risks in Uganda, 2016-2019
During 2016 to 2019, cholera outbreaks were reported commonly to the Ministry of Health from refugee settlements. To further understand the risks cholera posed to refugees, a review of surveillance data on cholera in Uganda for the period 2016-2019 was carried out. During this 4-year period, there w...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2021-02, Vol.104 (4), p.1225-1231 |
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| creator | Bwire, Godfrey Orach, Christopher Garimoi Aceng, Freda Loy Arianitwe, Sam Emmanuel Matseketse, David Tumusherure, Edson Makumbi, Issa Muruta, Allan Merrill, Rebecca D. Debes, Amanda Ali, Mohammad Sack, David A. |
| description | During 2016 to 2019, cholera outbreaks were reported commonly to the Ministry of Health from refugee settlements. To further understand the risks cholera posed to refugees, a review of surveillance data on cholera in Uganda for the period 2016-2019 was carried out. During this 4-year period, there were seven such outbreaks with 1,495 cases and 30 deaths in five refugee settlements and one refugee reception center. Most deaths occurred early in the outbreak, often in the settlements or before arrival at a treatment center rather than after arrival at a treatment center. During the different years, these outbreaks occurred during different times of the year but simultaneously in settlements that were geographically separated and affected all ages and genders. Some outbreaks spread to the local populations within Uganda. Cholera control prevention measures are currently being implemented; however, additional measures are needed to reduce the risk of cholera among refugees including oral cholera vaccination and a water, sanitation and hygiene package during the refugee registration process. A standardized protocol is needed to quickly conduct case- control studies to generate information to guide future cholera outbreak prevention in refugees and the host population. |
| doi_str_mv | 10.4269/ajtmh.20-0741 |
| format | Article |
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To further understand the risks cholera posed to refugees, a review of surveillance data on cholera in Uganda for the period 2016-2019 was carried out. During this 4-year period, there were seven such outbreaks with 1,495 cases and 30 deaths in five refugee settlements and one refugee reception center. Most deaths occurred early in the outbreak, often in the settlements or before arrival at a treatment center rather than after arrival at a treatment center. During the different years, these outbreaks occurred during different times of the year but simultaneously in settlements that were geographically separated and affected all ages and genders. Some outbreaks spread to the local populations within Uganda. Cholera control prevention measures are currently being implemented; however, additional measures are needed to reduce the risk of cholera among refugees including oral cholera vaccination and a water, sanitation and hygiene package during the refugee registration process. A standardized protocol is needed to quickly conduct case- control studies to generate information to guide future cholera outbreak prevention in refugees and the host population.</description><identifier>ISSN: 0002-9637</identifier><identifier>ISSN: 1476-1645</identifier><identifier>EISSN: 1476-1645</identifier><identifier>DOI: 10.4269/ajtmh.20-0741</identifier><identifier>PMID: 33556038</identifier><language>eng</language><publisher>MCLEAN: Amer Soc Trop Med & Hygiene</publisher><subject>Adolescent ; Adult ; Case-Control Studies ; Child ; Child, Preschool ; Cholera - epidemiology ; Cholera - etiology ; Cholera - mortality ; Cross-Sectional Studies ; Disease Outbreaks - prevention & control ; Disease Outbreaks - statistics & numerical data ; Female ; Humans ; Hygiene - standards ; Life Sciences & Biomedicine ; Male ; Middle Aged ; Public, Environmental & Occupational Health ; Refugees ; Risk Factors ; Sanitation - standards ; Science & Technology ; Tropical Medicine ; Uganda - epidemiology ; Young Adult</subject><ispartof>The American journal of tropical medicine and hygiene, 2021-02, Vol.104 (4), p.1225-1231</ispartof><rights>The American Society of Tropical Medicine and Hygiene 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>7</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000651202000012</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c387t-a84771e71cc4d5e49fb26fee5993ad96e66a8bc5e9126de3576dad8d3e3a67a33</citedby><cites>FETCH-LOGICAL-c387t-a84771e71cc4d5e49fb26fee5993ad96e66a8bc5e9126de3576dad8d3e3a67a33</cites><orcidid>0000-0002-8376-2857</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8045616/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8045616/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,39263,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33556038$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bwire, Godfrey</creatorcontrib><creatorcontrib>Orach, Christopher Garimoi</creatorcontrib><creatorcontrib>Aceng, Freda Loy</creatorcontrib><creatorcontrib>Arianitwe, Sam Emmanuel</creatorcontrib><creatorcontrib>Matseketse, David</creatorcontrib><creatorcontrib>Tumusherure, Edson</creatorcontrib><creatorcontrib>Makumbi, Issa</creatorcontrib><creatorcontrib>Muruta, Allan</creatorcontrib><creatorcontrib>Merrill, Rebecca D.