OBJECTIVE: To review the cholera epidemiology in Zambia from 2000 to 2010 in order to highlight the key lessons learned. Based on our findings, we make recommendations for improving cholera prevention and control in country. DESIGN: Ten years descriptive cholera data was extracted from the national IDSR database and analysed. SETTING: The study was conducted in Zambia using national epidemiology data which were disaggregated by Province. SUBJECTS: None. RESULTS: Starting from 2003, there has been a progressive increase in yearly incidence of cholera in the country. In 2010, 6794 cases (500% increase compared to 2003) and 115 deaths (CFR 1.6%) of the disease were reported with Lusaka Province accounting for 85% of the total cases. Outbreaks start between epidemiological weeks 40 to 45 of the year and ends between weeks 20 to 25 of the following year (which corresponds to the Zambian rainy season). Outbreaks are largely confined to the peri-urban areas of Lusaka, Luapula, Southern and Copperbelt Provinces. CONCLUSION: In the last 10-20 years, the epidemiology of cholera in Zambia has changed; Laboratory confirmation of Vibrio cholerae in the country on a yearly basis in the last ten years suggests that the country is now endemic for cholera hence the need to review current cholera prevention and control strategies.
OBJECTIVE: To review the cholera epidemiology in Zambia from 2000 to 2010 in order to highlight the key lessons learned. Based on our findings, we make recommendations for improving cholera prevention and control in country. DESIGN: Ten years descriptive cholera data was extracted from the national IDSR database and analysed. SETTING: The study was conducted in Zambia using national epidemiology data which were disaggregated by Province. SUBJECTS: None. RESULTS: Starting from 2003, there has been a progressive increase in yearly incidence of cholera in the country. In 2010, 6794 cases (500% increase compared to 2003) and 115 deaths (CFR 1.6%) of the disease were reported with Lusaka Province accounting for 85% of the total cases. Outbreaks start between epidemiological weeks 40 to 45 of the year and ends between weeks 20 to 25 of the following year (which corresponds to the Zambian rainy season). Outbreaks are largely confined to the peri-urban areas of Lusaka, Luapula, Southern and Copperbelt Provinces. CONCLUSION: In the last 10-20 years, the epidemiology of cholera in Zambia has changed; Laboratory confirmation of Vibrio cholerae in the country on a yearly basis in the last ten years suggests that the country is now endemic for cholera hence the need to review current cholera prevention and control strategies.
Authors: Lwito Salifya Mutale; Alison V Winstead; Patrick Sakubita; Fred Kapaya; Sulani Nyimbili; Nelia L Mulambya; Francis H Nanzaluka; Angela Gama; Vivian Mwale; Sunkyung Kim; William Ngosa; Ellen Yard; Nyambe Sinyange; Eric Mintz; Joan Brunkard; Victor Mukonka Journal: Am J Trop Med Hyg Date: 2020-03 Impact factor: 2.345
Authors: Francis H Nanzaluka; William W Davis; Lwito Mutale; Fred Kapaya; Patrick Sakubita; Nelia Langa; Angela Gama; Hammad S N'cho; Warren Malambo; Jennifer Murphy; Anna Blackstock; Eric Mintz; Margaret Riggs; Victor Mukonka; Nyambe Sinyange; Ellen Yard; Joan Brunkard Journal: Am J Trop Med Hyg Date: 2020-05-21 Impact factor: 2.345
Authors: E Ferreras; A Blake; O Chewe; J Mwaba; G Zulu; M Poncin; A Rakesh; A L Page; M L Quilici; A S Azman; S Cohuet; I Ciglenecki; K Malama; E Chizema-Kawesha; F J Luquero Journal: Epidemiol Infect Date: 2020-03-13 Impact factor: 2.451
Authors: Kapambwe Mwape; Geoffrey Kwenda; Annie Kalonda; John Mwaba; Chileshe Lukwesa-Musyani; Joseph Ngulube; Anthony Marius Smith; James Mwansa Journal: Pan Afr Med J Date: 2020-02-07
Authors: Javier Perez-Saez; Justin Lessler; Elizabeth C Lee; Francisco J Luquero; Espoir Bwenge Malembaka; Flavio Finger; José Paulo Langa; Sebastian Yennan; Benjamin Zaitchik; Andrew S Azman Journal: Lancet Glob Health Date: 2022-04-21 Impact factor: 38.927