The cholera epidemic of 2004 in Douala, Cameroon: A lesson learned

被引：0

作者：

Christoph J.Hemmer ^{[1
]}

Jürgen N?ske

Stefan Finkbeiner ^{[1
]}

Günter Kundt ^{[3
]}

Emil C.Reisinger ^{[1
]}

机构：

[1] University of Rostock, Faculty of Medicine, Department of Tropical Medicine and Infectious Diseases

[2] Gesellschaft für Internationale Zusammenarbeit 3. University of Rostock, Faculty of Medicine, Institute of Biostatistics and Informatics in Medicine and Ageing Research

来源：

Asian Pacific Journal of Tropical Medicine | 2019年 / 08期

关键词：

Cholera; Douala; Cameroon; Case fatality rate; Staff-to-patients ratio;

D O I：

暂无

中图分类号：

R516.5 [霍乱、副霍乱]; R181.3 [流行病学各论];

学科分类号：

100401 ;

摘要：

Objective: To describe the outbreak of 2004 with a view of retrospectively identifying factors that might explain the low case fatality rate. Methods: Outbreak data from 4 915 Cholera patients from registers of the Regional Health Delegation in Douala were analyzed using SPSS. Chi-square test, univariate and multivariate analysis were applied. Results: The outbreak started January 2004, peaking at 187 cases per week in February. After a decrease in April, case numbers rose to 688 cases per week in June. The outbreak was over in September 2004( <10 cases per week). The case fatality rate was higher in treatment centers with fewer than one nurse per two patients, than in those with more nursing staff. A temporary staff reduction after the first wave of the epidemic was associated with the increase of the case fatality rate during the second wave. This increase was reversed after re-instating full staff capacity.Conclusions: Providing sufficient nursing staff helps to lower the case fatality rate of cholera. Besides a lack of staff, age above 40 years is a risk factor for death in this disease.

引用

页码：347 / 352

页数：6

共 5 条

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