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Oral cholera vaccination coverage in an acute emergency setting in Somalia, 2017. | LitMetric

AI Article Synopsis

  • - The first oral cholera vaccination (OCV) campaign in Somalia took place from March to October 2017, targeting 1.1 million individuals in 11 high-risk districts with a goal of administering 2 doses of the vaccine.
  • - The campaign achieved a 95.5% coverage rate for the two doses across all districts, and post-campaign surveys showed that a significant majority of participants received the intended vaccinations.
  • - The experience highlighted the feasibility of implementing OCV campaigns in emergency situations by using existing healthcare infrastructure, despite facing challenges.

Article Abstract

The first oral cholera vaccination (OCV) campaign in Somalia was implemented between March and October 2017. It was the first time the Ministry of Health had introduced and used OCV as part of the cholera prevention and control strategies. The Ministry of Health aimed to cover 1.1 million people ≥ 1 year with 2 doses of the OCV in 11 high-risk districts. Overall, 2-dose administrative OCV coverage in all targeted districts was 95.5%. Following the campaign, a random sample survey was conducted in 9 out of 11districts to evaluate coverage, awareness, reasons for non-vaccination, the water and sanitation status of households, and any resulting adverse events. The survey was conducted in 2 phases. Of the 3,715 eligible individuals in the first phase, 92.5% (95% CI 91.4-93.6%) received 2 doses of the OCV and 7.0% (95% CI 6.0-8.2%) 1 dose. In the second phase, of 1,926 individuals, 94.1% (95% CI 92.9-95.1%) received 2 doses and 2.6% (95% CI 2.0-3.4%) 1 dose. Despite challenges, this experience shows that OCV campaigns can be implemented in acute humanitarian settings through existing immunization structures.

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Source
http://dx.doi.org/10.1016/j.vaccine.2020.01.015DOI Listing

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