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KENYA: Cholera outbreak confirmed in western region Print E-mail
Monday, 30 June 2008

25 Jun 2008 14:40:11 GMT
Source: IRIN

NAIROBI, 25 June 2008 (IRIN) - An outbreak of cholera has been confirmed
in the Kisumu municipality in the western region, a senior health
official has said.

"At least 13 out of 38 cases sampled for cholera have tested positive,"
Shahnaaz Sharif, the senior deputy director of medical services in
Kenya's health ministry, said.

Sharif said 34 people had also been admitted to the Kisumu district
hospital, with a total of 134 cases reported since the outbreak began on
6 June.

So far, he said, no deaths had been registered.

The most affected areas included the slums of Manyatta, Nyalenda and
Obunga in the municipality, which lies in the district of Kisumu East.

"The new outbreak is attributable to the onset of recent rains in the
region that have resulted in the contamination of water wells - the main
sources of water for the residents," he said.

This, he said, may have aggravated the already poor sanitation in the
slum areas.

Medical supplies have been sent to the affected regions and cholera
treatment centres established in the localities of Migosi, Simba Upepo
and near the airport dispensary.

Contaminated wells located in close proximity to latrines have been
fenced off and the remaining functional wells chlorinated. Other
measures included banning the hawking of food in the area and the
inspection of food handlers.

Sharif said it was difficult to create public awareness of better
hygiene and sanitation practices against a backdrop of low latrine coverage.

The lack of sufficient safe and clean water for domestic consumption
within the municipality was also a challenge, he said.

At least 376 cases and 12 deaths have been reported in the Kisumu East
district since January when an outbreak of the disease was reported in
the rural areas.

The outbreak, which also affected the districts of Bondo, Homa Bay,
Kisii South, Kisumu West, Migori, Nyando, Rongo, Siayathe and Suba in
the western region, led to the deaths of 46 people with 832 cases being
reported, according to a UN World Health Organization (WHO) report on 19
April.

An initial rapid assessment and outbreak investigation in response to
the outbreak in April identified poor personal and food hygiene as one
of the risk factors contributing to the transmission. The assessment was
carried out by a team from the ministry and the WHO.

Cholera is an acute intestinal infection caused by ingestion of food or
water contaminated with the bacterium Vibrio cholerae. Symptoms include
watery diarrhoea that can quickly lead to severe dehydration and death
if treatment is not promptly given.



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