Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 524

Article in Press

Challenges of imported cholera outbreak among deportees in Ethiopia: from Saudi Arabia prisons

Cholera, outbreak, imported, Investigation, deportee, Addis Ababa, Ethiopia, 2019.

  •  Received: 25 November 2019
  •  Accepted: 25 November 2019
Cholera is an acute, diarrheal illness which could leads epidemic and mortality. We investigated the outbreak of cholera and described cases by person, place and time. We conducted a descriptive cross sectional study in Addis Ababa, from June 12, 2018 to March 16, 2019. We used standard case definition to identify imported cholera cases. We reviewed medical record and laboratory findings. All collected data were entered and analyzed using Microsoft excel 2013. We received informed consent from participants and no personal identification information was used in the report. Cases were also referred for medical care. From June 12, 2018 to March 16, 2019; the investigation team had screened 37,380 deportees from Saudi Arabia and identified 260 suspected imported cholera cases. The overall attack rate was 70 cases per 10,000 populations with no death. The median age was 21 years (13 - 65 years). Ninety three percent of the cases were male and most cases were in the age group of 15-44. Thirty eight percent of samples were positive for Vibrio cholera by rapid diagnostic test (RDT). For 65 RDT positive cases stool culture were sent to reference laboratory. Accordingly, 16/ 65 (24.6%) of samples were culture positive for Vibrio cholera O1 serogroup and Ogawa serotype. Sixteen out of total 260 cases or 6% of cases were confirmed cases and the remaining cases were epidemiologically linked. A confirmed cholera outbreak due to imported cases affected mostly age group less than 30 years’ of age. We recommend to the public health emergency management unit to strengthen cholera screening in the entry points and cross border responses.