A unique cholera prevention program developed by students at the Hebrew University of Jerusalem has been adopted by the Red Cross in Kenya.
The prevention program, which was utilized by the Red Cross in the displaced persons camps during the recent political crisis in Kenya, was found to be highly effective in prevention and management of the disease. The International Committee of the Red Cross (ICRC) and the International Federation of Red Cross and Red Crescent Movement (IFRC) is now preparing to implement the program beyond the camps.
The students – medical and public health practitioners from Kenya, Ethiopia, Nigeria, Colombia, Uzbekistan, India and the United States – have been studying in Israel on the one-year Legacy-Heritage International Masters in Public Health Program at the Hebrew University-Hadassah Braun School of Public Health and Community Medicine. Their participation in the program was facilitated by scholarships from the Legacy Heritage Fund and the Pears Foundation.
Despite the fact that cholera is one of the most understood and preventable diseases, the World Health Organization estimates that there were about 180,000 cholera cases in 2007, and that it still accounts for 65 percent of deaths in cases of diarrheal diseases in children under five years old in developing countries.
In Kenya, there are reported outbreaks of cholera every year, mostly as a result of torrential rains with accompanying floods that contaminate already inadequate water supplies. This, coupled with poor sanitation in many areas, heightens the risk of cholera.
According to the students, the disease can be prevented and fatalities easily avoided if prevention efforts are integrated into routine health care, and outbreaks of the disease are reported early enough in accordance with WHO requirements. However, according to the student's team leader, Solomon Nzioka from Kenya, cholera outbreaks typically become political issues, with an underestimated number of cases reported. He asserts that cholera outbreaks seem to follow a cyclic pattern, which begins with the denial of an initial outbreak by government officials - usually through fear of perceived economic loss in tourism.
"When people continue to die and the outbreak continues to spread, then officials undertake late 'fire-fighting' measures to combat the outbreak," Nzioka explains, speaking from his own experiences in the field. "Afterwards, the officials forget what occurred and eventually wait for the next report of cholera. Due to the lack of a comprehensive control program, such a pattern repeats itself time after time."
Effective treatment is dependent on reporting of suspected cases and early diagnosis. The comprehensive cholera program devised by the students aims to increase safe drinking water sources; promote awareness in the community about cholera prevention; improve surveillance and reporting of cholera cases; build a centralized network for monitoring and immediate appropriate action; mobilize rapid response teams to areas of suspected cholera cases; improve management of patients; prevent the spread of the disease; and post-epidemic investigation and education.
According to Nzioka, in the past, the Kenyan government mainly played a regulatory role in the area of preventive health services, with NGOs providing the bulk of services such as water and sanitation facilities at community level. However, since the late 1990's, many donors have shifted their focus to HIV, and so the impact of diseases such as cholera has largely been neglected.
Adoption of the control program in Kenya's Bungoma district is currently being considered by the Kenyan Ministry of Public Health and Sanitation pending funding.
If funding is secured, the students expect that in three years' time, the program will increase access to safe drinking water from 47 to 80 percent, enhance preparedness for cholera epidemics, upgrade early-response systems and prevent spread of cholera in the district through the strengthening of partnerships between community and government levels.
While the program is currently only being considered in Kenya, the students hope that it will soon be utilized in other countries, such as Nigeria and Ethiopia, where they say cholera is rife.
The program was developed within the framework of the control of communicable diseases course organized by Prof. Greenblatt and Dr. Jacobson. The students' project supervisor, Prof. Mark Spigelman says that the team is planning to submit their proposal to the WHO to be considered for implementation worldwide.
Since its establishment over 35 years ago, the School’s intensive one-year IMPH program has attracted nearly 700 students from 85 countries around the world — from as near as the Palestinian Authority and as far away as Mongolia and Cameroon. Many have gone on to become high-ranking government officials, including ministers of health, consultants to national and international organizations, hospital directors, and teachers at schools of public health in almost 100 different countries.
For further information, contact:
Rebecca Zeffert, Dept. of Media Relations, the Hebrew University, tel: 02-588-1641, cell: 054-882-0661
or Orit Sulitzeanu, Hebrew University spokesperson, tel: 02-5882910, cell: 054-882-0016
Satellites, airport visibility readings shed light on troops' exposure to air pollution
09.12.2016 | Veterans Affairs Research Communications
Oxygen can wake up dormant bacteria for antibiotic attacks
08.12.2016 | Penn State
Physicists of the University of Würzburg have made an astonishing discovery in a specific type of topological insulators. The effect is due to the structure of the materials used. The researchers have now published their work in the journal Science.
Topological insulators are currently the hot topic in physics according to the newspaper Neue Zürcher Zeitung. Only a few weeks ago, their importance was...
In recent years, lasers with ultrashort pulses (USP) down to the femtosecond range have become established on an industrial scale. They could advance some applications with the much-lauded “cold ablation” – if that meant they would then achieve more throughput. A new generation of process engineering that will address this issue in particular will be discussed at the “4th UKP Workshop – Ultrafast Laser Technology” in April 2017.
Even back in the 1990s, scientists were comparing materials processing with nanosecond, picosecond and femtosesecond pulses. The result was surprising:...
Have you ever wondered how you see the world? Vision is about photons of light, which are packets of energy, interacting with the atoms or molecules in what...
A multi-institutional research collaboration has created a novel approach for fabricating three-dimensional micro-optics through the shape-defined formation of porous silicon (PSi), with broad impacts in integrated optoelectronics, imaging, and photovoltaics.
Working with colleagues at Stanford and The Dow Chemical Company, researchers at the University of Illinois at Urbana-Champaign fabricated 3-D birefringent...
In experiments with magnetic atoms conducted at extremely low temperatures, scientists have demonstrated a unique phase of matter: The atoms form a new type of quantum liquid or quantum droplet state. These so called quantum droplets may preserve their form in absence of external confinement because of quantum effects. The joint team of experimental physicists from Innsbruck and theoretical physicists from Hannover report on their findings in the journal Physical Review X.
“Our Quantum droplets are in the gas phase but they still drop like a rock,” explains experimental physicist Francesca Ferlaino when talking about the...
16.11.2016 | Event News
01.11.2016 | Event News
14.10.2016 | Event News
09.12.2016 | Life Sciences
09.12.2016 | Ecology, The Environment and Conservation
09.12.2016 | Health and Medicine