1400. Outbreak of cholera in an Orphanage, Delmas, Haiti, August, 2015
Session: Poster Abstract Session: HAI: Outbreaks
Friday, October 28, 2016
Room: Poster Hall
Posters
  • Poster IDW, Oméga Chéry.pdf (200.7 kB)
  • Background:

    The cholera is ongoing on in Haiti since October, 2010 to date. At the 31th epidemiologic week of 2015, the National Surveillance Network, through its early warning system, placed on red alert for cholera towns of the West department. Following this warning, we decided to consult the daily records some cholera treatment centers to learn from the cases. August 09, 2015 were identified in the records of a Pediatric Hospital, 3 children under 5 years coming from an orphanage of Delmas, were admitted for acute watery diarrhea, vomiting and dehydration. Rapid diagnostic tests (RDT) to cholera were positive.An investigation was conducted to characterize the outbreak, identify etiology and recommend preventive measures and control.

    Methods:

    Descriptive study was conducted between august 10-14, 2015. Suspected cases were any person living or frequenting the orphanage, during the investigated period, presenting acute diarrhea, with vomiting or not, or dehydration. Probable cases were suspected cases with positive RDT. Confirmed cases were any suspected or probable cases with positive culture. Stool and water samples were collected. Demographic, clinical and risk factors data were collected. Data were entered and analysed to Microsoft excel 2010 and Epi info 7. We calculated frequencies, central measures tendency and dispersion, attack rate and lethality. Drinking water is the source of this outbreak of Cholera. We determined the concentration of chlorine in water and sanitary inspection where requested.

    Results:

    We found 16 suspected cases with six confirmed by culture and 10 by epidemiological link, attack rate: 20, 5%. From these cases, mean age: 2, 4 years (range: 1- 5), 12 (75%) were male, six ( 37,5%) ) had vomiting, 16 (100%) had diarrhea with six (37,5%) % severely dehydrated and hospitalized without death. There wasn’t chlorine in drinking water. Our observational investigation showed that the orphanage was in a poor sanitary condition.

    Conclusion:

    The outbreak in the orphanage was confirmed and the cases were probably linked to the poor condition of sanitation in the orphanage. We conducted educational sessions on hygiene measures for staff and children of the site. We recommend improving the sanitary condition at the orphanage.

    Oméga Chéry, Physician, Ouest, FETP HAITI, Delmas, Haiti

    Disclosures:

    O. Chéry, None

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