Responding to cholera outbreaks in Somalia in 2017-2019.

Autor:	Lubogo M; World Health Organization, Somalia Country Office, Mogadishu, Somalia., Evans B; Emergency Programme, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt., Abdinasir A; Emergency Programme, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt., Sherein E; Emergency Programme, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt., Muhammad T; Emergency Programme, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt., Mohamed A; Federal Ministry of Health, Mogadishu, Somalia., Hussein A; Federal Ministry of Health, Mogadishu, Somalia., Abdulrazeq F; Emergency Programme, World Health Organization Regional Office for the Eastern Mediterranean, Cairo, Egypt., Mamunur M; World Health Organization, Somalia Country Office, Mogadishu, Somalia.
Jazyk:	angličtina
Zdroj:	Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit [East Mediterr Health J] 2023 Sep 09; Vol. 29 (9), pp. 734-741. Date of Electronic Publication: 2023 Sep 09.
DOI:	10.26719/emhj.23.096
Abstrakt:	Background: Somalia reported repeated cholera outbreaks between 2017 and 2019. These outbreaks were attributed to multiple risk factors which made response challenging. Aims: To describe lessons from the preparedness and response to the cholera outbreaks in Somalia between 2017 and 2019. Methods: We reviewed outbreak response reports, surveillance records and preparedness plans for the cholera outbreaks in Somalia from January 2017 to December 2019 and other relevant literature. We present data on cholera-related response indicators including cholera cases and deaths and case fatality rates for the 3 years. Qualitative data were collected from 5 focus group discussions and 10 key informant interviews to identify the interventions, challenges and lessons learnt from the Somali experience. Results: In 2017, a total of 78 701 cholera cases and 1163 related deaths were reported (case fatality rate 1.48%), in 2018, 6448 cholera cases and 45 deaths were reported (case fatality rate 0.70%), while in 2019, some 3089 cases and 4 deaths were reported in Somalia (case fatality rate 0.13%). The protracted conflict, limited access to primary health care, and limited access to safe water and proper sanitation among displaced populations were identified as the main drivers of the repeated cholera outbreaks. Conclusions: Periodic assessment of response to and preparedness for potential epidemics is essential to identify and close gaps within the health systems. Somalia's experience offers important lessons on preventing and controlling cholera outbreaks for countries experiencing complex humanitarian emergencies. (Copyright © Authors 2023; Licensee: World Health Organization. EMHJ is an open access journal. This paper is available under the Creative Commons Attribution Non-Commercial ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo).)
Databáze:	MEDLINE
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