Cholera outbreak in Dadaab Refugee camp, Kenya - November 2015-June 2016

Qabale Golicha, Sharmila Shetty, Orkhan Nasiblov, Abubakar Hussein, Eliud Wainaina, Mark Obonyo, Daniel Macharia, Raymond N Musyoka, Hussein Abdille, Maurice Ope, Rachael Joseph, Willy Kabugi, John Kiogora, Munawwar Said, Waqo Boru, Tura Galgalo, Sara A Lowther, Bonventure Juma, Robert Mugoh, Newton WamolaClayton Onyango, Zeinab Gura, Marc-Alain Widdowson, Kevin M DeCock, John W Burton

Research output: Contribution to journalA1: Web of Science-article

Abstract

Dadaab Refugee camp in Garissa County, Kenya, hosts nearly 340,000 refugees in five subcamps (Dagahaley, Hagadera, Ifo, Ifo2, and Kambioos) (1). On November 18 and 19, 2015, during an ongoing national cholera outbreak (2), two camp residents were evaluated for acute watery diarrhea (three or more stools in ≤24 hours); Vibrio cholerae serogroup O1 serotype Ogawa was isolated from stool specimens collected from both patients. Within 1 week of the report of index cases, an additional 45 cases of acute watery diarrhea were reported. The United Nations High Commissioner for Refugees and their health-sector partners coordinated the cholera response, community outreach and water, sanitation, and hygiene (WASH) activities; Médecins Sans Frontiéres and the International Rescue Committee were involved in management of cholera treatment centers; CDC performed laboratory confirmation of cases and undertook GIS mapping and postoutbreak response assessment; and the Garissa County Government and the Kenya Ministry of Health conducted a case-control study. To prevent future cholera outbreaks, improvements to WASH and enhanced disease surveillance systems in Dadaab camp and the surrounding area are needed.

Original languageEnglish
JournalMMWR Morbidity and Mortality Weekly Report
Volume67
Issue number34
Pages (from-to)958-961
Number of pages4
ISSN0149-2195
DOIs
Publication statusPublished - 2018

Keywords

  • Adolescent
  • Adult
  • Anti-Bacterial Agents/pharmacology
  • Child
  • Child, Preschool
  • Cholera/epidemiology
  • Diarrhea/microbiology
  • Disease Outbreaks/prevention & control
  • Female
  • Humans
  • Kenya/epidemiology
  • Male
  • Public Health Practice
  • Refugee Camps
  • Refugees/statistics & numerical data
  • Risk Factors
  • Sanitation
  • Vibrio cholerae O1/drug effects
  • Young Adult

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