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
Collagen nanofibrils in mammalian tissues get stronger with exercise
14.12.2018 | University of Illinois College of Engineering
New discoveries predict ability to forecast dementia from single molecule
12.12.2018 | UT Southwestern Medical Center
Researchers from the University of Basel have reported a new method that allows the physical state of just a few atoms or molecules within a network to be controlled. It is based on the spontaneous self-organization of molecules into extensive networks with pores about one nanometer in size. In the journal ‘small’, the physicists reported on their investigations, which could be of particular importance for the development of new storage devices.
Around the world, researchers are attempting to shrink data storage devices to achieve as large a storage capacity in as small a space as possible. In almost...
The more objects we make "smart," from watches to entire buildings, the greater the need for these devices to store and retrieve massive amounts of data quickly without consuming too much power.
Millions of new memory cells could be part of a computer chip and provide that speed and energy savings, thanks to the discovery of a previously unobserved...
What if, instead of turning up the thermostat, you could warm up with high-tech, flexible patches sewn into your clothes - while significantly reducing your...
A widely used diabetes medication combined with an antihypertensive drug specifically inhibits tumor growth – this was discovered by researchers from the University of Basel’s Biozentrum two years ago. In a follow-up study, recently published in “Cell Reports”, the scientists report that this drug cocktail induces cancer cell death by switching off their energy supply.
The widely used anti-diabetes drug metformin not only reduces blood sugar but also has an anti-cancer effect. However, the metformin dose commonly used in the...
A research team from the University of Zurich has developed a new drone that can retract its propeller arms in flight and make itself small to fit through narrow gaps and holes. This is particularly useful when searching for victims of natural disasters.
Inspecting a damaged building after an earthquake or during a fire is exactly the kind of job that human rescuers would like drones to do for them. A flying...
12.12.2018 | Event News
10.12.2018 | Event News
06.12.2018 | Event News
17.12.2018 | Physics and Astronomy
17.12.2018 | Architecture and Construction
17.12.2018 | Life Sciences