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Maldives has made significant strides in the area of infectious disease prevention and control. This is exemplified by elimination of malaria from Maldives in 2015 and successes in TB control. In ad
...
dition, Maldives is a front runner in infectious disease prevention through successful water, sanitation, hygiene and vaccination campaigns and coverage. However, given the limited evidence that exists with respect to the occurrence of resistant organisms in the nation, it is hard to estimate the exact antimicrobial resistance (AMR) scenario. Also, it becomes difficult to compare the current situation with other countries in the region. Moreover, limited evidence exists on the trends of use of antimicrobial agents (AMA) in Maldives. Although, recent prescription audits have indicated overuse of antibiotics, especially for common conditions such as flu, cough and fever.
more
The National Integrated Comprehensive Cholera Prevention and Control Plan (2017-2022) outlines Uganda's strategy to reduce cholera cases and mortality by 50% by 2022. The plan focuses on improving access to clean water, sanitation, and hygiene (WASH
...
), strengthening disease surveillance, enhancing case management, and implementing oral cholera vaccination (OCV) in high-risk areas. It emphasizes multi-sectoral collaboration, involving government agencies, NGOs, and local communities to ensure a sustainable response. Key interventions include community engagement, improved health services, and better outbreak preparedness, aiming for long-term cholera elimination in Uganda.
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Fason pou Gen Laviktwa sou Kolera
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The document titled "Fason pou Gen Laviktwa sou Kolera" (How to Achieve Victory over Cholera) provides comprehensive guidelines on the clinical presentation and management of cholera, particularly in the context
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of the 2010 Haiti outbreak. It emphasizes rapid rehydration as a lifesaving measure, detailing protocols for both oral rehydration solutions (ORS) and intravenous (IV) fluids. The document outlines appropriate antibiotic treatments based on patient categories, underscores the importance of proper sanitation, and offers strategies for effective outbreak control. Additionally, it provides guidance on recognizing severe dehydration and the necessity of immediate medical intervention to reduce mortality associated with cholera.
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On September 10, 2022, the Ministry of Health (MOH) announced a cholera outbreak in Aleppo governorate with 15 laboratory confirmed cases reported
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between August 25 and September 9, 2022. Activities under this plan seek to address the immediate needs stemming from this outbreak and highlight response priorities across all areas of the response and key sectors involved. This plan initially focuses on the Health, Water Sanitation and Hygiene (WASH), and Risk Communication and Community Engagement (RCCE) responses for an initial period of 90 days. The activities detailed in this plan are also within the programmatic scope of the 2022-2023 Humanitarian Response Plan (HRP).
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This article describes WHO's efforts to combat a cholera outbreak in South Sudan in July 2017. The organization received 500,000 doses of oral cholera vaccine (OCV) and was working with South Sudan's Minis
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try of Health to launch a vaccination campaign from July 28 to August 3, 2017. At the time, the country had reported 17,785 cholera cases and 320 deaths since the outbreak began in June 2016. The vaccination campaign targeted four counties with high transmission rates: Tonj East, Kapoeta South, Kapoeta North, and Kapoeta East. South Sudan was implementing an integrated approach to control cholera, combining patient care, surveillance, social mobilization, water and sanitation improvements, and vaccination. The article notes that approximately 6 million people in South Sudan were facing starvation, with food insecurity and drought exacerbating the risk of cholera spread as people resorted to using contaminated water sources.
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The document outlines the 2017 cholera outbreak in Zambia, mainly in Lusaka, due to poor sanitation and unsafe water. By December, 493 cases were reported, with risks increasing due to the rainy season. The Zambia Red Cross Society (ZRCS), in collab
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oration with the Ministry of Health, WHO, and UNICEF, responded by setting up treatment centers, supplying clean water and chlorine, and conducting hygiene education. 1,500 volunteers were mobilized to support 70,000 people directly. The IFRC allocated CHF 222,351 to control the outbreak, but challenges like limited funding and poor infrastructure remained.
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The Sustainable Development Goals (SDG) 3 and SDG 6 reinforce the need to ensure adequate WASH services, which will result in a reduction in maternal mortality, ending preventable newborn deaths, and providing quality universal health coverage. The
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rationale of the WASH guidelines is to document procedures and provide a framework for strategic planning, implementation of functional and effective WASH services in healthcare facilities in Uganda. These guidelines offer a basis for creating the minimum conditions required for providing healthcare services in a healthy environment for healthcare workers, patients and visitors to the healthcare premises. They also serve as a tool for monitoring the performance of WASH in health care facilities.
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This job aide is a description of the practices that should be in place to prevent the transmission of infections when using injections.
Contaminated linen poses a risk of infection and should only be handled in personal protective equipment (PPE). Linen and laundry management presentation is an EVD IPC training material for Health f
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acilities and pharmacies.
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Malawi's Ministry of Health officially declared on August 16, 2023, that the cholera outbreak is no longer a national
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health emergency. Since the outbreak began in February 2022, the country recorded 58,982 cholera cases and 1,768 deaths. Through coordinated efforts by the government, development partners, and local communities, the outbreak has been contained in 26 out of 29 districts.
Only a few isolated cases remain in areas affected by Cyclone Freddy. The Minister of Health emphasized the importance of water, sanitation, and hygiene (WASH) initiatives to prevent future outbreaks. The World Health Organization (WHO) praised Malawi’s progress and pledged continued support to mitigate remaining risks.
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HCF Cleaning and disinfection procedures during EVD presentation is part of the EVD IPC training material for Health Centre IIs and Pharmacies. The holding area in pharmacies and HCF II such as chai
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r or any equipment touched by a suspect EVD case will require cleaning and disinfection after the case leaves.
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This document is a detailed step-by-step procedure for cleaning and decontaminating of the house where a confirmed/probable Ebola Virus Disease (EVD) case (s) have been treated. This should be done as soon as possible, within a maximum
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of 3 days after the departure of the confirmed / probable case.
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This document provides standard operating procedures (SOPs) for infection prevention and control (IPC) when managing Ebola Virus Disease (EVD) cases in healthcare settings in Tanzania. It outlines standardized procedures for patient screening, isolation, use
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of personal protective equipment (PPE), hand hygiene, environmental cleaning and disinfection, waste management, safe handling of specimens, and protection of healthcare workers. The SOP aims to strengthen preparedness, reduce the risk of Ebola transmission, and ensure a safe and consistent response during Ebola outbreaks.
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The Ministry of Health together with its partners realizes that efficient and effective
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...
clinical care is highly dependent on the availability of appropriately
upgraded environment, which is in well facilitated space. Such facilities and utilities
should always be properly designed, built, and maintained, so as to ensure efficient
treatment in clean and safe from infection.
The main challenges in achieving this include the lack of, appropriate holistic and
futuristic management plans, human resource for facility/utility management and
maintenance, adequate budget funds for renovation/maintenance activities at all
levels which means daily and long-term of facility maintenance plans and executions.
It is hoped that the guidelines will help to standardise
design of medical facilities and utilities country wide and result in efficient and
effective establishment of these life-saving function
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