A Retrospective Study: Cholera in Baghdad 2015

Haitham Noaman Al-Koubaisy; Celine Tabche; Salman Rawaf

doi:doi:10.11648/j.sjph.20221006.13

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A Retrospective Study: Cholera in Baghdad 2015

Haitham Noaman Al-Koubaisy, Celine Tabche, Salman Rawaf

Published in Science Journal of Public Health (Volume 10, Issue 6)

Received: 15 July 2022 Accepted: 29 July 2022 Published: 29 December 2022

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Abstract

From June to December 2015, Iraq's capital city, Baghdad, suffered a cholera epidemic. Al-Yarmouk Teaching Hospital (AYTH) is the second main hospital in Baghdad City, located close to the epidemic epicentre and recorded events as they unfolded. A retrospective audit of hospital records was done in this study. Clinical and sociodemographic data were collected on the population, including adult patients admitted to AYTH with a confirmed diagnosis of cholera by the Central Public Health Laboratory (CPHL). The confirmed cases were 940. Of those cases, 21% attended AYTH. Initial belt zone cases totalled 44.16% of hospital cases, of which 65 were dependent on agricultural products from neighbouring farms. All patients were positive for the Inaba Vibrio Cholera strain. Baghdad’s cholera epidemic may have resulted from inhabitants’ dependence on local water sources for agricultural needs. During summer, severed water supplies denied Baghdad’s Dijla River water access forced farmers and locals to source well water. To protect the public and environmental safety, groundwater must be accurately and regularly tested in the region. Safe drinking water and sanitary toilet facilities must be guaranteed.

Published in	Science Journal of Public Health (Volume 10, Issue 6)
DOI	10.11648/j.sjph.20221006.13
Page(s)	252-255
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Cholera Epidemic, Inaba Vibrio Cholera, Water Safety, Iraq, Environmental Safety, Clinical Data

References

[1]	Regmi K, Gilbert R, Thunhurst C. How can health systems be strengthened to control and prevent an Ebola outbreak? A narrative review. Infection Ecology & Epidemiology. 2015 Nov 24th; vol 5; DOI: https://doi.org/10.3402/iee.v5.28877
[2]	WHO \| Environment and health in developing countries. WHO. [internet]. Cited [2019 Nov 16th]. https: //www.who.int/heli/risks/ehindevcoun/en/
[3]	CDC \| CDC works closely with global partners to prevent, detect, control, and respond to cholera outbreaks around the world. CDC. [Internet]. Cited [2019 Nov 16th]. https://www.cdc.gov/cholera/ending-cholera.html
[4]	Berk V, Fong JC, Dempsey GT, Develioglu ON, Zhuang X, Liphardt J, Yildiz FH, Chu S. Molecular architecture and assembly principles of Vibrio cholera biofilms. Science. 2012 Jul 13; 337 (6091): 236-9.
[5]	Jutla, A., Whitcombe, E., Hasan, N., Haley, B., Akanda, A., Huq, Colwell. Environmental Factors Influencing Epidemic Cholera. The American Journal of Tropical Medicine and Hygiene. 2013; 89 (3), 597–607. http://doi.org/10.4269/ajtmh.12-0721
[6]	Nusrin S, Gil AI, Bhuiyan NA, Safa A, Asakura M, Lanata CF, Hall E, Miranda H, Huapaya B, Vargas C, Luna MA. Peruvian Vibrio cholera O1 El Tor strains possess a distinct region in the Vibrio seventh pandemic island-II that differentiates them from the prototype seventh pandemic El Tor strains. Journal of medical microbiology. 2009 Mar 1; 58 (3): 342-54. Mukhopadhyay AK, Takeda Y, Balakrish Nair G. Cholera outbreaks in the El Tor biotype era and the impact of the new El Tor variants. Curr Top Microbiol Immunol. 2014; 379: 17-47.
[7]	Morita M, Ohnishi M, Arakawa E, Bhuiyan NA, Nusrin S, Alam M, Siddique AK, Qadri F, Izumiya H, Nair GB, Watanabe H. Development, and validation of a mismatch amplification mutation PCR assay to monitor the dissemination of an emerging variant of Vibrio cholera O1 biotype El Tor. Microbiology and immunology. 2008 Jun 1; 52 (6): 314-7.
[8]	Diarrhoeal disease [Internet]. [cited 2020 Mar 12]. Available from: https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
[9]	Khuntia HK, Samal SK, Kar SK, Pal BB. An Ogawa cholera outbreak 6 months after the Inaba cholera outbreaks in India, 2006. J Microbiol Immunol Infect. 2010 Apr; 43 (2): 133-7.
[10]	Alam MT, Ray SS, Chun CN, Chowdhury ZG, Rashid MH, Madsen Beau De Rochars VE, Ali A. Major shift of toxigenic v. cholerae O1 from Ogawa to Inaba serotype isolated from clinical and environmental samples in Haiti; 2016 October; https://doi.org/10.1371/journal.pntd.0005045
[11]	Shrivastava SR, Shrivastava PS, Ramasamy J. Successful containment of the 2015 cholera outbreak in Iraq. Community Acquired Infection. 2016 Jan 1; 3 (1): 28.
[12]	Panel Thomas, DartonDphilac, Christoph J. Blohmke, VaseeS. Moorthy, et al. Design recruitment and microbiological considerations in human challenge studies. Lancet Infectious Disease.2015, Jul; (8): 840-851.
[13]	Sayeed MA, Bufano MK, Xu P, Eckhoff G, Charles RC, Alam MM, Sultana T, Rashu MR, Berger A, Gonzalez-Escobedo G, Mandlik A. A cholera conjugate vaccine containing O-specific polysaccharide (OSP) of V. cholera O1 Inaba and recombinant fragment of tetanus toxin heavy chain (OSP: rTTHc) induces serum, memory, and lamina proprial responses against OSP and is protective in mice. PLoSneglected tropical diseases. 2015 Jul 8; 9 (7): e0003881.
[14]	Al-Abbasi AR, Aema SM. The Cholera epidemic in Iraq during 2015. TOFIQ Journal of Medical Sciences. 2015; 2 (2): 27-41.
[15]	Jeffrey Bates, Karim ELKorany. WHO received notification from IHR focal point of Iraq about new cases of confirmed cholera. relief web 26 Novemeber 2015. www.who.int/csr/don/26-november-2015-iraq-cholera/en/26 November 2015.
[16]	Jeffrey Bates, Karim ELKorany. Successful and timely efforts against killer disease are sustained in 2016. reliefweb.int, 23 February 2016. https://reliefweb.int/disaster/ep-2015-000132-irq.
[17]	Jeffrey Bates, Karim ELKorany. Emergency response by humanitarian partners (January to October 2015) INFOGRAPHIC from UN Office for the Coordination of Humanitarian Affairs Published on 19 Nov 2015 —View Original reliefweb.int.
[18]	Jeffrey Bates, Ms AjyalSultany. Iraq's 2015 response to cholera outbreak minimises future risk. World Health Organization emro, 2015. http://www.emro.who.int/irq/iraq-news/iraqs-2015.
[19]	Lam E, Al-Tamimi W, Russell SP, Butt MO, Blanton C, Musani AS, Date K. Oral cholera vaccine coverage during an outbreak and humanitarian crisis, Iraq, 2015. Emerging infectious diseases. 2017 Jan; 23 (1): 38.
[20]	WHO \| Cholera Outbreak: Assessing the Outbreak Response and Improving Preparedness [Internet]. WHO. [cited 2019 Sep 16]. https://apps.who.int/iris/bitstream/handle/10665/43017/WHO_CDS_CPE_ZFk_2004.4_eng.pdf; jsessionid=3210FF397B2F306FFF145494071721DE?sequence=1
[21]	Cholera worldwide overview. European Centre for Disease Prevention and Control. https://www.ecdc.europa.eu/en/all-topics-z/cholera/surveillance-and-disease-data/cholera-monthly. Published 2022. Accessed February 1, 2022.

