Excess mortality in northern Haiti during the 2010 cholera epidemic.
In the course of infectious disease outbreaks, barriers to accessing health care can contribute to preventable mortality. According to the Ministry of Health of Haiti (Ministère de la Santé Publique et de la Population [MSPP]), the 2010 cholera epidemic caused 7,936 deaths from October 2010 to Decem...
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ftdoajarticles:oai:doaj.org/article:e46850a196fd42299a62ade3f4fcd4d0 2024-01-28T10:04:00+01:00 Excess mortality in northern Haiti during the 2010 cholera epidemic. Macceau Medozile Gina S Lovasi Sergios-Orestis Kolokotronis Lori A Hoepner 2023-12-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0011750 https://doaj.org/article/e46850a196fd42299a62ade3f4fcd4d0 EN eng Public Library of Science (PLoS) https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011750&type=printable https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0011750 https://doaj.org/article/e46850a196fd42299a62ade3f4fcd4d0 PLoS Neglected Tropical Diseases, Vol 17, Iss 12, p e0011750 (2023) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2023 ftdoajarticles https://doi.org/10.1371/journal.pntd.0011750 2023-12-31T01:49:22Z In the course of infectious disease outbreaks, barriers to accessing health care can contribute to preventable mortality. According to the Ministry of Health of Haiti (Ministère de la Santé Publique et de la Population [MSPP]), the 2010 cholera epidemic caused 7,936 deaths from October 2010 to December 2012 in Haiti alone. We seek to quantify the excess mortality attributable to patients not seeking care during the cholera outbreak in the Nord Department in 2010-2012. Using data from a community-based retrospective survey conducted by Doctors Without Borders (Médecins Sans Frontières [MSF]) in Northern Haiti, we used logistic regression to examine the association between healthcare utilization and fatality among household members with watery diarrhea in the Communes of Borgne, Pilate, Plaisance, and Port-Margot in the Nord Department. We found that failing to seek care resulted in a 5-fold increase in the case fatality ratio among infected individuals (26%) versus those who sought care (5%). Common concerns noted for why care was not sought included travel distance to treatment centers, not attributing watery diarrhea episodes to cholera, and being unsure where to seek health care for their watery diarrhea episodes within their Communes. In conclusion, addressing transportation and information needs could increase healthcare utilization and reduce lives lost during an outbreak. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 17 12 e0011750 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Macceau Medozile Gina S Lovasi Sergios-Orestis Kolokotronis Lori A Hoepner Excess mortality in northern Haiti during the 2010 cholera epidemic. |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
In the course of infectious disease outbreaks, barriers to accessing health care can contribute to preventable mortality. According to the Ministry of Health of Haiti (Ministère de la Santé Publique et de la Population [MSPP]), the 2010 cholera epidemic caused 7,936 deaths from October 2010 to December 2012 in Haiti alone. We seek to quantify the excess mortality attributable to patients not seeking care during the cholera outbreak in the Nord Department in 2010-2012. Using data from a community-based retrospective survey conducted by Doctors Without Borders (Médecins Sans Frontières [MSF]) in Northern Haiti, we used logistic regression to examine the association between healthcare utilization and fatality among household members with watery diarrhea in the Communes of Borgne, Pilate, Plaisance, and Port-Margot in the Nord Department. We found that failing to seek care resulted in a 5-fold increase in the case fatality ratio among infected individuals (26%) versus those who sought care (5%). Common concerns noted for why care was not sought included travel distance to treatment centers, not attributing watery diarrhea episodes to cholera, and being unsure where to seek health care for their watery diarrhea episodes within their Communes. In conclusion, addressing transportation and information needs could increase healthcare utilization and reduce lives lost during an outbreak. |
format |
Article in Journal/Newspaper |
author |
Macceau Medozile Gina S Lovasi Sergios-Orestis Kolokotronis Lori A Hoepner |
author_facet |
Macceau Medozile Gina S Lovasi Sergios-Orestis Kolokotronis Lori A Hoepner |
author_sort |
Macceau Medozile |
title |
Excess mortality in northern Haiti during the 2010 cholera epidemic. |
title_short |
Excess mortality in northern Haiti during the 2010 cholera epidemic. |
title_full |
Excess mortality in northern Haiti during the 2010 cholera epidemic. |
title_fullStr |
Excess mortality in northern Haiti during the 2010 cholera epidemic. |
title_full_unstemmed |
Excess mortality in northern Haiti during the 2010 cholera epidemic. |
title_sort |
excess mortality in northern haiti during the 2010 cholera epidemic. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2023 |
url |
https://doi.org/10.1371/journal.pntd.0011750 https://doaj.org/article/e46850a196fd42299a62ade3f4fcd4d0 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 17, Iss 12, p e0011750 (2023) |
op_relation |
https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0011750&type=printable https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0011750 https://doaj.org/article/e46850a196fd42299a62ade3f4fcd4d0 |
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https://doi.org/10.1371/journal.pntd.0011750 |
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PLOS Neglected Tropical Diseases |
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17 |
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12 |
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e0011750 |
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