CLINICAL BIOCHEMICAL PROFILE AND OUTCOME OF CHOLERA OUTBREAK IN A RURAL POPULATION OF KASHMIR VALLEY NORTH INDIA: A RETROSPECTIVE OBSERVATIONAL STUDY
Keywords:Cholera, Diarrhea, Epidemiology, Outbreak investigation
Objective: The aim of the study was to investigate the outbreak of a cholera epidemic that occurred in one of the rural areas of Kashmir valley.
Methods: Data were gathered from the medical records for this cross-sectional epidemiological investigation. The inquiry started with the development of a case definition. Line listing, sampling of the patient’s water source and feces, prompt referral, and treatment of those who were vomiting and/or had loose stools were all carried out.
Results: About 26 patients that were suspected to have a cholera like illness were line listed, mostly between 20 and 40 years of age with male-to-female ratio being 1.16:1. The case fatality rate was 0%. The source of water supply was river Jhelum in all cases and on sampling the water source it turned out to be unsatisfactory for drinking purposes.
Conclusion: Preventive strategies for reducing cholera epidemics can include immunization, improving water conditions, along with the sanitation and hygiene.
World Health Organization. Weekly Epidemiological Record. Switzerland: World Health Organization; 2015. Available from: http//www.who.int/wer2015,90,517-544No.40 [Last accessed on 2018 Sep 29].
Ali M, Nelson AR, Lopez AL, Sack DA. Updated global burden of cholera in endemic countries. PLOS Negl Trop Dis 2015;9:e0003832. doi: 10.1371/journal.pntd.0003832, PMID 26043000
World Health Organization. Cholera Surveillance and Number of Cases. Geneva: World Health Organization; 2014.
Cholera: Clinical Features, Diagnosis, Treatment, and Prevention. Available from: https://www.uptodate.com/contents/cholera-clinical-features-diagnosis-treatmentandprevention?search=cholera&source =search_result&selectedtitle=1~86&usage_type=default&display_ rank=1 [Last accessed on 2018 Sep 30].
Cholera, India MSF. Available from: https://www.msfindia.in/cholera [Last accessed on Sep 30 2018].
Azman AS, Rudolph KE, Cummings DA, Lessler J. The incubation period of cholera: A systematic review. J Infect 2013;66:432-8. doi: 10.1016/j.jinf.2012.11.013, PMID 23201968
Bara D, Dhariwal AC, Jain DC, Sachdeva V, Vohra JG, Prakash RM, et al. Vibrio cholerae 01 outbreak in remote villages of Shimla district, Himachal Pradesh, 1994. J Commun Disord 1997;29:121-5.
Khera AK, Jain DC, Datta KK. Profile of epidemic emergencies in India during 1991-1995. J Commun Disord 1996;28:129-38.
Radhakutty G, Sircar BK, Mondal SK, Mukhopadhyay AK, Mitra RK, Basu A, et al. Investigation of the outbreak of cholera in Alleppey and Palghat districts, South India. Indian J Med Res 1997;106:455-7. PMID 9415739
Masthi NR, Madhusudan M, Puthussery YP. Global positioning system and Google earth in the investigation of an outbreak of cholera in a village of Bengaluru Urban district, Karnataka. Indian J Med Res 2015;142:533-7. doi: 10.4103/0971-5916.171277, PMID 26658586
Gupta DN, Mondal SK, Sarkar BL, Mukherjee S, Bhattacharya SK. An el tor cholera outbreak amongst tribal population in Tripura. J Commun Dis 2004;36:271-6. PMID 16506550
Hamner S, Tripathi A, Mishra RK, Bouskill N, Broadaway SC, Pyle BH, et al. The role of water use patterns and sewage pollution in incidence of water-borne/enteric diseases along the Ganges River in Varanasi, India. Int J Environ Health Res 2006;16:113-32. doi: 10.1080/09603120500538226, PMID 16546805
Ministry of Drinking Water and Sanitation, Mission SB. Gramin. Available from: https://swachhbharatmission.gov.in/sbmcms/index. htm [Last accessed on 2018 Oct 01].
Kanungo S, Sah BK, Lopez AL, Sung JS, Paisley AM, Sur D, et al. Cholera in India: An analysis of reports, 1997-2006. Bull World Health Organ 2010;88:185-91. doi: 10.2471/BLT.09.073460, PMID 20428385
Ngwa MC, Liang S, Mbam LM, Mouhaman A, Teboh A, Brekmo K, et al. Cholera public health surveillance in the republic of Cameroon opportunities and challenges. Pan Afr Med J 2016;24:222. doi: 10.11604/pamj.2016.24.222.8045, PMID 27800077
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