Details:

Alternative Title:
Am J Trop Med Hyg
Publisher's site:
http://dx.doi.org/10.4269/ajtmh.13-0201
Personal Author:
Chun-Hai Fung, Isaac ; Fitter, David L. ; Borse, Rebekah H. ; Meltzer, Martin I. ; Tappero, Jordan W.
Chun-Hai Fung, Isaac ; Fitter, David L. ; Borse, Rebekah H. ; Meltzer, Martin I. ; Tappero, Jordan W. Less -
Description:
In 2010, toxigenic Vibrio cholerae was newly introduced to Haiti. Because resources are limited, decision-makers need to understand the effect of different preventive interventions. We built a static model to estimate the potential number of cholera cases averted through improvements in coverage in water, sanitation and hygiene (WASH) (i.e., latrines, point-of-use chlorination, and piped water), oral cholera vaccine (OCV), or a combination of both. We allowed indirect effects and non-linear relationships between effect and population coverage. Because there are limited incidence data for endemic cholera in Haiti, we estimated the incidence of cholera over 20 years in Haiti by using data from Malawi. Over the next two decades, scalable WASH interventions could avert 57,949-78,567 cholera cases, OCV could avert 38,569-77,636 cases, and interventions that combined WASH and OCV could avert 71,586-88,974 cases. Rate of implementation is the most influential variable, and combined approaches maximized the effect.
Subjects:
[+]
Administration, Oral Cholera Cholera Vaccines Humans Hygiene Incidence Models, Biological Rural Population Sanitation Time Factors Urban Population Water Microbiology
Source:
Am J Trop Med Hyg. 2013; 89(4):633-640.
Series:
AJTMH and PAHO : Commemorating the 3rd Anniversary of the Cholera Outbreak in Haiti : Invited Papers
Document Type:
Journal Article
Place as Subject:
Haiti
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:97c930660631caf38176c09bbe575a7c721067dbadb4ce4633a1483324769f67
Download URL:
https://stacks.cdc.gov/view/cdc/21334/cdc_21334_DS1.pdf
File Type:

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