Impact Factor 2021: 3.041 (@Clarivate Analytics)
5-Year Impact Factor: 2.776 (@Clarivate Analytics)
Immediacy Index: 0.927
Impact Factor Rank: 10/24, Q2 (Tropical Medicine)
  • Users Online: 1640
  • Print this page
  • Email this page
Year : 2019  |  Volume : 12  |  Issue : 8  |  Page : 347-352

The cholera epidemic of 2004 in Douala, Cameroon: A lesson learned

1 University of Rostock, Faculty of Medicine, Department of Tropical Medicine and Infectious Diseases, Rostock, Germany
2 Gesellschaftfür Internationale Zusammenarbeit, Yaoundé, Cameroon
3 University of Rostock, Faculty of Medicine, Institute of Biostatistics and Informatics in Medicine and Ageing Research, Rostock, Germany

Correspondence Address:
Christoph J Hemmer
MD, University Medicine Rostock, Ernst Heydemann-Strasse 6, D-18057 Rostock
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1995-7645.262563

Rights and Permissions

Objective: To describe the outbreak of 2004 with a view of retrospectively identifying factors that might explain the low case fatality rate. Methods: Outbreak data from 4 915 Cholera patients from registers of the Regional Health Delegation in Douala were analyzed using SPSS. Chi-square test, univariate and multivariate analysis were applied. Results: The outbreak started January 2004, peaking at 187 cases per week in February. After a decrease in April, case numbers rose to 688 cases per week in June. The outbreak was over in September 2004 ( <10 cases per week). The case fatality rate was higher in treatment centers with fewer than one nurse per two patients, than in those with more nursing staff. A temporary staff reduction after the first wave of the epidemic was associated with the increase of the case fatality rate during the second wave. This increase was reversed after re-instating full staff capacity. Conclusions: Providing sufficient nursing staff helps to lower the case fatality rate of cholera. Besides a lack of staff, age above 40 years is a risk factor for death in this disease.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded514    
    Comments [Add]    
    Cited by others 2    

Recommend this journal