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Cholera outbreak in Sekong Province , (Southern Part of Laos)

MBDS Coordinating Committee Meeting Chiang Mai 2-4 February 2008. Cholera outbreak in Sekong Province , (Southern Part of Laos). Dr Nyphonh Chanthakoummane Country Coordinator Senior Technical Officer, Department of Hygiene and Epidemiology Ministry of Health, Lao PDR.

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Cholera outbreak in Sekong Province , (Southern Part of Laos)

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  1. MBDS Coordinating Committee Meeting Chiang Mai 2-4 February 2008 Cholera outbreak in Sekong Province , (Southern Part of Laos) Dr Nyphonh Chanthakoummane Country Coordinator Senior Technical Officer, Department of Hygiene and Epidemiology Ministry of Health, Lao PDR

  2. Exeuctive Summary: The outbreak of severe diarrhea was notified on the 19th December 2007 in two districts of Sekong province, namely Thateng (29 villages were affected) and Lamam districts (1 village was affected). CFR= 0,8%

  3. History taken: At this time of the year, there was cultural festival in every village. People gathered and consumed raw and unsafe meat (killed pigs, eat fresh blood, drink alcohol jar filling by water of the river in the village. River water is unclean. Because both animal and people using together the same water. There no latrines in these villages, people defecate every where they like.

  4. Laboratory results • 28 patients taken rectal swabs , 15 positive of Cholera Ogawa • Sample taken form 2 rivers in Thateng and Lamarm ( Sedon and Huay Ton) positive for Cholera Ogawa • Cholera strain has shown sensitive only to Gentamycin, cifloxacin and nalitic acid

  5. Action taken: Rapid reponse team from central has been urgently sent to Sekong province and work with provincial team to control the outbreak. One of the actions taken was to treat the patients at the household levels and mobilized community participation in doing preventive activities such as boil water, washing hands before eating, not allow people to defecate near water. Chlorination of water before use. Poster, pamphlets on basic hygiene to prevent and control of cholera were distributed to each household. Meetings with village leaders and local community were organized in each of the affected village. Temporary sites for treatment of severe patients were organized with the availability of treatment team and active surveillance team.

  6. Clinic Management and Infection control • Prescription of ORS to mild, moderate cases by VHV and mobile clinicians in village • Transfer severe cases who need infusion to HC and isolation severe patients at HC, to minimize the contract • Disinfection and cleaning by Chlorine • VHVs have been trained and received ORS and gloves • 7 teams to assist ORS treatment in villages and management of severe cases in Health Centers ( composed province , district and military doctors)

  7. Conclusion: With such rapid response and control, there are in total 362 cases and 3 deaths, giving a case fatality rate of 0,8% (<1%). Now the outbreak is under control.

  8. THANK YOU FOR ATTENTION !!

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