[ Evaluation des causes de la recrudescence de choléra à Lubunga (Province de la Tshopo, République Démocratique du Congo) ]
Volume 35, Issue 2, March 2018, Pages 58–68
Joseph - Désiré WA OLEKO OLEKO1, Albert SEMBELE2, Jules WETSHOKONDA3, and Pius T. Mpiana4
1 Institut supérieur des techniques médicales de Tshumbe (ISTM-Tshumbe) B.P. 64 Tshumbe, RD Congo
2 Institut supérieur des techniques médicales de Tshumbe (ISTM-Tshumbe) B.P. 64 Tshumbe, RD Congo
3 Institut supérieur des techniques médicales de Tshumbe (ISTM-Tshumbe) B.P. 64 Tshumbe, RD Congo
4 Faculté des Sciences, Université de Kinshasa, B.P. 190 Kinshasa XI, RD Congo
Original language: French
Copyright © 2018 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.
An etiological investigation of cholera has been conducted in the city of Kisangani, to the township of Lubunga (Province of the Tshopo). A sample 528 households were chosen there. 504 households have been kept after the criteria of inclusion and only 480 had obeyed the criteria of non-inclusion; either a rate of exploitable answers of 95,2%. This allowed us to identify the reasons of the repetition of the cholera epidemics while verifying its 4 factors of risk there through the customs of the population living for more than 3 years and, having accepted to answer the questionnaires of the investigation correctly. These reasons are: Consumption of infected water, non-hand washing, mismanagement of excreta, existence of unhygienic latrines, poor handling of corpses and flooding. This survey shows that 83.3% of households consume untreated river water. Drinking water management utensils are insufficient in number or on average two utensils per household. And 63.0% of these utensils are poorly cleaned (sand, ash, handmade or river water). 59.5% of households do not practice the technique of washing hands properly before eating. 56.2% of households have unhygienic latrines and 24.1% of households live without latrines. 59.5% of households practice the mishandling of corpses during cholera epidemics according to their customary ritual, and 39.5% of households mismanage their latrine excreta.
Author Keywords: Water of the Congo river, season, epidemic, cholera, purification, healthiness, funeral rituals.
Volume 35, Issue 2, March 2018, Pages 58–68
Joseph - Désiré WA OLEKO OLEKO1, Albert SEMBELE2, Jules WETSHOKONDA3, and Pius T. Mpiana4
1 Institut supérieur des techniques médicales de Tshumbe (ISTM-Tshumbe) B.P. 64 Tshumbe, RD Congo
2 Institut supérieur des techniques médicales de Tshumbe (ISTM-Tshumbe) B.P. 64 Tshumbe, RD Congo
3 Institut supérieur des techniques médicales de Tshumbe (ISTM-Tshumbe) B.P. 64 Tshumbe, RD Congo
4 Faculté des Sciences, Université de Kinshasa, B.P. 190 Kinshasa XI, RD Congo
Original language: French
Copyright © 2018 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
An etiological investigation of cholera has been conducted in the city of Kisangani, to the township of Lubunga (Province of the Tshopo). A sample 528 households were chosen there. 504 households have been kept after the criteria of inclusion and only 480 had obeyed the criteria of non-inclusion; either a rate of exploitable answers of 95,2%. This allowed us to identify the reasons of the repetition of the cholera epidemics while verifying its 4 factors of risk there through the customs of the population living for more than 3 years and, having accepted to answer the questionnaires of the investigation correctly. These reasons are: Consumption of infected water, non-hand washing, mismanagement of excreta, existence of unhygienic latrines, poor handling of corpses and flooding. This survey shows that 83.3% of households consume untreated river water. Drinking water management utensils are insufficient in number or on average two utensils per household. And 63.0% of these utensils are poorly cleaned (sand, ash, handmade or river water). 59.5% of households do not practice the technique of washing hands properly before eating. 56.2% of households have unhygienic latrines and 24.1% of households live without latrines. 59.5% of households practice the mishandling of corpses during cholera epidemics according to their customary ritual, and 39.5% of households mismanage their latrine excreta.
Author Keywords: Water of the Congo river, season, epidemic, cholera, purification, healthiness, funeral rituals.
Abstract: (french)
Une enquête étiologique de la maladie de choléra a été menée dans la ville de Kisangani, à la commune de Lubunga (Province de la Tshopo). Un échantillon 528 ménages y étaient choisis. 504 ménages ont été retenus après les critères d’inclusion et seulement 480 avaient obéis aux critères de non inclusion; soit un taux de réponses exploitables de 95,2%. Elle nous a permis d’identifier les causes de la répétition des épidémies de choléra en vérifiant ses quatre facteurs de risque à travers les us et mœurs de la population y vivant de plus de 3 ans et, ayant accepté de répondre correctement aux questionnaires de l’enquête. Ses causes sont : consommation d’eau infectée, non lavage des mains, mauvaise gestion des excrétas, existence de latrines non hygiéniques, mauvaise manipulation des cadavres et inondation. Cette enquête montre que 83,3% de ménages consomment de l’eau non traitée fleuve. Les ustensiles de la gestion d’eau de boisson sont en nombre insuffisant soit en moyenne deux ustensiles par ménage. Et, 63,0% de ces ustensiles sont mal nettoyés (sable, cendre, pomme de la main ou eau du fleuve). 59,5% des ménages ne pratiquent pas la technique de laver correctement les mains avant de manger. Les 56,2% de ménages disposent de latrines non hygiéniques et 24,1% de ménages vivent sans latrines. 59,5% de ménages pratiquent la mauvaise manipulation des cadavres en période d’épidémie de choléra d’après le rite de leur coutume et, enfin 39,5% de ménages gèrent mal leurs excrétas de latrines.
Author Keywords: Eau du fleuve Congo, saison, épidémie, choléra, assainissement, salubrité, rites funèbres.
How to Cite this Article
Joseph - Désiré WA OLEKO OLEKO, Albert SEMBELE, Jules WETSHOKONDA, and Pius T. Mpiana, “Assessment of the reasons of the cholera upsurge in Lubunga (Province of the Tshopo, Democratic Republic of Congo),” International Journal of Innovation and Scientific Research, vol. 35, no. 2, pp. 58–68, March 2018.