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APA Style

Haitham Noaman Al-Koubaisy, Celine Tabche, Salman Rawaf. (2022). A Retrospective Study: Cholera in Baghdad 2015. Science Journal of Public Health, 10(6), 252-255. https://doi.org/10.11648/j.sjph.20221006.13

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Haitham Noaman Al-Koubaisy; Celine Tabche; Salman Rawaf. A Retrospective Study: Cholera in Baghdad 2015. Sci. J. Public Health 2022, 10(6), 252-255. doi: 10.11648/j.sjph.20221006.13

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AMA Style

Haitham Noaman Al-Koubaisy, Celine Tabche, Salman Rawaf. A Retrospective Study: Cholera in Baghdad 2015. Sci J Public Health. 2022;10(6):252-255. doi: 10.11648/j.sjph.20221006.13

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@article{10.11648/j.sjph.20221006.13,
  author = {Haitham Noaman Al-Koubaisy and Celine Tabche and Salman Rawaf},
  title = {A Retrospective Study: Cholera in Baghdad 2015},
  journal = {Science Journal of Public Health},
  volume = {10},
  number = {6},
  pages = {252-255},
  doi = {10.11648/j.sjph.20221006.13},
  url = {https://doi.org/10.11648/j.sjph.20221006.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20221006.13},
  abstract = {From June to December 2015, Iraq's capital city, Baghdad, suffered a cholera epidemic. Al-Yarmouk Teaching Hospital (AYTH) is the second main hospital in Baghdad City, located close to the epidemic epicentre and recorded events as they unfolded. A retrospective audit of hospital records was done in this study. Clinical and sociodemographic data were collected on the population, including adult patients admitted to AYTH with a confirmed diagnosis of cholera by the Central Public Health Laboratory (CPHL). The confirmed cases were 940. Of those cases, 21% attended AYTH. Initial belt zone cases totalled 44.16% of hospital cases, of which 65 were dependent on agricultural products from neighbouring farms. All patients were positive for the Inaba Vibrio Cholera strain. Baghdad’s cholera epidemic may have resulted from inhabitants’ dependence on local water sources for agricultural needs. During summer, severed water supplies denied Baghdad’s Dijla River water access forced farmers and locals to source well water. To protect the public and environmental safety, groundwater must be accurately and regularly tested in the region. Safe drinking water and sanitary toilet facilities must be guaranteed.},
 year = {2022}
}

