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. 2011 Apr;3(2):189-94.
doi: 10.4103/0974-777X.81699.

Cholera in ecuador: current relevance of past lessons learnt

Ss Malavade  1 , A Narvaez, A Mitra, T Ochoa, E Naik, M Sharma, S Galwankar, Md Breglia, R Izurieta
Affiliations

Cholera in ecuador: current relevance of past lessons learnt

Ss Malavade et al. J Glob Infect Dis. 2011 Apr.

Abstract

This report analyses the trends in the cholera epidemic that hit Ecuador in 1991. The study is based on personal experiences and analysis of epidemiological databases from the Ministry of Public Health of Ecuador. The number of cases and initial attack rates in an immunologically naive population are described by province. An analysis of the Andean and coastal cholera patterns of transmission are described along with its associated risk factors. The logistical, environmental, and socio-cultural risk factors prevalent during the epidemic and the control measures implemented are also reviewed. Also, the role of the epidemic in the development of the public health and healthcare resources in Ecuador is discussed here. Current data indicate favorable conditions for another outbreak of cholera in Ecuador. In view of the existing risk factors, new strategies are proposed to prevent such an epidemic in the future.

Keywords: Cholera; Ecuador; Epidemic; Epidemiology.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Strategies used for different levels of prevention
Figure 2
Figure 2
Annual number of cases of cholera and acute diarrheal diseases in Ecuador from 1990-2007
Figure 3
Figure 3
Annual incidence rate of cholera and acute diarrheal diseases in Ecuador from 1990-2007
See this image and copyright information in PMC

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