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Identifying and quantifying the factors associated with cholera-related death during the 2018 outbreak in Nigeria.
Elimian, Kelly Osezele; Musah, Anwar; Ochu, Chinwe Lucia; Onwah, Somtochukwu Stella; Oyebanji, Oyeronke; Yennan, Sebastian; Fall, Ibrahima Soce; Yao, Michel; Chukwuji, Martin; Ekeng, Eme; Abok, Patrick; Omar, Linda Haj; Balde, Thieno; Kankia, Adamu; Williams, Nanpring; Mutbam, Kitgakka; Dhamari, Naidoo; Okudo, Ifeanyi; Alemu, Wondimagegnehu; Peter, Clement; Ihekweazu, Chikwe.
Afiliación
  • Elimian KO; Nigeria Centre for Disease Control, Abuja, Nigeria.
  • Musah A; University of Benin, Edo State, Nigeria.
  • Ochu CL; University College London, London, United Kingdom.
  • Onwah SS; Nigeria Centre for Disease Control, Abuja, Nigeria.
  • Oyebanji O; University of Benin, Edo State, Nigeria.
  • Yennan S; Nigeria Centre for Disease Control, Abuja, Nigeria.
  • Fall IS; Nigeria Centre for Disease Control, Abuja, Nigeria.
  • Yao M; World Health Organization/ Regional Office for Africa, Democratic Republic of Congo.
  • Chukwuji M; World Health Organization/ Regional Office for Africa, Democratic Republic of Congo.
  • Ekeng E; World Health Organization/ Nigeria, Abuja, Nigeria.
  • Abok P; Nigeria Centre for Disease Control, Abuja, Nigeria.
  • Omar LH; World Health Organization/ Regional Office for Africa, Democratic Republic of Congo.
  • Balde T; World Health Organization/ Regional Office for Africa, Democratic Republic of Congo.
  • Kankia A; World Health Organization/ Regional Office for Africa, Democratic Republic of Congo.
  • Williams N; World Health Organization/ Regional Office for Africa, Democratic Republic of Congo.
  • Mutbam K; Nigeria Centre for Disease Control, Abuja, Nigeria.
  • Dhamari N; World Health Organization/ Nigeria, Abuja, Nigeria.
  • Okudo I; World Health Organization/ Nigeria, Abuja, Nigeria.
  • Alemu W; World Health Organization/ Regional Office for Africa, Democratic Republic of Congo.
  • Peter C; World Health Organization/ Nigeria, Abuja, Nigeria.
  • Ihekweazu C; World Health Organization/ Nigeria, Abuja, Nigeria.
Pan Afr Med J ; 37: 368, 2020.
Article en En | MEDLINE | ID: mdl-33796181
INTRODUCTION: cholera outbreaks in Nigeria are often associated with high case fatality rates; however, there is a dearth of evidence on context-specific factors associated with the trend. This study therefore aimed to identify and quantify the factors associated with cholera-related deaths in Nigeria. METHODS: using a cross-sectional design, we analysed surveillance data from all the States that reported cholera cases during the 2018 outbreak, and defined cholera-related death as death of an individual classified as having cholera according to the Nigeria Centre for Disease Control case definition. Factors associated with cholera-related death were assessed using multivariable logistic regression and findings presented as adjusted odds ratios (ORs) with 95% Confidence Intervals (95% CIs). RESULTS: between January 1 and November 19, 2018, 41,394 cholera cases were reported across 20 States, including 815 cholera-related deaths. In the adjusted multivariable model, older age, male gender, living in peri-urban areas or in flooded states, infection during the rainy season, and delay in seeking health care by >2 days were positively associated with cholera-related death; whereas living in urban areas, hospitalisation in the course of illness, and presentation to a secondary hospital were negatively associated with cholera-related death. CONCLUSION: cholera-related deaths during the 2018 outbreak in Nigeria appeared to be driven by multiple factors, which further reemphasises the importance of adopting a multisectoral approach to the design and implementation of context-specific interventions in Nigeria.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cólera / Brotes de Enfermedades / Hospitalización Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: Pan Afr Med J Año: 2020 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Uganda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cólera / Brotes de Enfermedades / Hospitalización Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: Pan Afr Med J Año: 2020 Tipo del documento: Article País de afiliación: Nigeria Pais de publicación: Uganda