Asian Pacific Journal of Tropical Medicine

ORIGINAL ARTICLE
Year
: 2019  |  Volume : 12  |  Issue : 8  |  Page : 347--352

The cholera epidemic of 2004 in Douala, Cameroon: A lesson learned


Christoph J Hemmer1, Jürgen Nöske2, Stefan Finkbeiner1, Günter Kundt3, Emil C Reisinger1 
1 University of Rostock, Faculty of Medicine, Department of Tropical Medicine and Infectious Diseases, Rostock, Germany
2 Gesellschaftfür Internationale Zusammenarbeit, Yaoundé, Cameroon
3 University of Rostock, Faculty of Medicine, Institute of Biostatistics and Informatics in Medicine and Ageing Research, Rostock, Germany

Correspondence Address:
Christoph J Hemmer
MD, University Medicine Rostock, Ernst Heydemann-Strasse 6, D-18057 Rostock
Germany

Objective: To describe the outbreak of 2004 with a view of retrospectively identifying factors that might explain the low case fatality rate. Methods: Outbreak data from 4 915 Cholera patients from registers of the Regional Health Delegation in Douala were analyzed using SPSS. Chi-square test, univariate and multivariate analysis were applied. Results: The outbreak started January 2004, peaking at 187 cases per week in February. After a decrease in April, case numbers rose to 688 cases per week in June. The outbreak was over in September 2004 ( <10 cases per week). The case fatality rate was higher in treatment centers with fewer than one nurse per two patients, than in those with more nursing staff. A temporary staff reduction after the first wave of the epidemic was associated with the increase of the case fatality rate during the second wave. This increase was reversed after re-instating full staff capacity. Conclusions: Providing sufficient nursing staff helps to lower the case fatality rate of cholera. Besides a lack of staff, age above 40 years is a risk factor for death in this disease.


How to cite this article:
Hemmer CJ, Nöske J, Finkbeiner S, Kundt G, Reisinger EC. The cholera epidemic of 2004 in Douala, Cameroon: A lesson learned.Asian Pac J Trop Med 2019;12:347-352


How to cite this URL:
Hemmer CJ, Nöske J, Finkbeiner S, Kundt G, Reisinger EC. The cholera epidemic of 2004 in Douala, Cameroon: A lesson learned. Asian Pac J Trop Med [serial online] 2019 [cited 2019 Oct 21 ];12:347-352
Available from: http://www.apjtm.org/article.asp?issn=1995-7645;year=2019;volume=12;issue=8;spage=347;epage=352;aulast=Hemmer;type=0