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Hospitalizations and Deaths Caused by Diarrhea in Children Five Years Old and Younger at Four Hospitals in Haiti, 2010–2012
Worldwide, diarrhea is a major contributor to morbidity and mortality in children; however, there are few data on the burden of diarrheal disease in Haiti. We conducted a retrospective review of hospital discharge registries from 2010 to 2012 in the pediatric wards of four Haitian hospitals and recorded the number of all-cause hospitalizations and deaths as well as diarrheal hospitalizations and deaths by age (≤ 2 and 3–5 years) and epidemiological week. Diarrhea was associated with 3,582 (33.7%) of 10,621 hospitalizations and 62 (11.5%) of 540 in-hospital deaths in children ≤ 5 years old. Of these children, 88.5% and 96.8%, respectively, were among children ≤ 2 years old. The highest proportions of diarrhea-associated hospitalizations occurred from January to April. At four Haitian hospitals over a 3-year period, during which time a major epidemic of cholera occurred, diarrheal disease in children ≤ 5 years was a major contributor to pediatric hospitalizations and mortality.
Author Notes
Authors' addresses: Kiersten S. Derby, US Centers for Disease Control and Prevention—Haiti, Port-au-Prince, Haiti, E-mail: kiersten.derby@seattlechildrens.org. Mentor Ali Ber Lucien and Gerard A. Joseph, Laboratoire National de Santé Publique—Haïti, Port-au-Prince, Haiti, E-mails: drmabl@yahoo.com and gerardajo944@gmail.com. Eyal Leshem, National Center for Immunization and Respiratory Diseases, US Centers for Disease Control and Prevention—Atlanta, Atlanta, GA, E-mail: wgp9@cdc.gov. Maria W. Steenland, National Center for Emerging Zoonotic Infectious Diseases, US Centers for Disease Control and Prevention—Atlanta, Atlanta, GA, E-mail: maria.steenland@gmail.com. Stanley Juin, Surveillance and Epidemic-Prone Diseases, US Centers for Disease Control and Prevention—Haiti, Port-au-Prince, Haiti, E-mail: Juins@ht.cdc.gov. Mark A. Katz, Center for Global Health, US Centers for Disease Control and Prevention—Haiti, Port-au-Prince, Haiti, E-mail: katzm@ht.cdc.gov.