Published Date: 2012-01-12 16:07:13
Subject: PRO/EDR> Cholera, diarrhea & dysentery update 2012 (02): Haiti (GA)
Archive Number: 20120112.1008336
CHOLERA, DIARRHEA AND DYSENTERY UPDATE 2012 (02): HAITI (GRAND'ANSE)
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A ProMED-mail post
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International Society for Infectious Diseases
http://www.isid.org
Date: Wed 11 Jan 2012
Source: Operational Biosurveillance [edited]
http://biosurveillance.typepad.com/haiti_operational_biosurv/2012/01/erupt=
ion-of-new-cholera-activity-in-pestel-haiti.html
On 5 Jan 2012, the Haiti Epidemic Advisory System (HEAS) lit up abruptly with reports of 200 cases of cholera and 17 fatalities (CFR-apparent 8.5 percent) in Pestel, located in an extremely remote area of Haiti. Almost exactly one year after HEAS partners did an emergency helicopter drop of medical supplies.
The HEAS hit a new operational record of about 2 hours between initial warning and confirmation of an emergency response package made available by several members of the HEAS, including Direct Relief International. Back and forth between officials at MSPP, PAHO, and CDC indicated they were unaware of the situation and vehemently denied the reports for 72 hours... but later came back to us and said it was not only 200 cases, but 300.
The ground team just arrived, confirming 300 cases in 2 of the 4 surrounding villages (survey of the other 2 villages pending). They discovered 55 fatalities (CFR-apparent of 18 percent), not the previously reported 17.
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Communicated by:
ProMED Rapporteur Mary Marshall
<promed@promedmail.org>
[This abrupt cluster from an isolated area of Haiti with such a high apparent case fatality rate reflects difficulties in the supply of appropriate medical care in Haiti.
Pestel is a municipality in the Corail Arrondissement, in the Grand'Anse Department of Haiti. Its location on the north coast of the southern peninsula of the country can be found at http://en.wikipedia.org/wiki/Pestel,_Grand'Anse. - Mod. LL]