Updated Haiti cholera maps and latest PROMED Haiti cholera update

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Campbell, Dan

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Oct 29, 2010, 12:20:59 PM10/29/10
to cholera...@googlegroups.com, Harvey, Mary(AFR/SD), Brandes, Neal(GH/HIDN/NUT), ksal...@usaid.gov, Borrazzo, John, Campbell, D., Campbell, Dan, Gavin, John, Hafner, Craig, Jay, Kolb, Anthony, Rainey, Rochelle, Weinger, Merri, ip, Peter Nsubuga, RD, Greer, George

A continuously updated interactive map of the cholera situation in Haiti
is available from HealthMap at:
<http://www.healthmap.org/haiti/>.

PAHO Situation reports and a map of the areas where cholera cases have
been registered are available at:
http://new.paho.org/hq/index.php?option=com_content&task=view&id=4372&It
emid=1926>.

CHOLERA - HAITI (06): WHO
*************************
A ProMED-mail post
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ProMED-mail is a program of the
International Society for Infectious Diseases <http://www.isid.org>

In this posting:
[1] WHO report
[2], [3] News reports

******
[1] WHO report
Date: Thu 28 Oct 2010
Source: WHO Global Alert and Response (GAR) Disease Outbreak News
[edited] <http://www.who.int/csr/don/2010_10_28/en/index.html>


Cholera in Haiti - update
-------------------------
As of 27 Oct 2010, the Ministry of Health in Haiti (MSPP) reported 4722
cholera cases including 303 deaths. The departments reporting confirmed
cases are Artibonite (76.5 percent), Central (22.9 percent), Nord-Est,
and Nord.

Priorities of the Government of Haiti's National Response Strategy to
the Cholera Epidemic are to protect families at the community level, to
strengthen primary health care centers already operating across the
nation, and to establish a network of Cholera Treatment Centers and
designated hospitals for treatment of severe cases.

The strains of _Vibrio cholerae_ 01 Ogawa isolated in Haiti and tested
by the National Public Health Laboratory (LNSP) and the US CDC showed
resistance to the following antibiotics:
trimethoprim-sulfamethoxazole, furazolidone, nalidixic acid, and
streptomycin. The strains are sensitive to tetracycline, doxycycline,
and ciprofloxacin. Full genetic sequencing of the strains is ongoing.

WHO does not recommend any restrictions in travel and trade between
countries or between different regions of a country experiencing cholera
outbreaks. Travelers do not require proof of cholera vaccination, nor is
there a need to screen travelers by means of rectal swabbing or fecal
analysis. There is no need to establish quarantine measures at the
border, a measure that diverts resources and may hamper cooperation
between institutions and countries.

--
Communicated by:
ProMED-mail Rapporteur Marianne Hopp

******
[2] News report
Date: Thu 28 Oct 2010
Source: BBC News [summ., edited]
<http://www.bbc.co.uk/news/world-latin-america-11643348>

Suspected cases of cholera are being investigated in 3 new departments,
health officials in Haiti said on Wed 27 Oct 2010. They said nearly 300
people were now known to have died in the cholera outbreak. The UN is
investigating allegations that excrement from Nepalese peacekeepers
caused the epidemic.

Sarah Jacobs from the aid organization Save the Children told the BBC
that 174 new cases of cholera were being investigated in the area around
Arcahaie, a village in the northern Port-au-Prince district and about an
hour's drive from the capital.

"These suspected cases are much nearer the capital," Ms Jacobs said late
on Wednesday [27 Oct 2010]. "So if this is actually confirmed as cholera
as we suspect it will be, it means that the cholera has spread, it's
that much nearer to the capital. And that's the thing we really need to
avoid," she added.

So far a handful of cases have been reported in Port-au-Prince, but they
were all people who had contracted the disease in other parts of the
country.

The Pan American Health Organization (PAHO) said health workers were now
investigating suspected cholera cases in 3 more departments, Nord,
Nord-Ouest, and Nord-Est, in addition to the confirmed cases in
Artibonite, Central, and Ouest. At least 292 people had died and more
than 4100 were being treated, PAHO deputy director Jon Kim Andrus said.

Officials from the World Health Organization recommended that Haiti
should prepare for the disease to spread to Port-au-Prince and warned
that the epidemic had not yet reached its peak.

--
Communicated by:
ProMED-mail
<pro...@promedmail.org>

******
[3] News report
Date: Wed 27 Oct 2010
Source: Biosurveillance.typepad.com [summ., edited]
<http://biosurveillance.typepad.com/haiti_operational_biosurv/2010/10/fl
ash-report-cholera-in-cite-soleil-cholera-haiti.html>


As evidenced in multiple reports by the HEAS [Haiti Epidemic Advisory
System], a clear route of cholera transmission from Artibonite existed
along the coastal highway from Arachaie to Lafito to, potentially, "Camp
Obama" and (of greater concern) Cite Soleil. As feared, cholera has now
been reported in Cite Soleil in a case without a travel history from
Artibonite Valley.

The clinic in Cite Soleil treated a patient this morning that presented
at the clinic with rice water diarrhea and vomiting. It is the
considered diagnosis of the tropical medicine experienced physician at
the clinic that this is cholera.

It was further determined that this individual had not traveled outside
of Cite Soleil. It is of very great concern that the case history proved
that this patient has not been away nor does she ever travel from her
home in Cite Soleil. This transmission occurred in Cite Soleil.

--
Communicated by:
ProMED-mail
<pro...@promedmail.org>

[The outbreak continues to increase in number and in area, coming
closer to the capital. Spread to Port-au-Prince is essentially
inevitable. ProMED-mail awaits confirmation of the case in Cite
Soleil. - Mod.LL]

[A continuously updated interactive map of the cholera situation in
Haiti is available from HealthMap at:
<http://www.healthmap.org/haiti/>.
PAHO Situation reports and a map of the areas where cholera cases
have been registered are available at:
<http://new.paho.org/hq/index.php?option=com_content&task=view&id=4372&I
temid=1926>.
- Sr.Tech.Ed.MJ]

[see also:
Cholera - Haiti (05): (AR) 20101027.3899
Cholera - Haiti (04): (AR) 20101026.3876
Cholera - Haiti (03): (AR) Port-au-Prince, O1 20101024.3856
Cholera - Haiti (02): (AR) confirmed 20101022.3821
Cholera - Haiti: suspected, RFI 20101021.3818
Disease situation, post-earthquake - Haiti (02) 20100307.0750
Disease situation, post-earthquake - Haiti 20100207.0411]
...................................ll/mj/dk

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