1921
Volume 95, Issue 6
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract

In 2013, the Government of Haiti implemented its first oral cholera vaccine (OCV) campaign in Petite Anse, an urban setting, and Cerca Carvajal, a rural commune. We conducted and compared responses to two independent cross-sectional knowledge and practices household surveys pre- ( = 297) and post- ( = 302) OCV campaign in Petite Anse. No significant differences in knowledge about causes, symptoms, and prevention of cholera were noted. Compared with precampaign respondents, fewer postcampaign respondents reported treating (66% versus 27%, < 0.001) and covering (96% versus 89%, = 0.02) their drinking water. Compared with precampaign, postcampaign survey household observations showed increased availability of soap (16.2% versus 34.5%, = 0.001) and handwashing stations (14.7% versus 30.1%, = 0.01), but no significant changes in handwashing practices were reported. Although there was no change in knowledge, significant decreases in water treatment practices necessary for cholera and other diarrheal diseases prevention were noted in the postcampaign survey. Future OCV campaigns in Haiti should be used as an opportunity to emphasize the importance of maintaining good water, sanitation, and hygiene practices, and include a comprehensive, integrated approach for cholera control.

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2016-12-07
2018-01-23
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References

  1. Republic of Haiti, 2016. Ministry of Public Health and Population, 2015. Case Report—January 30. Available at: http://mspp.gouv.ht/site/downloads/Rapport%20Web%2030.01.2016_Avec_Courbes_departementales.pdf. Accessed March 8, 2016.
  2. Republic of Haiti, National Directorate for Water Supply and Sanitation, 2013. National Plan for the Elimination of Cholera in Haiti 2013–2022. Available at: http://reliefweb.int/sites/reliefweb.int/files/resources/National%20Plan%20for%20the%20Elimination%20of%20Cholera%20in%20Haiti%202013-2022.pdf. Accessed May 8, 2015.
  3. Republic of Haiti, National Directorate for Water Supply and Sanitation, 2013. National Plan for the Elimination of Cholera in Haiti 2013–2022, Short Term Plan 2013–2015. Available at: http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid=20578&Itemid=270&lang=en. Accessed May 8, 2015.
  4. Tohme RA, François J, Wannemuehler K, Iyengar P, Dismer A, Adrien P, Hyde T, Marston BJ, Date K, Mintz E, Katz MA, , 2015. Oral cholera vaccine coverage, barrier to vaccination, and adverse events following vaccination, Haiti, 2013. Emerg Infect Dis 21: 984991.[Crossref]
  5. Luquero FJ, Grout L, Ciglenecki I, Sakoba K, Traore B, Heile M, Diallo AA, Itama C, Page AL, Quilici ML, Mengel MA, Eiros JM, Serafini M, Legros D, Grais RF, , 2014. Use of Vibrio cholerae vaccine in an outbreak in Guinea. N Engl J Med 370: 21112120.[Crossref]
  6. Bhattacharya SK, Sur D, Ali M, Kanungo S, You YA, Manna B, Sah B, Niyogi SK, Park JK, Sarkar B, Puri MK, Kim DR, Deen JL, Holmgren J, Carbis R, Dhingra MS, Donner A, Nair GB, Lopez AL, Wierzba TF, Clemens JD, , 2013. 5 year efficacy of a bivalent killed whole-cell oral cholera vaccine in Kolkata, India: a cluster-randomised, double-blind, placebo-controlled trial. Lancet Infect Dis 13: 10501056.[Crossref]
  7. Qadri F, Ali M, Chowdhury F, Khan AI, Saha A, Khan IA, Bequm YA, Bhuiyan TR, Chowdhury MI, Uddin MJ, Khan JA, Chowdhury AI, Rahman A, Siddique SA, Asaduzzaman M, Akter A, Khan A, Ae You Y, Siddik AU, Saha NC, Kabir A, Riaz BK, Biswas SK, Bequm F, Unicomb L, Luby SP, Cravioto A, Clemens JD, , 2015. Feasibility and effectiveness of oral cholera vaccine in urban endemic setting in Bangladesh: a cluster randomised open-label trial. Lancet 336: 13621371.[Crossref]
  8. Ivers LC, Hilaire IJ, Teng JE, Almazor CP, Jerome JG, Ternier R, Boncy J, Buteau J, Murray MB, Harris JB, Franke MF, , 2015. Effectiveness of reactive oral cholera vaccination in rural Haiti: a case-control study and bias-indicator analysis. Lancet Glob Health 3: e162e168.[Crossref]
  9. World Health Organization, Sixty-Fourth World Health Assembly, 2011. Cholera: Mechanism for Control and Prevention. Available at: http://www.who.int/cholera/technical/Resolution_CholeraA64_R15-en.pdf. Accessed May 8, 2015.
