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. 2020 Oct 29:37:197.
doi: 10.11604/pamj.2020.37.197.24798. eCollection 2020.

A descriptive cross-sectional study of cholera at Kakuma and Kalobeyei refugee camps, Kenya in 2018

Nereah Kisera  1 , Christine Luxemburger  2 , Nadia Tornieporth  3 , George Otieno  1 , Javan Inda  4
Affiliations

A descriptive cross-sectional study of cholera at Kakuma and Kalobeyei refugee camps, Kenya in 2018

Nereah Kisera et al. Pan Afr Med J. .

Abstract

Introduction: cholera is a significant public health concern among displaced populations. Oral cholera vaccines are safe and can effectively be used as an adjunct to prevent cholera in settings with limited access to water and sanitation. Results from this study can inform future consideration for cholera vaccination at Kakuma and Kalobeyei.

Methods: a descriptive cross-sectional study of cholera cases at Kakuma refugee camp and Kalobeyei integrated settlement was carried out between May 2017 to May 2018 (one year). Data were extracted from the medical records and line lists at the cholera treatment centres.

Results: the results found 125 clinically suspected and confirmed cholera cases and one related death (CFR 0.8%). The cumulative incidence of all cases was 0.67 (95% CI=0.56-0.80) cases/1000 persons. Incidence of cholera was higher in children under the age of five 0.94(95% CI=0.63-1.36) cases/1000 persons. Children aged <5 years showed 51% increased risk of cholera compared to those aged ≥5 years (RR=1.51; 95% CI=1.00-2.31, p=0.051). Individuals from the Democratic Republic of Congo had nearly 9-fold risk of reporting cholera (RR=8.62; 95% CI=2.55-37.11, p<0.001) while individuals from South Sudan reported 7 times risk of cholera case compared to those from Somalia (RR=7.39; 95% CI=2.78-27.73, p<0.001).

Conclusion: in addition to the improvement of water, sanitation and hygiene (WaSH), vaccination could be implemented as a short-medium term measure of preventing cholera outbreaks. Age, country of origin and settlement independently predicted the risk of cholera.

Keywords: Cholera; Kakuma; Kalobeyei; WaSH; outbreak; refugees; vaccine.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Kakuma and Kalobeyei regional location
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References

    1. United Nations High Commissioner for Refugees. UNHCR Kakuma and Kalobeyei - population Statistics as of 15 December 2017. 2017.
    1. Opiyo F, Wasonga O, Nyangito M, Schilling J, Munang R. Drought adaptation and coping strategies among the Turkana pastoralists of northern Kenya. Int J Disaster Risk Sci, Springer. 2015;6(3):295–309.
    1. United Nations High Commissioner for Refugees. Kakuma refugee camp and Kalobeyei integrated settlement. 2018.
    1. Vamuru V. Understanding the nuanced social impact of Kakuma on their Turkana hosts. 2017.
    1. World Health Organization. World Health Organization Geneva; 2010. Global task force on cholera control, cholera country profile: Kenya.

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