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TY - JOUR
T1 - A Retrospective Study: Cholera in Baghdad 2015
AU - Haitham Noaman Al-Koubaisy
AU - Celine Tabche
AU - Salman Rawaf
Y1 - 2022/12/29
PY - 2022
N1 - https://doi.org/10.11648/j.sjph.20221006.13
DO - 10.11648/j.sjph.20221006.13
T2 - Science Journal of Public Health
JF - Science Journal of Public Health
JO - Science Journal of Public Health
SP - 252
EP - 255
PB - Science Publishing Group
SN - 2328-7950
UR - https://doi.org/10.11648/j.sjph.20221006.13
AB - From June to December 2015, Iraq's capital city, Baghdad, suffered a cholera epidemic. Al-Yarmouk Teaching Hospital (AYTH) is the second main hospital in Baghdad City, located close to the epidemic epicentre and recorded events as they unfolded. A retrospective audit of hospital records was done in this study. Clinical and sociodemographic data were collected on the population, including adult patients admitted to AYTH with a confirmed diagnosis of cholera by the Central Public Health Laboratory (CPHL). The confirmed cases were 940. Of those cases, 21% attended AYTH. Initial belt zone cases totalled 44.16% of hospital cases, of which 65 were dependent on agricultural products from neighbouring farms. All patients were positive for the Inaba Vibrio Cholera strain. Baghdad’s cholera epidemic may have resulted from inhabitants’ dependence on local water sources for agricultural needs. During summer, severed water supplies denied Baghdad’s Dijla River water access forced farmers and locals to source well water. To protect the public and environmental safety, groundwater must be accurately and regularly tested in the region. Safe drinking water and sanitary toilet facilities must be guaranteed.
VL - 10
IS - 6
ER -

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Author Information

Haitham Noaman Al-Koubaisy

Department of Medicine, College of Medicine, University of Anbar, Ramadi, Iraq
Celine Tabche

Department of Primary Care and Public Health, Imperial College London, WHO Collaborating Centre for Public Health Education and Training, London, UK
Salman Rawaf

Department of Primary Care and Public Health, Imperial College London, WHO Collaborating Centre for Public Health Education and Training, London, UK

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Plain Text BibTeX RIS

APA Style

Haitham Noaman Al-Koubaisy, Celine Tabche, Salman Rawaf. (2022). A Retrospective Study: Cholera in Baghdad 2015. Science Journal of Public Health, 10(6), 252-255. https://doi.org/10.11648/j.sjph.20221006.13

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ACS Style

Haitham Noaman Al-Koubaisy; Celine Tabche; Salman Rawaf. A Retrospective Study: Cholera in Baghdad 2015. Sci. J. Public Health 2022, 10(6), 252-255. doi: 10.11648/j.sjph.20221006.13

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AMA Style

Haitham Noaman Al-Koubaisy, Celine Tabche, Salman Rawaf. A Retrospective Study: Cholera in Baghdad 2015. Sci J Public Health. 2022;10(6):252-255. doi: 10.11648/j.sjph.20221006.13

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@article{10.11648/j.sjph.20221006.13,
  author = {Haitham Noaman Al-Koubaisy and Celine Tabche and Salman Rawaf},
  title = {A Retrospective Study: Cholera in Baghdad 2015},
  journal = {Science Journal of Public Health},
  volume = {10},
  number = {6},
  pages = {252-255},
  doi = {10.11648/j.sjph.20221006.13},
  url = {https://doi.org/10.11648/j.sjph.20221006.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20221006.13},
  abstract = {From June to December 2015, Iraq's capital city, Baghdad, suffered a cholera epidemic. Al-Yarmouk Teaching Hospital (AYTH) is the second main hospital in Baghdad City, located close to the epidemic epicentre and recorded events as they unfolded. A retrospective audit of hospital records was done in this study. Clinical and sociodemographic data were collected on the population, including adult patients admitted to AYTH with a confirmed diagnosis of cholera by the Central Public Health Laboratory (CPHL). The confirmed cases were 940. Of those cases, 21% attended AYTH. Initial belt zone cases totalled 44.16% of hospital cases, of which 65 were dependent on agricultural products from neighbouring farms. All patients were positive for the Inaba Vibrio Cholera strain. Baghdad’s cholera epidemic may have resulted from inhabitants’ dependence on local water sources for agricultural needs. During summer, severed water supplies denied Baghdad’s Dijla River water access forced farmers and locals to source well water. To protect the public and environmental safety, groundwater must be accurately and regularly tested in the region. Safe drinking water and sanitary toilet facilities must be guaranteed.},
 year = {2022}
}

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