  10. World Health Organization, 2014. Use of Oral Cholera Vaccine in Humanitarian Emergencies. Available at: http://www.who.int/cholera/vaccines/OCV_in_humanitarian_emergencies_15Jan2014.pdf. Accessed May 11, 2015.
  11. World Health Organization, 2010. Oral Cholera Vaccines in Mass Immunization Campaigns: Guidance for Planning and Use. Available at: http://whqlibdoc.who.int/publications/2010/9789241500432_eng.pdf. Accessed May 12, 2015.
  12. World Health Organization, 1993. Guidelines for Cholera Control. Available at: http://whqlibdoc.who.int/publications/1993/924154449X.pdf. Accessed May 8, 2015.
  13. Aibana O, Franke MF, Teng JE, Hilaire J, Raymond M, Ivers LC, , 2013. Cholera vaccination campaign contributes to improved knowledge regarding cholera and improved practice relevant to waterborne disease in rural Haiti. PLoS Negl Trop Dis 7: e2576.[Crossref]
  14. Wahed T, Kaukab SS, Saha NC, Khan IA, Khanam F, Chowdhury F, Saha A, Khan AI, Siddik AU, Cravioto A, Qadri F, Uddin J, , 2013. Knowledge of, attitudes toward, and preventive practices relating to cholera and oral cholera vaccine among urban high-risk groups: finding of a cross-sectional study in Dhaka, Bangladesh. BMC Public Health 13: 242.[Crossref]
  15. Quick RE, Gerber ML, Palacios AM, Beingolea L, Vargas R, Mujica O, Moreno D, Seminario L, Smithwick EB, Tauxe RV, , 1996. Using a knowledge, attitudes and practices survey to supplement findings of an outbreak investigation: cholera prevention measures during the 1991 epidemic in Peru. Int J Epidemiol 25: 872878.[Crossref]
  16. Beau De Rochars VE, Tipret J, Patrick M, Jacobson L, Barbour KE, Berendes D, Bensyl D, Frazier C, Domercant JW, Archer R, Roels T, Tappero JW, Handzel T, , 2011. Knowledge, attitudes, and practices related to treatment and prevention of cholera, Haiti, 2010. Emerg Infect Dis 17: 21582161.
  17. O'Connor KA, Cartwright E, Loharikar A, Routh J, Gaines J, Fouché MDB, Jean-Louis R, Ayers T, Johnson D, Tappero JW, Roels TH, Archer WR, Dahourou GA, Mintz E, Quick R, Mahon BE, , 2011. Risk factors early in the 2010 cholera epidemic, Haiti. Emerg Infect Dis 17: 21362138.[Crossref]
  18. Patrick M, Steenland M, Dismer A, Murphy J, Kahler A, Mull B, Bien-Aime H, Pierre-Louis J, Boncy J, Hill V, Handzel T, , 2014. Assessment of Private Sector Water Kiosks in Port-au-Prince, Haiti June–August 2013. 2014 Water and Health Conference, University of North Carolina. Available at: http://whconference.unc.edu/files/2014/11/patrick.pdf. Accessed January 12, 2016.
