Cholera outbreak in Forcibly Displaced Myanmar National (FDMN) from a small population segment in Cox’s Bazar,Bangladesh, 2019 |
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| Authors: | Abu S. G. Faruque Azharul Islam Khan Baitun Nahar S. M. Rafiqul Islam M. Nasif Hossain Syed Asif Abdullah Soroar Hossain Khan Md. Sabbir Hossain Feroz Hayat Khan Mukeshkumar Prajapati Yulia Widiati A. S. M. Mainul Hasan Minjoon Kim Jennie Musto Maya Vandenent John David Clemens Tahmeed Ahmed |
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| Affiliation: | 1. Nutrition and Clinical Services Division, icddr,b, Dhaka, Bangladesh ; 2. World Health Organization, Cox’s Bazar, Bangladesh ; 3. UNICEF Bangladesh, Cox’s Bazar Field Office, Cox’s Bazar, Bangladesh ; 4. UNICEF Bangladesh Country Office, Cox’s Bazar, Bangladesh ; 5. UCLA Fielding School of Public Health, Los Angeles, California, United States of America ; Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, MALAYSIA |
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| Abstract: | BackgroundBangladesh experienced a sudden, large influx of forcibly displaced persons from Myanmar in August 2017. A cholera outbreak occurred in the displaced population during September-December 2019. This study aims to describe the epidemiologic characteristics of cholera patients who were hospitalized in diarrhea treatment centers (DTCs) and sought care from settlements of Forcibly Displaced Myanmar Nationals (FDMN) as well as host country nationals during the cholera outbreak.MethodsDiarrhea Treatment Center (DTC) based surveillance was carried out among the FDMN and host population in Teknaf and Leda DTCs hospitalized for cholera during September-December 2019.ResultsDuring the study period, 147 individuals with cholera were hospitalized. The majority, 72% of patients reported to Leda DTC. Nearly 65% sought care from FDMN settlements. About 47% of the cholera individuals were children less than 5 years old and 42% were aged 15 years and more. Half of the cholera patients were females. FDMN often reported from Camp # 26 (45%), followed by Camp # 24 (36%), and Camp # 27 (12%). Eighty-two percent of the cholera patients reported watery diarrhea. Some or severe dehydration was observed in 65% of cholera individuals. Eighty-one percent of people with cholera received pre-packaged ORS at home. About 88% of FDMN cholera patients reported consumption of public tap water. Pit latrine without water seal was often used by FDMN cholera individuals (78%).ConclusionVigilance for cholera patients by routine surveillance, preparedness, and response readiness for surges and oral cholera vaccination campaigns can alleviate the threats of cholera. |
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