Nacmbela Nachimata,
Obi Buzani Shambaba,
Musso Munyeme,
- chief health inspector, department of public health mbala municipal council , 420037, Mbala, Zambia
- Researcher, biomedical science department, tropical disease research centre,71769, Ndola., Ndola, Zambia
- one health coordinator, department of disease control, 32379, school of veterinary medicine, University of Zambia, Lusaka, Zambia
Abstract
Background: Cholera cases in Zambia have been observed over a period of time without understanding the epidemiological cycles. The aim of the study was to evaluate the temporal distribution of recurrent cholera outbreak in Zambia from 1977 to 2019. Methods: Cholera case records of both sex and all ages were retrospectively analysed. The primary source documents were reviewed included; infectious diseases line list, notifiable diseases reports, Health Impact Assessment, District Health Impact Assessments, surveillance reports, Out-Patient Department, In-Patient Department books, and rapid response meeting minutes at district, provincial and national level. Use Excel to enter data and Stata to analyze data14. Results: Zambia experienced 4 major recurrent cholera outbreaks between 1977 and 2020. The cumulative estimated total cases during the period under review accounted for 106,713 cases. While the mortality cumulative total was 4,367 deaths translating into a case fatality rate of 4.1%. The peak frequency of an epidemic curve elucidated an average of 10-year cycle of periodicity for both epidemiological cycle, pattern and interval of occurrence. Conclusion: The key finding from this study has been the elucidation of the 10-year epidemiological cycle. This means that control measures can be developed using the observed cycle of periodicity, as part of an early warning system by policy makers.
Keywords: Cholera, Case fatality rate, Epidemiological cycles, Epidemic curve, Infectious diseases.
Nacmbela Nachimata, Obi Buzani Shambaba, Musso Munyeme. Evaluation of Temporal Distribution of Recurrent Cholera Outbreak in Zambia.. Recent Trends in Infectious Diseases. 2024; ():-.
Nacmbela Nachimata, Obi Buzani Shambaba, Musso Munyeme. Evaluation of Temporal Distribution of Recurrent Cholera Outbreak in Zambia.. Recent Trends in Infectious Diseases. 2024; ():-. Available from: https://journals.stmjournals.com/rtid/article=2024/view=188552
References
- Ali M, Nelson AR, Lopez AL, Sack DA. Updated global burden of cholera in endemic countries. PLoS Negl Trop Dis. 2015;9(6):e0003832. doi: 10.1371/journal.pntd.0003832
- Anyamba A, Chretien J-P, Britch SC, Soebiyanto RP, Small JL, Jepsen R, et al. Global Disease Outbreaks Associated with the 2015–2016 El Niño Event. Sci Rep. 2019;9(1):1930. doi: 10.1038/s41598-018-38034-z
- Camacho A, Bouhenia M, Alyusfi R, Alkohlani A, Naji MAM, de Radiguès X, et al. Cholera epidemic in Yemen, 2016–18: an analysis of surveillance data. Lancet Glob Health. 2018;6(6):e680–e690. doi: 10.1016/S2214-109X(18)30230-4
- Cholera — Worldwide, 1989 [Internet]. Available from: https://www.cdc.gov/mmwr/preview/mmwrhtml/00001634.htm. Accessed 3.14.22.
- Dalhat MM, Isa AN, Nguku P, Nasir S-G, Urban K, Abdulaziz M, et al. Descriptive characterization of the 2010 cholera outbreak in Nigeria. BMC Public Health. 2014;14(1):1167. doi: 10.1186/1471-2458-14-1167
- Luque Fernández MÁ, Bauernfeind A, Jiménez JD, Gil CL, Omeiri NE, Guibert DH. Influence of temperature and rainfall on the evolution of cholera epidemics in Lusaka, Zambia, 2003–2006: analysis of a time series. Trans R Soc Trop Med Hyg. 2009;103(2):137–143. doi: 10.1016/j.trstmh.2008.07.017
- Mengel MA, Delrieu I, Heyerdahl L, Gessner BD. Cholera outbreaks in Africa. Curr Top Microbiol Immunol. 2014;379:117–144. doi: 10.1007/82_2014_369
- Misch A. Sanitation in the time of cholera. World Watch. 1991;4:37–38.
