Evidence map›Paper›PMID 38974278›Full record

ArticleAfrican health sciences2023

Rapid cholera outbreak control following catastrophic landslides and floods: A case study of Bududa district, Uganda.

Godfrey Bwire, Imelda Tumuhairwe, Leocadia Kwagonza, Milton Makoba Wetaka, Anne Nakinsige, Emmanuel Samuel Arinitwe, Julian Kemirembe, Allan Muruta, Charles Mugero, Christine K Nalwadda and 1 more

Abstract read
In one paragraph

Article in African health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Godfrey BwireMinistry of Health, Department of Integrated Epidemiology, Surveillance and Public Health Emergencies, Kampala, Uganda.
Imelda TumuhairweDepartment of Health, Bududa District Local Government, Uganda.
Leocadia KwagonzaMinistry of Health, Department of Integrated Epidemiology, Surveillance and Public Health Emergencies, Kampala, Uganda.
Milton Makoba WetakaMinistry of Health, Department of Integrated Epidemiology, Surveillance and Public Health Emergencies, Kampala, Uganda.
Anne NakinsigeMinistry of Health, Department of Integrated Epidemiology, Surveillance and Public Health Emergencies, Kampala, Uganda.
Emmanuel Samuel ArinitweMinistry of Health, Department of Integrated Epidemiology, Surveillance and Public Health Emergencies, Kampala, Uganda.
Julian KemirembeMinistry of Health, Department of Community Health, Kampala, Uganda.
Allan MurutaMinistry of Health, Department of Integrated Epidemiology, Surveillance and Public Health Emergencies, Kampala, Uganda.
Charles MugeroWorld Health Organization, Pretoria, South Africa.
Christine K NalwaddaMakerere University, College of Health Sciences School of Public Health, Kampala, Uganda.
Samuel I OkwareUganda National Health Research Organization, Kampala, Uganda.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: In June 2019, landslides and floods in Bududa district, eastern Uganda, claimed lives and led to a cholera outbreak. The affected communities had inadequate access to clean water and sanitation. Objective: To share the experience of controlling a cholera outbreak in Bududa district, after landslides and floods. Methods: A descriptive cross-sectional study was carried out in which outbreak investigation reports, weekly epidemiological data and disaster response reports were reviewed. Results: On 4 - 5th June 2019, heavy rainfall resulted in four landslides which caused six fatalities, 27 injuries, floods and displaced 480 persons. Two weeks later, a cholera outbreak was confirmed in Bududa district. The Ministry of Health (MoH) rapidly deployed oral cholera vaccine (OCV) from local reserves and mass vaccinated 93% of the target population in 22 affected parishes. The outbreak was controlled in 10 weeks with 67 cholera cases and 1 death reported. However, WaSH conditions remained poor, with only, 24.2 % (879/3,628) of the households with washable latrines, 26.8% (1,023/3,818) had hand-washing facilities with soap and 33.6% (1617/4807) used unsafe water. Conclusion: The OCV stockpile by the MoH helped Uganda to control cholera promptly in Bududa district. High-risk countries should keep OCV reserves for emergencies.

Indexed as

CholeraCholera VaccinesDisease OutbreaksFloodsLandslidesAdolescentAdultChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantMaleMiddle AgedSanitationCholera VaccinesAfricaCholeradisasterepidemicfloodslandslidesoutbreakUgandavaccination

Identifiers

PMID38974278
PMCPMC11225440

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.