Volume 92, Issue 4
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645



Currently, there are only limited data available on rates of major diagnostic categories of illnesses among Haitian children. We have established a cohort of 1,245 students attending schools run by the Christianville Foundation in the Gressier/Leogane region of Haiti, for whom our group provides primary medical care. Among 1,357 clinic visits during the 2012–2013 academic year, the main disease categories (with rates per 1,000 child years of observation) included acute respiratory infection (ARI) (385.6 cases/1,000 child years of observation), gastrointestinal complaints (277.8 cases/1,000 child years), febrile illness (235.0 cases/1,000 child years), and skin infections (151.7 cases/1,000 child years). The most common diarrheal pathogen was enteroaggregative (present in 17% of children with diarrhea); O1 and norovirus were the next most common. Our data highlight the importance of better defining etiologies for ARI and febrile illnesses and continuing problems of diarrheal illness in this region, including mild cases of cholera, which would not have been diagnosed without laboratory screening.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Article metrics loading...

Loading full text...

Full text loading...



  1. Haitian Ministry of Public Health and Population, 2012. National Plan for the Elimination of Cholera in Haiti. Available at: http://www.onu-haiti.org/wp-content/uploads/2014/12/short-term-plan-2013-to-2015.pdf. Accessed February 1, 2015.
  2. Centers for Disease Control and PreventionUpdate, 2010. Cholera outbreak—Haiti, 2010. MMWR Morb Mortal Wkly Rep 59: 14731479.
  3. Centers for Disease Control and Prevention (CDC), 2010. Launching a national surveillance system after an earthquake—Haiti, 2010. MMWR Morb Mortal Wkly Rep 59: 933938.
  4. Hatzler L, Hofmaier S, Papadopoulos NG, , 2012. Allegic airway disease in childhood—marching from epidemiology to novel concepts of prevention. Pediatr Allergy Immunol 23: 616622.[Crossref]
  5. Murray PR, Baron EJ, Jorgensen JH, Pfaller MA, Yolken RH, , 2003. Manual of Clinical Microbiology. Washington, DC: American Society for Microbiology.
  6. Jubair M, Morris GJJ, Ali A, , 2012. Survival of Vibrio cholerae in nutrient-poor environments is associated with a novel “persister” phenotype. PLoS ONE 7: e45187.[Crossref]
  7. Nguyen TV, Le VP, Le HC, Gia KN, Weintraub A, , 2005. Detection and characterization of diarrheagenic Escherichia coli from young children in Hanoi, Vietnam. J Clin Microbiol 43: 755760.[Crossref]
  8. Jackson BR, Talkington DF, Pruckler JM, Fouché MD, Lafosse E, Nygren B, Gómez GA, Dahourou GA, Archer WR, Payne AB, Hooper WC, Tappero JW, Derado G, Magloire R, Gerner-Smidt P, Freeman N, Boncy J, Mintz ED, Cholera Serosurvey Working Group; , 2013. Seroepidemiologic survey of epidemic cholera in Haiti to assess spectrum of illness and risk factors for severe disease. Am J Trop Med Hyg 89: 654664.[Crossref]
  9. Von Fricken ME, Weppelmann TA, Lam B, Eaton WT, Schick L, Masse R, Beau De Rochars MV, Existe A, Larkin J, 3rd Okech BA, , 2014. Age-specific malaria seroprevalence rates: a cross-sectional analysis of malaria transmission in the Ouest and Sud-Est departments of Haiti. Malar J 13: 361.[Crossref]
  10. Ellis EM, Salyer S, Solomon C, Bron C, Juin S, Hemme R, Barrera R, Hunsperger E, Desormeaux AM, Jordan J-M, Etienne L, Jentes E, Beltran M, Magloire R, Sharp T, Tomashek K, Moffett D, Margolis H, Katz M, , 2012. Dengue virus infection among Haitian and expatriate non-governmental organization workers—Haiti, 2012 (abstract). In Program and Abstracts, American Society of Tropical Medicine and Hygiene Annual Meeting, Washington, DC, November 13–16, 2013.
  11. Colvin JM, Muenzer JT, Jaffe DM, Smason A, Deych E, Shannon WD, Arens MQ, Buller RS, Lee WM, Weinstock EJ, Weinstock GM, Storch GA, , 2012. Detection of viruses in young children with fever without an apparent source. Pediatrics 130: e1455.[Crossref]
  12. World Health Organization, 2005. Epidemiology and Management of Common Skin Diseases in Children in Developing Countries. Available at: http://whqlibdoc.who.int/hq/2005/WHO_FCH_CAH_05.12_eng.pdf.
  13. Steer AC, Jenney AWJ, Kado J, Batzloff MR, La Vincente S, Waqatakirewa L, Mulholland EK, Carapetis JR, , 2009. High burden of impetigo and scabies in a tropical country. PLoS Negl Trop Dis 3: e467.[Crossref]
  14. Haitian Ministry of Public Health and Population [EMMUS-V], 2012. Available at: http://www.haitilibre.com/en/news-9007-haiti-health-emmus-v-2012-survey-findings.html. Accessed February 1, 2015.
  15. Ministry of Public Health and Population, 2012. National Health Policy. Available at: http://mspp.gouv.ht/site/downloads/PNS%2021juillet%20version%20finale.pdf. Accessed February 1, 2015.

Data & Media loading...

  • Received : 27 Jan 2014
  • Accepted : 18 Dec 2014

Most Cited This Month

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error