Outbreak of Louse-Borne Relapsing Fever among Urban Dwellers in Arsi Zone, Central Ethiopia, from July to November 2016

Tamara Nordmann Hirsch-Institute of Tropical Medicine, Asella, Ethiopia;
Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany;

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Torsten Feldt Hirsch-Institute of Tropical Medicine, Asella, Ethiopia;
Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany;

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Matthias Bosselmann Hirsch-Institute of Tropical Medicine, Asella, Ethiopia;
Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany;

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Tafese Beyene Tufa Hirsch-Institute of Tropical Medicine, Asella, Ethiopia;
College of Health Sciences, Arsi University, Asella, Ethiopia

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Gorfnesh Lemma Hirsch-Institute of Tropical Medicine, Asella, Ethiopia;
College of Health Sciences, Arsi University, Asella, Ethiopia

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Martha Holtfreter Hirsch-Institute of Tropical Medicine, Asella, Ethiopia;
Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany;

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Dieter Häussinger Hirsch-Institute of Tropical Medicine, Asella, Ethiopia;
Department of Gastroenterology, Hepatology and Infectious Diseases, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany;

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We report epidemiological and clinical aspects of an outbreak of louse-borne relapsing fever (LBRF) in Asella in Arsi Zone, central Ethiopia, from July to November 2016. A total of 63 LBRF cases were reported. The overall case fatality rate was 13% among treated patients. In this article, the first-line epidemiological assessment, individual prevention and control measures, and public health investigations and interventions in relation to this outbreak are described. Treatment recommendations for resource-limited settings are discussed by review of the latest literature.

Author Notes

Address correspondence to Torsten Feldt, Department of Gastroenterology, Hepatology and Infectious Diseases, Medical faculty, heinrich Heine University Düsseldorf, Germany. E-mail: torsten.feldt@med.uni-duesseldorf.de

Authors’ addresses: Tamara Nordmann and Matthias Bosselmann, Hirsch Institute of Tropical Medicine, College of Health Science, Arsi University, Asella, Ethiopia, and Department of Gastroenterology, Hepatology and Infectious Disease, Heinrich-Heine-Universitat Düsseldorf, Düsseldorf, Germany, E-mails: tamaranordmann@hotmail.com and matthias.bosselmann@med.uni-duesseldorf.de. Torsten Feldt, Martha Holtfreter, and Dieter Häussinger, Department of Gastroenterology, Hepatology and Infectious Disease, Heinrich-Heine-Universitat Düsseldorf, Düsseldorf, Germany, E-mails: torsten.feldt@med.uni-duesseldorf.de, martha.Holtfreter@med.uni-duesseldorf.de, and haeussinger@med.uni-duesseldorf.de. Tafese Beyene Tufa and Gorfnesh Lemma, Hirsch Institute of Tropical Medicine, College of Health Science, Arsi University, Asella, Ethiopia, E-mails: tafeseb.tufa@yahoo.com and gorfnesh.lemma@yahoo.com.

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