TY  - JOUR
U1  - Zeitschriftenartikel, wissenschaftlich - begutachtet (reviewed)
A1  - Kisera, Nereah
A1  - Luxemburger, Christine
A1  - Tornieporth, Nadia
A1  - Otieno, George
A1  - Inda, Javan
T1  - A descriptive cross-sectional study of cholera at Kakuma and Kalobeyei refugee camps, Kenya in 2018
JF  - Pan African Medical Journal
N2  - Introduction: cholera is a significant public health concern among displaced populations. Oral cholera vaccines are safe and can effectively be used as an adjunct to prevent cholera in settings with limited access to water and sanitation. Results from this study can inform future consideration for cholera vaccination at Kakuma and Kalobeyei. 

Methods: a descriptive cross-sectional study of cholera cases at Kakuma refugee camp and Kalobeyei integrated settlement was carried out between May 2017 to May 2018 (one year). Data were extracted from the medical records and line lists at the cholera treatment centres.

Results: the results found 125 clinically suspected and confirmed cholera cases and one related death (CFR 0.8%). The cumulative incidence of all cases was 0.67 (95% CI=0.56-0.80) cases/1000 persons. Incidence of cholera was higher in children under the age of five 0.94(95% CI=0.63-1.36) cases/1000 persons. Children aged <5 years showed 51% increased risk of cholera compared to those aged ≥5 years (RR=1.51; 95% CI=1.00-2.31, p=0.051). Individuals from the Democratic Republic of Congo had nearly 9-fold risk of reporting cholera (RR=8.62; 95% CI=2.55-37.11, p<0.001) while individuals from South Sudan reported 7 times risk of cholera case compared to those from Somalia (RR=7.39; 95% CI=2.78-27.73, p<0.001). 

Conclusion: in addition to the improvement of water, sanitation and hygiene (WaSH), vaccination could be implemented as a short-medium term measure of preventing cholera outbreaks. Age, country of origin and settlement independently predicted the risk of cholera.
KW  - outbreak
KW  - vaccine
KW  - WaSH
KW  - refugees
KW  - Kakuma
KW  - Kalobeyei
KW  - Cholera
KW  - Impfstoff
KW  - Flüchtlingslager
Y1  - 2020
UN  - https://nbn-resolving.org/urn:nbn:de:bsz:960-opus4-18501
SN  - 1937-8688
SS  - 1937-8688
U6  - https://doi.org/10.25968/opus-1850
DO  - https://doi.org/10.25968/opus-1850
IS  - 37
ER  -