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Volume 25, Number 5—May 2019
Research

Recurrent Cholera Outbreaks, Democratic Republic of the Congo, 2008–2017

Brecht Ingelbeen1Comments to Author , David Hendrickx1, Berthe Miwanda, Marianne A.B. van der Sande, Mathias Mossoko, Hilde Vochten, Bram Riems, Jean-Paul Nyakio, Veerle Vanlerberghe, Octavie Lunguya, Jan Jacobs, Marleen Boelaert, Benoît Ilunga Kebela, Didier Bompangue, and Jean-Jacques Muyembe
Author affiliations: Santé Publique France, Paris, France (B. Ingelbeen); European Centre for Disease Prevention and Control, Stockholm, Sweden (B. Ingelbeen, D. Hendrickx); Institute of Tropical Medicine, Antwerp, Belgium (B. Ingelbeen, M.A.B. van der Sande, V. Vanlerberghe, J. Jacobs, M. Boelaert); Landesgesundheitsamt Baden-Württemberg, Stuttgart, Germany (D. Hendrickx); Institut National de Recherche Biomedicale, Kinshasa, Democratic Republic of the Congo (B. Miwanda, O. Lunguya, J.-J. Muyembe); Utrecht University, Utrecht, the Netherlands (M.A.B. van der Sande); Ministère de la Santé, Kinshasa (M. Mossoko, B.I. Kebela, D. Bompangue); Médecins sans Frontières, Kinshasa (H. Vochten, B. Riems, J.-P. Nyakio); Université de Kinshasa, Kinshasa (D. Bompangue)

Main Article

Table 1

Suspected cases reported and number of samples collected, tested, and confirmed, countrywide, during cholera outbreaks, Democratic Republic of the Congo, 2008–2017

Location
 Period
 No. suspected cases
No. samples collected (% positive)
Serotype
Age <5 y
 Age >5 y
 Total
 Age <5 y
 Age >5 y
 Total
 Inaba
 Ogawa
 Hikojima
DRC
 Jan 2008–Nov 2017
 66,008
 204,483
 270,852
2,028 (34)
 7,482 (30)
 9,510 (31)
2,612
 274
 7
Reported outbreaks* in hot spot provinces
North Kivu, South Kivu, Tanganyika Aug–Nov 2009 1,935 9,641 11,652 20 (50) 189 (33) 209 (35) 11 63 0
North Kivu, South Kivu, Tanganyika Aug–Nov 2017 6,653 14,709 21,362 5 (20) 41 (27) 46 (26) 5 7 0
Haut Katanga Jan–Mar 2008 1,278 4,712 5,990 3 (67) 16 (50) 19 (53) 7 0 0
Haut Katanga Jan–Apr 2013 1,935 6,504 8,441 1 (100) 11 (55) 12 (58) 4 3 0
Haut Lomami Jan–Dec 2014 1,285 3,359 4,644 0 0 0 0 0 0
Ituri
 Jan–Sep 2012
 828
 3,868
 4,696
0
 0
 0
0
 0
 0
Reported outbreaks* in non–hot spot provinces
Congo River Jan 2011–Dec 2012 2,809 11,878 14,686 89 (30) 578 (26) 667 (27) 179 0 0
Congo River Sep 2015–2017 4,991 20,330 25,422 123 (7) 633 (19) 756 (17) 118 10 0
Kwilu, Kwango, Kasai, Lomami, Sankuru Jul–Nov 2017 374 2,123 2,497 0 10 (20) 10 (20) 1 1 0

*Defined as >1 laboratory-confirmed cholera cases with evidence of local transmission and an increase in the number of suspected cases for >3 consecutive weeks, or weekly incidence >1,000 cases for >3 consecutive weeks for provinces reporting cases all year round, or increasing number of suspect cases for >3 consecutive weeks if no cholera samples were submitted to the national reference laboratory for testing.

Main Article

1These authors contributed equally to this article.

Page created: April 18, 2019
Page updated: April 18, 2019
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