title: [Management of the yellow fever epidemic in 2010 in Séguéla (Côte d'Ivoire): value of multidisciplinary investigation].
abstract: BACKGROUND
  In August 2010, five positive cases of yellow fever were reported in the region of Séguéla, in the northwest of Côte d'Ivoire, affected by an armed conflict since 2002. In order to evaluate the extent of yellow fever virus circulation and the risk for local people, a multidisciplinary investigation was carried out by the Côte-d'Ivoire Ministry of Health and Public Hygiene.
  
  
  METHODS
  Theses investigations were conducted in the villages of confirmed cases and the outpatient and hospitalization centers attended by infected patients, two weeks after the reactive immunization campaign performed in order to stop the spread of the epidemic. The search for suspects identified 16 cases, including 4 cases and 2 deaths in hospital registers and 12 cases during community interviews, including 6 deaths.
  
  
  RESULTS
  Stegomyiens indices were relatively low. Aedes aegypti was present among adult mosquitoes. In addition, three wild vectors, varying in number from one locality to another, were detected: Ae. africanus, Ae. luteocephalus and Ae. vittatus with average biting rates of 0.3; 0.1 and 0.05 bite/man/twilight, respectively, at Soba, Ae. africanus and Ae. vittatus with average biting rates of 0.25 and 0.3 bite/man/twilight, respectively, at Yaokro and Ae. luteocephalus with one bite/man/twilight at Kaborékro.
  
  
  CONCLUSIONS
  Unfortunately, the vaccine response conducted before investigations did not stop progression of the epidemic which broke out three months later in the Worofla health area, close to the Magrékros encampment.
authors: Yao Lucien
authors: YL
authors: Konan
authors: Zanakoungo Ibrahima
authors: ZI
authors: Coulibaly
authors: Kouadio Bernard
authors: KB
authors: Allali
authors: Sopi Mathilde
authors: SM
authors: Tétchi
authors: Atioumounan Blaise
authors: AB
authors: Koné
authors: Daouda
authors: D
authors: Coulibaly
authors: Kouadio Daniel
authors: KD
authors: Ekra
authors: Julien Marie Christian
authors: JM
authors: Doannio
authors: Paul
authors: P
authors: Oudéhouri-Koudou
mesh_terms: D000293:Adolescent; D000328:Adult; D000330:Aedes / Q000821:virology; D000818:Animals; D007560:Cote d'Ivoire / Q000453:epidemiology; D004196:Disease Outbreaks / Q000517:prevention & control; D005260:Female; D006801:Humans; D007299:Insect Bites and Stings / Q000453:epidemiology* / Q000821:virology; D007303:Insect Vectors / Q000821:virology*; D008297:Male; D015004:Yellow Fever / Q000453:epidemiology / Q000517:prevention & control*; D022341:Yellow Fever Vaccine / Q000008:administration & dosage*; D055815:Young Adult
chemical_list: D022341:Yellow Fever Vaccine