Abstract
We conducted a case–control study to investigate factors associated with epidemic cholera. Water treatment and handwashing may have been protective, highlighting the need for personal hygiene for cholera prevention in contaminated urban environments. We also found a diverse diet, a possible proxy for improved nutrition, was protective against cholera.
Highlights
The Study We defined a case as acute, watery diarrhea in a person >5 years of age admitted to the Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections (GHESKIO) cholera treatment center (CTC) in Cité de Dieu slum after November 1, 2010
We explored the role of food diversity through the calculated score, summarizing the relationship with illness by using crude categorization based on the median number of food items consumed, and found that food diversity was protective against illness
This finding was similar to the protective effect of diet variability observed in a case– control study of illness caused by Escherichia coli O157:H7 [13]
Summary
The Study We defined a case as acute, watery diarrhea in a person >5 years of age admitted to the Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections (GHESKIO) cholera treatment center (CTC) in Cité de Dieu slum after November 1, 2010. Enumerators administered a standard questionnaire in Haitian Creole to CTC patients or their caregivers to gather demographic, clinical, and treatment information; food and beverage exposures in the 3 days before illness onset; and water, sanitation, and hygiene practices. Fouché); and Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections, Port-au-Prince Locations of the Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections Cholera Treatment Center and case-patient households in Port-au-Prince, Haiti, 2010.
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