</creatorcontrib><creatorcontrib>Debes, Amanda</creatorcontrib><creatorcontrib>Ali, Mohammad</creatorcontrib><creatorcontrib>Sack, David A.</creatorcontrib><title>Refugee Settlements and Cholera Risks in Uganda, 2016-2019</title><title>The American journal of tropical medicine and hygiene</title><addtitle>AM J TROP MED HYG</addtitle><addtitle>Am J Trop Med Hyg</addtitle><description>During 2016 to 2019, cholera outbreaks were reported commonly to the Ministry of Health from refugee settlements. To further understand the risks cholera posed to refugees, a review of surveillance data on cholera in Uganda for the period 2016-2019 was carried out. During this 4-year period, there were seven such outbreaks with 1,495 cases and 30 deaths in five refugee settlements and one refugee reception center. Most deaths occurred early in the outbreak, often in the settlements or before arrival at a treatment center rather than after arrival at a treatment center. During the different years, these outbreaks occurred during different times of the year but simultaneously in settlements that were geographically separated and affected all ages and genders. Some outbreaks spread to the local populations within Uganda. Cholera control prevention measures are currently being implemented; however, additional measures are needed to reduce the risk of cholera among refugees including oral cholera vaccination and a water, sanitation and hygiene package during the refugee registration process. A standardized protocol is needed to quickly conduct case- control studies to generate information to guide future cholera outbreak prevention in refugees and the host population.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cholera - epidemiology</subject><subject>Cholera - etiology</subject><subject>Cholera - mortality</subject><subject>Cross-Sectional Studies</subject><subject>Disease Outbreaks - prevention & control</subject><subject>Disease Outbreaks - statistics & numerical data</subject><subject>Female</subject><subject>Humans</subject><subject>Hygiene - standards</subject><subject>Life Sciences & Biomedicine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Public, Environmental & Occupational Health</subject><subject>Refugees</subject><subject>Risk Factors</subject><subject>Sanitation - standards</subject><subject>Science & Technology</subject><subject>Tropical Medicine</subject><subject>Uganda - epidemiology</subject><subject>Young Adult</subject><issn>0002-9637</issn><issn>1476-1645</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>HGBXW</sourceid><sourceid>EIF</sourceid><recordid>eNqNkc1v1DAQxS0EarcfR64oRyRIGX87HCqhiAJSJaTSni2vM9l1SeISO63473HZsoIbl_HI_s2bp2dCXlI4E0w179xtHrdnDGrQgj4jKyq0qqkS8jlZAQCrG8X1ITlK6RaAGkbpATnkXEoF3KzI-yvslw1i9Q1zHnDEKafKTV3VbuOAs6uuQvqeqjBVN5ty7d5WDKiqS2lOyIveDQlPn85jcnPx8br9XF9-_fSl_XBZe250rp0RWlPU1HvRSRRNv2aqR5RNw13XKFTKmbWX2FCmOuRSq851puPIndKO82NyvtO9W9Yjdr5YnN1g7-YwuvmnjS7Yf1-msLWbeG8NCKmoKgKvnwTm-GPBlO0YksdhcBPGJVkmjNbCAIWC1jvUzzGlGfv9Ggr2MW_7O2_LwD7mXfhXf3vb038CLoDZAQ-4jn3yASePe6x8kJKUASsNUNaG7HKIUxuXKZfRN_8_yn8BUeObzQ</recordid><startdate>20210208</startdate><enddate>20210208</enddate><creator>Bwire, Godfrey</creator><creator>Orach, Christopher Garimoi</creator><creator>Aceng, Freda Loy</creator><creator>Arianitwe, Sam Emmanuel</creator><creator>Matseketse, David</creator><creator>Tumusherure, Edson</creator><creator>Makumbi, Issa</creator><creator>Muruta, Allan</creator><creator>Merrill, Rebecca D.</creator><creator>Debes, Amanda</creator><creator>Ali, Mohammad</creator><creator>Sack, David A.</creator><general>Amer Soc Trop Med & Hygiene</general><general>The American Society of Tropical Medicine and Hygiene</general><scope>BLEPL</scope><scope>DTL</scope><scope>HGBXW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-8376-2857</orcidid></search><sort><creationdate>20210208</creationdate><title>Refugee Settlements and Cholera Risks in Uganda, 2016-2019</title><author>Bwire, Godfrey ; 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A standardized protocol is needed to quickly conduct case- control studies to generate information to guide future cholera outbreak prevention in refugees and the host population.</abstract><cop>MCLEAN</cop><pub>Amer Soc Trop Med & Hygiene</pub><pmid>33556038</pmid><doi>10.4269/ajtmh.20-0741</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8376-2857</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adolescent Adult Case-Control Studies Child Child, Preschool Cholera - epidemiology Cholera - etiology Cholera - mortality Cross-Sectional Studies Disease Outbreaks - prevention & control Disease Outbreaks - statistics & numerical data Female Humans Hygiene - standards Life Sciences & Biomedicine Male Middle Aged Public, Environmental & Occupational Health Refugees Risk Factors Sanitation - standards Science & Technology Tropical Medicine Uganda - epidemiology Young Adult |
| title | Refugee Settlements and Cholera Risks in Uganda, 2016-2019 |
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