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Volume 27, Number 11—November 2021
Dispatch

Toward Cholera Elimination, Haiti

Stanislas RebaudetComments to Author , Patrick Dély, Jacques Boncy, Jean Hugues Henrys, and Renaud Piarroux
Author affiliations: Hôpital Européen, Marseille, France (S. Rebaudet); Aix Marseille Univ, Institut National de la Santé et de la Recherche Médicale, Institut de Recherche pour le Développement, Sciences Économiques et Sociales de la Santé et Traitement de L'information Médicale, ISSPAM, Marseille (S. Rebaudet); Institut Pierre-Louis d’Epidémiologie et de Santé Publique, Sorbonne Université, Institut National de la Santé et de la Recherche Médicale, Paris, France (S. Rebaudet, R. Piarroux); Direction d'Epidémiologie des Laboratoires et de la Recherche, Ministère de la Santé Publique et de la Population, Delmas, Haiti (P. Dély); Faculté de Médecine et de Pharmacie, Université d'Etat d'Haïti, Port-au-Prince, Haiti (P. Dély); Laboratoire National de Santé Publique, Ministère de la Santé Publique et de la Population, Delmas (J. Boncy); Equipe de recherche sur l’écologie des maladies infectieuses et tropicales (EREMIT), Université Quisqueya, Port-au-Prince (J.H. Henrys); AP-HP, Hôpital Pitié-Salpêtrière, Paris (R. Piarroux)

Main Article

Figure 1

Cholera elimination progress and surveillance effort in Haiti as of July 1, 2021. A) Time elapsed since the last cholera report (i.e., number of years since the last positive culture or last reported suspected cholera case [choropleth colors and patterns]) and of the number of consecutive negative cultures (proportional circles), by commune. Communes with >1 negative culture since the last positive culture or the last reported death are colored with solid green, with elimination time calculated since the last positive culture or suspected cholera death; communes with no stool sampled for culture since the last positive culture or the last reported death are colored with green cross-hatching, with elimination time calculated since the last reported suspected cholera case or death; communes with no history of stool sampling for cholera culture but with reported cases are colored with green diagonal hatching, with elimination time calculated since the last reported suspected cholera case or death; and communes with no history of stool sampling and no reported cases are colored in solid gray. Communes are colored according to the time elapsed since possible elimination (i.e., number of years since the last positive culture or the last reported suspected cholera case). The magenta arrow localizes the commune of the last positive stool sample in Haiti. B) Plot of the weekly number of positive (magenta) and negative (green) stool cultures for Vibrio cholerae O1 and monthly culture-positivity ratio. Data source: Ministry of Public Health and Population of Haiti (pers. comm., 2021 Jul 20; see also Appendix). V. cholerae O1, Vibrio cholerae O1.

Figure 1. Cholera elimination progress and surveillance effort in Haiti as of July 1, 2021. A) Time elapsed since the last cholera report (i.e., number of years since the last positive culture or last reported suspected cholera case [choropleth colors and patterns]) and of the number of consecutive negative cultures (proportional circles), by commune. Communes with >1 negative culture since the last positive culture or the last reported death are colored with solid green, with elimination time calculated since the last positive culture or suspected cholera death; communes with no stool sampled for culture since the last positive culture or the last reported death are colored with green cross-hatching, with elimination time calculated since the last reported suspected cholera case or death; communes with no history of stool sampling for cholera culture but with reported cases are colored with green diagonal hatching, with elimination time calculated since the last reported suspected cholera case or death; and communes with no history of stool sampling and no reported cases are colored in solid gray. Communes are colored according to the time elapsed since possible elimination (i.e., number of years since the last positive culture or the last reported suspected cholera case). The magenta arrow localizes the commune of the last positive stool sample in Haiti. B) Plot of the weekly number of positive (magenta) and negative (green) stool cultures for Vibrio cholerae O1 and monthly culture-positivity ratio. Data source: Ministry of Public Health and Population of Haiti (pers. comm., 2021 Jul 20; see also Appendix). V. cholerae O1, Vibrio cholerae O1.

Main Article

Page created: September 20, 2021
Page updated: October 19, 2021
Page reviewed: October 19, 2021
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