World Health Organization Country Office, Dar es Salaam, Tanzania.
Ministry of Health, Mtoro Rd, Zanzibar, Tanzania.
Pan Afr Med J. 2023 Jun 14;45(Suppl 1):6. doi: 10.11604/pamj.supp.2023.45.1.39828. eCollection 2023.
Cholera, an enteric disease caused by Vibrio cholera claims thousands of lives yearly. The disease is a disease of inequality that affect populations which have poor access to safe water and sanitation facilities. Zanzibar, an archipelago in the Indian ocean which is part of the United Republic of Tanzania has been affected by recurrent cholera outbreak for the past decades. A multi-sectoral and multi-year three pillar approach namely Enabling Environment, Prevention and Response, for the elimination of cholera were initiated by the stewardship of the government, engagement of the community and technical and financial support of partners. The approach has enabled Zanzibar to interrupt the recurrent cholera outbreak for the past five years. The analysis of evidences have proven that creating an enabling environment through multi-sectoral involvement, mobilizing communities, intensifying surveillance complemented by the traditional disease prevention and control interventions has resulted to interruption of cholera transmission in the country.
霍乱是一种由霍乱弧菌引起的肠道疾病，每年导致数千人死亡。这种疾病是一种不平等的疾病，影响到那些难以获得安全水和卫生设施的人群。桑给巴尔是坦桑尼亚联合共和国的一个印度洋群岛，在过去几十年里一直受到霍乱疫情的反复爆发的影响。政府主导、社区参与以及合作伙伴的技术和财政支持，启动了一项多部门、多年度的三支柱方法，即“建立有利环境、预防和应对”，以消除霍乱。该方法使桑给巴尔在过去五年中成功中断了霍乱疫情的反复爆发。通过多部门参与、动员社区、加强监测，并辅以传统的疾病预防和控制干预措施，创造有利环境的分析证据表明，这已导致该国霍乱传播的中断。
