Makoutodé Michel, Diallo Fatoumata, Mongbo Virginie, Guévart Edouard, Bazira Léodégal
Institut régional de la santé Publique Alfred Comlan Quenum de Quidah, BP 384, Route des esclaves, Bénin.
Sante Publique. 2010 Jul-Aug;22(4):425-35.
To assess the quality of the response to the 2008 outbreak of cholera in Cotonou (Benin), this retrospective study focused on the health professionals managing the response, community leaders, cases of cholera found in homes and health service documents. The terms of reference used for the purposes of this assessment included the WHO recommendations and the rules set out in the national plan for the fight against epidemics. The resources and method used in this study complied with the norms specified in the plan, as did the epidemiologic follow-up. Community and family interventions concerned only a limited number of households in comparison with the total number of cases. Of the 402 cases diagnosed between July 28th and October 16th 2008, 384 cases were given treatment complying with the specified protocols, and just one death was recorded (hospital lethality 0.25%). The mean length of hospitalization was 2.43 days ± 1.16. Compliance with standard response procedures resulted in good quality care and very low lethality. The national plan of response to epidemics is therefore validated. An improved management of outbreaks requires national multi-sector coordination. Authorities in the following areas need to be involved: healthcare, environment, education, public administration and local communities.
为评估对科托努（贝宁）2008年霍乱疫情应对措施的质量，这项回顾性研究聚焦于负责应对工作的卫生专业人员、社区领袖、家庭中发现的霍乱病例以及卫生服务文件。本次评估所使用的职权范围包括世界卫生组织的建议以及国家抗击流行病计划中规定的规则。本研究中使用的资源和方法以及流行病学随访均符合该计划规定的规范。与病例总数相比，社区和家庭干预仅涉及有限数量的家庭。在2008年7月28日至10月16日期间确诊的402例病例中，384例按照规定方案接受了治疗，仅记录到1例死亡（医院病死率0.25%）。平均住院时间为2.43天±1.16天。对标准应对程序的遵守带来了高质量的护理和极低的病死率。因此，国家流行病应对计划得到了验证。改善疫情管理需要国家多部门协调。以下领域的当局需要参与其中：医疗保健、环境、教育、公共行政和当地社区。
