[ Epidémie de diphtérie avec un fort de taux de létalité dans l’aire de santé du CSI de Tangoushmane, District Sanitaire de Tillabéri, Niger, 2013 ]
Volume 24, Issue 1, June 2016, Pages 32–37
Salifou Ibrahim Alkassoum1, Adakal Ousseini2, Younssa Hama3, and O. M. Odile4
1 Université Abdou Moumouni, Département de santé publique FSS, Niamey, Niger
2 Université de Maradi, FSS, Département de chirurgie et spécialités chirurgicales, Niamey, Niger
3 Université Abdou Moumouni FSS, Département de chirurgie et spécialités chirurgicales, Niamey, Niger
4 Centre de Recherche Médicale et Sanitaire, Niamey, Niger
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Following notification of suspected cases of diphtheria, investigation was carried out from 25th to 26th June, 2013 in the village of Tangoushmane. The objective was to conduct an analysis of the situation and support the health district in the preparations for response activities. Data were collected by an interview conducted at the village level and health workers and documentary and line list review. The analysis was done using Excel tables and pivot charts. The investigation revealed that all patients had consulted at the stage of false membranes and most of the deaths occurred at home or after hours or even days of observations the CSI seems to be the index case occurred April 23, 2013 in the village of Tezguene. The daily evolution showed intermittent occurrence of cases suggestive of spread from person to person. The case fatality rate was 39%, ranging from 10% to 58% to Tezguene Tanghousmane. The age of cases ranged from 3 years to 61 years (mean = 16.7 years) and the age range of 5-14 years is 63.4%.Particular attention should be paid to capacity building of staff in the definition of cases and routine vaccination in the district.
Author Keywords: investigation, diphtheria, Tangoushmane, Niger.
Volume 24, Issue 1, June 2016, Pages 32–37
Salifou Ibrahim Alkassoum1, Adakal Ousseini2, Younssa Hama3, and O. M. Odile4
1 Université Abdou Moumouni, Département de santé publique FSS, Niamey, Niger
2 Université de Maradi, FSS, Département de chirurgie et spécialités chirurgicales, Niamey, Niger
3 Université Abdou Moumouni FSS, Département de chirurgie et spécialités chirurgicales, Niamey, Niger
4 Centre de Recherche Médicale et Sanitaire, Niamey, Niger
Original language: French
Copyright © 2016 ISSR Journals. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Following notification of suspected cases of diphtheria, investigation was carried out from 25th to 26th June, 2013 in the village of Tangoushmane. The objective was to conduct an analysis of the situation and support the health district in the preparations for response activities. Data were collected by an interview conducted at the village level and health workers and documentary and line list review. The analysis was done using Excel tables and pivot charts. The investigation revealed that all patients had consulted at the stage of false membranes and most of the deaths occurred at home or after hours or even days of observations the CSI seems to be the index case occurred April 23, 2013 in the village of Tezguene. The daily evolution showed intermittent occurrence of cases suggestive of spread from person to person. The case fatality rate was 39%, ranging from 10% to 58% to Tezguene Tanghousmane. The age of cases ranged from 3 years to 61 years (mean = 16.7 years) and the age range of 5-14 years is 63.4%.Particular attention should be paid to capacity building of staff in the definition of cases and routine vaccination in the district.
Author Keywords: investigation, diphtheria, Tangoushmane, Niger.
Abstract: (french)
Suite à une notification des cas suspects de diphtérie, une mission d’investigation s’est déroulée du 25 au 26 juin 2013 dans le village de Tangoushmane, au district sanitaire (DS) de Tillabéri et à la Direction Régionale de la Santé Publique. L’objectif était de réaliser une analyse de la situation et appuyer le district sanitaire aux préparatifs des activités de riposte. Les données ont été collectées à travers une interview menée au niveau des villages et des agents de santé du CSI et une analyse documentaire. L’analyse a été faite l’aide des tableaux et graphiques croisés dynamiques. L’investigation a fait ressortir que tous les patients avaient consulté au stade de fausses membranes et la plupart des décès étaient survenus à domicile. La notification au District a été tardive. L’évolution journalière a montré une survenue des cas par intermittence. Le taux de létalité était de 39%, variant de 10% à Tezguene à 58% à Tanghousmane. L’âge des cas varie de 3 ans à 61 ans et la tranche d’âge de 5-14 ans représente 63,4%. Une attention particulière doit être portée sur le renforcement de capacité des agents dans la définition des cas ainsi que la vaccination de routine dans ce district.
Author Keywords: investigation, diphtérie, Tangoushmane, Niger.
How to Cite this Article
Salifou Ibrahim Alkassoum, Adakal Ousseini, Younssa Hama, and O. M. Odile, “Diphtheria outbreak with high case fatality rate (CFR) in the health area of Tangoushmane, Health District of Tillaberi, Niger, 2013,” International Journal of Innovation and Scientific Research, vol. 24, no. 1, pp. 32–37, June 2016.
