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Volume 17, Number 11—November 2011


Considerations for Oral Cholera Vaccine Use during Outbreak after Earthquake in Haiti, 2010−2011

Kashmira A. DateComments to Author , Andrea Vicari, Terri B. Hyde, Eric D. Mintz, M. Carolina Danovaro-Holliday, Ariel Henry, Jordan W. Tappero, Thierry H. Roels, Joseph Abrams, Brenton T. Burkholder, Cuauhtémoc Ruiz-Matus, Jon Andrus, and Vance Dietz
Author affiliations: Centers for Disease Control and Prevention, Atlanta, Georgia, USA (K.A. Date, T.B. Hyde, E. Mintz, A. Henry, J.W. Tappero, T.H. Roels, J. Abrams, B.T. Burkholder, V. Dietz); Pan American Health Organization, Washington DC, USA (A. Vicari, M.C. Danovaro-Holliday, C. Ruiz-Matus, J. Andrus); Ministère de la Santé Publique et de la Population, Port-Au-Prince, Haiti (A. Henry)

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Table 2

WHO recommendations for cholera vaccination in complex emergencies, 2005*

• The relevance of cholera vaccination should be examined in light of other public health priorities. If vaccination is deemed necessary, water and sanitation programs should be implemented before or concurrently with vaccination.
• A high level commitment by all stakeholders and national authorities is critical.
• Vaccination with the current prequalified vaccine is not recommended by WHO once an outbreak has started, because of logistic and operational challenges.
• Vaccination campaign should not interfere with other critical public health interventions.
• Other exclusions for vaccination would include these criteria: high mortality from other causes; basic unmet needs of water, food and shelter; an ongoing outbreak of other disease; untenable security situation.

*WHO, World Health Organization.

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