title: Oral Cholera Vaccine Coverage during an Outbreak and Humanitarian Crisis, Iraq, 2015.
abstract: During November-December 2015, as part of the 2015 cholera outbreak response in Iraq, the Iraqi Ministry of Health targeted ≈255,000 displaced persons >1 year of age with 2 doses of oral cholera vaccine (OCV). All persons who received vaccines were living in selected refugee camps, internally displaced persons camps, and collective centers. We conducted a multistage cluster survey to obtain OCV coverage estimates in 10 governorates that were targeted during the campaign. In total, 1,226 household and 5,007 individual interviews were conducted. Overall, 2-dose OCV coverage in the targeted camps was 87% (95% CI 85%-89%). Two-dose OCV coverage in the 3 northern governorates (91%; 95% CI 87%-94%) was higher than that in the 7 southern and central governorates (80%; 95% CI 77%-82%). The experience in Iraq demonstrates that OCV campaigns can be successfully implemented as part of a comprehensive response to cholera outbreaks among high-risk populations in conflict settings.
authors.forename: Eugene
authors.initials: E
authors.lastname: Lam
authors.forename: Wasan
authors.initials: W
authors.lastname: Al-Tamimi
authors.forename: Steven Paul
authors.initials: SP
authors.lastname: Russell
authors.forename: Muhammad Obaid-Ul Islam
authors.initials: MO
authors.lastname: Butt
authors.forename: Curtis
authors.initials: C
authors.lastname: Blanton
authors.forename: Altaf Sadrudin
authors.initials: AS
authors.lastname: Musani
authors.forename: Kashmira
authors.initials: K
authors.lastname: Date
mesh_terms: D000284:Administration, Oral; D000293:Adolescent; D000328:Adult; D000368:Aged; D000068337:Armed Conflicts; D002648:Child; D002675:Child, Preschool; D002771:Cholera / Q000453:epidemiology / Q000276:immunology / Q000473:pathology / Q000517:prevention & control*; D022121:Cholera Vaccines / Q000008:administration & dosage*; D004196:Disease Outbreaks; D005260:Female; D006801:Humans; D007223:Infant; D007493:Iraq / Q000453:epidemiology; D008297:Male; D032541:Mass Vaccination; D008875:Middle Aged; D000073017:Refugee Camps; D014171:Transients and Migrants; D000073887:Vaccination Coverage / Q000458:organization & administration / Q000706:statistics & numerical data*; D014734:Vibrio cholerae / Q000472:pathogenicity / Q000502:physiology
chemical_list: D022121:Cholera Vaccines
keywords: Iraq; bacteria; cholera; civil conflicts; enteric infections; humanitarian crisis; humanitarian emergency; immunization; internally displaced persons; internally displaced persons camps; internally displaced persons collective centers; oral cholera vaccine; outbreaks; refugee camps; refugees; vaccination; vaccine coverage; vaccines