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Characterization of Interventional Studies of the Cholera Epidemic in Haiti

Published online by Cambridge University Press:  19 February 2018

Jessica Miller  and
Marvin L. Birnbaum
Jessica Miller
Affiliation:
Waukesha Family Practice, Waukesha, Wisconsin, USA
Marvin L. Birnbaum*
Affiliation:
Emeritus Professor of Medicine and Physiology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin, USA
*
Correspondence: Marvin L. Birnbaum, MD, PhD Suite 407, 610 N. Whitney Way Madison, Wisconsin 53705, USA E-mail: [email protected]
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Abstract

In October 2010, the Haitian Ministry of Public Health and Population (MSPP; Port au Prince, Haiti) reported a cholera epidemic caused by contamination of the Artibonite River by a United Nation Stabilization Mission camp. Interventional studies of the subsequent responses, including a descriptive Methods section and systematic approach, may be useful in facilitating comparisons and applying lessons learned to future outbreaks. The purpose of this study was to examine publicly available documents relating to the 2010 cholera outbreak to answer: (1) What information is publicly available on interventional studies conducted during the epidemic, and what was/were the impact(s)? and (2) Can the interventions be compared, and what lessons can be learned from their comparison?

A PubMed (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA) search was conducted using the parameters “Haiti” and “cholera.” Studies were categorized as “interventional research,” “epidemiological research,” or “other.” A distinction was made between studies and narrative reports. The PubMed search yielded 171 papers, 59 (34.0%) of which were epidemiological and 12 (7.0%) were interventional studies. The remaining 100 papers (59.0%) comprised largely of narrative, anecdotal descriptions. An expanded examination of publications by the World Health Organization (WHO; Geneva, Switzerland), the Center for Research in the Epidemiology of Disasters (CRED; Brussels, Belgium), United States Agency for International Development (USAID; Washington, DC USA)-Development Experience Clearinghouse (DEC), and US National Library of Medicine’s (NLM; Bethesda, Maryland USA) Disaster Literature databases yielded no additional interventional studies. The unstructured formats and differing levels of detail prohibited comparisons between interventions, even between those with a similar approach. Only two (17.0%) interventional studies included any impact data, although neither commented whether the intervention improved health or reduced incidence or mortality related to cholera. Agreed frameworks for guiding responses and subsequent reporting are needed to ensure reports contain sufficient detail to draw conclusions for the definition of best practices and for the design of future interventions.

MillerJ, BirnbaumML. Characterization of Interventional Studies of the Cholera Epidemic in Haiti. Prehosp Disaster Med. 2018;33(2):176–181.

Keywords

choleraepidemicHaitiinternational disaster responsesinterventional studiesreports
Type
Comprehensive Reviews
Information
Prehospital and Disaster Medicine , Volume 33 , Issue 2 , April 2018 , pp. 176 - 181
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: none

