Update on cholera in Haiti and the Republic of…

The Pan American Health Organization (PAHO) has published January 10, 2023 an epidemiological assessment of the epidemic of cholera taking place in Haiti.

1. In Haiti

Since the announcement of the first two confirmed cases of Vibrio Cholera O1 inthe gathering of Port-au-Princeon October 2, 2022, until January 7, 2022, the Ministry of Public Health and Population (MSPP), reported a total of 23,044 suspected cases in 10 departments of the country, including 1,576 confirmed cases.

Hospitalizations relate to 18,699 suspected cases and 464 deaths have been recorded, so to date, a fatality rate among suspected cases of 2.0%.

Out of a total of 4,351 samples analyzed by the National Public Health Laboratory (LNSP), 1,576 were confirmed (36.2% positive rate).

Among the suspected or reported cases, 57% are men, and among the most affected age groups are children from 1 to 4 years old (20%) and from 5 to 9 years old (15%).

The West Department continues to report the highest number of cases, with 70% of all suspected cases registered, with the municipalities of Port-au-Prince, Cité-Soleil and Carrefour accounting for 67% (N=10,836) of all suspected cases reported. in the department of the West.

The report shows an increase in the last 7 days of 3% of suspected cases (N=679), 2% of confirmed cases (N=26) and 3% of deaths (N=14). As of January 7, 2023, 9 departments have confirmed cases (Artibonite, center, Grand Anse, the nipples, north, North West, Sunset, south AND EAST).

LA PAHO points out that the humanitarian and security crisis that Haiti is going through is affecting the surveillance of the epidemic, leading to the under-reporting of cases and making the majority of the country’s population highly exposed to the risk of cholera transmission.

2. In Dominican Republic

On January 6, 2023, the Ministry of Public Health of the Dominican Republic confirmed three more cases of cholera in the country, corresponding to two people of Haitian nationality (a 93-year-old woman and a 4-year-old boy), both reported to the sector of
San Carlos

Recommendations for travelers :

Cholera is rare among travelers. Effective prevention is ensured by observing simple common hygiene rules for the prevention of traveler’s diarrhea and other risks related to the risk of feces:

  • hand hygiene: wash hands before eating, before handling food or after going to the toilet. In the absence of soap and water, a hydro-alcoholic gel or solution can be used. Dry your hands after washing with a clean cloth or, otherwise, air dry;
  • hygiene applied to water: consume only water in bottles with capsules (and opened in front of you) or, if it is not possible, made drinkable (boiled for 1 minute in a rotary boil or disinfection (sodium dichloroisocyanurate or sodium hypochlorite) , preferably preceded by filtration (portable filter) if the water is turbid, avoid using ice cubes;
  • hygiene applied to food: avoid fresh fruit juices prepared in an artisanal way; consume milk only if it is pasteurized or boiled; promoting breastfeeding for infants; wash or peel the fruit yourself after washing your hands; avoid raw vegetables, shellfish, reheated dishes; avoid homemade ice cream (industrial ice cream, less dangerous if the packaging is intact); thoroughly cook eggs, meat, fish and shellfish;

In case of diarrhea:

  • early rehydration is important;
  • a medical consultation is recommended in moderate or severe acute forms and persistent forms (more than 2 weeks), especially in children under 2 years of age and, systematically, in case of associated fever.

Cholera vaccination is not recommended for travelers. It can be recommended for personnel who have to intervene with patients, in epidemic situations and for personnel deployed under UN mandates in countries where cholera is present.

Source: Pan American Health Organization

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