Oral cholera vaccination coverage after the first global stockpile deployment in Haiti, 2014

Details

• Alternative Title:
  Vaccine
• Personal Author:
  Burnett, Eleanor M. ; Francois, Jeannot ; Sreenivasan, Nandini ; Wannemuehler, Kathleen ; Faye, Papa Coumba ; Tohme, Rania A. ; Delly, Patrick ; Deslouches, Yves Gaston ; Etheart, Melissa D. ; Dismer, Amber Marie ; Patel, Roopal ; Date, Kashmira
  More +
• Description:
  Introduction: ; In 2014, an oral cholera vaccine (OCV) campaign targeting 185,314 persons aged ≥1 years was conducted in 3 departments via fixed post and door-to-door strategies. This was the first use of the global OCV stockpile in Haiti. ; Methods: ; We conducted a multi-stage cluster survey to assess departmental OCV coverage. Target population estimates were projected from the 2003 Haiti population census with adjustments for population growth and estimated proportion of pregnant women. In the three departments, we sampled 30/106 enumeration areas (EAs) in Artibonite, 30/244 EAs in Centre, and 20/29 EAs in Ouest; 20 households were systematically sampled in each EA. Household and individual interviews using a standard questionnaire were conducted in each selected household; data on OCV receipt were obtained from vaccination card or verbal report. We calculated OCV campaign coverage estimates and 95% confidence intervals (CIs) accounting for survey design. ; Results: ; Overall two-dose OCV coverage was 70% (95% CI: 60, 79), 63% (95% CI: 55, 71), and 44% (95% CI: 35, 53) in Artibonite, Centre, and Ouest, respectively. Two-dose coverage was higher in the 1–4 years age group than among those ≥15 years in Artibonite (difference: 11%; 95% CI: 5%, 17%) and Ouest (difference: 12%; 95% CI: 3, 20). A higher percentage of children aged 5–14 years received both recommended doses than did those 15 years (Artibonite: 14% (95% CI: 8%, 19%) difference; Centre: 11% difference (95% CI: 5%, 17%); Ouest: 10% difference (95% CI: 2%, 17%). The most common reason for not receiving any OCV dose was being absent during the campaign or not having heard about vaccination activities. ; Conclusions: ; While coverage estimates in Artibonite and Centre were comparable with other OCV campaigns in Haiti and elsewhere, inadequate social mobilization and outdated population estimates might have contributed to lower coverage in Ouest.
• Subjects:
  • Article
  • Cholera
  • Cholera vaccine
  • Diarrhea
  • Female
  • Pregnancy
  • Humans
  • United States
  • Electronic Nicotine Delivery Systems
  • Harm Reduction
  More +
• Source:
  Vaccine. 37(43):6348-6355
• Pubmed ID:
  31521413
• Pubmed Central ID:
  PMC10334223
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Place as Subject:
  Haiti
• Volume:
  37
• Issue:
  43
• Download URL:
  https://stacks.cdc.gov/view/cdc/130856/cdc_130856_DS1.pdf
• File Type:
  [PDF - 992.92 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ff4616307f3b5054b6979a113f0dce1dc6d53b46669136dff9926da84709a4e3