El-Bushra Hassan, Izzoddeen Ahmad, Haroun Ahmed, ElBushra Eymanne, Abualgasim Hafsa, Abasher Mazza, Abolgassim Ali, Mahmoud ElFadil, M Osman Muntasir, Al-Souri Ruba, Bashier Haitham, Khader Yousef
Consultant Epidemiologist, Health Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan.
Health Emergencies and Epidemic Control Directorate, Federal Ministry of Health, Khartoum, Khartoum State, Sudan; Sudan Field Epidemiology Training Program, Federal Ministry of Health, Khartoum, Khartoum State, Sudan.
Int J Infect Dis. 2025 Apr;153:107788. doi: 10.1016/j.ijid.2025.107788. Epub 2025 Jan 22.
In 2023, Sudan experienced a major cholera outbreak affecting 10 states amidst armed conflict that severely disrupted health services.
This study aimed to describe the magnitude and pattern of the cholera outbreak in Sudan amidst the armed conflict and provide timely insights.
This was a retrospective record-based descriptive (cross-sectional) study. The study used surveillance data available at the national level (from August 2023 - February 2024). Epidemiological measurements were calculated, and data were analysed using Epi Info 7 software.
A total of 9,581 cases were reported in 10 states (with an overall attack rate (AR) of 3.5/10,000 people) and 238 reported deaths (with a crude case fatality ratio (CFR) of 2.48%). There was an observable variation in AR and CFR between the states. The duration of the outbreak varied across states, ranging from 4 to 18 weeks.
Cholera caused significant mortality and morbidity, facilitated by conflict. To better address recurrent cholera and the challenges imposed by conflict, health authorities need to invest in communities through strengthening engagement, rising awareness and adopting community-based preparedness and response strategies. In addition, ensuring the readiness of the primary healthcare level requires training for healthcare workers and maintaining the flow of supplies.
2023年，苏丹在武装冲突期间经历了一场重大霍乱疫情，波及10个州，严重扰乱了卫生服务。
本研究旨在描述苏丹武装冲突期间霍乱疫情的规模和模式，并提供及时的见解。
这是一项基于回顾性记录的描述性（横断面）研究。该研究使用了国家层面现有的监测数据（2023年8月至2024年2月）。计算了流行病学指标，并使用Epi Info 7软件对数据进行了分析。
10个州共报告了9581例病例（总体发病率为3.5/10000人），238例报告死亡（粗病死率为2.48%）。各州之间的发病率和病死率存在明显差异。疫情持续时间因州而异，从4周到18周不等。
霍乱在冲突的推动下造成了重大的死亡率和发病率。为了更好地应对反复出现的霍乱以及冲突带来的挑战，卫生当局需要通过加强参与、提高认识和采取基于社区的防范和应对策略来对社区进行投资。此外，确保基层医疗保健机构的准备就绪需要对医护人员进行培训并维持物资供应的流通。
