苏丹多国霍乱在持续的冲突中重新出现
Ayman Azhary1,2,3, Nooh Mohamed Hajhamed1,2, Rana Mohamed1
1Department of Medical Microbiology, Faculty of Medical Laboratory Sciences Omdurman Islamic University, Khartoum, Sudan.
IJID regions
|December 4, 2025
概括
苏丹在2024年经历了严重的霍乱爆发激增,超过5万例. 虽然病例死亡率最初上升,但2025年的下降表明,干预措施可能会改善受冲突影响地区的结果.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 冲突研究 冲突研究
背景情况:
- 苏丹持续的冲突已经破坏了基本服务,创造了有利于传染病爆发的条件.
- 霍乱疫情对公众健康构成重大威胁,特别是在水和卫生基础设施受损的地区.
研究的目的:
- 分析苏丹多州霍乱疫情的流行病学趋势.
- 评估冲突期间病例死亡率 (CFR) 的变化.
- 为了确定霍乱传播模式的区域差异.
主要方法:
- 从2023年8月到2025年6月,利用国家一级霍乱监测数据进行了回顾性横截面研究.
- 分析年度和特定州的病例死亡率 (CFR).
- 使用R程序4.2.2分析数据,使用来自监督总局仪表板的匿名二次数据.
主要成果:
- 在2023年,10个州报告了9581例病例和254例死亡 (2.7%CFR),红海州的负担最高.
- 2024年,病例数将大幅增加至50,832例,死亡人数为1,380人 (2.7%CFR).
- 2025年上半年报告了23,488例病例和517例死亡 (1.7%CFR),表明下降趋势. 喀土穆,白尼罗河和北科尔多凡的趋势呈上升趋势,而红海,阿尔贾齐拉,阿尔卡达里夫和卡萨拉的趋势呈下降趋势.
结论:
- 霍乱传播动态复杂,受冲突,水/卫生问题,流离失所和疫苗接种努力的影响.
- 从2023年到2024年,病例的大幅增加,随后在2025年CFR下降,表明干预措施的潜在有效性.
- 持续的监测,有针对性的干预和加强的卫生基础设施对于管理冲突地区的疫情至关重要.
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