Cholera Mortality during Urban Epidemic, Dar es Salaam, Tanzania, August 16, 2015–January 16, 20161

Details

• Alternative Title:
  Emerg Infect Dis
• Personal Author:
  McCrickard, Lindsey S. ; Massay, Amani Elibariki ; Narra, Rupa ; Mghamba, Janneth ; Mohamed, Ahmed Abade ; Kishimba, Rogath Saika ; Urio, Loveness John ; Rusibayamila, Neema ; Magembe, Grace ; Bakari, Muhammud ; Gibson, James J. ; Eidex, Rachel Barwick ; Quick, Robert E.
• Description:
  In 2015, a cholera epidemic occurred in Tanzania; most cases and deaths occurred in Dar es Salaam early in the outbreak. We evaluated cholera mortality through passive surveillance, burial permits, and interviews conducted with decedents' caretakers. Active case finding identified 101 suspected cholera deaths. Routine surveillance had captured only 48 (48%) of all cholera deaths, and burial permit assessments captured the remainder. We interviewed caregivers of 56 decedents to assess cholera management behaviors. Of 51 decedents receiving home care, 5 (10%) used oral rehydration solution after becoming ill. Caregivers reported that 51 (93%) of 55 decedents with known time of death sought care before death; 16 (29%) of 55 delayed seeking care for >6 h. Of the 33 (59%) community decedents, 20 (61%) were said to have been discharged from a health facility before death. Appropriate and early management of cholera cases can reduce the number of cholera deaths.
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Child Child, Preschool Cholera/epidemiology Cholera/history Cholera/mortality Disease Outbreaks Epidemics Female Global Health History, 21st Century Humans Male Middle Aged Public Health Surveillance Research Seasons Young Adult

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• Source:
  Emerg Infect Dis. 23(Suppl 1):S154-S157.
• Pubmed ID:
  29155665
• Pubmed Central ID:
  PMC5711300
• Document Type:
  Journal Article
• Place as Subject:
  Tanzania
• Location:
  Africa
• Volume:
  23
• Collection(s):
  Emerging Infectious Diseases
• Main Document Checksum:
  urn:sha256:187d03398714f399d765fbe1f1561fc6baf3af67af645cf2badf193265594730
• Download URL:
  https://stacks.cdc.gov/view/cdc/50093/cdc_50093_DS1.pdf
• File Type:
  [PDF - 665.56 KB ]