References

1. Piarroux, R, Barrais, R, Faucher, B, et al. Understanding the cholera epidemic, Haiti. Emerg Infect Dis. 2011;17(7):1161-1167.Google Scholar
2. World Health Organization. Definitions: Emergencies. http://www.who.int/hac/about/definitions/en/. Accessed December 14, 2016.Google Scholar
3. Ministère de la Santé Publique et de la Population 2016. Rapport choléra du jour par department. http://mspp.gouv.ht/site/downloads/Rapport%20Web%2018%2005%202016%20Avec%20Courbes%20departementales.pdf. Accessed June 11, 2016.Google Scholar
4. Shuller, M, Levey, S. Kabrit ki gen twòp mèt: understanding gaps in WASH services in Haiti’s IDP camps. Disasters. 2014;38(S1):s1-s24.Google Scholar
5. World Health Organization. Prevention and Control of Cholera Outbreaks: WHO Policy and Recommendations. http://www.who.int/cholera/technical/WHOPolicy November2008.pdf. Accessed July 28, 2014.Google Scholar
6. Republic of Haiti: Ministry of Public Health and Population: National Directorate for Water Supply and Sanitation. National plan for the elimination of cholera in Haiti: 2013-2022. http://www.paho.org/hq/index.php?option=com_docman&task=doc_view&gid= 20326&Itemid270&lang=en. Accessed July 23, 2014.Google Scholar
7. United Nations in Haiti. Haiti Cholera Response: January to March 2015. http://www.un.org/News/dh/infocus/haiti/Cholera_UN_Factsheet_Jan_Mar_2015.pdf. Accessed November 8, 2015.Google Scholar
8. European Commission. ECHO Factsheet – Haiti – June 2016. http://reliefweb.int/sites/reliefweb.int/files/resources/haiti_en_0.pdf. Accessed June 11, 2016.Google Scholar
9. Gelting, R, Bliss, K, Patrick, M, et al. Water, sanitation, and hygiene in Haiti: past, present and future. Am J Trop Med Hyg. 2013;89(4):665-670.Google Scholar
10. Lurie, N, Manlio, T, Patterson, AP, et al. Research as a part of public health emergency response. N Engl J Med. 2013;368(13):1251-1255.Google Scholar
11. Alessandro, L, Altman, DG, Tetzlaff, J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ. 2009;339:b2700.Google Scholar
12. Birnbaum, ML, Daily, EK, O’Rourke, AP. Research and evaluations of the health aspects of disasters, Part V: epidemiological disaster research. Prehosp Disaster Med. 2015;30(6):648-656.CrossRefGoogle ScholarPubMed
13. Birnbaum, ML, Daily, EK, O’Rourke, AP. Research and evaluations of the health aspects of disasters, Part VI: the relief/recovery framework. Prehosp Disaster Med. 2015;31(2):195-210.CrossRefGoogle Scholar
14. Organization for Economic Co-operation and Development (OECD). Glossary of key terms in evaluation and results-based management (2002). http://www.oecd.org/development/peer-reviews/2754804.pdf. Accessed January 3, 2015.Google Scholar
15. Birnbaum, ML, Dudek, O, Adibhatla, S, Ramsel-Miller, J. Categorization and analysis of disaster health publications: an inventory. Prehosp Disaster Med. 2017;32(5):1-10.Google Scholar
16. Teng, JE, Thomson, DR, Lascher, JS, et al. Using mobile health (mHealth) and geospatial mapping technology in a mass campaign for reactive oral cholera vaccination in rural Haiti. PLOS Negl Trop Dis. 2014;8(7):e3050:1-8.Google Scholar
17. Gartley, M, Valeh, P, de Lange, R, et al. Uptake of household disinfection kits as an additional measure in response to a cholera outbreak in urban areas of Haiti. J Water Health. 2013;11(4):623-628.Google Scholar
18. Santa-Olalla, P, Gayer, M, Magloire, R, et al. Implementation of an alert and response system in Haiti during the early stage of response to the cholera epidemic. Am J Trop Med Hyg. 2013;89(4):688-697.CrossRefGoogle Scholar
19. Rouzier, V, Severe, K, Juste, MAJ, et al. Cholera vaccination in urban Haiti. Am J Trop Med Hyg. 2013;89(2):671-681.Google Scholar
20. Ivers, LC, Teng, JE, Lascher, J, et al. Use of oral cholera vaccine in Haiti: a rural demonstration project. Am J Trop Med Hyg. 2013;89(4):617-624.Google Scholar
