2014, Number 5
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Medisur 2014; 12 (5)
Update on Comprehensive Management of Cholera. Recommendations of the Expert Workshop. Cienfuegos 2014
Valdés GML, Navarro MVR, Molina ME, Torres RJ, Lozano LA, Cesar CJ, Morejón GA
Language: Spanish
References: 8
Page: 687-692
PDF size: 144.44 Kb.
ABSTRACT
Cholera is a reemerging disease that was
reintroduced into Cuba in late 2012. A provincial
workshop attended by 83 professionals from the
health institutions in the territory was developed on
August 27, 2014 in order to analyse the technical
elements for prevention and management of cholera
outbreaks and to improve the provincial prevention
and control plan for this disease. Group techniques
including brainstorming and focus group were
applied. Finally, the groups met to present their
recommendations and approve the document. Main
areas for improvement are related to: keeping an
intensive training program, particularly for new
professionals and technicians; having safe means for
disinfecting and washing contaminated clothes;
developing a health promotion and prevention
strategy related to “clean hands” and “safe drinking
water”; improving the information flow and intraand
inter-sectoral collaboration. It is concluded that
the cholera prevention and control plan comprises
the technical elements for an appropriate response;
however, it can be improved by means of new
training and control actions, increased risk
perception among health professionals and in the
communities, effective control of events and
improved networking and inter-sectoral work.
REFERENCES
Organización Mundial de la Salud. Brotes de cólera. Evaluación de la respuesta a los brotes y mejora de la preparación [Internet]. Ginebra: OMS; 2004. [ cited 15 Ago 2014 ] Available from: http://whqlibdoc.who.int/hq/2004/WHO_CDS_CPE_ ZFK_2004.4_spa.pdf.
Estrada MU, Estrada G, Vinajera C. Cólera. Contexto clínico-epidemiológico y social. A propósito del brote epidémico en Granma, Cuba. Multimed [revista en Internet]. 2012 [ cited 28 Ago 2014 ] ; 16 (4): [aprox. 18p]. Available from: http://www.multimedgrm.sld.cu/articulos/2012/v1 6-4/9.html.
Horwood PF, Karl S, Mueller I, Jonduo MH, Pavlin BI, Dagina R, et al. Spatio-temporal epidemiology of the cholera outbreak in Papua New Guinea, 2009-2011. BMC Infect Dis. 2014 ; 145 (1): 449.
Mengel MA, Delrieu I, Heyerdahl L, Gessner BD. Cholera outbreaks in Africa. Curr Top Microbiol Inmunol. 2014 ; 379: 117-44.
Somarriba L, Llanes R, Sánchez MJ. Cólera en Haití. Lecciones aprendidas por la brigada médica cubana. La Habana: Editorial Ciencias Médicas; 2013.
Organización Panamericana de la Salud. Actualización Epidemiológica. Cólera. 27 junio 2014 [Internet]. Washington: OPS; 2014. [ cited 28 Ago 2014 ] Available from: http://www.paho.org/hq/index.php?option=com_d ocman&task=doc_view&gid=25980&Itemid=.
Beldarrain E. Las epidemias y su enfrentamiento en Cuba 1800 – 1860 [Tesis]. La Habana: Universidad de Ciencias Médicas de La Habana; 2010. [ cited 20 Ago 2014 ] Available from: http://tesis.repo.sld.cu/281/1/BeldarrainChaple.pd f.
Ticona E, Kirwan DE, Soria J, Gilman RH. Implementation of a Symptomatic Approach Leads to Increased Efficiency of a Cholera Treatment Unit. Am J Trop Med Hyg. 2014 ; 91 (3): 570-3.