Cholera in Ecuador: Current relevance of past lessons learnt

This report analyses the trends in the cholera epidemic that hit Ecuador in 1991. The study is based on personal experiences and analysis of epidemiological databases from the Ministry of Public Health of Ecuador. The number of cases and initial attack rates in an immunologically naive population ar...

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Main Authors: S S Malavade, A Narvaez, A Mitra, T Ochoa, E Naik, M Sharma, S Galwankar, M D Breglia, R Izurieta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Journal of Global Infectious Diseases
Subjects:
Online Access:http://www.jgid.org/article.asp?issn=0974-777X;year=2011;volume=3;issue=2;spage=189;epage=194;aulast=Malavade
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author S S Malavade
A Narvaez
A Mitra
T Ochoa
E Naik
M Sharma
S Galwankar
M D Breglia
R Izurieta
author_facet S S Malavade
A Narvaez
A Mitra
T Ochoa
E Naik
M Sharma
S Galwankar
M D Breglia
R Izurieta
author_sort S S Malavade
collection DOAJ
description This report analyses the trends in the cholera epidemic that hit Ecuador in 1991. The study is based on personal experiences and analysis of epidemiological databases from the Ministry of Public Health of Ecuador. The number of cases and initial attack rates in an immunologically naive population are described by province. An analysis of the Andean and coastal cholera patterns of transmission are described along with its associated risk factors. The logistical, environmental, and socio-cultural risk factors prevalent during the epidemic and the control measures implemented are also reviewed. Also, the role of the epidemic in the development of the public health and healthcare resources in Ecuador is discussed here. Current data indicate favorable conditions for another outbreak of cholera in Ecuador. In view of the existing risk factors, new strategies are proposed to prevent such an epidemic in the future.
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spelling doaj.art-b20570b2058c406cac4912c7dddf0f722022-12-22T03:15:03ZengWolters Kluwer Medknow PublicationsJournal of Global Infectious Diseases0974-777X2011-01-013218919410.4103/0974-777X.81699Cholera in Ecuador: Current relevance of past lessons learntS S MalavadeA NarvaezA MitraT OchoaE NaikM SharmaS GalwankarM D BregliaR IzurietaThis report analyses the trends in the cholera epidemic that hit Ecuador in 1991. The study is based on personal experiences and analysis of epidemiological databases from the Ministry of Public Health of Ecuador. The number of cases and initial attack rates in an immunologically naive population are described by province. An analysis of the Andean and coastal cholera patterns of transmission are described along with its associated risk factors. The logistical, environmental, and socio-cultural risk factors prevalent during the epidemic and the control measures implemented are also reviewed. Also, the role of the epidemic in the development of the public health and healthcare resources in Ecuador is discussed here. Current data indicate favorable conditions for another outbreak of cholera in Ecuador. In view of the existing risk factors, new strategies are proposed to prevent such an epidemic in the future.http://www.jgid.org/article.asp?issn=0974-777X;year=2011;volume=3;issue=2;spage=189;epage=194;aulast=MalavadeCholeraEpidemicEpidemiologyEcuador
spellingShingle S S Malavade
A Narvaez
A Mitra
T Ochoa
E Naik
M Sharma
S Galwankar
M D Breglia
R Izurieta
Cholera in Ecuador: Current relevance of past lessons learnt
Journal of Global Infectious Diseases
Cholera
Epidemic
Epidemiology
Ecuador
title Cholera in Ecuador: Current relevance of past lessons learnt
title_full Cholera in Ecuador: Current relevance of past lessons learnt
title_fullStr Cholera in Ecuador: Current relevance of past lessons learnt
title_full_unstemmed Cholera in Ecuador: Current relevance of past lessons learnt
title_short Cholera in Ecuador: Current relevance of past lessons learnt
title_sort cholera in ecuador current relevance of past lessons learnt
topic Cholera
Epidemic
Epidemiology
Ecuador
url http://www.jgid.org/article.asp?issn=0974-777X;year=2011;volume=3;issue=2;spage=189;epage=194;aulast=Malavade
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AT tochoa cholerainecuadorcurrentrelevanceofpastlessonslearnt
AT enaik cholerainecuadorcurrentrelevanceofpastlessonslearnt
AT msharma cholerainecuadorcurrentrelevanceofpastlessonslearnt
AT sgalwankar cholerainecuadorcurrentrelevanceofpastlessonslearnt
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