  19. Nguyen VD, Sreenivasan N, Lam E, Ayers T, Kargbo D, Dafae F, Jambai A, Alemu W, Kamara A, Islam S, Stroika S, Bopp CR, Quick R, Mintz ED, Brunkard JM, , 2014. Cholera epidemic associated with consumption of unsafe drinking water and street-vended water-Eastern Freetown, Sierra Leone, 2012. Am J Trop Med Hyg 90: 518523.[Crossref]
  20. Rufener S, Mausezahl D, Mosler HJ, Weingartner R, , 2010. Quality of drinking-water at source and point-of-consumption—drinking cup as a high potential recontamination risk: a field study in Bolivia. J Health Popul Nutr 28: 3441.[Crossref]
  21. Wright J, Gundry S, Conroy R, , 2004. Household drinking water in developing countries: a systematic review of microbiological contamination between source and point-of-use. Trop Med Int Health 9: 106117.[Crossref]
  22. Gundry S, Wright A, Conroy R, Du Preez M, Genthe B, Moyo S, Mutisi C, Ndamba J, Potgieter N, , 2006. Contamination of drinking water between source and point-of-use in rural households of South Africa and Zimbabwe: implications for monitoring the Millennium Development Goal for water. Water Pract Technol 1: 19.[Crossref]
  23. Jensen P, Ensink J, Jayasinghe G, Van der Hoek W, Cairncross S, Dalsgaard A, , 2002. Domestic transmission routes of pathogens: the problem of in-house contamination of drinking water during storage in developing countries. Trop Med Int Health 7: 604609.[Crossref]
  24. Swerdlow DL, Mintz ED, Rodriguez M, Tejada E, Ocampo C, Espejo L, Greene KD, Saldana W, Seminario L, Tauxe RV, Wells JG, Bean NH, Ries AA, Pollack M, Vertiz B, Blake PA, , 1992. Waterborne transmission of epidemic cholera in Trujillo, Peru: lessons for a continent at risk. Lancet 340: 2833.[Crossref]
  25. Clasen TF, Bastable A, , 2003. Faecal contamination of drinking water during collection and household storage: the need to extend protection of the point of use. J Water Health 1: 109115.
  26. Williams HA, Gaines J, Patrick M, Berendes D, Fitter D, Handzel T, , 2015. Perceptions of Health Communication, Water Treatment and Sanitation in Artibonite Department, Haiti, March–April 2012. PLoS One 10: e0142778.[Crossref]
  27. Wood S, Foster J, Kols A, , 2012. Understanding why women adopt and sustain home water treatment: insights from the Malawi antenatal care program. Soc Sci Med 75: 634642.[Crossref]
  28. Lilje J, Kessely H, Mosler HJ, , 2015. Factors determining water treatment behaviors for the prevention of cholera in Chad. Am J Trop Med Hyg 93: 5765.[Crossref]
  29. Cayemittes M, Busangu MF, Bizimana JD, Barrère B, Sévère B, Cayemittes V, Charles E, , 2013. Enquête Mortalité, Morbidité et Utilisation des Services, Haïti, 2012. Calverton, MD: MSPP, IHE et ICF International. Available at: http://dhsprogram.com/pubs/pdf/FR273/FR273.pdf. Accessed January 12, 2016.
  30. Martin S, Costa A, Perea W, , 2012. Stockpiling oral cholera vaccine. Bull World Health Organ 90: 714.[Crossref]
  31. Martin S, Lopez AL, Bellos A, Deen J, Ali M, Alberti K, Anh DD, Costa A, Grais RF, Legros D, Luquero FJ, Ghai MB, Perea W, Sack DA, , 2014. Post-licensure deployment of oral cholera vaccines: a systematic review. Bull World Health Organ 92: 881893.[Crossref]
  32. World Health Organization, 2013. Guidance on How to Access the Oral Cholera Vaccine (OCV) from the ICG Emergency Stockpile. Available at: http://www.who.int/cholera/vaccines/Guidance_accessing_OCV_stockpile.pdf. Accessed May 12, 2015.
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  • Received : 05 Jul 2016
  • Accepted : 08 Sep 2016

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