Two sequential outbreaks in two villages illustrate the various modes of transmission of cholera.

Abstract:

:We investigated two sequential outbreaks of severe diarrhoea in two neighbouring villages of Orissa, in 2005. We conducted descriptive and matched case-control studies. The attack rates were 5.6% (n=62) and 5.2% (n=51), respectively, in the first and second villages. One death was reported in the second village (case fatality 2%). We identified that consumption of milk products prepared in the household of the index case [matched odds ratio (mOR) 5.7, 95% confidence interval (CI) 1.7-30] in the first village, and drinking well water in the second village were associated with the illness (mOR 4.7, 95% CI 1.6-19). We isolated Vibrio cholerae El Tor O1 Ogawa from stool samples from both the villages. Mishandling of milk products led to a cholera outbreak in the first village, which led to sewerage contamination of a well and another outbreak in the second village. Environmental contamination should be expected and prevented during cholera outbreaks.

journal_name

Epidemiol Infect

authors

DAS A,Manickam P,Hutin Y,Pattanaik B,Pal BB,Chhotray GP,Kar SK,Gupte MD

doi

10.1017/S0950268808001611

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

906-12

issue

6

eissn

0950-2688

issn

1469-4409

pii

S0950268808001611

journal_volume

137

pub_type

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