Response to Cholera Outbreaks - Area Targeted Interventions and Community Outbreak Response Teams

Publication year
2020
Emergency type

This operational guideline authored by UNICEF WASH Gregory Bulit and Monica Ramos, supports the establishment of case area targeted interventions (CATI) with dedicated community outbreak response teams (CORT) in a country affected by cholera. Annexes include tools to set-up, implement, monitor and evaluate the team responses. Inquiries: Greg Bulit and Laure Anquez

Household spraying in cholera outbreaks: Insights from three exploratory, mixed-methods field effectiveness evaluations

Publication year
2020
Emergency type
Country

Household spraying is a commonly implemented, yet an under-researched, cholera response intervention where a response team sprays surfaces in cholera patients’ houses with chlorine. We conducted mixed-methods evaluations of three household spraying pro- grams in the Democratic Republic of Congo and Haiti, including 18 key informant interviews, 14 household surveys and observations, and 418 surface samples collected before spray- ing, 30 minutes and 24 hours after spraying.

Distribution of hygiene kits during a cholera outbreak in Kasaï-Oriental, Democratic Republic of Congo: a process evaluation

Publication year
2020
Emergency type

Background: Cholera remains a leading cause of infectious disease outbreaks globally, and a major public health threat in complex emergencies. Hygiene kits distributed to cholera case-households have previously shown an effect in reducing cholera incidence and are recommended by Médecins Sans Frontières (MSF) for distribution to admitted patients and accompanying household members upon admission to health care facilities (HCFs).

Improved chlorination and rapid water quality assessment in response to an outbreak of acute watery diarrhea in Somali Region, Ethiopia

Publication year
2020
Emergency type
Country

Somali Region of Ethiopia has been affected by drought for several years. Drought conditions have led to food and water scarcity and a humanitarian crisis in the region. In January 2017, an outbreak of acute watery diarrhea (AWD) was declared in the region. AWD prevention and control activities include strengthening water, sanitation, and hygiene (WASH) services. Access to safe drinking water is critical in preventing transmission of AWD and chlorine is an effective chemical to disinfect water supplies.

Global Review of Water, Sanitation and Hygiene (WASH) Components in Rapid Response Mechanisms and Rapid Response Teams in Cholera Outbreak Settings

Publication year
2019
Emergency type

In recent outbreak settings, the use of rapid response teams (RRTs) to support the WASH sector has increased.
RRTs have been used as part of the response to cholera outbreaks in countries such as Haiti, Yemen, Somalia, South Sudan and the Democratic Republic of the Congo, with the scope of these teams varying widely. As the
presence of RRTs becomes more common in outbreak settings, it is important to better understand and document
the different types of models in use.

Strengthening Market Systems that Provide Water and Hygiene Items for Cholera Mitigation and Emergency Preparedness in Haiti

Publication year
2018
Emergency type
Country

In the context of the cholera epidemics in Haiti, a pre-crisis market analysis (PCMA) was conducted in Artibonite to study the supply of and demand for various water- and hygiene-related items. The market analysis found that the majority of households already purchase soap from local traders, but very few have handwashing facilities in their home. A good uptake of chlorine-based disinfection products was observed, including specific products to treat water for drinking.

Prevention and control of cholera with household and community water, sanitation and hygiene (WASH) interventions: A scoping review of current international guidelines

Publication year
2020
Emergency type
Country

Introduction. Cholera remains a frequent cause of outbreaks globally, particularly in areas with inadequate water, sanitation and hygiene (WASH) services. Cholera is spread through faecaloral routes, and studies demonstrate that ingestion of Vibrio cholerae occurs from consuming contaminated food and water, contact with cholera cases and transmission from contaminated environmental point sources.

‘It was a ravage!’: lived experiences of epidemic cholera in rural Haiti

Publication year
2019
Emergency type
Country

Introduction A cholera epidemic began in Haiti over 8 years ago, prompting numerous, largely quantitative research studies. Assessments of local ‘knowledge, attitudes and practices’ relevant for cholera control have relied primarily on cross-sectional surveys. The voices of affected Haitians have rarely been elevated in the scientific literature on the topic.

Description of the targeted WASH response strategy implemented during the cholera outbreak of 2017-2018 in Kinshasa, DRC

Publication year
2019
Emergency type

Background. Rapid control of cholera outbreaks is a significant challenge in overpopulated urban settings, and documented results on field interventions are scarce. During the 2017-2018 period, Kinshasa, the capital of Democratic Republic of the Congo, experienced a sharp increase in cholera cases that showed potential to quickly spread throughout the city. A novel targeted WASH (Water, Sanitation and Hygiene) strategy was implemented to quickly stem the cholera outbreak.

Hygiene promotion: determining what works

Publication year
2012
Emergency type
Country

For people affected by disaster, whether wars, earthquakes, or disease epidemics, conditions of life can change suddenly and in ways that require rapid adjustments. Often, adaptation includes taking greater care to prevent transmission of disease, in order to minimize the new threats to public health.