Recurrent Cholera Outbreaks, Democratic Republic of the Congo, 2008–2017 Brecht Ingelbeen.pdf

该【Recurrent Cholera Outbreaks, Democratic Republic of the Congo, 2008–2017 Brecht Ingelbeen 】是由【小舍儿】上传分享，文档一共【9】页，该文档可以免费在线阅读，需要了解更多关于【Recurrent Cholera Outbreaks, Democratic Republic of the Congo, 2008–2017 Brecht Ingelbeen 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umoronfilterpaperandtransportedtotheINRBhttps://.org)(OpenSourceGeospatialFoundation,:age,sex,healthzoneofresidence,dateofsymptomonset,dateofsamplecol-EthicsStatementlection,dateofsamplereceiptatthereferencelaboratory,,from2011onward,bydisk-diffusiontest--data,weobtainedethicsapproval()tuteM45-Ed3(13),-,2008–November19,2017,atotalofCasemanagementdatawereprovidedby19CTCsthatMé-270,852suspectedcholerainfectionsand5,231cholera-decinssansFrontièreshaddeployedinsupportofMinistryrelateddeaths(%)werereportedinDRCinall26ofHealthcholeraoutbreakresponseactivities,allinnon–,during2015–édecinssans2008,2009,late2011through2012,early2013,andlateFrontièresdefinesacaseas>3liquidstoolsintheprevi-2015through2017(Table1;Figure1,panelB).,weextractedage,sex,9,510(%)suspectedcholeracasesforwhichthenation-healthzoneofresidence,dateofsymptomonset,dateofalreferencelaboratoryreceivedsamples,2,941(%),oradmissiontotheCTC,%ofallsuspectedcholeracasesreportedtotheIDSRS,(127,642;%)werereportedinthe26hotspothealthzonesand2016providedbytheExpandedProgrammeofImmuniza-224,212(%),640suspectedcasesthatwerereportedinnon–hotspotforeachyearduring2008–2017,undertheassumptionofprovinces,42,340(%)werereportedduringtheout-–2012and2015–??,,May2019RecurrentCholera,DRC,2008–,tested,andconfirmed,countrywide,duringcholeraoutbreaks,DemocraticRepublicoftheCongo,2008–(%positive)SerotypeLocationPeriodAge<5yAge>5yTotalAge<5yAge>5yTotalInabaOgawaHikojimaDRCJan2008–66,008204,483270,8522,028(34)7,482(30)9,510(31)2,6122747Nov2017Reportedoutbreaks*inhotspotprovincesNorthKivu,Aug–Nov1,9359,64111,65220(50)189(33)209(35)11630SouthKivu,2009TanganyikaNorthKivu,Aug–Nov6,65314,70921,3625(20)41(27)46(26)570SouthKivu,2017TanganyikaHautKatangaJan–Mar1,2784,7125,9903(67)16(50)19(53)7002008HautKatangaJan–Apr1,9356,5048,4411(100)11(55)12(58)4302013HautLomamiJan–Dec1,2853,3594,6440000002014IturiJan–Sep8283,8684,6960000002012Reportedoutbreaks*innon–hotspotprovincesCongoRiverJan2011–2,80911,87814,68689(30)578(26)667(27)17900Dec2012CongoRiverSep2015–4,99120,33025,422123(7)633(19)756(17)1181002017Kwilu,Kwango,Jul–Nov3742,1232,497010(20)10(20)110Kasai,Lomami,2017Sankuru*Definedas>1laboratory-confirmedcholeracaseswithevidenceoflocaltransmissionandanincreaseinthenumberofsuspectedcasesfor>3consecutiveweeks,orweeklyincidence>1,000casesfor>3consecutiveweeksforprovincesreportingcasesallyearround,orincreasingnumberofsuspectcasesfor>-Patientsthose>5yearsofage(4,331/204,483;%).WeobservedInhotspothealthzones,33,477(%)parabledistributionsinCFRsbyageforsuspectedcas-eracasesand589(%)confirmedcholeracaseswereeswhenstratifiedbyhotspotstatus(Table2).AmongCTCinchildren<,23,615admissionsinnon–hotspotprovinces,CFRsincreasedby(%)suspectedand44(%)confirmedcaseswereage,%(43/1,759)amongchildren<5yearsofagereportedinnon–hotspothealthzonesinhotspotprovinc-%(32/752)amongpatients>,916(%)suspectedand48(%)confirmeddecreasedthroughoutanoutbreak,%(23/452)choleracasesinnon–(%(35/793)%(3/429)intherange[IQR]4–26)yearsinhotspothealthzones,20(–32)yearsinnon–hotspothealthzonesinhotspotprov-inces,and22(IQR10–36)yearsinnon–hotspotprov-–hotspotprovinces,Suspectedcholeracaseswerereportedallyearin3of6medianageofthepatientswas17(IQR5–32)years;23%hotspotprovinces:NorthandSouthKivuandTanganyika,ofthosepatientswere<--creaseintheproportionofchildren<5yearsofageadmit-:%inthefirst4weeksoftheoutbreak,startedinAugust,peaked6–8weekslater,anddecreased>%inweeks5–8,%inweeks9–12,%inintensityuntiltheregionswentbacktobaselinelevelsinweeks13–%of5monthsafterthep