Files and links (1)
Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Excess mortality in northern Haiti during the 2010 cholera epidemic
PLoS neglected tropical diseases, v 17(12), e0011750
Dec 2023
PMID: 38055681
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
In the course of infectious disease outbreaks, barriers to accessing health care can contribute to preventable mortality. According to the Ministry of Health of Haiti (Ministère de la Santé Publique et de la Population [MSPP]), the 2010 cholera epidemic caused 7,936 deaths from October 2010 to December 2012 in Haiti alone. We seek to quantify the excess mortality attributable to patients not seeking care during the cholera outbreak in the Nord Department in 2010-2012. Using data from a community-based retrospective survey conducted by Doctors Without Borders (Médecins Sans Frontières [MSF]) in Northern Haiti, we used logistic regression to examine the association between healthcare utilization and fatality among household members with watery diarrhea in the Communes of Borgne, Pilate, Plaisance, and Port-Margot in the Nord Department. We found that failing to seek care resulted in a 5-fold increase in the case fatality ratio among infected individuals (26%) versus those who sought care (5%). Common concerns noted for why care was not sought included travel distance to treatment centers, not attributing watery diarrhea episodes to cholera, and being unsure where to seek health care for their watery diarrhea episodes within their Communes. In conclusion, addressing transportation and information needs could increase healthcare utilization and reduce lives lost during an outbreak.
Metrics
5 Record Views
Details
- Title
- Excess mortality in northern Haiti during the 2010 cholera epidemic
- Creators
- Macceau Medozile - SUNY Downstate Health Sciences UniversityGina S Lovasi - Drexel UniversitySergios-Orestis Kolokotronis - SUNY Downstate Health Sciences UniversityLori A Hoepner - Drexel University
- Publication Details
- PLoS neglected tropical diseases, v 17(12), e0011750
- Publisher
- Public LIbrary of Science (PLOS)
- Grant note
- T37 MD001425 / NIMHD NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Dana and David Dornsife School of Public Health; Epidemiology and Biostatistics
- Web of Science ID
- WOS:001121767900003
- Scopus ID
- 2-s2.0-85179020674
- Other Identifier
- 991021811913904721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Infectious Diseases
- Parasitology
- Tropical Medicine