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INFECTION CONTROL STUDIES
Year : 2011  |  Volume : 3  |  Issue : 2  |  Page : 189-194

Cholera in Ecuador: Current relevance of past lessons learnt


1 Department of Global Health, University of South Florida, Florida, USA
2 Ministry of Public Health of Ecuador, Florida, USA
3 Department of Community Health Sciences, University of Southern Mississippi, Florida, USA
4 Department of Global Health, University of South Florida, Florida; University of South Florida College of Medicine, Florida, USA
5 University of South Florida College of Medicine, Florida, USA
6 Department of Global Health, University of South Florida, Florida; Biomedicine Center, Universidad Central Ecuador, Florida, USA

Correspondence Address:
R Izurieta
Department of Global Health, University of South Florida, Florida; Biomedicine Center, Universidad Central Ecuador, Florida
USA
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Source of Support: World Health Organization/Pan American Health Organization (WHO/PAHO). Research Training Grant AM-MCP-RPS-011, Conflict of Interest: None


DOI: 10.4103/0974-777X.81699

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This report analyses the trends in the cholera epidemic that hit Ecuador in 1991. The study is based on personal experiences and analysis of epidemiological databases from the Ministry of Public Health of Ecuador. The number of cases and initial attack rates in an immunologically naive population are described by province. An analysis of the Andean and coastal cholera patterns of transmission are described along with its associated risk factors. The logistical, environmental, and socio-cultural risk factors prevalent during the epidemic and the control measures implemented are also reviewed. Also, the role of the epidemic in the development of the public health and healthcare resources in Ecuador is discussed here. Current data indicate favorable conditions for another outbreak of cholera in Ecuador. In view of the existing risk factors, new strategies are proposed to prevent such an epidemic in the future.


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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008