Cholera outbreak in a fishing village in Uganda: a case study
Bao-Ping Zhu, Gerald Pande, Benon Kwesiga, Alex Riolexus Ario
The Pan African Medical Journal. 2018;30 (Supp 1):8. doi:10.11604/pamj.supp.2018.30.1.15268

Create an account  |  Sign in
PAMJ Conf Proceedings Supplement 2
"Better health through knowledge sharing and information dissemination "

Supplement article

Case study

Cholera outbreak in a fishing village in Uganda: a case study

Cite this: The Pan African Medical Journal. 2018;30 (Supp 1):8. doi:10.11604/pamj.supp.2018.30.1.15268

Received: 21/02/2018 - Accepted: 27/03/2018 - Published: 17/05/2018

Key words: Cholera, outbreak investigation, Uganda

© Bao-Ping Zhu et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/series/30/1/8/full

Corresponding author: Bao-Ping Zhu, Center for Global Health, Centers for Disease Control and Prevention, Kampala, Uganda (bzhu@cdc.gov)

This article is published as part of the supplement “African Case Studies for Public Health Volume 2” sponsored by African Field Epidemiology Network, (Case Study Design and Development, Rollins School of Public Health, Emory University

Guest editors: Scott JN McNabb, Ghada N Farhat, Casey Daniel Hall, Joseph Asamoah Frimpong, Richard Dicker


Cholera outbreak in a fishing village in Uganda: a case study

Bao-Ping Zhu1,&, Gerald Pande2, Benon Kwesiga2, Alex Riolexus Ario2

 

1Center for Global Health, Centers for Disease Control and Prevention, Kampala, Uganda, 2Uganda Public Health Fellowship Program, Kampala, Uganda

 

 

&Corresponding author
Bao-Ping Zhu, Center for Global Health, Centers for Disease Control and Prevention, Kampala, Uganda

 

 

Abstract

In June 2015, the District Health Officer of Kasese District, southwestern Uganda reported an outbreak of cholera in a fishing village. Two fellows of the Uganda Public Health Fellowship Program – Field Epidemiology Track conducted an investigation to verify the existence of an outbreak, determine the mode of transmission, and recommend control measures. This case study describes that investigation, which teaches the steps in an outbreak investigation and the details in each step, what needs to be done in each step to achieve the objectives of the investigation, and what might be the common pitfalls during an outbreak investigation. This case study can be used to teach the fundamental principles of an outbreak investigation and use of Epi Info for outbreak analysis. The audience are field epidemiologists at various levels in different settings.

 

 

How to use this case study    Down

General instructions: ideally, 1 or 2 instructors facilitate the case study for 8 to 15 participants in a classroom or conference room. After a brief introduction about the case study, the instructor asks a participant to read aloud a paragraph or two, going around the room and giving each participant a chance to read. After the participant has finished reading a question, the instructor directs all participants to perform calculations, construct graphs, or engage in a discussion of the answer. Sometimes, the instructor can split the class to play different roles, conduct calculations on different parts of a question, or take different sides in answering the question. As a result, participants enrich their learning experience.

 

Audience: FETP trainees (intermediate or advanced levels), public health or surveillance officers at national or subnational levels, Master of Public Health (MPH) students at schools of public health, and other public health officials interested in learning how to conduct outbreak investigations.

 

Prerequisites: case study participants should have received lectures and training on fundamentals of biostatistics, fundamentals of epidemiology, outbreak investigation and Epi Info 7.

 

Materials needed: flip charts, marker set: one per 8-10 participants; Laptop computers with Microsoft Office Suite and Epi Info 7 pre-installed; Projector, projection screen (or substitutes), and LASER pointer

 

Level of training and associated public health activity: Intermediate to Advanced

 

Time required: 2-3 hours

 

Language: English

 

 

Case study material Up    Down

 

 

Competing interests Up    Down

The authors declare no competing interest.

 

 

Acknowledgments Up    Down

The authors would like to thank staff of the Ministry of Health of Uganda, the Health Officer and the District Health Team of Kasese District and the staffs at Kwete Kabatooro Town Council and Health Centre III, and the fellows of the Uganda Public Health Fellowship Program – Field Epidemiology Track (Cohort 2015) for their support and assistance.

 

 

References Up    Down

  1. Bioline S. SD BIOLINE Cholera Ag O1/O139: SD Bioline. 2016. Accessed on 22 Mar 2017.

  2. World Health Organisation. Cholera fact sheet 2015. Updated 19/10/2015; cited 19 Oct 2015. Accessed on 22 Mar 2017.

  3. Ali M, Lopez AL, You YA, Kim YE, Sah B, Maskery B et al. The global burden of cholera. Bulletin of the World Health Organization. 2012; 90(3): 209-18A. PubMed | Google Scholar

  4. Bwire G, Malimbo M, Maskery B, Kim YE, Mogasale V, Levin A. The burden of cholera in Uganda. PLoS Neglected Tropical Diseases. 2013; 7(12): e2545. PubMed | Google Scholar

  5. Heymann DL. Control of Communicable Diseases Manual. 20 ed: American Public Health Association; 2015. Google Scholar

  6. Pande G, Kwesiga B, Bwire G, Kalyebi P, Ario A, Makumbi F et al. Cholera outbreak caused by drinking contaminated water from a lakeshore water-collection site, Kasese District, southwestern Uganda, June - July 2015. (Manuscript in Submission). Unpublished.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


The Pan African Medical Journal articles are archived on Pubmed Central. Access PAMJ archives on PMC here

Current:

Volume 30 (May - August 2018)

Article tools

PDF in process
Log in to comment
Contact the corresponding author
Download to Citation Manager
EndNote
Reference Manager
Zotero
BibTex
ProCite



Rate this article

Altmetric

PAMJ is a member of the Committee on Publication Ethics

PAMJ is published in collaboration with the African Field Epidemiology Network (AFENET)
Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, Ulrichsweb, More to come . Member of COPE.

ISSN: 1937-8688. © 2018 - Pan African Medical Journal. All rights reserved