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2023 年,在埃塞俄比亚南部古拉格地区,存在霍乱疫情、面临挑战,为控制霍乱疫情而采取的公共卫生干预措施的未来展望。

Existence of cholera outbreak, challenges, and way forward on public health interventions to control cholera outbreak in Guraghe Zones, southern Ethiopia, 2023.

机构信息

Department of Public Health, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia.

Department of Midwifery, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia.

出版信息

Front Public Health. 2024 May 27;12:1355613. doi: 10.3389/fpubh.2024.1355613. eCollection 2024.

DOI:10.3389/fpubh.2024.1355613
PMID:38859897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11163086/
Abstract

INTRODUCTION

In Ethiopia, despite major improvements seen in health service delivery system, the country continues to be significantly affected by cholera outbreaks. Cholera remains a significant public health problem among the vulnerable populations living in many resource-limited settings with poor access to safe and clean water and hygiene practices. Recurring cholera outbreaks are an indication of deprived water and sanitation conditions as well as weak health systems, contributing to the transmission and spread of the cholera infection.

OBJECTIVE

To assess the cholera outbreak, its challenges, and the way forward on public health interventions to solve the knowledge and health service delivery gaps related to cholera control in Guraghe Zone, Ethiopia, 2023.

METHODS

Active surveillance of the cholera outbreak was conducted in all kebeles and town administrative of Guraghe zone from 7/8/2023 to 30/10/2023. A total of 224 cholera cases were detected during the active surveillance method. Data obtained from Guraghe zone offices were exported to SPSS version 25 for additional analysis. The case fatality rate, incidence of the cases, and other descriptive variables were presented and described using figures and tables.

RESULT

A total of 224 cholera cases were detected through an active surveillance system. In this study, the case fatality rate of cholera outbreak was 2.6%. To tackle the cholera outbreak, the Guraghe zone health office collaborated with other stakeholders to prepare four cholera treatment centers. The absence of OCV, inaccessible safe water, low latrine coverage, inappropriate utilization of latrines, and absence of cholera laboratory rapid diagnostics test in Guraghe Zone are barriers to tackling the outbreak.

CONCLUSION

Ethiopia National Cholera Plan targeted eradicating cholera by 2030, 222 cholera outbreak occurred in Guraghe Zone, Ethiopia. To minimize and control cholera mortality rate oral cholera vaccinations should be employed in all areas of the region. Sustainable WASH measures should be guaranteed for the use of safe water and good hygiene practices. Early diagnosis and treatment should be initiated appropriately for those who are infected.

摘要

简介

在埃塞俄比亚,尽管医疗服务提供系统取得了重大进展,但该国仍深受霍乱疫情的影响。在许多资源有限、安全清洁用水和卫生习惯难以普及的脆弱人群居住的地方,霍乱仍然是一个重大的公共卫生问题。霍乱疫情的反复爆发表明,供水和卫生条件不足以及卫生系统薄弱,这导致了霍乱感染的传播和蔓延。

目的

评估 2023 年埃塞俄比亚古拉格地区霍乱疫情爆发情况、挑战及公共卫生干预措施的未来方向,以解决与霍乱控制相关的知识和卫生服务提供差距。

方法

2023 年 7 月 8 日至 10 月 30 日,对古拉格地区所有 kebeles 和城镇行政区域进行了霍乱疫情主动监测。通过主动监测方法共发现 224 例霍乱病例。从古拉格地区办事处获取的数据被导出到 SPSS 版本 25 进行进一步分析。使用图表和表格呈现和描述病死率、病例发生率和其他描述性变量。

结果

通过主动监测系统共发现 224 例霍乱病例。在本研究中,霍乱疫情的病死率为 2.6%。为了应对霍乱疫情,古拉格地区卫生办公室与其他利益攸关方合作,准备了四个霍乱治疗中心。古拉格地区缺乏口服霍乱疫苗、安全用水不可及、厕所覆盖率低、厕所使用不当以及缺乏霍乱实验室快速诊断检测,这些都是应对疫情的障碍。

结论

埃塞俄比亚国家霍乱计划旨在到 2030 年消除霍乱,2023 年在埃塞俄比亚古拉格地区发生了 222 起霍乱疫情。为了最大限度地减少和控制霍乱死亡率,应在该地区所有地区使用口服霍乱疫苗。应确保可持续的水和环境卫生措施,以使用安全用水和良好的卫生习惯。对于感染者,应适时启动早期诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2751/11163086/b4913bd59c39/fpubh-12-1355613-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2751/11163086/80829973342d/fpubh-12-1355613-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2751/11163086/1623e2edf01f/fpubh-12-1355613-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2751/11163086/b4913bd59c39/fpubh-12-1355613-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2751/11163086/80829973342d/fpubh-12-1355613-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2751/11163086/1623e2edf01f/fpubh-12-1355613-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2751/11163086/b4913bd59c39/fpubh-12-1355613-g0003.jpg

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