Incidence of severe diarrhoea due to Vibrio cholevae in the catchment area of six surveillance hospitals in Bangladesh

Details

• Alternative Title:
  Epidemiol Infect
• Personal Author:
  Paul, R. C. ; Faruque, A. S. G. ; Alam, M. ; Iqbal, A. ; Zaman, K. ; Islam, N. ; Sobhan, A. ; Das, S. K. ; Malek, M. A. ; Qadri, F. ; Cravioto, A. ; Luby, S.P.
• Description:
  Cholera is an important public health problem in Bangladesh. Interventions to prevent cholera depend on their cost-effectiveness which in turn depends on cholera incidence. Hospital-based diarrhoeal disease surveillance has been ongoing in six Bangladeshi hospitals where a systematic proportion of patients admitted with diarrhoea were enrolled and tested for Vibrio cholerae. However, incidence calculation using only hospital data underestimates the real disease burden because many ill persons seek treatment elsewhere. We conducted a healthcare utilization survey in the catchment areas of surveillance hospitals to estimate the proportion of severe diarrhoeal cases that were admitted to surveillance hospitals and estimated the population-based incidence of severe diarrhoea due to V. cholerae by combining both hospital surveillance and catchment area survey data. The estimated incidence of severe diarrhoea due to cholera ranged from 0.3 to 4.9/1000 population in the catchment area of surveillance hospitals. In children aged <5 years, incidence ranged from 1.0 to 11.0/1000 children. Diarrhoeal deaths were most common in the Chhatak Hospital's catchment area (18.5/100 000 population). This study provides a credible estimate of the incidence of severe diarrhoea due to cholera in Bangladesh, which can be used to assess the cost-effectiveness of cholera prevention activities.
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Article Catchment Area (Health) Child Child, Preschool Diarrhea Female Hospitalization Hospitals Humans Incidence Infant Infant, Newborn Male Middle Aged Vibrio Cholerae Young Adult

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• Source:
  Epidemiol Infect. 144(5):927-939
• Pubmed ID:
  26391481
• Pubmed Central ID:
  PMC4779420
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  Bangladesh
• Volume:
  144
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e0d74dc93d5cfd7a12a8543d2800108462fc51deff76abe78feb743edea9ee60
• Download URL:
  https://stacks.cdc.gov/view/cdc/38368/cdc_38368_DS1.pdf
• File Type:
  [PDF - 1.86 MB ]