21. Ciglenecki, I, Bichet, M, Tena, J, et al. Cholera in pregnancy: outcomes from a specialized cholera treatment unit for pregnant women in Leogane, Haiti. PLOS Negl Trop Dis. 2013;7(8):e2368:1-6.CrossRefGoogle ScholarPubMed
22. Beau De Rochars, VE, Tipret, J, Patrick, M, et al. Knowledge, attitudes, and practices related to treatment and prevention of cholera, Haiti, 2010. Emerg Infect Dis. 2011;17(11):2158-2161.Google Scholar
23. Cullen, KA, Ivers, LC. Human rights assessment in Parc Jean Marie Vincent, Port-au-Prince, Haiti. http://www.ncbi.nlm.nih.gov/pubmed/21178190. Accessed June 07, 2016.Google Scholar
24. Rajasingham, A, Bowen, A, O’Reilly, C, et al. Cholera prevention training materials for community health workers, Haiti, 2010-2011. Emerg Infect Dis. 2011;(11):2162-2165.Google Scholar
25. Charles, RC, Hilaire, U, Mayo-Smith, LM, et al. Immunogenicity of a killed bivalent (O1 and O139) whole cell oral cholera vaccine, Sanchol, in Haiti. PLoS Negl Trop Dis. 2013;8(5):e2828.Google Scholar
26. Aibana, O, Franke, M, Teng, J, et al. Cholera vaccination campaign contributes to improved knowledge regarding cholera and improved practice relevant to waterborne disease in rural Haiti. PLOS Negl Trop Dis. 2013;7(11):e2576.Google Scholar
27. Tauxe, RV, Lynch, M, Lambert, Y, et al. Rapid development and use of a nationwide training program for cholera management, Haiti, 2010. Emerg Infect Dis. 2011;17(11):2094-2098.Google Scholar
28. Tappero, JW, Tauxe, RV. Lessons learned during public health response to cholera epidemic in Haiti and Dominican Republic. Emerg Infect Dis. 2011;17(11):2087-2093.Google Scholar
29. Ivers, LC, Teng, JE, Lascher, J, et al. Use of oral cholera vaccine in Haiti: a rural demonstration project. Am J Trop Med Hyg. 2013;89(4):617-624.Google Scholar
30. Emergency and Humanitarian Action, World Health Organization, Regional Office for South-East Asia. Tsunami 2004: A Comprehensive Analysis. Au: Birnbaum ML, Kohl PA, Ofrin R, Daily EK. New Delhi, India: SEARO; 2013.Google Scholar
31. Adibhatia, S, Dudek, O, Miller, J, Birnbaum, M. Classification of disaster health publications. Presented at 19th World Congress on Disaster and Emergency Medicine; Cape Town, South Africa: April 2015. Prehosp Disaster Med. 2015;30(Suppl 1):s111.Google Scholar
32. UN-Inter-Agency Standing Committee (IASC) 2010. Cluster Approach Evaluation 2: Synthesis Report. http://www.humanitarianinfo.org/iasc/ downloaddoc.aspx?docID=5269. Accessed January 5, 2015.Google Scholar
33. Birnbaum, ML, Daily, EK, Kushner, J, O’Rourke, AP. Research and evaluations in health aspects of disasters: Part VI: interventional research and the Disaster Logic Model. Prehosp Disaster Med. 2016;31(2):181-194.CrossRefGoogle Scholar
34. Hemingway, P, Brereton, N. What is a systematic review? http://www.medicine.ox.uk/ bandolier/painres/download/whatis/syst-reviews.pdf. Accessed December 16, 2015.Google Scholar
35. Overtveit, J. Evaluating Health Interventions: An Introduction to Evaluation of Health Treatments, Services, Policies, and Organizational Interventions. Philadelphia, Pennsylvania USA: Open University Press; 1998.Google Scholar
36. Cochrane Collaboration. Handbook for Systematic Reviews. http://www.cochrane.org/resources/hamdbook.index.htm. Accessed December 18, 2015.Google Scholar
37. Disaster Information Management Research Center (DIMRC), US National Library of Medicine. Disaster Health Information Resources. http://www.jointcommission.org/assets/ 1/6/us_national_library_of_medicine_-_disaster_health_information_resources_052014.pdfNLM. Grey literature. Accessed March 19, 2016.Google Scholar
38. Birnbaum, ML, O’Rourke, AP, Daily, EK. Research and evaluation in the health aspects of disasters, Part II: the conceptual framework revisited. Prehosp Disaster Med. 2015;30(5):523-538.Google Scholar