- Moore SM, Azman AS, Zaitchik BF, Mintz ED, Brunkard J, Legros D, et al. El Niño and the shifting geography of cholera in Africa. Proc Natl Acad Sci U S A. 2017;114(19):4436–4441. doi: 10.1073/pnas.1617218114
- Mutale LS, Winstead AV, Sakubita P, Kapaya F, Nyimbili S, Mulambya NL, et al. Risk and Protective Factors for Cholera Deaths during an Urban Outbreak—Lusaka, Zambia, 2017–2018. Am J Trop Med Hyg. 2020;102(3):534–540. doi: 10.4269/ajtmh.19-0678
- Mwaba J, Debes AK, Murt KN, Shea P, Simuyandi M, Laban N, et al. Three transmission events of Vibrio cholerae O1 into Lusaka, Zambia. BMC Infect Dis. 2021;21(1):570. doi: 10.1186/s12879-021-06259-5
- Mwaba J, Debes AK, Shea P, Mukonka V, Chewe O, Chisenga C, et al. Identification of cholera hotspots in Zambia: A spatiotemporal analysis of cholera data from 2008 to 2017. PLOS Negl Trop Dis. 2020;14(6):e0008227. doi: 10.1371/journal.pntd.0008227
- Nanzaluka FH, Davis WW, Mutale L, Kapaya F, Sakubita P, Langa N, et al. Risk Factors for Epidemic Cholera in Lusaka, Zambia—2017. Am J Trop Med Hyg. 2020;103(2):646–651. doi: 10.4269/ajtmh.20-0089
- Olu O, Babaniyi O, Songolo P, Matapo B, Chizema E, Kapin’a-Kanyanga M, et al. Cholera Epidemiology in Zambia from 2000 to 2010: Implications for Improving Cholera Prevention and Control Strategies in the Country. East Afr Med J. 2013;90(10):324–331. doi: 10.4314/eamj.v90i10
- Phelps M, Perner ML, Pitzer VE, Andreasen V, Jensen PKM, Simonsen L. Cholera Epidemics of the Past Offer New Insights Into an Old Enemy. J Infect Dis. 2018;217(5):641–649. doi: 10.1093/infdis/jix602
- Poncin M, Zulu G, Voute C, Ferreras E, Muleya CM, Malama K, et al. Implementation research: reactive mass vaccination with single-dose oral cholera vaccine, Zambia. Bull World Health Organ. 2018;96(2):86–93. doi: 10.2471/BLT.16.189241
- Sasaki S, Suzuki H, Igarashi K, Tambatamba B, Mulenga P. Spatial analysis of risk factor of cholera outbreak for 2003-2004 in a peri-urban area of Lusaka, Zambia. Am J Trop Med Hyg. 2008;79(3):414–421.
- Sinyange N, Brunkard JM, Kapata N, Mazaba ML, Musonda KG, Hamoonga R, et al. Cholera Epidemic — Lusaka, Zambia, October 2017–May 2018. MMWR Morb Mortal Wkly Rep. 2018;67(19):556–559. doi: 10.15585/mmwr.mm6719a5
- Tran N-T, Taylor R, Antierens A, Staderini N. Cholera in Pregnancy: A Systematic Review and Meta-Analysis of Fetal, Neonatal, and Maternal Mortality. PLoS One. 2015;10(7):e0132920. doi: 10.1371/journal.pone.0132920
- Zarocostas J. Cholera outbreaks in west Africa kill more than 700. BMJ. 2005;331(7510):800.
Volume | |
Received | 26/11/2024 |
Accepted | 05/12/2024 |
Published | 09/12/2024 |