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Published on: August 22, 2012
Cholera outbreaks among children in sub-Saharan Africa
Agozie C Ubesie1, Chioma L Odimegwu1, Echezona Edozie Ezeanolue2,3,4
1Department of Pediatrics, College of Medicine, University of Nigeria.
Insights
Cholera disproportionately affects children in sub-Saharan Africa due to poor sanitation and hygiene. Preventing outbreaks requires integrated strategies addressing all five levels of disease prevention.
Area of Science:
- Public Health
- Infectious Diseases
- Pediatrics
Background:
- Cholera outbreaks in sub-Saharan Africa predominantly impact children.
- Minimal progress in sanitation and infrastructure development contributes to recurrent outbreaks.
- Poor hygiene practices, including open defecation, are prevalent in many African regions.
Conclusions:
- Synchronous implementation of the five levels of disease prevention is crucial for controlling cholera outbreaks in African children.
Purpose Of Review:
We review current knowledge on the burden, impact and prevention of cholera among children who bear the brunt of cholera outbreaks in sub-Saharan Africa.
Recent Findings:
Several studies have shown that recent outbreaks of cholera among African children are related to minimal progress in basic sanitation and infrastructural development. Poor hygiene practices such as open defecation and indiscriminate disposal of feces are still common in many parts of Africa.
Summary:
Cholera case fatality rates in sub-Saharan Africa remain unacceptably high. Children are disproportionately affected and bear the brunt of the disease. Controlling outbreaks of cholera among African children will require a synchronous implementation of the five levels of disease prevention.
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