title: Lessons learned during public health response to cholera epidemic in Haiti and the Dominican Republic.
abstract: After epidemic cholera emerged in Haiti in October 2010, the disease spread rapidly in a country devastated by an earthquake earlier that year, in a population with a high proportion of infant deaths, poor nutrition, and frequent infectious diseases such as HIV infection, tuberculosis, and malaria. Many nations, multinational agencies, and nongovernmental organizations rapidly mobilized to assist Haiti. The US government provided emergency response through the Office of Foreign Disaster Assistance of the US Agency for International Development and the Centers for Disease Control and Prevention. This report summarizes the participation by the Centers and its partners. The efforts needed to reduce the spread of the epidemic and prevent deaths highlight the need for safe drinking water and basic medical care in such difficult circumstances and the need for rebuilding water, sanitation, and public health systems to prevent future epidemics.
authors.affiliation: Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA.
authors.forename: Jordan W
authors.initials: JW
authors.lastname: Tappero
authors.forename: Robert V
authors.initials: RV
authors.lastname: Tauxe
mesh_terms: D002771:Cholera / Q000453:epidemiology* / Q000517:prevention & control; D004293:Dominican Republic / Q000453:epidemiology; D060766:Drinking Water; D055866:Earthquakes; D058872:Epidemics; D006205:Haiti / Q000453:epidemiology; D006801:Humans; D011203:Poverty; D011634:Public Health; D012499:Sanitation
chemical_list: D060766:Drinking Water
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Dec 24;59(50):1637-41
references.pmid: 21178947
references.citation: Wkly Epidemiol Rec. 2010 Mar 26;85(13):117-28
references.pmid: 20349546
references.citation: Demography. 2005 Feb;42(1):1-22
references.pmid: 15782893
references.citation: J Med Microbiol. 2009 Feb;58(Pt 2):234-238
references.pmid: 19141742
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Mar 5;59(8):217-9
references.pmid: 20203553
references.citation: Int J Epidemiol. 1998 Apr;27(2):330-4
references.pmid: 9602419
references.citation: Emerg Infect Dis. 2011 Jul;17(7):1161-8
references.pmid: 21762567
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Aug 6;59(30):933-8
references.pmid: 20689497
references.citation: Lancet. 2006 Dec 2;368(9551):2017-27
references.pmid: 17141709
references.citation: Int J Infect Dis. 2006 Jan;10(1):4-13
references.pmid: 16326125
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Dec 10;59(48):1586-90
references.pmid: 21150867
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Nov 19;59(45):1473-9
references.pmid: 21085088
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Oct 29;59(42):1372-3
references.pmid: 21030942
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Aug 6;59(30):939-45
references.pmid: 20689498
references.citation: MMWR Morb Mortal Wkly Rep. 2010 Nov 5;59(43):1411
references.pmid: 21048563
references.citation: Lancet. 1991 Apr 13;337(8746):883-4
references.pmid: 1672971
references.citation: N Engl J Med. 2011 Jan 27;364(4):300-1
references.pmid: 21219131
references.citation: mBio. 2011 Sep 01;2(4):e00157-11
references.pmid: 21862630
references.citation: Am J Trop Med Hyg. 2007 Oct;77(4):705-13
references.pmid: 17978075